Survival and Quality of Life of Patients with a Prolonged Stay in the Intensive Care Unit after Cardiac Surgeries – Remote Results

Abedinov, Filip; Bakalova, Neda; Krastev, Plamen; Petrov, Iliyan; Marinova, R.; Tsaryanski, Georgy

doi:10.7546/crabs.2019.08.16

Cited by 4 publications

(4 citation statements)

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“…However, we fully agree that the associated morbidity was not negligible, with significant postoperative complications and increased length of stay. Sleep-disordered breathing is highly prevalent in obese patients [ 8 ] with associated upper airway muscle weakness, vascular endothelial dysfunction, cardiac arrhythmia, alveolar hypoventilation and sensitivity to anaesthetic medications leading to sudden cardiovascular death, myocardial infarction, stroke, worsening overall postoperative recovery and higher pacemaker use [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Heyde’s syndrome: An enigma

Khazi¹,

Siddiqi²,

Karaly³

et al. 2021

Journal of the Saudi Heart Association

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Heyde’s syndrome (HS) is described as the association between recurrent bleeding from angiodysplasia of the gastrointestinal tract and aortic stenosis. Aortic valve replacement has been reported to stop the bleeding. In unfit patients, the options available are interventional or conservative management. We hereby report an elderly obese patient with severe comorbidity with complicated HS involving a narrow aortic root. She underwent left ventricular outlet myomectomy and aortic root replacement to promote better forward flow and prevent restenosis and recurrence of symptoms. She was discharged home symptom-free despite being on coumadin anticoagulants.

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Section: Discussionmentioning

confidence: 99%

Heyde’s syndrome: An enigma

Khazi¹,

Siddiqi²,

Karaly³

et al. 2021

Journal of the Saudi Heart Association

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“…1. lung diseases: chronic obstructive pulmonary disease, lung cancer, cystic fibrosisc, pulmonary fibrosis, moderate to severe asthma; 2. cardiovascular diseases: cardiomyopathy, high blood pressure, pulmonary hypertension, congenital heart disease, heart failure (Mehra and Ruschitzka 2020), coronary artery disease, a type of blood disorder: thalassemia, cases after cardiac surgery (Abedinov et al 2019a;Tsaryanski et al 2013b); 3. type 2 diabetes, severe obesity, chronic kidney or liver disease, cerebrovascular disease, dementia; 4. weakened immune system due to taking medication for an autoimmune disease, organ or bone marrow transplantation, severe immune disorders, HIV infection, cancer chemotherapy, use of corticosteroids.…”

Section: Review Articlementioning

confidence: 99%

The role of immunostimulants in the complex therapy of Covid 19 – a clinical case

Kobakova¹,

Moneva-Sakelarieva²,

Atanasov³

et al. 2020

PHAR

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The aim of current study was the investigation of complex treatment including nutritional supplement with recognized antioxidant and immunomodulatory properties (malic, glycyrrhizic, ascorbic and folic acids, glucosamine, arginine, glycine, calcium pantothenate, cyanocobalamine, zinc sulfate, pyridoxal) and purely plant systemic protease supplement (Serrapeptase, Bromelaim, Boswellia, Uncaria tomentosa, Quercetin) as a strategy against Covid 19. A clinical case of a 33-year-old patient treated in Internal Clinic Diseases ”Pirogov” against atypical bilaterally viral pneumonia with RT-PCR proven coronavirus have been presented. A complex treatment strategy was applied: Doxycycline, Amikacin sulfate, food additive containing malic and glycyrhizic acids, aminoacids, B-vitamins, antioxidants, proteolytic agent, Methylprednisolone, anticoagulant: Nadroparin calcium, hepatoprotector: Ademethionine. After 16 days hospitalization and two negative RT-PCR tests the patient was discharged in improved condition and home treatment with Levofloxacin hemihydrate, vitamins, probiotics, immunomodulatory and proteolytic products for one month was recommended. Immunostimulating, proteolytic and other products have an important role in complex treatment.

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“…Symptoms may appear 2-14 days after exposure to the virus, ranging from mild symptoms to severe illness, especially in patients with cardiovascular diseases and after cardiac surgery (Abedinov et al 2018). Preexisting cardiovascular diseases and cases after cardiac surgery (Abedinov et al 2019a;Abedinov et al 2019b;Tsaryanski et al 2013b) are one of the very often risk factors, associated with worse outcomes and increased risk of death in patients with COVID-19. Very often mechanical abdominal ventilation is applied in patients with Covid 19 with acute hypoxic respiratory insufficiency like after cardiac surgery (Tsaryanski et al 2013a, Tsaryanski et al 2014.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 – the challenge to treat a disease and not a positive RT-PCR test

Moneva-Sakelarieva¹,

Kobakova²,

Atanasov³

et al. 2021

PHAR

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The new pandemic disease COVID is quick spread worldwide.The primary method used for diagnosing of COVID-19 is detecting viral nucleic acids. The main problem with RT-PCR test is the false negative results. The negative RT-PCR does not exclude a SARS-CoV-2 infection and this method should not be used as the only diagnostic criteria. The RT-PCR result does not change the complex treatment of the disease. The aim of the current study is to compare the four groups clinical cases of the different parameters: RT-PCR test, rapid test, clinical picture, laboratory tests as hematology, inflammatory markers, coagulation status and chemistry and imaging examinations: Chest X-ray at and Chest CT scan. Complex therapeutic approach has been implemented: antibiotic, inflammatory, anticoagulants, oxygen therapy, hepatoprotectors, antimycotics, fibrinolytics, probiotics, essential oils, vitamins. During the follow-up period, a tendency for significant reduction and resorption of the pulmonary changes on the CT scans has been seen.

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Survival and Quality of Life of Patients with a Prolonged Stay in the Intensive Care Unit after Cardiac Surgeries – Remote Results

Cited by 4 publications

References 0 publications

Heyde’s syndrome: An enigma

Heyde’s syndrome: An enigma

The role of immunostimulants in the complex therapy of Covid 19 – a clinical case

COVID-19 – the challenge to treat a disease and not a positive RT-PCR test

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