Pakistan Armed Forces Medical Journal最新文献_第7页

Trans-Catheter Palliation in Tetralogy of Fallot Patients: Complications & Challenges 法洛氏四联症患者的经导管姑息治疗：并发症与挑战

Pakistan Armed Forces Medical Journal Pub Date : 2023-12-21 DOI: 10.51253/pafmj.v73isuppl-3.10515

Muhammad Asad Farhan, Nadeem Sadiq, Ayesha Sana, Azizullah, Andaleeb Ara

{"title":"Trans-Catheter Palliation in Tetralogy of Fallot Patients: Complications & Challenges","authors":"Muhammad Asad Farhan, Nadeem Sadiq, Ayesha Sana, Azizullah, Andaleeb Ara","doi":"10.51253/pafmj.v73isuppl-3.10515","DOIUrl":"https://doi.org/10.51253/pafmj.v73isuppl-3.10515","url":null,"abstract":"Objective: To identify the complications of Transcatheter palliation in Tetralogy of Fallot patients.\u0000Study Design: Analytical Cross-sectional study.\u0000Place and Duration of Study: Paediatric Cardiology Department, AFIC/NIHD, Rawalpindi Pakistan, from Jul to Dec 2022.\u0000Methodology: This Analytical Cross-sectional study was conducted in n=54 patients of Tetralogy of Fallot (TOF) who underwent Transcatheter palliation procedure. Cases were selected by using non-probability consecutive sampling. Patients with isolated pulmonary stenosis, complex congenital heart and Tetralogy of Fallot with pulmonary atresia were excluded from the study. Data was entered and analyzed by using SPSS version-24:00. In descriptive statistics, Mean±SD were calculated for continuous variables while frequency (%) for categorical variables. To find out the association between categorical variables, Chi-square test was used. p-value of <0.05 was taken as statistically significant.\u0000Results: Out of 54 patients, 32(59.3%) were males and females were 22(40.7%). Mean age was 11.87±7.34 months. Right ventricular outflow tract ballooning was done in 39(72.2%) and right ventricular outflow tract stenting was done in 15(27.8%) patients. Transient arrhythmias 28(51.9%) were the most commonly encountered complications.\u0000Conclusion: Transcatheter palliation is becoming the first line of management in Tetralogy of Fallot patients because of better outcomes, ease of performance and safety profile. Working professionally can yield a safe invasive procedure of balloon pulmonary valvotomy and stenting in these patients.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138950228","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

Hybrid Perventricular Ventricular Septal Defect Device Closure in a 3-Months Old Infant with Severe Failure to Thrive 在一名 3 个月大的重度发育不良婴儿体内植入混合型室间隔缺损闭锁装置

Pakistan Armed Forces Medical Journal Pub Date : 2023-12-21 DOI: 10.51253/pafmj.v73isuppl-3.10662

Khurrum Akhtar, Sana Imtiaz, S. Rafique, D. Kamal, Kaleem Ahmad, Andaleeb Ara, Nadeem Sadiq, Mujeeb Ur Rehman

引用次数: 0

Prevalence of Anxiety and Depression in Young Patients Presenting with Atypical Chest Pain with Normal Coronaries 冠状动脉正常的非典型胸痛年轻患者的焦虑和抑郁患病率

Pakistan Armed Forces Medical Journal Pub Date : 2023-12-21 DOI: 10.51253/pafmj.v73isuppl-3.10705

Adeel Ahmed, Sobia Mehreen, N. Samore, Usman Iqbal, Muhammad Bilal Siddique, Mutahir Abbas Virk, S. Shahzad, Abdul Hameed Siddiqui

{"title":"Prevalence of Anxiety and Depression in Young Patients Presenting with Atypical Chest Pain with Normal Coronaries","authors":"Adeel Ahmed, Sobia Mehreen, N. Samore, Usman Iqbal, Muhammad Bilal Siddique, Mutahir Abbas Virk, S. Shahzad, Abdul Hameed Siddiqui","doi":"10.51253/pafmj.v73isuppl-3.10705","DOIUrl":"https://doi.org/10.51253/pafmj.v73isuppl-3.10705","url":null,"abstract":"Objective: To determine the prevalence of anxiety and depression in young patients presenting with atypical chest pain andnormal coronary arteries.\u0000Study Design: Analytical, Cross-Sectional Study.\u0000Place and Duration of Study: Armed Forces Institute of Cardiology/National Institute of Heart Diseases Rawalpindi,Pakistan, from Jul to Dec 2021.\u0000Methodology: This study was carried out on 750 participants (having normal coronaries) of both gender and age<40yearsdivided into study group (presented with atypical chest pain; n=375) and comparison group (no chest pain; n=375). Consecutive sampling technique was applied to collect data. Hospital Anxiety and Depression Scale (HADS) Questionnairewas used. Patients scoring 11 or more out of 21 points in Depression and Anxiety scale were identified as positive. Data was analyzed using SPSS version 24:00. Chi Square test was applied to find association between variables and p-value <0.05 wastaken as significant value.\u0000Results: Out of n=750 patients 619(82.4%) were males and 131(17.6%) were females. Mean age at presentation was 33.54±5.54 years and 30.93±5.68 years in study and comparison group respectively. About 230(61.3%) participants had anxiety in the study group compared with 189(50.4%) in the comparison group, which was statistically significant (p=0.003). 221(58.9%) participants in study group and 132(35.2%) in comparison group had depression (p<0.001).\u0000Conclusion: Non cardiac chest pain is a common manifestation of depression and anxiety. Early recognition and prompt referral of these patients should be ensured to improve quality of life and prevent future unnecessary hospital visits.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"27 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138950846","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

Management of Prosthetic Tricuspid Valve Thrombosis with Streptokinase 使用链激酶治疗人工三尖瓣血栓形成

Pakistan Armed Forces Medical Journal Pub Date : 2023-12-21 DOI: 10.51253/pafmj.v73isuppl-3.10643

Azizullah, Nadeem Sadiq, Muhammad Asad Farhan, Abubakar Umar Sadiq, Sana Imtiaz

引用次数: 0

Left Atrial Reduction Plasty and Sinus Rhythm Restoration in patients undergoing Mitral Valve Surgery with Chronic Atrial Fibrillation 接受二尖瓣手术的慢性心房颤动患者的左心房缩小成形术和窦性心律恢复

Pakistan Armed Forces Medical Journal Pub Date : 2023-12-21 DOI: 10.51253/pafmj.v73isuppl-3.10935

Nasir Ali, Atif Nawaz, Imtiaz Ahmed Chaudhry, Muhammad Imran Asghar, Syed Aqeel Hussain, Rehan Masroor, Muhammad Ahmad Khan

{"title":"Left Atrial Reduction Plasty and Sinus Rhythm Restoration in patients undergoing Mitral Valve Surgery with Chronic Atrial Fibrillation","authors":"Nasir Ali, Atif Nawaz, Imtiaz Ahmed Chaudhry, Muhammad Imran Asghar, Syed Aqeel Hussain, Rehan Masroor, Muhammad Ahmad Khan","doi":"10.51253/pafmj.v73isuppl-3.10935","DOIUrl":"https://doi.org/10.51253/pafmj.v73isuppl-3.10935","url":null,"abstract":"Objective: To assess outcome of Left Atrial reduction plasty and sinus rhythm restoration in patients undergoing Mitral valve surgery with chronic Atrial Fibrillation.\u0000Study Design: Longitudinal study.\u0000Place and Duration of Study: Adult Cardiac Surgery Unit, Armed Forces Institute of Cardiology/National Institute of Heart Diseases, Rawalpindi Pakistan, from Jan 2017-Jun 2022.\u0000Methodology: Thirty three (n=33) patients with mitral valve disease were recruited via convenience sampling, all of whom exhibited an enlarged left atrium and pre-operative Atrial Fibrillation (AF). Pre-operative cardiac evaluations were performed using Transthoracic Echocardiography (TTE). Pre- and post-surgery trans-esophageal echocardiography studies were conducted as a routine procedure. Follow-up echocardiographic assessments were carried out at intervals of 1 month, 3 months, and 6 months, alongside Electrocardiograms (ECGs). During surgery, median sternotomy was done. Cardiopulmonary Bypass (CPB) time was established followed by cardiac arrest. After Mitral valve Repair/Replacement (MVR), Left Atrial (LA) plication was done by a double needle.\u0000Results: Out of thirty three (n=33) patients, 25(75.7%) females and 8(24.2%) male patients, with mean age of 44.3±15.5 years, underwent mitral valve surgery(repair/replacement) followed by LA reduction & sinus rhythm restoration procedure. Complete restoration of sinus rhythm with re-appearance of “a” wave on echocardiography, signifying LA transport function through mitral valve was observed in 31(93.9%) patients on 3rd month and only 1(3.0%) individual continued to have persistent AF after 6 months. (83.70±2.50 mm vs. 47.50±1.08 mm) (p<0.001)..................\u0000Conclusion: Left atrial reduction by “Plication technique” followed by “Diathermy Fulguration” as a part of mitral valve surgery has yielded ...............","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138951887","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

Intra-Aortic Balloon Pump Rupture leading to Cerebral Air Embolism: A Case Report 主动脉内球囊泵破裂导致脑空气栓塞：病例报告

Pakistan Armed Forces Medical Journal Pub Date : 2023-12-21 DOI: 10.51253/pafmj.v73isuppl-3.10687

Muhammad Usama Akhtar, I. A. Chaudhry, Syed Muzaffar Hasan Kirmani

引用次数: 0

Short Term Outcomes of Transcatheter Ventricular Septal Defect Device Closure at Tertiary Cardiac Care Center 三级心脏病治疗中心经导管室间隔缺损装置闭合术的短期疗效

Pakistan Armed Forces Medical Journal Pub Date : 2023-12-21 DOI: 10.51253/pafmj.v73isuppl-3.10661

Sana Imtiaz, S. Rafique, Khurrum Akhtar, Amjad Mehmood, Hajira Akbar, Andaleeb Ara, Ayesha Sana

{"title":"Short Term Outcomes of Transcatheter Ventricular Septal Defect Device Closure at Tertiary Cardiac Care Center","authors":"Sana Imtiaz, S. Rafique, Khurrum Akhtar, Amjad Mehmood, Hajira Akbar, Andaleeb Ara, Ayesha Sana","doi":"10.51253/pafmj.v73isuppl-3.10661","DOIUrl":"https://doi.org/10.51253/pafmj.v73isuppl-3.10661","url":null,"abstract":"Objective: To determine post procedural immediate and short-term outcomes of transcatheter Ventricular Septal Defect (VSD) device closure.\u0000Study Design: Longitudinal Cross-sectional study.\u0000Place and Duration of Study: Pediatric Cardiology Unit at Tertiary Cardiac Care Centre, Rawalpindi, Pakistan, from Feb to Oct 2022.\u0000Methodology: Total of 62 patients fulfilling inclusion and exclusion criteria who underwent transcatheter VSD device closure were retrospectively identified from our institutional database by non-probability consecutive sampling technique. Preprocedural evaluation [Transthoracic Echocardiography (TTE) & Electrocardiography(ECG)], procedural details and immediate post procedure outcomes were documented. Follow-up evaluations were done at 6 and 12 months. It included clinical examination, TTE and 12 lead ECG. New onset and status of old complications were documented in each visit. SPSS version 24.00 was used to analyze data. Chi-square test was used to find association between study variables. p-<0.05 wasconsidered significant. \u0000Results: Sixty-two patients were followed up for upto 1 year after VSD device closure. Mean VSD size on Echo was 4.612.52mm. Successful closure was obtained in 54(87.0%) of cases out of 62. Complications documented during and immediately after procedure were transient arrythmias in 22(35.5%), residual leaks in 9(14.6%) which reduced to 3(4.8%) on 12 months follow up, device redeployment in 3(4.8%), complete heart block (cAVB) in 1(1.6%), device embolization in 1(1.6%), hemolysis in 2(3.2%), contrast related complications in 1(1.6%), aortic regurgitation (AR) in 4(6.4%). Death occurred in 1(1.6%) patient secondary to contrast related complications.\u0000Conclusion: Transcatheter VSD closure is a promising and safe treatment modality with high success rate. Complications ..","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"43 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138950912","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

Pattern of Coronary Artery Disease and Frequency of Left Circumflex Artery as a Culprit in Patients of Non-ST Elevation Acute Coronary Syndrome with a Normal Electrocardiogram 心电图正常的非 ST 段抬高型急性冠状动脉综合征患者的冠状动脉疾病模式和左环状动脉成为罪魁祸首的频率

Pakistan Armed Forces Medical Journal Pub Date : 2023-12-21 DOI: 10.51253/pafmj.v73isuppl-3.10659

Sarwat Paiker Malik, Muhammad Nadir Khan, S. Kiani, Masood Khan, Fahad Khan Toru, Maida Anwar, Javeria Kamran, Naseem Azad

{"title":"Pattern of Coronary Artery Disease and Frequency of Left Circumflex Artery as a Culprit in Patients of Non-ST Elevation Acute Coronary Syndrome with a Normal Electrocardiogram","authors":"Sarwat Paiker Malik, Muhammad Nadir Khan, S. Kiani, Masood Khan, Fahad Khan Toru, Maida Anwar, Javeria Kamran, Naseem Azad","doi":"10.51253/pafmj.v73isuppl-3.10659","DOIUrl":"https://doi.org/10.51253/pafmj.v73isuppl-3.10659","url":null,"abstract":"Objective: To determine the pattern of Coronary Artery Disease in patients presenting with Non ST-Elevation Acute Coronary Syndrome(NSTE-ACS) with a normal Electrocardiogram (ECG) and to assess the frequency of left circumflex artery as a culprit artery.\u0000Study Design: Analytical Cross-sectional Study.\u0000Place and Duration of Study: In Armed Forces Institute of Cardiology/National Institute of Heart Diseases Rawalpindi,Pakistan, from Aug 2022 to Jan 2023.\u0000Methodology: A total of n=118 patients with NSTE-ACS, presenting within 24-hours of symptoms onset, with a normal ECG reports, were recruited using non-probability consecutive sampling. Demographics, Ejection fraction, and Coronary angiography findings were noted. Coronary Angiography was done as per standard protocol. The number of diseased vessels was recorded. Data management and analysis were done on SPSS version-26;00. Mean±SD along with frequencies & percentages were used to express quantitative and qualitative variables respectively. Chi square and Student t-test were applied and p-value <0.05 was taken as statistically significant.\u0000Results: Out of the 118 patients, 86(72.0%) were males. Mean age of the patients was 60.269.67 years. The coronary angiography showed Triple Vessel Coronary Artery Disease (TVCAD) in 50(42.4%) patients, double and single vessel coronary artery disease in 22(18.6%) and 43(36.4%) patients, respectively. The culprit artery was found to be Left circumflex artery in 77(65.3%), left anterior descending in 69(58.5%) and Right coronary artery in 49(39.0%) of the patients.\u0000Conclusion: Majority of the patients with normal ECG and NSTE-ACS had TVCAD and the Left Circumflex artery was the most common Culprit in such patients.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"58 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138950935","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

Cover to Make a Covered Stent: An Unusual Method of treating a Coronary Perforation 覆盖支架：治疗冠状动脉穿孔的不寻常方法

Pakistan Armed Forces Medical Journal Pub Date : 2023-12-21 DOI: 10.51253/pafmj.v73isuppl-3.10590

S. Kiani, A. Chaudhry, Faheem Ul Hassan

引用次数: 0

Comparing the Effect of Perioperative Amiodarone and Magnesium Sulphate Combination with Magnesium Sulphate for Prevention of Cardiac Dysrhythmias in Open Heart Surgeries: A Quasi-Experimental Study 比较胺碘酮和硫酸镁联合用药与硫酸镁在开胸手术围术期预防心律失常的效果：一项准实验研究

Pakistan Armed Forces Medical Journal Pub Date : 2023-12-21 DOI: 10.51253/pafmj.v73isuppl-3.10517

Muhammad Umar Farooq, Imran Bashir, F. Younis, Syed Muzaffar Hasan Kirmani, Waqas Alam, Syed Ali Raza Ali Shah, Ayesha Sana, Javeria Kamran

{"title":"Comparing the Effect of Perioperative Amiodarone and Magnesium Sulphate Combination with Magnesium Sulphate for Prevention of Cardiac Dysrhythmias in Open Heart Surgeries: A Quasi-Experimental Study","authors":"Muhammad Umar Farooq, Imran Bashir, F. Younis, Syed Muzaffar Hasan Kirmani, Waqas Alam, Syed Ali Raza Ali Shah, Ayesha Sana, Javeria Kamran","doi":"10.51253/pafmj.v73isuppl-3.10517","DOIUrl":"https://doi.org/10.51253/pafmj.v73isuppl-3.10517","url":null,"abstract":"Objective: To compare the effectiveness of combining Magnesium Sulphate with Amiodarone vs Magnesium Sulphate to prevent cardiac arrhythmias in Coronary Artery Bypass Grafting (CABG) patients.\u0000Study Design: Quasi-Experimental Study.\u0000Place and Duration of Study: Armed Forces Institute of Cardiology/National Institute of Heart Diseases Rawalpindi Pakistan, from Jul 2022 to Mar 2023.\u0000Methodology: Two hundred and sixty-two (n=262) Coronary Artery Bypass Graft patients, eligible for the study, wereenrolled through consecutive sampling and divided into group A - experiment group (3 mg/kg amiodarone+30 mg/kg magnesium sulphate was given, n1=131) and group B- control group (30 mg/kg magnesium sulphate was given, n2=131) by non-random allocation lottery method at the removal of the aortic cross-clamp. The statistical package for social science, SPSS version 26:00 was used to analyse the data. Mean±SD was calculated for continuous variables whereas for categorical variables, percentages and frequencies were calculated. Chi-square test was utilized to find the association and student t-test was applied to find the mean difference between the study groups.\u0000Results: Study participants consisted of 194(74.1%) males and 68(26.0%) females. The patients' mean age was 57.29±9.88 years and 58.30±10.69 years respectively, in group-A and group-B. The frequency of pre and post-operative cardiac dysrhythmias was considerably different in both groups. In group-A, 22(16.7%) patients developed dysrhythmias, while in control group,dysrhythmias occurred in 49 (37.4%) patients (p-value <0.001).\u0000Conclusion: Combined prophylactic therapy with amiodarone and magnesium sulphate significantly reduced the per and post-operative dysrhythmias in CABG surgeries.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"7 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138951954","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