IMA Journal – May 2022

Message from Team IMA Chennai Kauvery Alwarpet Branch

Dear colleagues

Greetings and best wishes from IMA Chennai Kauvery branch.

The special focus this month is on Cardiology and the advance procedures done in Kauvery in that field.

Wishing you all a happy summer holidays.

Yours in IMA service,
Dr S Sivaram Kannan

We are happy to present another issue full of useful and interesting articles from various medical specialists.

These articles illustrate team work, medical advances and great patient care.

Happy reading.

Long live IMA.

Yours in IMA service,
Dr. Bhuvaneshwari Rajendran

Dear friends

Happy to meet you through our thus month of KAUVERY IMA JOURNAL.

Department of Cardiology at our hospital are doing extraordinary care for patients with cardiac disease.

We have focused on advance cardiac care in this edition of our journal.

I am thankful to everyone, who took interest in sharing their work.

Thanks to editorial team and to marketing team for their help towards timely release.

Long live IMA.

Dr R Balasubramaniyam

Rare cause of Esophageal Stricture - Managed Endoscopically

Patient summary

A 30 year old female came to our OPD with complaints of difficulty in swallowing since age 10,which was gradually progressive in nature. Initially she had difficulty in swallowing solids for several years, followed by semi-solids for past 2 years. Since last 3 weeks, there is difficulty in swallowing liquids accompanied by pain during swallowing and loss of weight.

Her mother gave a history of extensive peeling of skin in both her lower limbs at the time of child delivery followed by falling of finger and toe nails 10 days after birth. She had extensive blistering, skin peeling and scarring at points of pressure. She was diagnosed as a case of EpidermolysisBullosa. Long term prognosis was explained and was started on oral steroids till 2 years of age.

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Ventricular Arrhythmias in Ischemic Heart Disease

Coronary heart disease is the most frequent cause of clinically documented ventricular tachycardia (VT) and ventricular fibrillation (VF) (76% to 82% of patients). With the use of timely revascularisation, the incidence of ventricular arrhythmias both in short and long-term post-myocardial infarction (MI) has reduced significantly with the 1 year mortality rate reduced to less than 5%. (Ref) However sustained VT and VF tend to cause more death events in the first 30 days of MI, in almost 6% of patients, particularly in patients with left ventricular dysfunction and heart failure.1,2

Whereas patients with ST elevation MI are more likely to have VT/VF occurrence, more confined to the first 1-2 days of MI, patients with non-ST elevation MI tend to have fewer arrhythmic events not confined to the early phase alone.
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Classic Triad of Dyskeratosis Congenita or Zinsser Cole Engman


  1. Dystrophic nails
  2. Lacy reticular skin pigmentation
  3. Oral Leukoplakia

Dyskeratosis congenita is one of the inherited bone marrow failure syndrome caused due to mutations of genes involved in the maintenance of telomere length.

The other findings include short stature, microcephaly, hypogonadism, developmental delay, urethral stricture…

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Inherited Heart Diseases: From Bench to Bedside

Inherited Heart Diseases are a group of heart diseases caused by genetic abnormalities that run in families and often go unnoticed until someone develops unexplained heart failure, life-threatening arrhythmias or sudden cardiac death. The prevalence of inherited heart diseases ranges from 1 in 200 to 10000 in the general population. Unraveling the mysteries in our genetic code that have been implicated in young sudden deaths has been the focus of the multidisciplinary cardio-genetic teams that have been established across the globe in the recent past.

The Genomic Revolution

With the sequencing of the human genome at the turn of the 21st century arrived the era of human genomics, which has revolutionized the clinical application of the genetic testing modality.

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Innovations in Transcatheter Heart Therapy: New Hope for patients

Advancements in diagnostics, devices and technology have helped to develop newer transcatheter techniques to treat heart conditions without surgery in patients who could not be operated on due to their advanced age and multiple other comorbidities and were considered as ‘no option’ patients and because of these conditions were left to suffer and die. This has given new hope to these patients. In this article, we will review some of the transcatheter techniques that have been of great help, especially during the COVID-19 pandemic.

  1. Transcatheter Heart Valve Replacement
  2. Transcatheter Leadless Pacemaker System
  3. Excimer Coronary Laser Atherectomy…

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METAL-LESS PCI - new emerging horizon and novel PCI solution for coronary revascularisation in Young CAD

Percutaneous Coronary Intervention (PCI) or Coronary Angioplasty has evolved in leaps and bounds ever since Andreas Gruentzig’s first successful coronary angioplasty treatment on an awake human performed on 16 September 1977 where he expanded the narrowed lumen of the coronary artery with use of balloon. PCI is now an effective solution in many patients with atherosclerotic Coronary Artery Disease (CAD) presenting as ANGINA or ACUTE MYOCARDIAL INFRACTION. From the initial days of Plain balloon angioplasty that lead to risks of acute vessel recoil and acute closure following PCI and restenosis in intermediate to long term follow up research in this field started offering more and more solutions by way of Bare metal stent that addressed the immediate acute vessel closure enhancing the procedural success of PCI, leaving re-stenosis unaffected.

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DATES: 18th & 19th June 2022
VENUE: Kauvery Hospital 81, TTK Road, Alwarpet, Chennai – 600 018

The Kauvery MRCS PART B OSCE PREPARATORY COURSE is specifically designed to enhance your skills in preparation for the Intercollegiate MRCS Part B examination and includes modules for anatomy, pathology, physiology and critical care, as well as OSCE skills examination.

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