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}
A. G. Ciss, O. Diarra, P. A. Dieng, P. S. Ba, S. Beye, A. Ndiaye, O. Kane, I. Diop, M. Ndiaye
A 13-year old female was referred to hospital for severe dyspnoea (stage III NYHA), with an oedema of the face and the lower limbs. She was then steadily putting on weight and gained up to 5 kilogram’s. The situation got worse and the patient referred to cardio vascular surgery. The interview indicated that there has never been a myxomatosis case in her family before.The physical examination revealed a worsening of the general health status and a clinical anaemia. However the pulse was regular, beating at 100 per minute; and the blood pressure was 100/60mmhg. There was no longer an oedema on the face, but the other bilateral pre-tibia oedema was still persistent and taking the gore. The examination also revealed a turgescence of the jugular veins and a hepatomegalia. The heart auscultation allowed a diagnosis of a pulmonary stenosis breath, which was not varying with the changes of postures. The patient did not present any neuro-endocrine clinical signs or any external skin problems.The chest cross section echocardiography revealed a cardiac tumour which implanted on the front lateral side of the right ventricle with an expansion into the pulmonary infundibulum. The patient was operated within 48 hours following her admission. The removal of the myxomatosis was achieved using technique of extra corporeal circulation (CEC). The heart was reached through a median sternotomy followed by a longitudinal right side atriotomy. The tricuspid valve was normal; the tumour was located across the tricuspid orifice. Time cross clamping was 15 minutes. The anatomy pathological examination showed a tumour myxomatosis-like tumour with two lobes measuring 4.2 x 2.3 centimeters. At its top there were zones and muscular tissue and hemorrhagic necrosis. The evolution was simple; the post operation scanning check ups were satisfactoryRight ventricle myxoma protruding into pulmonary artery is exceedingly rare. Obstruction of cardiac cavity is redoubtable complication of myxoma.We emphasize the importance of periodic follow up of young patient with echocardiography allowing early detection of recurrence.
一名13岁女性因严重呼吸困难(III期NYHA)，面部和下肢水肿而被转诊至医院。然后她的体重稳步增加，体重增加了5公斤。情况变得更糟，病人转到心血管手术。采访显示，她的家族从未有过多发性黏液瘤病例。体检显示一般健康状况恶化和临床贫血。然而脉搏很规律，每分钟跳动100次;血压为100/60mmhg。面部不再水肿，但另一侧双侧胫骨前水肿仍持续存在并出血。检查还发现颈静脉肿胀和肝肿大。心脏听诊允许肺狭窄呼吸的诊断，它不随姿势的变化而变化。患者未出现任何神经内分泌临床症状或任何外部皮肤问题。胸部截面超声心动图显示心脏肿瘤移植于右心室的前外侧向肺漏斗管扩张。患者入院后48小时内接受手术治疗。采用体外循环技术(CEC)切除多发性黏液瘤。通过正中胸骨切开术和纵向右侧心房切开术到达心脏。三尖瓣正常;肿瘤位于三尖瓣口对面。交叉夹持时间为15分钟。解剖病理检查为肿瘤样黏液瘤，两叶大小为4.2 x 2.3厘米。在其顶部有带、肌肉组织和出血性坏死。进化过程很简单;术后扫描检查令人满意，右心室黏液瘤突入肺动脉极为罕见。心腔梗阻是黏液瘤的常见并发症。我们强调定期随访年轻患者超声心动图的重要性，以便早期发现复发。
{"title":"Right ventricle myxoma creating a partial obstruction of the pulmonary infundibulum: case report","authors":"A. G. Ciss, O. Diarra, P. A. Dieng, P. S. Ba, S. Beye, A. Ndiaye, O. Kane, I. Diop, M. Ndiaye","doi":"10.5580/2835","DOIUrl":"https://doi.org/10.5580/2835","url":null,"abstract":"A 13-year old female was referred to hospital for severe dyspnoea (stage III NYHA), with an oedema of the face and the lower limbs. She was then steadily putting on weight and gained up to 5 kilogram’s. The situation got worse and the patient referred to cardio vascular surgery. The interview indicated that there has never been a myxomatosis case in her family before.The physical examination revealed a worsening of the general health status and a clinical anaemia. However the pulse was regular, beating at 100 per minute; and the blood pressure was 100/60mmhg. There was no longer an oedema on the face, but the other bilateral pre-tibia oedema was still persistent and taking the gore. The examination also revealed a turgescence of the jugular veins and a hepatomegalia. The heart auscultation allowed a diagnosis of a pulmonary stenosis breath, which was not varying with the changes of postures. The patient did not present any neuro-endocrine clinical signs or any external skin problems.The chest cross section echocardiography revealed a cardiac tumour which implanted on the front lateral side of the right ventricle with an expansion into the pulmonary infundibulum. The patient was operated within 48 hours following her admission. The removal of the myxomatosis was achieved using technique of extra corporeal circulation (CEC). The heart was reached through a median sternotomy followed by a longitudinal right side atriotomy. The tricuspid valve was normal; the tumour was located across the tricuspid orifice. Time cross clamping was 15 minutes. The anatomy pathological examination showed a tumour myxomatosis-like tumour with two lobes measuring 4.2 x 2.3 centimeters. At its top there were zones and muscular tissue and hemorrhagic necrosis. The evolution was simple; the post operation scanning check ups were satisfactoryRight ventricle myxoma protruding into pulmonary artery is exceedingly rare. Obstruction of cardiac cavity is redoubtable complication of myxoma.We emphasize the importance of periodic follow up of young patient with echocardiography allowing early detection of recurrence.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"104 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":"128474824","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}
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}
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}
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}
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}
Nityasha, S. Dalal, R. Dahiya, S. Aggarwal, S. Lohchab
Trans-mediastinal gunshot wounds are infrequent but life-threatening injuries requiring multiple diagnostic and therapeutic algorithms. Further intrathoracic migratory foreign bodies are a small but distinctive subgroup of missile injuries and should be removed when they need to be. We present an interesting case of an 18 year old male, who presented with trans-mediastinal migration of bullet which subsequently migrated from left hilum to right hilum. During surgery bullet was not found in the region of left hilum as was seen in the pre-operative X ray and CT scan. X-ray and CT scan in postoperative period revealed bullet near right hilum. Follow-up radiograph after six months revealed no further migration and patient continues to do well.
{"title":"Trans-mediastinal migration of Bullet – an unusual presentation","authors":"Nityasha, S. Dalal, R. Dahiya, S. Aggarwal, S. Lohchab","doi":"10.5580/1911","DOIUrl":"https://doi.org/10.5580/1911","url":null,"abstract":"Trans-mediastinal gunshot wounds are infrequent but life-threatening injuries requiring multiple diagnostic and therapeutic algorithms. Further intrathoracic migratory foreign bodies are a small but distinctive subgroup of missile injuries and should be removed when they need to be. We present an interesting case of an 18 year old male, who presented with trans-mediastinal migration of bullet which subsequently migrated from left hilum to right hilum. During surgery bullet was not found in the region of left hilum as was seen in the pre-operative X ray and CT scan. X-ray and CT scan in postoperative period revealed bullet near right hilum. Follow-up radiograph after six months revealed no further migration and patient continues to do well.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"13 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":"129089511","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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