background: several echocardiographic markers have been introduced to assess the left ventricular (lv) mechanical dyssynchrony. we studied dyssynchrony markers and the latest lv activation site in heart failure patients with and without left bundle branch block (lbbb). methods: conventional echocardiography and tissue velocity imaging were performed for 78 patients (lv ejection fraction ≤ 35%),...

objective: congestive heart failure (chf) has become one of the most important health care problems in western countries. this article focuses on the outpatient diagnosis and management of heart failure. we want to compare the outcome of patients who were treated with high dose diuretics in the emergency department (ed) without admission with patients who were admitted to hospital for standard ...

objectives: the aim of this study was to assess nutritional status and identify the most significant mna-items (mini nutritional assessment) to accelerate the determination of nutritional risk of heart-failure in elderly patients. methods and materials: the present research was a cross-sectional descriptive analytical survey on hospitalized heart- failure elderly patients (n=225). the sampling ...

the clinical and economic importance of heart failure is widely recognized.   the incidence of heart failure is on the increase, particularly with the aging of the population around the world.   it is time for a paradigm shift in heart failure management. alternative non-pharmacological strategies to remodel the failing ventricle will shape a major portion of heart failure therapy in the decade...

background: we compared the outcomes in patients with a low ejection fraction (ef) and multivessel coronary artery disease (cad) who either underwent coronary artery bypass grafting (cabg) or received medical treatment (mt) after a viability study via dobutamine stress echocardiography (dse). methods: we considered patients with cad and left ventricular ejection fraction (lvef) <40% who were re...

objectives the aim of this study was to investigate the relation between respiratory muscle strength and the severity of chf, and the influence of respiratory muscle strength on abnormal ventilation during exercise in chf patients. conclusions respiratory muscle strength is related to the severity of chf, and associated with rapid and shallow ventilation or excessive ventilation during exercise...

conclusions we believe that the sh state in chf patients may be associated with the impaired pattern of circulating emps, with the predominantly increased number of apoptotic-derived microparticles. background subclinical hypothyroidism (sh) is diagnosed biochemically by the presence of normal serum free thyroxine concentration, in conjunction with an elevated serum thyroid-stimulating hormone ...

conclusions this is the first case report of a vanishing tumor in the right pulmonary apex. case presentation such masses have been designated as vanishing tumors of the lung. it is extremely rare that a vanishing tumor occurs in the apex of the lung. introduction in patients with acute heart failure, pleural fluid localized in an inter-pleural fissure produces a mass on chest x-ray, which mimi...

conclusions in the setting of acute left ventricular function depression in hocm, a comprehensive differential diagnosis should be established. treatment should be based on hemodynamic changes. after recovery, the prognosis is related to hocm. case presentation we present a unique case where tks occurred in a middle-aged male patient with hypertrophic obstructive cardiomyopathy (hocm) without a...

background: depression is common in chronic medical illnesses including hf. it has been established that depression has different rates in different races and the reported depression rates among hospitalized patients range from 13% to 77%; nevertheless, there is remarkably little information on the prevalence of depression and the   impact of demographic and health status in the north of iran ....