فهرست مطالب

  • Volume:4 Issue: 4, 2019
  • تاریخ انتشار: 1398/10/01
  • تعداد عناوین: 8
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  • Rama Bozorgmehr, Pegah Mohaghegh, Marziye Bayat, Parastou Khodadadi, Ahmadreza Ghafori, Mehdi Pishgahi* Pages 100-104
    Introduction

    Computed Tomography-Pulmonary Angiography (CTPA) is a noninvasive imaging modality for direct diagnosis of pulmonary thromboembolism. The potential advantage of CTPA is possible alternative and incidental findings in cases that PTE is ruled out. This study was performed to determine the prevalence of incidental findings in CTPA in patients suspected to have PTE.

    Methods

    This cross-sectional retrospective study was performed in patients with suspected PTE admitted to Shohada-e-Tajrish Hospital in 2014 and 2015 and underwent CTPA for final diagnosis. Incidental findings in CTPA and associated clinical symptoms were assessed.

    Results

    According to CTPA performed in 188 patients, PTE was diagnosed in 61 cases (32.4%). Prevalence of incidental abnormal findings in the two groups with and without PTE were 93.7% and 90.9%, respectively. The most common incidental finding was pleural effusion (42%). There was no significant association between clinical symptoms and incidental findings in CTPA in patients with suspected pulmonary embolism (P > 0.05). The only significant finding was association between lung mass and tachypnea (P=0.007).

    Conclusion

    In patients with primary clinical symptoms of suspected pulmonary embolism, in most cases there was a wide range of incidental findings and simultaneous pathologies in CTPA mimicking the primary symptoms of pulmonary embolism. However, in this study there was no significant association between clinical symptoms and incidental findings. Determination of definite indications of CTPA in patients with suspected pulmonary embolism is necessary

    Keywords: Computed Tomography, Pulmonary Angiography, Pulmonary Embolism, Incidental Finding
  • Roxana Sadeghi, Zohreh Maghsoomi, Naser Kachoueian, Mohammad Sistanizad, Zahra Soroureddin *, Mohammad Ali Akbarzadeh Pages 105-110
    Introduction

    Cardiogenic shock is a sudden complication that occurs in 5 to 10% of patients with acute myocardial infarction. According to statistics, mortality and morbidity from this event, despite all hospital care, are approximately 70-80%.

    Methods

    This study was conducted over three years (2012 to 2014) in 28 cases of acute myocardial infarction, which was complicated by cardiovascular shock, before or after admission. We compared the outcomes of patients according to the treatment strategy, thrombolytic therapy, primary percutaneous coronary intervention (PCI), or other medical stabilization. The 30-day follow-up was the first endpoint, and the 3-month follow up was the second endpoint of the study.

    Results

    28 patients with cardiogenic shock included in this study. The mean (± SD) age of the patients was 62.99 ± 13.99 years. The median time to the onset of shock was 648.75 ± 1393.58 minutes after infarction. Most of the patients who underwent coronary angiography had 3-vessel or left main involvement. Two patients missed in follow up and five (80%) patients who received thrombolytic therapy passed away. Nine (100%) patients in the medical stabilization group and six patients (50%) underwent primary PCI group passed away too. The mortality in the primary PCI group was significantly lower than the other groups (P = 0.04)

    Conclusion

    Although cardiogenic shock is a potential risk of early death, it is important that the thrombolytic in these patients doesn't increase survival and the primary PCI is more effective than thrombolytic agents.

    Keywords: Acute Myocardial Infarction, Cardiogenic shock, Thrombolytic, Early revascularization, Mortality
  • Parisa Pourroostaei Ardakani, Arezoo Ramezani, Nastaran Asgharimoghadam, Roudabeh Behzadi, Mehrdad Jafari Fesharaki, Zeinab Piravar* Pages 111-116
    Introduction

    Preeclampsia is a complication affecting pregnant women worldwide, which leads to maternal and fetal morbidity and mortality. Due to the importance of mutations in the PLGF (Placental Growth Factor) gene and the association with the incidence of preeclampsia, this study aimed to evaluate the association of polymorphisms of the PLGF gene with the prevalence of preeclampsia in Iranian women.

    Methods

    Fifty pregnant women with pre-eclampsia diagnosis and 50 healthy pregnant women for determination of genotypes rs1464547123, rs12411, rs1399853427, and rs1312670436 were evaluated using the Sanger sequencing method.

    Results

    There was no significant difference in the frequency of alleles of rs1464547123, rs1399853427 and rs1312670436 polymorphisms between case and control groups (P > 0.05), but the rate of recessive allele A in rs12411 polymorphism was significantly higher in the case group than in the control group (case = 24%, control = 8%, P-Value = 0.04), while the frequency of the allele T in the control group was higher than that of the patient group (case = 76%, control = 92%, P-Value = 0.04) The frequency of AT genotype in the patient group was a none significantly higher than the control group (case = 8%, control = 4%, P-Value = 0.1) and the frequency of AA genotypes in the case group was none significantly higher than that of the control group (case = 16%, control = 4%, P-Value = 0.1).

    Conclusions

    The results revealed that polymorphism rs12411 of the gene encoding PLGF has a significant difference among individuals with and without pre-eclampsia and can affect the incidence of pre-eclampsia among Iranian women.

    Keywords: Polymorphism, Genetic, Placenta Growth Factor, Pre-Eclampsia
  • Musa Rafiee, Mohammad Zia Toutounchi, Rezvan Yazdani, Nooredin Mohammadi* Pages 117-122
    Introduction

    Cardiopulmonary bypass is a standard and low mortality-associated method used across the world. This method allows cardiac surgery to be performed in a bloodless environment. The study aimed to compare Conventional priming and Retrograde autologous prime (RAP) on patients undergoing coronary artery bypass grafting (CABG).

    Methods

    The study population was patients undergoing CABG using cardiopulmonary bypass in Rajaei Hospital, of whom 80 patients were selected by simple random sampling convenience sampling and then were randomly assigned to two groups: Conventional priming and RAP. Demographic information, blood components transfused in the operating room and the intensive care unit, ejection fraction (EF) of left ventricle and changes in blood gases were collect.

    Results

    The mean requirement for red blood cell transfusion bags to the patient during surgery was lower in the RAP group than the conventional priming group (P = 0.002). But the difference after surgery in both groups was not significant statistically (P = 0.2). The difference amount of platelet transfusion during operation the difference was not statistically significant (P = 0.4). The difference postoperative platelet transfusion was not statistically significant (P = 0.7). The fresh frozen plasma transfusion during surgery in the RAP group lower than the usual prime group, but the difference was not statistically significant (P = 0.406). The Fresh frozen plasma (FFP) transfusion after surgery in the two groups was not statistically significant (P = 0.217).

    Conclusion

    RAP is compared with conventional priming a safe and low-cost technique in reducing the priming volume of the CPB system, causes less hemodilution, and reduces the need for intra- and postoperative blood transfusion. Therefore, it is recommended to consider RAP as an effective and low-cost technique of priming Cardiopulmonary bypass circuits.

    Keywords: Blood Transfusion, Autologous, Cardiopulmonary Bypass
  • Davoud Ezzati*, Naimeh Mashinchi Abbasi, Hossein Namdar, Naser Khezerlou Aghdam, Touraj Hashemi Nosrat-abad, Ali Shiri, Babak Sadeghi, Marzie Salehi Pages 123-127
    Introduction

    Good sleep quality has positive effects on happiness, and being unhappy is significantly affect adverse cardiac outcomes. This study aimed to study the relationships between sleep quality and satisfaction in male coronary patients.

    Methods

    One hundred male coronary patients that having been referred to Madani Heart Hospital, Tabriz, Iran, completed the Pittsburgh Sleep Quality Index (PSQI) and Oxford Happiness Questionnaire (OHQ). All participants were selected by purposive sampling (aged 37 to 67 years).

    Results

    There was a significant negative association between happiness with sleep disturbances and the use of sleeping medication in coronary patients.

    Conclusion

    This study showed that sleep quality in coronary patients has an association with their happiness. Therefore, the quality of sleep in these patients can be given more consideration by community health care providers.

    Keywords: Sleep Quality, Happiness, Coronary Artery Disease
  • Azadeh Tahooni, Milad Vahedinezhad* Pages 128-130

    Endovascular repair is increasingly becoming the main strategy for management of aortic and peripheral aneurysms. Several methods have been introduced to treat aneurysms based on anatomy, coexisting nearby aneurysms and available tools. We presented a 60-year-old man with an isolated large iliac artery aneurysm found incidentally treated using an endovascular approach and obliterating internal iliac artery without early and late complications at 3-year follow-up.

    Keywords: Endovascular Procedures, Aneurysm, Arteries
  • Fatima Ezzahraa Talhi*, Monia Elmourid, Anass Maaroufi, Zakaria Qechchar, Salim Arous, El Ghali Bennouna, Leila Azzouzi, Rachida Habbal Pages 131-133

    Acute myocarditis is often a challenging diagnosis due to a lack of specific clinical or paraclinical signs. It can be presented by a severe chest pain and localized ST elevation on Electrocardiogram, in rare cases, misleading the diagnosis towards acute coronary syndrome. After routine coronary angiography, a cardiac magnetic resonance imaging is imposed to correct the diagnosis towards acute myocarditis. We report the observation of a 19 year-old Moroccan male admitted to the cardiology department of IBN ROCHD University hospital of Casablanca, for acute myocarditis misdiagnosed initially as an acute myocardial infarction ST elevation and confirmed by cardiac magnetic resonance imaging.

    Keywords: Acute Myocarditis, Acute Coronary Syndrome, Cardiac Magnetic, Resonance Imaging
  • Ganganpalli Dattaprasad, Umesh Kumar Chandra*, Sumit Kumar Vishwakarma, V.P. Pandey, Sanjay Dubey Pages 134-135

    With a prevalence of less than 1/million, Pulmonary Capillary Hemangiomatosis is a rare disorder of capillary proliferation in the alveolar septae leading to pulmonary arterial hypertension and mimics pulmonary veno-occlusive disease.

    Keywords: Pulmonary Capillary, Hemangioma, Pulmonary Veno-occlusive, Disease