Pub Date : 2023-01-01DOI: 10.25005/2074-0581-2023-25-3-314-324
VALDOSHOVA S.SH.
Objective: To study the morphology of the placenta in pregnant women with TB Methods: The morphology of the 26 placentas was evaluated in this study, out of which 15 were from women with various forms and localizations of TB (main group), while 11 were from healthy pregnant women (control group). The placentas were evaluated macroscopically. Central and peripheral zones of the placenta and umbilical cord were sampled and embedded in paraffin. Histological slides were stained with hematoxylin-eosin and examined using an Olympus CX-21 microscope with a Universal Infinity Optical System (UIS2). Results: Women in the main group were significantly more commonly underweight (p<0.01) compared to the control group. They also showed a significantly higher frequency of decompensated chronic placental insufficiency (PI), increased share of immature intermediate differentiated villi, dystrophic and degenerative changes in the placenta (foci of dystrophic calcification, afunctional syncytial nodules), and circulatory disorders (ischemic necrosis, fibrinoid in the intervillous space). Foci of calcification and infarctions in the villi embedded in fibrinoid were also significantly more common in the main group. Compensatory changes included pronounced angiomatosis, hypervascularization of villi, an increase in the number of terminal villi, the formation of synticiocapillary membranes, and functional syncytial nodules Conclusion: TB in pregnant women leads to morphological and functional changes in the placenta (delayed villous maturation, disorders of the uteroplacental circulation) and the development of more severe forms of chronic PI. The compensatory changes in the placenta might not sustain the required level of its blood supply, which results in deterioration of the perinatal outcomes (intrauterine growth restriction – IUGR).
{"title":"MORPHOFUNCTIONAL FEATURES OF THE PLACENTA IN PREGNANT WOMEN WITH TUBERCULOSIS","authors":"VALDOSHOVA S.SH.","doi":"10.25005/2074-0581-2023-25-3-314-324","DOIUrl":"https://doi.org/10.25005/2074-0581-2023-25-3-314-324","url":null,"abstract":"Objective: To study the morphology of the placenta in pregnant women with TB Methods: The morphology of the 26 placentas was evaluated in this study, out of which 15 were from women with various forms and localizations of TB (main group), while 11 were from healthy pregnant women (control group). The placentas were evaluated macroscopically. Central and peripheral zones of the placenta and umbilical cord were sampled and embedded in paraffin. Histological slides were stained with hematoxylin-eosin and examined using an Olympus CX-21 microscope with a Universal Infinity Optical System (UIS2). Results: Women in the main group were significantly more commonly underweight (p<0.01) compared to the control group. They also showed a significantly higher frequency of decompensated chronic placental insufficiency (PI), increased share of immature intermediate differentiated villi, dystrophic and degenerative changes in the placenta (foci of dystrophic calcification, afunctional syncytial nodules), and circulatory disorders (ischemic necrosis, fibrinoid in the intervillous space). Foci of calcification and infarctions in the villi embedded in fibrinoid were also significantly more common in the main group. Compensatory changes included pronounced angiomatosis, hypervascularization of villi, an increase in the number of terminal villi, the formation of synticiocapillary membranes, and functional syncytial nodules Conclusion: TB in pregnant women leads to morphological and functional changes in the placenta (delayed villous maturation, disorders of the uteroplacental circulation) and the development of more severe forms of chronic PI. The compensatory changes in the placenta might not sustain the required level of its blood supply, which results in deterioration of the perinatal outcomes (intrauterine growth restriction – IUGR).","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"263 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135596686","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 : 2023-01-01DOI: 10.25005/2074-0581-2023-25-2-278-287
П.Г. Руденко, П. Г. Шнякин, А.В. БотоВ, е. МилёхинА, М.н. ФАйзоВА, P. G. Rudenko, P. Shnyakin, V. Botov, E. Milyokhina, M. Fayzova, Gennadievich, Botov Anton, Vitalievich, Milyokhina Ilona, Evgenievna, V. F. Voyno-Yasenetsky
Hypoglossal nerve (HyN) schwannomas are uncommon tumors. The leading symptoms are unilateral tongue weakness and atrophy. The neoplasms are diagnosed by MRI imaging. The surgical treatment of hypoglossal schwannomas (HS) is challenging because the tumor is closely related to brainstem structures, cranial nerves, and arteries of the vertebrobasilar system. Their removal is associated with a high risk of patient disability. This report presents a clinical case study of a 68-year-old patient with an unusual clinical presentation of intradural HS. There were no signs of tongue weakness or atrophy observed in the patient. After the tumor was diagnosed, it was radically removed. This case highlights the importance of early detection and complete microsurgical resection of schwannoma to prevent neurological deficits and ensure a favorable postoperative outcome, thus maintaining the patient's quality of life. Keywords: Hypoglossal nerve, schwannoma, tongue weakness and atrophy, microsurgery.
{"title":"INTRADURAL HYPOGLOSSAL SCHWANNOMA WITHOUT HYPOGLOSSAL PARALYSIS AND TONGUE ATROPHY: A CASE STUDY AND LITERATURE REVIEW","authors":"П.Г. Руденко, П. Г. Шнякин, А.В. БотоВ, е. МилёхинА, М.н. ФАйзоВА, P. G. Rudenko, P. Shnyakin, V. Botov, E. Milyokhina, M. Fayzova, Gennadievich, Botov Anton, Vitalievich, Milyokhina Ilona, Evgenievna, V. F. Voyno-Yasenetsky","doi":"10.25005/2074-0581-2023-25-2-278-287","DOIUrl":"https://doi.org/10.25005/2074-0581-2023-25-2-278-287","url":null,"abstract":"Hypoglossal nerve (HyN) schwannomas are uncommon tumors. The leading symptoms are unilateral tongue weakness and atrophy. The neoplasms are diagnosed by MRI imaging. The surgical treatment of hypoglossal schwannomas (HS) is challenging because the tumor is closely related to brainstem structures, cranial nerves, and arteries of the vertebrobasilar system. Their removal is associated with a high risk of patient disability. This report presents a clinical case study of a 68-year-old patient with an unusual clinical presentation of intradural HS. There were no signs of tongue weakness or atrophy observed in the patient. After the tumor was diagnosed, it was radically removed. This case highlights the importance of early detection and complete microsurgical resection of schwannoma to prevent neurological deficits and ensure a favorable postoperative outcome, thus maintaining the patient's quality of life. Keywords: Hypoglossal nerve, schwannoma, tongue weakness and atrophy, microsurgery.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69319084","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}
Methods: The relevance of nonparasitic cysts of the liver (NPCL) is related to their steadily increasing incidence, high recurrence rates, delayed diagnosis, and potential complications. In general, hepatic cysts (HCs) are classified into several types, including simple and complex, false and true. Simple cysts are mainly congenital but also occur in polycystic liver disease. Complex cysts include mucinous neoplasms, echinococcal cysts, hemorrhagic cysts, cystic hepatocellular carcinoma, and other rare lesions. Nonparasitic cystic liver lesions do not usually cause symptoms, and their characteristics are not specific. In 15% of cases, nonspecific signs (flatulence, nausea, dyspepsia) accompany pain. Diagnosis of NPCL is based on data from ultrasound, CT, or MRI of the abdominal organs. There still needs to be a consensus on surgical treatment indications or the effectiveness and feasibility of its various methods. Many surgical interventions for NPCL treatment include puncture drainage, multiple minimally invasive (laparoscopic) surgery options, and open methods. In clinical practice, laparoscopic fenestration, associated with fewer complications and faster recovery, has become widespread. However, significant progress has yet to be achieved in reducing NPCL recurrence rates despite advances in surgical treatment. Therefore, multiple studies are underway to improve treatment options for this medical condition. Keywords: Liver, cyst, nonparasitic cyst, pseudocyst, laparoscopic fenestration.
{"title":"MODERN ASPECTS OF NONPARASITIC LIVER CYSTS","authors":"I.A. KOPYTIN, V.V. IVANOV, V.B. FILIMONOV, G.Y. ZHURAVLYOV, V.S. FOMIN, I.V. ABRAMOV","doi":"10.25005/2074-0581-2023-25-3-390-399","DOIUrl":"https://doi.org/10.25005/2074-0581-2023-25-3-390-399","url":null,"abstract":"Methods: The relevance of nonparasitic cysts of the liver (NPCL) is related to their steadily increasing incidence, high recurrence rates, delayed diagnosis, and potential complications. In general, hepatic cysts (HCs) are classified into several types, including simple and complex, false and true. Simple cysts are mainly congenital but also occur in polycystic liver disease. Complex cysts include mucinous neoplasms, echinococcal cysts, hemorrhagic cysts, cystic hepatocellular carcinoma, and other rare lesions. Nonparasitic cystic liver lesions do not usually cause symptoms, and their characteristics are not specific. In 15% of cases, nonspecific signs (flatulence, nausea, dyspepsia) accompany pain. Diagnosis of NPCL is based on data from ultrasound, CT, or MRI of the abdominal organs. There still needs to be a consensus on surgical treatment indications or the effectiveness and feasibility of its various methods. Many surgical interventions for NPCL treatment include puncture drainage, multiple minimally invasive (laparoscopic) surgery options, and open methods. In clinical practice, laparoscopic fenestration, associated with fewer complications and faster recovery, has become widespread. However, significant progress has yet to be achieved in reducing NPCL recurrence rates despite advances in surgical treatment. Therefore, multiple studies are underway to improve treatment options for this medical condition. Keywords: Liver, cyst, nonparasitic cyst, pseudocyst, laparoscopic fenestration.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135594652","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 : 2023-01-01DOI: 10.25005/2074-0581-2023-25-3-380-389
M.YA. KAMILOVA, B.K. KOIMDODOVA, F.R. ISHAN-KHODZHAEVA, M. KIYOMIDDINZODA
Objective: The article presents a literature review on the current possibilities of induction of labor (IOL) in severe preeclampsia (SPE). Delivery is the only treatment for preeclampsia (PE), a serious pregnancy complication. In women with SPE, better maternal and perinatal outcomes are associated with vaginal delivery. The exceptions are cases where there are obstetric indications for cesarean section (CS) or the need for urgent delivery due to complications of PE. The optimal IOL methods for women with SPE, especially when early delivery is necessary, are still not established. In this regard, studies on the most appropriate IOL methods for women with PE are crucial. A literature data search was conducted through Elibrary, Cyberleninka, and PubMed to obtain relevant information from the abovementioned databases. Keywords: Pregnancy, severe preeclampsia, labor induction, methods of labor induction.
{"title":"INDUCTION OF LABOR IN PRE-ECLAMPTIC WOMEN","authors":"M.YA. KAMILOVA, B.K. KOIMDODOVA, F.R. ISHAN-KHODZHAEVA, M. KIYOMIDDINZODA","doi":"10.25005/2074-0581-2023-25-3-380-389","DOIUrl":"https://doi.org/10.25005/2074-0581-2023-25-3-380-389","url":null,"abstract":"Objective: The article presents a literature review on the current possibilities of induction of labor (IOL) in severe preeclampsia (SPE). Delivery is the only treatment for preeclampsia (PE), a serious pregnancy complication. In women with SPE, better maternal and perinatal outcomes are associated with vaginal delivery. The exceptions are cases where there are obstetric indications for cesarean section (CS) or the need for urgent delivery due to complications of PE. The optimal IOL methods for women with SPE, especially when early delivery is necessary, are still not established. In this regard, studies on the most appropriate IOL methods for women with PE are crucial. A literature data search was conducted through Elibrary, Cyberleninka, and PubMed to obtain relevant information from the abovementioned databases. Keywords: Pregnancy, severe preeclampsia, labor induction, methods of labor induction.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135596211","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 : 2023-01-01DOI: 10.25005/2074-0581-2023-25-3-441-447
I. KHOLOD, E. BUHMAN, S. GRISARU-GRANOVSKY, T. AVITAN, S. TAGER, A. NIR, A. TVITO, Y. GOZAL, A. IOSCOVICH
Department of Anesthesiology, Perioperative Medicine and Pain Treatment, Shaare Zedek Medical Center, affiliated with Hebrew University, Jerusalem, Israel
以色列耶路撒冷希伯来大学附属Shaare Zedek医学中心麻醉科、围手术期医学和疼痛治疗科
{"title":"EMERGENCY CESAREAN SECTION WITH REDO MITRAL VALVE REPLACEMENT FOR ACUTE PROSTHETIC VALVE DYSFUNCTION: A CASE REPORT","authors":"I. KHOLOD, E. BUHMAN, S. GRISARU-GRANOVSKY, T. AVITAN, S. TAGER, A. NIR, A. TVITO, Y. GOZAL, A. IOSCOVICH","doi":"10.25005/2074-0581-2023-25-3-441-447","DOIUrl":"https://doi.org/10.25005/2074-0581-2023-25-3-441-447","url":null,"abstract":"Department of Anesthesiology, Perioperative Medicine and Pain Treatment, Shaare Zedek Medical Center, affiliated with Hebrew University, Jerusalem, Israel","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135596718","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}
Objective: Treatment of coarctation of the aorta (CoA) patients remains an unresolved aspect of cardiac surgery. There are two groups of patients with this congenital heart defect (CHD). One group includes newborns who have juvenile CoA and other CHDs. Organs below the CoA area rely on a functioning patent ductus arteriosus for blood supply. Another group of adult patients with an isolated form of CoA primarily consists of teenagers and young males accidentally diagnosed with arterial hypertension. Treatment of patients until the early 1990s was only surgical; now, most undergo endovascular interventions. This case report describes a successful CoA stenting procedure performed on an adult patient at our center.
{"title":"STENT IMPLANTATION IN AN ADULT WITH COARCTATION OF THE AORTA: A CASE REPORT","authors":"S.A. ANNANIYAZOVA, B.A. KADYROV, M.D. SEITMUKHAMEDOV, B.A. SHIKHNAZAROVA, P.P. GAIPDZHANOV, A.D. AGANIYAZOV","doi":"10.25005/2074-0581-2023-25-3-424-430","DOIUrl":"https://doi.org/10.25005/2074-0581-2023-25-3-424-430","url":null,"abstract":"Objective: Treatment of coarctation of the aorta (CoA) patients remains an unresolved aspect of cardiac surgery. There are two groups of patients with this congenital heart defect (CHD). One group includes newborns who have juvenile CoA and other CHDs. Organs below the CoA area rely on a functioning patent ductus arteriosus for blood supply. Another group of adult patients with an isolated form of CoA primarily consists of teenagers and young males accidentally diagnosed with arterial hypertension. Treatment of patients until the early 1990s was only surgical; now, most undergo endovascular interventions. This case report describes a successful CoA stenting procedure performed on an adult patient at our center.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135596235","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 : 2023-01-01DOI: 10.25005/2074-0581-2023-25-3-414-423
A.E. MASLYANINOVA, T.S. RADCHENKO, R.S. ARAKELYAN, A.R. KURBANGALIEVA
Objective: To analyze the epidemiological aspects of pertussis (whooping cough) in the Astrakhan region among children in the period from 2020 to 2022. Methods: During the observation period, 33 children’s outpatient medical records between 2020 and 2022 from various medical institutions in the Astrakhan region were analyzed. Results: Whooping cough affected children of different ages but was more common in infants (younger than 1 year): 46% (n=15), slightly less common in toddlers and preschoolers (1 to 6 years of age): 42% (n=14), while the rate of school-aged children was the lowest: 12% (n=4). In the Astrakhan region, contrary to the city of Astrakhan, the rate of cases under one year of age was higher: 62% (n=6); followed by children 1 to 6 years of age: 25% (n=2), with rarer cases in the school-aged group: 13% (n=1). Among the examined cases the following symptoms prevailed: spasmodic cough (100%; n=33), weakness (94%; n=31), and nasal congestion (58%; n=19), which are typical for the classic course of whooping cough. An extremely rare symptom among children was tonic-clonic seizures: 6% (n=2). No cases of whooping cough with atypical courses have been recorded in the Astrakhan region. Conclusion: Over the past few years, the epidemiological situation with whooping cough infection among the population of the Astrakhan region tended to improve. Susceptibility to whooping cough was characteristic of all ages, but most often children under one year of age were affected. The clinical course was dominated by classical manifestations of pertussis: spasmodic cough, weakness, and nasal congestion. Important diagnostic criteria were the presence of posttussive vomiting and the absence of fever. The main reason for infection among children was non-vaccination due to various medical circumstances or parental refusal. Keywords: Whooping cough, children, vaccination, vaccination calendar, morbidity.
{"title":"EPIDEMIOLOGICAL ASPECTS OF PERTUSSIS IN CHILDREN","authors":"A.E. MASLYANINOVA, T.S. RADCHENKO, R.S. ARAKELYAN, A.R. KURBANGALIEVA","doi":"10.25005/2074-0581-2023-25-3-414-423","DOIUrl":"https://doi.org/10.25005/2074-0581-2023-25-3-414-423","url":null,"abstract":"Objective: To analyze the epidemiological aspects of pertussis (whooping cough) in the Astrakhan region among children in the period from 2020 to 2022. Methods: During the observation period, 33 children’s outpatient medical records between 2020 and 2022 from various medical institutions in the Astrakhan region were analyzed. Results: Whooping cough affected children of different ages but was more common in infants (younger than 1 year): 46% (n=15), slightly less common in toddlers and preschoolers (1 to 6 years of age): 42% (n=14), while the rate of school-aged children was the lowest: 12% (n=4). In the Astrakhan region, contrary to the city of Astrakhan, the rate of cases under one year of age was higher: 62% (n=6); followed by children 1 to 6 years of age: 25% (n=2), with rarer cases in the school-aged group: 13% (n=1). Among the examined cases the following symptoms prevailed: spasmodic cough (100%; n=33), weakness (94%; n=31), and nasal congestion (58%; n=19), which are typical for the classic course of whooping cough. An extremely rare symptom among children was tonic-clonic seizures: 6% (n=2). No cases of whooping cough with atypical courses have been recorded in the Astrakhan region. Conclusion: Over the past few years, the epidemiological situation with whooping cough infection among the population of the Astrakhan region tended to improve. Susceptibility to whooping cough was characteristic of all ages, but most often children under one year of age were affected. The clinical course was dominated by classical manifestations of pertussis: spasmodic cough, weakness, and nasal congestion. Important diagnostic criteria were the presence of posttussive vomiting and the absence of fever. The main reason for infection among children was non-vaccination due to various medical circumstances or parental refusal. Keywords: Whooping cough, children, vaccination, vaccination calendar, morbidity.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135596448","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 : 2023-01-01DOI: 10.25005/2074-0581-2023-25-3-400-413
O.V. MURASHO
Objective: : Analysis of literature sources on variant anatomy of arteries arising from aortic arch and branches. Methods: Analysis of cases of the variant anatomy of arteries arising from the aortic arch (AA) and their branches, based on autopsy, surgery, and modern diagnostic techniques. To gather information, we utilized a range of online resources such as https://www.library.ru, https://www.scopus. com, https://femb.ru/, https://www.cochranelibrary.com/, http://www.acponline.com, https://www.sciencedirect.com/, https://www.embase.com, and the Yandex search engine. The primary research methods utilized were bibliographic and comparative in nature. Conclusion: The AA anatomy displays frequent variations in medical practice. To prevent complications and errors, it is imperative to thoroughly evaluate the patient before performing angiography, surgery, or any relevant medical procedures. Keywords: Aortic arch, branches of the aortic arch, brachiocephalic trunk, variant anatomy, variation.
{"title":"COMPREHENSIVE ANALYSIS OF THE AORTIC ARCH BRANCHING PATTERNS BASED ON DIAGNOSTIC STUDIES, SURGICAL PROCEDURES, AND AUTOPSY REPORTS","authors":"O.V. MURASHO","doi":"10.25005/2074-0581-2023-25-3-400-413","DOIUrl":"https://doi.org/10.25005/2074-0581-2023-25-3-400-413","url":null,"abstract":"Objective: : Analysis of literature sources on variant anatomy of arteries arising from aortic arch and branches. Methods: Analysis of cases of the variant anatomy of arteries arising from the aortic arch (AA) and their branches, based on autopsy, surgery, and modern diagnostic techniques. To gather information, we utilized a range of online resources such as https://www.library.ru, https://www.scopus. com, https://femb.ru/, https://www.cochranelibrary.com/, http://www.acponline.com, https://www.sciencedirect.com/, https://www.embase.com, and the Yandex search engine. The primary research methods utilized were bibliographic and comparative in nature. Conclusion: The AA anatomy displays frequent variations in medical practice. To prevent complications and errors, it is imperative to thoroughly evaluate the patient before performing angiography, surgery, or any relevant medical procedures. Keywords: Aortic arch, branches of the aortic arch, brachiocephalic trunk, variant anatomy, variation.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135596449","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 : 2022-01-01DOI: 10.25005/2074-0581-2022-24-3-317-323
KH.YO. Sharipova, D. Rakhimov, R. Sokhibov, R. Gulova, D. Kosimova
Objective: To establish the frequency of different forms of coronary artery disease (CAD) in patients with resistant arterial hypertension (AH). Methods: Based on the data from clinical and anamnestic studies and the results of electrocardiography (ECG), Holter ECG monitoring (HM-ECG), and bicycle ergometry (VEM), 370 young and middle-aged patients (WHO, 1965), the mean age 54.1±4, with primary AH were diagnosed with CAD according to the Canadian classification (World Health Organization (WHO), 1979; with additions by All-Union Cardiology Research Centre, 1995). With daily monitoring of blood pressure (BP) against the background of antihypertensive therapy (AHT), groups of patients with controlled (CAH; n=84) and resistant (RAH; n=286) arterial hypertension were identified. Results: It was found that in young and middle-aged patients with both CAH and RAH, the frequency of stable angina pectoris (SA) was the highest, mainly due to functional classes (FC) I-II; severe functional classes of SA, and unstable angina (UA) were markedly less frequent; less than a quarter of patients had a myocardial infarction (MI), mainly due to non-Q-wave MI (non-Q-MI). In patients with CAH and RAH FC I-II of SA were predominant (in 70.2% of patients with CAH and 34.3% with RAH; p=0.0001), while FC III-IV of SA were mainly observed against the background of RAH (21% vs. 5% in patients with CAH, p=0.0015). In patients of young and middle age, against the background of RAH, the frequency of UA (18.9%; p=0.0220) and the total number of MI (25.9%; p=0.0482) was higher, than in CAH, mainly due to Q-MI (11.2%; p=0.0360), indicating the severity of coronary insufficiency. The increase in non-Q-MI against the background of RAH was statistically insignificant (p=0.5191). Conclusion: The ratio of the frequency of different forms of CAD against the background of CAH and RAH was unidirectional. However, the overall frequency of severe forms of CAD (UA and MI, especially Q-MI) in patients with RAH significantly exceeded those in patients with CAH, which allowed us to consider RAH as a factor in the progressive course of CAD. Keywords: Coronary artery disease, stable angina, unstable angina, myocardial infarction, resistant arterial hypertension, young and middle age.
{"title":"PREVALENCE OF CORONARY ARTERY DISEASE IN YOUNG AND MIDDLE AGE PATIENTS WITH RESISTANT ARTERIAL HYPERTENSION","authors":"KH.YO. Sharipova, D. Rakhimov, R. Sokhibov, R. Gulova, D. Kosimova","doi":"10.25005/2074-0581-2022-24-3-317-323","DOIUrl":"https://doi.org/10.25005/2074-0581-2022-24-3-317-323","url":null,"abstract":"Objective: To establish the frequency of different forms of coronary artery disease (CAD) in patients with resistant arterial hypertension (AH). Methods: Based on the data from clinical and anamnestic studies and the results of electrocardiography (ECG), Holter ECG monitoring (HM-ECG), and bicycle ergometry (VEM), 370 young and middle-aged patients (WHO, 1965), the mean age 54.1±4, with primary AH were diagnosed with CAD according to the Canadian classification (World Health Organization (WHO), 1979; with additions by All-Union Cardiology Research Centre, 1995). With daily monitoring of blood pressure (BP) against the background of antihypertensive therapy (AHT), groups of patients with controlled (CAH; n=84) and resistant (RAH; n=286) arterial hypertension were identified. Results: It was found that in young and middle-aged patients with both CAH and RAH, the frequency of stable angina pectoris (SA) was the highest, mainly due to functional classes (FC) I-II; severe functional classes of SA, and unstable angina (UA) were markedly less frequent; less than a quarter of patients had a myocardial infarction (MI), mainly due to non-Q-wave MI (non-Q-MI). In patients with CAH and RAH FC I-II of SA were predominant (in 70.2% of patients with CAH and 34.3% with RAH; p=0.0001), while FC III-IV of SA were mainly observed against the background of RAH (21% vs. 5% in patients with CAH, p=0.0015). In patients of young and middle age, against the background of RAH, the frequency of UA (18.9%; p=0.0220) and the total number of MI (25.9%; p=0.0482) was higher, than in CAH, mainly due to Q-MI (11.2%; p=0.0360), indicating the severity of coronary insufficiency. The increase in non-Q-MI against the background of RAH was statistically insignificant (p=0.5191). Conclusion: The ratio of the frequency of different forms of CAD against the background of CAH and RAH was unidirectional. However, the overall frequency of severe forms of CAD (UA and MI, especially Q-MI) in patients with RAH significantly exceeded those in patients with CAH, which allowed us to consider RAH as a factor in the progressive course of CAD. Keywords: Coronary artery disease, stable angina, unstable angina, myocardial infarction, resistant arterial hypertension, young and middle age.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69318280","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 : 2022-01-01DOI: 10.25005/2074-0581-2022-24-1-140-146
A. M. Sharipov, Khizmatullah A. Shamszoda, S. A. Mazabshoev, U. L. Umarov
Objective: Gallbladder duplication is a congenital malformation, is rarely recognized in childhood and occurs in 1 in 4,000 live births. Often, abnormalities in the development of the biliary tract are detected on abdominal imaging or accidentally during surgery in adult patients for an unrelated condition. In this article, the authors describe the complexity of diagnosing a combination of duplication of the gallbladder and stricture of the common bile duct in a 14-year-old child and analyze the diagnostic and tactical errors in the surgical treatment that resulted in the failure to timely diagnose the stricture of the common bile duct. In our opinion, timely diagnosis and proper surgical technique in combined hepatobiliary disorders in children are difficult, even for experienced professionals. However, adequate clinical manifestations assessment, considering an alternative explanation for the presenting symptoms, and timely correction of management errors in the preoperative period could lead to better treatment outcomes. Keywords: Hepatobiliary system, congenital anomalies, gallbladder duplication, stricture of the common bile duct, pediatric.
{"title":"THE DIAGNOSTIC CHALLENGES PRESENTED BY PATIENT WITH DUPLICATION OF GALLBLADDER WITH THE DISTAL COMMON BILE DUCT STRICTURE","authors":"A. M. Sharipov, Khizmatullah A. Shamszoda, S. A. Mazabshoev, U. L. Umarov","doi":"10.25005/2074-0581-2022-24-1-140-146","DOIUrl":"https://doi.org/10.25005/2074-0581-2022-24-1-140-146","url":null,"abstract":"Objective: Gallbladder duplication is a congenital malformation, is rarely recognized in childhood and occurs in 1 in 4,000 live births. Often, abnormalities in the development of the biliary tract are detected on abdominal imaging or accidentally during surgery in adult patients for an unrelated condition. In this article, the authors describe the complexity of diagnosing a combination of duplication of the gallbladder and stricture of the common bile duct in a 14-year-old child and analyze the diagnostic and tactical errors in the surgical treatment that resulted in the failure to timely diagnose the stricture of the common bile duct. In our opinion, timely diagnosis and proper surgical technique in combined hepatobiliary disorders in children are difficult, even for experienced professionals. However, adequate clinical manifestations assessment, considering an alternative explanation for the presenting symptoms, and timely correction of management errors in the preoperative period could lead to better treatment outcomes. Keywords: Hepatobiliary system, congenital anomalies, gallbladder duplication, stricture of the common bile duct, pediatric.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69318309","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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