No abstract

Psoriasis patients could be suggested as a group with an increased atherosclerotic risk especially in older ages with longer duration of Ps. The carotid IMT, ID and AWMI can identify patients with subclinical atherosclerosis who need special follow up to reduce cardiovascular morbidity and mortality.

There was complete agreement on location, size, morphology and surrounding structure of PDA between 2D and 3D echocardiogram, and angiography. This result illustrates the need for the proper placement of the device in catheterization laboratories.

This study was retrospective case series controlled study. It included 30 patients who were referred to Tanta University hospital with the diagnosis of PDA for comparing the clinical and echocardiographic data before and after transcatheter closure of PDA with occluder device from September 2012 to August 2013. All patients parents gave their written informed consent. Included in the study 8 males (26.7%) and 22 females (72.3%) with PDA, with a mean age of 5.26 ± 3.84 years (range 7 months to 12 years) and with sinus rhythm. The weight of the patients ranged from 7 to 25 Kg with a mean of 16.03 ± 5.99, the height of the patients ranged from 40 to 106 cm with a mean 82.2 ± 22.1, the body surface area (BSA) of the patients ranged from 0.5 to 1.5 with a mean of 0.84 ± 0.26. While patients with Coexisting congenital cardiac defects that may need heart surgery, age less than 6 months, body weight less than 6 Kg, Irregular rhythm, systemic infections or endocarditis, blood diseases (haemorragic or thrombtic), very large PDA (more than 10 mm pulmonary end), hypertensive PDA or small restrictive ductus arteriosus (less than 2 mm pulmonary end with no significant hemodynamic effects) were excluded from the study. IntroductionIn full-term newborns, DA routinely closes within one to five days after delivery, however it's considered abnormal if it remains patent more than three months after birth in term infants [1,2]. The physiological impact and clinical significance of PDA depend largely on its size and the underlying cardiovascular status of the patient, so patients with large PDA may develop left-sided volume overload and pulmonary hypertension at younger ages, leading to diagnosis early in life. If left untreated, PDA can foster the development of infective endarteritis, Eisenmenger syndrome, and other conditions, with an annual mortality rate of 1.8% [3][4][5]. Ductus closure is clearly indicated for any child or adult who is symptomatic from significant left-to-right shunting through PDA [3].Percutaneous closure of PDA has been performed for more than 30 years with several generations of devices and is the preferred mode of therapy worldwide, it has largely replaced surgical ligation in different age groups and become the treatment of choice at many institutions, since it is safe as well as cost-effective and offers considerable advantages over surgical ligation [6,7].The present study designed to compare clinical and echocardiographic data before and after transcatheter closure of PDA with occluder device. AbstractObjective: To compare clinical and echocardiographic data before and after transcatheter closure of patent ductusarteriosus (PDA) with occluder device. Methods:The study population consisted of 30 children with PDA who were subjected to history taking and clinical examination to detect symptoms and signs suggestive of significant shunting. Doppler, two-dimensional echocardiography studies with measurement of mitral inflow velocities in early and late diastole (E and A wave), early and late diastolic mi...

Poisoning or intoxication is the occurrence of harmful effects resulting from exposure to a foreign substance. According to the Center for Disease Control, approximately 1 million of the 110 million annual emergency department (ED) visits are related to poisoning and other toxic effects. Electrocardiogram (ECG) is a noninvasive, relatively inexpensive diagnostic test that provides important information regarding not only the heart, but also non-cardiac events impacting the cardiac system. The aim of this study was to evaluate the electrocardiographic changes conducted on 282 cases of acute poisoning admitted to Tanta Poison Center, Faculty of Medicine, Tanta Emergency University Hospital during the period from the start of July-2009 to the end of June-2010. In order to fulfill this aim, each patient was subjected to history taking, complete physical examination, laboratory investigations and ECG analysis. This study found that poisons associated with ECG changes account for 58.5 % of patients included in this study. Furthermore, 36.17% of patients are mainly in the middle age group between 20 and 30 years. Organophosphorus compounds (34.4%) were responsible for most cases of intoxication of ECG changes. Sinus tachycardia (73.94%) was the commonest ECG change among them. Followed by prolonged QT corrected for heart rate (QTc) interval (21.82 %) and sinus bradycardia (11.51 %).

No abstract

Volume overload induced by ASD is associated with increased strain values, which return to normal after closure. NT-proBNP is a parameter which correlates to RV pressure, PAP and the amount of shunt volume caused by an ASD.

No abstract