Papers by Mohammad Gaffar Amin
Bangladesh Heart Journal, 2017
Electrocardiogram (ECG) is one of the most important and time-tested tool for appropriate interpr... more Electrocardiogram (ECG) is one of the most important and time-tested tool for appropriate interpretation and diagnosis of coronary artery disease (CAD) and other structural & electrical cardiac abnormalities. Erroneous misplacement of surface ECG-leads (lead reversal) may result in wrong interpretation as well as unnecessary investigations, admission to hospital and improper treatment. Early & prompt recognition of lead-reversal is imperative to avoid inappropriate & harmful therapeutic interventions to the patients. This casereport focuses on an interesting scenario of ECG-lead misplacement, which will aid in detection, exclusion and further prevention of ECG lead misplacement.
Bangladesh Heart Journal, 2016
Cor triatriatum dextrum is an exceptionally rare congenital heart disease, in which the right atr... more Cor triatriatum dextrum is an exceptionally rare congenital heart disease, in which the right atrium is partitioned into two chambers by a membrane to form a triatrial heart. It is caused by persistence of the right valve of sinus venosus. The aim of presenting this case is to develop awareness regarding cor triatriatum dextrum , though a rare case, can be present and may contribute to right heart failure and 2D-echocardiography is an important tool in making early and accurate diagnosis. We are reporting a case of an elderly Bangladeshi male presented with the features of mitral stenosis with pulmonary hypertension with CCF with respiratory tract infection, where cor triatriatum dextrum with an atrial septal defect was an incidental finding on routine echocardiographic assessment.
Journal of Cardiology Cases, 2015
BIRDEM Medical Journal, 2013
Antiphospholipid syndrome (APS) manifests clinically as recurrent venous or arterial thrombosis a... more Antiphospholipid syndrome (APS) manifests clinically as recurrent venous or arterial thrombosis and/or fetal loss. Diagnosis requires a high index of suspicion during evaluation of women with recurrent pregnancy loss and vascular thrombosis. Low dose aspirin combined with heparin can reduce morbidity and improve the pregnancy outcome. Here we report a case of a 22 year old lady having APS who presented with arthritis, recurrent miscarriages and venous thrombosis. Birdem Med J 2013; 3(1): 44-46 DOI: http://dx.doi.org/10.3329/birdem.v3i1.17126
BIRDEM Medical Journal, 2012
Resistant hypertension is defined as blood pressure that remains above therapeutic goal despite t... more Resistant hypertension is defined as blood pressure that remains above therapeutic goal despite the use of three antihypertensive drugs including a diuretic. As much as one third of patients with arterial hypertension are treatmentrefractory as they do not reach sufficient blood pressure control despite combination antihypertensive therapy of significant duration. The hyperactivity of sympathetic nervous system (SNS) in the occurrence of treatment-resistant long standing hypertension has been established both in animal models and in clinical practice. In these patients, the kidneys play a central role as an activator of the sympathetic nervous system. The failure of purely pharmacological approaches to treat resistant hypertension has stimulated interest in invasive device-based treatments based on old concepts. In the absence of orally active antihypertensive agents, patients with severe and complicated hypertension were widely treated by surgical denervation of the kidneys until t...
BIRDEM Medical Journal, 2012
Introduction: Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Meta... more Introduction: Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) is the largest specialized hospital in Bangladesh for care of diabetic patients. Here, most of the hospitalized patients are diabetic, having many complications of diabetes mellitus and other co-morbidities. They often require multiple drugs for treatment. Diabetes mellitus itself, its complications and various medicationsall are related to development of electrolyte imbalance, which are often under-estimated or remain un-diagnosed. Objectives: The Objectives of this study were to see the pattern of electrolyte imbalance in hospitalized diabetic patients and to find out the precipitating causes behind them. Methods: This cross-sectional study was done in the Department of Internal Medicine, BIRDEM in 2008. Data were collected by random sampling from the first 100 adult diabetic patients with electrolyte imbalance, irrespective of their cause of admission. Results...
Bangladesh Heart Journal, 2017
Situs inversus totalis is the mirror-image of normal position of the thoracic and abdominal visce... more Situs inversus totalis is the mirror-image of normal position of the thoracic and abdominal viscera. It may be detected incidentally when the patient seek medical attention for other medical illness. From medico-legal points of view, this rare disorder is important in many ways for a junior physician to prevent a big mishap, especially surgical. Here, we report a case, who was 55year-old, seeking medical attention for infective exacerbation of chronic obstructive pulmonary disease incidentally diagnosed as a case of situs inversus totalis.
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Papers by Mohammad Gaffar Amin