In the wake of spate of sudden cardiac deaths in Kashmir valley, Doctors Association Kashmir (DAK) on Tuesday called for screening of young people for conditions that can lead to sudden cardiac arrest or death.
“Screening could prevent sudden cardiac death in young people,” said DAK President Dr Nisar ul Hassan.
“Several of the diseases that cause sudden death in young can be detected by cardiac screening and treated before they turn into a tragedy,” he said.
Dr Hassan said hypertrophic cardiomyopathy (HCM) is a major cause of sudden cardiac death in young. Usually inherited and often undiagnosed, HCM is a condition in which heart muscles become thickened without obvious cause. It affects one in 500 people in the general population.
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“Picking up this condition early and placing an implantable cardioverter device (ICD) can prevent young individuals from dying,” he said.
The DAK President said according to a Swedish study nine in ten cases of sudden death due to HCM in young people were preceded by symptoms, ECG abnormalities or family history.
“These findings suggest that cardiac screening may help prevent sudden death in young population with HCM,” he said.
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Dr Nisar said sudden cardiac arrest in young can also be caused by a long QT syndrome, a genetic heart rhythm condition that causes fast and chaotic heart rhythm in a structurally normal heart. A simple ECG screening can detect this condition and an ICD will help reduce the risk of death in these individuals.
He said sudden cardiac arrest is the abrupt or unexpected loss of heart function leading to loss of consciousness and collapse. The condition usually results from a problem with your heart’s electrical system.
Sudden cardiac arrest isn’t same as a heart attack, when blood flow to a part of the heart is blocked. However, a heart attack can sometimes trigger an electrical disturbance that leads to sudden cardiac arrest.
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“If not treated immediately, sudden cardiac arrest leads to death. Chances of survival outside a hospital increase in those who receive immediate bystander cardiopulmonary resuscitation (CPR),” he added.
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Doctors at Al-hayat Hospital in South Kashmir’s Anantnag district have registered a record by removing the longest appendix ever in the country.
A team of doctors headed by Dr Azad Hussain recently operated a 20-year-old female patient and removed 23.7 centimetres (9 inches) long appendix from her body.
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Dr Azad told Asian News Hub (ANH), that the patient was operated through laparoscopic procedure and was discharged from the hospital in good condition, health.
He said, that the specimen is designated to be preserved at the GMC Pathology museum, serving as an educational resource for future learning endeavors.
The average length of the appendix is 4.5 cm in neonates and 9.5 cm in adults, but this may vary between 2 cm to 20 cm. The longest appendix reported in the literature measured 26 cm removed from 72 year old during an autopsy in Croatia in 2006 (Guinness World Records).
A first of its kind, Laparoscopic, Trans-abdominal Preperitoneal (TAPP) Meshplasty for inguinal indirect hernia was today performed at District Hospital, Shopian.
The procedure was done by a team consisting of Consultant Surgeons, Dr.Mohamad Shafi, Dr. Taj-din assisted by OT technicians. The Anaesthesia team consisted of Dr. Atif, Dr. Irfan and D. Shabir.
Based on clinical examination and relevant investigations, TAPP was planned and successfully done and the patient was discharged on the 2nd post operative day, informed the MS DH.
All logistic support was provided by MS District Hospital Shopian, Dr Rubeena Maqbool.
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The procedure including medicine was done free of cost under the scheme of AB- PMJAY.
Ilizarov, a Russian technique established at bone and joint hospital by Dr Altaf Ahmad Kawoosa Head of Department, is proving to be a boon for orthopaedic patients as this technique has been transforming lives of people having no hopes of successful treatment.
Several patients who spoke to news agency—KNO said that they came raw and hopeless from Delhi, Chandigarh and other areas but at B&J hospital Srinagar, they were treated successfully.
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Feroz Ahmad (name changed) one of such patients from Pampore area of Pulwama told that he had fractured his leg in his childhood but after years long treatment locally and even outside J&K for treatment worsened condition and remained disabled for nearly 25 years.
“I was hopeless as I wasn’t able to walk for a long time and after that one of our relatives told me to visit B&J hospital Srinagar,” he said, adding, Dr Altaf at first sight advised me to be patient and that I would be fine very soon.
Feroz said he was unable to even walk or stand well but with Dr Altaf’s treatment, he is 95 percent fit and has been doing all the work now like normal people do.
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Dr Altaf treated me for around 17 consecutive months at the hospital and finally my treatment was successful.
Mashooq Ahmad (name changed) another patient from DH Pora Kulgam told that he had fractured his leg during childhood and due to infection, one bone was removed from the leg.
“Due to removing one bone, my affected leg was at least 9 inch shorter than the other and I even went to Delhi for treatment for around two years but there was no improvement,” he said.
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“I wasn’t able to walk without support and then suddenly there was pain in my other leg and I went to B&J hospital for treatment,” he said.
“Dr Altaf’s sight fell on me and he came to me and enquired all about my leg that was around 1 feet shorter than other leg but I tried to neglect him as I was hopeless as even I didn’t see any improvement when I was treated at AIIMS,” he said.
“Dr Altaf at first sight told me that he will lengthen my short leg and treat other associated deformities. I hadn’t even thought in my dream that I could walk without support,” he said.
“He treated me for around two years and my leg is now only one inch shorter now and I have been doing all the work without any support and all credit goes to Dr Altaf,” he said.
Parents of other patients from the Pahalgam area said their child had feet backwards and were successfully treated at B&J hospital at Srinagar by Dr Altaf Kawoosa.
They said that one of his feet is 100 percent fit while the other has already recovered 80 percent and it is expected that his feet will also become fit in the coming months.
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Other patients also said that they came raw from other states after year long treatments but were treated successfully through Ilizarov technique at Bone and Joint hospital by Dr Altaf. More than 1300 patients with such severe deformities due to fractures, non unions. Congenital anomalies like difficult club feet and neglected congenital dislocations, cerebral palsy and poliomyelitis have been successfully dealt with at bone and Joint surgery Hospital.
Notably, Ilizarov technique is a surgery involving an orthopedic external fixator applied to the limb to reconstruct, reshape or lengthen bones (usually of the limb).
External fixation is a surgical treatment where wires are passed through an incision into the affected bone and attached to a stabilizing frame encircling the affected limb.
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Ilizarov surgery involves the use of a special device called an ‘Ilizarov apparatus or Ilizarov fixator’. It is recommended in difficult cases that are not amenable to conventional reconstruction techniques.