when i first met this nice lady, i was in an evening work shift of ccu. this 69 years-old woman had been referred recently to our ward. she had a pale and puffy face. she suffered from chf. she had a normal breathing, but her ankle was swollen.   we stabilized her condition easily but, it was just the first step in her treatment way. prevention of recurrence of heart attack was our goal. every ...

discussion there are other causes of dilated cardiomyopathies which could be transient like peripartum cardiomyopathy. the development of biventricular mural thrombi is rare, and it mainly increases the risk of embolization in the systemic and pulmonary circulations. case presentation we present two case reports of post-myocardial infarction sequel leading to ischemic cardiomyopathy and peripar...

we investigated the vasodilatory effect of isoprenaline at large vessels (aorta, renal ans saphenous arteries, vena cava, renal and saphenous veins) in doxorbicin-induced model of heart failure. thirty saline-treated (normal group) and thirty doxorubicin treated rabbits (1 mg/kg administered intravenously twice weekly for 8 weeks) were studied after 16 weeks of treatment. chronic heart failure ...

background: cardiac resynchronization therapy (crt) is an effective treatment for patients with moderate to severe heart failure. however, 20-30% of patients remain non-responders to crt. we sought to identify which patients benefit the most from crt in regard to the etiology of heart failure. methods: eighty-three consecutive patients (62 men) who had a biventricular pacemaker inserted at tehr...

background: we sought to determine the frequency of the risk factors for congestive cardiac failure (ccf) in a tertiary care hospital in peshawar, pakistan. methods: this retrospective, observational study was conducted in the department of cardiology, postgraduate medical institute, lady reading hospital peshawar, from march 2005 to september 2007. relevant information regarding the risk facto...

diffuse hepatic inltration is an unusual form of hodgkin's disease (hd). its manifestation as progressive hepatitis or with hepatic failure is even rarer and can be difcult to diagnose. we aim to describe an unusual case of liver failure due to hd. a middle-aged woman with a 10 month history of daily febrile episodes, constitutional symptoms and strikingly high levels of serum ferritin was admi...

we investigated neuronal uptake of noradrenaline (na) at the level of larger vessels (thoracic aorta and vena cava left renal artery and left renal vein lateral saphenous artery and lateral saphenous vein and finally central ear artery and marginal ear vein) in a model devised to mimic heart failure. the model presented here is the rabbit coronary ligation model in which myocardial infarction w...

although primary chronic hypertension (htn) is increasingly common in adolescence, secondary forms of htn are more common among children. primary htn is associated with being overweight and/or a positive family history of htn. carotid intima-media thickness, a known risk factor for atherosclerosis is frequent in both adults and children with htn and other associated cardiovascular (cv) risk fac...

background: sleep disorders are common among patients with chronic heart failure (hf), and it can have a significant effect on patients’ daily activities as well as their health. the purpose of this study was to assess sleep quality and its predictors in iranian patients with chronic hf.   methods : this cross-sectional study was conducted on a sample of 200 patients with hf in two hospitals of...

background: sleep disorders among heart failure (hf) patients negatively influence the quality of life. awareness of sleep disturbances, as one of the disturbing factors of the quality of life among hf patients, and its related factors would help health care staff to provide more comprehensive care. hence, this study was conducted to determine the quality of sleep and its related factors in hos...