Publications by authors named "Roshan A Ananda"

Aldosterone excess, particularly in the context of primary aldosteronism, is associated with adverse cardiovascular outcomes. Historically considered a condition of resistant hypertension with hypokalaemia, patients with primary aldosteronism often experienced prolonged diagnostic delay with significant end-organ damage involving the renal, cardiovascular, and central nervous systems at diagnosis. Emerging research has revealed a wide spectrum of renin-independent aldosteronism, ranging from subclinical disease with normal or mildly elevated BP to overt disease marked by resistant hypertension and cardiovascular complications.

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Aims: There is conflicting evidence regarding whether excess adiposity without metabolic abnormalities reflects a truly benign phenotype. This study evaluated the independent and joint associations of the presence of excess adiposity and metabolic abnormalities on arterial stiffness.

Materials And Methods: Participants in UK Biobank with body mass index (BMI) and arterial stiffness index (ASI) recorded between 2006 and 2010, free from cardiovascular diseases and not underweight (BMI <18.

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Article Synopsis
  • Primary aldosteronism is linked to increased cardiovascular risks and can affect young adults' arterial health and heart structure before clinical symptoms appear.
  • This study used data from the Raine Study, analyzing young adults at ages 17 and 27 to investigate the relationships between aldosterone levels, arterial stiffness, and left ventricular mass index (LVMI).
  • Results showed that females had higher aldosterone-to-renin ratios than males, and notable associations were found between aldosterone levels and LVMI in males at age 27.
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Risk of bias (RoB) assessment is essential to the systematic review methodology. The new version of the Cochrane RoB tool for randomized trials (RoB 2) was published in 2019 to address limitations identified since the first version of the tool was published in 2008 and to increase the reliability of assessments. This study analyzed the frequency of usage of the RoB 2 and the adequacy of reporting the RoB 2 assessments in non-Cochrane reviews published in 2020.

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Article Synopsis
  • Primary aldosteronism (PA) is a significant but often overlooked cause of hypertension, leading to preventable harm due to slow diagnosis.
  • An international online survey revealed that 35.6% of participants faced diagnostic delays of five years or more, with women and those having multiple health issues experiencing these delays more frequently.
  • After treatment, 74.4% of patients reported fewer symptoms, and 62.3% experienced improved quality of life, highlighting the need for routine PA screening when hypertension is first diagnosed.
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Background: Coronary embolism is a relatively rare but important non-atherosclerotic cause of acute coronary syndrome, mainly caused by atrial fibrillation and mechanical heart valve thrombosis due to subtherapeutic anticoagulation. There have been increasing reports of bioprosthetic valve thrombosis (BPVT), but thromboembolic events are rare and mainly affect the cerebrovascular system. Coronary embolism is an extremely rare complication of BPVT.

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The continuous dissemination of coronavirus disease of 2019 (COVID-19) literature can inform decision-makers and the public. Since the widespread use of COVID-19 vaccines, more systematic reviews have summarized the effectiveness and reported adverse events associated with vaccination. Previous systematic and scoping reviews on COVID-19 summarized various aspects surrounding COVID-19, however, a scoping review is needed to summarize the characteristics of COVID-19 vaccines and associated adverse events reported in systematic reviews and meta-analyses to provide comprehensive evidence for informed medical decision-making.

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Background: People who inject drugs (PWID) are known to be at increased risk of infectious diseases including bacterial and blood-borne viral infections. However, there is limited literature surrounding the burden of spinal infections as a complication of injecting drug use (IDU).

Aims: To quantify the clinical and financial burden of IDU-related spinal infections.

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