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Congenital diseases in geriatrics

Gianluca Rigatelli, Fabio Dell'Avvocata, Nguyen Van Tan, Rames Daggubati, Aravinda Nanijundappa
Coronary artery anomalies (CAAs) may be discovered more often as incidental findings during the normal diagnostic process for other cardiac diseases or less frequently on the basis of manifestations of myocardial ischemia. The cardiovascular professional may be involved in their angiographic diagnosis, functional assessment and eventual endovascular treatment. A complete angiographic definition is mandatory in order to understand the functional effects and plan any intervention in CAAs: computed tomography and magnetic resonance imaging are useful non-invasive tools to detect three-dimensional morphology of the anomalies and its relationships with contiguous cardiac structures, whereas coronary arteriography remains the gold standard for a definitive anatomic picture...
January 2015: Journal of Geriatric Cardiology: JGC
Misbahuddin Mohammad, Anish F James, Raheel S Qureshi, Sapan Saraf, Tina Ahluwalia, Joy Dev Mukherji, Tamorish Kole
BACKGROUND: Stroke is a common presentation in geriatric patients in emergency department but rarely seen in pediatric patients. In case of acute ischemic stroke in pediatric age group, management is different from that of adult ischemic stroke where thrombolysis is a good op. METHODS: We report a case of a 17-year-old male child presenting in emergency with an episode of acute ischemic stroke causing left hemiparesis with left facial weakness and asymmetry. The patient suffered from cyanotic congenital heart disease for which he had undergone Fontan operation previously...
2012: World Journal of Emergency Medicine
Helmut Baumgartner
No abstract text is available yet for this article.
March 2014: European Heart Journal
Adriaan M Kitshoff, Bart Van Goethem, Ludo Stegen, Peter Vandekerckhov, Hilde de Rooster
Laryngeal paralysis is the effect of an inability to abduct the arytenoid cartilages during inspiration, resulting in respiratory signs consistent with partial airway obstruction. The aetiology of the disease can be congenital (hereditary laryngeal paralysis or congenital polyneuropathy), or acquired (trauma, neoplasia, polyneuropathy, endocrinopathy). The most common form of acquired laryngeal paralysis (LP) is typically seen in old, large breed dogs and is a clinical manifestation of a generalised peripheral polyneuropathy recently referred to as geriatric onset laryngeal paralysis polyneuropathy...
2013: Journal of the South African Veterinary Association
Teiji Akagi
Adult congenital heart disease is one of the most important clinical issues not only for pediatric cardiologists but also adult cardiologists. After the introduction of catheter intervention for atrial septal defect in the pediatric population, therapeutic advantages of this less invasive procedure now focused on even geriatric patients. The most valuable clinical benefit of this procedure is the significant improvement in symptoms and daily activities, which result from the closure of left to right shunt without thoracotomy or cardiopulmonary bypass surgery...
September 2012: Journal of Cardiology
Alan Graham Stuart
The demography of congenital heart disease is changing. Largely as a consequence of successful cardiac surgery in childhood, there are an increasing number of adults with congenital heart disease with a prevalence of more than four per 100 adults. The type of disease in adults is also changing with an increasing number of survivors with complex disease. These patients have a significantly increased healthcare requirement in comparison to healthy adults and this includes noncardiac, multisystem morbidity. The adult congenital heart disease population are now developing problems associated with aging and there is a new population of geriatrics with congenital heart disease...
March 2012: Future Cardiology
Jonathan Afilalo, Judith Therrien, Louise Pilote, Raluca Ionescu-Ittu, Giuseppe Martucci, Ariane J Marelli
OBJECTIVES: The study sought to measure the prevalence, disease burden, and determinants of mortality in geriatric adults with congenital heart disease (ACHD). BACKGROUND: The population of ACHD is increasing and aging. The geriatric ACHD population has yet to be characterized. METHODS: Population-based cohort study using the Quebec Congenital Heart Disease Database of all patients with congenital heart disease coming into contact with the Quebec healthcare system between 1983 and 2005...
September 27, 2011: Journal of the American College of Cardiology
V I Odin
Last decades the phenomenon of ageing population at the expense of reduction of birth rate and continuous growth of life expectancy is observed and moreover the life expectancy increase has almost linear character. In our opinion, this growth will stop the next years and there will be a considerable reduction of life expectancy. Roughly it should occur after 2010 year when the persons born in second half of the XXth century, i.e. after 1950 year, will start to enter advanced age. The reason of this drama consist in our opinion in catastrophic deterioration of primary health at persons born in second half of XXth century owing to action of "stop-evolution" factors and inhabitancy crisis...
2011: Advances in Gerontology, Uspekhi Gerontologii
I Gnass, G Bartoszek, R Thiesemann, G Meyer
BACKGROUND: Free movement of the limbs is a prerequisite of mobility and autonomy in old age. The prevalence of contractures in international studies has been reported to range between 15% and 70%. The wide variation might be explained by different definitions and diagnostic criteria, settings, and participants' characteristics. Contractures lead to additional nursing demands. In Germany, contracture risk assessment and prevention have been recently defined as a quality indicator of nursing home care that should be regularly monitored by expert raters of the statutory health insurance system...
June 2010: Zeitschrift Für Gerontologie und Geriatrie
M Schmidt, W Huff, M Dietlein, C Kobe, H Schicha
Interactions between brain, psyche and thyroid are known from historical descriptions of thyroidectomy (Kocher) and hyperthyroidism. However, their importance is often underscored in clinical routine. Thyroid hormone deficiency during pregnancy may result in irreversible mental retardation and requires levothyroxine substitution. TSH screening after delivery must identify newborns with congenital hypothyroidism: An early levothyroxine substitution and long term therapy control are required. Hypothyroidism and depression have many symptoms in common...
2008: Nuklearmedizin. Nuclear Medicine
Gordon D Peddle, Lore Boger, Thomas J Van Winkle, Mark A Oyama
Gerbode type defects are rare left ventricular outflow tract-right atrial communications in people that may be congenital or acquired; they have been reported only once previously in dogs. Acquired forms in humans have been reported secondary to bacterial endocarditis, trauma, and valve replacement surgery, among other causes. We report a case of left ventricular outflow tract to right atrium and right ventricle communications (Gerbode type defect) in association with aortic and tricuspid valve bacterial endocarditis in a geriatric dog...
December 2008: Journal of Veterinary Cardiology: the Official Journal of the European Society of Veterinary Cardiology
Reem Malouf, John Grimley Evans
BACKGROUND: Folate deficiency can result in congenital neural tube defects and megaloblastic anaemia. Low folate levels may be due to insufficient dietary intake or inefficient absorption, but impaired metabolic utilization also occurs.Because B12 deficiency can produce a similar anaemia to folate deficiency, there is a risk that folate supplementation can delay the diagnosis of B12 deficiency, which can cause irreversible neurological damage. Folic acid supplements may sometimes therefore include vitamin B12 supplements with simultaneous administration of vitamin B12...
2008: Cochrane Database of Systematic Reviews
Hideki Yasuda, Tadahiro Takada, Yoshifumi Kawarada, Yuji Nimura, Koichi Hirata, Yasutoshi Kimura, Keita Wada, Fumihiko Miura, Masahiko Hirota, Toshihiko Mayumi, Masahiro Yoshida, Masato Nagino, Yuichi Yamashita, Serafin C Hilvano, Sun-Whe Kim
Unusual cases of acute cholecystitis and cholangitis include (1) pediatric biliary tract infections, (2) geriatric biliary tract infections, (3) acalculous cholecystitis, (4) acute and intrahepatic cholangitis accompanying hepatolithiasis (5) acute biliary tract infection accompanying malignant pancreatic-biliary tumor, (6) postoperative biliary tract infection, (7) acute biliary tract infection accompanying congenital biliary dilatation and pancreaticobiliary maljunction, and (8) primary sclerosing cholangitis...
2007: Journal of Hepato-biliary-pancreatic Surgery
Altin Palloshi, Patrizia Puccetti, Gabriele Fragasso, Eustachio Agricola, Renata Mellone, Alessandro Del Maschio, Attilio Maseri, Alberto Margonato
Non-compaction of the ventricular myocardium (NCVM) is a rare disorder of myocardial morphogenesis usually diagnosed in paediatric age associated with high mortality rates. Among reported cases, NCVM has been described in only six patients > or = 70 years. We describe the case of a 74-year-old male with NCVM involving the left ventricle, representing one of the oldest patients ever reported in the literature. Of note, this case was characterized by late appearance of NCVM and rapid deterioration of clinical conditions...
September 2006: Journal of Cardiovascular Medicine
Walter Boddi, Stefania Machetti, Nicola Sodi, Lucia Sammicheli, Graziella Cati, Giovanna Marotta, Laura Sabatini, Roberto Cappelli
Acquired hemophilia is a rare coagulopathy in adults, associated with bleeding complications. Although the etiology of this disorder remains obscure, an autoimmune mechanism produces the development of autoantibodies against factor VIII. About half of cases are associated with other conditions, mainly post-partum, underlying cancer, autoimmune disease. An 81-year-old male was admitted to the hospital with extensive hematomas (neck, chest, arms and lower limbs). There was no family or personal history of congenital bleeding diathesis...
July 2005: Annali Italiani di Medicina Interna: Organo Ufficiale Della Società Italiana di Medicina Interna
Meg M Sleeper, Cynthia J Doane, Paul H Langner, Stephen Curtis, Kelly Avila, D Rick Lee
Various congenital and acquired forms of heart disease have been reported in captive lowland gorillas, and heart disease is a major cause of morbidity and mortality in geriatric humans. However, the prevalence of heart disease is unknown in nonhuman great apes species. Indeed, little is known about heart disease in chimpanzees, although the species has been used in research for decades. This report details the clinical presentation and diagnostics (thoracic radiography, electrocardiography, and echocardiography) utilized to diagnose idiopathic dilated cardiomyopathy in a 27-year-old male chimpanzee...
February 2005: Comparative Medicine
No abstract text is available yet for this article.
August 1965: Public Health Reports
No abstract text is available yet for this article.
June 1965: Annals of Internal Medicine
No abstract text is available yet for this article.
1965: Acta Neurologica Scandinavica
No abstract text is available yet for this article.
March 1965: American Journal of Cardiology
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