Amit Joshi ¹, S. V. Patted ¹, P. C. Halkati ¹, Sameer Ambar ¹

Affiliations
1 KLES Dr. Prabhakar Kore Hospital & MRC, Department of Cardiology, Jawaharlal Nehru Medical College, Nehru Nagar, Belgaum – 590 010, Karnataka, IN

Abstract

Background and Objectives: Intra-Aortic Balloon Pump (IABP) is device developed to augment coronary blood flow and improve systemic blood pressure in patients with circulatory failure. This study was undertaken to analyze morbidity and mortality benefit of IABP counterpulsation in patients with Acute Myocardial Infarction (AMI) Methodology: This cross-sectional study done for three years in the Department of Cardiology of a tertiary care centre in North Karnataka from June 2009 to June 2012. Prior to the commencement of the study, ethical clearance was obtained from Human Ethics Committee. A total of 82 consecutive patients presenting with cardiogenic shock were included in the study. The patients satisfying selection criteria were informed in detail about the nature of the study and a written informed consent was obtained. The patients underwent electrocardiography and echocardiography. Based on the findings the indication for IABP was determined. Results: Majority of the patients were males (85.4%) and the commonest age group was 51 to 60 years (40.2%) with the mean age of 57.73 ± 9.41 years. Most common Electrocardiogram (ECG) presentation was Anterior Wall Myocardial Infarction (AWMI) (40.2%). The commonest indication for placement of an IABP was Left Ventricular (LV) dysfunction (47.6%) and mean duration of IABP was 4 ± 1 days. Diagnostic catheterization was performed in 55 (67.1%) patients. Among them, 40 (72.7%) underwent Percutaneous Transluminal Coronary Angioplasty (PTCA) and 15 (27.3%) underwent surgery. Of the 82 patients, major IABP related complications occurred in six (7.3%) patients. The in-hospital mortality rate was 43.9% and 56.1% of the patients improved. Of the 46 patients who improved, majority (78.2%) had undergone revascularization while of the 27 patients who expired, 47.2% did not had revascularization (p=0.015). The outcome in patients who had undergone either PTCA or surgery was significantly favourable resulting in improvement (p<0.050). Conclusion and Interpretation: IABP counterpulsation can be successfully employed for a wide variety of conditions in the AMI setting, providing significant haemodynamic support with rare major complications in a high-risk patient population.

Keywords

Acute Myocardial Infarction, Haemodynamic Support, Intra-aortic Balloon Pump, ST Elevation Myocardial Infarction

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Amit Joshi ¹, Gurpreet Singh ¹, Gagandeep Singh ¹

Affiliations
1 Lovely Professional University, Phagwara - 144411, Punjab, IN

Abstract

Background/Objectives: The chief objective of this paper is to enlighten the society, especially youth and beginners, about the Internet of Things paradigm and its applications in various scenarios. Methods/Statistical analysis: The methodology adapted to study the objective and the various incorporating technologies is through extensive literature survey. Several journals, research papers, handbooks and published articles had been referred to during the course of elaboration of this paper. The Internet has been a valuable asset for the study of the emerging terminologies. Findings: The major findings from this study are mentioned - Applications of IoT: The Internet of Things finds its applications in various scenarios ranging from individual level, like as house security, utilities, and personalization to global level, like automated machines and systems, traffic monitoring system, smart rescue facilitation systems. Advantages and disadvantages of employment of IoT: The employment of IoT features the advantages like ubiquitous network, connected computing, reduction of efforts, and economy of energy and currency, whereas the disadvantages are privacy issues, compatibility issues, security threats and complexity. Challenges and Future scopes: The developments in IoT paradigm still face challenges like security of data, data management, and network architecture. The existence of these challenges breed the future scopes in the development of IoT based systems, like increased security, efficient data management, and enhanced architectures. The exposure to these findings shall spark new ideas towards overcoming the challenges faced in development and support the development of new IoT based systems. Application/Improvements: The purpose of this paper is also to cater these findings for future references for knowledge addition, and to give insights towards development of smart systems for a sustainable environment.

Keywords

Internet, Network, Sensors, Smart Systems, Things

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