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background: an electrocardiogram (ecg) can provide information on subclinical myocardial damage. the presence, and more importantly, the quantity of coronary artery calcification (cac), relates well with the overall severity of the atherosclerotic process. a strong relation has been demonstrated between coronary calcium burden and the incidence of myocardial infarction, a relation independent o...
background: left ventricular dysfunction is one of the most powerful predictors of early and late outcomes in patients who undergo coronary artery bypass grafting (cabg). the aim of this study was to assess the early results of cabg that predict 30-day mortality and prolonged length of hospital stay (los) after cabg in patients with an ejection fraction (ef) of 30% or less. methods: seven hundr...
background: about half of all patients who undergo mitral valve surgery suffer from atrial fibrillation (af). cox described the surgical cut-and-sew maze procedure, which is an effective surgical method but has some complications. this study was designed to evaluate the efficacy of a substitution method of radiofrequency ablation (rfa) for patients undergoing mitral valve surgery with af. metho...
the optimal treatment method for right ventricular failure after valve surgery complicated by a low cardiac output has not been determined, although several case reports have been published on patients with ventricular failure and arrhythmia who were bridged to cardiac transplantation using biventricular or left ventricular assist devices. this case series illustrates successful circulatory sup...
abstract hypoplastic right ventricular is a rare congenital heart disease. a few cases have been reported. we presented a case with hypoplastic right ventricular and multiple associated anomaly (ventricular septal defect, atrial septal defect and pulmonary stenosis) in whom the main concern was whether biventricular repair or fontan type surgery would be the optimal management in this patient. ...
conclusions there is a significant increased incidence of mortality, prolonged hospitalization, and rehospitalization in symptomatic patients with severe tr. therefore, we recommend more aggressive approach toward tv repair or replacement in these patients regardless of pap and systolic function. results heart failure (50%) was the most cause of death. mean years of survival from diagnosis of s...
introduction: we investigated the difference in left ventricular ejection fraction (lvef) and end-systolic volume(esv) measured by gated myocardial perfusion spect (gspect) in the post-dipyridamole stress and rest periods, and compared the results with the perfusion patterns found in the conventional non-gated tomograms. methods: 297 consecutive patients were studied with post-stress and rest 9...
Background Celiac disease (CD) is an autoimmune mediated gluten sensitive enteropathy and characterized by a wide range of clinical manifestations. The study aimed to compare Doppler tissue echocardiography findings between children with celiac disease and healthy children. Materials and Methods This case-control study was performed on 186 celiac and healthy children aged 6- 19 years. Celiac d...
aneurysms of the left main coronary artery are exceedingly rare clinical entities, encountered incidentally in approximately 0.1% of patients who undergo routine angiography. the most common cause of coronary artery aneurysms is atherosclerosis. angiography is the gold standard for diagnosis and treatment. depending on the severity of the coexisting coronary stenosis, patients with left main co...
Background: To report a rare case of a left ejaculatory duct that allotropically protrudes or invades towards the left vesicle triangular area with its dead end. Materials and Methods: The patient simultaneously exhibited multiple congenital malformations of the homolateral urogenital system, such as the absence of a left kidney, the dysplasia and allotopia of the left seminal vesicle, the abse...
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