Correlation of ECG Changes With Coronary Angiographic Morphology in Patients Presented With Rest Pain

The study was performed to see the correlation of ECG changes with CAG findings in patients of unstable angina presented with prolonged rest pain. A total 30 cases were taken and was divided into three groups according to their ST segment and T wave changes in ECG. Echocardiogram was done and selective coronary angiogram was performed in all patients within 5 to 15 days of presentation. The study showed that patient with significant ECG change had more extensive coronary artery involvement than the patients with less significant ECG change or normal ECG with better preserved ejection fraction. So ECG changes can give a clue about severity, long-term prognosis and outcome of the disease. (University Heart Journal 2007; 3: 57-59

CASE REPORTS

“Budd Chiari syndrome (BCS) ” is an uncommon condition induced by thrombotic or nonthrombotic obstruction to hepatic venous outflow. This disease can be potentially life-threatening but prognosis is more favorable in patient with IVC webs but is extremely poor in malignant and haematological cases. A cooperative collaboration of hepatologist and cardiologist can make the situation easy for diagnosis, even in treatment of some cases

Dual Right Coronary Artery Associated with ASD and Pulmonary Stenosis

Coronary artery anomalies occur in less than 1 % of the cases undergoing coronary angiography, and constitute 1-2 % of all congenital heart disease. 1 The origin of the circumflex artery from the right coronary artery (RCA

REVIEW ARTICLES Intracoronary Adenosine Induced hyperaemia reduces the incidence of myonecrosis due to micro infraction after elective Percutaneous Coronary Intervention

Percutaneous Coronary Intervention (PCI) is associated with 5 % to 30 % incidence of elevation of serum Creatine Kinase MB fraction (CK-MB) reflect the periprocedural myonecrosis,’Appearance of Creatine Kinase MB (CK-MB) in the circulation is the strongest predictor of long term clinical outcome of PCI 2-5, correlating the deleterious consequences of myonecrosis on Left Ventricular function or Electrophysiological stability 6. Pathophysiology of myonecrosis during PCI has been related to side branch closure or compression, major intimal dissection, intramural thrombus formation, coronary spasm, distal atheroembolization. The first four causes may be clinically apparent and measures can be taken during the procedure, the latter may be entirely asymptomatic and occur even Angiographically uneventful procedure. Contrast enhanced Magnetic Resonance Imaging suggest that distal embolization of atherogenic materials from plaque disruption 7, causing micro infarction by obstructing the blood flow at capillary level 8,9. Studies show that intra venous Adenosine infusion as an adjunct to reperfusion in the treatment of acute myocardial infarction associated with reduction of heart muscle damage10,11. Adenosine is a naturally occurring nucleoside with a half life in blood of less than 10 seconds. Adenosine may be administered via intravenous or Intracoronary route, produce hyperemic effect that is commonly used to measure the coronary flow reserve during PCI. Th