journal of cardio-thoracic medicine最新文献_第10页

Immediate Results of Percutaneous Mitral Balloon Valvuloplasty in Patients with Mitral Stenosis 经皮二尖瓣球囊成形术治疗二尖瓣狭窄的即时效果

journal of cardio-thoracic medicine Pub Date : 2018-12-01 DOI: 10.22038/JCTM.2018.35183.1182

M. Zahedi, M. Shabestari, A. Eshraghi, M. A. Teshnizi, A. Gholoobi, H. poorzand, F. Ghaderi, J. Ramezani

{"title":"Immediate Results of Percutaneous Mitral Balloon Valvuloplasty in Patients with Mitral Stenosis","authors":"M. Zahedi, M. Shabestari, A. Eshraghi, M. A. Teshnizi, A. Gholoobi, H. poorzand, F. Ghaderi, J. Ramezani","doi":"10.22038/JCTM.2018.35183.1182","DOIUrl":"https://doi.org/10.22038/JCTM.2018.35183.1182","url":null,"abstract":"Introduction: Mitral stenosis is a prevalent valvular disease in developing countries. Percutaneous mitral balloon valvuloplasty (PMBV) is the gold standard treatment. The main objective of this study was to assess the initial results of PMBV in patients with mitral stenosis during 16 years (2002-2018) in Mashhad, Iran. Materials and Methods: From April 2002 to March 2018, 770 patients underwent PMV in department of cardiology. PMV was performed by the antegrade transseptal method using the Inoue balloon. Results: The obtained success rate was 97%. In this study, the valve area increased from 0.9±1.1 to 1.8±0.2 cm2 (P<0.0001). There was no case of peri-procedural death or cardiac tamponade. Additionally, 0.25% of the patients required mitral valve replacement. Severe mitral regurgitation occurred in 0.9% of the subjects. There was no case of cerebrovascular accident, transient ischemic attack, embolic myocardial infarction, or cardiac perforation. Supraventricular tachycardia occurred in 2.59% of the patients. Conclusion: The PMBV by the Inoue technique is a feasible and easy procedure with a short crossing times and low complications.","PeriodicalId":131413,"journal":{"name":"journal of cardio-thoracic medicine","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116764497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Serum vitamin D level and hypertensive crises 血清维生素D水平与高血压危象

journal of cardio-thoracic medicine Pub Date : 2018-12-01 DOI: 10.22038/JCTM.2018.35307.1184

Hamidreza Rashidinejad, Foad Amanolahi, H. Safizadeh, M. Moazenzadeh

{"title":"Serum vitamin D level and hypertensive crises","authors":"Hamidreza Rashidinejad, Foad Amanolahi, H. Safizadeh, M. Moazenzadeh","doi":"10.22038/JCTM.2018.35307.1184","DOIUrl":"https://doi.org/10.22038/JCTM.2018.35307.1184","url":null,"abstract":"Introduction :Vitamin D deficiency is associated with hypertension; however, there is no study on the relationship between vitamin D deficiency and hypertensive crises. This study aimed to determine the relationship between serum vitamin D levels and hypertensive crises. Materials and Methods: This descriptive-analytical, cross-sectional study was conducted on 120 individuals in Shafa Hospital in 2016 within the age range of 40-80 years, selected through simple random sampling technique. The research population was divided into two groups of hypertensive crises (n=60) with blood pressure over 180/120 mm/Hg and hypertensive patients without history of hypertension crises (n=60). For the purpose of the study, 5 ml peripheral venous blood samples were collected. The blood serum was isolated by a centrifugal device, and the serum vitamin D levels were analyzed by radioimmunoassay. Results: The meanlevels ofvitamin D in hypertensive and non- hypertensive crises groups were 29.73 and 30.23 ng/ml, respectively. There was no significant difference between the two groups in terms of vitamin D levels (P>0.05). However, no statistically significant difference was observed between the two groups considering gender (P>0.05). Serum vitamin D levels showed a direct correlationwith theduration of hypertension and age (P Conclusion:There is evidence on the relationship between serum vitamin D levels and cardiovascular diseases, including hypertension. Nonetheless, in the present study, no significant relationship was observed between serum vitamin D level and hypertensive crises.","PeriodicalId":131413,"journal":{"name":"journal of cardio-thoracic medicine","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125119158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Rare Case of Severe Aortic Regurgitation with Silent Ascending Aortic Dissection 严重主动脉反流合并无症状升主动脉夹层1例

journal of cardio-thoracic medicine Pub Date : 2018-12-01 DOI: 10.22038/jctm.2018.35046.1181

H. Seth, P. Mishra, J. Khandekar, C. Raut, Vaibhav Shah, Vijay Shewale

引用次数: 0

International Congress of Airway & Interstitial Lung Diseases (ICAILD 2018) 国际气道与间质性肺病大会(ICAILD 2018)

journal of cardio-thoracic medicine Pub Date : 2018-12-01 DOI: 10.22038/JCTM.2018.36491.1196

S. Lari

引用次数: 0

Role of Magnesium Sulfate in Preventing Vasospasm and Maintaining Hemodynamic Stability in Patients Undergoing Endovascular Coiling for Brain Aneurysm 硫酸镁在脑动脉瘤血管内盘绕术中预防血管痉挛和维持血流动力学稳定中的作用

journal of cardio-thoracic medicine Pub Date : 2018-12-01 DOI: 10.22038/JCTM.2018.34071.1174

S. Sheybani, H. Baharvahdat, M. Najafi, M. Alipour, A. Bameshki, Mohammad Hosein Eshaghi Ghalibaf, Shadi Sheibani

{"title":"Role of Magnesium Sulfate in Preventing Vasospasm and Maintaining Hemodynamic Stability in Patients Undergoing Endovascular Coiling for Brain Aneurysm","authors":"S. Sheybani, H. Baharvahdat, M. Najafi, M. Alipour, A. Bameshki, Mohammad Hosein Eshaghi Ghalibaf, Shadi Sheibani","doi":"10.22038/JCTM.2018.34071.1174","DOIUrl":"https://doi.org/10.22038/JCTM.2018.34071.1174","url":null,"abstract":"Introduction: Themaintenance of hemodynamic stability in brain aneurysm surgery has paramount clinical significance in order to prevent vasospasm in the patients with aneurysmal subarachnoid hemorrhage. Regarding this, the present study was conducted to assess the role of magnesium sulfate in preventing vasospasm and maintaining hemodynamic stability during endovascular coiling procedure for brain aneurysm. Materials and Methods: This double-blind clinical trial was conducted on 60 patients who were candidates for undergoing endovascular coiling for brain aneurysm. The patients were subjected to angiography through femoral artery catheterization. Then, they were randomly assigned into two treatment groups of case receiving magnesium sulfate and control administered normal saline. The vasospasm and hemodynamic status were measured and recorded during and following the surgery. Results: According to the results, no significant difference was observed between the two groups in terms of heart rate (p=0.98) and mean arterial pressure =p) 0.89( one hour post-surgery. Furthermore, there was no statistical difference between the two groups regarding the use of nimodipine ( p=0.11). Nevertheless, the frequency of vasospasm was significantly lower in the patients receiving magnesium sulfate, during surgery (p=0.037) and after surgery (p=0.02), compared to those administered normal saline. Conclusion: As the findings indicated, magnesium sulfate could lower the incidence of vasospasm during and following the endovascular coiling procedure for brain aneurysm. Moreover, it resulted in no adverse effects on the hemodynamic status of the patients.","PeriodicalId":131413,"journal":{"name":"journal of cardio-thoracic medicine","volume":"58 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128993849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Explaining Quality Indicators of Clinical Education Methods from the Perspective of Assistants 从助理的角度解读临床教学方法的质量指标

journal of cardio-thoracic medicine Pub Date : 2018-12-01 DOI: 10.22038/JCTM.2018.32239.1165

Akram Moghaddasi, M. Zare, R. Boostani, H. Kianifar, R. Shagholi

{"title":"Explaining Quality Indicators of Clinical Education Methods from the Perspective of Assistants","authors":"Akram Moghaddasi, M. Zare, R. Boostani, H. Kianifar, R. Shagholi","doi":"10.22038/JCTM.2018.32239.1165","DOIUrl":"https://doi.org/10.22038/JCTM.2018.32239.1165","url":null,"abstract":"Introduction: Clinical education is part of medical education where students gradually acquire skills by attending patients’ bedside. In fact, students use the acquired skills and logical experiences to resolve patients’ problems. Materials and Methods: This qualitative study was performed using the non-guided content analysis method. The study population included 240 assistants from 13 educational groups in the School of Medicine of Mashhad, Iran, 121 of whom were enrolled in the study. Results: The clinical education methods included four main indicators of content, implementation process, professor, and interaction. According to the results, there were three components in the professor indicator, including the use of experiences of professors, application of expert professors, and continuous presence in all the methods. In addition, components of more practice and training were confirmed in all the methods. In the implementation process indicator, the component of feedback was emphasized in all the methods. Conclusion: According to our results, attention to the quality indicators of clinical education methods leads to the improvement of education status and performance.","PeriodicalId":131413,"journal":{"name":"journal of cardio-thoracic medicine","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114716064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Critical-Care Pain Observation Tool: A useful tool for pain assessment in intensive care units 重症监护疼痛观察工具:重症监护病房疼痛评估的有用工具

journal of cardio-thoracic medicine Pub Date : 2018-09-01 DOI: 10.22038/JCTM.2018.32648.1169

R. Basiri, Mohaddeseh Ghelichli, S. Lari, S. Hejazi, Ali Vahidi Rad

引用次数: 2

Late lumen loss in thoracic aortic end graft after endovascular procedure of a traumatic pseudoaneurysm 外伤性假性动脉瘤血管内手术后胸主动脉末端移植物的晚期管腔丧失

journal of cardio-thoracic medicine Pub Date : 2018-09-01 DOI: 10.22038/JCTM.2018.31635.1162

A. Yadollahi, Aliasghar Moeinipour, Hamid Hoseinikhah, J. Ramezani

引用次数: 0

Responses of Muscle Mitochondrial Function to Physical Activity: A Literature Review 肌肉线粒体功能对运动的响应:文献综述

journal of cardio-thoracic medicine Pub Date : 2018-09-01 DOI: 10.22038/jctm.2018.32946.1171

K. Hejazi

{"title":"Responses of Muscle Mitochondrial Function to Physical Activity: A Literature Review","authors":"K. Hejazi","doi":"10.22038/jctm.2018.32946.1171","DOIUrl":"https://doi.org/10.22038/jctm.2018.32946.1171","url":null,"abstract":"Skeletal muscles play an active role in regulating the metabolic homeostasis through their ability for relating to adipose tissue and endocrine hormones. Contraction of the skeletal muscle leads to increased release of several myokines, such as irisin, which is able to interact with the adipose tissue. Physical activity promotes the irisin mechanism by augmenting the peroxisomes (PGC1-α) in the skeletal muscle. Afterwards, an elevation occurs in the membrane protein of fibronectin type III domain-containing protein 5 (FNDC5) in muscle, ultimately resulting in production of irisin. The expression of irisin and FNDC5 converts white adipose into the brown type and increases energy consumption by the whole body hindering obesity and diabetes. The effects of regular exercise training on preventing obesity, diabetes, and the related complications, as well as improving health have already been proven. However, the point is that these beneficial effects are due to the cellular-molecular mechanisms, which are still under discussion. In this review, we searched the online databases, including scientific information database (SID), Google Scholar, PubMed, Science Direct, and Scopus. The following keywords were used: training, physical activity, myokine, adipose tissue, PRDM16, PGC-1α, PPARγ, SIRT1, FGF21, bone morphogenetic protein, neurugolin, VEGF, and IL-15. All the articles, including research studies, review articles, descriptive and analytical studies, in addition to cross-sectional researches published during 1998-2017 were reviewed. According to the obtained results, it seems that expression of irisin and FNDC5 converts the white adipose into brown adipose resulting in increased energy consumption. It has been proven in the literature that regular exercise training prevents obesity, diabetes, and the related complications, as well as improving health.","PeriodicalId":131413,"journal":{"name":"journal of cardio-thoracic medicine","volume":"41 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133350840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Cardiac Myxoma, a Rare But Most Common Encountered Cardiac Tumor: A Single Center Experience 心脏黏液瘤，一种罕见但最常见的心脏肿瘤:单中心经验

journal of cardio-thoracic medicine Pub Date : 2018-09-01 DOI: 10.22038/JCTM.2018.32303.1166

Satish R Das, C. Mohapatra, Ashish Badkhal, S. Dhande, P. Pohekar, A. Khatod

{"title":"Cardiac Myxoma, a Rare But Most Common Encountered Cardiac Tumor: A Single Center Experience","authors":"Satish R Das, C. Mohapatra, Ashish Badkhal, S. Dhande, P. Pohekar, A. Khatod","doi":"10.22038/JCTM.2018.32303.1166","DOIUrl":"https://doi.org/10.22038/JCTM.2018.32303.1166","url":null,"abstract":"Introduction: Cardiac myxoma is a benign and rare tumor, which can present with a grim phenomenon if the presentation is late or the diagnosis and surgery are delayed. The purpose of this study was to share our institutional experience of cardiac myxoma. Material and Methods: This retrospective study was conducted to evaluate patients undergoing procedures at a single tertiary care centre for the treatment of cardiac myxoma during January, 2007 to December, 2017. Preoperative diagnosis was made by assessing clinical presentation and doing echocardiography. Complete tumor excision was performed, and all the patients were followed up for recurrence and complications. Results: A total of 45 cases of cardiac myxoma (13 males and 32 females) with the mean age of 37.5 years old (ranged between 16 and 60 years old) were operated over the period of 10 years. Cardiac myxoma constituted about 0.69% of all cardiac cases operated at our institute. Out of all the subjects, 41, 3, and 1 cases had left atrial, right atrial, and right ventricular involvements, respectively. Additionally, 43 patients (95%) survived the surgery, one recurrence was observed during the follow-up period. Conclusion: Cardiac myxoma is the most common cardiac tumor account for very small percentage of patients with heart disease. Early clinical suspicion and the use of imaging modalities are key to early diagnosis of this condition. Although these tumors have a risk for severe cardiac and systemic symptoms, referral to experienced centers for prompt surgical resection under cardiopulmonary bypass provides excellent early and long-term results.","PeriodicalId":131413,"journal":{"name":"journal of cardio-thoracic medicine","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127497935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2