journal of cardio-thoracic medicine最新文献_第9页

Evaluation of the Validity and Reliability of the Persian Version of Iowa Satisfaction with Anesthesia Scale in Iran 波斯语版爱荷华麻醉满意度量表在伊朗的效度和信度评价

journal of cardio-thoracic medicine Pub Date : 2019-03-01 DOI: 10.22038/JCTM.2019.38647.1211

G. Soltani, N. Morovatdar, N. Zirak, F. G. Keshtan, Seyed Reza Akbarzadeh, M. Jafari, Elahe Bagheri

{"title":"Evaluation of the Validity and Reliability of the Persian Version of Iowa Satisfaction with Anesthesia Scale in Iran","authors":"G. Soltani, N. Morovatdar, N. Zirak, F. G. Keshtan, Seyed Reza Akbarzadeh, M. Jafari, Elahe Bagheri","doi":"10.22038/JCTM.2019.38647.1211","DOIUrl":"https://doi.org/10.22038/JCTM.2019.38647.1211","url":null,"abstract":"Introduction: The interaction between the doctor and the patient achieved when the physician is able to communicate effectively with the patient. Iowa Satisfaction with Anesthesia Scale is a tool for this purpose. Given that ISAS is originally in English and understudy in Iran, we decided to translate this scale into Persian and evaluate its validity and reliability.Purpose: Our aim in this study is translating, validity and reliability of ISAS.Methods: This study is an observational study with a correlational design that adopts an analytical approach. The population consisted of all patients undergoing surgery at Imam Reza Hospital out of whom 162 patients met the inclusion criteria, i.e. aged 18 years and above, transferred from the OP to ICU, exposed to general anesthesia and signed the consent form.Results: Patients completed the questionnaire in 5 minutes. The mean (maximum-minimum) age of the patients was 57.39 (18-87). As for gender, 102 (63%) of patients were male and 56 (34.6%) were female. About 4 (2.5%) of the data went missing. Cronbach's Alpha was 0.85. The correlation analysis showed that Iowa scale was significantly correlated with RP (P = 0.007), BP (P = 0.002), RE (P = 0.007) and GH (P = 0.012). The PSQ questionnaire had a significant correlation with the LOWA questionnaire (p < 0.001).Conclusion: Validity and reliability of the Persian version of Iowa Satisfaction with Anesthesia Scale (ISAS) in Iran are excellent.","PeriodicalId":131413,"journal":{"name":"journal of cardio-thoracic medicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129457339","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

Challenging Management of Warfarinised Patients with Intracranial Hemorrhage Following a Head Injury: A Major Medical Dilemma 华法林患者脑损伤后颅内出血的挑战性管理:一个主要的医学困境

journal of cardio-thoracic medicine Pub Date : 2019-03-01 DOI: 10.22038/JCTM.2019.36561.1199

F. Ghaderi, G. Safarpoor, Hamid Hoseinikhah, M. Akbari, Kayhan Mizani, Aliasghar Moeinipour

{"title":"Challenging Management of Warfarinised Patients with Intracranial Hemorrhage Following a Head Injury: A Major Medical Dilemma","authors":"F. Ghaderi, G. Safarpoor, Hamid Hoseinikhah, M. Akbari, Kayhan Mizani, Aliasghar Moeinipour","doi":"10.22038/JCTM.2019.36561.1199","DOIUrl":"https://doi.org/10.22038/JCTM.2019.36561.1199","url":null,"abstract":"Introduction:The use of anticoagulant and ant platelet medications, especially warfarin and clopidogrel, is on a growing trend. Warfarin usage is commonly accompanied with hemorrhagic complications resulting in a noticeable mortality rate. Patient's ant coagulated with warfarin suffers from intracranial hemorrhage after a head injury. Materials and Methods: For the purpose of the study, the relevant articles published from 1966 to January 2017 were searched in several databases, including of Medline, Scopus, Google Scholar, and MEDLINE (through PubMed). The search process was performed using the following medical subject headings: “Warfarin” combined with “Warfarin-associated hemorrhage”, “Head injury and warfarin-related intracranial hemorrhage”, “Intracerebral hemorrhage”, and “Treatment of coagulopathy”. Results: The search process resulted in the inclusion of 242 articles. According to the results of the reviewed studies, the best treatments for the reversal of coagulopathy in warfarinised patients in elective or urgent conditions following a head injury are prothrombin complex concentrate (PCC) and fresh frozen plasma, along with vitamin K, based on the discretion of the treating physician. Conclusion: According to the studies, the administration of PCC or any other treatments with a similar or close formulation to PCC is significantly more effective and faster in the reversal of coagulopathy and reduction of international normalized ratio in comparison with the use of fresh frozen plasma or other therapies in warfarinised patients admitted with serious intracranial hemorrhage following a head injury. Delivery of an effective treatment to these patients can be accomplished by planning for medical interventions, decreasing time delays for operations, and selecting a suitable or alternative treatment.","PeriodicalId":131413,"journal":{"name":"journal of cardio-thoracic medicine","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127043650","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

Reconstruction of Large Airways Following Main Bronchial Rapture a Year after Blunt Trauma 钝性创伤一年后主支气管破裂后大气道重建

journal of cardio-thoracic medicine Pub Date : 2019-03-01 DOI: 10.22038/JCTM.2019.38502.1209

R. Bagheri

引用次数: 0

Bilateral Pulmonary Artery, Inferior Vena Cava, and Cardiac Echinococcosis: A Rare Presentation of Zoonotic Diseases 双侧肺动脉、下腔静脉和心脏包虫病:一种罕见的人畜共患疾病

journal of cardio-thoracic medicine Pub Date : 2019-03-01 DOI: 10.22038/JCTM.2019.38379.1207

D. Attaran, A. Asnaashari, Z. Ahmadi, Kambiz Alizadeh, Mahnaz Mozdourian

引用次数: 1

Changes in Blood Gases and Hemodynamic Parameters in Patients Undergoing Lung Resection Surgery and Its Clinical Implications 肺切除术患者血气和血流动力学参数的变化及其临床意义

journal of cardio-thoracic medicine Pub Date : 2019-03-01 DOI: 10.22038/JCTM.2019.36250.1193

A. Saleem, W. Syed, A. Bhat, Lone Ghulam Nabi, Zubair Ashraf, Haroon R Naqshi, F. Ganie, N. Kawoosa

{"title":"Changes in Blood Gases and Hemodynamic Parameters in Patients Undergoing Lung Resection Surgery and Its Clinical Implications","authors":"A. Saleem, W. Syed, A. Bhat, Lone Ghulam Nabi, Zubair Ashraf, Haroon R Naqshi, F. Ganie, N. Kawoosa","doi":"10.22038/JCTM.2019.36250.1193","DOIUrl":"https://doi.org/10.22038/JCTM.2019.36250.1193","url":null,"abstract":"Introduction: Lung resection surgery is a challenge to thoracic surgeons. Outcome of surgery depends on patients’ tolerance to reduced lung volume and hemodynamic alterations. The present study aimed to investigate the changes in blood gases and hemodynamic parameters in patients undergoing lung resection surgery and the associated clinical implications. Materials and methods: This study included 25 candidates for lung resection surgery. After thoracotomy, isolation of pulmonary artery (PA) and veins were performed as usual. Blood samples were taken from the PA and radial artery simultaneously before clamping, as well as 5 and 20 min after clamping the PA. The systemic as well as PA pressure was also measured. All patients were followed up, arterial blood gas and pulmonary function tests were performed 3-6 months after the surgery. Results: Cough (56%) and hemoptysis (56%) were the commonest symptom. Most prevalent pathology was squamous cell carcinoma (56%). Lobectomy was the most common procedure performed on the patients. No change was observed in blood gases before and after the clamping of the PA. There was a significant increase in the mean PA pressure (P 45 mmHg had more postoperative complications than those with a PCO2 of ≤45 mmHg (P=0.047). Conclusion: Given the lack of any significant changes in the PCO2 and oxygen saturation following the lung resection surgery, it seems that this parameter is not a limiting factor for deciding on operability in patients with lung lesions having an acceptable preoperative PO2 level. However, the patients with a PCO2 of >45 mmHg should be categorized as high-risk group since they have significantly higher postoperative complications/morbidity.","PeriodicalId":131413,"journal":{"name":"journal of cardio-thoracic medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125066564","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

CYP2C19 Genetic Polymorphism in the East of Iran: Its Association with the Severity and Pattern of Coronary Artery Disease CYP2C19基因多态性在伊朗东部:它与冠状动脉疾病的严重程度和模式的关系

journal of cardio-thoracic medicine Pub Date : 2019-03-01 DOI: 10.22038/JCTM.2019.38630.1210

M. Zahedi, M. Shabestari, H. Ayatollahi, A. Gholoobi

{"title":"CYP2C19 Genetic Polymorphism in the East of Iran: Its Association with the Severity and Pattern of Coronary Artery Disease","authors":"M. Zahedi, M. Shabestari, H. Ayatollahi, A. Gholoobi","doi":"10.22038/JCTM.2019.38630.1210","DOIUrl":"https://doi.org/10.22038/JCTM.2019.38630.1210","url":null,"abstract":"Introduction: Since there has been a dearth of research on the assessment of CYP2C19 polymorphism in the east of Iran (Khorasan provinces), this study aimed to detect, CYP2C19*2 and CYP2C19*3 allele frequencies among patients with coronary artery disease. The participants were selected among those referring to Emam Reza Hospital, Mashhad, Iran. Furthermore, the current research was motivated to elucidate the association of CYP2C19 polymorphism with the severity and pattern of coronary artery disease. Material and Methods: This study was conducted on 84 patients who were subjected selective coronary angiography. The participants of the present study were from Khorasan, Iran. The Genotyping of extracted crude DNA for CYP2C19*2 (rs4244285) and CYP2C19*3 (rs4986893) alleles was performed through PCR-RFLP method. Results: The obtained results of the current study revealed three different allelic band patterns. Out of the 84 individuals, 71 were homozygous for the wild type allele in both exon 5 and exon 4 (wt/wt; 84.5%), 15 were homozygous for the CYP2C19*2 polymorphism (*2/*2;14.3%), and 1 subject was homozygous for the CYP2C19*3 (*3/*3; 1.2%). No subjects were heterozygous for the CYP2C19*2 (wt/*2; 0.0%) or CYP2C19*3 (wt/*3; 0.0%) or heterozygous for the CYP2C19*2 and the CYP2C19*3 mutations (*2/*3; 0.0%). Conclusion: The findings of the current study confirmed the existence of CYP2C19 polymorphism among people of Khorasan.","PeriodicalId":131413,"journal":{"name":"journal of cardio-thoracic medicine","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117143240","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

Overview of Intracoronary Brachytherapy for in-Stent Restenosis of a Drug-Eluting Stent 药物洗脱支架支架内再狭窄的冠状动脉内近距离放疗综述

journal of cardio-thoracic medicine Pub Date : 2019-03-01 DOI: 10.22038/JCTM.2019.37623.1203

S. Refahi, M. Mohammadi

引用次数: 1

Surgical Treatment of Pulmonary Aspergilloma 肺曲菌瘤的外科治疗

journal of cardio-thoracic medicine Pub Date : 2019-03-01 DOI: 10.22038/JCTM.2019.36794.1200

R. Bagheri, S. Haghi, R. Afghani, S. Lari, Vahab Azmounfar, Saeedeh Hakimian, Mohammad Baradaran Firoozabadi, Elham Lotfian

{"title":"Surgical Treatment of Pulmonary Aspergilloma","authors":"R. Bagheri, S. Haghi, R. Afghani, S. Lari, Vahab Azmounfar, Saeedeh Hakimian, Mohammad Baradaran Firoozabadi, Elham Lotfian","doi":"10.22038/JCTM.2019.36794.1200","DOIUrl":"https://doi.org/10.22038/JCTM.2019.36794.1200","url":null,"abstract":"Introduction: Surgical approaches for the management of pulmonary aspergilloma have been accompanied with high levels of morbidity and mortality. However, these therapeutic options are still favored over other approaches for the treatment of Pulmonary Aspergilloma. In this study, we aimed to describe the characteristics of 30 patients with aspergilloma who referred to Ghaem hospital between 2017-2018 and describe their results. Materials and Methods: This retrospective study was conducted on 30 patients (i.e., 21 males and 9 females) with pulmonary aspergilloma who were treated via surgery. The patients were examined based on their age, gender, clinical symptoms prior to surgery, affected pulmonary lobe, surgical method, and postoperative complications. Results: The mean age of the patients was 48.13(5.2) years. Hemoptysis (90%) was the most common symptom of pulmonary aspergilloma, followed by productive cough and drug-resistant pneumonia. The most common problematic lobes included left upper lobe and right upper lobe. Regarding the surgical method, 21 and 9 patients underwent lobectomy and segmentectomy, respectively. After the surgery, residual space, wound infection, ad bronchopleural fistula was observed in 5 (16.7%), 3 (10%), and 2 (6.7%) cases, respectively. Furthermore, only one patient passed away. Conclusion: As the findings indicated, the methods of surgery (i.e., lobectomy and segmentectomy) showed effective treatment for patients.","PeriodicalId":131413,"journal":{"name":"journal of cardio-thoracic medicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130257291","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

Calcified Bronchogenic Cyst 钙化支气管源性囊肿

journal of cardio-thoracic medicine Pub Date : 2018-12-01 DOI: 10.22038/JCTM.2018.34074.1175

Y. Kamal, Y. Mubarak, M. El-sayed, H. Hassan

引用次数: 0

Supportive Data for Galectin-3 as a Prognostic Factor in Coronary Artery Disease 半乳糖凝集素-3作为冠状动脉疾病预后因素的支持数据

journal of cardio-thoracic medicine Pub Date : 2018-12-01 DOI: 10.22038/JCTM.2018.35577.1187

Yasamin Roohbakhsh, Kambiz Alizadeh, L. Jarahi, M. Soukhtanloo, B. Mashkani, F. Z. Avval

{"title":"Supportive Data for Galectin-3 as a Prognostic Factor in Coronary Artery Disease","authors":"Yasamin Roohbakhsh, Kambiz Alizadeh, L. Jarahi, M. Soukhtanloo, B. Mashkani, F. Z. Avval","doi":"10.22038/JCTM.2018.35577.1187","DOIUrl":"https://doi.org/10.22038/JCTM.2018.35577.1187","url":null,"abstract":"Introduction: Galectin-3 is known as a biomarker in patients with heart failure. This protein participates in different mechanisms involved in atherosclerosis including inflammation and plaque formation. This study was conducted to investigate whether this factor could be a predictive biomarker for the severity of atherosclerosis. Materials and Methods: The study group consisted of 80 patients with coronary atherosclerosis referred to the Department of Cardiac Surgery of Ghaem Hospital, affiliated to Mashhad University of Medical Sciences, Mashhad, Iran. The serum level of galectin-3 was measured using a commercial enzyme-linked immunosorbent assay kit. The severity of coronary artery disease (CAD), evaluated by the serum levels of galectin-3, was expressed as the number of involved vessels. Results: Galectin-3 concentration was directly correlated with the number of involved vessels.The serum level of galectin-3 was significantly higher in patients with four involved vessels (20.76±7.20 ng/ml) than those with three-vessel disease (14.31±4.45 ng/ml; P<0.001). Patients with three-vessel disease had higher levels of galectin-3 than patients with one and two involved vessels (7.20±4.09 ng/ml; P<0.001). Conclusion: The relationship between the number of vessels involved and the concentration of Galectin-3 was statistically significant. According to the results, serum galectin-3 level is considered as a noninvasive tool for the diagnosis of preliminary assuming the coronary artery involvement. Although this study needs further detailed investigations with preferably larger sample size, the results of the present study highlighted the importance of this factor in CAD. This protein can help in early evaluations for preliminary determining the prognosis before the complementary aggressive intervention.","PeriodicalId":131413,"journal":{"name":"journal of cardio-thoracic medicine","volume":"75 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":"124986429","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