Rozita Jalailan, Rahman Ghaffari, Valiollah Habibi, Seyyed Mahmoud Nooraee, Alireza Khallilian, Reza Javaheri,
Volume 24, Issue 119 (12-2014)
Abstract
Background and purpose: Influence factors on the outcome of coronary artery disease have always been important for choosing the best treatment option. Ischemic mitral regurgitation (IMR) is one of these factors. Treating patients with coronary artery bypass grafting (CABG) and concomitant dysfunctional valve repair has always been a challenge since there are many risks involved. The purpose of this study was to investigate the changes of IMR after coronary artery bypass grafting, to make a rational decision about surgical repair of mitral valve insufficiency during CABG..
Materials and methods: A semi-experimental study was conducted in patients with coronary artery disease and IMR who underwent isolated CABG between 2011–2013. Echocardiography was performed for patients before and after CABG.
Results: The study was performed in 80 patients who were divided into three groups. The patients were 36.6% in mild, 42.5% in mild to moderate and 21.3% were in moderate group. After surgery, 55% were in mild, 38.8% in mild to moderate and 6.3% were in moderate group. In this study, the greatest change was observed in mild to moderate group.
Conclusion: According to the results of the intervention surgery (CABG) in patients with IMR both Mild To Moderate and Moderate improves levels of IMR and reduced the severity of MR, but in Mild group these changes were statistically significant (P<0.05).
Mahmoud Noraei, Maryam Nabati, Aria Soleimani, Alireza Sanei, Valiollah Habibi,
Volume 27, Issue 152 (9-2017)
Abstract
Background and purpose: Cardiac myxoma is the most common benign cardiac tumor. It can resemble many cardiovascular or systemic illnesses. This research presents a ten-year experience of Mazandaran heart center in clinical presentation, intra and post-operative complication, recurrence, and mortality of cardiac myxoma.
Materials and methods: This observational study was performed in 34 patients with a pre-operative diagnosis of myxoma over a 10-year period (2006-2016). The patients’ medical records were reviewed and some information including, clinical presentation, diagnostic tests, intra-operative and post-operative complications, recurrence, and mortality rate were recorded. Furthermore, data about tumor size, localization and attachment, and histopathological diagnosis were collected. Echocardiography was performed at the end of follow-up.
Results: Histopathological studies confirmed diagnosis of myxoma in 30 patients mainly localized in left atrium that were attached to inter-atrial septum. The most common clinical presentation was dyspnea that was reported in 20 patients (58.8%). Systemic and central nervous system embolization were seen in 5.9% and 17.6%, respectively which were not associated with the size of myxoma. Two patients died during hospitalization. Also, two patients died during follow-up period due to other illnesses. One patient experienced recurrence.
Conclusion: This study showed a low incidence of recurrence of cardiac myxoma. Therefore, long-term echocardiographic follow-up is recommended.
Fatemeh Gholampour, Naghmeh Ziaei, Seyed Reza Hosseini, Ali Bijani, Reza Ghadimi,
Volume 27, Issue 156 (1-2018)
Abstract
Background and purpose: Identifying potential risk factors for cardiovascular diseases is essential for screening and disease prevention. In this study, the association between ABO blood groups and risk of cardiovascular diseases was assessed.
Materials and methods: In a cross-sectional research, 1353 consecutive elderly in Amirkola, north of Iran enrolled. Cardiovascular disease was determined according to medical history, any medications, and other medical documents. Also, the ABO blood group was determined. Finally, the frequency of cardiovascular disease was compared between ABO blood groups. Data analysis was done in SPSS 16.
Results: The mean age of the population studied was 69.21±7.30 years and 754 (55.7%) and 599 (44.3%) were males and females, respectively. Blood group O (33.5%) and B (33%) phenotypes were common types in this population. Angina pectoris was significantly associated with A blood group (P=0.039). But no relationship was found between ABO blood group and cerebral stroke (P=0.624), myocardial infarction (P =0.229), heart failure (P =0.866), hypertension (P =0.623), and other risk factors.
Conclusion: According to the our findings, a relationship was only detected between A blood group phenotype and angina pectoris, while no any significant association was detected between ABO blood groups and risk of other cardiovascular diseases.
Kambiz Alizadeh, Masoomeh Tabari, Azra Izanloo,
Volume 29, Issue 171 (4-2019)
Abstract
Breast cancer is one of the most common cancers in women. As we know, cardiac metastases occur rarely. In this study, a 40-year-old woman referred to the hospital due to severe pain in the right leg. She was diagnosed with deep vein thrombosis (DVT) and received treatment, but, after one month and a half she returned with severe pain, exacerbated shortness of breath, cramping pain, and chest pain. With the diagnosis of lung embolism, she received anticoagulant therapy and discharged after recovery. Then, about two months later, the patient was admitted for the third time, with symptoms of shortness of breath, chest pain, and right foot edema. In Doppler echocardiography, acute to chronic thrombosis was reported in femoral popliteal vein and common femoral vein with external liliac expansion. Based on the computed tomography angiography (CTA) and Echocardiography, the patient was diagnosed with pulmonary embolism with a mass in the right ventricular, so, cardiothoracic surgery consultation was done. During the operation, extensive spread of metastasis was seen on mediastinum, the aorta, and pericardial space. A biopsy was performed and metastatic breast cancer was reported. This study signifies the importance of examining patients with recurrent DVT for malignancy.
Ebrahim Nasiri, Aria Soleimani, Sayed Yasin Jamali,
Volume 29, Issue 172 (5-2019)
Abstract
Background and purpose: Coronary artery bypass grafting (CABG) is used in treating coronary artery disease. The aim of this study was to determine the frequency of mortality for CABG and its associated factors in Mazandaran Heart Center, Iran.
Materials and methods: This cross-sectional study was carried out in 600 patients. Incidence of death was recorded during CABG and before discharge. Associated factors and surgery complications were also investigated.
Results: The patients were 52.7% males and mean age of the subjects was 62 ± 11 years old. About 65% of the patients were overweight and obese. Hypertension and diabetes were seen in 57.2% and 52%, respectively. Death occurred in eight (33.1%) cases within one month following CABG, and there was no significant difference in incidence of death between males and females (P< 0.578). Among the patients 12.2% developed kidney failure and 3.7% had surgical site infection. We observed significant association between mortality and surgical site infection (P <0.031).
Conclusion: In this study, surgical site infection was an important risk factor for post-CABG mortality. Infection was the major risk factor for death in first few days after CABG. Therefore, healthcare team should take appropriate actions to prevent surgical site infection following CABG.
Hossein Hemmati, Mohammad Reza Askari, Pantea Haj Reza, Reza Balassi, Zakiyeh Jafaryparvar, Ghazaleh Hemmati, Mohaya Farzin,
Volume 29, Issue 182 (2-2020)
Abstract
Background and purpose: Despite extensive studies on prevention and management of deep vein thrombosis (DVT), less attention has been paid to chronic venous insufficiency. The persend study aimed to investegite the incidence and clinical signs of post thrombotic syndrome in patients with deep vein thrombosis.
Materials and methods: A descriptive retrospective study was done in patients with DVT from 2010 to 2013 in Rasht, Iran. Informed written consent was taken from the patients who were willing to participate in this research and photolithography was performed. Demographic and clinical information, underlying diseases, and photolithography results were recorded.
Results: A total of 153 lower limbs was evaluated (mean age of the patients: 14 ± 50 years). In most of the samples, the DVT involvement was iliofemoral (43.1%) and the mean time from developing DVT was 2.8 ± 0.83 years. In these patients, the most common symptoms were edema (66%), telangiectasia (47.7%), and pain (43.8%). The majority of the patients had impaired photoplaciographic scores (94.8%). Post-thrombotic syndrome (PTS) was seen in 37 cases (24.19%). There was no significant correlation between incidence of PTS and occurrence of DVT and therapeutic methods.
Conclusion: Understanding the epidemiology, clinical signs of DVT, and follow-up of its complications can be helpful in making appropriate diagnosis and treatment of these patients. In current study, the abundance of PTS was not great, but, edema, telangiectasia, and pain were obseved in most of the patients.
Masoud Seyedian, Akram Jalili, Mohammad Ali Sheikhi, Seyed Mohammad Hassan Adel,
Volume 32, Issue 209 (5-2022)
Abstract
Background and purpose: There is little information about the prognostic role of preoperative serum albumin levels in postoperative outcomes following coronary artery bypass grafting (CABG). The aim of this study was to evaluate preoperative hypoalbuminemia as a predictor for complications after CABG.
Materials and methods: This prospective observational study was conducted in 200 patients undergoing CABG in Ahvaz Golestan Hospital, 2020. The patients were classified into two groups based on pre-operative hypoalbuminemia (serum Alb <3.5 g/dL). The association between hypoalbuminemia and clinical characteristics and outcomes including postoperative complications, ventilator duration, and length of hospital stay was assessed.
Results: Preoperative hypoalbuminemia was observed in 38 (19%) patients. Patients with hypoalbuminemia had higher postoperative complications including hemorrhage, infection, cardiac arrest, AKI, and in-hospital mortality than patients with normal albumin levels (84.2% vs. 13%, P<0.0001). Ventilator duration, length of hospital stay and ICU were significantly longer in hypoalbuminemia patients than normal albumin group (P<0.0001). Preoperative hypoalbuminemia (P<0.0001), ventilator duration (P=0.025), and length of hospital stay (P=0.002) were independent predictors of CABG postoperative complications.
Conclusion: Preoperative hypoalbuminemia was associated with postoperative mortality and complications, including hemorrhage, infection, stroke, and AKI development in patients undergoing CABG procedure. Thus, serum albumin measurement before CABG as a clinically implementable and easy method could be used for management and prevention of postoperative complications.
