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https://www.readbyqxmd.com/read/27263965/has-articular-involment-lessened-in-kawasaki-disease
#1
Eva Pilar Álvarez, Francis Rey, Sara Carolina Peña, Aranzazu Rubio, Cristina Calvo, Paz Collado
OBJECTIVE: Kawasaki disease (KD) is an acute systemic vasculitis affecting medium-sized arteries, particularly the coronary arteries. Classic diagnosis is based in prolonged fever and different clinical features, including acute arthritis. Our objective is to determine the prevalence of arthritis at the moment of the diagnosis, the response to intravenous immunoglobulin infusion and the relation with cardiac findings. MATERIAL AND METHODS: Retrospective study through review of medical records of 42 patients with KD from 1988 to 2013...
June 2, 2016: Reumatología Clinica
https://www.readbyqxmd.com/read/27099088/aortic-root-aneurism-found-in-a-42-year-old-epitomizes-the-importance-of-auscultation-in-routine-exams
#2
Todd R Fredricks, Jeffrey S Benseler
BACKGROUND: Bicuspid aortic valve disease (BAV) is the most common cardiac valve pathology. BAV is associated with aortic root disorders. The literature has few case reports identifying this condition during routine physical exam. CASE REPORT: A 42-yr-old military reservist flight medic presented for his annual military flight physical. He was found to have a faint cardiac murmur. His past family and medical history were remarkable for familial essential hypertension and being told at age 9 that he had a "murmur...
May 2016: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/26939753/incidence-epidemiology-and-clinical-features-of-kawasaki-disease-in-catalonia-spain
#3
Judith Sánchez-Manubens, Jordi Antón, Rosa Bou, Estíbaliz Iglesias, Joan Calzada-Hernandez
OBJECTIVES: To assess the incidence, epidemiology and clinical features of Kawasaki disease (KD) in Catalonia (northeast region of Spain). METHODS: This was an observational population-based study including all Paediatric Units in Catalonia, under both public and private management. Retrospective data retrieval was performed for 10 years (2004-2013). A 12-month (March 2013 to March 2014) prospective collection of new cases of KD was carried out to determine the incidence of KD...
May 2016: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/26884688/diagnostic-approach-and-current-treatment-options-in-childhood-vasculitis
#4
REVIEW
Kenan Barut, Sezgin Şahin, Amra Adroviç, Özgür Kasapçopur
All inflammatory changes in the vessel wall are defined as vasculitis. Pediatric vasculitis may present with different clinical findings. Although Henoch-Schönlein purpura which is the most common pediatric vasculitis generally recovers spontaneously, it should be monitorized closely because of the risk of renal failure. Although Kawasaki disease is easy to diagnose with its classical findings, the diagnosis may be delayed in case of incomplete Kawasaki disease. Kawasaki disease should be considered especially in infants in case of prolonged fever even if the criteria are not fully met and intravenous immunoglobulin treatment should be administered without delay in order to prevent development of coronary artery aneurism...
December 2015: Türk Pediatri Arşivi
https://www.readbyqxmd.com/read/26688925/-survival-of-overweight-patients-after-coronary-artery-bypass-surgery-does-the-obesity-paradox-play-a-role
#5
L A Efros, I V Samorodskaya
UNLABELLED: Although excessive body mass and obesity are considered risk factors of a number of diseases and conditions numerous results of studies evidence for the existence of the "obesity paradox"--higher long-term survival of overweight and obese patients. Aim of this study was to elucidate impact of body mass index (BMI) on postoperative mortality and long-term survival of patients after coronary artery bypass grafting (CABG). MATERIAL AND METHODS: The study was conducted on the basis of register of patients with ischemic heart disease who had undergone CABG with or without correction of valvular defects and/or resection of left ventricular (LV) aneurism during the period from 2000 to 2009 in the Chelyabinsk Interregional Cardiosurgical Center...
2015: Kardiologiia
https://www.readbyqxmd.com/read/26361707/-left-ventricular-longitudinal-systolic-strain-in-children-with-history-of-kawasaki-disease
#6
Alfonso Martínez-García, Eugenia Ruiz-Esparza, Clara Vázquez-Antona, Catalina Sánchez-Cornelio, Nydia Ávila-Vanzzini, José Antonio Arias-Godínez, Irma Miranda-Chávez, Roberto Mijangos-Vázquez, Juan Calderón-Colmenero, Alfonso Buendía-Hernández
OBJECTIVE: Kawasaki disease (KD) is a systemic vasculitis that affects young children. Coronary artery aneurisms, ectasia and stenosis are its main complications and may lead to ischemic heart disease or sudden death. Echocardiography evaluation it's mandatory in all patients with history of KD. Left ventricular longitudinal systolic strain (LVLSS) measured by speckle tracking it's an accurate tool to evaluate global and segmental left ventricle mechanics. Clinical utility of LVLSS in children with KD hasn't been established...
July 2016: Archivos de Cardiología de México
https://www.readbyqxmd.com/read/26221510/clinical-presentation-of-coronary-arteriovenous-fistula-according-to-age-and-anatomic-orientation
#7
Hassan Zamani, Mahmoud Meragi, Mohamad Yousef Arabi Moghadam, Behzad Alizadeh, Kazem Babazadeh, Farzad Mokhtari-Esbuie
BACKGROUND: Coronary arteriovenous fistulas (CAVFs) are direct connections from one or more coronary arteries to cardiac chambers or a large vessel. They are mostly of congenital origin. The aim of this study was to describe clinical presentation and also delineate the course and management of CAVF. METHODS: Clinical data, chest x-rays, echocardiographic and angiographic evaluation of 40 patients with congenital CAVF during 1990 to 2008 were reviewed retrospectively...
2015: Caspian Journal of Internal Medicine
https://www.readbyqxmd.com/read/26160396/pseudo-aneurism-with-systolic-compressive-effect-on-the-left-coronary-artery-a-rare-complication-after-infective-endocarditis
#8
R Ferreira, N Ferreira, B Melica, A Gonzaga, M Antunes
No abstract text is available yet for this article.
October 2015: European Heart Journal Cardiovascular Imaging
https://www.readbyqxmd.com/read/25703870/new-onset-coronary-aneurism-and-late-acquired-incomplete-scaffold-apposition-after-full-polymer-jacket-of-a-chronic-total-occlusion-with-bioresorbable-scaffolds
#9
Giuseppe Gargiulo, Andrea Mangiameli, Francesco Granata, Yohei Ohno, Alberto Chisari, Davide Capodanno, Corrado Tamburino, Alessio La Manna
No abstract text is available yet for this article.
March 2015: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/25351965/acute-pericardial-effusion-representing-the-tnf-%C3%AE-mediated-severe-inflammation-but-not-the-coronary-artery-outcome-of-kawasaki-disease
#10
S Okada, S Hasegawa, Y Suzuki, T Matsubara, M Shimomura, M Okuda, T Ichiyama, S Ohga
OBJECTIVES: To establish the optimal inflammation control of Kawasaki disease (KD), we investigated the clinical and pathophysiological basis of pericardial effusion (PE) during the acute phase of KD. METHOD: Clinical and laboratory features of Japanese KD children with PE (PE group: n = 9) and without PE (non-PE group: n = 89) were studied retrospectively by using the medical records. Serum levels of soluble tumour necrosis factor receptor 1 (sTNFR1), interleukin 6 (IL-6), and vascular endothelial growth factor (VEGF) were assessed by enzyme-linked immunosorbent assays (ELISAs)...
May 2015: Scandinavian Journal of Rheumatology
https://www.readbyqxmd.com/read/24826248/acute-aortic-dissection-mimicking-stemi-in-the-catheterization-laboratory-early-recognition-is-mandatory
#11
Alessio Arrivi, Gaetano Tanzilli, Paolo Emilio Puddu, Giovanni Truscelli, Marcello Dominici, Enrico Mangieri
Coronary malperfusion due to type A aortic dissection is a life-threatening condition where timely recognition and treatment are mandatory. A 77-year-old woman underwent an acute evolving type A aortic dissection mimicking acute myocardial infarction. Two pathophysiologic mechanisms are discussed: either thrombosis migrating from a previously treated giant aneurism of proximal left anterior descending or a local arterial complication due to left main stenting. Recognition of these occurrences in the catheterization laboratory is important to look immediately for surgery...
2012: Case Reports in Cardiology
https://www.readbyqxmd.com/read/24341531/ankle-brachial-index-and-the-incidence-of-cardiovascular-events-in-the-mediterranean-low-cardiovascular-risk-population-artper-cohort
#12
RANDOMIZED CONTROLLED TRIAL
Maria Teresa Alzamora, Rosa Forés, Guillem Pera, Pere Torán, Antonio Heras, Marta Sorribes, Jose Miguel Baena-Diez, Magalí Urrea, Judit Alegre, María Viozquez, Carme Vela
BACKGROUND: Peripheral arterial disease (PAD) of the lower limbs is a cardiovascular disease highly prevalent particularly in the asymptomatic form. Its prevalence starts to be a concern in low coronary risk countries like Spain. Few studies have analyzed the relationship between ankle-brachial index (ABI) and cardiovascular morbi-mortality in low cardiovascular risk countries like Spain where we observe significant low incidence of ischemic heart diseases together with high prevalence of cardiovascular risk factors...
2013: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/24324914/a-giant-coronary-artery-aneurysm-with-coronary-arteriovenous-fistula-in-asymptomatic-elderly-patient
#13
Caterina Milici, Daniella Bovelli, Valentino Borghetti, Georgette Khoury, Marco Bazzucchi, Massimo Principi, Marcello Dominici, Enrico Boschetti
Coronary Arteriovenous Fistula (CAF) is a rare defect that occurs in 0.1-0.2% of patients undergoing coronary angiography; Coronary Artery Aneurism (CAA) also occurs in approximately 15-19% of patients with CAF. It is usually congenital, but in rare occasions it occurs after chest trauma, cardiac surgery, or coronary interventions. The case described is that of a 72-year-old woman, without previous history of cardiovascular disease, who presented a huge cardiac mass. A multimodal approach was necessary to diagnose a giant CAA with CAF responsible for compression and displacement of cardiac structures...
2013: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/24292898/association-of-aortic-wall-thickness-on-contrast-enhanced-chest-ct-with-major-cerebro-cardiac-events
#14
Silvia Tresoldi, Giovanni Di Leo, Elena Zoffoli, Alice Munari, Alessandra Primolevo, Gianpaolo Cornalba, Francesco Sardanelli
BACKGROUND: There is a significant association between aortic atherosclerosis and previous major cardiovascular events. Particularly, thoracic aortic atherosclerosis is closely related to the degree of coronary and carotid artery disease. Thus, there is a rationale for screening the thoracic aorta in patients who undergo a chest computed tomography (CT) for any clinical question, in order to detect patients at increased risk of cerebro-cardiovascular (CCV) events. PURPOSE: To estimate the association between either thoracic aortic wall thickness (AWT) or aortic total calcium score (ATCS) and CCV events...
November 2014: Acta Radiologica
https://www.readbyqxmd.com/read/23952996/-ischemic-heart-disease-complicated-by-heart-failure-possibilities-of-surgical-treatment
#15
COMPARATIVE STUDY
D V Kuznetsov, S M Khokhlunov, A P Semagin, E A Suslina, M S Khokhlunov, V P Poliakov
Aim of the study was to assess remote results of surgical reconstruction of the left ventricle (LV) in patients with ischemic heart disease (IHD) and chronic heart failure (CHF). During 1996-2010 136 patients with IHD complicated by CHD were subjected to surgery. The patients were divided into 2 groups: with LV aneurism (group 1, n=70) and with ischemic cardiomyopathy (group 2, n=66). In all patients we performed coronary bypass surgery and Dor LV reconstruction. Moderate and high degree mitral regurgitation was corrected...
2013: Kardiologiia
https://www.readbyqxmd.com/read/23693156/-the-role-of-immunosuppressive-agents-in-kawasaki-disease-a-discussion-of-two-cases
#16
M Peyre, C Laroche, C Etchecopar, P Brosset
INTRODUCTION: Kawasaki disease (KD) is the most common cause of acquired heart disease in developed countries. Ten percent of patients with KD develop coronary aneurism. Ten percent of patients treated with intravenous immunoglobulin (IgIV) have persistent coronary dilatations, which sustains the search for new therapies. We describe 2 cases of refractory KD and discuss the therapeutic options. CLINICAL REPORT: A 3-year-old child and a 3-month-old infant had refractory KD...
July 2013: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/23663892/-a-review-of-kawasaki-disease-a-perspective-from-the-articles-published-in-mexico-since-january-1977-to-may-2012
#17
REVIEW
Norberto Sotelo-Cruz
Kawasaki disease was described in 1967 by Tomisu Kawasaki. It affects children aged between one and 5 years, and it evolves with fever and small vessel vasculitis, which leads to cardiovascular complications, including coronary aneurisms, myocarditis, valve injuries, pericardial effusion and myocardial infarction; eventually involving many others organs. The etiology actually is not well known, as the exactly pathogenic mechanisms; however, now there are important advances. If the clinical signs and symptoms are identify early and the children received treatment with aspirin and intravenous immunoglobulin, the patients evolves without sequels...
July 2013: Archivos de Cardiología de México
https://www.readbyqxmd.com/read/23367047/effects-of-aging-on-thoracic-aorta-size-and-shape-a-non-contrast-ct-study
#18
Damian Craiem, Mariano E Casciaro, Sebastian Graf, Gilles Chironi, Alain Simon, Ricardo L Armentano
Measures of atherosclerosis burden like coronary artery calcification are performed using non-contrast heart CT. However, additional information can be derived from these studies, looking beyond the coronary arteries without exposing the patients to further radiation. We present a semi-automated method to assess ascending, arch and descending aorta geometry from non-contrast CT datasets in 250 normotensive patients. We investigated the effect of aging on thoracic aorta morphometry. The algorithm identifies the aortic centerline coordinates following a toroidal path for the curvilinear portion and axial planes for descending aorta...
2012: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/22802774/personal-experiences-in-direct-ultrasound-guided-injection-of-thrombin-into-the-lumen-of-pseudoaneurysm-as-a-method-of-treatment-in-case-of-iatrogenic-femoral-artery-damage
#19
Joanna Słonina, Marta Obremska, Urszula Zaleska-Dorobisz, Anil Agrawal, Joanna Malczewska, Urszula Koźmińska, Marek Sąsiadek
BACKGROUND: Pseudoaneurysms constitute a quite common complication of procedures requiring puncture of the common femoral artery. The risk factors of the condition include: obesity, arterial hypertension, sex (more prevalent in males) as well as antithrombotic therapy. MATERIAL/METHODS: The US-guided injection of thrombin into the pseudoaneurysm lumen was performed in patients referred from the Department of Invasive Cardiology who had undergone coronarography or coronary angioplasty...
April 2010: Polish Journal of Radiology
https://www.readbyqxmd.com/read/22525642/-abdominal-aortic-aneurysm-an-uncommon-presentation
#20
Lúcia Taborda, Laurinda Pereira, Eurides Amona, Erique Guedes Pinto, Joaquim Rodrigues
Most abdominal aortic aneurysms are asymptomatic, being accidentally found on physical examination or in routinely performed imaging studies. They only require surveillance (which is variable according to the aneurism size) and medical therapy in order to achieve risk factor reduction. However, in certain situations, according to the risk of aneurism rupture, elective surgery or endovascular procedure may be necessary. About 80% of the cases of aneurism rupture occur into the retroperitoneal space, with a high mortality rate...
September 2011: Acta Médica Portuguesa
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