Background: Ischemic heart disease also known as Coronary artery disease is a most common condition in Indian population which allows inadequate supply of blood and oxygen to a portion of the myocardium. It stands as one of the primary causes of death in both men and women and hence need for clinical investigation of IHD in our population is important. Aim: The study is designed to know the clinical profile of female participants attending tertiary care hospital in south India. Materials and Methods: All participants included in the study are symptomatic to IHD and biochemical and electrocardiogram was performed to screen the participants and participant's history is collected. Results: A total of 140 participants were considered for the study and 120 were identified as IHD positive. Mean age of participants was 55 and most of the incumbents reported chest pain as the major complication followed by other complications like hypertension and diabetes. Conclusion:The incidence of IHD is found to be highest in 53-57 year age group with diabetes, hypertension and Dyslipidaemia as the major risk factors. Lack of awareness in participants also delayed them in their arrival to hospital. Hence there is an immediate need to conduct awareness campaigns in rural areas of our democratic country.
Objectives To investigate the geometric alterations of the mitral leaflets (MV) and annulus (MA) in different heart disease using real-time three-dimensional transesophageal echocardiography (RT-3DTEE), and to clarify the effect of MV structures' changes in FMR occurrence. E172Heart 2012;98(Suppl 2): E1-E319
A 4-year-old boy without any medical history presented to local emergency department with fever for 10 days and aggravated abdominal pain for 3 days. Gastroenteritis was suspected and intravenous antibiotic was prescribed. Three days later, he suffered cardiac arrest and after successful cardiopulmonary resuscitation, he was immediately transferred to our hospital. Electrocardiogram showed sinus tachycardia, Q wave was observed in V2-4 (Fig. 1a). Transthoracic echocardiogram (TTE) and 3-dimensional TTE revealed giant dilatation of left anterior descending coronary artery (LAD; 16 mm) with massive intraluminal thrombus (Fig. 1b, Video 1, 2), dilated right coronary artery (RCA; 6 mm), enlarged left ventricle with abnormal wall motion (left ventricular ejection fraction: 48%) (Fig. 1c, Video 3). Patient was diagnosed with incomplete Kawasaki disease and myocardial infarction. Intravenous immunoglobulin, clopidogrel, warfarin, and diuretic were administered.Six months later he continued to have limited, aggravated physical activity. Coronary computed tomography angiography confirmed giant dilatated and distal-blocked LAD (17 mm) (Fig. 1d, e). Positron emission tomography also revealed large myocardial perfusion defect in left ventricular apical segment and survival of some mid anterior myocardial cells (Fig 2. arrows).Considering deterioration of left ventricular function and evidence of myocardial ischemia, coronary artery bypass graft surgery was scheduled. The patient was transferred to cardiovascular surgery department. Incomplete Kawasaki disease presenting with abdominal pain diagnosed by echocardiography
Cystic echinococcosis (CE) is a zoonotic parasitic infection, which is very rare in developed countries. It can affect all internal organs, while cardiac echinococcosis is extremely rare, especially in children. Slowly enlarging hydatid cyst usually remains asymptomatic until the size or space occupying effects the involved organ and induces symptoms. The progression of cardiac echinococcosis can be very hidden, and the symptoms are similar to that of other cardiovascular diseases, which raises the difficulty in accurate diagnosis. We present a 13-year-old young girl with a history of hepatic echinococcosis who developed a huge cardiac hydatid cyst, but her symptoms were not specific, while the physical tests and biochemical examinations were unremarkable. Her residential area in Tibet and previous medical history of hepatic echinococcosis gave us clues in the diagnosis of cardiac echinococcosis. Combined with computed tomography (CT) and magnetic resonance imaging (MRI), the cardiac echinococcosis was finally confirmed, and the cardiac symptoms were relieved after surgical removal of the cardiac hydatid cyst. This is the first report of children's cardiac echinococcosis secondary to hepatic echinococcosis, and it remarks on the importance of rapid consideration of cardiac echinococcosis even if no remarkable symptoms or indexes are present. Moreover, the combination of previous history and imaging techniques are indispensable for obtaining a definite diagnosis.
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