Sultan Qaboos University Medical Journal最新文献

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A Newly Detected Left Ventricular Mass Following A Complex Intracardiac Repair. 复杂的心内修复术后新发现的左心室肿块
Sultan Qaboos University Medical Journal Pub Date : 2023-12-01 Epub Date: 2023-11-30 DOI: 10.18295/squmj.12.2023.069
Madan M Maddali, Avinash Chauhan, Pranav S Kandachar, Abdulla Al-Farqani, Hamood N Al Kindi
{"title":"A Newly Detected Left Ventricular Mass Following A Complex Intracardiac Repair.","authors":"Madan M Maddali, Avinash Chauhan, Pranav S Kandachar, Abdulla Al-Farqani, Hamood N Al Kindi","doi":"10.18295/squmj.12.2023.069","DOIUrl":"10.18295/squmj.12.2023.069","url":null,"abstract":"<p><p>Appearance of unexpected masses in the chambers of the heart during cardiac surgery can be intriguing. We report the case of a mass in the left ventricle that appeared at the time of separation from cardiopulmonary bypass in a child after a complex intracardiac repair. The child presented for surgery to a tertiary care hospital in Muscat, Oman, in 2022. Prior to the surgical repair the mass was not appreciated by echocardiography. An intraventricular baffle was used to divert left ventricular blood flow towards the outflow tract, after which an intraventricular \"mass\" was observed. Intraoperative transoesophageal echocardiography identified the mass as a portion of the interventricular septum that was located between the inlet and outlet ventricular septal defects.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10754302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Propofol and Kearns-Sayre Syndrome: An idiographic approach. 异丙酚与卡恩斯-赛尔综合征:成因分析法
Sultan Qaboos University Medical Journal Pub Date : 2023-12-01 Epub Date: 2023-11-30 DOI: 10.18295/squmj.12.2023.080
Madan M Maddali, Thushara D Munasinghe, Is'haq Al Aamri, Ismail A Al-Abri, Samir Al-Adawi
{"title":"Propofol and Kearns-Sayre Syndrome: An idiographic approach.","authors":"Madan M Maddali, Thushara D Munasinghe, Is'haq Al Aamri, Ismail A Al-Abri, Samir Al-Adawi","doi":"10.18295/squmj.12.2023.080","DOIUrl":"10.18295/squmj.12.2023.080","url":null,"abstract":"<p><p>With the focus on an idiographic approach whereby the observations incorporated the various dimensions of individual functioning 'top-down' to 'bottom-up', this case report describes the successful management of a 14-year-old girl with Kearns-Sayre syndrome and Dyggve-Melchior-Clausen disease requiring a transvenous permanent pacemaker implantation for complete heart block. The patient presented to a tertiary care centre in Muscat, Oman, in 2023 seeking consultation. The current idiographic approach appears to have a heuristic value for 2 interrelated reasons. Firstly, it is unlikely that even tertiary care units can accrue such rare presentations and scrutinise them under nomothetic approach. Secondly, by employing the idiographic approach that is capable of examining each case in-depth, the aspiration for good health and well-being may come to the forefront. To the best of the authors' knowledge this is the first published idiographic report in anaesthesia care.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10754313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sudden Cardiac Death in Patients Under 49 Years Including Adolescents: A single-centre study from Oman. 49 岁以下患者(包括青少年)的心脏性猝死:阿曼的一项单中心研究。
Sultan Qaboos University Medical Journal Pub Date : 2023-12-01 Epub Date: 2023-11-30 DOI: 10.18295/squmj.12.2023.082
Madan M Maddali, Ahmed S Al Habsi, Mariya J Al Dhamri, Sathish K Jayapal, Hamood N Al Kindi
{"title":"Sudden Cardiac Death in Patients Under 49 Years Including Adolescents: A single-centre study from Oman.","authors":"Madan M Maddali, Ahmed S Al Habsi, Mariya J Al Dhamri, Sathish K Jayapal, Hamood N Al Kindi","doi":"10.18295/squmj.12.2023.082","DOIUrl":"10.18295/squmj.12.2023.082","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to identify the incidence of sudden cardiac death (SCD0 in adult patients under the age of 49 years, including adolescents with an out-of-hospital cardiac arrest that presented to the emergency department of a tertiary care hospital.</p><p><strong>Methods: </strong>This retrospective cross-sectional study was conducted at the Royal Hospital, Muscat, Oman, between January 2015 and December 2019. All patients with out-of-hospital cardiac arrest were enrolled. The incidence of SCD was evaluated. Information about the patient's demographic data, the site of cardiac arrest, the mode of arrival, the duration of pre-arrest symptoms and if cardiopulmonary resuscitation was performed was gathered. Survival data at 3-year follow-up was obtained.</p><p><strong>Results: </strong>A total of 117 out of 769 (15%) patients met the criteria for SCD. Male gender was predominant, with a median age of 33 years. In about 79.5% of the patients, cardiac arrest was witnessed. Only 43 patients (36.8%) received cardiopulmonary resuscitation at the arrest site; 21 patients (17.9%) had a shockable rhythm and 96 patients (82.1%) had a non-shockable rhythm. Spontaneous circulation was returned in 15 patients (12.8%). Nine patients (7.7%) were discharged from the hospital and 8 (6.8%) survived at least 36 months.</p><p><strong>Conclusion: </strong>The study findings indicate the prevalence of SCD among patients who experienced a cardiac arrest outside the hospital. Unfortunately, only a small number of patients were able to survive in the long term. By implementing preemptive screening for individuals and their families, it may be possible to prevent SCD and improve outcomes for those affected.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10754306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Device Closure of Superior Sinus Venosus Atrial Septal Defects: A single centre experience. 上窦静脉房室隔缺损的设备闭合:单中心经验
Sultan Qaboos University Medical Journal Pub Date : 2023-12-01 Epub Date: 2023-11-30 DOI: 10.18295/squmj.12.2023.070
Salim N Al Maskari, Madan M Maddali, Khalid Al Alawi, Sowmiya Raju, Abdulla Al-Farqani
{"title":"Device Closure of Superior Sinus Venosus Atrial Septal Defects: A single centre experience.","authors":"Salim N Al Maskari, Madan M Maddali, Khalid Al Alawi, Sowmiya Raju, Abdulla Al-Farqani","doi":"10.18295/squmj.12.2023.070","DOIUrl":"10.18295/squmj.12.2023.070","url":null,"abstract":"<p><p>Sinus venosus atrial septal defects present a wide variety of anatomical features and are frequently associated with partial anomalous pulmonary venous drainage of one or more right pulmonary veins. Surgical correction used to be the standard treatment. In recent times, transcatheter correction of superior sinus venosus atrial septal defects has come into vogue. The transcatheter closure of these defects with covered stents at a tertiary care centre in Oman between 2018 and 2023 is reported.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10754301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Angiographic Predictors of Viability During Intervention for a ST Elevation Myocardial Infarction. ST 段抬高心肌梗死介入治疗期间血管造影预测存活率。
Sultan Qaboos University Medical Journal Pub Date : 2023-12-01 Epub Date: 2023-11-30 DOI: 10.18295/squmj.12.2023.078
Suhaib Al-Maashari, Yasir Al-Malki, Hatim Al Lawati, Adil Al-Riyami, Sunil K Nadar
{"title":"Angiographic Predictors of Viability During Intervention for a ST Elevation Myocardial Infarction.","authors":"Suhaib Al-Maashari, Yasir Al-Malki, Hatim Al Lawati, Adil Al-Riyami, Sunil K Nadar","doi":"10.18295/squmj.12.2023.078","DOIUrl":"10.18295/squmj.12.2023.078","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to identify angiographic features that would predict myocardial viability after coronary intervention for ST elevation myocardial infarction (STEMI).</p><p><strong>Methods: </strong>This retrospective study included patients who attended Sultan Qaboos University Hospital, Muscat, Oman, between January and December 2019 with a STEMI.</p><p><strong>Results: </strong>A total of 72 patients (61 male; mean age = 54.9 ± 12.7 years) were included in the study; 11 patients had evidence of non-viability on echocardiography. There were 13 patients with viable myocardium and 3 with non-viable myocardium who had a myocardial blush grade (MBG) of 2 or lower. Similarly, 10 patients with viability and 1 with non-viable myocardium had thrombolysis in myocardial infarction (TIMI) flow of 2 or lower in the infarct related artery (IRA). However, none of these were statistically significant. The TIMI flow in the IRA at the end of the procedure correlated with the MBG.</p><p><strong>Conclusion: </strong>There were no clear angiographic features during primary angioplasty that could predict myocardial viability.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10754314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Evolution of Paediatric Cardiology Service in Oman. 阿曼儿科心脏病学服务的演变。
Sultan Qaboos University Medical Journal Pub Date : 2023-12-01 Epub Date: 2023-11-30 DOI: 10.18295/squmj.12.2023.072
Salim N Al Maskari
{"title":"The Evolution of Paediatric Cardiology Service in Oman.","authors":"Salim N Al Maskari","doi":"10.18295/squmj.12.2023.072","DOIUrl":"10.18295/squmj.12.2023.072","url":null,"abstract":"","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10754308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mogul in a Baby. 婴儿中的大亨
Sultan Qaboos University Medical Journal Pub Date : 2023-12-01 Epub Date: 2023-11-30 DOI: 10.18295/squmj.12.2023.071
Pranav S Kandachar, Nithil A Varughese, Charanjit Kaur, Abdulla M S AlFarqani, Ala Al Lawati
{"title":"Mogul in a Baby.","authors":"Pranav S Kandachar, Nithil A Varughese, Charanjit Kaur, Abdulla M S AlFarqani, Ala Al Lawati","doi":"10.18295/squmj.12.2023.071","DOIUrl":"10.18295/squmj.12.2023.071","url":null,"abstract":"","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10754303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rupture of Renal Angiomyolipoma Post Fibrinolysis: A rare complication of fibrinolytic therapy. 纤维蛋白溶解术后肾血管肌脂肪瘤破裂:纤维蛋白溶解疗法的罕见并发症。
Sultan Qaboos University Medical Journal Pub Date : 2023-12-01 Epub Date: 2023-11-30 DOI: 10.18295/squmj.12.2023.074
Saba Al-Kindi, Mahmood Al-Hajriy, Adil Al-Jabri
{"title":"Rupture of Renal Angiomyolipoma Post Fibrinolysis: A rare complication of fibrinolytic therapy.","authors":"Saba Al-Kindi, Mahmood Al-Hajriy, Adil Al-Jabri","doi":"10.18295/squmj.12.2023.074","DOIUrl":"10.18295/squmj.12.2023.074","url":null,"abstract":"<p><p>Angiomyolipoma is a common benign solid tumour that accounts for up to 3% of all renal tumours; most of the cases are sporadic. However, it can be part of other diseases. Angiomyolipomas are usually found incidentally through unrelated clinically indicated images but also, they can be diagnosed after complications have occurred. We report the case of retroperitoneal haemorrhage following the rupture of renal angiomyolipoma post-fibrinolysis, we are highlighting such a rare condition, the management options and the follow-up plan. The management of angiomyolipomas ranges from conservative treatment to surgical intervention depending on the patient's condition and the tumour's radiological features. Following-up on patients with angiomyolipomas depends on the symptoms and the tumour size. Till date, there is no reported cases of renal angiomyolipoma rupture post-fibrinolysis therapy as a treatment for myocardial infarction in non-percutaneous intervention capable facility.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10754310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Sinus Venosus Veno-Venous Bridge: Not a septal defect. 静脉窦静脉桥:不是房间隔缺损
Sultan Qaboos University Medical Journal Pub Date : 2023-12-01 Epub Date: 2023-11-30 DOI: 10.18295/squmj.12.2023.075
Madan M Maddali, Robert H Anderson, Salim N Al Maskari, Faiza Al Kindi, Hamood N Al Kindi
{"title":"The Sinus Venosus Veno-Venous Bridge: Not a septal defect.","authors":"Madan M Maddali, Robert H Anderson, Salim N Al Maskari, Faiza Al Kindi, Hamood N Al Kindi","doi":"10.18295/squmj.12.2023.075","DOIUrl":"10.18295/squmj.12.2023.075","url":null,"abstract":"<p><p>This review provides an update on the morphology of the sinus venosus defect. It was earlier believed that a 'common wall' separated the right pulmonary veins from the superior caval vein. In the sinus venosus defects, this wall was absent. Current evidence shows that the superior rim of the oval fossa, rather than forming a second septum or representing a common wall, is an infolding between the walls of the caval veins and the right pulmonary veins. The sinus venosus defect is caused by the anomalous connection of one or more pulmonary veins to a systemic vein. However, the pulmonary vein(s) retain their left atrial connections, leading to a veno-venous bridge that allows interatrial shunting outside the oval fossa. True atrial septal defects are located within the oval fossa or in the anteo-inferior buttress, while sinus venosus defects, ostium defects and coronary sinus defects are morphologically distinct from them.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10754305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Troubleshooting During Temporary Epicardial Lead Implantation in a Child with an Erosive Twiddler's Syndrome and Multiple Sternotomies: A case report. 为一名患有侵蚀性孪缩综合征和多次软骨切开术的儿童进行临时心外膜铅植入时的故障排除:病例报告。
Sultan Qaboos University Medical Journal Pub Date : 2023-12-01 Epub Date: 2023-11-30 DOI: 10.18295/squmj.12.2023.079
Madan M Maddali, Ismail A Al-Abri, Malay H Patel, Amr M Abokwafa, Sunny Zacharias
{"title":"Troubleshooting During Temporary Epicardial Lead Implantation in a Child with an Erosive Twiddler's Syndrome and Multiple Sternotomies: A case report.","authors":"Madan M Maddali, Ismail A Al-Abri, Malay H Patel, Amr M Abokwafa, Sunny Zacharias","doi":"10.18295/squmj.12.2023.079","DOIUrl":"10.18295/squmj.12.2023.079","url":null,"abstract":"<p><p>Temporary epicardial cardiac pacing in patients with bradyarrhythmias may be used as a bridge to implantation of a permanent pacemaker. The temporary epicardial lead placement may sometimes necessitate a sternotomy that may pose a challenge in patients who have had multiple earlier sternotomies. The difficulty in accessing the epicardium for urgent implantation of temporary epicardial pacing leads depends on the extent of adhesions in such patients. We report an 8-year-8-month-old girl with a pacemaker with an extruded pulse generator and difficult myocardial access due to 5 prior transsternal procedures. The child presented to a tertiary care hospital in Muscat, Oman, in 2021. A trouble-shooting technique was adopted to achieve temporary epicardial pacing to provide time for a course of antibiotic therapy administration. A permanent transvenous pulse generator system was implanted after 7 days of temporary pacing.</p>","PeriodicalId":22083,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10754304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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