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https://www.readbyqxmd.com/read/29931244/inappropriate-sinus-tachycardia
#1
Brian Olshansky, Renee M Sullivan
Inappropriate sinus tachycardia (IST) is a clinical syndrome, oftentimes debilitating, defined by fast sinus rates (>100 b.p.m. at rest or >90 b.p.m. on average over 24 h and not due to underlying causes) associated with symptoms that may include palpitations, as described in some guidelines and consensus documents. While heart rates may vary by patient, especially based upon gender and age, some individuals experience sinus tachycardia or persistent fast sinus rates with no symptoms; these individuals would not necessarily be considered to have the syndrome of IST...
June 19, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/29930875/multiple-meningiomas-in-two-male-to-female-transsexual-patients-with-hormone-replacement-therapy-a-report-of-two-cases-and-a-brief-literature-review
#2
Rahul Raj, Miikka Korja, Päivi Koroknay-Pál, Mika Niemelä
Background: Exogenous sex hormones may play a role in meningioma development and growth. Thus, transsexual patients being on long-standing hormone replacement therapy (HRT) may be at particular risk for meningioma development and growth. Here we present two cases of two male-to-female transsexual patients taking HRT for an extended period of time with both patients requiring surgical treatment at our institution due to multiple growing meningiomas. Case Description: The first patient was a 50-year-old genetic male (male-to-female transsexual) who presented 7 years after an extensive sex-change operation due to progressive bitemporal visual defects...
2018: Surgical Neurology International
https://www.readbyqxmd.com/read/29930870/pediatric-infratentorial-subdural-empyema-a-case-report
#3
Eleftherios Neromyliotis, Dimitrios Giakoumettis, Evangelos Drosos, Ioannis Nikas, Alexios Blionas, George Sfakianos, Marios S Themistocleous
Background: Infratentorial subdural empyemas in children are extremely rare and potentially lethal intracranial infections. Delay in diagnosis and therapy is associated with increased morbidity and mortality. Case Description: A 4-year-old boy presented with cerebellar signs following a failed treatment of otitis media. Imaging studies revealed a subdural empyema and left transverse and sigmoid sinus thrombosis. The empyema was evacuated operatively and antibiotic treatment was initiated and administered for 6 weeks...
2018: Surgical Neurology International
https://www.readbyqxmd.com/read/29929671/long-term-follow-up-after-ablation-of-intra-atrial-re-entrant-tachycardia-in-patients-with-congenital-heart-disease-types-and-predictors-of-recurrence
#4
Ivo Roca-Luque, Nuria Rivas-Gándara, Laura Dos Subirà, Jaume Francisco Pascual, Antònia Pijuan-Domenech, Jordi Pérez-Rodon, M Teresa Subirana-Domenech, Alba Santos-Ortega, Ferran Rosés-Noguer, Berta Miranda-Barrio, Ignacio Ferreira-Gonzalez, Jaume Casaldàliga Ferrer, David García-Dorado García, Angel Moya Mitjans
OBJECTIVES: The aim of this study was to analyze the long-term outcomes after intra-atrial re-entrant tachycardia (IART) ablation in congenital heart disease (CHD). BACKGROUND: IART increases morbidity and mortality in CHD patients. Radiofrequency catheter ablation has evolved into the first-line treatment of this complication. METHODS: This was a prospective, single-center study of all consecutive CHD patients who underwent first ablation for IART from January 2009 to December 2015 (n = 94, 39...
June 2018: JACC. Clinical Electrophysiology
https://www.readbyqxmd.com/read/29929513/treatment-of-calvarial-defects-by-resorbable-and-non-resorbable-sonic-activated-polymer-pins-and-mouldable-titanium-mesh-in-two-dogs-a-case-report
#5
Pierre Langer, Cameron Black, Padraig Egan, Noel Fitzpatrick
BACKGROUND: To date, calvarial defects in dogs have traditionally been addressed with different types of implants including bone allograft, polymethylmethacrylate and titanium mesh secured with conventional metallic fixation methods. This report describes the use of an absorbable and non absorbable novel polymer fixation method, Bonewelding® technology, in combination with titanium mesh for the repair of calvarial defects in two dogs. The clinical outcomes and comparative complication using resorbable and non-resorbable thermoplastic pins were compared...
June 22, 2018: BMC Veterinary Research
https://www.readbyqxmd.com/read/29928263/prolactin-producing-pituitary-carcinoma-hypopituitarism-and-graves-disease-report-of-a-challenging-case-and-literature-review
#6
Rita Bettencourt-Silva, Josué Pereira, Sandra Belo, Daniela Magalhães, Joana Queirós, Davide Carvalho
Introduction: The diagnosis of pituitary carcinoma is very rare, requires the evidence of metastatic disease, and has a poor overall survival. Malignant prolactinoma frequently requires dopamine agonist therapy, pituitary surgery, radiotherapy, and even chemotherapy. Case description: A 19-year-old female presented with galactorrhea, primary amenorrhea, and left hemianopsia. Complementary study detected hyperprolactinemia and a pituitary macroadenoma with cavernous sinus invasion and suprasellar growth...
2018: Frontiers in Endocrinology
https://www.readbyqxmd.com/read/29928151/a-rare-case-of-rem-sleep-related-bradyarrhythmia-syndrome-with-concomitant-severe-hypertension-a-case-report-and-a-review-of-literature
#7
Gabrielius Jakutis, Vytautas Juknevičius, Juratė Barysienė, Dalia Matačiūnienė, Birutė Petrauskienė, Žaneta Petrulionienė, Aleksandras Laucevičius
Introduction: Rapid eye movement (REM) sleep-related bradyarrhythmia syndrome is characterized by pathological asystoles during the REM sleep phase. It is a rare rhythm disorder, being reported only few times in the literature. Due to non-specific symptoms, REM sleep-related bradyarrhythmia might be often underdiagnosed. Other cardiac diseases associated with pathological sinus arrests must be excluded to establish the correct diagnosis of and appropriate therapy for REM sleep-related bradyarrhythmia...
2018: Acta Medica Lituanica
https://www.readbyqxmd.com/read/29927438/-pituitary-lactotroph-adenomas-resistant-to-dopamine-agonist-treatment-histological-and-immunohistochemical-characteristics
#8
N S Fedorova, A Yu Abrosimov, L K Dzeranova, E A Pigarova, I I Dedov
OBJECTIVE: To present the histological and immunohistochemical characteristics of pituitary lactotroph adenomas (PLAs) resistant to dopamine agonist treatment. SUBJECT AND METHODS: The investigators examined paraffin-embedded blocks and histological sections obtained from 19 patients (13 women, 6 men), whose median age was 29 (19, 38) years, after surgical treatment (adenomectomy) for PLAs resistant to dopamine agonist treatment. Immunohistological examination was performed using antibodies against prolactin (PRL), growth hormone (GH), thyroid-stimulating hormone (TSH), adrenocorticotropic hormone (ACTH), luteinizing hormone (LH), follicle-stimulating hormone (FSH), type 2 dopamine receptors (DR2 ), estrogen receptors-α (ERα), the proliferation marker Ki-67, and the endothelial cell marker CD34...
2018: Arkhiv Patologii
https://www.readbyqxmd.com/read/29923900/evaluating-a-surfactant-containing-polymeric-membrane-foam-wound-dressing-with-glycerin-in-patients-with-chronic-pilonidal-sinus-disease
#9
R Gary Sibbald, Reneeka Persaud Jaimangal, Patricia M Coutts, James A Elliott
GENERAL PURPOSE: To present an evaluation of a surfactant-containing polymeric membrane foam wound dressing for use on patients with chronic pilonidal sinus disease. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to:1...
July 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29923367/cerebral-venous-sinus-thrombosis
#10
REVIEW
Marco Capecchi, Maria Abbattista, Ida Martinelli
The cerebral venous system is an unusual site of thrombosis, with a particularly high incidence in young adults. This incidence has increased in past decades because of the improvement of neuroradiological techniques. Risk factors for cerebral venous sinus thrombosis overlap with those of other venous thromboembolism sites, however, some are specific for this particular anatomical district. Prognosis is favorable in most cases if diagnosis is made rapidly and treatment is promptly initiated, even if acute complications or chronic invalidity still occur in a quarter of patients...
June 19, 2018: Journal of Thrombosis and Haemostasis: JTH
https://www.readbyqxmd.com/read/29922533/diffuse-xanthogranulomatous-cholecystitis-master-of-disguise
#11
Vladimir Neychev, Vesela Ivanova, Tihomir Dikov, Georgi Todorov
A 67-year-old woman presented with clinical symptoms, radiological findings, and preoperative work-up highly suggestive of advanced stage IV carcinoma of the gallbladder (CG). An extended cholecystectomy with the excision of adjacent liver segments and loco-regional lymphadenectomy was performed. Final pathology results revealed diffuse xanthogranulomatous cholecystitis (XG) with ruptured Rokitansky-Aschoff sinuses with tumor-resembling adenomyosis without atypical or malignant cells. There was a reactive inflammatory and fatty degeneration of the adjacent hepatic tissue and a nonspecific inflammatory reaction of the enlarged periportal lymph nodes...
April 17, 2018: Curēus
https://www.readbyqxmd.com/read/29922521/misled-by-the-air-pneumocephalus
#12
Koin Lon Shum, Yuyang Tan
Pneumocephalus, the presence of air within the cranium, commonly suggests a breach in the meningeal layer or an intracranial infection by a gas-producing organism. Trauma is the most common cause of pneumocephalus, followed by cranial surgery. Other causes include infection and intracranial neoplasm. An 87-year-old man was conveyed to the emergency department after being found to be drowsy by his helper. He was noted to have a new onset right-sided hemiparesis. Past medical history was significant for hypertension, stage 5 chronic kidney disease, cerebrovascular accident, pacemaker insertion for sick sinus syndrome, transurethral resection of the prostate for benign prostatic hyperplasia, and pulmonary tuberculosis...
April 14, 2018: Curēus
https://www.readbyqxmd.com/read/29921382/pre-and-post-treatment-computed-tomographic-findings-of-a-primary-intranasal-transmissible-venereal-tumor-in-a-canine-patient
#13
M Patsikas, K Adamama-Moraitou, A Thomas, C Soultani, I Chrissogonidis, A Fotiadou, G Trikoupi, P Papadopoulou, G Ilia, P Kosmas, P Farmakis
A two-year-old, female intact, cross-breed dog presented with a two-month history of nasal discharge. Computed tomography (CT) demonstrated obliteration of both nasal cavities by soft tissue density, destruction of the nasal and ethmoidal turbinates, and lysis of the frontal and palatine bones and maxilla. Frontal sinuses and maxillary recesses were obscured by soft tissue/fluid density. Histopathological examination of the mass was diagnostic of transmissible venereal tumor. The dog was clinically normal 3 months after treatment initiation with vincristine sulphate and amoxicillin/clavulanate...
May 2018: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/29921358/in-flight-management-of-a-supraventricular-tachycardia-using-telemedicine
#14
Jessica J Voerman, Mary E Hoffe, Sam Surka, Paulo M Alves
BACKGROUND: Supraventricular tachycardia (SVT) is a common presenting arrhythmia in the general population. Cases of SVT presenting during commercial air travel are always challenging as they might be confused with other conditions requiring different treatment strategies. We present a case of an in-flight SVT that was successfully managed using telemedicine support. CASE REPORT: A 33-yr-old woman developed chest pain and dizziness while on an international commercial flight...
July 1, 2018: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/29921080/-to-explore-the-role-of-ct-scan-in-the-diagnosis-of-eosinophilic-chronic-rhinosinusitis
#15
C M Zhu, H B Liu, W X Wu, C Xu
Objective: We explored the role of CT scan in the diagnosis of eosinophilic chronic rhinosinusitis (ECRS) in sinus osteitis for a better guidance of clinic and treatment. Method: A total of 127 patients with chronic rhinosinusitis who underwent primary surgery were collected(52 patients were ECRS). Seventy-five patients with NonECRS performed global osteitis scoring scale (GOSS) osteitis score on the patient's preoperative sinus CT. Mamn-Whitney U analysis was used to compare the GOSS osteitis scores between the two groups...
June 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29921075/-imaging-analysis-of-respiratory-epithelial-adenomatoid-hamartoma-of-olfactory-clefts
#16
X F Yu, H Zhao, Z W Cao
Objective: Analyze the imaging features of respiratory epithelial adenomatoid hamartoma(REAH) of olfactory clefts,to provide the basis for clinical diagnosis and treatment. Method: A retrospective study of 54 cases of nasal REAH of bilateral olfactory clefts confirmed by pathology were collected,analyze their imaging information. Result: All the lesions of 54 cases are located in olfactory cleft,sinus CT and MR show soft tissue shadows in olfactory cleft which grows expansive,extruding bilateral middle turbinate to the lateral sides,and it's like "the head of mushroom"...
June 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29921060/-analysis-of-drug-sensitivity-of-staphylococcus-aureus-in-patients-with-chronic-sinusitis
#17
Y Liu, L Fan, Y Q Tang, Z Y Zhang
Objective: To investigate the prevalence and drug sensitivity of nasal Staphylococcus aureus infection in patients with chronic sinusitis and healthy controls. Method: Bacterial culture and drug sensitivity test were performed in 71 patients with CRS (experimental group) and 103 healthy controls (control group). The infection rate of Staphylococcus aureus and the sensitivity of the drug were analyzed based on these results. Result: Twenty-nine Staphylococcus aureus strains were isolated from 71 cases of patients in the experimental group, and the positive rate was 40...
June 5, 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29915621/the-gender-difference-of-utilization-of-cardiac-implantable-electronic-device-in-china-data-from-arrhythmia-interventional-therapy-data-registry
#18
Ruo-Han Chen, Ke-Ping Chen, Wei Hua, Jing Xu, Lin Chen, Yang-Gang Su, Xi Su, Jian-Gang Zou, Ji Yan, Jing-Feng Wang, Bao-Peng Tang, Mei-Xiang Xiang, Shu Zhang
Background: Cardiac implantable electronic devices (CIEDs) greatly improve survival and life quality of patients. However, there are gender differences regarding both the utilization and benefit of these devices. In this prospective CIED registry, we aim to appraise the gender differences in CIED utilization in China. Methods: Twenty centers from 14 provinces in China were included in our registry study. All patients who underwent a CIED implantation in these twenty centers between Jan 2015 and Dec 2016 were included...
April 2018: Journal of Geriatric Cardiology: JGC
https://www.readbyqxmd.com/read/29911211/the-global-allergy-and-asthma-european-network-galen-rhinosinusitis-cohort-a-large-european-cross-sectional-study-of-chronic-rhinosinusitis-patients-with-and-without-nasal-polyps
#19
A Khan, G Vandeplas, T M T Huynh, V N Joish, L Mannent, P Tomassen, T Van Zele, L O Cardell, J Arebro, H Olze, U Foerster-Ruhrmann, M L Kowalski, A Olszewska-Ziaber, G Holtappels, N De Ruyck, C van Drunen, J Mullol, P W Hellings, V Hox, E Toskala, G Scadding, V J Lund, W J Fokkens, C Bachert
BACKGROUND: Chronic rhinosinusitis (CRS) is a common yet under-recognised chronic inflammatory disease of the nose and paranasal sinuses that is classified according to the presence (CRSwNP) or absence (CRSsNP) of nasal polyps. METHODS: This paper reports the methodology and descriptive results of the Global Allergy and Asthma European Network (GALEN) rhinosinusitis cohort. We established a large CRS cohort within the GALEN consortium (European FP6 research initiative) to identify inflammatory endotypes, the natural disease course, and its impact on health-related quality of life (HRQoL)...
June 17, 2018: Rhinology
https://www.readbyqxmd.com/read/29911023/cavernous-sinus-syndrome-in-dogs-and-cats-case-series-2002-2015
#20
Aslynn M Jones, Ellison Bentley, Helena Rylander
The cavernous sinus (CS) is a paired venous sinus that runs along either side of the pituitary gland on the floor of the calvarium. Cavernous sinus syndrome (CSS) refers to deficits in more than one of the cranial nerves III, IV, V, and VI, as they are in close association in this region. The purpose of this study was to identify the presenting complaints, neurologic findings, diagnosis, and outcomes in dogs and cats with confirmed cavernous sinus syndrome (CSS). Medical records between 2002 and 2015 were reviewed...
2018: Open Veterinary Journal
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