Association between Coronary Artery Ectasia and Neutrophil:Lymphocyte Ratio

Kavi, Gaurav; Malviya, Amit; Mishra, Alok; Sharma, Sakshi; Ete, Tony; Megeji, Rinchin Dorjee; Saha, Swapan K.; Kapoor, Manish

doi:10.7860/jcdr/2018/31844.11512

Cited by 1 publication

(4 citation statements)

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“…22 In our study, we noted that mean value of RV FAC was significantly low in CRBBB than IRBBB patients (P<0.001). Similar to our finding Elabbady et al 14 and Kavi et al 15 found that RV FAC was statistically significantly decreased in CRBBB than IRBBB(P<0.004) and CRBBB than patient with normal QRS duration(P<0.01) respectively. However, Zhang Q. et al disagree with our result, as they report that RV FAC was no statistically significant difference between RBBB and control group.…”

Section: Discussionsupporting

confidence: 91%

“…19,23 Previous studies agree with our findings and reported that Tei index value was increase significantly in CRBBB than IRBBB group(P<0.001). 14,15 In present study, we observed that there were statistically…”

Section: Discussionsupporting

confidence: 51%

“…found that TAPSE was low in CRBBB compare to patient with normal QRS duration (P<0.01). 15 However, Quintana et al 16 and Miller et.al. 17 demonstrate that there was no statistically significant decrease in TAPSE between RBBB and normal subject(P>0.05).…”

Section: Discussionmentioning

confidence: 99%

“…2,14,20 Kavi et.al also demonstrate similar finding, pulse doppler S' velocity of CRBBB was decreased as compare to patient with normal QRS duration (P<0.01). 15 Regarding RV FAC, it measures the global RV systolic function that has been shown to correlate with RV ejection fraction by cardiac MRI. 21 Studies showed that decreased RV FAC was independently associated with increased risk of all-cause mortality after myocardial infarction.…”

Section: Discussionmentioning

confidence: 99%

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Morphologic Characteristics and Function of Right Ventricle in Patients With Isolated Right Bundle Branch Block

Murtuza¹,

Regmi²,

Dhital³

et al. 2022

JCMC

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Background: The prevalence of right bundle branch block (RBBB) is estimated in 0.2 to 1.3% of healthy people. RBBB had independent association with decreased right ventricle (RV) function, which is considered as predictor of adverse cardiovascular outcomes. The aim of this study is to evaluate RV structure and function in patients with isolated RBBB (without structural heart disease) using two-dimensional echocardiography. Methods: A cross-sectional study conducted at Chitwan Medical College, Bharatpur from 1st January 2022 to 30th June 2022. Consecutive adult patients aged ≥18 years with isolated RBBB classified into complete RBBB (CRBBB) and Incomplete RBBB (IRBBB) based on electrocardiographic findings. The echocardiographic evaluation was done to assess RV dimension and function. Results: A total of 52 patients with isolated RBBB were included with mean age of the study population was 45.3 ± 9.3 years, (28 ,53.8%) had CRBBB, whereas the remaining (24, 46.2%) had IRBBB. Among the parameters used to assess RV function; mean RV-Fractional area change (P<0.001), Tricuspid annular plane systolic excursion(P<0.02) and Pulsed Doppler peak velocity at the lateral annulus RV(P<0.001) were significantly lower, while Pulsed Doppler myocardial performance index(P<0.001) was significantly high in CRBBB group as compared to IRBBB group. Similarly, Right atrium and RV dimensional parameters were significant higher in CRBBB compared to IRBBB group. Conclusions: Isolated RBBB is not as benign as it was considered and has deteriorating effect on RV morphology and function. Therefore, patients with Isolated RBBB need follow-up with passing age and more attention toward RV structural and functional analysis.

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Section: Discussionsupporting

confidence: 91%