Hội chứng mất protein ruột (Protein losing enteropathy - PLE) là một biến chứng hiếm gặp song rất nặng sau phẫu thuật Fontan. Nguyên nhân do áp lực tĩnh mạch hệ thống tăng lên làm tăng áp lực của hệ bạch mạch ruột gây mất protein ruột. Điều trị PLE bao gồm điều trị thuốc (lợi tiểu, vận mạch, corticoid, truyền albumin...), can thiệp tim mạch, phẫu thuật. Tại Trung tâm tim mạch - Bệnh viện E, chúng tôi đã điều trị cho một trường hợp bệnh nhân có PLE sau phẫu thuật Fontan với phương pháp điều trị: phẫu thuật mở cửa sổ (nối thông giữa ống mạch nối tĩnh mạch chủ dưới vào động mạch phổi với nhĩ phải), và điều trị nội khoa. Kết quả sau điều tri tốt. Chúng tôi xin thông báo ca lâm sàng.
Objectives: Describe the current situation and some associated factors to the adherence to blood pressure treatment of hypertensive patients at hospital E. Methods: This is a cross-sectional study conducted from March 2022 to July 2022. The study involved 101 patients.[1] Results: Out of 101 study participants. The mean adherence score to antihypertensive treatment was 49.3 (4.13) points. Most patients do not make the decision to stop taking their blood pressure medication, do not take their medication carelessly, and do not take other people's medications. Patients regularly make follow-up appointments with medical staff. We did not find any associated factors affecting the practice of controlling hypertension in the patients participating in the study. Patients who used more than 1 drug had higher blood pressure goals than patients who used only 1 drug. Conclusion: Our study provides information on the adherence to treatment for hypertension in the group of patients at the hospital
Background: Endoscopic mitral valve repair is a new technique, bringing many benefits to patients. The assessment of the quality of life in patients after mitral valve repair is partly reflected as a result of this technique. Methods: From 01/08/2022 to 31/12/2022, 106 patients after mitral valve repair who was eligible for the selection criteria were included in the study to assess the quality of life using the SF -36 score. Results: 106 patients with a mean age of 55.4 years, of which mainly men accounted for 63.2% and average BMI was 23.3 kg/m2. The average follow-up time after 6.9 months showed that the patient could completely return to work after 3.7 months. Overall quality of life characteristics were good with 88.9 points. In which the physical health scores are mostly over 90 points, and the mental health scores are mainly above 80 points. BMI > 25kg/m2, marital status and NYHA classifications are related to quality of life after endoscopic mitral valve repair, with statistical significance with p<0.05. Conclusion: The quality of life of patients after endoscopic mitral valve repair was good. Several factors were associated with quality of life such as BMI>25kg/m2, marital status and NYHA classifications.
Background: It is important to evaluate the imaging of the left atrium (LA) and pulmonary veins (PV) before performing catheter ablation of atrial fibrillation. Several factors on computed tomography (CT) are related to the outcome of atrial fibrillation (AF) ablation. Methods: From 2/2020 to 5/2022, 45 patients who diagnosed of paroxysmal and persistent atrial fibrillation underwent RF ablation, chest CT scan obtained to evaluate left atrium and pulmonary veins at the Cardiovascular Center – E Hospital. Results: The mean age was 56.1±11.8, male/female was 3/1. Paroxysmal atrial fibrillation accounted for 68.9%. PV dimensions: right superior PV was 18.29 ± 2.39 mm and 16.14 ± 2.26 mm; right inferior PV was 17.63 ± 3.74 mm and 15.07 ± 3.82 mm; left superior PV was 18.60 ± 2.55 mm and 15.79 ± 2.43 mm; left inferior PV was 15.25 ± 1.88 mm and 12.08 ± 1.77 mm. The average diameter of LA measured in the superior-inferior, anterior-posteror directions were: 59.97 ± 7.03 mm, 36.70 ± 5.53 mm and 53.64 ± 8.81 m; respectively. The diameter before-after procedure and the procedure time in the group of patients with persistent AF was larger than that of patients with paroxysmal atrial fibrillation (p<0.05). Patients with paroxysmal AF had a higher success rate of ablation than those with persistent AF (OR=5.27, 95%CI: 1.48-18.80, p < 0.05). Patients who met the criteria for large anterior-posterior LA had a lower successful ablation result than patients without large LA (OR=2.04, 95%CI :1.03-4.04, p < 0.05) . Conclusion: Detailed left atrial and pulmonary venous imaging is essential when performing atrial fibrillation ablation. Paroxysmaltrial fibrillation has a better ablation outcome than persistent atrial fibrillation. Larger left atrial diameter is associated with a lower success rate of ablation.
Coronary artery disease is a leading cause of death and disability in developing and developed countries. In Vietnam, coronary artery disease has also become one of the leading causes of death. Chronic coronary syndrome is a disease related to the relative stability of coronary atherosclerotic plaque, in the absence of sudden rupture or after the acute phase or after intervention/surgery. As plaque progresses, causing significant narrowing of the coronary lumen (usually stenosis greater than 70% of the lumen diameter), symptoms may be present, most notably angina/dyspnea on exertion. and help when resting. Medical treatment of chronic coronary syndrome is an important issue. Two patients diagnosed as chronic coronary syndrome in 2015 received medical treatment after 5 years of coronary angiography from 80% of the left anterior descending and 60% of the left anterior descending with mild atherosclerosis. coronary artery disease in both patients.
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