IMA Journal – January 2024

Message from Team IMA Chennai Kauvery Alwarpet Branch

Dear friends,

Greetings from IMA Kauvery.

We wish you all a very Happy and Prosperous 2024 and this IMA edition is also wishing everyone a very Happy Pongal Nal Vazthukkal.

Let our clinical knowledge flow like the Pongal pot and thank the IMA for the continuous medical education.

This edition is special as it presents the ongoing scientific clinical studies being conducted in our hospital.

Thanks to our Emergency Medicine Department and Nephrology departments for their contributions.

Yours in IMA service,
Dr S Sivaram Kannan
President

Greetings

New year wishes to all the readers.

We begin this year with an article packed with information, Happy reading.

Long live IMA.

Yours in IMA service,
Dr. Bhuvaneshwari Rajendran
Secretary.

Dear friends

Best wishes for Happy Pongal.

Happy to meet you all once again with our IMA journal. This edition also has ongoing scientific clinical studies being conducted in our hospital.

Thanks to our Emergency Medicine Department and Nephrology departments for their contributions.

Thanks to our Editorial and Branding team.

With best regards
Dr. R. Balasubramaniyam
Editor

Identification of Culprit vessel based on the ECG findings in a ST elevation Myocardial infarction with CAG correlation

The Electrocardiogram remains a crucial tool in the identification and management of acute myocardial infarction. A detailed analysis of patterns of ST segment elevation may influence decisions regarding the perfusion therapy. This study is undertaken to identify the culprit vessel from ECG in patients with acute ST elevation myocardial infarction and correlate with coronary angiogram.

This study is a prospective study. The study population consisted of 100 patients with STEMI. With inclusion criteria of Adults ≥ 18 years with symptoms of ACS, patients with new myocardial infarction, ST segment elevation of >1mm in Limb leads and  >2mm in chest leads and the exclusion criteria includes patients with known history of structural heart disease that could alter ECG interpretation, previous MI patient, patients who have undergone revascularization procedures before ECG recording, individuals who already have a pacemaker.

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Comparing Prospective Analysis Of Outcome Of Hypertensive Intracerebral Hemorrhage With The Use Of Tranexamic Acid In A Tertiary Care Hospital

Hypertensive intracerebral hemorrhage (ICH) is a life-threatening condition characterized by bleeding within the brain due to elevated blood pressure. Various factors, including gender, comorbidities, hematoma side, volume, and location, may influence the prognosis and treatment outcomes of patients with hypertensive ICH.

This study aims to compare the in-hospital management outcomes of hypertensive ICH patients based on these factors, with a specific focus on the use of tranexamic acid (TXA). By examining these parameters in a prospective manner, we aim to gain a deeper understanding of the potential gender-related differences in hypertensive ICH presentation, progression, and prognosticating the outcome.

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Outcomes Of T-cell Mediated Rejection-Single Centre Study

INTRODUCTION

  • T-cell mediated rejection(TCMR) occurs in 10%-12% of renal allografts with current immunosuppresants. It can develop at any time as early as a week to as late as years. Some of the risk factors are poor compliance, inadequate immunosuppression, HLA mismatch and no induction.

AIM

  • To study the pattern of TCMR in renal allografts To assess the outcomes in these patients.

MATERIALS AND METHODS

  • Retrospective analysis of Clinical characteristics, laboratory data, renal biopsy reports, precipitating factors, treatment modalities and follow up data.

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Enhancing Stroke Care in an Urban Tertiary Hospital: Integrating Bamford Classification and Imaging Correlation for Comprehensive Patient Outcomes

Abstract:

Stroke remains a significant public health concern, necessitating accurate and timely classification for optimal management and improved patient outcomes. This thesis investigates the correlation between Emergency Room (ER) stroke classifications using the Bamford criteria and neuroimaging, subsequently exploring the impact of these classifications on early and
long-term patient outcomes in an urban tertiary hospital.

The study employed a prospective analysis of stroke cases presented to the ER over a specified period, focusing on the application of the Bamford classification system and its integration with neuroimaging findings.

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