Background:Atrial fibrillation (AF) is a frequent and serious complication of coronary artery bypass graft (CABG) surgery.Methods:We undertook a retrospective review of the records of patients undergoing CABG at Imam Ali Hospital between February 1, 2003 and February 1, 2006. The patients were divided in two groups, ie, Group A (AF) and Group B (no AF). The association between the occurrence of AF following CABG and other variables was compared with respect to continuous or categorical variables by t-test and χ2-test.Results:Multivariate logistic regression analysis of potentially predictive factors in univariate analysis showed that opium use, type of operation, and crossclamp time were predictors of AF following CABG.Conclusion:This study identifies some new predictors of postoperative AF, control of which could lead to a lower incidence of AF and reduced morbidity, mortality, and resource utilization for patients undergoing cardiac surgery.
Background: Hydatidosis or echinococcosis is one of the most important economic and public health problems in many regions of the world that livestock are kept such as Iran. This study was to determine the prevalence of hydatid cyst in slaughtered livestock in Kermanshah (west Iran) (2012). Methods: This descriptive-analytic study was carried out on all slaughtered livestock during 24 months period, from March 2012 until February 2013. 70,020 carcasses were observed and inspected (including: 24,507 cattle, 35,010 sheep and 10,503 goats). All cysts were examined under direct microscopy for determine the kind of cysts (fertile and infertile cyst). Results: The prevalence of hydatid cyst was 2.20% in cattle, 2.78% in sheep and 0.19% in goat. Liver in cattle with 1.42%, in sheep with 2.25%, and in goat with 0.13% was contaminated. Also lung in cattle with 0.76%, in sheep with 0.53%, and in goat with 0.06% was contaminated. Heart was contaminated only in cattle with 0.024%. Sheep with 45% and goat with 90.47% had highest fertile cyst and infertile cyst, respectively. Conclusion: The prevalence rate of hydatid cyst in slaughtered livestock in Kermanshah was lowest, as compared with other regions of Iran. Despite this, hygienic programs should be done in order to decrease, control and prevent of parasitic infection.
Use of an intra-aortic balloon pump (IABP) is helpful for maintaining hemodynamic stability in patients with low cardiac output and compromised left ventricular function undergoing coronary artery bypass grafting. Although the incidence of complications has decreased significantly as experience with the device has increased, IABP use still carries a risk of complications. The most common complication is limb ischemia, mainly as a result of IABP entrapment and thromboembolism. Here we report a case of IABP entrapment in a nonatherosclerotic common iliac artery where forced removal caused fracture of the catheter.
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