Ramanjit Kaur
Wayne State University
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Publication
Featured researches published by Ramanjit Kaur.
BMJ Open | 2012
Luis Afonso; Ashok Kondur; Mengistu Simegn; Ashutosh Niraj; Pawan Hari; Ramanjit Kaur; Preeti Ramappa; Jyotiranjan Pradhan; Deepti Bhandare; Kim A. Williams; Sandip Zalawadiya; Aurelio Pinheiro; Theodore P. Abraham
Objective This study was designed to examine the utility of two-dimensional strain (2DS) or speckle tracking imaging to typify functional adaptations of the left ventricle in variant forms of left ventricular hypertrophy (LVH). Design Cross-sectional study. Setting Urban tertiary care academic medical centres. Participants A total of 129 subjects, 56 with hypertrophic cardiomyopathy (HCM), 34 with hypertensive left ventricular hypertrophy (H-LVH), 27 professional athletes with LVH (AT-LVH) and 12 healthy controls in sinus rhythm with preserved left ventricular systolic function. Methods Conventional echocardiographic and tissue Doppler examinations were performed in all study subjects. Bi-dimensional acquisitions were analysed to map longitudinal systolic strain (automated function imaging, AFI, GE Healthcare, Waukesha, Wisconsin, USA) from apical views. Results Subjects with HCM had significantly lower regional and average global peak longitudinal systolic strain (GLS-avg) compared with controls and other forms of LVH. Strain dispersion index, a measure of regional contractile heterogeneity, was higher in HCM compared with the rest of the groups. On receiver operator characteristics analysis, GLS-avg had excellent discriminatory ability to distinguish HCM from H-LVH area under curve (AUC) (0.893, p<0.001) or AT-LVH AUC (0.920, p<0.001). Tissue Doppler and LV morphological parameters were better suited to differentiate the athlete heart from HCM. Conclusions 2DS (AFI) allows rapid characterisation of regional and global systolic function and may have the potential to differentiate HCM from variant forms of LVH.
Heart Lung and Circulation | 2014
Ramanjit Kaur; Fahad Younas; Furqan A. Rajput; Sachin Kumar; Luis Afonso
A 61-year-old female with renal cell carcinoma and metastasis to lumbar vertebrae, underwent vertebroplasty for the augmentation of the vertebral bodies with polymethyl methacrylate (PMMA) in an attempt to control pain. The patient remained stable during the procedure. However, in the recovery room she acutely developed shortness of breath and tachycardia. A CT pulmonary angiogram (CTPA) was performed and was considered negative for pulmonary thrombo-embolism (Fig. A and B). A chest X-ray revealed bilateral pleural effusions. Subsequently, a CT chest without contrast was done and it demonstrated curvilinear high attenuation material in the distal pulmonary arteries, most
Case reports in cardiology | 2016
Mohamed Shokr; Ramanjit Kaur; Kevin Belgrave; Arshad Javed; Mahir Elder; Shaun Cardozo; Luis Afonso; Amir Kaki
Catheter related thrombosis (CRT) is a commonly encountered entity fraught with substantial risk for mortality secondary to various complications including pulmonary embolism (PE), tricuspid regurgitation, endocarditis, right sided heart failure, and cardiogenic and septic shock. CRT carries a mortality rate of 18% in hemodialysis patients and more than 40% in nonhemodialysis patients. Management strategies include systemic anticoagulation, systemic thrombolysis, surgical evacuation, and percutaneous retrieval with no established guidelines. Ultrasound assisted catheter directed thrombolysis emerges as promising modality with a relatively lower risk of hemorrhage compared to systemic thrombolysis. We report a case of a 75-year-old man with dialysis catheter related thrombosis without PE for which ultrasound assisted catheter directed thrombolysis was used successfully as an alternative therapy.
Critical pathways in cardiology | 2014
Sarah Y Wolf; Ramanjit Kaur; William Patrick McKeown; Helen Chan; Allen Dang; Trevor Kuston; Waihin Leung; John Purakal; Brian J. O'Neil; Phillip D. Levy
OBJECTIVES To evaluate the clinical impact of a troponin assay switch in suspected acute coronary syndromes (ACS). METHODS Retrospective analysis of ACS cases in the 3 months before and after changing to a contemporary, higher sensitivity troponin assay. Admitting diagnosis, proportion with a positive result, initial treatment and testing, coronary artery intervention, inhospital events, and final discharge diagnosis were compared by assay group. RESULTS Seven hundred seventy patients were included: 319 (41.4%) preassay and 451 (58.6%) postassay. Preassay change, non-ST segment elevation myocardial infarction at admission (43.0% vs. 70.5%; diff [95% confidence interval (CI)] = -27.5 [-34.2, -20.6]) was diagnosed less often, and a positive troponin was less common (33.2% vs. 72.3%; diff [95% CI] = -39.1 [-45.4, -32.2]). However, anticoagulation (53.3% vs. 42.4%; diff [95% CI] = 10.9 [3.8, 18.0]) and cardiac catheterization use were more frequent (53.9% vs. 41.9%; diff [95% CI] = 12.0 [19.0, 48.5]). There was no difference in coronary intervention (41.9% vs. 40.7%; diff [95% CI] = 1.2 [-9.0, 11.2]) by assay period. Inhospital event were rare (unstable ventricular arrhythmia = 1.2%, cardiac arrest = 3.4%, death = 4.4%) with no difference between groups. A non-ACS diagnosis at discharge was more common in the postassay group (31.6% vs. 46.5%; diff [95% CI] = 14.9 [7.9, 21.6]). CONCLUSIONS Although non-ST segment elevation myocardial infarction diagnosis at admission and a positive troponin were more frequent postassay change, rates of anticoagulation and cardiac catheterization were lower and a non-ACS diagnosis at discharge was more common. These data suggest an evolving understanding and clinical impact of contemporary troponin assays when used in real-world settings.
Journal of the American College of Cardiology | 2010
Jalal K. Ghali; Hammam Zmily; Ibrahim Shaik; Jareer Farah; Suleiman Daifallah; Ramanjit Kaur; Omaima Ali; Husam Al Samarah; Phillip D. Levy; S. William Tam; Michelle Schreiber
Journal of the American College of Cardiology | 2010
Ashok Kondur; Hari Pawan; Ramanjit Kaur; Praveen Guntipalli; Luis Afonso; Theodore Schreiber
Archive | 2015
Anupama Kottam; Ramanjit Kaur; Deepti Bhandare; Hammam Zmily; Suchita Bheemreddy; Harmandeep Brar; Luis Afonso
Archive | 2013
Ramanjit Kaur; Sony Jacob; Shaun Cardozo
Journal of Cardiovascular Echography | 2012
Ramanjit Kaur; Abhishek Mewada; Shaun Cardozo; Deepti Bhandare; Thomas Forbes; Luis Afonso
Circulation-cardiovascular Quality and Outcomes | 2012
Ramanjit Kaur; Abhishek Mewada; Vikas Veeranna; Sandip Zalawadiya; Krithi Ramesh; Sidakpal S. Panaich; Luis Afonso