Umesh Pai M

Assistant Professor - Senior Scale

Department of Cardiovascular Technology

CURRENT ACADEMIC ROLE & RESPONSIBILITIES

    Umesh Pai is Assistant Professor- Senior Scale, Department of CVT – Manipal College of Health Professions , Manipal

     He is:

    ·        CVT Teaching Faculty

    ·        Subject In-charge: Basic Cardiography, Echocardiography Cardiac Cath, Interventional technology

    ·        Clinical expertise – Congenital & Adult Echocardiography, Cardiac Interventional procedure technique, Pacemaker programming & analysis, ICD, CRT analysis

     

    ·        Clinical Supervisor:

    ·        Cath & Interventional procedures

    ·        Adults & Pediatric echo

    ·        Pacemaker programming follow up analysis

    ·        ICD

SUBJECTS CURRENTLY TEACHING

Subject Subject code Semester
Cardiac Anatomy and Physiology 1st Semester
Advanced ECG and Holter monitoring 2nd Semester
ECG interpretation and Holter analysis 2nd Semester
Ultrasound physics and Doppler principles 3rd Semester
Cardiac catheterization :Practical 3rd Year BSc & MSc
Basics of Cath lab procedures 3rd Year BSc & MSc
Practical Demo of Cardiac Cath & interventions 3rd Year BSc & MSc

ACADEMIC QUALIFICATIONS

Degree Specialisation Institute Year of passing
Master of Science CVT SOAHS,Manipal University 2010
Diploma in CVT CVT Kasturba Medical College Manipal 1993
Bachelor of Science PCM Poorna Prajna College,Udupi 1989
Certificate course in Biostatistics &Epidemiology Research Methodology Bio Stat Manipal University 2011
Professional Training certificate Medtronic,India 2009

Experience

Institution / Organisation Designation Role Tenure
Department of CVT MCHP,Manipal Assistant Professor Senior Scale Cordinator for UG & PG students July 2013 –Till date
Department of CVT SOAHS,Manipal Assistant Professor Cordinator for UG & PG students Sep 2010-June 2013
Department of CVT SOAHS,Manipal Assistant Lecture Teaching UG students, Course coordinator Sep 2008-sep 2010

AREAS OF INTEREST, EXPERTISE AND RESEARCH

Area of Interest

Cath-lab interventional procedures Echocardiography Pacemakers

Area of Expertise

ICD & Pacemaker programming Follow up analysis of ICD and pacemakers CRT programming and analysis Adult and pediatric echocardiography

Area of Research

Coronary interventions Tissue Doppler imaging echocardiography Speckle tracking echocardiography

Professional Affiliations & Contributions

Life Member of Indian academy of echocardiography (Karnataka)

Satellite atrial septal vegetations

Satellite vegetations, mitral regurgitation G Vivek Nitin Kansal Krishnananda Nayak, Lorraine Simone Dias

DESCRIPTION: A 40-year-old lady was admitted with a week’s history of fever and dyspnoea. Transthoracic echocardiography revealed 0.5 × 0.5 cm vegetation on the posterior mitral leaflet with a severe eccentric mitral regurgitation (MR) hugging the left atrial aspect of anterior mitral leaflet and the interatrial septum (IAS) which was confirmed by a transoesophageal echocardiogram BMJ Case Reports 2011;10.1136/bcr.03.2011.3993

Pericardial cyst: a benign anomaly

pericardial cyst, mediastinal mass Krishnananda Nayak Ranjan K Shetty G Vivek

DESCRIPTION: Pericardial cysts are rare benign mediastinal masses usually detected in asymptomatic individuals. Rare complications include compression of the bronchi, ventricular outflow tract, rupture with tamponade and sudden death. Treatment in symptomatic individuals includes surgical resection or percutaneous aspiration. BMJ Case Reports 2012;10.1136/bcr-03-2012-5984,

Fetal Ebstein’s anomaly

fetal echo, ebsteins anomaly. Ranjan K Shetty, G Vivek, Krishnananda Nayak,

Description: Ebstein’s anomaly, a rare congenital cardiac malformation, is associated with a worse prognosis when it presents early as heart failure in the fetus and neonate. ▸ Targeted fetal echocardiography helps in risk stratification of such high-risk pregnancies towards more aggressive management. BMJ Case Reports 2012;10.1136/bcr-2012-006446,

Use of a coronary sinus guiding sheath for placement of right ventricular lead in abnormal venous anatomy: a report of 2 cases

coronary sinus guiding sheath, Right ventricular lead Vivek G Shetty RK Nayak K

Abstract: Techniques of implanting pacing leads in the right ventricle (RV) have evolved over time and involve the use of preshaped stylets. However, in the presence of venous abnormalities, it could be very challenging to do the same. We describe two cases with complex superior vena caval (SVC) anatomy which could be negotiated only with the use of a slittable coronary sinus guiding sheath and successful placement of pacing lead in the right ventricle. BMJ Case Reports 2012;10.1136/bcr-2012-007687

Carotid stenting in a nonagenarian patient with symptomatic carotid stenosis

2012-31-10 Carotid artery stenosis, nonagenarian, carotid artery stenting Ranjan Shetty K Vivek G Manoj K Gupta, Krishananda Nayak Lorraine Dias Kushal Naha Raviraj Acharya

Abstract: Carotid artery stenosis is a disabling disease in all age groups. Elderly people are more prone to recurrent strokes due to advancing age and multiple co-morbidities. Treatment options for symptomatic carotid stenosis in the very elderly are the same as in younger patients although with a higher operative risk. We describe a successful case of carotid artery stenting in a nonagenarian with symptomatic carotid artery stenosis, a subgroup for whom treatment options are rarely discussed in guidelines Australas Med J. 2012; 5(10): 528–530. doi: 10.4066/AMJ.2012.1278

Safety and efficacy of the frontrunner XP catheter for recanalization of chronic total occlusion of the femoropopliteal arteries.

2016-19-03 chronic total occlusions, recanalization, percutaneous transluminal angioplasty, fluoroscopy Shetty R Vivek G Thakkar A, Prasad R Nayak K

Abstract OBJECTIVE:The purpose of this study was to examine the safety and efficacy of the Frontrunner XP CTO (chronic total occlusion) catheter (Cordis Corporation) for recanalization of CTO of femoropopliteal arteries. METHODS:A retrospective analysis of consecutive patients with critical limb ischemia (CLI) who underwent femoropopliteal angioplasty for TransAtlantic Inter-Society Consensus (TASC) class D lesions between 2009 and 2011 was performed. Twenty-two patients were enrolled with a mean age of 58.9 ± 11.5 years. Patients were enrolled with totally occluded arteries (mean occlusion length, 18.0 ± 10.1 cm) that were treated with the Frontrunner XP CTO catheter. All lesions were complex (TASC D) and 86.4% of the lesions were mildly calcified. A Frontrunner catheter was used to treat 22 CTOs after guidewire failure. RESULTS:Twenty-two of the 33 cases (66.7%) had failed previous attempts of percutaneous intervention with conventional guidewire. The Frontrunner catheter was used to treat 22 CTOs after guidewire failure. The Frontrunner catheter successfully facilitated the placement of a guidewire into the distal true lumen in 21 cases (95.5%). Thrombolysis in Myocardial Infarction 3 flow was achieved in all target vessels after further balloon angioplasty or stenting. CONCLUSIONS:The Frontrunner XP CTO catheter is safe and effective for successful recanalization of CTO of femoropopliteal arteries and it should be an alternative method after guidewire failure. J Invasive Cardiol. 2013 Jul;25(7):344-7

Automated classification of patients with coronary artery disease using grayscale features from left ventricle echocardiographic images

2013-18-12 Coronary artery disease; Gaussian mixture model; Feature extraction; Classification U. Rajendra Acharyaa S. Vinitha Sreec M. Muthu Rama Krishnana, N. Krishnanandad, Shetty Ranjand, Jasjit S. Suri

Abstract: Coronary Artery Disease (CAD), caused by the buildup of plaque on the inside of the coronary arteries, has a high mortality rate. To efficiently detect this condition from echocardiography images, with lesser inter-observer variability and visual interpretation errors, computer based data mining techniques may be exploited. We have developed and presented one such technique in this paper for the classification of normal and CAD affected cases. A multitude of grayscale features (fractal dimension, entropies based on the higher order spectra, features based on image texture and local binary patterns, and wavelet based features) were extracted from echocardiography images belonging to a huge database of 400 normal cases and 400 CAD patients. Only the features that had good discriminating capability were selected using t-test. Several combinations of the resultant significant features were used to evaluate many supervised classifiers to find the combination that presents a good accuracy. We observed that the Gaussian Mixture Model (GMM) classifier trained with a feature subset made up of nine significant features presented the highest accuracy, sensitivity, specificity, and positive predictive value of 100%. We have also developed a novel, highly discriminative HeartIndex, which is a single number that is calculated from the combination of the features, in order to objectively classify the images from either of the two classes. Such an index allows for an easier implementation of the technique for automated CAD detection in the computers in hospitals and clinics. Computer Methods and Programs in Biomedicine Elsevier: Volume 112, Issue 3, December 2013, Pages 624–632

Cardiac Dysfunction in Patients with Sepsis, Severe Sepsis and Septic Shock

2014-01-07 Cardiac dysfunction; septic shock; sepsis; severe sepsis; echocardiography. Tom Devasia Hashir Kareem Y. G. Ashok Kumar R. Padma Kuma Saumya Jose Sharmila Sadanand Prabhu Krishnanand Nayak Tulsee Sitapara Ashok Thakkar

Abstract: Aims: Patients with severe sepsis and septic shock often exhibit significant cardiovascular dysfunction. We designed the study with an aim to determine the severity of cardiac dysfunction in the different group of sepsis patients. Study Design: Single-center, cross-sectional study Place and Duration of Study: The study was carried out at Department of Cardiology, Kasturba Medical College and Hospital, Manipal from June 2011 to December 2012. Methodology: A total of 74 patients who were diagnosed with sepsis were enrolled in the study. All patients were subjected to routine analysis, laboratory test and echocardiogrphic assessment. Results: The patients were divided into 3 groups: sepsis group (n = 11), severe sepsis group (n = 37) and septic shock group (n = 26). The mitral E/A value is significantly higher in patients with septic shock than that of the patients with sepsis (P = 0.04). The indices of right ventricular dysfunction did not show any significant difference in the patients with septic shock and that of sepsis. Conclusion: Left ventricular dysfunction may be considered prevalent in sepsis as per the significant E/A values. However, the other echocardiographic parameter should also be considered. This may even infer that cardiac dysfunction may not correlate with the severity of sepsis. British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 5, Issue

A rare variant of single coronary artery presenting with angina

2012-20-06 angina, coronary anomaly, single coronary artery Ranjan Shetty G. Vivek Krishnananda Nayak

Description: Coronary artery anomalies, though rare, are extensively classified and categorized. The overall incidence of coronary artery anomalies is about 1% in the general population. Single coronary artery and its variants account for approximately 0.024% in the general population. Journal of Cardiovascular Disease Research 4 (2013) 74–75

Experience with Biodegradable Polymer Coated Sirolimus-Eluting Coronary Stent System in “Real-Life” Percutaneous Coronary Intervention: 24-Month Data from the Manipal-S Registry

2013-02-09 Ranjan Shetty G. Vivek Ashok Thakkar Supriya Sunder Mishra Vivek Joseph Mithun Gopal Devraj Anil Tumkur,

J Clinical and Diagnostic Research. 2013 Sep; 7(9): 1959–1963. Published online 2013 Sep 10. doi: 10.7860/JCDR/2013/5915.3369

Dual left anterior descending artery circulation: a rare anomaly of the coronary arteries

2014-13-05 Hashir Kareem Tom Devasia Rajaram Prasad

Description: In normal participants, the left anterior descending (LAD) artery arises from the left coronary artery (LCA) and courses along the anterior interventricular sulcus (AIVS) until it reaches the apex. Dual LAD circulation is an uncommon coronary anomaly in which there are two LAD arteries. A type 4 dual LAD circulation is an extremely rare variant of a dual LAD in which one of the LAD arteries arises from the right coronary artery (RCA). BMJ Case Reports 2014; doi:10.1136/bcr-2014-205053

Evaluation of clinical and angiographic outcomes with bioabsorbable polymer coated sirolimus-eluting stent in de novo coronary artery disease: results of the MANIPAL-FLEX first-in-man study

Shetty R Shetty K Khambhati B Thakkar A.

Aims: Durable polymers used for first-generation drug-eluting stents (DES) potentially contribute to persistent inflammation and late stent thrombosis. The Supraflex (Sahajanand Medical Technologies Pvt. Ltd., India) is a cobalt-chromium, balloon-expandable DES system that incorporates an ultra-thin strut thickness (60µm), a biabsorbable polymer and sirolimus. The aim of the MANIPAL-FLEX first-in-man (FIM) study was to assess the safety and efficacy of the Supraflex sirolimus-eluting stent (SES) implantation, in de novo coronary artery disease (CAD), using clinical and quantitative coronary angiography (QCA) follow-ups

AORTIC BIFURCATION STENTING WITH TWO SELF EXPANDING STENTS FOR SEVERELY DISEASED ILIAC ARTERIES

2016-01-07 Sridevi Prabhu Vamsi Krishna Kamana Padmakumar Ramchandran Ravella Keerthika Chowdary

Citation :Vamsi Krishna Kamana, Padmakumar Ramachandran, Umesh Pai, M., Ravella Keerthika Chowdary and Sridevi Prabhu 2016. “Aortic bifurcation stenting with two self-expanding stents for severely diseased iliac arteries’’ International Journal of Current Research 8, (07), 34383-34386. URL: http://www.journalcra.com//Vol. 8, Issue, 07, pp.34383-34386, July, 2016

A CASE OF ATAXIC HEMI PARESIS TREATED BY SUCCESSFUL SUBCLAVIAN ARTERY STENTING

2016-01-07 Sridevi Prabhu Vamsi Krishna Kamana Padmakumar Ramchandran Ravella Keerthika Chowdary

Citation :Vamsi Krishna Kamana, Padmakumar Ramachandran, Umesh Pai, M., Sridevi Prabhu and Ravella Keerthika Chowdary 2016. “A case of ataxic hemi paresis treated by successful subclavian artery stenting’’ International Journal of Current Research, 8, (07), 34342-34344. URL: http://www.journalcra.com// Vol. 8, Issue, 07, pp.34342-34344, July, 2016

All That Glitters is Not Gold: All Unilateral Oedema is Not DVT

2016-01-07 Ashwal Adamane Jayaram Padmakumar Ramachandran Abdul Razak Uddina Kumeri

Citation : Ashwal Adamane Jayaram et al., All That Glitters Is Not Gold: All Unilateral Oedema Is Not DVT, Journal of Clinical and Diagnostic Research. 2016 Jul, Vol-10(7): OD10-OD11 URL: www.jcdr.net//Journal of Clinical and Diagnostic Research. 2016 Jul, Vol-10(7): OD10-OD11

BALLOON ANGIOPLASTY FOR AN UNUSUAL CAUSE OF BILATERAL BRACHIAL ARTERY OCCLUSION: A RARE MANIFESTATION OF FIBRO MUSCULAR DYSPLASIA

2016-01-07 Vamsi Krishna Kamana Padmakumar Ramchandran Ashwal A J Sumit Aggarwal

Citation :Vamsi Krishna Kamana, Padmakumar Ramachandran, Ashwal A. J, Sumith Aggarwal and Umesh Pai, M, 2016. “Balloon angioplasty for an unusual cause of bilateral brachial artery occlusion: a rare manifestation of fibro muscular dysplasia’’ International Journal of Current Research, 8, (05), 31951-31954. URL: http://www.journalcra.com// Vol. 8, Issue, 05, pp.31951-31954, May, 2016

ATYPICAL PRESENTATION AND CORONARY ANGIOGRAM OF A CASE OF VASOSPASTIC ANGINA

2016-01-03 Vamsi Krishna Kamana Anand M Krishnan Ravella Keerthika Chowdary

Citation : Vamsi Krishna kamana, Anand M. Krishnan, Ravella Keerthika Choudary and Umesh Pai, 2016, ‘’ Atypical presentation and coronary angiogram of a case of Vasospastic angina”, International Journal of Current Research, 8, (03), 28645-28648. URL: http://www.journalcra.com// Vol. 8, Issue, 03, pp. 28645-28648, March, 2016

Bee Alert! Multiple Honey Bee Stings Lead to Heart Attack: A Case Report

2016-30-11 Kiran Shetty Ranjan Shetty Naveen Chandra GS Amruth Kiran Mohan NK

Citation: Kiran Shetty, Ranjan Shetty, Naveen Chandra GS, Umesh Pai, Amruth Kiran, Mohan NK; ‘’ Bee Alert! Multiple Honey Bee Stings Lead to Heart Attack: A Case Report’’; Int. J. Pharm. Sci. Rev. Res., 41(2), November - December 2016; Article No. 18, Pages: 83-85 URL: Int. J. Pharm. Sci. Rev. Res., 41(2), November - December 2016; Article No. 18, Pages: 83-85

Preliminary Evaluation of Clinical and Angiographic Outcomes with Biodegradable Polymer Coated Sirolimus-Eluting Stent in De Novo Coronary Artery Disease: Results of the MANIPAL-FLEX Study

2016-02-06 Ranjan Shetty Jayesh Prajapati Kiran Shetty

Citation: Ranjan Shetty, Jayesh Prajapati, Umesh Pai, and Kiran Shetty; ‘’ Preliminary Evaluation of Clinical and Angiographic Outcomes with Biodegradable Polymer Coated Sirolimus-Eluting Stent in De Novo Coronary Artery Disease: Results of the MANIPAL-FLEX Study’’; Hindawi Publishing Corporation, Scientifica Volume 2016, Article ID 9324279, 8 pages URL: http://dx.doi.org/10.1155/2016/9324279

Anomalous Single Coronary Artery Presenting with Acute Myocardial Infarction

2016-01-12 Vamsi Krishna kamana Padmakumar Ramachandran Anand Muthu Krishnan Ravella Keerthika Chowdary

Citation: Vamsi Krishna kamana, Padmakumar Ramachandran, Anand Muthu Krishnan, Ravella Keerthika Chowdary, Umesh Pai Malpe; ‘’ Aomalous Single Coronary Artery Presenting with Acute Myocardial Infarction’’ Journal of Clinical and Diagnostic Research. 2016 Dec, Vol-10(12): OD01-OD02, DOI: 10.7860/JCDR/2016/20599.8977 URL: Vamsi Krishna kamana et al., Anomalous Origin of the Entire Coronary System from the Right Coronary Ostia Presented as Acute Coronary Syndrome, 2016 Dec, Vol-10(12): OD01-OD02, DOI: 10.7860/JCDR/2016/20599.8977

Automated screening of congestive heart failure using variational mode decomposition and texture features extracted from ultrasound images

U. Raghavendral U. Rajendra Acharya Anjan Gudigarl Ranjan Shetty N Krishnananda N Jyothi Samanth Chaithra Nayak

Citation: U. Raghavendral, U. Rajendra Acharya, Anjan Gudigarl, Ranjan Shetty N, Krishnananda, Umesh pai, Jyothi Samanth, Chaithra Nayak; ‘’ Automated screening of congestive heart failure using variational mode decomposition and texture features extracted from ultrasound images’’ Neural comput & applic DOI 10.1007/s00521-017-2839-5 URL: http://link.springer.com/article/10.1007/s00521-017-2839-5

Comparison of Plasma Levels of Renin, Vasopressin and Atrial Natriuretic Peptide in Hypertensive Amlodipine Induced Pedal Oedema, Non-Oedema and Cilnidipine Treated Patients

2017-01-06 Kiran Shetty Ranjan Shetty Pragna Rao Mamatha Ballal Am ruth Kiran Sravan Reddy Jyothi Samanth

Citation: Kiran Shetty et al; Comparison of Plasma Levels of Renin, Vasopressin and Atrial Natriuretic Peptide in Hypertensive Amlodipine Induced Pedal Oedema, Non-Oedema and Cilnidipine Treated Patients; Journal of Clinical and Diagnostic Research. 2017 June, Vol-11(6): FC05-FC08; DOI: 10.7860/JCDR/2017/25097.9958 URL: http://dx.doi.org/10.7860/JCDR/2017/25097.9958

Sinus Rhythm in Rheumatic Mitral Stenosis after Balloon Mitral Valvotomy: Is it Feasible?

2017-01-02 Ashwal A Jayaram Anand N Shukla Saurin Shah Vidya Nayak Sridevi Prabhu

Citation: Ashwal A Jayaram et al., Feasibility of Sinus Rhythm in Rheumatic Mitral Stenosis; Journal of Clinical and Diagnostic Research. 2017 Feb, Vol-11(2): OC01-OC05 URL: Journal of Clinical and Diagnostic Research. DOI:10.7860/JCDR/2017/19382.91242017 Feb, Vol-11(2): OC01-OC05

A study of prevalence of Cardiac Dysfunction in Septicemia patients by Echocardiography

2012-01-01 Sawmya Jose

Clinical profile and outcomes of patients with implanted IVC filter for Deep Vein Thrombosis

2012-01-01 Elisha Paul

The study was performed to find the clinical profile and outcomes in patients undergoing IVC filter placement.

Angiographic prevalence & pattern of coronary artery disease in LV dysfunction patients.

2015-01-01 Aqib Naisam

Description: Although Coronary artery disease being one of the commonest cause of LV dysfunction, a subgroup can still be having normal epicardial coronaries. This study was designed to find the overall incidence of CAD in patients with Left ventricular dysfunction.

Compromise of side branches which are less than 2mm in diameter after stenting with various stents

2015-01-01 Deepu Sebastian

Description: The study was aimed to find the complications associated with intervention in bifurcation coronary lesions, to find the incidence of compromise of side branch when main branch stented alone.

Radiation exposure & contrast usage in coronary interventions in a tertiary care centre in South India.

2015-01-07 Basil –John

Description: This study was carried out to find out radiation exposure and contrast usage in patients undergoing different cardiac interventions

Peripheral angioplasty clinical follow up.

2014-01-07 Naveena P

The study aimed to identify the post intervention clinical profile of the peripheral vascular disease patients.

Comparison of emission from the Philips allura Xper FD10 and FD20 during coronary Angiogram and Angioplasty.

2015-01-01 Dr. Padmakumar R Anisha M Varghese

AThe study was performed to compare the radiographic parameters between two cardiac catheterization lab in KMC hospital, Manipal

The study was performed to evaluate the association of incidence of myocardial infarction and high sensitive CRP level

2014-01-07 Dr. Tom Devasia Nawal Shabbar

Clinical profile of patients with history of myocardial infraction and raised hs-CRP levels.

Comparison of Bi-ventricular function in hypertensive patients with & without LVH by using conventional and tissue Doppler echocardiographic indices.

2015-01-06 Dr.Padmakumar R Sharmila

Applications of tissue Doppler and speckle tracking echocardiography in the early detection of diastolic dysfunction in cancer patients undergoing anthracycline based chemotherapy

2015-01-06 Dr.Padmakumar R, Dr.Karthik S Udupa Chaithra Nayak

The study related to the assessment of subtle cardiac dysfunction using echocardiography in patients undergoing Applications of tissue Doppler and speckle tracking echocardiography in the early detection of diastolic dysfunction in cancer patients undergoing anthracycline based chemotherapy.

Comparison of Lesion characteristics in acute coronary syndrome and stable angina using Intravascular ultrasound.

2015-01-06 Dr.Padmakumar R Elisha Paul

This study aimed to find the lesion characteristics in patients with ACS and Chronic stable angina in patients using IVUS

INCIDENCE OF CORONARY ARTERY DISEASE IN PERIPHERAL VASCULAR DISEASE

2016-01-07 Rasikiran RS, Mohammed Aslam Tijo Thomas Dr. Padmakumar Mr. Umesh M Pai

Role: Co-Guide

Effect of thrombolysis on RVSP in PTE patients by echocardiogram

2016-01-07 Deepashree Megha Dr. Padmakumar Mr. Umesh M Pai

Role: Co-Guide

Cardiac Deformation Among Patient Receiving Anthracycline Chemotherapy

2017-01-08 Manjusha Manju Dr. Abdul Razak U K

Role: Co-guide

Assessment Of Cardiac Structure And Function, Its Association With Anthropometric Values Among Adults In Costal Karnataka Region

2017-01-08 Mazin Deepa Noronha Sridevi Prabhu

Role: Guide

Correlation Of Troponin T Value With The Presence Of TDI Derived Regional Wall Motion Abnormality Among Patients With Nstemi

2017-01-08 Amal Nithin Dr. Ashwal A J,

Role: Co-guide

Prevalence Of CAD in Patients Undergoing Pacemaker Implantation

2017-01-08 Deeksha Jerry Jyothi Samanth

Co-guide

Comparison Of Syntax Score In STEMI Patients Treated With Primary PCI

2017-01-08 Rekha V Dr. Ranjan Shetty K

Co-guide