Current Issue : January - March Volume : 2019 Issue Number : 1 Articles : 8 Articles
Revascularization to infarcted area after left ventricular free-wall rupture has\nbeen controversial. A 68-year-old man with acute myocardial infarction presented\nto our hospital and developed a left ventricular free-wall rupture. We\nrepaired the left ventricular oozing rupture without culprit artery revascularization,\nhowever, followed by papillary muscle rupture and left ventricular\nblow-out rupture, which resulted in sudden death....
Atrial fibrillation (AF) is a relevant comorbidity in recipients of implantable cardioverter-defibrillators (ICD). Latest generation\nsingle-chamber ICD allow the additional sensing of atrial tachyarrhythmias and, therefore, contribute to the early detection and\ntreatment of AF, potentially preventing AF-related stroke.The present study aimed to measure the impact on patient-related costs\nof this new ICD compared to conventional ICD. A Markov model was developed to simulate the long-term incidence of stroke in\npatients treated with a single-chamber ICD with or without atrial sensing capabilities.The median annual cost per patient and its\ndifference, the number of strokes avoided, and the cost per stroke avoided were estimated. During a 9-year horizon, the costs for\nthe ICD and stroke treatment were â?¬570 per patient-year for an ICD with atrial sensing capabilities and â?¬491 per patient-year for\na conventional ICD. Per 1,000 patients, 4.6 strokes per year are assumed to be avoided by the new device. Higher CHA2DS2-VASc\nscores are associated with higher numbers of avoided strokes and larger potential for cost savings. Apart from clinical advantages,\nthe use of ICD with atrial sensing capabilities may reduce the incidence of stroke and, in high-risk patients, may also contribute to\nreduce overall health care costs....
Objective: The work aimed at describing an epidemioclinical, therapeutic\nand evolutionary characteristics of patients hospitalized for aortic dissection\nin the cardiology department in Point â??Gâ? Hospital University Center in Bamakoâ??\nMali. Methodology: It was a descriptive cross-sectional study from\nJanuary 2010 to February 2017 in the CHU Point G cardiology department,\nincluding all patients hospitalized during this period. Results: Of 6912 hospitalized\npatients, 23 patients were concerned by aortic dissection. The prevalence\nof aortic dissection was 0.33%. The most affected age group was 50 - 69\n(43.5%) of patients. The predominance was male with a sex ratio of 4.75. The\ncardiovascular risk factors were high blood pressure (73.9%) and smoking\n(60.9%). The major functional signs were chest pain (65.2%) and dyspnea\n(65.2%). Asphygmy (56.5%) and breath of aortic insufficiency (60.9%) were\nthe dominant physical signs. The electrocardiogram recorded sinus tachycardia\nwith 86.9% of patients. The radiographic of the frontal thorax showed\nmediastina widening (73.9%). At echocardiography, dilatation of the ascending\naorta was described with 73.9% and the intimal veil (47.8%). Pericardial\neffusion was observed with 26.1% of patients. In the thoracic angioscan, the aortic dissection gave 43.5% for type A and 56.5% for type B. The aneurysm\nof the aorta was abdominal with 21.7%, ascending portion (13.0%) and descending\nwith 8.7%. Complications were dominated by heart failure (47.8%)\nand aneurysm of the aorta (34.8%). The lethality was 52.2%. Conclusion:\nAortic dissection is a medical and surgical emergency with poor prediction....
Purpose. Iron deficiency anemia is an important public health problem.Also it is considered to be a risk factor for many diseases.The\nstudy demonstrates the iron deficiency anemia frequency in glaucoma patients and compareswith the normal subjects.We aimed to\ndetermine the iron deficiency anemia frequency in glaucoma patients. Methods. Prospective, controlled study in a single university\nhospital setting. A total of 130 normal subjects (Group 1) and 131 glaucoma patients (Group 2) were included. The erythrocytes\nparameters, hemoglobin, red blood cell, hematocrit,mean corpuscular volume, mean corpuscular hemoglobin concentration, mean\ncorpuscular hemoglobin, and red blood cell distribution width, and iron status indicators, Fe (iron), total iron binding capacity,\nand ferritin of the cases, in normal subjects and glaucoma patients were compared. Results. There was no statistically significant\ndifference for the erythrocyte parameters between the groups ...The number of the patients with iron deficiency anemia\nin both groups was similar. No statistically significant difference was found in the comparison of erythrocyte parameters and iron\nstatus indicators values according to the number of antiglaucomatous agents and visual field changes according to the presence of\nanemia in Group 2 ....A statistically significant difference was found only in MCH when the erythrocyte parameters and\niron status indicators values of the cases in glaucoma patients were compared with the glaucoma duration.... Conclusion.\nThe iron deficiency anemia frequency was like the normal population in glaucoma patients....
Cardiac Sarcoidosis (CS) is a rare and deceptive disease affecting young adults\nwith catastrophic results including life threatening arrhythmia, congestive\nheart failure and even sudden death as the initial presentation. CS has been\nlinked to a significant high morbidity & mortality. We present two patients:\nThe first patient with an initial cardiac event that led us to a diagnosis of\nPulmonary and Cardiac Sarcoidosis. A second patient, who was diagnosed\ninitially with pulmonary Sarcoidosis, presented with a severe heart conduction\nabnormality. Both patients were successfully treated with permanent pacemakers.\nThe dual purpose of our study is first to emphasize the importance\nof follow up on patients with Non-Cardiac Sarcoidosis for cardiac involvement\nand secondly to increase awareness of CS as part of a differential diagnosis\namong young adults with unexplained arrhythmia....
Background. In pregnancy, anemia is an important factor associated with an increased risk ofmaternal, fetal, and neonatalmortality,\npoor pregnancy outcomes, and impaired cognitive development, particularly in developing countries like Ethiopia. This study\naimed to assess prevalence and factors associated with anemia among pregnant women attending antenatal clinic at St. Paulâ??s\nHospital MillenniumMedical College, Addis Ababa, Ethiopia. Method. A cross-sectional health facility based study was conducted\non 284 pregnant women to assess prevalence and factors associated with anemia at St. Paulâ??s Hospital MillenniumMedical College\nfrom June to August 2014. Data on sociodemographic and clinical characteristics of the study participants were collected using a\npretested structured questionnaire by interviewandreviewofmedical records. About 4 ml of venous blood was collected fromeach\nsubject for peripheral blood film and complete blood counts (CBC). Binary Logistic regression analysis had been used to check for\nassociation between dependent and independent variables. In all cases,P value less than 0.05 was considered statistically significant.\nResult.The prevalence of anemia was found to be 11.6% (95 % CI; 7.8%-14.8%). Pregnant women in the second [AOR (95% CI), 6.72\n(1.17-38.45), and P=0.03] and third trimester [AOR (95% CI), 8.31 (1.24-55.45), and P=0.029] were more likely to be anemic when\ncompared to pregnant women in their first trimester. Pregnant women who did not receive iron/folic acid supplementation [AOR\n(95%CI), 4.03(1.49-10.92), and P=0.01] were more likely to be anemicwhen compared to pregnant women who did take supplementations.\nConclusion. In this study the prevalence of anemia in pregnancy was low compared to the findings of others. Gestational\nage (trimester) and iron/folic acid supplementation were statistically associated with anemia. Therefore, iron supplementation and\nhealth education to create awareness about the importance of early booking for antenatal care are recommended to reduce anemia....
Introduction: Atrial myxomas are the most common primary heart tumors.\nBecause of nonspecific symptoms, early diagnosis may be a challenge [1] [2].\nLeft atrial myxoma may or may not produce characteristic findings on auscultation.\nTwo-dimensional echocardiography is the diagnostic procedure of\nchoice. Most atrial myxomas are benign and can be removed by surgical resection.\nCardiac myxoma is located mostly in left atrium [3]. This was amazing\nhuge mass of cardiac myxoma in unusual part of the heart with the patient\nshowed significant response to anticoagulation after presumed recurrence\nof tumor. Case Presentation: A case of giant right atrial myxoma mimicking\nthe right ventricular tumor is described. Surgery was performed in\n41 years old female and the fist like tumor with its stalk was excised. Surprisingly\nit recurred after 2 month as the smaller tumor was completely resolved\nwith anticoagulation therapy. In addition because of previous normal echocardiography\nthat was done for another reasons, we estimated the speed of\ntumorâ??s growth (3 millimeter/month). Conclusion: To sum up a very large\nmyxoma in right ventricle may only present with occasional dyspnea and we\ncan diagnose it with precise evaluation and with performing on time echocardiography....
The aim of this study is to investigate the effect of the hemofiltration-body\nsurface area on mortality and morbidity during cardiopulmonary bypass\n(CBP). A total of 226 patients were divided into two groups as hemofiltration\n(HF) performed or not performed. The patients to whom hemofiltration was\nperformed were also divided into three subgroups after the distribution analysis\nwhich was done according to body surface area. All patients were compared\naccording to the relationship of hemofiltration-body surface area during\ncardiopulmonary bypass in the interms of mortality and morbidity. There\nwas no statistically significant relationship between the subgroups according\nto the amount of hemofiltration by square meters (p = 0.818). There was statistically\nsignificant difference in total perfusion times and total hospital stay\n(p = 0.025; p = 0.038) between the subgroups which were divided by the\namount of hemofiltration in square meters. As a result, no effect was observed\non the mortality of the relationship between the amount of hemofiltration\napplied during CBP and body surface area....
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