The following is the list of articles authored by Doctors from Apollo Group of Hospitals. For your comments or if you find any omissions, please let us know at vml@medvarsity.com

Alphabetical List of Authors

1: J Assoc Physicians India 2000 Jul;48(7):715-8

• ACE inhibitors--revisited.
  Sathyamurthy I, Jayanthi K.
  Department of Cardiology, Apollo Hospitals, Chennai 600 006.
  Review

Author Index

2: J Assoc Physicians India 1998 Mar;46(3):263-7

• Elective coronary artery stenting--immediate and follow up results.
  Rath PC, Tripathy MP, Panigrahi NK, Agarwal R, Rao PS, Chandra KS, Singh S, Deb T, Agarwal S, Mannam G, Dixit V.
  Apollo Hospitals, Jubilee Hills, Hyderabad 500 033.
  
  Elective coronary artery stenting was performed in 242 consecutive patients inour centre for complex lesions (Type B, C), proximal lesions, restenoticlesions, total occlusion and venous grafts. The procedural success rate was94.21%. Three patients (1.23%) required emergency coronary artery bypasssurgery. Acute and sub-acute thrombosis rate was 1.26% and 4.13%, respectively.There was one in-hospital death (0.41%). 164 patients were followed upclinically for a mean period of 11 +/- 6 months (range 1 month to 30 months).Angiographic follow up was done in 68 patients with a restenosis rate of 16.17%.

3: J Indian Med Assoc 2000 Nov;98(11):715-8

• Percutaneous transluminal myocardial revascularisation: current status and future perspectives.
  Rath PC, Agarwala MK.
  Apollo Hospital, Hyderabad.
  
  Percutaneous transluminal myocardial revascularisation presently appears to be apotential palliative treatment for coronary artery disease, neither controlledwith drugs nor amenable to available coronary revascularisation techniques.Ongoing trials will provide answer to short and long term efficacy. Recentdevelopments using angiogenic growth factors appear very promising, and the roleof growth factors as an adjunct to percutaneous transmyocardialrevascularisation with laser remains to be seen

4: J Assoc Physicians India 1996 Feb;44(2):147

• Transradial de novo coronary artery stenting.
  Rath PC, Rao PS, Tripathy MP.
  Dept of Cardiology, Apollo Hospital, Hyderabad.

5: J Invasive Cardiol 1997 Apr;9(3):197-199

• Management of Coronary Artery Dissection and Perforation Following Coronary Angioplasty by Intra Coronary Stent.
  Rath PC, Tripathy MP.
  Senior Consultant, Director of Cath Lab and Interventional Cardiology, Apollo Hospital, Jubilee Hills, Hyderabad, 500 033, India.

6: J Invasive Cardiol 1998 Nov;10(9):558-560

• The Use of Abciximab in the Treatment of Subacute Stent Thrombosis.
  Rath PC, Panigrahi NK.
  Director Cathlab and Interventional Cardiology, Apollo Hospital, Jubilee Hills,Hyderabad-500 033, (AP), India.

7: J Invasive Cardiol 1999 Sep;11(9):559-562

• Coil Embolization of a Giant Atherosclerotic Coronary Artery Aneurysm.
  Rath PC, Panigrahi NK, Agarwala MK, Das NK, Venkatesvaralu R.
  Director Cath Lab and Interventional Cardiology, Apollo Hospitals, Jubilee Hills, 500 033, Hyderabad, AP, India. drpcrath@hotmail.com
  
  The incidence of the coronary artery aneurysm varies from 1.5D5%.Atherosclerosis is the most common cause of coronary artery aneurysm in adults.A discrete, giant, saccular atherosclerotic coronary artery aneurysm in anartery without significant proximal stenosis is rare. We report the first suchcase of a giant atherosclerotic coronary artery aneurysm successfully treatedwith coil embolization.

8: J Invasive Cardiol 1999 Feb;11(2):83-86

• Successful Coil Embolization and Follow-up Result of a Complex Pulmonary Arterio-Venous Fistula.
  
  Rath PC, Tripathy MP, Panigrahi NK, Das NK, Venkateswarlu R.
  
  Director Cath Lab and Interventional Cardiology, Apollo Hospitals, Jubilee Hills, Hyderabad-500 033, A.P., India.

9: Cathet Cardiovasc Diagn 1998 Jan;43(1):43-7

• Balloon mitral valvuloplasty with bifoil catheter: immediate and long-term follow-up results.
  Rath PC, Tripathy MP, Das NK, Rao PS, Deb T, Chandra KS, Agarwal S, Dikshit V,Reddy BS.
  Apollo Heart Institute, Apollo Hospital, Hyderabad, Andhra Pradesh, India.
  
  This report documents clinical and hemodynamic benefits of balloon mitralvalvuloplasty (BMV) using a bifoil balloon catheter from a single center in 415consecutive cases of rheumatic mitral stenosis (MS). The procedure wassuccessful in 396 (95.2%) patients, with an increase in mitral valve area (MVA)from 0.82+/-0.35 cm2 to 2.21+/-0.24 cm2 (P < 0.001). There were 2 (0.48%)in-hospital deaths, and 6 (1.44%) patients developed acute mitral regurgitation.The procedural and fluroscopy time was reduced significantly from 52+/-11 and38+/-6 min to 33+/-7 and 19+/-5 min, respectively, after modifications oftechnique in our last 326 cases. The bifoil balloon catheter technique is safeand effective, and provides excellent hemodynamic benefits which are sustainedat long-term follow-up. This technique should be considered as an addition tothe existing armamentarium of interventional cardiologists performing mitralballoon valvuloplasty.

Author Index

10:J Assoc Physicians India 1998 Apr;46(4):341-4

• Left ventricular mural thrombus following myocardial infarction--a follow up study.
  Vidhya MR, Haranath K, Sathyamurthy I.
  Department of Internal Medicine, Apollo Hospitals Chennai.
  
  Left Ventricular mural thrombus detected by echocardiography in 41 patientsafter myocardial infarction (MI) were followed up for 4 years. Thirty eightpatients were males and mean age of study population was 52.4 years.Echocardiography revealed predominant mural type of thrombi (38 patients) andnone showed mobility. All of them showed regional wall motion abnormality (RWMA)and Left Ventricular (LV) aneurysm was found in 28 patients. Embolic events wereobserved in 6 patients and 1 patient died following embolic stroke. Follow upstudy revealed persistent left ventricular thrombus in 19 patients and riskfactors detected were severe LV dysfunction and LV aneurysm. Six patients hadspontaneous resolution and 6 had resolution of the thrombus afteranticoagulants. While anticoagulant therapy was very effective in preventingembolism after recent MI (within 3 weeks), it was found not useful in chronic LVthrombi. We observed ongoing embolic risk in chronic LV thrombi with LVaneurysms but a randomized trial is needed to decide the role of anticoagulantsin such situation.
  Clinical trial

11: J Assoc Physicians India 2000 Feb;48(2):216-20

• Current status of low molecular weight heparins in clinical practice.
  Vidhya MR, Sathyamurthy I.
  Department of Cardiology, Apollo Hospitals, Chennai.

Author Index

12: J Assoc Physicians India 1998 Jun;46(6):533-7

• Plaque rupture or erosion? The enigma of acute myocardial infarction.
  Kaul S, Misra KP.
  Apollo Hospital, Chennai-600 006, India.
  Review

Author Index

13: Transplant Proc 2001 Feb-Mar;33(1-2):1997-8

• The success of laparoscopic donor nephrectomy: is the open approach justified?
  Soin AS, Rajasekar MR, Rajakumari DV, Mishra A, Jasuja S.
  
  Department of Multiorgan Transplantation, Indraprastha Apollo Hospital, NewDelhi, India

14: Transplant Proc 2000 Nov;32(7):1585

• Experience with laparoscopic donor nephrectomy in India: is the open approach
  justified any longer?
  Soin AS, Rajasekar MR, Rajakumari V V, Rehmani B, Mishra A, Jasuja S.
  Department of Multiorgan Transplantation, Indraprastha Apollo Hospital, New Delhi, India

Author Index

15: Indian Pediatr 2001 Mar;38(3):309-10

• Recurrent abdominal pain - a reappraisal?
  Srivastava RN. Consultant Pediatric Nephrologist, Apollo Indraprastha Hospital, New Delhi 110019, India. rns2@vsnl.com

16: Indian J Pediatr 1999 Mar-Apr;66(2):199-205

• Acute glomerulonephritis.
  Srivastava RN.
  Apollo Indraprastha Hospital, New Delhi.
  Acute glomerulonephritis (AGN) manifests with abrupt onset of hematuria, facialedema, hypertension and impairment of renal function. The commonest form of AGNin developing countries is that following a beta hemolytic streptococcalinfection where the glomerular injury is mediated by deposition of immunecomplexes. In the usual patient with moderately severe poststreptococcal AGN(PSAGN) the above-mentioned features are present However, gross or microscopichematuria may be the only abnormality. A similar picture may occasionally beproduced by a variety of infections (when GN is referred to as post-infectiousand the mechanism of glomerular damage and the renal histology are similar tothat in PSAGN), primary renal glomerular disorders (e.g. membranoproliferativeGN, IgA nephropathy), collagen vascular diseases (systemic lupus erythematosus),systemic vasculitis (Henoch Schonlein purpura) and hereditary nephritis and somenonglomerular conditions. PSAGN may also present with one or more of itscomplications such as profound volume expansion with heart failure andhypertensive encephalopathy. PSAGN resolves rapidly and has an excellentprognosis. Patients with severe renal involvement and life threateningcomplications need expert supportive management. AGN with associated systemicfeatures or very pronounced azotemia, nonstreptococcal AGN and unresolving GNneed prompt, appropriate evaluation that often includes a renal biopsy. Ifextensive crescentic changes are found (crescentic GN), aggressiveimmunosuppression will be necessary.

17: Indian Pediatr 2000 Feb;37(2):173-8

• Pediatric tertiary care and subspecialities in the new millennium.
  Srivastava RN.
  Apollo Center for Advanced Pediatrics, Apollo Indraprastha Hospital, New Delhi,India. rns2@vsnl.com

Author Index

18: Indian Pediatr 2001 Mar;38(3):287-91

• India s First Successful Pediatric Liver Transplant.
  Poonacha P, Sibal A, Soin AS, Rajashekar MR, Rajakumari DV.
  Apollo Center for Advanced Pediatrics, Indraprastha Apollo Hospital, New Delhi 110 044, India.

Author Index

19: J Assoc Physicians India 1997;Suppl 2:60-1

• Acute respiratory failure.
  Kanwar MS.
  Apollo Hospital, New Delhi.

Author Index

20: J Assoc Physicians India 1997;Suppl 2:12-3

• Cardiogenic shock in acute myocardial infarction.
  Shrivastava MP.
  Indraprastha Apollo Hospital, New Delhi-110 047.

Author Index

21: J Assoc Physicians India 1998;Suppl 1:30-40

• Prazosin GITS vs sustained release nifedipine in patients with hypertension and abnormal lipid profile: a randomized, controlled, multicenter study. MadrasHypertension Study Group.
  Misra KP, Joglekar SJ, Mukherjee S, Nanivadekar AS.
  Department of Cardiology, Apollo Hospitals, Madras 600006.
  
  OBJECTIVE: To compare the long-term antihypertensive efficacy, tolerability, andmetabolic effects of prazosin GITS and a sustained release (SR) preparation ofnifedipine. DESIGN: Randomized, controlled, multicenter study of 26 weeksduration. SETTING: Office practices of 24 physicians in Chennai, Tamil Nadu,India. PATIENTS: Males and females, aged 30 to 70 yrs, with hypertension of JNCV stage 1 or 2 at the end of a 2-week placebo run-in period, and an abnormallipid profile. Sufficient number of patients recruited so that at least 60complete the entire study. INTERVENTIONS: Prazosin GITS (Minipress XL, 2.5-5 mgonce daily) or sustained release nifedipine (Nicardia Retard 10-20 mg twicedaily) for upto 6 weeks, continued upto 24 weeks in those showing a pre-definedresponse (SBP and/or DBP normalized, or DBP fall of at least 10 mm Hg withactual value of DBP < 95 mm Hg). Patients allocated to either of the twointerventions by randomization. OUTCOME MEASURES: Percent patients showingpre-defined BP response at week 6; percent patients with DBP < 90 mm Hg, SBP <140 mm Hg, and both; percent patients with DBP fall > or = 10 mm Hg; mean fallin BP among those receiving treatment for 24 weeks; mean change in blood glucoseand serum lipids at the end of weeks 8, 16, and 24 of treatment; frequency andintensity of adverse events judged probably or definitely related to the drug.RESULTS: 54 patients randomized to prazosin GITS group and 52 to nifedipine SRgroup. Of these, 39 in prazosin GITS group (M 23, F 16; mean age-50. 6 yr, SEM1.66) and 36 in nifedipine SR group (M 20, F 16; mean age-52.3 yr, SEM 1.71)completed the study. Percent patients with DBP < 90 mm Hg at 24 weeks: prazosinGITS--100%, nifedipine SR--100%; SBP < 140 mm Hg: prazosin GITS--94.9%,nifedipine SR--91.7%; both DBP < 90 mm Hg and SBP < 140 mm Hg: prazosinGITS--92.3%, nifedipine SR--91.7%; percent patients with DBP fall of 10 mm Hg ormore at 24 weeks: prazosin GITS--76.9%, nifedipine SR--83.3%. The mean fall inthe systolic and diastolic blood pressure from the end-of-placebo-phase valuesto all the other time points was comparable in the 2 groups. Treatment withprazosin GITS did not produce any statistically or clinically significant changein the metabolic parameters at the end of 24 weeks, while with nifedipine SRthere was a significant increase in the serum LDL values at 24 weeks (p =0.009). Adverse events probably or definitely related to the drug: prazosinGITS--1.9%, nifedipine SR--2.1%. CONCLUSION: Both drugs were equally effectiveand well tolerated. While prazosin GITS was neutral on serum lipids, use ofnifedipine SR was associated with a significant increase in serum LDLcholesterol at the end of 24 weeks.

Author Index

22: Seizure 2001 Jan;10(1):3-6

• Yoga for epilepsy: methodological issues.
  Ramaratnam S.
  Consultant Neurologist, Apollo Hospital, Greams Lane, Madras, 600006, India
  
  This article deals with the methodological issues that might be encountered indesigning and conducting a randomized controlled study of the efficacy of yogain the treatment of epilepsy. Methodological issues relating to patientselection, randomization, blinding, type of intervention, outcome measures andanalysis are highlighted. Copyright 2001 BEA Trading Ltd.

23: Cochrane Database Syst Rev 2000;(2):CD001524

• Yoga for epilepsy.
  Ramaratnam S, Sridharan K.
  
  Department of Neurology, Apollo Hospitals, 21 Greams Lane, Off Greams Road,Madras, Tamil Nadu, India, 600006. rsridharan@vsnl.com
  BACKGROUND: Stress is considered an important precipitating factor for seizures.Yoga is believed to induce relaxation and stress reduction. The effect of yogaon the EEG and the autonomic nervous system have been reported. Yoga would be anattractive therapeutic option for epilepsy (if proved effective), in view of itsnonpharmacological nature, minimal side effects and international acceptance.OBJECTIVES: To assess the efficacy of yoga in the treatment of patients withepilepsy. SEARCH STRATEGY: We searched the Cochrane Epilepsy Group trialregister, the Cochrane Controlled Trials Register (The Cochrane Library Issue 4,1998), MEDLINE for articles published up to the middle of 1998, and alsoregistries of the research council for complimentary medicine were searched. Inaddition, we searched the references of all the identified studies. Finally, wecontacted the members of the Neurological Society of India, severalneurophysiology institutions and yoga institutes to seek any ongoing studies orstudies published in nonindexed journals or unpublished studies. SELECTIONCRITERIA: Randomized control trials and controlled clinical trials of treatmentof epilepsy with yoga. DATA COLLECTION AND ANALYSIS: The data were extractedindependently by both reviewers and any discrepancies were resolved bydiscussion. The main outcomes assessed were percentage of patients renderedseizure free, number of patients with more than 50% reduction in seizurefrequency or seizure duration and the overall reduction in seizure frequency.Analyses were on an intention to treat basis. MAIN RESULTS: Only one study metthe selection criteria, and recruited a total of 32 patients, 10 to sahaja yogaand 22 to control treatments. Antiepileptic drugs were continued in all.Randomization was by roll of a dice. The results of this study are as follows:(i) Four patients treated with yoga were seizure free for six months compared tonone in the control groups. The Odds Ratio (OR) (95% Confidence Interval (CI))for yoga versus sham yoga group was 14.5 (0.7, 316.7) and for yoga versus notreatment group 17.3 (0.8, 373.5). (ii) Nine patients in the yoga group had morethan 50% reduction in seizure frequency compared to only one among the controls.The OR (95% CI) for yoga versus sham yoga group was 81 (4.4, 1504.5) and for theyoga versus no treatment group was 158.3 (5.8, 4335.9). (iii) There was adecline in the average number of attacks per month compared to the baselinefrequency among the patients treated with yoga. The weighted mean difference (95% CI) between yoga versus sham yoga group was -2.1 (-3.1, -1.0) and for theyoga versus no treatment group -1.1 (-1.8, -0.4). (iv) More than 50% reductionin seizure duration was found in seven of the 10 patients treated with yoga,compared to none among the 22 controls. The OR (95%CI) for yoga versus sham yogagroup was 45 (2.0, 1006.8) and for yoga versus no treatment group 53.57 (2.4,1187.3). REVIEWER'S CONCLUSIONS: No reliable conclusions can be drawn regardingthe efficacy of yoga as a treatment for epilepsy. Further studies are necessary to evaluate the efficacy of yoga in the treatment of epilepsy.

24: Cochrane Database Syst Rev 2000;(3):CD001909

• Lamotrigine add-on for drug-resistant partial epilepsy (Cochrane review).
  Ramaratnam S, Marson AG, Baker GA.
  Department of Neurology, Apollo Hospitals, 21 Greams Lane, Off Greams Road,Madras, Tamil Nadu, INDIA, 600006. rsridharan@vsnl.com.
  
  BACKGROUND: Epilepsy is a common neurological disorder, affecting almost 0.5 to1% of the population. Nearly 30% of patients with epilepsy are refractory tocurrently available drugs. Lamotrigine is one of the newer antiepileptic drugsand is the topic of this review. OBJECTIVES: To examine the effects oflamotrigine on seizures, side effects, cognition and quality of life, when usedas an add-on treatment for patients with drug-resistant partial epilepsy. SEARCHSTRATEGY: We searched the Cochrane Epilepsy Group trials register, the CochraneControlled Trials Register (Cochrane Library Issue 1, 2000), MEDLINE (January1966 to December 1999) and reference lists of articles. We also contacted themanufacturers of lamotrigine (Glaxo-Wellcome). SELECTION CRITERIA: Randomizedplacebo controlled trials, of patients with drug-resistant partial epilepsy ofany age, in which an adequate method of concealment of randomization was used.The studies may be double, single or unblinded. For crossover studies, the firsttreatment period was treated as a parallel trial. DATA COLLECTION AND ANALYSIS:Two reviewers independently assessed the trials for inclusion and extracteddata. Primary analyses were by intention to treat. Outcomes included 50% orgreater reduction in seizure frequency, treatment withdrawal (any reason), sideeffects, effects on cognition, and quality of life. MAIN RESULTS: We found threeparallel add-on studies and eight cross-over studies, which included 1243patients (199 children and 1044 adults). The overall Peto's Odds Ratio (OR) and95% confidence intervals (CIs) across all studies for 50% or greater reductionin seizure frequency was 2.71 (1.87, 3.91) indicating that lamotrigine issignificantly more effective than placebo in reducing seizure frequency. Theoverall OR (95%CI) for treatment withdrawal (for any reason) is 1.12 (0.78, 1.61). The 99% CIs for ataxia, dizziness, nausea, and diplopia do not includeunity, indicating that they are significantly associated with lamotrigine. The limited data available preclude any conclusions about effects on cognition andquality of life, though there may be minor benefits in affect balance(happiness) and mastery. REVIEWER'S CONCLUSIONS: Lamotrigine add-on therapy iseffective in reducing the seizure frequency, in patients with drug-resistantpartial epilepsy. Further trials are needed to assess the long term effects oflamotrigine, and to compare it with other add-on drugs.

25: Cochrane Database Syst Rev 2000;(3):CD001524

• Yoga for epilepsy (Cochrane review).
  
  Ramaratnam S, Sridharan K.
  Department of Neurology, Apollo Hospitals, 21 Greams Lane, Off Greams Road, Madras, Tamil Nadu, INDIA, 600006. rsridharan@vsnl.com.
  
  BACKGROUND: Stress is considered an important precipitating factor for seizures.Yoga is believed to induce relaxation and stress reduction. The effect of yogaon the EEG and the autonomic nervous system have been reported. Yoga would be anattractive therapeutic option for epilepsy (if proved effective), in view of itsnonpharmacological nature, minimal side effects and international acceptance.OBJECTIVES: To assess the efficacy of yoga in the treatment of patients withepilepsy. SEARCH STRATEGY: We searched the Cochrane Epilepsy Group trialregister, the Cochrane Controlled Trials Register (The Cochrane Library Issue 4,1998), MEDLINE for articles published up to the middle of 1998, and alsoregistries of the research council for complimentary medicine were searched. Inaddition, we searched the references of all the identified studies. Finally, wecontacted the members of the Neurological Society of India, severalneurophysiology institutions and yoga institutes to seek any ongoing studies orstudies published in nonindexed journals or unpublished studies. SELECTIONCRITERIA: Randomized control trials and controlled clinical trials of treatmentof epilepsy with yoga. DATA COLLECTION AND ANALYSIS: The data were extractedindependently by both reviewers and any discrepancies were resolved bydiscussion. The main outcomes assessed were percentage of patients renderedseizure free, number of patients with more than 50% reduction in seizurefrequency or seizure duration and the overall reduction in seizure frequency.Analyses were on an intention to treat basis. MAIN RESULTS: Only one study metthe selection criteria, and recruited a total of 32 patients, 10 to sahaja yogaand 22 to control treatments. Antiepileptic drugs were continued in all.Randomization was by roll of a dice. The results of this study are as follows:(i) Four patients treated with yoga were seizure free for six months compared tonone in the control groups. The Odds Ratio (OR) (95% Confidence Interval (CI))for yoga versus sham yoga group was 14.5 (0.7, 316.7) and for yoga versus notreatment group 17.3 (0.8, 373.5). (ii) Nine patients in the yoga group had morethan 50% reduction in seizure frequency compared to only one among the controls.The OR (95% CI) for yoga versus sham yoga group was 81 (4.4, 1504.5) and for theyoga versus no treatment group was 158.3 (5.8, 4335.9). (iii) There was adecline in the average number of attacks per month compared to the baselinefrequency among the patients treated with yoga. The weighted mean difference (95% CI) between yoga versus sham yoga group was -2.1 (-3.1, -1.0) and for theyoga versus no treatment group -1.1 (-1.8, -0.4). (iv) More than 50% reductionin seizure duration was found in seven of the 10 patients treated with yoga,compared to none among the 22 controls. The OR (95%CI) for yoga versus sham yogagroup was 45 (2.0, 1006.8) and for yoga versus no treatment group 53.57 (2.4,1187.3). REVIEWER'S CONCLUSIONS: No reliable conclusions can be drawn regardingthe efficacy of yoga as a treatment for epilepsy. Further studies are necessaryto evaluate the efficacy of yoga in the treatment of epilepsy.

Author Index

26: Neurol India 2000 Dec;48(4):396-8

• Primary fibrosarcoma of brain.
  Vatsal DK, Sharma S, Renjen PN, Kaul S, Jha AN.
  Department of Neurosurgery, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi, 110044, India.
  
  This is a case presentation of a young patient with an intracranialspace-occupying lesion following multiple episodes of generalised tonic clonicseizures for the last 20 years. Such a long latency period between the onset offits and the discovery of an intracranial lesion is highly unusual in malignantbrain tumours. This lesion was excised completely and proved to be a primarylesion of the brain - fibrosarcoma. These rare tumours of mesenchymal origin inthe central nervous system are very rare.

Author Index

27: Indian J Pediatr 1999;66(1 Suppl):S56-62

• Helicobacter pylori in children.
  Mishra D, Sibal A.
  Department of Pediatrics, Indraprastha Apollo Hospital, Sarita Vihar, New Delhi, India.
  
  Helicobacter pylori (Hp) infection is one of the most frequently encounteredbacterial infections worldwide. Although strong epidemiological associationexists between Hp infection and duodenal and gastric ulcers and gastric cancerin adults, the clinical spectrum of Hp infection in children is yet to beestablished. The increasing use of endoscopy as a diagnostic modality ingastroduodenal diseases in children has raised some questions regarding the roleof Hp in causing symptoms in children and need for eradication therapy. Despitea variety of protocols, the standard therapy of Hp in children is stillundecided. This article discusses the epidemiological and clinical spectrum ofHp infection in children and includes a review of various diagnostic modalitiesand treatment protocols for this infection.
  Review

Author Index

28: Indian J Pediatr 1999;66(1 Suppl):S120-3

• Liver transplantation in the developing world.
  Sibal A, Rajasekar MR, Soin AS.
  Department of Multiorgan Transplantation, Indraprastha Apollo Hospital, NewDelhi.
  
  Liver transplantation is an accepted therapy for acute and chronic liverfailure. Advances in preoperative and postoperative management and surgicaltechniques have extended the indications and improved results. Mostinternational centres report one year actual survival rates of between 58-90%and 5-8 years survival of 75-80%. These developments, however, have been limitedlargely to the West. While the need for liver transplantation is well recognisedin the developing world, liver transplantation has only recently been performedsuccessfully in India. This article examines the challenges of livertransplantation in the developing world.
  Review

Author Index

29: Transplant Proc 2000 Nov;32(7):1581

• Challenges in laparoscopic donor nephrectomy and technical innovations to makeit cost effective.
  Rajasekar MR, Rajakumari V V, Rehmani B, Soin AS.
  Department of Multiorgan Transplantation, Indraprastha Apollo Hospital, NewDelhi, India

Author Index

30: Indian Heart J 2000 Mar-Apr;52(2):205-6

• Renal artery in-stent restenosis: treatment with high speed rotational atherectomy.
  Rao BH, Chandra KS.
  Apollo Hospitals, Hyderabad.

31: Indian Heart J 1996 Mar-Apr;48(2):161-2

• Familial occurrence of a rare combination of dilated cardiomyopathy with palmoplantar keratoderma and curly hair.
  Rao BH, Reddy IS, Chandra KS.
  Department of Cardiology, Apollo Hospital, Hyderabad.

Author Index

32: Indian Heart J 2000 Mar-Apr;52(2):201-2

• Coronary arterial fistula from both the coronaries to pulmonary artery in association with congenital bicuspid aortic stenosis.
  Oomman A, Mao R.
  Department of Cardiology, Apollo Hospitals, Chennai.

Author Index

33: J Invasive Cardiol 1996 Nov;8(9):443-446

• Non-Surgical Repair of Abdominal Aortic Aneurysm.
  Chandra KS, Venkateshwarlu J, Tripathy MP, Rao BH, Gopichand M.
  Consultant Cardiologist, Apollo Hospitals, Jubilee Hills, Hyderabad, 500 033,India.
  
  The conventional treatment of abdominal aortic aneurysm is surgical replacementwith a synthetic graft. Attempts have been made to treat these aneurysms usingstent mounted grafts with reasonable success, thus obviating the need forsurgery. However, certain problems like thromboembolism and the large profileare yet to be overcome. We report a case of a 75-year-old man where an attemptto repair a symptomatic abdominal aortic aneurysm was made using an endovascularuncovered OwallO stent combined with endosaccular coil implantation.

Author Index

34: J Assoc Physicians India 1999 Oct;47(10):998-1002

• The enigma of the endothelium.
  Mathavan A, Shankar KJ, Misra KP.
  Dept. of Cardiology, Apollo Hospitals, Chennai.
  
  The endothelium was earlier regarded as a relatively inert layer performingrather simple physiological functions. However extensive research has recentlyrevealed that the endothelial layer performs a vast array of functions such asmaintenance of vascular tone, control over coagulation and fibrinolysis besidesa lot of chemical interactions. More recently, endothelial dysfunction has beenimplicated as important in the pathogenesis of atherosclerosis, coronary arterydisease, myocardial ischemia and post-intervention restenosis. The demonstrationthat endothelial dysfunction may be reversible by employing various strategiesraises the possibility of retarding the progress or even preventing the processof atherosclerosis thereby reducing the risk of acute cardiovascular events.
  Review

Author Index

35: Trop Gastroenterol 1999 Oct-Dec;20(4):191-2

• A case of large oesophageal mucocele after surgical isolation.
  Shanmugam RP, Natarajan AS, Hussain MK, Vivekanandan S.
  Surgical Gastroenterology Unit, Apollo Hospital, Chennai. dr-rps@hotmail.com

Author Index

36: Indian Heart J 1999 Sep-Oct;51(5):545-7

• Submitral pseudoaneurysm and anticardiolipin antibodies.
  Bharat V, Rath PC.
  Tata Main Hospital, Jamshedpur and Apollo Hospital, Hyderabad

Author Index

37: Indian J Med Res 1999 Oct;110:123-5

• Prevalence of hepatitis C virus antibody in healthy blood donors.
  Makroo RN, Raina V, Kaushik V.
  Department of Transfusion Medicine, Indraprastha Apollo Hospitals, New Delhi.
  
  The present study was conducted to find the prevalence of HCV antibody in blooddonors with an aim to provide safe blood for transfusion. A total of 44,086blood samples from healthy blood donors was screened for HCV antibody by thirdgeneration ELISA assay and a prevalence of 0.53 per cent was found in our study.We suggest that routine screening of all donor blood should be done

38: Indian J Pathol Microbiol 1996 Apr;39(2):139-4

• Trends of HIV infection in the blood donors of Delhi.
  Makroo RN, Salil P, Vashist RP, Shivlal.
  Department of Transfusion Medicine, Apollo Hospital, New Delhi.
  
  Screening of HIV Infection was made mandatory for every unit of blood collectedfor transfusion in Delhi, India since 1989. Ten Zonal Blood Testing Centres havebeen identified which test all the blood collected for HIV by 29 blood blanksfor the city. Reports from these testing centres have been analysed yearwise tofind out the magnitude and trends of HIV infection in different groups of blooddonors. Although initially there was no difference in HIV Sero-reactivity indifferent blood donors categories (between 1 & 2 per 1000 blood donors samplestested) but subsequently there is significant increase (5.24/1000 in 1992 &7.48/1000 in 1993) in the HIV sero-reactivity in replacement donor categorypossibly because professional donors donate blood in the guise of beingreplacement donors. The fact which comes out clearly is that HIV infection ispresent in all sections of the population in Delhi and mandatory HIV Screeningof all blood collected for transfusion is justified.

Author Index

39: >J Indian Med Assoc 1999 Jul;97(7):278-81

• Techniques and follow-up results of coronary artery by-pass grafting with special reference to Indian subset of patients.
  Girinath MR, Raghuram AR.
  Department of Cardiovascular Surgery, Apollo Hospitals, Chennai.
  
  Coronary artery by-pass surgery is fast becoming the most commonly performedmajor operation even in our country. Coronary heart disease in Indian patientshas a lot of peculiarity which distinguishes it from the western population.Indian patients are younger in age, more often diabetic and hyperlipidaemic.Smoking and obesity are not as common as in the west. The coronary arteries aresmaller in diameter and are affected diffusely with the atherosclerotic process.These factors make the operation technically more difficult. The techniques havebeen perfected to a very high level and are being performed in India withresults comparable to the western world. The average operative mortality forcoronary artery by-pass grafting (CABG) is around 2%.
  Review

Author Index

40: J Indian Med Assoc 1999 Jul;97(7):271-5

• Angioplasty versus coronary artery by-pass surgery: a reappraisal.
  Chakraborty R.
  Apollo Hospitals, Hyderabad.
  
  Revascularisation is the main principle of treatment of obstructive coronaryartery disease. This technique is available either by catheter intervention likeangioplasty or by-pass surgery. The superiority of one over the other is stillundetermined. In symptomatic single vessel disease angioplasty may be a betteroption than by-pass surgery. In two-vessel coronary artery disease angioplastymay also be preferred especially with good left ventricular function. Inpatients with double-vessel disease particularly involving proximal leftanterior descending artery in association with diabetes mellitus surgery hasbetter long term results. In multivessel disease by-pass surgery is a preferredoption although initial results of angioplasty in this group may be verysatisfactory. The incidence of further intervention either by surgery or repeatangioplasty is high in patients undergoing angioplasty in multivessel disease.Left main stem disease should be dealt with by-pass surgery. With continuedadvancement in the revascularisation technology of coronary artery disease bothin catheter intervention and surgical fronts there is no room for unequivocal oruniversal strategy plan in the management of coronary artery disease. Both thetechniques are complimentary to each other. Cost consideration is a majorconsideration in India. Choice should be made after proper evaluation ofcoronary anatomy, underlying clinical condition, local experience, social andespecially economic circumstances.
  Review

Author Index

41: Indian Heart J 1999 Jul-Aug;51(4):429-31

• Complete thrombolysis for acute embolic stroke during coronary angiography.
  Kumar KP, Rao JS, Deb PS, Rao PS.
  Department of Cardiology, Apollo Hospitals, Hyderabad.

Author Index

42: Indian J Chest Dis Allied Sci 1999 Jul-Sep;41(3):145-51

• Pulmonary sarcoidosis in a south Indian hospital: clinical and lung function profile.
  Singh RB, Babu KS.
  
  Department of Respiratory Medicine, Apollo Hospital, Chennai.rajbsingh@hotmail.com
  
  Twenty-two histopathologically proven cases of sarcoidosis were analyzed todetermine the clinical presentation, lung function and the response totreatment. Laboratory data, chest x-ray and pulmonary function tests (PFT) wereanalyzed. Sarcoidosis was found to be more common in females in this study.Cough, breathlessness and weight loss were the predominant symptoms. Serumangiotensin converting enzyme (SACE) was elevated in 50% patients. Comparison ofchest radiographs and PFT at the time of diagnosis revealed that stage I diseasewas associated with normal pulmonary function, 50% patients with stage IIdisease had mildly impaired PFT and 75% patient with stage III disease hadseverely impaired PFT. The indication for oral steroid treatment was respiratorysymptoms in 58.8% of cases. Of the 13 patients who were available for follow up10 (76.9%) had subjective improvement in symptoms. Majority of patients showedregression on chest radiograph but one patient progressed to stage IV disease. Pulmonary function data of the patients who were followed up showed improvementbut this was not significant statistically. Oral corticosteroids improvedsymptoms but changes in pulmonary function seemed to be independent of steroidtherapy. Further study of a larger number of patients over a longer period wouldbe necessary.

Author Index

43: Perit Dial Int 1999 May-Jun;19(3):277-80

• Comparison of clinical parameters in different peritoneal transporters in an Indian population.
  
  Baraskar VJ, Prakash KC.
  Apollo Hospitals, Chennai, India.

Author Index

44: Indian J Gastroenterol 1999 Jul-Sep;18(3):122

• Pseudoaneurysm in gall bladder fossa following laparoscopic cholecystectomy.
  Halbe S, Ahmed NI, Sundar K, Sathyakumar C.
  Department of Radiology, Apollo Hospitals, Chennai. ahel@vsni.com
  
  A 32-year-old lady presented with severe hematemesis and melena afterlaparoscopic cholecystectomy. Initial ultrasonography and spiral CT suggested avascular lesion in the gall bladder fossa. Selective hepatic angiographyconfirmed the presence of a pseudoaneurysm close to the surgical clip andfilling through the right hepatic artery. This was treated with coilembolization, resulting in cessation of hematemesis and amelioration ofsymptoms.

Author Index

45: Perit Dial Int 1999;19 Suppl 2:S283-

• Tuberculous peritonitis.
  Prakash KC.
  Apollo Hospitals, Chennai, India.
  
  Although the general incidence of peritonitis has declined considerably withimprovement in connectology, tuberculous peritonitis is still a major problem inpatients who are from endemic regions and who belong to high-risk groups. Theproblem stems mainly from less sensitive diagnostic tools. Confirmation oftuberculous peritonitis is based on mycobacterial culture of the peritonealfluid, which takes a few weeks. For patients in whom tuberculous peritonitiscannot be confirmed, therapeutic trial has been recommended. Treatment oftuberculous peritonitis consists in removing the peritoneal catheter andinitiating antituberculosis medications, though the dosage and duration ofantituberculosis medication are not yet well defined. Early initiation ofantituberculosis medication has been shown to preserve good ultrafiltration andsolute clearance by the peritoneal membrane.

Author Index

46: Current Science Vol 82, No 6, 25th March 2002, page 664 - 670.

• Epidemiology of Epilepsy
  Sridharan R.
  

47: Epilepsia 1999 May;40(5):631-6

• Prevalence and pattern of epilepsy in India.
  Sridharan R, Murthy BN.
  Apollo Hospitals, Institute for Research in Medical Statistics, Indian Councilof Medical Research, Chennai, Madras.
  
  PURPOSE: To estimate the prevalence of epilepsy in India by meta-analysis ofpreviously published and unpublished studies and to determine patterns ofepilepsy by using community-based studies. METHODS: We attempted to identify asmany previously published and unpublished studies as possible on the prevalenceof epilepsy in India. The studies were assessed with regard to methods anddefinitions. The prevalence rates for rural and urban populations and for menand women were calculated with a 95% confidence interval (CI). The studies thatprovided details on age structure, age-specific rates, and patterns of epilepsywere chosen for meta-analysis. Both crude values and age-standardized prevalencerates were calculated after accounting for heterogeneity. RESULTS: Twentystudies were found involving a sample population of 598,910, among whom 3,207had epilepsy. This resulted in a crude prevalence of 5.35/1,000. After acorrection for heterogeneity due to interstudy variation, the overall prevalenceper 1,000 (and its 95% CI) was 5.33 (4.25-6.41); with urban areas at 5.11(3.49-6.73); rural areas, 5.47 (4.04-6.9); men, 5.88 (3.89-7.87); and women 5.51(3.49-7.53). After correction for the variability in estimates of heterogeneity,age-standardized rates (from five studies) revealed that the prevalence ratesper 1,000 (and the 95% CI), were as follows: overall, 5.59 (4.15-7.03); men,6.05 (3.79-8.31); women, 5.18 (3.04-7.32); urban, 6.34 (3.43-9.25); rural, 4.94(3.12-6.76). Urban men and women had a higher prevalence of epilepsy comparedwith rural ones, however the difference was not statistically significant.Age-specific prevalence rates were higher in the younger age group, with theonset of epilepsy reported mostly in the first three decades of the samplepopulation's lives. The treatment gap (i.e., the percentage of those withepilepsy who were receiving no or inadequate treatment) was more than 70% in therural areas. CONCLUSIONS: Based on the total projected population of India inthe year 2001, the estimated number of people with epilepsy would be 5.5million. Based on a single study on the incidence of epilepsy, the number of newcases of epilepsy each year would be close to half a million. Because ruralpopulation constitutes 74% of the Indian population, the number of people withepilepsy in rural areas will be approximately 4.1 million, three fourths of whomwill not be getting any specific treatment as per the present standard.
  Meta-analysis

47: Neuroepidemiology 1992;11(1):24-30

• Risk factors for ischemic stroke: a case control analysis.
  Sridharan R.
  Department of Neurology, Apollo Hospitals, Madras, India.
  
  Case control analysis of 204 patients with acute ischemic stroke revealed thematched pair odds ratio (and 95% confidence limits) for hypertension, ECGabnormality, heart disease of any type, diabetes, smoking and alcohol intake tobe 3.95 (2.5, 6.2), 2.1 (1.4, 3.1), 2.1 (1.4, 3.2), 1.7 (1.1, 2.6), 1.8 (1.1,2.8) and 1.5 (0.86, 2.6), respectively. Except alcohol intake, the other factorswere statistically significant. Hemoglobin, packed cell volume (hematocrit),serum cholesterol, triglycerides and low-density lipoprotein cholesterol levelswere not found to be significant. High-density lipoprotein (HDL) cholesterol anduric acid were significantly lower and the ratio of total cholesterol to HDLcholesterol (TC/HDL) was higher among stroke patients. The risk was considerablyhigher when there was any combination of hypertension, heart disease and HDLcholesterol level lower than 45 mg/dl. Logistic regression revealedhypertension, heart disease of any type, lower HDL cholesterol and uric acid andhigher ratio of TC/HDL to be significant factors.

48. Neurology India 36, 183, 1988.

• Nocardial Brain abscess.
  Sridharan R, Ganapathy K, Thara F and Mani M K.
  

49. Neurology India 36, 238, 1988.

• Evolution of Brain abscess.
  Sridharan R and Reginald J.

50. Neurology India 36, 252, 1988.

• Diseminated tuberclosis with multiple intracranial tuberculomata.
  Lakshmikantham C,Sridharan R and Reddy P C.
  

51. Journal of Applied Medicine 15, 939, 1989.

• Radio diagnosis - Neuro fibromatosis.
  Sridharan R and Radhakrishnan T.

• Lafora body disease.
  Sridharan R, Maya M, Ashok P, Subramanyam CSV.

53. Neurology India, 37, 640, 1989.

• Evolution of brain abscess. Report of another two cases.
  Sridharan R, Reginald J.

54. Neurology India, 37, 606, 1989.

• Adrenoleuko-dystrophy. Report of a family.
  Sridharan R, Usha H, Lakshmi P.

• Ewing's Sarcoma.
  Ganapathy K, Sridharan R, Parameswaran A.

Author Index

56: Neurol India 1999 Mar;47(1):78-9

• Myasthenia gravis with chronic inflammatory demyelinating polyneuropathy - A case report.
  
  Shankar V, Sayeed ZA.
  Department of Neurology and Laboratory of clinical Neurophysiology, Apollo Institute of Neurological Sciences, Apollo Hospital, Chennai, Tamil Nadu, India.

Author Index

57: Ther Apher 1998 Nov;2(4):317-9

• Changing scenario of therapeutic apheresis in India in the last 14 years.
  
  Srivastava R, Gupta RC, Khatri PC, Lalchandani A.
  Indian Society for Apheresis Institute and Research Center and Apollo Hospitals,New Delhi.
  
  There has been a remarkable change in the scenario of therapeutic apheresis inthe last 14 years in India. The crude method of manual removal of blood followedby separation of plasma by gravity, keeping it in the bottle for a long time,has now been totally replaced by plasmapheresis, centrifugation, membranefiltration, and immunoadsorption techniques. The indications for use have alsochanged from a list of limited indications in the beginning to include allimmune complex disorders. The clinical beneficiaries have also increased fromblood bankers to nephrologists and immunologists in addition to oncologists.Efforts are now underway with the help of the Indian Society for Apheresis(founded in 1985) to popularize the newer methods of cryofiltration,photopheresis and heparin extracorporeal low-density lipoprotein (HELP) and DALIapheresis systems besides the specialized techniques of immunoadsorption usingfilters, columns, or ligands. This is suggestive of a positive trend for thetreatment of immune complex disorders.

Author Index

58: Spinal Cord 1998 Jul;36(7):523-4

• Alkaptonuria presenting as lumbar disc prolapse: case report and review of literature.
  Reddy DR, Prasad VS.
  Department of Neurosurgery, Apollo Hospitals, Hyderabad, India.
  
  Alkaptonuria is a rare genetic disorder caused by deficiency of the enzymehomogentisic acid oxidase, resulting in accumulation of homogentisic acid invarious body tissue; it produces a multisystemic disorder with a characteristicbluish-black discolouration of the skin and cartilage, termed ochranosis.Ochranosis primarily involves the large joints of the body including the spine.Spinal involvement produces loss of flexibility and ankylosis of the thoracicand lumbar segments. The clinical presentation with spondylosis and canalstenosis is common after the third and fourth decades, but intervertebral discprolapse is unusual in ochranosis.
  Review

59: Surg Neurol 1998 Jun;49(6):635-6

• Fluorosis.
  Reddy DR, Srikanth RD, Misra M.
  Department of Neurosurgery, Apollo Hospital, Hyderabad, India.

Author Index

60: Ann Thorac Cardiovasc Surg 1998 Jun;4(3):146-8

• Coronary artery bypass grafting without cardiopulmonary bypass.
  Manjari R, Saha K, Jain A, Prasanna J, Singh J, Bhan A, Venugopal P, Das B.
  Indraprastha Apollo Hospital, New Delhi, India.
  
  Coronary artery bypass surgery on a beating heart is now an accepted modality totreat selected patients of ischaemic heart disease. From June '92 through Sep'97, 162 patients underwent this procedure. There was no mortality and none ofthe patients had any respiratory or neurological morbidity, though 24% of thepatients form a high risk group for conventional coronary bypass surgery. It isdefinitely cost effective in comparison to any other modalities for treatment ofischaemic heart disease. We conclude that continous use of this technique isjustified and all cardiac surgeons should have exposure to this procedure.

Author Index

61: Artif Organs 1998 Mar;22(3):182-6

• The management of end-stage renal disease in India.
  Mani MK.
  Apollo Hospital, Chennai, India.

62: J Postgrad Med 1994 Jul-Sep;40(3):137-9

• Should we treat all patients of glomerulonephritis?
  Mani MK.
  Apollo Hospital, Madras.

63: Natl Med J India 1994 Mar-Apr;7(2):80-4

• Chronic renal failure in India.
  Mani MK.
  Apollo Hospital, Tamil Nadu, India.

64: Transplantation 1993 May;55(5):1188-90

• The effect of hepatitis B in a dialysis transplant program.
  Mani MK, Bhaskaran S, Prakash KC.
  Department of Nephrology, Apollo Hospital, Madras, India.

65: Nephrol Dial Transplant 1993;8(8):684-9; discussion 683

• Chronic renal failure in India.
  Mani MK.
  Renal Unit, Apollo Hospital, Madras, India.
  
  In a series of 2028 patients with chronic renal failure, the diseases leading torenal failure, the presence or absence of reversible factors and their nature,and the rate of decline of renal function of the most common conditions havebeen described and analysed. Seven diseases: chronic interstitial nephritis(27.85%), diabetic nephropathy (26.76%), chronic glomerulonephritis (18.20%),benign nephrosclerosis (10.06%), chronic pyelonephritis (7.29%), focalglomerulosclerosis (3.20%), and autosomal dominant polycystic disease of thekidneys (2.07%), accounted for 95.43% of all the patients. These diseases werestudied in greater detail and the results are presented here. It was found thatthere was a great variation in the rate of decline of renal function in thedifferent groups, with chronic glomerulonephritis and focal glomerular sclerosisprogressing most rapidly, diabetic nephropathy slightly slower, and the othersat a less alarming pace. However, once serum creatinine had reached 177 mumol/lthere was an inexorable decline in renal function and the end stage was reachedin almost all patients.

66: Transplant Proc 1992 Oct;24(5):1828-9

• Renal transplantation in India.
  Mani MK.
  Apollo Hospital, Madras, India.

Author Index

67: Indian Heart J 1997 Jul-Aug;49(4):421-2

• Complete common AV canal with long survival.
  Kumar SR, Javid M, Misra KP, Kumar MV.
  Department of Cardiology, Apollo Hospitals, Chennai.

Author Index

68: Indian Heart J 1997 Mar-Apr;49(2):187-8

• Percutaneous coil embolization of coronary to pulmonary arterial fistula in a forty-six year old patient.
  Mehta SS, Kumar P, Ramachandran P.
  Department of Cardiology, Apollo Hospitals, Chennai.

Author Index

69: Indian Heart J 1997 Mar-Apr;49(2):181-2

• Coronary embolism in a patient with mitral prosthesis treated by coronary angioplasty--a case report.
  Sridhar K, Chandra KS, Dikshit V.
  Department of Cardiology & Cardiothoracic Surgery, Apollo Hospital, Hyderabad.

Author Index

70: J Dermatol 1996 Dec;23(12):902-4

• Association of Melkersson-Rosenthal syndrome with rosacea.
  Bose SK.
  Indraprastha Apollo Hospitals, New Delhi, India.
  
  A rare case of Melkersson-Rosenthal syndrome with all the cardinal signs of thetriad, including facial swelling, facial nerve palsy and glossitis, isdescribed. The additional feature of this case was an association with rosacea.
  Review

Author Index

71: Cathet Cardiovasc Diagn 1996 Aug;38(4):377-8

• Periodic intermittent electromechanical dissociation: hemodynamic correlate of a malfunctioning mechanical prosthetic valve.
  
  Shah D, Vijaykumar M, Chandrasekhar K, Reddy KN, Girinath MR.
  Department of Cardiology, Apollo Hospitals, Madras, India.
  We describe a patient who developed the unusual haemodynamic phenomenon ofperiodic intermittent electromechanical dissociation during regular sinustachycardia about 20 hours after mitral valve replacement with a tilting discmechanical prosthesis. Echocardiographic confirmation allowed prompt and lifesaving corrective surgery for a stuck prosthetic valve disc.

72: Indian Heart J 1995 May-Jun;47(3):248-52

• Significance of ST alternans during percutaneous transluminal coronary angioplasty.
  
  Shah D, Subramanyan K.
  Department of Cardiology, Apollo Hospitals, Madras.
  Repolarisation ST alternans was observed during percutaneous transluminalcoronary angioplasty (PTCA) in nine patients. Six had ST alternans on surfaceelectrocardiogram (ECG) while three patients developed ST alternans only onintracoronary ECG recordings. The pattern of occurrence of ST alternans insuccessive inflations varied. Ventricular arrhythmias occurred in 6 of 28(21.42%) of inflations associated with ST alternans while in a control group of50 patients undergoing PTCA who did not have ST alternans, ventriculararrhythmias were noted in only 6 of 342 inflations (1.75%; p < 0.001). It issuggested that ST alternans is a regional ischemic phenomenon.

73: Cathet Cardiovasc Diagn 1994 Dec;33(4):335-9

• Acute coronary occlusion during early post-PTCA exercise testing: a rare but avoidable risk.
  
  Shah DC, Lal P.
  
  We describe here one instance of an acute occlusion of an angioplastied LADcoronary artery occurring during a treadmill stress test performed 2 d after theprocedure. The occlusion occurred during the recovery period after a reasonablyhigh level of stress was achieved without evidence of ischaemia. Similarinstances described in the literature are summarized and discussed. In the lightof these data, it might be prudent to avoid early post-PTCA exercise stresstesting.

Author Index

74: Indian Heart J 1996 Jul-Aug;48(4):403-4

• Mycotic pulmonary artery aneurysm complicating bacterial endocarditis.
  Javid M, Kumar SR, Kumar MV, Misra KP.
  Department of Cardiology, Apollo Hospitals, Madras.

Author Index

75: Natl Med J India 1996 Jul-Aug;9(4):178-9

• The common cold.
  Prakash T.
  Department of ENT, Indraprastha Apollo Hospitals, New Delhi, India.

Author Index

76: Indian Heart J 1996 May-Jun;48(3):287-9

• Coarctation of the aorta: aortoplasty with Inoue balloon.
  Ramachandran P, Kumar P, Karthik R.
  Apollo Hospitals, Madras.
  Review

Author Index

77: Natl Med J India 1996 May-Jun;9(3):127-9

• Headache.
  Agrawal R, Aga R, Prakash G.
  Indraprastha Apollo Hospitals, New Delhi, India.
  Review

78: Cathet Cardiovasc Diagn 1995 Dec;36(4):350-1

• New technique for exchanging an "over-the-wire" balloon dilatation catheter.
  Agarwal R, Shah D, Mathew S.
  Department of Cardiology, Apollo Hospitals, Madras, India.
  
  We describe here an indigenous technique of "over-the-wire" balloon exchanges that avoids use of an extension guidewire.
  

Author Index

79: J Indian Med Assoc 1995 Nov;93(11):421-4

• Changing concepts in radiation oncology.
  Stumpf J, Kurup PG, Padmanabhan TK, Major T.
  Department of Radiation Oncology, Apollo Cancer Hospital, Madras.

Author Index

80: J Assoc Physicians India 1995 Feb;43(2):140

• Octreotide and ketoconazole for persistent ectopic ACTH Cushing's disease due to mediastinal carcinoid.
  
  Parthiban A, Sundaram DS, Reddy DJ, Girinath MR, Prabhakaran R, Chidambaranathan N.
  Apollo Hospital, Madras, Tamil Nadu.

Author Index

81: Trop Doct 1994 Jul;24(3):136-7

• Detrimental effects of high fluoride concentrations in drinking water on teeth in an endemic fluorosis area in south India.
  Kodali VR, Krishnamachari KA, Gowrinathsastry J.
  Apollo Hospital, Nellore, Andhra Pradesh.

Author Index

82: J Assoc Physicians India 1994 Jun;42(6):485-9

• Intracoronary stents: an initial experience.
  Shah DC, Umapathy V, Singh J, Menon A, Punamiya K, Iyer RJ, Jain PC, Mathew SK.
  Department of Cardiology, Apollo Hospital, Bombay.

83: Indian Heart J 1994 Jan-Feb;46(1):45-7

• Perfusion stenting for coronary dissection during percutaneous transluminal coronary angioplasty.
  Shah DC, Subramanyan K, Ramachandran P.
  Department of Cardiology, Apollo Hospitals, Madras.

84: Angiology 1993 Nov;44(11):919-2

• Clinically isolated left coronary ostial stenosis: a manifestation of cardiovascular syphilis--case history.
  Shah DC, Subramanyan K.
  Department of Cardiology, Apollo Hospitals, Madras, Tamilnadu, India.
  
  The authors report a case of clinically isolated left coronary ostial stenosisin a thirty-seven-year-old man as a manifestation of cardiovascular syphilis.Notably he was free of the usual risk factors for coronary artery disease, andthe rest of the coronary tree was angiographically normal.

85: Cathet Cardiovasc Diagn 1993 Sep;30(1):48-50

• Pseudocoarctation of the aorta: a magnetic resonance imaging correlation.
  Shah DC, Sathyamurthy I, Raje M, Ahmed I.
  Department of Cardiology, Apollo Hospitals, Madras, India.
  
  We present here the clinical and angiographic features in a patient withpseudocoarctation of the aorta and aortic valvular stenosis. An MRI studyperformed to delineate the aorta provided valuable correlations and highlightedthe potential of this noninvasive modality for the diagnosis ofpseudocoarctation of the aorta.

86: Indian Heart J 1992 Nov-Dec;44(6):411-3

• The Modified Porstmann's technique of transcatheter occlusion of patent ductusarteriosus.
  Shah DC, Lal P.
  Department of Cardiology, Apollo Hospitals, Madras.

87: Indian Heart J 1992 Jan-Feb;44(1):7-11

• An analysis of initial results of percutaneous transluminal coronary angioplasty for totally occluded coronary arteries.
  Shah DC, Sathyamurthy I, Samuel M, Subramanian K, Ramchandran P, Lal P.
  Department of Cardiology, Apollo Hospitals, Madras.
  
  A retrospective analysis of 680 Percutaneous Transluminal Coronary Angioplasties(PTCA) performed from April 1986 to October 1990 revealed that 81 patients hadPTCA performed on 86 totally occluded coronary arteries (1.06 lesions/patient).Four of the 86 were acute occlusions. Angiographic success in the group as awhole was achieved in 57 (66%). Multivariate analysis identified only the targetvessel as a statistically significant factor predictive of angiographic successfrom among a host of clinical and angiographic morphologic variables. Leftanterior descending artery lesions were identified with the highest success. Inaddition the duration of occlusion was significantly lower for the successfullyversus the unsuccessfully dilated chronic occlusions.

88: Indian Heart J 1991 Sep-Oct;43(5):389-91

• Carney's complex--a case report.
  Shah DC, Lal P.
  Apollo Hospital, Madras.

89: Indian Heart J 1991 Mar-Apr;43(2):121-2

• ST segment alternans during percutaneous transluminal coronary angioplasty.
  Shah DC, Ramachandran P, Subramanyan K.
  Department of Cardiology, Apollo Hospitals, Madras.

Author Index

90: J Assoc Physicians India 1994 May;42(5):363-5

• A study of hepatitis B surface antigen positive patients on haemodialysis and following transplantation.
  Bhaskaran S, Mani MK, Prakash KC.