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ANCA and cardiac

Katarzyna Życińska, Anna Borowiec
No abstract text is available yet for this article.
October 7, 2016: Kardiologia Polska
Adina Elena Stanciu, Anca Elena Hurduc, Marcel Marian Stanciu
OBJECTIVE: We aimed to investigate the effects of thyroid hormone withdrawal on N-terminal prohormone forms of atrial natriuretic peptide (NT-proANP) and brain natriuretic peptide (NT-proBNP) during radioiodine therapy in female patients with differentiated thyroid cancer (DTC). METHODS: Serum concentrations of thyroid-stimulating hormone (TSH), free triiodothyronine (FT3), NT-proANP and NT-proBNP were measured in 51 female patients with DTC (48.7 ± 4.2 years) at three time-points: day of radioiodine therapy (t1 - under acute hypothyroidism), 5 days after radioiodine (t2 - under acute hypothyroidism) and 3 months after radioiodine (t3 - under TSH suppression)...
September 26, 2016: Scandinavian Journal of Clinical and Laboratory Investigation
Simon Greulich, Daniel Kitterer, Reto Kurmann, Joerg Henes, Joerg Latus, Steffen Gloekler, Andreas Wahl, Sebastian J Buss, Hugo A Katus, Marco Bobbo, Massimo Lombardi, Maik Backes, Hannah Steubing, Pascal Schepat, Niko Braun, M Dominik Alscher, Udo Sechtem, Heiko Mahrholdt
BACKGROUND: The diagnosis of cardiac involvement in rheumatic disorders is challenging due to its varying clinical presentation. Since clinical consequences range from immediate treatment changes to adverse long-term outcome, individual risk stratification is of great clinical interest. Primary aim was to evaluate the prevalence of cardiac involvement in patients with different rheumatic disorders using late gadolinium enhancement-cardiac magnetic resonance imaging (LGE-CMR). In addition, we sought to investigate if different rheumatic disorders would demonstrate different LGE patterns...
August 24, 2016: International Journal of Cardiology
Yuichi Saito, Sho Okada, Nobusada Funabashi, Yoshio Kobayashi
A 59-year-old woman with a history of bronchial asthma presented with a prolonged fever and eosinophilia. There was transient proteinuria and troponin level was elevated. Antineutrophil cytoplasmic antibody was negative and she did not fulfil criteria for eosinophilic granulomatosis with polyangitis (EGPA). Echocardiography showed a large apical mass in the left ventricle, but there was no systolic dysfunction, local asynergy or ventricular remodelling. On MRI, apical mass was compatible with a thrombus and endocardial region was diffusely damaged...
2016: BMJ Case Reports
Michael Bietenbeck, Anca Florian, Cornelius Faber, Udo Sechtem, Ali Yilmaz
Magnetic resonance imaging (MRI) allows for an accurate assessment of both functional and structural cardiac parameters, and thereby appropriate diagnosis and validation of cardiovascular diseases. The diagnostic yield of cardiovascular MRI examinations is often increased by the use of contrast agents that are almost exclusively based on gadolinium compounds. Another clinically approved contrast medium is composed of superparamagnetic iron oxide nanoparticles (IONs). These particles may expand the field of contrast-enhanced cardiovascular MRI as recently shown in clinical studies focusing on acute myocardial infarction (AMI) and atherosclerosis...
2016: International Journal of Nanomedicine
Habib Khan, Sanjay Chaubey, Rynda Nitiahpapand, Jatin Desai
Cardiac involvement is rare in antineutrophil cytoplasmic autoantibody (ANCA)-associated systemic vasculitis but can involve aortic and mitral valves. We present an unusual case of a 65-year-old woman who presented 16 years after an aortic valve replacement with severe mitral regurgitation with ACNA-associated vasculitis. The extensive nature of the pathologic condition, which extended to the tricuspid valve, prevented the replacement of the mitral valve during a surgical procedure. This is a rare case in which florid valvulopathy was observed in association with vasculitis...
August 2016: Annals of Thoracic Surgery
Giulia Camilla Varnier, Neil Sebire, Georgi Christov, Despina Eleftheriou, Paul A Brogan
Granulomatosis with polyangiitis (GPA) is a rare but serious small vessel vasculitis with heterogeneous clinical presentation ranging from mainly localised disease with a chronic course, to a florid, acute small vessel vasculitic form characterised by severe pulmonary haemorrhage and/or rapidly progressive vasculitis or other severe systemic vasculitic manifestations. Cardiac involvement is, however, uncommon in the paediatric population. We report a case of a 16-year-old male who presented with peripheral gangrene and vegetation with unusual location on the supporting apparatus of the tricuspid valve, initially considered to have infective endocarditis but ultimately diagnosed with GPA...
September 2016: Clinical Rheumatology
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Annals of Intensive Care
Salim Arous, Ilham Bensahi, Malika Noureddine, Rachida Habbal
We report, through this observation, a rare case of Wegener's disease revealed by myocarditis associated with fibroblastic endocarditis. The patient was initially admitted to hospital with global heart failure. The ECG showed atrial flutter rhythm disorder. Echocardiographic examination revealed non-dilated left ventricle with severe dysfunction and positive troponin dosage. Severe renal failure was discovered fortuitously and required hemodialysis. It was associated with an inflammatory anaemia confirmed by serum ferritin and myelogram...
2016: Pan African Medical Journal
Qinghua Wu, Lian Liu, Anca Miron, Blanka Klímová, Dan Wan, Kamil Kuča
Spirulina is a species of filamentous cyanobacteria that has long been used as a food supplement. In particular, Spirulina platensis and Spirulina maxima are the most important. Thanks to a high protein and vitamin content, Spirulina is used as a nutraceutical food supplement, although its other potential health benefits have attracted much attention. Oxidative stress and dysfunctional immunity cause many diseases in humans, including atherosclerosis, cardiac hypertrophy, heart failure, and hypertension. Thus, the antioxidant, immunomodulatory, and anti-inflammatory activities of these microalgae may play an important role in human health...
August 2016: Archives of Toxicology
Beáta Csányi, Anca Popoiu, Lidia Hategan, Zoltán Hegedűs, Viktória Nagy, Katalin Rácz, Márta Hőgye, László Sághy, Béla Iványi, Miklós Csanády, Tamás Forster, Róbert Sepp
BACKGROUND: Danon disease is a rare X-linked inherited disorder characterized by massive left ventricular hypertrophy, skeletal muscle dystrophy, and mental retardation. The disease is caused by mutations in the LAMP2 gene encoding for lysosome-associated membrane protein-2. METHODS: Two young male patients with hypertrophic cardiomyopathy, characterized by marked, concentric left ventricular hypertrophy, elevated levels of creatine kinase, and manifest limb-girdle muscular dystrophy in 1 case, were investigated...
March 4, 2016: Canadian Journal of Cardiology
Anca Streinu-Cercel, Oana Săndulescu, Gabriela Ceapraga, Daniela Manolache, Monica Andreea Stoica, Liliana Lucia Preoțescu, Adrian Streinu-Cercel
BACKGROUND: The Romanian HIV cohort has certain particularities that render it unique in Europe. We have performed a study to evaluate the prevalence of bone and kidney impairment in this particular group of HIV-infected patients. METHODS: We performed dual-energy X-ray absorptiometry (DXA) evaluation of the lumbar vertebrae and the femur, as well as laboratory tests including standard serum panels, bone-related markers and urinalysis in patients from the Romanian HIV cohort...
2016: BMC Infectious Diseases
Svetlana Becker, Anca Florian, Alexandru Patrascu, Sabine Rösch, Johannes Waltenberger, Udo Sechtem, Matthias Schwab, Elke Schaeffeler, Ali Yilmaz
BACKGROUND: Duchenne and Becker muscular dystrophy (DMD and BMD) are X-chromosomal recessive neuromuscular disorders that are caused by mutations in the dystrophin gene and characterized by cardiac involvement. Circulating microRNAs (miRNAs) have been proposed as diagnostic biomarkers for various cardiovascular diseases. However, circulating miRNAs reflecting the presence and/or disease severity of cardiac involvement in DMD/BMD patients have not been described so far. METHODS: Sixty-three male patients with known MD and 26 age-matched healthy male controls were prospectively enrolled...
2016: Journal of Cardiovascular Magnetic Resonance
Catalin A Buzea, Gheorghe A Dan, Anca R Dan, Caterina Delcea, Marius I Balea, Daniela Gologanu, Raluca A Popescu, Mihaela Dobranici
BACKGROUND: Patients with chronic obstructive pulmonary disease (COPD) have an increased risk for both supraventricular and ventricular arrhythmias. Autonomic dysregulation may be responsible for the development of arrhythmias in these patients, and its analysis could be useful for identifying those at high risk for arrhythmias. STUDY QUESTION: Our purpose is to analyze the role of acceleration capacity (AC) and deceleration capacity (DC), novel markers of the autonomic balance, as potential arrhythmic risk predictors in patients with COPD...
May 4, 2016: American Journal of Therapeutics
Lauro Cortigiani, Simone Sorbo, Mario Miccoli, Maria Chiara Scali, Anca Simioniuc, Doralisa Morrone, Francesco Bovenzi, Mario Marzilli, Frank Lloyd Dini
AIMS: Cardiac power output to left ventricular mass (power/mass) is an index of myocardial efficiency reflecting the rate at which cardiac work is delivered with respect to the potential energy stored in the left ventricular mass. In the present study, we sought to investigate the capability of power/mass assessed at peak of dobutamine stress echocardiography to predict mortality in patients with ischaemic cardiomyopathy and no inducible ischaemia. METHODS AND RESULTS: One-hundred eleven patients (95 males; age 68 ± 10 years) with 35 ± 7% mean left ventricular ejection fraction and a dobutamine stress echocardiography (up to 40 µg/kg/min) negative by wall motion criteria formed the study population...
April 29, 2016: European Heart Journal Cardiovascular Imaging
Giovanni Cuminetti, Valentina Regazzoni, Enrico Vizzardi, Ivano Bonadei, Monique M J de Jong, Roberto Lorusso, Jan C A Hoorntje, Sandro Gelsomino, Marco Metra
No abstract text is available yet for this article.
July 1, 2016: International Journal of Cardiology
Nisha Arenja, Lukas Zimmerli, Piotr Urbaniak, Rolf Vogel
HISTORY: A 36-year-old man with a history of PR3-ANCA positive granulomatosis with polyangiitis presented with chest pain at the emergency department. Due to his underlying disease, he was treated with Rituximab in regular intervals. The last Rituximab infusion was admitted one day before presentation. INVESTIGATION: The ECG showed marked ST elevation in V1-V4. DIAGNOSIS, TREATMENT AND COURSE: After the diagnosis of an acute anterior myocardial infarction, the patient was prepared for acute percutaneous coronary intervention...
April 2016: Deutsche Medizinische Wochenschrift
Despina Eleftheriou, Hugo Gale, Clarissa Pilkington, Matthew Fenton, Neil J Sebire, Paul A Brogan
OBJECTIVE: To describe the presenting clinical features, treatment and outcome in children with eosinophilic granulomatosis with polyangiitis (EGPA) and to define factors that predicted mortality. METHODS: A retrospective case notes review of patients fulfilling the Chapel Hill Consensus Conference definition and/or ACR criteria for EGPA seen at Great Ormond Street Hospital, London. Demographics, clinical features, histopathology, treatment and outcomes were recorded...
July 2016: Rheumatology
Gina Botnariu, Cristina Birsan, Cristian Podoleanu, Cosmin Moldovan, Simona Stolnicu, Anca Chiriac
We report a case of necrosis caused by the use of prallethrin (mosquito repellent) on the skin in a 67-year-old diabetic female patient suffering from delusions of parasitosis. Cutaneous toxicity due to pyrethroids is less known or reported, despite well-documented pyrethroid poisoning involving the gastrointestinal, respiratory, cardiac, and nervous systems. Skin irritation has been described after acute accidental exposure but, as far as we know, no data have been published on the effects of pyrethroids when applied directly to the skin...
April 2016: Environmental Toxicology and Pharmacology
C A Buzea, Anca Rodica Dan, Caterina Delcea, M I Balea, Daniela Gologanu, Mihaela Dobranici, Raluca Alexandra Popescu, G A Dan
INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is associated with higher incidence of supraventricular arrhythmias. Atrial late potentials (ALP) detected by P-wave signal-averaged electrocardiography (SAECG) could be useful in detecting the patients at risk for supraventricular arrhythmias. Our objective was to assess the role of P-wave SAECG and ALP detection for arrhythmic risk evaluation of the patients with exacerbated COPD. METHODS: We prospectively included 45 patients with exacerbation of COPD and 58 age- matched patients with no history of pulmonary disease in a control group...
October 2015: Romanian Journal of Internal Medicine, Revue Roumaine de Médecine Interne
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