abstract background: bruising is an unpleasant result of subcutaneous injection of enoxaparin, which causes physical discomfort, limitation of injection site, patient’s refusal of treatment, and distrust in nurses’ ability. the application of techniques which reduce patients’ fear, anxiety, and physical damage is one of the tasks of nurses. this clinical trial investigated the effect of duratio...

objectives: the present study has investigated the effect of cognitive behavioral group therapy on improving coping styles in patients with acute coronary heart disease. methods: semi-experimental in type of pretest-posttest with control group seems to be a good design for this study.22 patients with acute coronary heart disease are admitted in ccu of mashhad razavi hospital and undergo angiopl...

discussion hydatid cyst in pericardium represents only 0.5-2% of cases of systemic echinoccocal infection. isolated pericardial cyst is very rare in endemic region and may present mimicking acute coronary syndrome. cardiac hydatid cysts should always be considered in presence of eosinophilia as present like acute coronary syndrome in endemic area. introduction hydatid cysts are most commonly fo...

Congenital absence of left circumflex artery is a rare congenital anomaly of the coronary arteries. The prevalence of the anomaly in different studies ranges from 0.6% to 1.3%. Of these, 80% are benign and asymptomatic and 20% are clinically important. We report a 56-year-old man presented with acute resting chest pain who was diagnosed as having acute anterolateral infarction accompanied by el...

PURPOSE To determine the frequency of apparent acute pulmonary embolism (PE) and of concomitant disease in computed tomography pulmonary angiography (CTPA); to compare the frequency of PE in patients with pneumonia or acute cardiac disorder (acute coronary syndrome, tachyarrhythmia, acute left ventricular heart failure or cardiogenic shock), with the frequency of PE in patients with none of the...

Background and Objectives: In spite of large number of studies conducted so far, sudden cardiac death remains an enigma and relative importance of acute coronary events as a trigger of sudden death is currently unclear. An autopsy study of heart was therefore planned to observe various histomorphological cardiac changes, and to determine the frequency association of acute coronary events and my...

background: acute coronary syndrome is a life-threatening condition. considerable doubts exist over the effects of this disease on patients’ quality of life. the aim of this study was to survey quality of life and its influencing factors in patients with acute coronary syndrome. methods: a convenience sample of 300 patients with acute coronary syndrome was drawn from shahid beheshti hospital, k...

conclusions given the significant prevalence of postoperative cognitive disorder and significant associatio n between the history of high blood pressure, c-reactive protein and preoperative creatinine and cognitive disorder, detection of patient’s clinical symptoms may improve diagnosis, treatment and prevention of this disorder. patients and methods in total, 171 patients who had undergone off...

A 65-year-old man was admitted to his local hospital with troponin-positive acute coronary syndrome. The patient developed signs of acute heart failure and was immediately transferred to our center. Echocardiography demonstrated a pericardial mass (8 5 cm) with compression of the right atrium (Figure 1 and online-only Data Supplement Movie I) and a reduced contractility of the posterior left ve...