Papers by Muhammad Mazhar
Introduction: Radial artery occlusion is a usually silent complication of transradial approach th... more Introduction: Radial artery occlusion is a usually silent complication of transradial approach that may prevent future transradial procedures.TR Band provides quick, effective, comfortable hemostasis and reduces arterial occlusion. The purposive significance of this study was to evaluate the usefulness of TR band after coronary angiogram in decreasing the frequency of radial artery occlusion.
New J. Chem., 2012
Heterobimetallic molecular Cu–Ni and Cu–Co complexes [Cu 2 Ni 4 (acac) 2 (dmae) 2 (dmaeH) 2 (OH)(... more Heterobimetallic molecular Cu–Ni and Cu–Co complexes [Cu 2 Ni 4 (acac) 2 (dmae) 2 (dmaeH) 2 (OH)(TFA) 6](1) and [Cu 2 Co 4 (acac) 2 (dmae) 2 (dmaeH) 2 (OH)(TFA) 6](2)[dmae= N, N-dimethylaminoethanol, TFA= trifluoroacetic acid and acac= 2, 4-...
Journal of Infectious Diseases & Research , 2018
Infective endocarditis is a preventable infectious heart disease that invades to endocardial part... more Infective endocarditis is a preventable infectious heart disease that invades to endocardial part of heart. The occurrence of IE is still seen and has impacted to high risk morbidity patients. Despite it can easily be prevented, it is still been a challenge to prevent especially in low economic and developing countries. Antibiotic prophylaxis alone is not recommended to prevent infective endocarditis because there is no strong association between having an interventional procedures and development of IE. Preventive antibiotics are no longer recommended for any other congenital heart disease but may be considered in high-risk cardiac conditions. According to recent NICE and ESC guideline, prevention IE with antibiotic is needed to give clear information about the benefits and risks of antibiotics prophylaxis. Thus, it is very important to know how to give effective antibiotics prophylaxis in high risk patients.
EC Cardiology, 2018
Introduction: Radial artery occlusion is a usually silent complication of transradial approach th... more Introduction: Radial artery occlusion is a usually silent complication of transradial approach that may prevent future transradial procedures.TR Band provides quick, effective, comfortable hemostasis and reduces arterial occlusion. The purposive significance of this study was to evaluate the usefulness of TR band after coronary angiogram in decreasing the frequency of radial artery occlusion.
Materials and Methods: A total of 180 patients with undergoing coronary angiogram through transradial access of any gender between age 18 - 70 years were included. Patients with history of previous coronary angiogram through transradial access, undergoing PCI and h/o peripheral arterial disease were excluded. Full demographic informations including age, gender were included in the study. The radial artery occlusion (RAO) was assessed by Barbeau test after 24 hours of coronary angiography.
Results: Mean age was 54.19 ± 12.30 years. Out of the 180 patients, 123 (68.33%) were male and 57 (31.67%) were females with male to female ratio of 2.16:1. Radial artery occlusion was found in 14 (7.78%) patients. It was also found that presence of confounding variables i.e. diabetes mellitus, hypertension and smoking, increased the risk of radial artery occlusion though this difference was found to be only statistically significant for diabetes mellitus.
Conclusions: This study concluded that TR pneumatic compression band is a very useful and safe method with frequency of radial artery occlusion is only 7.78% after transradial cardiac catheterization.
Keywords: Cardiac Catheterization; Radial Artery; Thrombosis; Compression
Standard 12-lead electrocardiography (ECG) is a widely available
technology that is routinely ap... more Standard 12-lead electrocardiography (ECG) is a widely available
technology that is routinely applied in the setting of chest pain to
identify patients with ST-elevation myocardial infarction (STEMI)
who would benefit from primary PCI [1]. The use of ECG to predict
the location of the culprit coronary lesion within the infarct-related
artery (IRA) could provide additional valuable information to
augment clinical decision making and expedite reperfusion therapy.
Previous studies in patients with acute coronary syndromes have
correlated ECG findings to the results of coronary angiography,
leading to the formulation of ECG criteria capable of identifying
the coronary artery housing the culprit lesion and the site of the
culprit lesion within that artery [2-5].
The culprit artery of anterior STEMI is nearly always the left anterior
descending
artery
(LAD),
but
inferior
STEMI
can
be
caused
by
an
occlusion
of
either
the
right
coronary
artery
(RCA)
or
left
circumflex
(LCX)
artery.
Various
ECG
criteria
have
been
suggested
to
predict
the
culprit
artery
based
on
the
analysis
of
ST-segment
elevation
and
ST-segment
depression
in different
leads
[6].
More recently, ST-segment depression in lead aVR has been
suggested as a predictor of LCX artery involvement [7], aVR
depression was also shown to be associated with significantly
impaired myocardial perfusion [8].
Prediction of the culprit artery in inferior STEMI can be challenging
because the dominance of the RCA and LCX can vary significantly
among patients [
Uploads
Papers by Muhammad Mazhar
Materials and Methods: A total of 180 patients with undergoing coronary angiogram through transradial access of any gender between age 18 - 70 years were included. Patients with history of previous coronary angiogram through transradial access, undergoing PCI and h/o peripheral arterial disease were excluded. Full demographic informations including age, gender were included in the study. The radial artery occlusion (RAO) was assessed by Barbeau test after 24 hours of coronary angiography.
Results: Mean age was 54.19 ± 12.30 years. Out of the 180 patients, 123 (68.33%) were male and 57 (31.67%) were females with male to female ratio of 2.16:1. Radial artery occlusion was found in 14 (7.78%) patients. It was also found that presence of confounding variables i.e. diabetes mellitus, hypertension and smoking, increased the risk of radial artery occlusion though this difference was found to be only statistically significant for diabetes mellitus.
Conclusions: This study concluded that TR pneumatic compression band is a very useful and safe method with frequency of radial artery occlusion is only 7.78% after transradial cardiac catheterization.
Keywords: Cardiac Catheterization; Radial Artery; Thrombosis; Compression
technology that is routinely applied in the setting of chest pain to
identify patients with ST-elevation myocardial infarction (STEMI)
who would benefit from primary PCI [1]. The use of ECG to predict
the location of the culprit coronary lesion within the infarct-related
artery (IRA) could provide additional valuable information to
augment clinical decision making and expedite reperfusion therapy.
Previous studies in patients with acute coronary syndromes have
correlated ECG findings to the results of coronary angiography,
leading to the formulation of ECG criteria capable of identifying
the coronary artery housing the culprit lesion and the site of the
culprit lesion within that artery [2-5].
The culprit artery of anterior STEMI is nearly always the left anterior
descending
artery
(LAD),
but
inferior
STEMI
can
be
caused
by
an
occlusion
of
either
the
right
coronary
artery
(RCA)
or
left
circumflex
(LCX)
artery.
Various
ECG
criteria
have
been
suggested
to
predict
the
culprit
artery
based
on
the
analysis
of
ST-segment
elevation
and
ST-segment
depression
in different
leads
[6].
More recently, ST-segment depression in lead aVR has been
suggested as a predictor of LCX artery involvement [7], aVR
depression was also shown to be associated with significantly
impaired myocardial perfusion [8].
Prediction of the culprit artery in inferior STEMI can be challenging
because the dominance of the RCA and LCX can vary significantly
among patients [
Materials and Methods: A total of 180 patients with undergoing coronary angiogram through transradial access of any gender between age 18 - 70 years were included. Patients with history of previous coronary angiogram through transradial access, undergoing PCI and h/o peripheral arterial disease were excluded. Full demographic informations including age, gender were included in the study. The radial artery occlusion (RAO) was assessed by Barbeau test after 24 hours of coronary angiography.
Results: Mean age was 54.19 ± 12.30 years. Out of the 180 patients, 123 (68.33%) were male and 57 (31.67%) were females with male to female ratio of 2.16:1. Radial artery occlusion was found in 14 (7.78%) patients. It was also found that presence of confounding variables i.e. diabetes mellitus, hypertension and smoking, increased the risk of radial artery occlusion though this difference was found to be only statistically significant for diabetes mellitus.
Conclusions: This study concluded that TR pneumatic compression band is a very useful and safe method with frequency of radial artery occlusion is only 7.78% after transradial cardiac catheterization.
Keywords: Cardiac Catheterization; Radial Artery; Thrombosis; Compression
technology that is routinely applied in the setting of chest pain to
identify patients with ST-elevation myocardial infarction (STEMI)
who would benefit from primary PCI [1]. The use of ECG to predict
the location of the culprit coronary lesion within the infarct-related
artery (IRA) could provide additional valuable information to
augment clinical decision making and expedite reperfusion therapy.
Previous studies in patients with acute coronary syndromes have
correlated ECG findings to the results of coronary angiography,
leading to the formulation of ECG criteria capable of identifying
the coronary artery housing the culprit lesion and the site of the
culprit lesion within that artery [2-5].
The culprit artery of anterior STEMI is nearly always the left anterior
descending
artery
(LAD),
but
inferior
STEMI
can
be
caused
by
an
occlusion
of
either
the
right
coronary
artery
(RCA)
or
left
circumflex
(LCX)
artery.
Various
ECG
criteria
have
been
suggested
to
predict
the
culprit
artery
based
on
the
analysis
of
ST-segment
elevation
and
ST-segment
depression
in different
leads
[6].
More recently, ST-segment depression in lead aVR has been
suggested as a predictor of LCX artery involvement [7], aVR
depression was also shown to be associated with significantly
impaired myocardial perfusion [8].
Prediction of the culprit artery in inferior STEMI can be challenging
because the dominance of the RCA and LCX can vary significantly
among patients [