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https://www.readbyqxmd.com/read/29148642/rare-co-existence-of-coronary-anomalies-anomaly-of-origin-and-distribution-together-with-anomaly-of-intrinsic-coronary-artery-anomaly
#1
Abraha Hailu, Diana Chin, Carmine Musto, Rosario Fiorilli, Roberto Violini
We describe a 63 year old Romanian female patient admitted to our institution with complaints of typical angina and a diagnosis of non ST-elevation myocardial infarction. Coronary arteriography unveiled anomalous origin of a left circumflex coronary artery from the right coronary sinus of Valsalva near the right coronary ostium and a hyperdominant left anterior descending coronary artery giving off a posterior descending coronary artery with small distal-posterolateral left ventricular branch. The co-existence of a left circumflex coronary artery originating ectopically from the right sinus of Valsalva together with a posterior descending coronary artery originating from the distal end of the anterior descending artery is important to keep in mind especially by those doing coronary angiography in the cardiac catheterization laboratory...
January 2017: Ethiopian Medical Journal
https://www.readbyqxmd.com/read/29147168/study-of-the-characteristics-of-pulmonary-trunk-in-pulmonary-hypertension-secondary-to-left-heart-disease-using-pressure-velocity-loops-pu-loops
#2
Shizuo Hanya, Kengo Yoshii, Motoaki Sugawara
Objectives: Although pulmonary hypertension (PH) caused by left heart disease (PH-LHD) is more common in PH, little is known about its properties of pulmonary artery (PA) in PH-LHD. The purpose of this study was to measure pulmonary regional pulse wave velocity (PWV) and to quantify the magnitude of reflected waves in patients with PH-LHD by the analysis of the pressure-velocity loops (PU-loop). Methods: High-fidelity PA pressure (Pm) and PA velocity (Vm) were measured in 11 subjects with PH-LHD (mean Pm>25 mmHg), 1 subject with atrial septal defect (ASD) without PH and 12 control subjects, using multisensor catheters...
September 25, 2017: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/29145232/giant-right-coronary-artery-aneurysm-mimicking-sinus-valsalva-aneurysm-of-the-aorta
#3
Nehir Sucu, Abdülkadir Bilgiç, Dilek Yılmaz, Ayten Öztaş
No abstract text is available yet for this article.
November 2017: Anatolian Journal of Cardiology
https://www.readbyqxmd.com/read/29143098/cervicofacial-and-mediastinal-emphysema-after-balloon-eustachian-tuboplasty-bet-a-retrospective-multicenter-analysis
#4
Theodoros Skevas, Carsten V Dalchow, Sara Euteneuer, Holger Sudhoff, Götz Lehnerdt
PURPOSE: Balloon Eustachian tuboplasty (BET) is a new treatment modality addressing chronic obstructive dysfunction of the Eustachian tube (ET). So far, BET has been deemed a safe procedure under general anesthesia with only minor adverse effects. However, individual cases of postoperative emphysema have been reported. In the present retrospective multicenter analysis we determined the incidence rate of this potentially life threatening complication after BET. METHODS: In total we collected data from 3,670 BET procedures performed on 2,272 patients in four tertiary care ENT departments...
November 15, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29142831/what-adds-valsalva-maneuver-to-hemostasis-after-trendelenburg-s-positioning-during-thyroid-surgery
#5
Murat Ozdemir, Ozer Makay, Gokhan Icoz, Mahir Akyildiz
Background: Bleeding after thyroidectomy is life-threatening. The aim of the study was to evaluate whether controlling of further bleeding with Valsalva maneuver following Trendelenburg's positioning has an impact on hemostasis. Methods: This prospective study included 68 consecutive patients undergoing thyroidectomy. Study protocol consisted of performing manual intra-abdominal pressure increase and Valsalva maneuver to check hemostasis and treating any bleeding point identified, after Trendelenburg's positioning...
October 2017: Gland Surgery
https://www.readbyqxmd.com/read/29142357/single-coronary-artery-demonstrating-slightly-decreased-13-nh3-stress-flows-in-its-distal-flow-territories
#6
Sabrine Q Kol, Jouke J Boer, Friso M van der Zant, Remco J J Knol
A 54-year-old male patient was referred for computed tomography angiography to rule out cardiovascular disease. The examination revealed a single coronary artery originating from the right sinus of Valsalva, extending to the normal left circumflex artery and left anterior descending artery domains. The computed tomography showed only mild coronary sclerosis. The myocardial stress flow on the subsequently performed (13)NH3 myocardial perfusion positron emission tomography demonstrated a relative stress flow reduction in the distal segments along the monocoronary...
October 2017: Indian Journal of Nuclear Medicine: IJNM: the Official Journal of the Society of Nuclear Medicine, India
https://www.readbyqxmd.com/read/29141859/unique-pattern-of-aortic-regurgitation-caused-by-rupture-into-the-left-ventricular-interleaflet-triangle-of-a-sinus-valsalva-aneurysm-involving-the-left-coronary-cusp
#7
Yasuhide Mochizuki, Kazuhiko Iwahashi, Keitaro Nakagiri, Junya Shite
No abstract text is available yet for this article.
November 2017: Circulation. Heart Failure
https://www.readbyqxmd.com/read/29138701/valsalva-related-subretinal-hemorrhage-as-a-presenting-symptom-of-polypoidal-choroidal-vasculopathy
#8
Yousif Subhi, Torben L Sørensen
Purpose: To describe a case of Valsalva-related subretinal hemorrhage as a presenting symptom of polypoidal choroidal vasculopathy (PCV). The patient refrained from treatment against our best advice, and thus this is also a rare case of the natural course of an untreated PCV. Methods: Case report. Results: A 66-year-old female with a respiratory infection coughed intensely until exhaustion, after which she developed visual symptoms on the right eye...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/29128440/mccall-culdoplasty-during-total-laparoscopic-hysterectomy-a-pilot-randomized-controlled-trial
#9
Sara R Till, Kumari A Hobbs, Janelle K Moulder, John F Steege, Matthew T Siedhoff
STUDY OBJECTIVE: To assess the feasibility and safety of a McCall culdoplasty at time of total laparoscopic hysterectomy and to evaluate differences in total vaginal length, vaginal apex during valsalva, and sexual function 12 months after McCall culdoplasty compared to standard cuff closure. DESIGN: Pilot randomized controlled, single masked trial (Canadian Task Force classification I) SETTING: Academic tertiary care hospital PATIENTS: Women undergoing total laparoscopic hysterectomy for benign indications from June 2013 to December 2013...
November 8, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29123079/a-case-of-round-ligament-varices-presenting-in-pregnancy
#10
Luis F García-Paredes, Stephanie C Torres-Ayala, Wilmarie Rivera-Hernández, Wilma Rodriguez Mojica
BACKGROUND Round ligament varices (RLV) are rare and are almost exclusively seen in pregnant women. RLV may clinically resemble an inguinal hernia, inguinal mass, or other pathology involving the inguinal canal and round ligament. Ultrasound imaging is important to make the diagnosis of RLV. CASE REPORT A 34-year-old Hispanic woman, gravida 1 para 0, at 34 weeks gestation, presented to our outpatient department with a complaint of a small, painless, reducible right inguinal mass. Gray-scale sonography showed an asymmetric right inguinal anechoic mass composed of multiple serpentine tubular channels, which became more prominent when the patient performed a Valsalva maneuver...
November 10, 2017: American Journal of Case Reports
https://www.readbyqxmd.com/read/29122427/transcanal-endoscopic-ear-surgery-for-perilymphatic-fistula-after-electric-acoustic-stimulation
#11
Ryotaro Omichi, Shin Kariya, Yukihide Maeda, Kazunori Nishizaki
Transcanal endoscopic ear surgery (TEES) will become a very useful therapeutic option. A perilymphatic fistula (PLF) is defined as sudden sensorineural hearing loss and/or vertigo caused by leakage of the perilymph through a fistula from the oval window and/or round window. We report a case of PLF after electric acoustic stimulation (EAS), a kind of cochlear implant, successfully treated by TEES. A 38-year-old man presented to our hospital with vertigo and hearing loss (HL). His vertigo was induced by Valsalva maneuvers...
November 6, 2017: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29117278/diurnal-variations-in-the-morphology-of-schlemm-s-canal-and-intraocular-pressure-in-healthy-chinese-an-ss-oct-study
#12
Kai Gao, Fei Li, Tin Aung, Xiulan Zhang
Purpose: To characterize the diurnal variations in the dimensions of the Schlemm's canal (SC) and its association with intraocular pressure (IOP) using swept-source optical coherence tomography (SS-OCT). Methods: The temporal, nasal, inferior, and superior limbus of 102 eyes of 51 healthy subjects were imaged in vivo by SS-COT at 5 time points of 8 AM, 11 AM, 2 PM, 5 PM, and 8 PM. IOP was measured at the same time by Goldmann applanation tonometry (GAT). The diameter and the cross-sectional area of the SC were measured in ImageJ...
November 1, 2017: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/29116695/repetitive-freshwater-diving-risk-factors-and-prevalence-of-barotrauma
#13
Stefanie Jansen, Moritz Friedo Meyer, Manuela Boor, Ruth Volland, Eberhard Daniel Pracht, Heinz Dieter Klünter, Karl-Bernd Hüttenbrink, Dirk Beutner, Maria Grosheva
OBJECTIVE: The aim was to investigate the influence of repetitive scuba diving in fresh water on the middle ear mucosa. The prevalence of middle ear barotrauma (MEB) and risk factors for MEB were evaluated. STUDY DESIGN: Prospective cohort study, Level of evidence 1b. METHODS: During three days, 23 divers made 144 repetitive dives in a freshwater lake. Participants underwent otoscopic examinations and were questioned about ENT-related complaints in the morning before the first dive, in between the dives and after the last dive...
2017: Undersea & Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society, Inc
https://www.readbyqxmd.com/read/29114191/cardiac-autonomic-neuropathy-in-type-2-diabetes-mellitus-using-bellavere-s-score-system
#14
Azhar Memon
Objective: Determine the frequency of cardiac autonomic neuropathy (CAN) in type 2 diabetics using Bellavere's score system. Subjects and Methods: The present cross-sectional study was conducted at the Department of Medicine, Isra University Hospital Hyderabad from March to November 2011. Sixty voluntary participants of type 2 diabetes mellitus (DM) were selected through non-probability purposive sampling. Cardiac autonomic nerve function was assessed using Bellavere's score system...
November 2017: International Journal of Health Sciences
https://www.readbyqxmd.com/read/29114001/impaired-central-pulsatile-hemodynamics-in-children-and-adolescents-with-marfan-syndrome
#15
Andrea Grillo, Paolo Salvi, Susan Marelli, Lan Gao, Lucia Salvi, Andrea Faini, Giuliana Trifirò, Renzo Carretta, Alessandro Pini, Gianfranco Parati
BACKGROUND: Marfan syndrome is characterized by aortic root dilation, beginning in childhood. Data about aortic pulsatile hemodynamics and stiffness in pediatric age are currently lacking. METHODS AND RESULTS: In 51 young patients with Marfan syndrome (12.0±3.3 years), carotid tonometry was performed for the measurement of central pulse pressure, pulse pressure amplification, and aortic stiffness (carotid-femoral pulse wave velocity). Patients underwent an echocardiogram at baseline and at 1 year follow-up and a genetic evaluation...
November 7, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29110750/aortic-elasticity-and-carotid-intima-media-thickness-in-children-with-mitral-valve-prolapse
#16
Elif Erolu, Figen Akalın, Nilüfer Çetiner, Berna Şaylan Çevik
Aim We aimed to study the dimensions, systolic and diastolic functions of the left ventricle; dimensions and elasticity of the aorta; and carotid intima-media thickness and flow-mediated dilatation of the brachial artery in mitral valve prolapse. METHODS: The study group consisted of 43 patients (mean age=13.3±3.9) and 42 healthy children (mean age=12.9±3.4). Left ventricular end-diastolic, end-systolic, left atrial diameters, interventricular septum, and left ventricular posterior wall thickness were measured...
November 7, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29107740/autonomic-function-testing-compliance-and-consequences
#17
Thorsten Kamlarczyk Rasmussen, John Hansen, Phillip A Low, Paola Sandroni, Wolfgang Singer, Troels Staehelin Jensen, Astrid Juhl Terkelsen
BACKGROUND: The deep breathing test (DB) and Valsalva maneuver (VM) are used to detect autonomic dysfunction. The VM induces sympathetically mediated changes in blood pressure (phase II late, phase IV, and recovery time) and both tests induce vagally mediated heart rate changes. There is limited information on effects of key variables, compliance with testing and the effects of non-compliance This study has twin goals of evaluating compliance with standard instructions and the effects of changes in key variables...
October 18, 2017: Autonomic Neuroscience: Basic & Clinical
https://www.readbyqxmd.com/read/29106831/-transcatheter-aortic-valve-thrombosis
#18
D Leguay, S Duval, M Leroux, A Monnier, Y Davienne, C Brasselet
GOALS: Transcatheter aortic valve or leaflets thrombosis are mainly misapprehended. It negatively impacts the long-term efficiency of such prosthesis. Moreover, its incidence is presumably higher than previously described. EPIDEMIOLOGY: Recently reported subclinical leaflet thrombosis, occurring between first to third months after implantation, is about 10to 15%. All prosthesis are concerned by potential thrombosis. DIAGNOSIS: Transcatheter aortic valve thrombosis is usually detected on the basis of increased transvalvular pressure gradients or symptoms at routine follow-up...
October 26, 2017: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/29103058/diagnosis-and-classification-of-female-stress-urinary-incontinence-by-transperineal-two-dimensional-ultrasound
#19
Yan-Qing Li, Jing Geng, Cheng Tan, Jun Tang, Xin Yang
OBJECTIVE: This study was designed to evaluate the significance of transperineal two-dimensional ultrasound in the diagnosis and classification of female stress urinary incontinence (SUI). METHODS: A total of 87 preoperative SUI patients (group A) from the Department of Gynecology of Peking University People's Hospital were included into this study. These patients were further divided into two groups (groups A1 and A2) according to the severity of their disease...
October 23, 2017: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29081183/-exertional-syncope-and-myocardial-infarction-in-a-patient-with-anomalous-course-of-left-main-coronary-artery-originating-from-right-sinus-of-valsalva
#20
J S Li, J G Cui, J Qian
No abstract text is available yet for this article.
October 24, 2017: Zhonghua Xin Xue Guan Bing za Zhi
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