Sri Jayadeva Institute of Cardiovascular Sciences and Research

About: Sri Jayadeva Institute of Cardiovascular Sciences and Research is a education organization based out in Bengaluru, Karnataka, India. It is known for research contribution in the topics: Myocardial infarction & Coronary artery disease. The organization has 739 authors who have published 680 publications receiving 4610 citations.

Initial invasive or conservative strategy for stable coronary disease.

Abstract: Background Among patients with stable coronary disease and moderate or severe ischemia, whether clinical outcomes are better in those who receive an invasive intervention plus medical ther...

World Heart Federation criteria for echocardiographic diagnosis of rheumatic heart disease--an evidence-based guideline.

Abstract: Over the past 5 years, the advent of echocardiographic screening for rheumatic heart disease (RHD) has revealed a higher RHD burden than previously thought. In light of this global experience, the development of new international echocardiographic guidelines that address the full spectrum of the rheumatic disease process is opportune. Systematic differences in the reporting of and diagnostic approach to RHD exist, reflecting differences in local experience and disease patterns. The World Heart Federation echocardiographic criteria for RHD have, therefore, been developed and are formulated on the basis of the best available evidence. Three categories are defined on the basis of assessment by 2D, continuous-wave, and color-Doppler echocardiography: 'definite RHD', 'borderline RHD', and 'normal'. Four subcategories of 'definite RHD' and three subcategories of 'borderline RHD' exist, to reflect the various disease patterns. The morphological features of RHD and the criteria for pathological mitral and aortic regurgitation are also defined. The criteria are modified for those aged over 20 years on the basis of the available evidence. The standardized criteria aim to permit rapid and consistent identification of individuals with RHD without a clear history of acute rheumatic fever and hence allow enrollment into secondary prophylaxis programs. However, important unanswered questions remain about the importance of subclinical disease (borderline or definite RHD on echocardiography without a clinical pathological murmur), and about the practicalities of implementing screening programs. These standardized criteria will help enable new studies to be designed to evaluate the role of echocardiographic screening in RHD control.

Comparison of continuous thoracic epidural analgesia with bilateral erector spinae plane block for perioperative pain management in cardiac surgery.

Abstract: Objective: Continuous thoracic epidural analgesia (TEA) is compared with erector spinae plane (ESP) block for the perioperative pain management in patients undergoing cardiac surgery for the quality of analgesia, incentive spirometry, ventilator duration, and intensive care unit (ICU) duration Methodology: A prospective, randomized comparative clinical study was conducted A total of 50 patients were enrolled, who were randomized to either Group A: TEA (n = 25) or Group B: ESP block (n = 25) Visual analog scale (VAS) was recorded in both the groups during rest and cough at the various time intervals postextubation Both the groups were also compared for incentive spirometry, ventilator, and ICU duration Statistical analysis was performed using the independent Student's t-test A value of P 005) at rest and during cough in both the groups Group A had a statistically significant VAS score than Group B (P ≤ 005) at 24 h, 36 h, and 48 h but mean VAS in either of the Group was ≤4 both at rest and during cough Incentive spirometry, ventilator, and ICU duration were comparable between the groups Conclusion: ESP block is easy to perform and can serve as a promising alternative to TEA in optimal perioperative pain management in cardiac surgery

Incidence and patterns of valvular heart disease in a tertiary care high-volume cardiac center: A single center experience

Abstract: Background Diseases of the heart valves constitute a major cause of cardiovascular morbidity and mortality worldwide with rheumatic heart disease (RHD) being the dominant form of valvular heart disease (VHD) in developing nations. The current study was undertaken at a tertiary care cardiac center with the objective of establishing the incidence and patterns of VHD by Echocardiography (Echo).