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Place de l’électrocardiogramme dans la visite de non-contre-indication à la pratique sportive de compétition entre 12 et 35 ans : enquête auprès des médecins membres de l'Association Guinéenne des Médecins Sportifs 心电图在 12 至 35 岁非竞技体育禁忌症检查中的地位:对几内亚体育医生协会会员医生的调查。
IF 0.3 Q4 Medicine Pub Date : 2024-05-10 DOI: 10.1016/j.ancard.2024.101762
Mamadou Barry , Ibrahima Sory Sylla , Mamadou Dadhi Balde , Mohamed Bangoura , Ibrahima Camara

Introduction

An electrocardiogram (ECG), combined with a well-conducted clinical examination, is more effective than the clinical examination alone in detecting underlying cardiac pathologies in athletes. The aim of this study was to evaluate the use of ECGs by physicians who are members of the Guinean Association of Sports Physicians, during the non-contraindication visit for competitive sports between the ages of 12 and 35.

Methodology

We conducted a web-survey from July 15 to August 15, 2023. A survey form was created on “Google Docs” and pre-tested. It was then broadcast on all the communication networks used by these doctors. The data were secured using “Google Drive” software. Analyses were performed using SPSS version 20 software.

Results

Of the 51 included, 74.51% said they had received at least one training session on ECG interpretation for athletes. All of them either requested or performed an ECG at least once in a while, as part of the check-up for non-contraindication to competitive sport. The ECG was systematic, according to 72.55% of doctors. Three quarters referred to a sports cardiologist in the event of an abnormal ECG, 66.67% to a cardiology resident and 58.82% to a cardiologist. In the absence of an ECG, the presence of functional signs on exertion, the notion of a family history of cardiovascular disease and the presence of at least two cardiovascular risk factors were the main reasons for seeking an opinion.

Conclusion

A resting ECG is carried out almost systematically by doctors who are members of the Guinean Association of Sports Doctors, as part of the check-up for non-contraindication to practising sport.

导言:心电图(ECG)与完善的临床检查相结合,比单独的临床检查更能有效发现运动员潜在的心脏病变。本研究旨在评估几内亚运动医师协会会员医生在对 12 至 35 岁竞技体育运动员进行非禁忌症检查时使用心电图的情况。 方法我们于 2023 年 7 月 15 日至 8 月 15 日进行了一次网络调查。我们在 "谷歌文档 "上创建了调查表,并进行了预先测试。然后在这些医生使用的所有通信网络上进行广播。使用 "Google Drive "软件确保数据安全。结果 在 51 名调查对象中,74.51% 的人表示至少接受过一次关于运动员心电图解读的培训。他们都要求或至少在一段时间内做一次心电图,作为检查是否为竞技体育禁忌症的一部分。72.55%的医生认为心电图检查是系统性的。如果心电图异常,四分之三的医生会转诊给运动心脏病专家,66.67%的医生会转诊给心脏病住院医师,58.82%的医生会转诊给心脏病专家。在没有心电图的情况下,出现劳累时的功能性体征、有心血管疾病家族史以及存在至少两个心血管风险因素是寻求医生意见的主要原因。
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引用次数: 0
Léiomyosarcome portal : une localisation extrêmement rare ! 门静脉良性肉瘤:极其罕见的部位!
IF 0.3 Q4 Medicine Pub Date : 2024-05-08 DOI: 10.1016/j.ancard.2024.101759
Said Adnor, Abderrahmane Ibenyahia, Fadoua Ijim, Mounir Salek, Abdelhamid Maqsoudi, Soukaina Wakrim

Leiomyosarcomas of large vessels are rare. It is a malignant tumour and the vast majority of these tumours arose from the inferior vena cava. We report a rare case of portal vein leiomyosarcoma, in a 56-years-old female patient admitted for chronic abdominal pain with abdominal mass in the right hypochondrium all evolving in a context of deterioration in general condition. We performed an abdominopelvic CT scan and then a MRI with contrast agent which objectified a large tissue mass containing areas of necrosis at the level of the duodeno-pancreatic compartment communicating at a large angle with the portal trunk over its entire length from the hepatic hilum to the spleno-mesenteric confluence responsible for a portal cavernoma downstream. This is associated with multiple secondary nodular tissue hepatic lesions. We also noted a respect for the fatty border separating the mass of the duodenal tract and the head of the pancreas, and also the absence of dilation of the pancreatic ducts making a pancreatic origin unlikely. To eliminate a duodenal origin of the mass we performed an upper digestive endoscopy which came back without any abnormality. An ultrasound-guided trans parietal biopsy of a secondary hepatic lesion was done and the pathological result of which speaks of a secondary hepatic lesion of a leiomyosarcoma.

大血管横纹肌肉瘤非常罕见。它是一种恶性肿瘤,绝大多数来自下腔静脉。我们报告了一例罕见的门静脉横纹肌肉瘤病例,患者是一名 56 岁女性,因慢性腹痛和右下腹肿块入院,全身情况恶化。我们对患者进行了腹盆腔 CT 扫描,然后用造影剂进行了核磁共振成像,结果发现患者的十二指肠-胰腺间隙处有一个巨大的组织肿块,肿块内有多处坏死区,肿块与门静脉主干从肝门到脾门-肠门汇合处全长呈大角度相通,导致门静脉海绵状瘤下行。这与多个继发性肝结节组织病变有关。我们还注意到十二指肠道肿块与胰腺头部之间的脂肪边界,以及胰腺导管没有扩张,因此不太可能是胰腺起源。为了排除十二指肠肿块的来源,我们进行了上消化道内窥镜检查,结果显示没有任何异常。我们在超声引导下对继发性肝脏病变进行了经顶叶活检,病理结果显示继发性肝脏病变为肝癌。
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引用次数: 0
Délais d'attente d'implantation de valve aortique transcutanée (TAVI) et mortalité durant la période d'attente en Algérie 阿尔及利亚经皮主动脉瓣植入术(TAVI)的等待时间和等待期间的死亡率
IF 0.3 Q4 Medicine Pub Date : 2024-05-08 DOI: 10.1016/j.ancard.2024.101765
O. Ait Mokhtar , M. Baouni , A. Azzouz , A. Azaza , M. Kara , M. Salem , N. Dahimene , M. Saidane , A. Sik , S. Ouabdesselam , S. Benkhedda

Background

Trans Aortic Valve Implantation (TAVI) has become the primary treatment for aortic stenosis in patients over 75 years old. Despite its clinical efficacy, it's adoption in emerging countries remains low due to the high cost of prostheses and limited healthcare funding resources. This leads to prolonged waiting times for the TAVI procedure, which may lead to complications; these data are missing particularly in emerging countries.

Aims

To describe waiting time for TAVI and mortality rate in this waiting period.

Materials and methods

This was prospective registry, patients referred for TAVI were prospectively followed; waiting time was calculated from the first visit after referral to TAVI implantation, clinical and, call fellow up was performed every 3 months. We divided patients into two groups: Group 1 (G1) patients still awaiting TAVI (105 patients), and those who underwent TAVI (36 patients). Group 2 (G2) patients who died while awaiting TAVI (16 patients, 10,2 %).

Results

Demographic characteristics were similar, with a tendency for older age in G2 (79.5 ± 5.7 years vs. 82.5 ± 7.4 years, p=0,06). G2 exhibited more left ventricular ejection fraction (LVEF) impairment (8.5% vs. 25%, p=0,03) and a higher rate of severe heart failure with dyspnea stages III or IV (2.8% vs. 12.5%, p<0,001). The mean follow-up in G1 was 242.9 ± 137.4 days; the waiting time for TAVI was 231.7 ± 134.1 days, and the average time between the first consultation and death while awaiting TAVI (G2) was 335.1 ± 167.4 days.

Conclusion

in our series, waiting time is high due to limited Trans aortic heart valve availability, mortality during this wait exceeds 10%. Adverse prognostic factors include impaired LVEF and severe dyspnea stages III or IV.

背景经主动脉瓣植入术(TAVI)已成为治疗 75 岁以上主动脉瓣狭窄患者的主要方法。尽管其临床疗效显著,但由于假体成本高昂和医疗资金有限,在新兴国家的采用率仍然很低。材料和方法这是一项前瞻性登记,对转诊接受 TAVI 的患者进行前瞻性随访;等待时间从转诊后首次就诊到 TAVI 植入计算,每 3 个月进行一次临床和电话随访。我们将患者分为两组:第 1 组(G1)仍在等待 TAVI 的患者(105 人)和接受了 TAVI 的患者(36 人)。结果 人口学特征相似,G2 患者年龄偏大(79.5 ± 5.7 岁 vs. 82.5 ± 7.4 岁,P=0.06)。G2 的左心室射血分数(LVEF)受损程度更高(8.5% 对 25%,P=0,03),严重心力衰竭伴呼吸困难 III 期或 IV 期的比例更高(2.8% 对 12.5%,P<0,001)。G1 的平均随访时间为 242.9 ± 137.4 天;等待 TAVI 的时间为 231.7 ± 134.1 天,从首次就诊到等待 TAVI 期间死亡(G2)的平均时间为 335.1 ± 167.4 天。不良预后因素包括 LVEF 受损和严重呼吸困难 III 期或 IV 期。
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引用次数: 0
L'activité sportive pour réduire le risque cardiovasculaire – Pourquoi s'en priverait-on ? 体育锻炼降低心血管风险--为什么不参加?
IF 0.3 Q4 Medicine Pub Date : 2024-05-08 DOI: 10.1016/j.ancard.2024.101764
Orianne Weizman, Eloi Marijon

Sports-related sudden death is an uncommon event, affecting mainly middle-aged men who practice leisure sports, and is related to unknown coronary artery disease. In athletes, cardiac causes are also predominant, with a greater proportion of structural and electrical heart disease. If first-aid resuscitation measures are initiated, survival easily exceeds 50%, and this is an excellent educational illustration of how to improve the prognosis of non-sport-related cardiac arrest. Prevention of a sport-related cardiovascular event remains difficult, and relies on clinical examination, questioning (including family history) and resting ECG in participants >35 years old. The non-contraindication visit is also an opportunity to pass on to the patient the rules of good sports "hygiene" and life-saving gestures in the event of sudden death during sport in one of the partners (and the importance of regularly educating oneself in life-saving gestures...).

与运动相关的猝死并不常见,主要发生在从事休闲运动的中年男性身上,与未知的冠状动脉疾病有关。在运动员中,心脏疾病也是主要原因,其中结构性和电击性心脏病所占比例较大。如果开始采取急救复苏措施,存活率很容易超过 50%,这对如何改善与运动无关的心脏骤停的预后是一个很好的教育说明。预防与运动有关的心血管事件仍然很困难,这有赖于临床检查、询问(包括家族病史)和 35 岁参赛者的静息心电图。非禁忌症就诊也是向患者传授良好运动 "卫生 "规则和在一方运动中猝死时的救生手势的机会(以及定期自我教育救生手势的重要性......)。
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引用次数: 0
Syndromes coronaires aigus au cours du diabète : étude comparative entre patients diabétiques et non diabétiques en milieu urbain sénégalais 糖尿病急性冠状动脉综合征:对塞内加尔城市糖尿病和非糖尿病患者的比较研究
IF 0.3 Q4 Medicine Pub Date : 2024-05-08 DOI: 10.1016/j.ancard.2024.101767
Papa Momar Guissé , Sokhna Awa Balla Sall , Tacko Niang , Thierno Safaïou Doucouré , Mouhamed Cherif Mboup , Aliou Alassane Ngaïdé , Alassane Mbaye

Introduction

Diabetes Mellitus is a strong cardiovascular risk factor in which acute coronary syndromes (ACS) are thought to have a particular feature. We aimed to determine the characteristics of acute coronary syndromes in diabetics compared with non-diabetics patients.

Patients and methods

We carried out a prospective, descriptive and analytical study comparing diabetic and non-diabetic patients admitted for acute coronary syndrome to the cardiology department of Idrissa Pouye general hospital over a period of one year by studying socio-demographic, clinical, paraclinical, therapeutic and evolutionary parameters. We performed a multivariable logistic regression analysis to identify factors associated with chest pain and triple vessels disease.

Results

Our study included 139 patients, 61 with diabetes (44%) and 78 without diabetes (56%). Among diabetics, there was a predominance of women (p = 0.0001) in contrast to non-diabetics. The mean age was 62.7 ± 10.8 years in diabetics and 56.9 ± 13.5 years in non-diabetics (p = 0.006). Chest pain was found in 88.5% of diabetics and 97.4% of non-diabetics (p = 0.03). The mean HbA1c in diabetics was 9.4 ± 3.3%. ST elevation acute coronary syndrome was predominant in both groups. The mean GRACE score was 147 ± 29 in diabetics and 132 ± 28 in non-diabetics (p = 0.003). In multivariable analysis, only diabetes was associated with triple vessels disease (aOR (IC à 95%): 2,60 (1.29–6.83); p = 0.042). A total of 31% of diabetics and 43% of nondiabetics undergoes cardiac revascularization. There was no difference between the two groups in terms of complications. The mortality was 6.6% and 3.8% respectively among diabetics and non-diabetics (p = 0.49).

Conclusion

According to our study, diabetes is frequently encountered during acute coronary syndromes. It also shows that diabetics are more likely to be female and older, with more atypical symptoms and more severe coronary disease.

导言糖尿病是心血管疾病的一个重要危险因素,急性冠状动脉综合征(ACS)被认为是其中的一个重要特征。患者和方法 我们开展了一项前瞻性、描述性和分析性研究,通过研究社会人口学、临床、辅助临床、治疗和进化参数,比较了 Idrissa Pouye 综合医院心脏病科一年来收治的急性冠状动脉综合征糖尿病患者和非糖尿病患者。我们进行了多变量逻辑回归分析,以确定与胸痛和三支血管疾病相关的因素。结果我们的研究包括 139 名患者,其中 61 人患有糖尿病(44%),78 人没有糖尿病(56%)。与非糖尿病患者相比,糖尿病患者中女性居多(p = 0.0001)。糖尿病患者的平均年龄为(62.7 ± 10.8)岁,非糖尿病患者的平均年龄为(56.9 ± 13.5)岁(p = 0.006)。88.5%的糖尿病患者和97.4%的非糖尿病患者出现胸痛(P = 0.03)。糖尿病患者的平均 HbA1c 为 9.4 ± 3.3%。ST段抬高型急性冠状动脉综合征在两组患者中均占多数。糖尿病患者的平均 GRACE 评分为 147 ± 29,非糖尿病患者为 132 ± 28(P = 0.003)。在多变量分析中,只有糖尿病与三血管疾病相关(aOR (IC à 95%): 2,60 (1.29-6.83); p = 0.042)。共有31%的糖尿病患者和43%的非糖尿病患者接受了心脏血管重建手术。两组患者在并发症方面没有差异。糖尿病患者和非糖尿病患者的死亡率分别为 6.6% 和 3.8%(P = 0.49)。研究还表明,糖尿病患者更可能是女性和老年人,症状更不典型,冠状动脉疾病更严重。
{"title":"Syndromes coronaires aigus au cours du diabète : étude comparative entre patients diabétiques et non diabétiques en milieu urbain sénégalais","authors":"Papa Momar Guissé ,&nbsp;Sokhna Awa Balla Sall ,&nbsp;Tacko Niang ,&nbsp;Thierno Safaïou Doucouré ,&nbsp;Mouhamed Cherif Mboup ,&nbsp;Aliou Alassane Ngaïdé ,&nbsp;Alassane Mbaye","doi":"10.1016/j.ancard.2024.101767","DOIUrl":"https://doi.org/10.1016/j.ancard.2024.101767","url":null,"abstract":"<div><h3>Introduction</h3><p>Diabetes Mellitus is a strong cardiovascular risk factor in which acute coronary syndromes (ACS) are thought to have a particular feature. We aimed to determine the characteristics of acute coronary syndromes in diabetics compared with non-diabetics patients.</p></div><div><h3>Patients and methods</h3><p>We carried out a prospective, descriptive and analytical study comparing diabetic and non-diabetic patients admitted for acute coronary syndrome to the cardiology department of Idrissa Pouye general hospital over a period of one year by studying socio-demographic, clinical, paraclinical, therapeutic and evolutionary parameters. We performed a multivariable logistic regression analysis to identify factors associated with chest pain and triple vessels disease.</p></div><div><h3>Results</h3><p>Our study included 139 patients, 61 with diabetes (44%) and 78 without diabetes (56%). Among diabetics, there was a predominance of women (<em>p</em> = 0.0001) in contrast to non-diabetics. The mean age was 62.7 ± 10.8 years in diabetics and 56.9 ± 13.5 years in non-diabetics (<em>p</em> = 0.006). Chest pain was found in 88.5% of diabetics and 97.4% of non-diabetics (<em>p</em> = 0.03). The mean HbA1c in diabetics was 9.4 ± 3.3%. ST elevation acute coronary syndrome was predominant in both groups. The mean GRACE score was 147 ± 29 in diabetics and 132 ± 28 in non-diabetics (<em>p</em> = 0.003). In multivariable analysis, only diabetes was associated with triple vessels disease (aOR (IC à 95%): 2,60 (1.29–6.83); <em>p</em> = 0.042). A total of 31% of diabetics and 43% of nondiabetics undergoes cardiac revascularization. There was no difference between the two groups in terms of complications. The mortality was 6.6% and 3.8% respectively among diabetics and non-diabetics (<em>p</em> = 0.49).</p></div><div><h3>Conclusion</h3><p>According to our study, diabetes is frequently encountered during acute coronary syndromes. It also shows that diabetics are more likely to be female and older, with more atypical symptoms and more severe coronary disease.</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"73 3","pages":"Article 101767"},"PeriodicalIF":0.3,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140893581","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}
引用次数: 0
Expérience du Sénégal sur les pacemakers reconditionnés : à propos de 161 patients au centre hospitalo-universitaire Aristide Le Dantec 塞内加尔修复心脏起搏器的经验:阿里斯蒂德-勒丹特克大学医院中心的 161 名患者
IF 0.3 Q4 Medicine Pub Date : 2024-05-08 DOI: 10.1016/j.ancard.2024.101763
A. Tabane , S.A. Sarr , F. Aw , A.d. Kane , P. Defaye

Introduction

The reuse pacemakers is a beneficial technique for patients in countries with a low economic standard of living where health care is almost non-existent. We offered to share the experience of Senegal on the reconditioning of pacemakers.

Methodology

We conducted a retrospective study over a period from January 2015 to December 2020 including all patients who benefited from a reconditioned pacemaker for primary implantation or reimplantation. The criteria for reconditioning pacemakers are the absence of dysfunction or damage and a residual battery life of more than 5 years of the pacemaker. Refurbished pacemakers are acquired either from deceased families or from extraction centers. Sterilization is carried out using phenoxypropanol + benzalkonium chloride solution, 70% ethanol and ethylene oxide.

Results

We collected 161 patients during the study period, including 77 men (48%) and 84 women (52%), i.e. a M/F sex ratio of 0.94. The average age of the population was 65 years. Functional symptomatology was dominated by syncope in 54%. Electrocardiographically, 72% of patients were in complete atrioventricular block. A primary implantation was noted in 91.5% of patients. The vascular approach most used during implantation was cephalic in 49.5% of cases. In our series, we noted that 58% of patients had benefited from temporary stimulation before implantation. At implantation, single-chamber stimulation was used in 60% of patients and 46.5% of patients had programming in VVI mode. We had 5.5% major complications with 3% box infection occurring between 3 and 6 months post-implantation and 2.5% pacemaker syndrome. We noted 1 case of death linked to underlying heart disease.

Conclusion

Reconditioning of cardiac pacemakers is a safe and beneficial therapeutic strategy for patients. In Senegal, reconditioning has shown satisfactory results. In our countries this technique can be an alternative for certain patients.

导言心脏起搏器的再利用对于经济生活水平较低且几乎不存在医疗保健的国家的患者来说是一项有益的技术。我们将分享塞内加尔在心脏起搏器翻新方面的经验。方法我们在 2015 年 1 月至 2020 年 12 月期间进行了一项回顾性研究,包括所有因初次植入或再次植入心脏起搏器而受益于心脏起搏器翻新的患者。起搏器翻新的标准是起搏器没有功能障碍或损坏,剩余电池寿命超过 5 年。翻新的心脏起搏器或来自死亡家庭,或来自提取中心。使用苯氧基丙醇+苯扎氯铵溶液、70%乙醇和环氧乙烷进行消毒。患者的平均年龄为 65 岁。54%的患者以晕厥为主。从心电图上看,72%的患者存在完全性房室传导阻滞。91.5%的患者为初次植入。49.5% 的病例在植入过程中最常用的血管途径是头端。在我们的系列研究中,我们发现58%的患者在植入前曾接受过临时刺激。植入时,60% 的患者使用单腔刺激,46.5% 的患者使用 VVI 模式编程。主要并发症的发生率为 5.5%,其中 3% 的箱体感染发生在植入后 3 到 6 个月之间,2.5% 的起搏器综合症发生在植入后 3 到 6 个月之间。结论心脏起搏器的修整是一种安全且有益于患者的治疗策略。在塞内加尔,心脏起搏器修补术取得了令人满意的效果。在我们国家,这项技术可以成为某些患者的替代选择。
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引用次数: 0
Acute myocarditis in dengue infection 登革热感染引起的急性心肌炎
IF 0.3 Q4 Medicine Pub Date : 2024-05-07 DOI: 10.1016/j.ancard.2024.101766
Amnuay Kleebayoon, Viroj Wiwanitkit
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引用次数: 0
Acute myocardial infarction due to accidental electrocution — A case report of a 26-year-old African male patient 意外触电导致的急性心肌梗死--一名 26 岁非洲男性患者的病例报告
IF 0.3 Q4 Medicine Pub Date : 2024-04-18 DOI: 10.1016/j.ancard.2024.101743
Eric Yolola , Richie Kipenge , Didier Malamba-Lez , Dophra Ngoy

We report a case of fatal myocardial infarction (MI) after electrocution in a 26-year-old male patient without cardiovascular risk factors. The patient was admitted to the Emergency Department of the University Clinics of Lubumbashi for management of accidental electrocution on a high-voltage power line. The admission ECG showed lesions consistent with myocardial infarction. Despite treatment, the patient died 30 minutes after admission.

我们报告了一例无心血管风险因素的 26 岁男性患者触电后发生致命心肌梗死(MI)的病例。患者因在高压电线上意外触电而被送往卢本巴希大学诊所急诊科治疗。入院时的心电图显示病变与心肌梗死一致。尽管进行了治疗,但患者在入院 30 分钟后死亡。
{"title":"Acute myocardial infarction due to accidental electrocution — A case report of a 26-year-old African male patient","authors":"Eric Yolola ,&nbsp;Richie Kipenge ,&nbsp;Didier Malamba-Lez ,&nbsp;Dophra Ngoy","doi":"10.1016/j.ancard.2024.101743","DOIUrl":"https://doi.org/10.1016/j.ancard.2024.101743","url":null,"abstract":"<div><p>We report a case of fatal myocardial infarction (MI) after electrocution in a 26-year-old male patient without cardiovascular risk factors. The patient was admitted to the Emergency Department of the University Clinics of Lubumbashi for management of accidental electrocution on a high-voltage power line. The admission ECG showed lesions consistent with myocardial infarction. Despite treatment, the patient died 30 minutes after admission.</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"73 3","pages":"Article 101743"},"PeriodicalIF":0.3,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140619198","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}
引用次数: 0
Gestion de la péricardite constrictive : à travers l’étude de 43 cas opérés 缩窄性心包炎的治疗:对 43 例手术病例的研究
IF 0.3 Q4 Medicine Pub Date : 2024-04-18 DOI: 10.1016/j.ancard.2024.101742
Hicham Wazaren , Abdelmalik Idrissa , Badre El Boussaadani , Abderahmane bakkali

Chronic constrictive pericarditis is a rare condition characterized by clinical signs of right heart failure, due to the symphysis of the two pericardial leaflets.

Our study focused on a retrospective analysis of 43 CCP surgery observations collected over an 11-year period (2003–2013).

The mean age of the patients was 32 years; 65% were male; exercise dyspnea (95%) was the most frequent sign. Two main etiologies were observed: tuberculosis 58% and idiopathic causes 42%. All of our patients received a subtotal pericardectomy per median sternotomy, of which 95% had no cardiopulmonary bypass.

慢性缩窄性心包炎是一种罕见的疾病,其特征是由于两片心包叶的挛缩而导致右心衰竭的临床表现。我们的研究主要是对 11 年间(2003-2013 年)收集的 43 例 CCP 手术观察结果进行回顾性分析,患者的平均年龄为 32 岁;65% 为男性;运动性呼吸困难(95%)是最常见的体征。病因主要有两种:结核病占58%,特发性病因占42%。所有患者都接受了心包次全切除术,其中95%的患者没有进行心肺旁路手术。
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引用次数: 0
A very rare combination of venous and arterial thrombosis in a patient with COVID-19 COVID-19 患者罕见的静脉和动脉血栓形成并发症
IF 0.3 Q4 Medicine Pub Date : 2024-04-17 DOI: 10.1016/j.ancard.2024.101744
Hicham El Malki , Yassine Morjane , Adam Belarbi , Mohammed Taha Berkane , El Mehdi Moutaouekkil

COVID-19 is an infectious disease caused by the SARS-CoV-2 virus. This epidemic has caused serious socio-economic problems worldwide, with a very high mortality rate. Several articles have been published in the literature showing the consequences of this disease on the human body. Among the most serious complications are venous and arterial thrombosis, which are rarely observed together in the same patient. In this article, we report an exceptional case of a patient with COVID-19 with the combination of intracardiac thrombus (left atrium) and venous thrombosis (splenic vein and portal trunk).

COVID-19 是一种由 SARS-CoV-2 病毒引起的传染病。这种流行病在全世界造成了严重的社会经济问题,死亡率非常高。文献中发表的多篇文章显示了这种疾病对人体造成的后果。其中最严重的并发症是静脉和动脉血栓,但很少在同一患者身上同时出现。在本文中,我们报告了一例特殊的 COVID-19 患者,该患者同时患有心内血栓(左心房)和静脉血栓(脾静脉和门静脉干)。
{"title":"A very rare combination of venous and arterial thrombosis in a patient with COVID-19","authors":"Hicham El Malki ,&nbsp;Yassine Morjane ,&nbsp;Adam Belarbi ,&nbsp;Mohammed Taha Berkane ,&nbsp;El Mehdi Moutaouekkil","doi":"10.1016/j.ancard.2024.101744","DOIUrl":"https://doi.org/10.1016/j.ancard.2024.101744","url":null,"abstract":"<div><p>COVID-19 is an infectious disease caused by the SARS-CoV-2 virus. This epidemic has caused serious socio-economic problems worldwide, with a very high mortality rate. Several articles have been published in the literature showing the consequences of this disease on the human body. Among the most serious complications are venous and arterial thrombosis, which are rarely observed together in the same patient. In this article, we report an exceptional case of a patient with COVID-19 with the combination of intracardiac thrombus (left atrium) and venous thrombosis (splenic vein and portal trunk).</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"73 3","pages":"Article 101744"},"PeriodicalIF":0.3,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140558151","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}
引用次数: 0
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Annales de cardiologie et d'angeiologie
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