Comments on Organ Transplantation in India: Donating lives with Heart transplantation

After the peace: I'm sick and in need of colle...

2010-12-25T19:27:33.843+05:30

After the peace: I'm sick and in need of college a kidney transplant because of kidney failure.
(blood group AB) and tissue will be attached with the message. I hope my answer is acceptable.

إني محمد عبد العزيز عمري 19 سنة واحتاج إلى عملية ز...

2009-05-04T06:51:00.000+05:30

إني محمد عبد العزيز عمري 19 سنة واحتاج إلى عملية زرع كلية لان عندي حجم الكليلتان صغيرة جدا ومع العلم أن عندي متبرع وتم الحصول على المطابقة.
أرجو ردكم على الأسئلة التالية:
1. ماهي كلفة العملية إذا المتبرع موجود؟
2. ماهي كلفة العملية إذا كانت الكلية من المستشفى؟
وأرجو الرد بسرعة جدا
Dear Sir:
My name is" Mohomed Abdu –Aziz" and am(19)years old,
And, I would appreciate it if you can help, as I have a kidneys Atrophy(Small size kidneys),I would need a kidney transplant .I already have a donor with compatible tissves,in which compatibility test has been established. I have some questions though:

1. what is the cost of the transplant if the donor is available
2. what is the cost of the transplant if the donor is not available (the hospital will provide the organ).

Please E-mail me back as soon as possible
Sincerely yours
Mohomed Abdu –Aziz

إني محمد عبد العزيز عمري 19 سنة واحتاج إلى عملية ز...

2009-05-04T06:47:00.000+05:30

Patient name: Mr. Omprakash Shukla , Age 52 years ...

2007-11-06T20:57:00.000+05:30

Patient name: Mr. Omprakash Shukla , Age 52 years ,Male.

Is diagnosed with idiopathic dilated cardiomyopathy with recurrent refractory sustained ventricular tachycardia [V-tach] (rate ~ 140-250/min)
Symptomatic with haemodynamic stability maintained during V-tach episodes.

In September 2006- AICD (automated implantable cardioverter defibrillator)was implanted. The AICD seemed to control his V-tach’s through ATP (anti Tachycardia pacing) Or Shock therapy.

However in March 2007 he went into storm of V-tach not responding to multiple shock therapies by AICD.
Was started with T.sotalol 40mg BD & T.Phenytoin(100 mg) BD in addition to T.Amiodarone(200 mg) 1-0-0.
This was followed by a quiescent phase of 6 months with start of another V-tech storm with multiple ICD shock therapies since 21/10/07.
All triggering factors were ruled out (Blood investigations were normal) source of infection and inflammation ruled out)
Thyroid profile normal .considering the proarrythmic effects Sotalol and phenytoin discontinued.
T.mexletine started.
RF ablation has been unsuccessful twice(due to poor substrate and LVEF ~ 20-25%).
2-d echo shows generalized hypokinesia of L.V with dilated LV –LVDd-6.5 cm –LVDs-5.0 cm. LVEF~25%.
Coronary angiography-normal.
No sign of CCF, chest X-rays: cardiomegaly.
The present V-tach’s did not respond to ICD shocks , ICD-ATP , external DC shock ,(100-150 j) and xylocaine.
Responded to amiodarone all times, expect one episode of V-tach.and did not respond to 300 mg bolus IV amiodarone but reverted spontaneously to sinus rhythm after 12 hrs.

At present hospitalized (ICCU-Holy family hospital –Bandra, Mumbai, India).
He is on T.Amiodarone (200 mg) 1-0-0.
T.metaprolol (25 mg) 1-0-1
T.mexletine (200mg) 1-0-1 after 400 mg loading dose.
No change in VT episodes for the first two days.
T.perindopri (2 mg) 1-0-0
T.frusemide (10 mg) + amiodarone (20 mg) 1-0-0
T.cloazepam(0.25 mg) 1-1-0
T.lorazepam (1mg) 0-0-1
T.asprin (75 mg) 0-1-0.

Ventricular Tachycardia (monomorphic)
Originating from apicoinferior segment of L.V with only one different morphology of V-tach with higher rate of 180-250/min seen occasionally.

All episodes are symptomatic but haemodynamically stable.
Bp-100/60 to 110/70 during sinus rhythm.
Weight -74 kgs
Ht-177 cm

At present patient is not being given any other anti arrhythmic treatment during V-Tach (apart from daily oral antiarrythmic medications)

Gradually the V-tach durations are getting lesser and sinus rhythm duration duration is increasing.

Queries:

1) Will the V-tach storm pass away spontaneously considering the fact that V-tach durations have gradually decreased.
2) Is Mexitil really acting as there was no change in V-tach till 2days after starting mexitil.Should Mexitil instead be with drawn considering side effects and pro arrhythmic effects and patient be kept only on Metoprolol and Amiodarone.
3) Are there any newer medications apart from usual antiarrythmic and may help this case with out significant side effects. (any research information on DRONEDARONE(anti arrhythmic)
4) What further research is going on for recurring sustained V-tach (symptomatic) and refractory to ICD (ATP and shock) therapy,
External D.C shock, RF ablation, sotalol, phenytoin, mexetil as well as lignocaine and refractory at times to amiodarone.
5) Any cardiac arrhythmia specialist /electro physiologist to whom a detailed case history can be forwarded to.

dear sir,
please find attachment of patient's condition who is currently

admitted in iccu in very critical condition .
please help by either forwaring this mail to the research industry or

any other idea that comes to your mind.
please reply as soon as possible .
your help might save life .
thankyou!!!

need urgent help; please answer queries asap