فهرست مطالب نیایش هادی

Kidney stone disease is one of the common disorders of the urinary tract that can be linked to the coronary heart disease due to common risk factors such as hypertension, diabetes, and high uric acid levels. Therefore, in this study, we aimed to investigate the association between kidney stones and coronary heart disease.

In this descriptive cross-sectional study, 600 patients referred to Shahid Chamran Hospital of Isfahan who were candidate for coronary artery angiography were divided into two groups including with coronary stenosis (positive) and without coronary stenosis (negative). The demographic and clinical findings including history of kidney stones of the patients were collected using a designed questionnaire.

28.4% of the patients in the positive angiography group and 5% of the patients in the negative angiography group had kidney stone disease (P=0.001). Furthermore, 20.7% of the patients in the positive angiography group, and 7.5% of the patients in the negative angiography group had history of kidney stone disease (P = 0.04). The frequency of hypertension in the positive angiogram group (49.6%) was significantly higher than the negative angiography group (32.5%) (P=0.04).

Kidney stone disease is associated with coronary artery disease. Therefore, interventions to prevent kidney stones, especially with blood pressure control which is considered as a risk factor for both diseases, can reduce the risk of coronary artery disease. However, more extensive studies are needed to confirm the effect of kidney stone disease on the risk of coronary heart disease

Hydatid cyst is one of the most common diseases of humans and animals, which its most common involved site is liver. Despite various treatments, hydatid cyst recurrence is still a serious problem in areas with high prevalence. Therefore, in this study, we aimed to investigate the recurrence rate of hydatid cyst, and also the association of recurrence with the characteristics and manifestations of sonography according to the classification of hydatid cyst by World Health Organization (WHO). In this cross-sectional study, all patients with hydatid cyst, who underwent surgery during 2011-2014 were evaluated for demographic characteristics, cyst features, and types of surgical methods. After surgery, all the patients were followed up for 3 years, and increase of size in repeated sonographies was considered as recurrence. Findings: Based on WHO classification, the most common types of cysts included 23 cases (35.4%) of cystic echinococcosis type 1 (CE1), 12 cases (18.5%) of CE3b, 11 cases (16.9%) of CE3a, 7 cases (10.8%) of CE2, 3 cases (4.6%) of CE4, and 2 cases (3.1%) of CE5. Three cases (4.6%) of the patients had hydatid cyst recurrence. There was no significant association between demographic characteristics, cyst features, cyst classification according to WHO, and surgical methods with recurrence rate (P > 0.05). Hydatid cysts types of CE1, CE3b and CE3a are the most common types based on the WHO classification, and there is no association between their frequencies and the recurrence rate of hydatid cyst. Therefore, the use of this method of hydatid cyst classification is not recommended in order to determine the probability of recurrence of patients. However, more extensive studies in this field are recommended to determine the efficacy of this classification method to determine the risk of recurrence of hydatid cyst