Dr. Anupam Jena, Interventional Cardiologist & Electrophysiologist

Happy to share that Our article has been published in the European Heart Journal Case Reports. This article is about a rare presentation of Takayasu's arteritis.

Extensive thoracoabdominal aortic aneurysm as initial presentation in Takayasu arteritis: case series and literature review AbstractBackground. Aortic aneurysm as a presenting feature in Takayasu’s arteritis is very rare. Here, we report three cases of extensive thoracoabdominal aort

Physical activity after a heart attack, stenting or bypass surgery.

Physical Activity after Heart Attack, Stenting or Bypass Surgery- How and When to Resume Heart attack is a serious condition and needs immediate and comprehensive treatment. Unfortunately, many patients who suffer from heart attack are relatively...

Save the Limb
People suffering from peripheral vascular disease and often poorly treated and it results in many people losing their limbs. Many a times toes and feet are cut off for nonhealing ulcers. Here I a shwoing a case of nonhealing ulcer of right great toe. The case was referred by surgeons and on evaluation was found to have occlusion of all the blood vessels (anterior tibial artery, posterior tibial artery and peroneal artery) supplying blood to the foot. Such cases are technically very challenging to perform. In this case it was not possible to cross the occlusion from above, so we did a puncture of the Dorsalis pedis artery and did a retrograde wiring. Angioplasty of the anterior tibial artery was done and good flow was established.

Intravascular Lithotripsy and DK crush stenting for heavily calcified left main bifurcation disease

Intravascular Lithotripsy & DK Crush Bifurcation Stenting for Left Main Bifurcation Disease This video highlights IVL and Left main bifurcation stenting in heavily calcified coronary arteries. Distal left main bifurcation disease in the setting of h...

HYBRID REPAIR OF AORTA
A 50 years old female presented with complaints of severe pain in the upper back and chest. On evaluation was found to have dissection of the aorta. Dissection of aorta is a serious problem. Aorta is the main artery arising from the heart and carrying blood to the body. In dissection there is a tear inside the aorta. With the advancement of therapy, now we are able to manage many cases of aortic dissection by stenting the aorta. In this case there was a large dissection flap which was extending to the left subclavian artery. So in this case our cardiac surgeons first did carotid to carotid and carotid to left subclavian bypass. Then the Cardiology team did the endovascular repair. This is a one of its kind hybrid repair of aorta in Odisha. KIMS has pioneered in many aspects of Cardiology including first to do Transcatheter Aortic valve replacement (TAVR), EPS RFA, Endovascular repair of Aorta and many more.

Drug eluting stents are better for maintaining patency in femoropopliteal stenosis.

Efficacy of a Drug-Eluting Stent Versus Bare Metal Stents for Symptomatic Femoropopliteal Peripheral Artery Disease: Primary Results of the EMINENT Randomized Trial Background: A clear patency benefit of a drug-eluting stent (DES) over bare metal stents (BMSs) for treating peripheral artery disease of the femoropopliteal segment has not been definitively demonst

In adults with sepsis receiving vasopressor therapy in the ICU, those who received intravenous vitamin C had a higher risk of death or persistent organ dysfunction at 28 days than those who received placebo.

Intravenous Vitamin C in Adults with Sepsis in the Intensive Care Unit | NEJM Original Article from The New England Journal of Medicine — Intravenous Vitamin C in Adults with Sepsis in the Intensive Care Unit

Dr. Anupam Jena, Interventional Cardiologist & Electrophysiologist updated their business hours.

For Patients with ICD shocks, Ablation of VT is better than drug therapy

Drugs or Ablation in Ventricular Tachycardia | NEJM Quick Take Video Summary from The New England Journal of Medicine — Drugs or Ablation in Ventricular Tachycardia

There is no significant difference in the long-term survival of patients with left main or multivessel coronary artery disease whether they’re treated with CABG surgery or PCI, according to the results of a new meta-analysis.
https://www.tctmd.com/news/long-term-outcomes-pci-and-cabg-more-analyses-stir-pot?utm_source=TCTMD&utm_medium=email&utm_campaign=Newsletter52322

Carotid artery stenting.
Carotid arteries supply blood to the brain. Some types of brain strokes are caused by blockages in these arteries. One treatment modality for the blockages in these arteries is to put a stent to normalize blood flow to the brain also to prevent the migration (embolization) of atherosclerotic materials into the brain. The pictures here show the presence of a very ulcerated plaque in a carotid artery. This patient suffered a minor brain stroke and recovered. We deployed a stent to the carotid artery with the aim preventing future cerebrovascular accident. The procedure was done at KIMS

Our discussion on Congenital Heart Disease

Kalinga Supravat || Heart Diseases In Newborn Babies || Kalinga TV Kalinga TV is the fastest growing television channel in Odisha. Kalinga TV, being one of the most trusted channels in the state is always on attempt to bring...

Dr. Anupam Jena, Interventional Cardiologist & Electrophysiologist updated their phone number.

Patients younger than 70years get more benefit from ICD

Extended DANISH Follow-up Supports ICD Benefits in Younger Nonischemic HF Patients Optimization of drug therapy for HF “doesn’t necessarily obviate the necessity for an ICD,” Jan Steffel says.

Therapy development and field marketing
Data collection and management
Working knowledge of MS word, Excel

Our understanding of diet and nutrients is evolving over time. Though the traditional approach is to limit fat intake, new data shows fats to be protective. Full fat dairy, high fat nuts (Peanuts, cashews, almonds) are protective.
A review article in JACC outlines the following commentary
"The recommendation to limit dietary saturated fatty acid (SFA) intake has persisted despite mounting evidence to the contrary. Most recent meta-analyses of randomized trials and observational studies found no beneficial effects of reducing SFA intake on cardiovascular disease (CVD) and total mortality, and instead found protective effects against stroke. Although SFAs increase low-density lipoprotein (LDL) cholesterol, in most individuals, this is not due to increasing levels of small, dense LDL particles, but rather larger LDL particles, which are much less strongly related to CVD risk. It is also apparent that the health effects of foods cannot be predicted by their content in any nutrient group without considering the overall macronutrient distribution. Whole-fat dairy, unprocessed meat, and dark chocolate are SFA-rich foods with a complex matrix that are not associated with increased risk of CVD. The totality of available evidence does not support further limiting the intake of such foods."
J Am Coll Cardiol. 2020; 76(7): 844-57.

Arrhythmia services have resumed at KIMS. Now we have restarted performing EPS and RFA for all types of Cardiac Arrhythmia.

Remdesivir casues bradycardia in upto 23% cases. However, it doesn't appear to affect mortality.

Remdesivir-Induced Bradycardia in COVID-19: A Single Center Prospective Study HomeCirculation: Arrhythmia and ElectrophysiologyAhead of PrintRemdesivir-Induced Bradycardia in COVID-19: A Single Center Prospective Study No AccessLetterRequest AccessAboutView PDFSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMende...

Dr. Anupam Jena, Interventional Cardiologist and Electrophysiologist på Google OPD is open on weekdays from 9am to 2pm. All COVID precautions are strictly followed. All types of Cardiac procedures are also being done e,g, Coronary angiography and stenting, Pacemaker implantation, EPS & RFA etc

Heart Disease in Covid-19

Heart Disease in COVID-19 COVID-19 affects the cardiovascular system globally. It causes a variety of hear problems and increases risk of Cardiac death and disability. It increases the risk of heart attack (MI), heart failure, cardiac arrhythmia and sudden cardiac death. Early diagnosis and treatment can prevent and ameliora...