NNF Protocol

NNF Protocol for PPHN

শিশু জন্মের পর কোন কারন ছাড়াই নীল হয়ে গেলে, তীব্র শ্বাস কষ্ট হলে, শিশুটি পারাসিসটেন্ট পালমোনারী হাইপারটেনশন (PPHN)/ পারসিসটেন্ট ফিটাল সারকুলেশন (PFC) রোগে ভূগছে বলে ধারনা করা হয়। ২০০১ সালের আগ পর্যন্ত আমাদের দেশে এ সকল রোগ সম্পর্কে কোন সুনির্দিষ্ট ধারনা ছিল না।  এই রোগে তখন প্রায় সব নবজাতকই মৃত্যুবরণ করত। দেশের নিওনেটোলজিষ্টরা তখন তৎকালীন ডা: নূরুন নাহার ফাতেমা বেগম এর কাছে রোগীগুলোকে ইকোর জন্য রেফার্ড করত, তখন তিনি ইকো করার পাশাপাশি এই সমস্ত পীড়িত নবজাতকদের জন্য কিছু একটা করার চিন্তা ভাবনা করেন আর এই চিন্তার ফসল হিসাবে পরবর্তী সময়ে আমরা নিন্মরূপ চিকিৎসা ব্যাবস্থাটি পাই। যা পরবর্তী সময়ে দেশ বিদেশে এন এন এফ প্রোটোকল নামে পরিচিতি পেয়েছে।

 

প্রোটোকলটি নিন্মরূপ:

প্রথম ধাপ:

  • ৭২ ঘন্টর জন্য উচ্চ মাত্রায় অক্সিজেন
  • ইনজেকশন ফ্রুসিমাইড
  • ইনজেকশন ডিগক্সিন
  • ট্যাবলেট ক্যাপটোপ্রিল/ এনালিপ্রিল

দ্বিতীয় ধাপ: (প্রয়োজন অনুযায়ী)

  • ট্যাবলেট সিলডেনাফিল
  • হাইফ্রিকোয়েনসি ভেনটিলেশন উইথ এ্যালকালিনাইজেশন
  • ইনজেকশন ডোপামিন/ ডোবিউটামিন
  • ইনজেকশন প্যারাসিটামল/ আইবোপ্রোফেন/ ইনডোমিথাসিন
  • ট্যাবলেট বুসেনটান
  • ইনজেকশন ম্যাগনেসিয়াম সালফেট
  • ইনজেকশন পোস্টাগ্লেনডিন

তৃতীয় ধাপ: (বাংলাদেশে এখনো সম্ভব নয়)

  • ইনহ্লে নাইট্রিক অক্সাইড
  • ইকমো (ECMO)

উপরোক্ত প্রোটোকল অনুসরনে উল্লেখিত রোগীদের ক্ষেত্রে বিশাল সাফল্য অর্জিত হয়েছে এবং মৃত্যুর হার ০.৫% এর নীচে নেমে এসেছে পূর্বে ছিল প্রায় শত ভাগ ।

NNF Management Protocol of Cyanotic Spell:

 

1ststep:

  • O2 inhalation
  • Keep the baby calm and quiet
  • Do not irritate the baby by giving IV line
  • Diazepam 0.5 mg/kg PR stat
  • Mother should be encouraged to sedate the baby

 

2nd step:

  • Hartman solution/FFP-10 ml/kg IV stat
  • Morphine 0.1 mg/kg IV or SC stat
  • Esmolol 0.5 mg/kg IV in one minute
  • Sodium bicarbonate 1-2 mEq/kg diluted with equal amount of 5% DBS in 1 hour

 

3rd step:

Artificial ventilation

 

4th step:      

  • RVOT stenting in young infant.
  • BT shunt.
  • PDA stenting if PDA is present.

 

Note: Inj Esmolol in cyanotic spell: 0.5 mg/kg in 5 minute. Then 50 µgm/kg/min over 4 minutes. If no response: 0.5 mg/kg over 5 min again. Then 50-200 µgm/kg/min upto 48 hours

Special note: Phenobarbitone is used in authors center since 1998 for severe form of infundibular stenosis to avoid hypoxic convulsion and oxygen consumption

NNF New Inovation

৯ টি নতুন ইনোভেশন

১.       নবজাতকের হৃদরোগের চিকিৎসায় ট্যাবলেট সিলডেনাফিল এর ব্যবহার।

২.       নবজাতকের হার্টের মহাধমনীর চিকন রক্তনালীকে বেলুন এর মাধ্যমে প্রসারিত করা (Coarctation balloon angioplasty in newborn, 1999)

৩.      ভেনট্রিকুলার সেপটাম এর দেওয়াল এর ছিদ্র ধমনীর মাধ্যমে ডিভাইস দ্বারা বন্ধ করা (Retrograde VSD device closure 2012)

৪.       ভেনট্রিকুলার সেপটাম এর দেওয়াল এর ছিদ্র ক্যাথেটারের মাধ্যমে কয়েল দ্বারা বন্ধ করা (VSD coil occlusion 2007)

৫.       স্নেয়ার ক্যাথেটার এর সাহায্যে হার্টের বাইরের ছিদ্র (PDA) কয়েল/ ডিভাইস দ্বারা বন্ধ করা (Snare assisted PDA Device closure-2004)

৬.       স্বল্প খরচে  এবং স্বল্প সময়ে (Minimalistic Approch) শিরার ভিতর দিয়ে হার্টের বিভিন্ন রকমের ছিদ্র ক্যাথেটার এর মাধ্যমে ডিভাইস দ্বারা বন্ধ করা (ASD,VSD and PDA-2007)

৭.       ধমনীর রক্তনালীর ভিতর দিয়ে ক্যাথেটার এবং বেলুন এর মাধ্যমে হার্টের বাইরের ছিদ্র জীবন রক্ষার জন্য stent দ্বারা বড় করা হয় যাতে বিশুদ্ধ রক্ত সমস্ত শরীরে পৌছায় (PDA stenting in newborn since 2006)

৮.      শিরার রক্তনালীর ভিতর দিয়ে ক্যাথেটার এবং বেলুন এর মাধ্যমে দুষিত রক্ত ফুসফুসে যাওয়ার জন্য (RVOT) পালমেনারী ভাল্ব এর সম্মুখে জীবন রক্ষার জন্য stent দ্বারা বড় করা (RVOT Stenting since 2006)

৯.     Phenobarbitone is used in authors center since 1998 for severe form of infundibular stenosis to avoid hypoxic convulsion and oxygen consumption.

প্রকাশনা সমূহ:

  1. Report on 56 cases of Heart Disease in children undergone Cardiac Catheterization in Cardiac Center of a Teaching Hospital. Nurun Nahar Fatema Begum, Md Hamidur Rahman, Quazi Shafiuddin Ahmed, Ziauddin Ahmed, Jahangir Alam. Bangladesh Journal of Radiology and imaging 2001; vol 9(I): 1-6.
  2. Development of Paediatric Cardiology in CMH Dhaka. Nurun Nahar Fatema Begum. DS (child) HJ 2006; 22(I): 29-30.
  3. Device closure of a Large Patent Ductus Arteriosus with Severe Pulmonary Hypertension using Amplatzer Device: A case report. ASEAN Heart Journal 2006; 14(I):12-15.
  4. Coil Occlusion of Patent Ductus Arteriosus : Report on nine cases. Major Nurun Nahar Fatema Begum, Lt Col Hamidur Rahman, AKM Razzaque, Col Quazi Shafiuddin Ahmed. Chest and Heart Journal 2002; 26(I) : 21-25.
  5. Acute Intravascular Haemolysis after Coil Occlusion of Patent Duetus Arteriosus by Detachable Coil – a case report. Journal Bangladesh, Coil Physician Surgeon 2003; 21: 151-153.
  6. Pattern of Heart Disease among neonates and their outcome: one year experience in non-invasive Cardiac Laboratory of Combined Military Hospital Dhaka. Major Nurun Nahar Ftema Begum, Col Quazi Shafiuddin Ahmed. Bangladesh Armed Forces Medical Journal 2002; vol xxzx: 51-55.
  7. Device closure of a Large Patent Ductur Arteriosur with severe Pulmonary Hypertension: A case report. Lt Col Nurun Nahar Fatema Begum, Bangladesh heart J 2005; 20(2): 73-76.
  8. Heart Disease among neonates and their out come. Nurun Nahar Fatema Begum and Quazi Shafiuddin Ahmed, Bangladesh Journal Child and Health 2001; 25(3/4): 48-52.
  9. Pharmacological Intervention of Patent Ductus Arteriosus in preterm Neonates using indomethacin – A hospital based study. Nurun Nahar fatema Begum, Azhar Uddin Ahmed, Liza Chowdhury, Bangladesh Medical College Journal 2004; 9(2) : 45-47.
  10. Device closure of ventricular Septal Defect with Amplatzer Muscular Occluder : A case report. Nurun Nahar Fatema Begum, Hamidur Rahman, M S Haque. Journal of Bangladesh College of Physicians and Surgeons 2007; 25(3) : 161-163.
  11. Analysis of 72 cases of Tetralogy of Fallot who had undergone Cardiac Catheterization in Catheterization Laboratory of Combined Military Hospital, Dhaka. Lt Col Nurun Nahar Fatema Begum, A K M Razzaque, Col Rezaul Karim, Mizanur Rahman, Chest and Heart journal 2006; 30(2) : 92-97.
  12. Cystic fibrosis: report on two cases diagnosed by using improvised technique of sweat collection and review of literatures. Lt Col Nurun Nahar Fatema Begum, Maj Jesmin Sultana, Mizanur Rahman, Col Azhar Uddin Ahmed, A K M Razzaque, Chest and Heart journal 2005; 29(I) : 65-70.
  13. Device closure of perimembranous Ventricular Septal Defect with Auplatzer VSD Occluder: A case report. Lt Col Nurun Nahar Fatema Begum, Lt col Md Mamunur Rahman, Lt Col Syed Asif Iqbal, Maj Touhidul Mulk, Maj Anisur Rahman, Chest and Heart Journal 2006; 30(I) : 73-75.
  14. Atrial Septal Defect: Analysis of 393 cases, Maj Nurun Nahar Fatema Begum, A K M Razzaque, Col Azhar Uddin Ahmed. Chest and Heart Journal 2003; 27(I): 31-35.
  15. Transcatheter closure of Atrial Septal Deject with Amplatzer Septal Occluder: Early clinical experience in children of Bangladesh. Maj Nurun Nahar Fatema Begum, Col Quazi Shafiuddin Ahmed, Lt Col S M Mamunur Rahman, Chest and Heart Journal 2004; 28(2):46-49.
  16. Transposition of great Arteries: Report on eight cases. Nurun Nahar Fatema Begum, Ziauddin Ahmed, Quazi Shafiuddin Ahmed. Bangladesh Medical College Journal 2002; 7(I):3-5.
  17. Balloon Atrial Septostoury in a patient of D-Transposition of great Arteries: A case report. Nurun Nahar Fatema Begum, Md Hamidur Rahman, Quazi Shafiuddin Ahmed. Journal Bangladesh College Physician and Surgeion 2000; 18: 82-86.
  18. Device Closure of Perimembranous VSD by using Amplatzer Occluder : A case report. Lt Col Nurun Nahar Fatema Begum, Lt Col S M Mamunur Rahman, Lt Col Haider Rashid, Lt Col Asif Iqbal. Bangladesh Heart Journal 2007; 22(I): 51-54.
  19. Phormacological closure of patent Ductus Arterious in preterm using indomethacine. Nurun Nahar Fatema Begum, Azhar Uddin Ahmed, Liza Chowdhury. Bangladesh Journal Child Health 2003; 27(2): 43-46.
  20. Immediate, Short and Intermediate term outcome of Transcatheter Secundum Atrial Septal Defect Closure: Analysis of thirty one cases. Nurun Nahar Fatema Begum, S M Mamunur Rahman, Md Rezaul Karim, Zehad Khan. Journal Armed Forces Medical College, Bangladesh 2005; 1(I) : 7-11.

 

  1. Hand-shuller Christian Disease : Report of 4 cases. Nurun Nahar Fatema Begum, M S Akbor, M S Haque, Dilruba Rahman. DS (child) Health Journal 1994; 10(2) : 87-91.
  2. Balloon angioplasty in Coarctation of Aorta : A Case Report. Maj Nurun Nahar Fatema Begum, Lt Col S M Mamunur Rahman. Bangladesh Armed Forces Medical Journal 2003; vol xxxzz: 95-98.
  3. Crigler- Najjar Syrdrome Type-1. A Case Report with Discussion. M S Akbor, Nurun Nahar Fatema Begum, DS (child) H J 1994; 10(I): 28-30.
  4. Analysis of 303 cases of Ventricular Septal Defect in non-invasive cardiac laboratory of Combined Military Hospital Dhaka. Maj Nurun Nahar Fatema Begum, Col Quazi Shafiuddin Ahmed, A K M Razzaque. Chest and Heart Journal 2004; 28(I): 14-19.
  5. Pulmonary Arterial Hypertension in children: An update. Nurun Nahar Fatema Begum, Md Abdul Moyeed Siddiqui, M G Rabbani, M R Hossain Journal Armed Forces Medical College. Bangladesh 2006; 2(I) : 9-15.
  6. Mucopolysacharidoses type 1 (Hurler Syndrome) : A Case Report. Lt Col Nurun Nahar Fatema Begum, Brig Gen Jahangir Alam. Bangladesh Journal of Radiology and Imaging 2004; 12(I) : 34-37.
  7. Transposition of Great Arteries. Maj Nurun Nahar Fatema Begum, Maj Gen Ziauddin Ahmed, Col Quazi Shafiuddin Ahmed. Bangladesh Armed Forces Medical Journal 2002; vol xxx: 69-72.
  8. Atrial Septal Defect – study of 25 cases. Maj Anowarul Kabir, Col N A Mallik, Lt Col M Mujibur Rahman, Lt Col Nurun Nahar Fatema Begum, Bangladesh Armed Forces Medical Journal 2005; xxxv: 31-35.
  9. Double Intervention in Single Sitting in a Girl with Atrial Septal Defect and Patent Ductus Arteciosus : A Case Report. Nurun Nahar Fatema Begum, S M Mamunur Rahman, M R Karim, M Haque. Journal of Bangladesh College of Physicians and Surgeons 2006; vol 24(I) : 34-37.
  10. Pulmonary Valvoplasty : Analysis of fifteen cases. Nurun Nahar Fatema Begum, Journal Bangladesh College of Physicians and Surgeons 2004; 22: 111-114.
  11. Tripple Coil Occlusion in a case of Patent ductus Arteriosus. Nurun Nahar Fatema Begum. Journal of Armed Forces Medical College, Bangladesh 2005; vol-1(I) : 67-69.
  12. Review of Aetiological factor in development of Cerebral Palsy- Liza Chowdhury, Nurun Nahar Fatema Begum, Journal Armed Forces Medical College, Bangladesh 2005; 1(I) : 61-66.
  13. Clinical pattern of Malaria Among the children- A five year experience in a tertiary Hospital. Brig Gen Bahar Hossain, Lt Col Nurun Nahar Fatema Begum. Journal Armed Forces Medical College, Bangladesh 2005; 1(I): 45-48.
  14. Incidence of Congenital Heart Disease Among Hospital live birth in a Tertiary Hospital of Bangladesh. Nurun Nahar Fatema Begum, R B Chowdhury, Liza Chowdhury CVJ 2008; 1(I) : 14-20.
  15. Pattern of Congenital Heart Disease among Children who had undergone Cardiac Catheterization in Cardiac Centre of a Teaching Hospital. Lt Col Nurun Nahar Fatema Begum. Chest and Heart Journal 2008; vol 32(2): 06-11.
  16. Atrial septal defect secundum: CASE REPORT OF A FAMILY.Cardiovasc J 2009;1(2):226-228 Bangladesh journal of cardiology 2009;1(1):67-68.
  17. Closure of large PDA by Amplatzer Septal Occluder (ASO): A case report. JAFMC Bangladesh ‘2009: vol 5(1):46

39.Transcatheter cardiac interventions In adult with congenital heart disease: experience In a Bangladeshi centre. N N  Fatema, M R Hossain , SMM Rahman.SA Iqbal, Z Khan . Cardiovasc J 2009;2(1):61-65

  1. Coarctation of aorta managed by Balloon Angioplasty. Begum NNF. JAFMC 2010;6(1) 4-7.
  2. Coarctation balloon angioplasty In a four months old infant following end to end Coarctation repair. Bangladesh Journal of Child Health 2009; 33(2): 70-72.
  3. Down Syndrome with congenital heart disease : Analysis of cases over two years in a non invasive cardiac laboratory of a teaching hospital. N N Fatema. Cardiovascular journal 2010 ; 2(2):184-187.
  4. Device closure of perimembranous VSD under deep sedation and trans thoracic echo guide; A case report. Cardiovascular journal 2010;3(10:89-91.
  5. A F M Shamsul Haque, A R Siddique, N N Fatema et al. Noninvasive study of carotid intima media thickness in hypertensive and non hypertensive subjects. Bangladesh Heart journal 2008;23(2):73-77.

45.Neonatal jaundice: Etiology and outcome : study of 152 cases. Jesmin S, Rabbani G, Rabiul H,N N F Begum, Rahman M. BAFM journal.2007.38(1):1-5.

  1. Acute Coronary Syndrome in the young- Risk factors and angiographic patterns. AFM Shamsul Haque, A R Siddique, S M M Rahman, S A Iqbal, N N Fatema , Z Khan. Cardiovascular J 2010;2(2):175-178.
  2. Coil occlusion of coronary cameral fistula by cook detachable coil. A case report.N N Fatema AFM S Haque, MF Rahman .Cardiovascular journal 2011 ;3(2):218-221.
  3. N N Fatema, A K M Razzaque,AFM S Haque. Pattern of congenital heart disease in patient with cong. Rubella syndrome. Bangladesh Journal of cardiology vol 2, no 2 sept 2010 p275-278.
  4. Stent implantation in arterial duct in an infant with duct dependant circulation: A case report. Published in Chest and Heart journal. N N Fatema. Chest and Heart journal 2010;34(1): 66-68
  5. Device closure of PDA in two complicated case of Congenital rubella syndrome with severe pulmonary hypertension.to be published in J AFMC.
  6. Echocardiography in congenital heart disease diagnosis, preinterventional patient selection, per operative guidance and post interventional follow up: State of the Art. N N fatema. Published in cardiovascular journal. Vol 4 no 1 ;68-74
  7. A rare case of Aortico Left Ventricular Tunnel(ALVT). N N F. J Bangladesh Coll Phys Surg 2013;31:47-70.
  8. Persistent Pulmonary hypertension of the newborn ; Analysis of 93 cases over one year . Bangladesh Journal of cardiology.vol 4 no 1 March 2012. N N Fatema
  9. Shenabarta Jan 2013. First ever Melody transcatheter pulmonary valve replacement in south Asia: case report.Another case report on PDA Device closure in Mashfia ,a very critical case which was succeded after 4 times trial with diff kind of devices..
  10. Congenital Cardiac Interventions and research work in Bangladesh . Book published in August 2011.
  11. Pattern of congenital heart disease in Bangladesh: A multicenter study. M Hossain, S Tahura, Z hossain, N N Fatema, S K Razzaque. DS(child) H J 2011:27(01);5-11
  12. Heart disease in armed Forces: what are we doing about it? Booklet published in Augrojatra 26.6.2013
  13. Senabarta Dec 2013.Case report: RVOT stent of Sneha 7 mo old baby with 15×5 mm genesis stent.
  14. Senabarta Nov 2013. ASD Device closure in twins on 30 oct 2013 . size 12 mm,(Tahsin,Yasin)
  15. Percutaneous Pulmonary Valve implantation (PPVI) with Melody : First ever case report in South Asia . BCPS Journal. April 2014 vol 32 no 2 page 102-106.
  16. Sena Sangbad Probaho, 5th issue, Baishak-jaistha 1420 May 2014 two case report ASD device in a ICR pulmonary atresia; COARCTATION  STENTING WITH ATRIUM V12 X25.
  17. Sena songbad probaho.June 2014.6th issue, 16th year, Acheivement of CMH Dhaka in treating CHD in children.Closure of PFO in a girl for treating migraine.
  18. Stenting of Right Ventricular Outflow Tract in a case of DORV, VSD and severe Infundibular Stenosis.Bangladesh. Journal of cardiology 2014 Vol 6 no 01-02.679-681.
  19. Stenting of Ductus Arteriosus.Single center experience in a tertiary cardiac center of Bangladesh, Bangladesh Journal of cardiology 2014 vol 6 no 01-02. 634-639.

 

  1. Short, intermediate and long term follow up of device closure of ASD, study on1020 cases. Cardiovascular journal. vol 7 no 2 Jan 2015
  2. Sena sangbad probaho July 2014 Ashar-Srabon Two case reports on:
  3. ASD and PDA device closure in an infant : Double intervention in single setting.
  4. Successful treatment of Hyper Chylomicronaemia in an infant .
  5. Case report on congenital nephritic syndrome and peripheral veno occlussive disease secondary to CMV infection. JAFMC. Vol 10 No 2 Dec 2014.
  6. Case report on critical case of DORV VSD PS and cerebral abscess managed by multiple interventions. JAFMC vol 11 no 1 June 2015 .
  7. STENTING OF Patent Ductus Arteriosus: Single center Experience in a tertiary care cardiac center of Bangladesh.N N Fatema. Chest and Heart Journal 2014; vol 38 : 28-34
  8. Unmesh, AFMC college megagin 2015. Shonnyo theke shuru page 10.
  9. Multiple intervention in single setting; Report on cases over one year. Cardiovascular Journal vol 9 number 1 July 2016 page 36
  10. Stenting of Coarctation of Aorta in a post device closure of PDA and balloon Coarctoplasty case, A case report. Page 64, Cardiovascular journal vol 9 number 1 July 2016.
  11. Single day analysis of cases in a busy echocardiography laboratory of a tertiary care hospital. To be published in echocardiography journal.
  12. Congenital Heart Disease in children. Shukhe Oshukhe. Lab aid Bengali journal. Dec 2016 page 24-25.
  13. Kawasakie disease hospitalization : Outcome in two tertiary care hospitals in Bangladesh. Bangladesh Medical Research Council Bulletin .Vol 43 no 3 page 143-148 :December 2017

NN fatema. Abdul Ali Mia, Mamun Mostafi, Khaleda Akhter, Mahbuba sultana, Ferdousur Rahman Sarker Vol: 43 No. 3 December 2017. 143-148

  1. Echocardiography to guide intervention : To be published in Echocardiography journals.
  2. Trans catheter management of Coarctation of aorta. Analysis of 150 cases. Published in cardiovascular journal vol: 10 no :1 July 2017.
  3. Pattern of Congenital heart  disease and treatment options in a Bangladeshi center: Analysis of 6914 cases from noninvasive cardiac laboratory.  Published in Cardiovascular journal 2017; 9(2): 97-105
  4. Echocardiography: An important tool for diagnosis, guidance of intervention and post- interventional follow up of the congenital and structural heart diseases. Published in Bangladesh journal of Echocardiography 2016; 01(01): 25-30
  5. Echocardiography in Congenital heart disease. Published in Bangladesh journal of Echocardiography 2017; 02 (02): 67-72
  6. Single day analysis of cases in a busy Echocardiography laboratory of a tertiary hospital. N N F Begum . Bangladesh Journal of Echocardiography. 2017; 03(03):86-89.
  7. Outcome of infants of diabetic mother admitted in CMH Dhaka . D S (child) H J 2015; 31(2):112-120. Nure Ishrat Nazme, Mohammad Yasin, Jesmin sultana, Nurun Nahar Fatema .
  8. Shenabarta Year 31 3rd issue July 2017 Success of treatment in children and aduld with CHD in CMH Dhaka.
  9. Shenabarta Year 31 issue 2 April 2017. Success in treatment of complex CHD.
  10. Dilated Cardiomyopathy due to Coxsackie B Virus Myocarditis: A case Report : Published in Bangladesh Journal of cardiology.Vol.07,No. 01-02,December 2017: 751-755. N N Fatema, R Hossain, F Rahman.
  11. Transcatheter closure of ventricular septal defect using detachable cook coil. Bangladesh Journal Of Cardiology Vol 1 no 1, 2009; N N Fatema.
  12. Persistent Pulmonary Hypertension of the Newborn: Analysis of 181 Cases over one year. Bangladesh Journal of cardiology Vol 11, No 1, 2018; N N Fatema.
  13. Bacteriological Profile of Urinary Tract Infection in Children of a tertiary care Hospital. Bangladesh Journal of Child health 2017; Vol 41 (2): 77-83

 

সেমিনারে পঠিত প্রবন্ধ সমূহ:

 

  1. Breakthrough in Treatment of Pulmonary Hypertension. 1st international perinatal congress-2003. January 31-Feb 3. Organized by Bangladesh perinatal society. Shaheed Milon hall.
  2. PDA coil occlusion : report on 9 cases. Intercollegiate Scientific Conference 28-31 January 2002, Organized by Bangladesh College of Physicians and Surgeons.
  3. Medical intervention of Patent Ductus Arteriosus by using injection indomethacine. 3rd Annual conference and scientific seminar, organized by Bangladesh periratal society. 27th June 2002.
  4. Abstracts:
  5. Pattern of heart disease in newborn.
  6. Case report on Balloon Atrial Septostoury.
  7. Case report on PDA coil occlusion.

In 1st National Conference on Echocardiography 30th December 2003.

  1. Congenital Heart Disease in Newborn : An overview. International Conference on Cardiovascular Diseases, 1-2 December 2003. Organized by Bangladesh Heart Research Association.
  2. Early Clinical Experience of ASD device Closure in children of Bangladesh. 21st National Conference of Bangladesh, 9-10 Dec 2004. Organized by Bangladesh Cardiac Society.
  3. Congenital Heart Disease : Bangladesh perspective. 13th Biennial Conference of Bangladesh Paediatric Society and Indo-Bangla paediatric Society, 10-12 December 2003.
  4. Abstracts :
  5. A set up of a new paediatric cardiology unit, experience in Combined Military Hospital, Dhaka.

 

  1. Cardiac catheterization in children in a teaching Hospital. Report on 88 cases.

Annual Seminar of Bangladesh Paediatric Association 21st November 1999.

  1. Continuous Medical Education (CME) program organized by Bangladesh College of Physicians and Surgeions. Abstract – Congenital Heart Disease: Bangladesh perspective 3.5. 2005.
  2. Continuous Medical Education Program (CME). Bangladesh paediatric Association 6th June 2000. Abstract: Management of newborn with transposition of great arteries.
  3. Intensive care of newborn : Abstract, 5th National Conference and Scientific Seminar, Bangladesh Perinatal Society, 24-25 December 2005.
  4. Abstract.
  5. Device closure of shunt anomalies with amplatzer devices.
  6. Analysis of 76 cases of Tetralogy of fallot.

Annual conference of Bangladesh Hear Research Association 30th December 2005.

  1. Analysis of 630 cases of cardiac catheterization and intervention in Combined Military Hospital, Dhaka. 15th Bienniel Conference of Bangladesh Paediatric Association, 16-17 February 2006.
  2. Patent Ductus Arteriosus in new born. Life line or Death sentence. ICMH NC-1, First National Conference on Achieving Millennium Development goal 4 and 5: where we are and what needs to be done. March 30-31, 2007. Organized by USAID, WHO, UNICEF, NSDP, OGSB, BPA.
  3. Device closure of shunt Anomalies with Amplatzer Device: perspective of a developing country Bangladesh. 23nd National Conference 2007; Bangladesh cardiac society, 4 May 2007.
  4. Abstracts :
  5. Chest pain in children.
  6. Syncope in children.

19th Annual Conference of Paediatric Cardiac Society of India (PCSI) 23-25 November 2007.

  1. Echocardiography in children Echo Dhaka 2007, 30 November 2007 organized by International Society of Cardiovascular Ultra Sound (ISCU) : Bangladesh chapter.
  2. Difficult case of PDA and VSD device closure. 1st National Conference of National Heart foundation 1-2 December 2007.
  3. Cardiac interventions in Newborn : National Cardiac Conference and 9th Annual General Meeting, Bangladesh Heart Research Association, 25th April 2008.
  4. Abstract: Poster Presentation, Cardiac Intervention in Newborn. 1st International conference Bangladesh neonatal forum 6-8 February 2008.
  5. CME program of PCSB nov 5 2010. Structural intervention in heart diseases.
  6. Conference on cardiovascular diseases.NHF 1-2 Dec 2010 . Congenital and Structural interventions.hotel Sheraton.
  7. SAARC Congress of Cardiology 2010. April 2-3.BICC.Cardiac interventions in paediatric patients.
  8. CSI-ICI 2010, Frankfurt Germany 7-10 July 2010.Training on structural interventions.
  9. Seminer on infectious diseases sept 12, 2009. Intensive care of newborn with congenital heart disease.
  10. Seminer of Perinatal Society of Bangladesh. Dec 2009 BICC. Heart Disease in Newborn-an overview.
  11. 5th world congress of Paediatric cardiology and cardiac surgery 21-26 june 2009. Trans catheter closure of shunt anomalies with various devices: experience in a Bangladeshi centre.
  12. Latest development in paediatric cardiology and cardiac surgery in Bangladesh.4rth March 2011.Hotel Sheraton. paper—congenital and structural intervention.
  13. 2nd national conference of Bangladesh society for child neurology, development and disability.08 -09 April 2011.BCPS Dhaka
  14. Bangladesh cardiac society. Hotel Sheraton. 24 April 2011.Abstract Coil occlusion of sub aortic VSD Report of 5 cases.
  15. Birdem seminer 22 April 2011 4rth international cardiovascular conference CD presentation hotel Sheraton
  16. PICS – AICS 2011 BOSTON USA 24th-27th July 2011 Abstract: coil occlusion of small subaortic VSD with coo detachable coil in BANGLADESH.
  17. NHF national seminar on cardiology Dec 2011; Abstract Role of echocardiography in percutaneous intervention.
  18. Echo Dhaka 2011 ISCU abstract;
  19. Echocardiography in guiding percutaneous interventions
  20. Echocardiography in congenital heart disease.
  21. 17th biennial international conference 2012. 17-18 Feb BICC,BSMMU.

Abstract; Patent Ductus Arteriosus; management issue.

  1. Panel discussion: ASD, VSD and PDA device closure in congenital heart disease.28.2.12 BSMMU.
  2. Echocardiography in children, BSMMU. Society of echocardiography 2009.
  3. SCAI 2012 Las Vagus USA, Congenital interventions in adult, Experience in a Bangladeshi centre.and reception of FSCAI certificate.9th-12th May 2012
  4. World Heart day 28 0ct 2012 CMH conference hall. Congenital heart disease and world heart day.
  5. Conference on different specialty of medicine and pediatrics, 2010. Congenital heart disease: past present and future plan. Presented in front of all Generals of Army Medical corps.
  6. Device Closure of Large Tubular Patent Ductus Arteriosus with severe pulmonary hypertension. Analysis of forty seven cases. 6th world congress of paediatric cardiology and cardiac surgery , Cape town 2013. Abstract: same
  7. PDA Device closure: 12 year single centre experience. Dec 2012. NHF cardiac conference 2012.
  8. BCPS CME Program. Single centre experince on PDA device closure over 12 years.2012.
  9. Paediatric Cardiac Diseases , How we are managing in CMH Dhaka. Inaugaural of Paed cardiac ICU . 20 Jan    2013.
  10. Paediatric cardiology department of CMH Dhaka and its activities. Program during visit of Saudi cardiac Team.March 2013
  11. Heart disease in Children, And how to manage holes, wrong tracts and routes. Agrojatra, Army headquarter, 12.6.13
  12. How to manage holes, wrong routes and tracts: presentatation in ladies club.Dhaka cantt. August 2013

47.World heart day 29.9.2013 What is new in intervention? Conference room Medicine department,

  1. Congenital heart disease and its management, Seminar of BPA Sylhet:Keynote paper. 8.11.2013
  2. Stenting of Patent Ductus Arteriosus; Single centre experience in CMH Dhaka.NHF national conference.2.12.13.
  3. Congenital heart disease Status Report. CME program of BPA 2008,Santoor restaurant.
  4. Current activities of paed card department and future goal. World heart day 29.09.2010.
  5. Challenging double intervention in a 5 kg infant with large tubular PDA and severe coarctation of aorta National conference of NHF april 2010
  6. Echocardiography in guiding various interventions. Dec 2011. AFMI auditorium.
  7. How to manage PDA in preterm babies.Journal club CMH Dhaka 1.5.2013
  8. Closure of Large Tubular PDA in patients with severe pulmonary hypertension , experience on 47 cases. 17-22 Feb World congress Cape Town South Africa.
  9. Congenital heart disease.How to deal with? Rangpur Medical college,July 2010.

1.12.13 updated

  1. Three papers in 4rth Asia Pacific Paediatric Cardiac Society (APPCS) Meeting 6-9 March 2014
  2. Device closure of large cylindrical PDA with Severe pulmonary hypertension: study on 141 cases,
  3. Case report: First ever pulmonary valve replacement PPVI in South Asia with melody.
  4. Country situation of Rheumatic fever and Rh heart disease.
  5. South Asian Paediatric association and BPA seminar 6/7 march 2014

Abstract: Device closure of PDA.15 years single centre experience,.,and device closure of large tubular PDA with special sizing..

  1. CME program of pediatric cardiac professionals and reception of appreciation letter from Medtronic South Asia : Central Hospital 18.4.14

Topics: Congenital heart disease: Primary and Advanced Management.

  1. Journal Conference CMH Dhaka 21.4.14, Archives of Journal Conference 2013-2014
  2. Status of congenital heart disease in Bangladesh. Presentation in World Heart Day seminar 26th sept 2014.
  3. 5th Asia pacific congenital and structural heart intervenjtion symposium 2014. 10-12 Oct 2014.Hong Kong convention centre Hong Kong.
  4. Paediatric cardiology program in Military Hospital Dhaka: Our achievements. 29.10.14 Presented during KSA Charity mission first in CMH Dhaka 31st October 2014.
  5. Percutaneous closure of Ventricular Septal defects using various devices. Experience in a Bangladeshi center. Presented in NCCCD 2014 on 2nd Dec in National Heart foundation seminar.
  6. Scientific seminar and 10th Annual general meeting. Bangladesh Heart Research Association.19th Dec 2014.Congenital and structural heart disease : Fixing up of holes , wrong routes and tracts.
  7. Congenital heart disease, Management Issue. CME program in Comilla on 27th November 2014 in Comilla Medical College.
  8. VSD device closure: Experience in a Bangladeshi center on 140 cases, National seminar on Cardiovascular diseases: National Heart Foundation Ist and 2nd December 2014.
  9. Percutaneous pulmonary valve implantation: Ist ever case in South Asia, Case presentation in Hotel Sheraton , BIT ( Bangladesh Interventional Therapeutics) 6.2.15
  10. Congenital cardiac interventions : Organized by Lab aid cardiac hospital and Lifetech : 2nd April 2015 Paper :Congenital Heart disease and its primary and advanced management.
  11. Management of Heart disease in Newborn. CME program of Bangladesh heart research association, 23rd April 2015 Royal Buffet Restaurant Dhanmondi Dhaka
  12. Device closure of large tubular PDA with severe pulmonary hypertension. Study on 245
  13. a. Neonatal cardiac interventions .b. Stenting in congenital heart diseases. National conference of Heart Foundations. 1st and 2nd December 2015.
  14. PICS-CSI Asia 3nd March to 5th March 2016. A. ASD device closure study on 1020 cases. B. PDA stenting study on 55 cases.
  15. Infant Respiratory symposium 2016 Odaiba Island Japan in Hilton Odaiba, 3rd and 4rth September 2016.
  16. VSD device closure Tips and techniques. Hotel Radisson, 20th October 2016. Bangladesh society of interventional cardiologists, Annual seminar.
  17. Cardio cerebral resuscitation, Workshop in Armed forces medical college. 26th septamber 2016 AFMC auditorium.
  18. World Heart day 1st October 2016. Armed forces medical college. Primary and advanced management of congenital heart disease. AFMC auditorium.
  19. World heart day 2016 , Publication of report of Pattern on congenital heart disease , analysis of 6914 cases. Central hospital conference room, 7th October 2016
  20. Asia Pacific Pediatric Cardiac Society, Shanghai 2016, 19 Oct to 23 Oct 2016 ,

A, Multiple intervention in single setting , one year experience in tertiary care center.

  1. Pattern of congenital heart disease in a tertiary care hospital. Analysis of 6914 cases.
  2. Epidemiology and disease pattern of Rheumatic fever and Rheumatic heart disease from some selected Asia pacific countries. Bangladesh Scenario. 23rd October 2016 Sanghai convention center.

 

  1. Placement of two Melody pulmonary valve to Adid 9 years old boy and Tasfia 13 years old girl. Both of them were case of Pulmonary Atresia VSD and PDA. They had BT shunt and ICR with conduit before. Later they developed conduit dysfunction. So Melody valve were planned. Implanted on 10th October 2016 with the help of Dr Stephan Schubert a Doctor from Berlin Heart.
  2. Stenting in Congenital and structural heart diseases. Seminar National Heart Foundation on 02 December.2016
  3. Case presentation Percutaneous Pulmonary Valve Implantation with Melody. Seminar National Heart Foundation on 02 December. 2016
  4. Charity missions in CMH Dhaka under care of Paediatric Cardiology Dept. Presentation in front of Qatar red Crescent team. 13.1.17
  5. Workshop on Basic and advanced life support. Presentation: Post resuscitation care. 17th and 19th Jan 2017. Class room Pediatrics. CMH Dhaka
  6. Interview in TV live show several times. Ekushe TV, Bangla vision etc

87.Conference of Association of physicians of Bangladesh APBN 11-12 March 2017 . Bangabandhu international convention center. Pattern of congenital heart disease and treatment option available in a Bangladeshi center.

  1. Echocardiography in congenital heart disease; Conference on echocardiography in BSMMU and hotel Shonargaon, BD ECHO 2017 12 and 13 March 2017.
  2. Training of trainers on viva examination. BCPS 12.6.17
  3. Analysis of 6914 cases in noninvasive cardiac laboratory. Presented in Barcelona Spain on 17th July in 7th World congress of paediatric cardiology and cardiac surgery.
  4. Management of congenital heart disease. 21st September 2017 in celebration of world heart day in AFMC.
  5. Minimalistic approach in intervention. Celebration of world heart day in Central Hospital by CHTB on 29th Sept 2017.
  6. Seminar on congenital heart disease : Congenital heart disease and its Management. Dept of Cardiology ,Dhaka Medical College. 10.10.2017
  7. BCPS visit for recognition of center of FCPS part 2 examination in CMH Dhaka. Presentation, Glorious journey of the department of paediatrics. 18.10,17.
  8. BCPS visit by paed cardiology team to recognize FCPS in paediatric cardiology. 26 Nov 2017. Paper : FCPS course in paediatric cardiology: time demanding issue.
  9. 30 th Nov. Penalist on discussion of congenital heart disease in national heart foundation.

National Seminar of NHF.

  1. 1st and 2nd December. National conference of national heart foundation. Paper,1. Minimalistic approach in intervention. 2. Charity mission for paediatric cardiac surgery and intervention. Dream project for third world countries. 3. Glorious journey of a center of excellence in paediatric cardiology.
  2. Shomoy TV. Discussion on congenital heart disease. 1st Dec 2017.
  3. Ist international conference on Echocardiography and Fetal echo. 14th and 15 December 2017 Milon Hall BSMMU. Sequential segmental analysis in Echocardiography of congenital heart disease.
  4. International seminar on cardiovascular disease. 6 and 7 December 2017. Plannery paper: Device closure: A fascinating treatment modality for CHD.
  5. International seminar on 5th Pulmocon. 2nd December 2017. Chair-person in a session.
  6. 5th international conference of Bangladesh Neonatal Forum. 3rd and 4rth March 2018. Paper Management of newborn with congenital heart disease.
  7. Workshop on CCR. AFMC, 29th March 2018

104.APPCS 2018 29th August  to 1st September 2018. Indonesia Bali. Device closure of large tubular PDA with PHT , analysis of 490 cases.

  1. Workshop Basic and Advance life support Armed Forces Medical College 29 March 2018. Paper: Post Resuscitation Care in ICU.
  2. Facebook live in shomoy TV 6th April 2018 on congenital heart disease.

107.Conversion of fetal circulation to neonatal circulation. Challenges and solutions. CME program of BPA in Kurmitola General Hospital , Keynote speaker brig Gen Nurun Nahar Fatema. 28th April 12 noon 2018.

  1. Acquired heart diseases in children : Cumilla medical college. 15.5.18
  2. Speech on acquired congenital heart disease in children. Cumilla Medical college, 15th May 2018
  3. Free heart screening, circumcision, health education camp. 14th April 2018 pohela Boishakh ,Pakshail, Sylhet.

110.Raising day of paediatric cardiology unit CMH Dhaka. Special conference: Glorious history of dept of paediatric cardiology CMH Dhaka.18.9.18

  1. Cardiac Intervention in Newborn, World Heart Day CME program in Bangladesh Heart Reacharch Association Fars hotel, Bijoynagor Dhaka on 28.09.18.
  2. Latest Congenital heart disease status report, World Heart Day CME program Child Heart Trust Bangladesh (CHTB) in Central hospital, Dhanmondi Dhaka, on 28.09.18.
  3. Rheumatic Fever and Rheumatic Heart disease Bangladesh Prespective, World heart day CME program in Armed Forces Medical College (AFMC) Dhaka on 30.9.19.
  4. Annual seminar of society of Echocardiography. Paper, Sequential segmental analysis of heart 27th October 2018. Hotel Shonargaon.
  5. Inauguration of CDC in Kurmitola general hospital. 30.10.18 Vote of thanks.
  6. Annual scientific seminar of Bangladesh cardiac society. 1st November 2018. Hotel Shonargaon.
  7. Seminar on interventional cardiology organized by Sallimullah medical college. 4the Nov 2018 Hotel Sonarganon.
  8. Seminar by teachers from imperial college London. 4th Nov, 8am. AFMC conference room.
  9. National seminar on cardiovascular diseases. 1-2 December 2018 in National heart foundation. My experience with PDA since 1997
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