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Elevated preprocedural CRP is not associated with increased risk for CI-AKI in patients undergoing PCI
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INTERESTING CASES

Case History :

A 6-year old male child with a known history of congenital heart disease presented with the history of dyspnoea on exertion, palpitations and dizziness. On examination there was a jerky double apical impulse. On auscultation there was abnormal 3rd and 4th filling sounds with a pansystolic murmur.

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Investigation Reports :

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Discussion :

Physical, dietary and pharmacological interventions may help to control symptoms, but only cardiac transplantation and specific vasodilator therapy have shown to prolong life. While there is no evidence that antiarrhythmic agents prolong life or prevent sudden death in DCM, it is appropriate to use them in the treatment of symptomatic arrhythmias. Anticoagulants should be used even with out direct clinical or Echocardiographic evidence of thrombus formation if there is no specific contraindication for anti coagulants. Although surgical repair, mitral annulopalsty or replacement of regugitant valves have been attempted, the results are less satisfactory because of preexisting cardiac dysfunction or damage. In appropriate patients cardiac transplantation may be an alternative, with a 5-year survival rate of about 80percent compared with less than 5 percent in nontransplanted patients.

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