Pub Date : 2023-06-01DOI: 10.21608/mjcu.2023.318549
TAREK Kh. ABD EL DAYEM, M.D. ASMAA M.F. BEKHIT, M.Sc.; MOHAMED
Background: In patients with diabetes mellitus (DM), compared with those without DM, (CAD) tends to be more diffuse, complex, and associated with increased morbidity and mortality from cardiovascular disease. The SYNTAX score (SS) uses coronary anatomy to objectively guide decisions regarding mode of revascularization. It characterizes the extent of coronary disease in terms of the number of lesions, their functional importance, and their complexity, while GENSINI Score accounts for the degree of artery disease in diabetic patients. Aim of Study: The aim of this study was to assess the correlation between fructosamine level and the severity of CAD by calculating SYNTAX and GENSINI scores in diabetic patients presenting to Ain Shams University Hospital with symptomatic chronic coronary syndrome undergoing elective coronary angiography. Patient and Methods: This study was conducted on 200 diabetic patients with chronic coronary syndrome undergoing elective coronary angiography, with mean age 54.36±5.86 years ranging from 32 years to 65 years. The majority of them were males (64%). Results: Atotal of 200 diabetic patients were included in the study. Mean ± SD age was 54.36±5.86 years. Of the total 64% (128) were males, 74% (149) were hypertensive and 57% (113) were smokers.We found that higher fructosamine level was strongly correlated with disease severity and higher SYNTAXas well as GENSINI score as fructosamine and SYNTAX score ( r =0.668) and with GENSINI ( r =0.734) ( p - values <0.001 and <0.001 respectively). A significant increase in fructosamine level was notedin higher tertiles of SYNTAX and GENSINI scores ( p -values <0.001 and <0.001 respectively). There was also a positive correlation between both HbA1c and SYNTAX score ( r =0.636) and with GENSINI score ( r =0.716). Conclusion: There was a significant correlation between serum fructosamine level and severity of CAD assessed by the angiographically derived SYNTAX and GENSINI scores
{"title":"Correlation between Serum Fructosamine Level and Severity of Coronary Artery Disease in Diabetic Patients with Symptomatic Chronic Coronary Syndrome","authors":"TAREK Kh. ABD EL DAYEM, M.D. ASMAA M.F. BEKHIT, M.Sc.; MOHAMED","doi":"10.21608/mjcu.2023.318549","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318549","url":null,"abstract":"Background: In patients with diabetes mellitus (DM), compared with those without DM, (CAD) tends to be more diffuse, complex, and associated with increased morbidity and mortality from cardiovascular disease. The SYNTAX score (SS) uses coronary anatomy to objectively guide decisions regarding mode of revascularization. It characterizes the extent of coronary disease in terms of the number of lesions, their functional importance, and their complexity, while GENSINI Score accounts for the degree of artery disease in diabetic patients. Aim of Study: The aim of this study was to assess the correlation between fructosamine level and the severity of CAD by calculating SYNTAX and GENSINI scores in diabetic patients presenting to Ain Shams University Hospital with symptomatic chronic coronary syndrome undergoing elective coronary angiography. Patient and Methods: This study was conducted on 200 diabetic patients with chronic coronary syndrome undergoing elective coronary angiography, with mean age 54.36±5.86 years ranging from 32 years to 65 years. The majority of them were males (64%). Results: Atotal of 200 diabetic patients were included in the study. Mean ± SD age was 54.36±5.86 years. Of the total 64% (128) were males, 74% (149) were hypertensive and 57% (113) were smokers.We found that higher fructosamine level was strongly correlated with disease severity and higher SYNTAXas well as GENSINI score as fructosamine and SYNTAX score ( r =0.668) and with GENSINI ( r =0.734) ( p - values <0.001 and <0.001 respectively). A significant increase in fructosamine level was notedin higher tertiles of SYNTAX and GENSINI scores ( p -values <0.001 and <0.001 respectively). There was also a positive correlation between both HbA1c and SYNTAX score ( r =0.636) and with GENSINI score ( r =0.716). Conclusion: There was a significant correlation between serum fructosamine level and severity of CAD assessed by the angiographically derived SYNTAX and GENSINI scores","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.21608/mjcu.2023.318260
SALLY S. MOHAMED, M.D.* KAMAL EL-GARF, M.D.*; HEND H. TAMIM,
.
{"title":"COVID-19 Vaccines in a Cohort of Egyptian Patients with Auto-Immune Rheumatic Diseases","authors":"SALLY S. MOHAMED, M.D.* KAMAL EL-GARF, M.D.*; HEND H. TAMIM,","doi":"10.21608/mjcu.2023.318260","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318260","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.21608/mjcu.2023.318269
MOHAMED T. ELSAYEGH, M.D. MOHAMED ABDELMOTTAAL TAWAB, M.Sc.;
.
{"title":"Outcomes in Elderly Patients with Mechanical Aortic Valve Replacement: Systematic Review and Meta-Analysis","authors":"MOHAMED T. ELSAYEGH, M.D. MOHAMED ABDELMOTTAAL TAWAB, M.Sc.;","doi":"10.21608/mjcu.2023.318269","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318269","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.21608/mjcu.2023.318546
ASMAA A. YOUSSEF MOHAMED, M.Sc.** MANAR M. ELKHOLY, M.D.*; AHMED
.
{"title":"Dexmedetomidine Added to Bupivacaine Versus Bupivacaine Alone in Ultrasound-Guided Erector Spinae Block in Spine Surgeries for Post Operative Pain Management: A Randomized Controlled Study","authors":"ASMAA A. YOUSSEF MOHAMED, M.Sc.** MANAR M. ELKHOLY, M.D.*; AHMED","doi":"10.21608/mjcu.2023.318546","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318546","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.21608/mjcu.2023.318548
TAREK A. ABDEL FATTAH, M.D. AMIRA M. AL-AWADY RIZK, M.Sc.;
.
{"title":"Prevalence and Predictors of Atrial High Rate Episodes in Patients with Cardiac Implantable Electronic Devices","authors":"TAREK A. ABDEL FATTAH, M.D. AMIRA M. AL-AWADY RIZK, M.Sc.;","doi":"10.21608/mjcu.2023.318548","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318548","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.21608/mjcu.2023.318276
ASMAA H. ABDELAZIZ AHMED, M.Sc.* AHMED EL-MORSY, M.D.*; BASEM IBRAHIM
.
{"title":"Diagnosis of Different Spinal Lesions by Multi Parametric MRI","authors":"ASMAA H. ABDELAZIZ AHMED, M.Sc.* AHMED EL-MORSY, M.D.*; BASEM IBRAHIM","doi":"10.21608/mjcu.2023.318276","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318276","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.21608/mjcu.2023.318289
ALI M.S. SOKER, M.Sc. ASHRAF F. ABADEER, M.D.; AMR M.M.
.
{"title":"Role of Laparoscopy in Diagnosis and Management of Acute Abdomen","authors":"ALI M.S. SOKER, M.Sc. ASHRAF F. ABADEER, M.D.; AMR M.M.","doi":"10.21608/mjcu.2023.318289","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318289","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.21608/mjcu.2023.318272
MOHAMMED M.I.M. ORZ, M.Sc. MOHAMED M. BAHAA ELDIN, M.D.; MOHAMED
.
{"title":"Role of Gamma Glutamyl Transferase in the Diagnosis of Common Bile Duct Stones","authors":"MOHAMMED M.I.M. ORZ, M.Sc. MOHAMED M. BAHAA ELDIN, M.D.; MOHAMED","doi":"10.21608/mjcu.2023.318272","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318272","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"175 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.21608/mjcu.2023.318271
AHMED T. ELGENGEHE, M.D.** AHMED SABER, M.D., F.R.C.S. (Glasg)*
Background: Persistence of significant secondary tricuspid regurgitation (TR) after its repair concomitant with a left-sided valve replacement contributes to increased mortality and morbidity in the immediate and late postoperative periods. Thus, attention is paid to trace risk factors that might affect the success of the repair. However, the knowledge of the exact underlying risk factors and relevant mechanisms contributing to progression of secondary TR is less. Aim of Study: This study aims at identifying the effectiveness of adopting De Vega annuloplasty technique in dealing with cases of secondary severe TR in decreasing or abolishing it (over one year follow-up period) and evaluating the possible risk factors of failure of repair as well. As such, the purpose of addressing agents favoring the best accepted results of the nominated maneuver and planning the optimal surgical method of such secondary TR could be achieved. Patients and Methods: This retrospective observational non-randomized study included 31 patients who had repair of the tricuspid valve (TV) by De Vega annuloplasty technique. They presented with either mitral valve disease and associated secondary severe TR (double valve disease) or combined mitral and aortic valves disease and associated secondary severe TR (triple valve disease). They had been operated upon be either mitral valve replacement (MVR) and De Vega annuloplasty for the TV or combined MVR and aortic valve replacement (AVR) i.e., double valve replacement (DVR) and De Vega annuloplasty for the TV. Postoperative mortality, morbidity outcomes, overall hospital complications, left ventricular ejection fraction (LVEF%), TR degree, functional clinical status, predictorsof failure of TV repair and overall one-year survival were evaluated. Results: Mean age was 37.25±7.31 years. The overall hospital complication rate was 25.80%. No mortality happened during the follow-up period (overall one-year survival rate was 100%). The cumulative duration of the study was 3.167 years. Significant improvement in the degree of TR, New Yok Heart Association (NYHA) classification and LVEF% was observed. Identified risk factors that were found to be statistically significant predictors of progression of the secondary
{"title":"Maximal Beneficials Foreshows of Adopting De Vega Annuloplasy Technique Addressing Secondary Severe Tricuspid Regurgitation","authors":"AHMED T. ELGENGEHE, M.D.** AHMED SABER, M.D., F.R.C.S. (Glasg)*","doi":"10.21608/mjcu.2023.318271","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318271","url":null,"abstract":"Background: Persistence of significant secondary tricuspid regurgitation (TR) after its repair concomitant with a left-sided valve replacement contributes to increased mortality and morbidity in the immediate and late postoperative periods. Thus, attention is paid to trace risk factors that might affect the success of the repair. However, the knowledge of the exact underlying risk factors and relevant mechanisms contributing to progression of secondary TR is less. Aim of Study: This study aims at identifying the effectiveness of adopting De Vega annuloplasty technique in dealing with cases of secondary severe TR in decreasing or abolishing it (over one year follow-up period) and evaluating the possible risk factors of failure of repair as well. As such, the purpose of addressing agents favoring the best accepted results of the nominated maneuver and planning the optimal surgical method of such secondary TR could be achieved. Patients and Methods: This retrospective observational non-randomized study included 31 patients who had repair of the tricuspid valve (TV) by De Vega annuloplasty technique. They presented with either mitral valve disease and associated secondary severe TR (double valve disease) or combined mitral and aortic valves disease and associated secondary severe TR (triple valve disease). They had been operated upon be either mitral valve replacement (MVR) and De Vega annuloplasty for the TV or combined MVR and aortic valve replacement (AVR) i.e., double valve replacement (DVR) and De Vega annuloplasty for the TV. Postoperative mortality, morbidity outcomes, overall hospital complications, left ventricular ejection fraction (LVEF%), TR degree, functional clinical status, predictorsof failure of TV repair and overall one-year survival were evaluated. Results: Mean age was 37.25±7.31 years. The overall hospital complication rate was 25.80%. No mortality happened during the follow-up period (overall one-year survival rate was 100%). The cumulative duration of the study was 3.167 years. Significant improvement in the degree of TR, New Yok Heart Association (NYHA) classification and LVEF% was observed. Identified risk factors that were found to be statistically significant predictors of progression of the secondary","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.21608/mjcu.2023.318244
ALI M.A. ISMAIL, Ph.D.* HEBA G.A. ELDAOUS, M.Sc.*; NAGWA
.
{"title":"Response of Pulmonary Functions to Inspiratory Muscles Training Versus Pneumatic Compression in COPD Patients","authors":"ALI M.A. ISMAIL, Ph.D.* HEBA G.A. ELDAOUS, M.Sc.*; NAGWA","doi":"10.21608/mjcu.2023.318244","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318244","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"153 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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