recurrent syncope of obscure etiology, particularly in those with structural heart diseases, is associated with higher mortality rates. there are insufficient and conflicting data on prevalence and etiology of syncope in the urban middle eastern population. evaluating the etiologic basis of syncope can be an effective step in prevention of morbidities and sudden cardiac death in susceptible pop...

multiple aorto-cardiac cavity communications is very rare but important complication of prosthetic aortic valve endocarditis. the case below illustrates multiple aorto-cardiac cavity fistula formation following prostethic aortic valve endocarditis presented with slowly progressive symptoms of heart failure. a brief review of surgical reconstruction and the existing literature are presented, inc...

introduction: deep sternal wound infection is a rare but serious complication after cardiac surgery that can increase mortality and morbidity. the aim of this study was to investigate the incidence and causative germs of deep sternal wound infection following cardiac surgery.   methods: data were collected retrospectively from patients who underwent different cardiac surgeries including coronar...

background and aims: ankylosing spondylitis (as) is an idiopathic chronic inflammatory disease mainly involves sacroiliac and axial joints; but it may also have extra-articular involvement. accordingly, this study was designed to determine the frequency of cardiac involvement among patients with ankylosing spondylitis. methods: this study was performed as a descriptive-analytical cross-section...

this report details the presence of hyperammonemia in a patient who sustained cardiac arrest after a traumatic amputation. serum ammonia levels may rise due to numerous etiologies; however, few reports detail its usefulness in diagnosing subclinical seizures. in this case, we successfully utilized persistently elevated serum ammonia levels as a marker of subclinical seizures in a patient who su...

conclusions both morphine and diclofenac suppositories reduced pain significantly and similarly after cabg surgery. results no significant statistical relationship was found between the two groups regarding gender, age, bmi, paracetamol consumption, length of operation time, cardiopulmonary bypass pump (cpb) time, and stay time at icu (p value ≥ 0.05). total dosage of used morphine was 22 ± 8.3...

introduction: orofacial clefts are among the most common congenital anomalies. patients presenting with orofacial clefts often require surgery or other complex procedures. a cleft lip or palate can be a single anomaly or a part of multiple congenital anomalies. the reported prevalence of cleft disease and associated anomalies varies widely across the literature, and is dependent on the diagnost...