We describe a case of spontaneous esophageal perforation (Boerhaave's syndrome) that was admitted at our department with acute clinical symptoms: dyspnea, thoracic pain and vomit after episode of alcohol abuse. Pneumothorax was suspected: early chest X-rays revealed left sided pleural effusion with complete collapse of the omolateral lung and pneumomediastinum. Successive esophagoscopy showed a 1-cm longitudinal perforation on the left side of the lower esophagus. Perforation was repaired by direct suture and reinforced with endoprosthesis. Patient was discharged on the 45th postoperative day without complications occurred after 1-year period.
{"title":"Spontaneous esophageal perforation presenting as pneumothorax: A Case Report","authors":"J. F. Sciuchetti, F. Corti, D. Ballabio","doi":"10.5580/70","DOIUrl":"https://doi.org/10.5580/70","url":null,"abstract":"We describe a case of spontaneous esophageal perforation (Boerhaave's syndrome) that was admitted at our department with acute clinical symptoms: dyspnea, thoracic pain and vomit after episode of alcohol abuse. Pneumothorax was suspected: early chest X-rays revealed left sided pleural effusion with complete collapse of the omolateral lung and pneumomediastinum. Successive esophagoscopy showed a 1-cm longitudinal perforation on the left side of the lower esophagus. Perforation was repaired by direct suture and reinforced with endoprosthesis. Patient was discharged on the 45th postoperative day without complications occurred after 1-year period.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122741831","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}
An oxygenator failure during cardiopulmonary bypass is an emergency. The entire cardiac surgical team requires a comprehensive and methodical approach to troubleshoot the possible cause. We report that the bolus administration of methylene blue during cardiopulmonary bypass will induce a syndrome that mimics an oxygenator failure. Methylene blue has physical properties that cause venous saturation monitors to function inaccurately and the post oxygenator blood in the cardiopulmonary bypass circuit to appear deoxygenated. However, these events are temporary and do not require an emergent oxygenator change out. All members of the cardiac surgical team need to be aware of the effect of methylene blue administration during cardiopulmonary bypass and integrate this into their oxygenator failure troubleshooting algorithm.
{"title":"Methylene Blue Administration Mimics an Oxygenator Failure during Cardiopulmonary Bypass","authors":"R. Saczkowski, Michael A Smith","doi":"10.5580/1a8e","DOIUrl":"https://doi.org/10.5580/1a8e","url":null,"abstract":"An oxygenator failure during cardiopulmonary bypass is an emergency. The entire cardiac surgical team requires a comprehensive and methodical approach to troubleshoot the possible cause. We report that the bolus administration of methylene blue during cardiopulmonary bypass will induce a syndrome that mimics an oxygenator failure. Methylene blue has physical properties that cause venous saturation monitors to function inaccurately and the post oxygenator blood in the cardiopulmonary bypass circuit to appear deoxygenated. However, these events are temporary and do not require an emergent oxygenator change out. All members of the cardiac surgical team need to be aware of the effect of methylene blue administration during cardiopulmonary bypass and integrate this into their oxygenator failure troubleshooting algorithm.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127847003","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}
P. Jaiswal, S. Mahajan, S. Diwan, S. Acharya, A. Wanjari
OBJECTIVE: to determine effect ofparental hypertension on left ventricular mass (LVM) in normotensive off spring.PARTICIPANTS AND METHODS: Echocardiography was performed in 45 normotensive off spring of hypertensive parent. These subjects were compared with 55 normotensive off spring of normotensive parents.RESULTS: 100 subjects were studied. They were divided into 2 groups, Hypertensive parental group and non Hypertensive parental group. Subjects of both the group were weight, height, body surface area (BSA) and body mass index (BMI) matched. While systolic blood pressure, diastolic blood pressure, mean arterial pressure and left ventricular mass (LVM) were higher in the hypertensive parental group as compared to non hypertensive parental group. The left ventricular mass index (LVMI) was higher in the study group and the difference was statistically significant. On correlation of anthropometric measurements and blood pressure with LV mass, in the non hypertensive parental group LVM had significant correlation with Weight (r=0.45, p=0.000, S) and BMI (r=0.41, p=0.002). While in hypertensive parental group LVM had significant correlation with Weight (r=0.38, p=0.008, S), BMI (r=0.35, p=0.016, S), BSA (r=0.36, p=0.013, S), SBP (r=0.36, p=0.014, S) and MAP (r=0.29, p=0.046, S).CONCLUSION: LV mass depends on variables like weight, BMI, BSA, SBP and MAP. There is a genetic predisposition to increased LV mass in children with parental hypertension and it could be more significant in the transmission of genetic susceptibility to increased LVM. The results highlight the need for further study in this direction. INTRODUCTION Left ventricular hypertrophy (LVH), defined either by electrocardiogram or echocardiography, is a potent independent risk factor for coronary heart disease (CHD) roughly doubling the risk of cardiovascular death in both men and women. LVH is the most powerful of any of the traditional risk factors in predicting not only death or myocardial infarction (MI) but also stroke, heart failure (HF), and other cardiovascular (CV) endpoints. Longitudinal epidemiological studies have shown the utility of different traditional risk factors measured from childhood to adulthood in predicting sub clinical CV changes in adults. Among the sub clinical measures, left ventricular mass (LVM), assessed by 2D M-mode echocardiography, is recognized as an important and powerful predictor of CV morbidity and mortality, independent of other traditional risk factors. Estimation of left ventricular mass by Echocardiography offers PROGNOSTIC INFORMATION beyond that provided by the evaluation of traditional cardiovascular risk factors. An increase in LVM predicts a higher incidence of clinical events including death, attributable to cardiovascular diseases. The study was therefore carried out to detect the prevalence of major cardiovascular risk factor i.e. LVM in a healthy young population before the occurrence of actual manifestations of clinical CAD and CHF and
{"title":"Left ventricular mass in offspring of hypertensive parents: does it predict the future?","authors":"P. Jaiswal, S. Mahajan, S. Diwan, S. Acharya, A. Wanjari","doi":"10.5580/41","DOIUrl":"https://doi.org/10.5580/41","url":null,"abstract":"OBJECTIVE: to determine effect ofparental hypertension on left ventricular mass (LVM) in normotensive off spring.PARTICIPANTS AND METHODS: Echocardiography was performed in 45 normotensive off spring of hypertensive parent. These subjects were compared with 55 normotensive off spring of normotensive parents.RESULTS: 100 subjects were studied. They were divided into 2 groups, Hypertensive parental group and non Hypertensive parental group. Subjects of both the group were weight, height, body surface area (BSA) and body mass index (BMI) matched. While systolic blood pressure, diastolic blood pressure, mean arterial pressure and left ventricular mass (LVM) were higher in the hypertensive parental group as compared to non hypertensive parental group. The left ventricular mass index (LVMI) was higher in the study group and the difference was statistically significant. On correlation of anthropometric measurements and blood pressure with LV mass, in the non hypertensive parental group LVM had significant correlation with Weight (r=0.45, p=0.000, S) and BMI (r=0.41, p=0.002). While in hypertensive parental group LVM had significant correlation with Weight (r=0.38, p=0.008, S), BMI (r=0.35, p=0.016, S), BSA (r=0.36, p=0.013, S), SBP (r=0.36, p=0.014, S) and MAP (r=0.29, p=0.046, S).CONCLUSION: LV mass depends on variables like weight, BMI, BSA, SBP and MAP. There is a genetic predisposition to increased LV mass in children with parental hypertension and it could be more significant in the transmission of genetic susceptibility to increased LVM. The results highlight the need for further study in this direction. INTRODUCTION Left ventricular hypertrophy (LVH), defined either by electrocardiogram or echocardiography, is a potent independent risk factor for coronary heart disease (CHD) roughly doubling the risk of cardiovascular death in both men and women. LVH is the most powerful of any of the traditional risk factors in predicting not only death or myocardial infarction (MI) but also stroke, heart failure (HF), and other cardiovascular (CV) endpoints. Longitudinal epidemiological studies have shown the utility of different traditional risk factors measured from childhood to adulthood in predicting sub clinical CV changes in adults. Among the sub clinical measures, left ventricular mass (LVM), assessed by 2D M-mode echocardiography, is recognized as an important and powerful predictor of CV morbidity and mortality, independent of other traditional risk factors. Estimation of left ventricular mass by Echocardiography offers PROGNOSTIC INFORMATION beyond that provided by the evaluation of traditional cardiovascular risk factors. An increase in LVM predicts a higher incidence of clinical events including death, attributable to cardiovascular diseases. The study was therefore carried out to detect the prevalence of major cardiovascular risk factor i.e. LVM in a healthy young population before the occurrence of actual manifestations of clinical CAD and CHF and","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126425324","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}
C. Özbek, U. Yetkin, B. Ozcem, M. Bademci, smail Yürekli, N. Postac, A. Gürbüz
Mortality in patients with end-stage renal disease is higher than in those with normal renal function after a cardiac operation. Mitral valve repair and if possible aortic valve repair are the procedures of choice to treat valvular dysfunction.We present in this study; combined mitral and aortic valve repair in a patient with end-stage renal disease.Mitral valve reconstruction offers theoretical advantages in patients requiring dialysis.
{"title":"Combined mitral and aortic valve repair in a patient with end-stage renal disease","authors":"C. Özbek, U. Yetkin, B. Ozcem, M. Bademci, smail Yürekli, N. Postac, A. Gürbüz","doi":"10.5580/e42","DOIUrl":"https://doi.org/10.5580/e42","url":null,"abstract":"Mortality in patients with end-stage renal disease is higher than in those with normal renal function after a cardiac operation. Mitral valve repair and if possible aortic valve repair are the procedures of choice to treat valvular dysfunction.We present in this study; combined mitral and aortic valve repair in a patient with end-stage renal disease.Mitral valve reconstruction offers theoretical advantages in patients requiring dialysis.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126828718","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}
PRINCIPLES: Stroke is a well known complication after coronary artery bypass grafting (CABG) using cardiopulmonary bypass (CPB). We were interested in reviewing our experience with on-pump coronary artery bypass grafting, to evaluate its neurologic dysfunction and its impact on patient management. And to ask a question that recently applied. Should we change to OFFPump?MATERIAL AND METHODS: A retrospective review of 1.050 patients undergoing elective coronary artery bypass grafting (CABG) was performed from May 5, 2003, to December 31, 2007, in our institution. Stroke was defined as any new permanent global or focal neurological deficit, immediately after extubation (early) or within 5-6 day in the hospital (late). Medline literature was searched for all the studies published in the English language between 1999 and 2006 reporting neurological complications on patients undergoing CABG with emphasis on comparisons between off-pump coronary artery bypass surgery (OPCAB) and CPB techniques. The following terms were used: Stroke and on-pump coronary artery bypass grafting; on-pump versus off-pump; brain injury after coronary artery bypass grafting.RESULTS: Stroke occurred in 19 patients (1.81%). From this group thirteen were female (68.42%). Fifteen patients were diabetic (78.95%). History of previous transient ischemic attacks was found in 14 patients (73.68%). CONCLUSIONS: Female sex, diabetic patients and patients with previous transient ischemic attacks are associated with increased the risk of stroke and in-hospital mortality. Prospectively randomised trial is needed to give us a proper answer on our question.
{"title":"Stroke and ON-Pump Coronary Artery Bypass Grafting. Should We Change to OFF-Pump? Our Experience from the North of Jordan.","authors":"E. Hijazi","doi":"10.5580/1fd8","DOIUrl":"https://doi.org/10.5580/1fd8","url":null,"abstract":"PRINCIPLES: Stroke is a well known complication after coronary artery bypass grafting (CABG) using cardiopulmonary bypass (CPB). We were interested in reviewing our experience with on-pump coronary artery bypass grafting, to evaluate its neurologic dysfunction and its impact on patient management. And to ask a question that recently applied. Should we change to OFFPump?MATERIAL AND METHODS: A retrospective review of 1.050 patients undergoing elective coronary artery bypass grafting (CABG) was performed from May 5, 2003, to December 31, 2007, in our institution. Stroke was defined as any new permanent global or focal neurological deficit, immediately after extubation (early) or within 5-6 day in the hospital (late). Medline literature was searched for all the studies published in the English language between 1999 and 2006 reporting neurological complications on patients undergoing CABG with emphasis on comparisons between off-pump coronary artery bypass surgery (OPCAB) and CPB techniques. The following terms were used: Stroke and on-pump coronary artery bypass grafting; on-pump versus off-pump; brain injury after coronary artery bypass grafting.RESULTS: Stroke occurred in 19 patients (1.81%). From this group thirteen were female (68.42%). Fifteen patients were diabetic (78.95%). History of previous transient ischemic attacks was found in 14 patients (73.68%). CONCLUSIONS: Female sex, diabetic patients and patients with previous transient ischemic attacks are associated with increased the risk of stroke and in-hospital mortality. Prospectively randomised trial is needed to give us a proper answer on our question.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134352996","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}
A. Betigeri, Jeevan Divakaran, Soma Guhathakurta, K. Cherian
The wide spectrum of morphological variations in double outlet right ventricle (DORV) has resulted in controversies surrounding its definition. A morphological sub type was described by Taussig and Bing in 1949, different from the D- Transposition of Great arteries (D-TGA). “Posterior transposition” - TGA with posterior aortic valve and anterior pulmonary artery has been reported in the western literature constituting 11% of autopsy-proved cases of TGA with dextrocardia. Herein, we report 2 cases diagnosed clinically & echo-cardiographically as Taussig-Bing anomaly but anatomically consistent with D-TGA associated with ventricular septal defect (VSD). The purpose of this paper is to delineate the morphological characteristics typical of Taussig-Bing heart to aid differential diagnosis, enabling more effectual therapeutic approaches.
{"title":"Taussig-Bing complex – a morphologic diagnostic dilemma","authors":"A. Betigeri, Jeevan Divakaran, Soma Guhathakurta, K. Cherian","doi":"10.5580/d73","DOIUrl":"https://doi.org/10.5580/d73","url":null,"abstract":"The wide spectrum of morphological variations in double outlet right ventricle (DORV) has resulted in controversies surrounding its definition. A morphological sub type was described by Taussig and Bing in 1949, different from the D- Transposition of Great arteries (D-TGA). “Posterior transposition” - TGA with posterior aortic valve and anterior pulmonary artery has been reported in the western literature constituting 11% of autopsy-proved cases of TGA with dextrocardia. Herein, we report 2 cases diagnosed clinically & echo-cardiographically as Taussig-Bing anomaly but anatomically consistent with D-TGA associated with ventricular septal defect (VSD). The purpose of this paper is to delineate the morphological characteristics typical of Taussig-Bing heart to aid differential diagnosis, enabling more effectual therapeutic approaches.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125234889","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}
Traumatic pulmonary pseudocyst is an infrequent complication of blunt chest trauma. A 40 year-old male patient was hospitalized after a blunt chest trauma. Twenty hours after the accident, two air filled cysts with a surrounding consolidation area, in the upper lobe of left lung were detected radiologically. The patient did not give any previous lung disease history. The cysts of the lung were firstly accepted as traumatic pulmonary pseudocyst and followed-up with conservative management. During the follow-up, pseudocysts began to shrink after the 17th day and compeletely resolved on the 51st day of the accident. This rare entity is most often seen in children and young adults. Traumatic pulmonary pseudocysts do not include epithelium or bronchial wall elements as it is in a true cyst. The treatment is generally conservative since they usually resolve spontaneously. Surgery should be considered in case of failed conservative treatment and development of complications.
{"title":"Rare Complication Of Blunt Chest Trauma: Pulmonary Pseudocyst","authors":"S. Gezer, Sema Y ld z, Ali K l çgün","doi":"10.5580/c3a","DOIUrl":"https://doi.org/10.5580/c3a","url":null,"abstract":"Traumatic pulmonary pseudocyst is an infrequent complication of blunt chest trauma. A 40 year-old male patient was hospitalized after a blunt chest trauma. Twenty hours after the accident, two air filled cysts with a surrounding consolidation area, in the upper lobe of left lung were detected radiologically. The patient did not give any previous lung disease history. The cysts of the lung were firstly accepted as traumatic pulmonary pseudocyst and followed-up with conservative management. During the follow-up, pseudocysts began to shrink after the 17th day and compeletely resolved on the 51st day of the accident. This rare entity is most often seen in children and young adults. Traumatic pulmonary pseudocysts do not include epithelium or bronchial wall elements as it is in a true cyst. The treatment is generally conservative since they usually resolve spontaneously. Surgery should be considered in case of failed conservative treatment and development of complications.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130769490","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}
U. Yetkin, C. Özbek, M. Akyuz, S. Bayrak, smail Yürekli, A. Gürbüz
External valvuloplasty is a safe procedure with low morbidity. This technique improved the hemodynamic status of the lower limbs.In this study we present a successful transmural and transcommissural external valvuloplasty application.
{"title":"A Successful External Valvuloplasty By Banding Application","authors":"U. Yetkin, C. Özbek, M. Akyuz, S. Bayrak, smail Yürekli, A. Gürbüz","doi":"10.5580/1e92","DOIUrl":"https://doi.org/10.5580/1e92","url":null,"abstract":"External valvuloplasty is a safe procedure with low morbidity. This technique improved the hemodynamic status of the lower limbs.In this study we present a successful transmural and transcommissural external valvuloplasty application.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127181703","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}
Background. Patients with advanced chronic kidney disease (CKD) have increased cardiovascular mortality of multifactorial aetiology including cardiac arrhythmias. Prolonged QT interval may be responsible for some of the cardiac deaths. This prospective cross sectional study investigated the QTc in predialysis chronic kidney disease patients compared with age and sex matched controls subjects. It also investigated association between QTc and variables that may affect it.Methods. Ninety one patients in CKD stages 3 to 5 and thirty two control subjects matched for age and sex were studied using standard 12-lead electrocardiogram.Results. Fifty four (59.3%) of CKD patients had abnormal QTc defined as QTc ≥0.44. This was observed in all the stages of CKD studied (67% for CKD stage 3, 62% for stage 4 and 58% for stage 5). There was no statistical difference in the frequency of abnormal QTc between the stages of CKD, p = 0.707. All the control subjects had normal QTc with a mean of 0.38±0.02. BMI, SBP, DBP, Hb, and aetiology of CKD correlated with QTc. Only Hb predicted the presence of prolonged QTc in CKD. Conclusion. The QTc interval is significantly prolonged in predialysis CKD patients in this study. This abnormality was present in stages 3 to 5 CKD. This may be a contributing factor to the high cardiovascular mortality in CKD patients. Anaemia was predictive of prolonged QTc in this study. It is reasonable to recommend an ECG as part of the evaluation of all patients with CKD.
{"title":"ANAEMIA PREDICTS PROLONGED QT INTERVAL IN PREDIALYSIS CHRONIC KIDNEY DISEASE PATIENTS","authors":"C. Ijoma, I. Ulasi, B. Anisiuba","doi":"10.5580/1d12","DOIUrl":"https://doi.org/10.5580/1d12","url":null,"abstract":"Background. Patients with advanced chronic kidney disease (CKD) have increased cardiovascular mortality of multifactorial aetiology including cardiac arrhythmias. Prolonged QT interval may be responsible for some of the cardiac deaths. This prospective cross sectional study investigated the QTc in predialysis chronic kidney disease patients compared with age and sex matched controls subjects. It also investigated association between QTc and variables that may affect it.Methods. Ninety one patients in CKD stages 3 to 5 and thirty two control subjects matched for age and sex were studied using standard 12-lead electrocardiogram.Results. Fifty four (59.3%) of CKD patients had abnormal QTc defined as QTc ≥0.44. This was observed in all the stages of CKD studied (67% for CKD stage 3, 62% for stage 4 and 58% for stage 5). There was no statistical difference in the frequency of abnormal QTc between the stages of CKD, p = 0.707. All the control subjects had normal QTc with a mean of 0.38±0.02. BMI, SBP, DBP, Hb, and aetiology of CKD correlated with QTc. Only Hb predicted the presence of prolonged QTc in CKD. Conclusion. The QTc interval is significantly prolonged in predialysis CKD patients in this study. This abnormality was present in stages 3 to 5 CKD. This may be a contributing factor to the high cardiovascular mortality in CKD patients. Anaemia was predictive of prolonged QTc in this study. It is reasonable to recommend an ECG as part of the evaluation of all patients with CKD.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127236920","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}
A. Fedakar, Alper Onk, Fuat Büyükbayrak, Sasmazel Ahmet, Özgür Kocamaz, M. Rabus, R. Zeybek, M. Alp
{"title":"Open Heart Surgery In A Patient With Idiopathic Thrombocytopenic Purpura","authors":"A. Fedakar, Alper Onk, Fuat Büyükbayrak, Sasmazel Ahmet, Özgür Kocamaz, M. Rabus, R. Zeybek, M. Alp","doi":"10.5580/71f","DOIUrl":"https://doi.org/10.5580/71f","url":null,"abstract":"","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125862857","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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