Journal Of Cardiovascular, Neurovascular & Stroke最新文献_第2页

Right Coronary Artery Originating From Mid Left Anterior Descending Artery: A Rare Variant of Anomalous Right Coronary Artery Detected on CT Coronary Angiography. 右冠状动脉起源于左前降支中部:CT冠状动脉造影发现的一种罕见的右冠状动脉异常。

Journal Of Cardiovascular, Neurovascular & Stroke Pub Date : 2022-10-04 DOI: 10.32896/cvns.v4n3.21-25

Mohd Hafizuddin Husin, Ahmad Aizuddin Mohamad Jamali, Mohd Azaad A Hamid, Khairulanuar Saad

{"title":"Right Coronary Artery Originating From Mid Left Anterior Descending Artery: A Rare Variant of Anomalous Right Coronary Artery Detected on CT Coronary Angiography.","authors":"Mohd Hafizuddin Husin, Ahmad Aizuddin Mohamad Jamali, Mohd Azaad A Hamid, Khairulanuar Saad","doi":"10.32896/cvns.v4n3.21-25","DOIUrl":"https://doi.org/10.32896/cvns.v4n3.21-25","url":null,"abstract":"Background: A single coronary artery (SCA) is a rare anomaly encountered using conventional coronary angiography. A right coronary artery (RCA) originating from a left anterior descending artery (LAD) is a rare subtype of SCA. Only a few cases are described in published literature.\u0000Case presentation: We described this anomaly in a 55-year-old male who presented with angina pectoris. The anomalous RCA was suspected by conventional coronary angiogram and was confirmed by computed tomography (CT) coronary angiography. Using CT, we demonstrated the course of the abnormal vessel and its relation to the main vessel. We also detected the presence of plaque, which caused luminal stenosis of the proximal LAD, which may cause global ischaemia.\u0000Conclusion: We concluded that although conventional coronary angiography is an important diagnostic method, new non-invasive methods such as CT coronary angiography can be a better screening tool to detect and characterise coronary anomalies.\u0000 \u0000Electronic Supplementary Materials\u0000Supplementary Material 1: Coronary angiogram demonstrates anomalous RCA originating from LAD.\u0000Supplementary Material 2: CTA coronary shows anomalous RCA originates from the mid-portion of LAD. ","PeriodicalId":232798,"journal":{"name":"Journal Of Cardiovascular, Neurovascular & Stroke","volume":"298 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132494852","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

RENAL CELL CARCINOMA WITH FACIAL SWELLING AND NASAL OBSTRUCTION AS PRIMARY PRESENTATION 以面部肿胀和鼻塞为主要表现的肾细胞癌

Journal Of Cardiovascular, Neurovascular & Stroke Pub Date : 2022-09-08 DOI: 10.32896/cvns.v4n2.25-30

Mohd Naqib Mohd Sabri, K. Alli, Sze Yin Lam, Kharul Azmi Abdul Kadir, Norafida Bahari

{"title":"RENAL CELL CARCINOMA WITH FACIAL SWELLING AND NASAL OBSTRUCTION AS PRIMARY PRESENTATION","authors":"Mohd Naqib Mohd Sabri, K. Alli, Sze Yin Lam, Kharul Azmi Abdul Kadir, Norafida Bahari","doi":"10.32896/cvns.v4n2.25-30","DOIUrl":"https://doi.org/10.32896/cvns.v4n2.25-30","url":null,"abstract":"Background: Renal cell carcinoma (RCC) is a slow growing tumor. About 25–30% of patients are found to have metastases at diagnosis commonly to lung, liver and bones. The incidence of renal cell carcinoma metastasizing to the head and neck has been reported to range from 15-30%. Intranasal mass, or occasionally orbital mass maybe the presenting symptom of metastatic renal cell carcinoma to the nose and sinuses.\u0000Case presentation: We report a case of left RCC with large metastases to the frontonasal region producing head and neck symptoms before the primary lesion could be detected. Clinical presentations of metastatic RCC to the nasal and paranasal regions varies from recurrent epistaxis, nasal obstruction, facial pain, induration or even an orbital mass. In our case, although the patient had typical presentation of metastatic nasal tumour, the diagnosis of metastatic disease was not made.\u0000Conclusion: Patient presented with nasal and paranasal region tumour with no other systemic symptoms, presence of metastatic disease particularly from renal cell carcinoma should be included in diagnosis, as it is a slow growing tumour and the fact that nasal and paranasal areas are the most commonly affected site of metastatic RCC in the head and neck region.","PeriodicalId":232798,"journal":{"name":"Journal Of Cardiovascular, Neurovascular & Stroke","volume":"172 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134492329","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

CASE SERIES OF SPONTANEOUS EXTRAPERITONEAL HEMORRHAGE IN COVID-19 PATIENTS IN MALAYSIA 马来西亚COVID-19患者自发性腹膜外出血病例系列

Journal Of Cardiovascular, Neurovascular & Stroke Pub Date : 2022-09-08 DOI: 10.32896/cvns.v4n2.16-24

Adib Amir, Arvin Rajadurai, Zulkifli Zaki Abdul Ghani

{"title":"CASE SERIES OF SPONTANEOUS EXTRAPERITONEAL HEMORRHAGE IN COVID-19 PATIENTS IN MALAYSIA","authors":"Adib Amir, Arvin Rajadurai, Zulkifli Zaki Abdul Ghani","doi":"10.32896/cvns.v4n2.16-24","DOIUrl":"https://doi.org/10.32896/cvns.v4n2.16-24","url":null,"abstract":"Background: COVID-19 infection is associated with thrombotic events causing micro thrombosis and venous thromboembolism. Anticoagulant treatment has been shown to reduce mortality in COVID-19 cases and is routinely used. Spontaneous extraperitoneal hemorrhage (SEH), which includes retroperitoneal, iliopsoas or rectus sheath hematomas, is a known complication of anticoagulant use. Trans arterial embolization (TAE) is a safe and minimally invasive management option to control bleeding in SEH. We report 7 cases of SEH in COVID-19 patients admitted to Hospital Sungai Buloh. This case series highlights the occurrence of SEH in COVID-19 patients, its clinical and radiological manifestations and management pathways.\u0000Case presentation: All patients were on anticoagulants and presented with abdominal pain and/or swelling with sudden drop in hemoglobin. Computed tomography angiography (CTA) showed contrast extravasation indicative of active bleed. All patients proceeded with conventional transfemoral angiography with option of TAE. TAE was utilized in 6 out of 7 cases and was successful in achieving hemostasis with no procedure related complication.\u0000Conclusion: SEH should be suspected in COVID-19 patients on anticoagulants presenting with abdominal pain or drop in hemoglobin. CTA is confirmatory and TAE offers a viable and safe treatment option.","PeriodicalId":232798,"journal":{"name":"Journal Of Cardiovascular, Neurovascular & Stroke","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125919358","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

MULTIDISCIPLINARY APPROACH TO TREATMENT OF HIGH FLOW HEAD AND NECK ARTERIOVENOUS MALFORMATIONS: SINGLE CENTRE EXPERIENCE IN 7 COMPLEX CASES 多学科方法治疗高流量头颈部动静脉畸形:单中心治疗7例复杂病例的经验

Journal Of Cardiovascular, Neurovascular & Stroke Pub Date : 2022-09-08 DOI: 10.32896/cvns.v4n2.1-15

Saima Ahmad, Roomana Akhlaque, M. Uddin, Umair Rashid, A. Churojana, M. A. Khan

{"title":"MULTIDISCIPLINARY APPROACH TO TREATMENT OF HIGH FLOW HEAD AND NECK ARTERIOVENOUS MALFORMATIONS: SINGLE CENTRE EXPERIENCE IN 7 COMPLEX CASES","authors":"Saima Ahmad, Roomana Akhlaque, M. Uddin, Umair Rashid, A. Churojana, M. A. Khan","doi":"10.32896/cvns.v4n2.1-15","DOIUrl":"https://doi.org/10.32896/cvns.v4n2.1-15","url":null,"abstract":"Introduction: The objective of this work is to determine the role of a multidisciplinary approach in treating the complex high flow head and neck arteriovenous malformations (AVMs), involving radiologists and plastic surgeons for the best possible outcomes.\u0000Methods: Between 2018 and 2020, the investigators conducted a retrospective analysis on seven patients with high-flow head and neck AVMs who received treatment at a tertiary care facility. Age at first diagnosis, presenting features, prior therapies, endovascular treatment, surgical treatment, and therapeutic outcomes were all recorded. A comparison of pre-and post-procedure pictures was made to assess the clinical outcomes for all patients.\u0000Results: Seven patients with complex high flow head and neck AVMs were jointly managed by performing plastic surgery and interventional radiology. There were male and female, with an average age of 24 years. Each patient underwent embolization followed by surgical resection within a 24-hour window of up to 72 hours. In six out of seven patients, the lesion was removed therapeutically, whereas the seventh required palliative resection. Only one patient, there was a minor wound healing difficulty able to be treated with dressings.\u0000Conclusion: The results revealed that embolization alone is not effective to reduce the adverse effects. Incomplete removal of AVM showed the same effect as incomplete removal of a tumour. It may not improve symptoms and may worsen the recurrence, thus multi-modality approach is beneficial. A multidisciplinary approach, aided by the interventional radiologist and enable plastic surgeons to remove the high-flow AVMs effectively.","PeriodicalId":232798,"journal":{"name":"Journal Of Cardiovascular, Neurovascular & Stroke","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133737161","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

A Descriptive Study on Characteristics of Patients with Myocardial Infarction and Their Outcomes: A Rural Primary Healthcare Setting in Lubok Antu District, Sarawak 对心肌梗死患者特征及其结果的描述性研究:沙捞越州Lubok Antu地区农村初级卫生保健机构

Journal Of Cardiovascular, Neurovascular & Stroke Pub Date : 2022-03-30 DOI: 10.32896/cvns.v4n1.42-48

Yik Hon Ho, Caryn Tsujean Lim, S. A. Albart, J. Schee, I. Looi, A. Fong

{"title":"A Descriptive Study on Characteristics of Patients with Myocardial Infarction and Their Outcomes: A Rural Primary Healthcare Setting in Lubok Antu District, Sarawak","authors":"Yik Hon Ho, Caryn Tsujean Lim, S. A. Albart, J. Schee, I. Looi, A. Fong","doi":"10.32896/cvns.v4n1.42-48","DOIUrl":"https://doi.org/10.32896/cvns.v4n1.42-48","url":null,"abstract":"INTRODUCTION: Myocardial infarction (MI) is the leading cause of death worldwide. More studies are needed to provide insight of MI care in rural settings in Malaysia.OBJECTIVE: This study aims to define characteristics of patients who experienced MI in rural setting and their outcomes. METHODS: We conducted an observational study involving secondary data collection through review of medical records of patients who presented to rural primary healthcare facilities before being referred to regional secondary and/or tertiary centres. We explored their outcomes including inpatient and 30-day cardiac-related mortality.RESULTS: Nine patients were included. Eight (88.9%) experienced STEMI. Eight (88.9%) were male. Median age was 53 (Q1:40.5–Q3:64.5) years. Median duration from symptoms onset to presentation was 2 (1.125 – 35.250) hours. Median time from presentation to aspirin delivery was 45 (12.5 – 86.0) minutes. The median door-to-needle time was 190 (163.0 – 212.5) minutes. Five (55.6%) received medical thrombolysis in secondary hospital prior to elective percutaneous coronary intervention (PCI). Inpatient mortality was 11.1% corresponding to 30-day mortality.CONCLUSIONS: MI is potentially under-diagnosed and under-treated in resource-limited rural settings where community awareness is low complicated by logistic challenges. Better resources with better equipped healthcare facilities are essential for prompt diagnosis and interventions for MI patients.","PeriodicalId":232798,"journal":{"name":"Journal Of Cardiovascular, Neurovascular & Stroke","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132249090","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

Association of Glycated Haemoglobin levels, LDL levels, Systolic blood pressure, and BMI with carotid artery intima-media thickness (CIMT) in patients with type 2 diabetes mellitus 糖化血红蛋白水平、低密度脂蛋白水平、收缩压和BMI与2型糖尿病患者颈动脉内膜-中膜厚度(CIMT)的关系

Journal Of Cardiovascular, Neurovascular & Stroke Pub Date : 2022-03-15 DOI: 10.32896/cvns.v4n1.35-43

Muh Arss Budi Purwito, Yuyun Yueniwati Wajib, E. Arisetijono, S. Andarini

{"title":"Association of Glycated Haemoglobin levels, LDL levels, Systolic blood pressure, and BMI with carotid artery intima-media thickness (CIMT) in patients with type 2 diabetes mellitus","authors":"Muh Arss Budi Purwito, Yuyun Yueniwati Wajib, E. Arisetijono, S. Andarini","doi":"10.32896/cvns.v4n1.35-43","DOIUrl":"https://doi.org/10.32896/cvns.v4n1.35-43","url":null,"abstract":"Background : Glycated haemoglobin in type 2 diabetes mellitus (DM) patients together with other modifiable major risk factors are potentially increase oxidative stress and decreasing nitric oxide activity which triggers atherosclerosis. Atheroslerosis can be detected using B-mode ultrasound to measure carotid artery intima-media thickness (CIMT). The aim of this study is to analyze the association between glycated haemoglobin levels (Hb A1c), LDL levels, systolic blood pressure (SBP), and BMI to CIMT in type 2 DM patients. \u0000Methods : This was an observational analytic study with a cross-sectional approach. There were 30 study subjects from Endocrine Clinic at Saiful Anwar Hospital, Malang, Started in September 2018 to December 2019. The subjects were examined using B-mode ultrasound for CIMT measurement, as well as examination to evaluate Hb A1c levels, LDL levels of SBP and BMI. All collected data were statistically analyzed. \u0000Results : The correlation between CIMT and Hb-A1c satitistically shows significant association (P = 0.015) with negative correlation coefficient (P = - 0.441), while others variable showed insignificant result. The linear regression between Hb-A1c and CIMT showed 18.3% effectiveness. \u0000Conclusion : There was a significant association in the predictor variable levels of Hb-A1C and CIMT with inverse corellation with effectiveness 18.3%","PeriodicalId":232798,"journal":{"name":"Journal Of Cardiovascular, Neurovascular & Stroke","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123447843","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 Impact of Sociodemographic Variables on Risk Factors Associated with Ischaemic Stroke Patients by Age Group 社会人口学变量对缺血性脑卒中患者相关危险因素的影响

Journal Of Cardiovascular, Neurovascular & Stroke Pub Date : 2022-03-15 DOI: 10.32896/cvns.v4n1.8-21

H. C. Loh, Jia Ni Kwan, Siti Nur Shazwanie Ramlee, I. Looi

引用次数: 0

The Ivy Sign in Adult MoyaMoya Disease 成人烟雾病的常青藤标志

Journal Of Cardiovascular, Neurovascular & Stroke Pub Date : 2022-03-15 DOI: 10.32896/cvns.v4n1.22-23

Nurul Hafidzah Rahim, Hilwati Hashim, N. R. Mohd Zain, Subbashini Subramaniam

引用次数: 0

Novel Treatment of Direct Carotid Cavernous Fistula with XCalibur Aneurysm Occlusion Device – A Case Report XCalibur动脉瘤闭塞装置治疗颈动脉海绵窦瘘1例

Journal Of Cardiovascular, Neurovascular & Stroke Pub Date : 2022-03-15 DOI: 10.32896/cvns.v4n1.1-7

Saima Ahmad, A. Muda, Umair Rashid, A. Churojana, O. Mansour

引用次数: 0

A Review of Strategies to Improve Stroke Care Services in Low and Middle-Income Countries: The Innovative Experience of LGH Stroke Programme 改善中低收入国家卒中护理服务的策略综述:LGH卒中规划的创新经验

Journal Of Cardiovascular, Neurovascular & Stroke Pub Date : 2022-03-15 DOI: 10.32896/cvns.v4n1.24-34

Saima Ahmad, A. Muda, Umair Rashid, A. Churojana, O. Mansour, Husnain Haider Shah

引用次数: 0

Journal Of Cardiovascular, Neurovascular &amp; Stroke最新文献

Journal Of Cardiovascular, Neurovascular & Stroke最新文献