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https://www.readbyqxmd.com/read/27913770/cor-triatriatum-a-review
#1
REVIEW
Ajay Kumar Jha, Neeti Makhija
Cor triatriatum is a rare congenital cardiac anomaly defined by an abnormal septation within the atrium (left or right) leading to inflow obstruction to the respective ventricles. It exists either in isolated classical form or may be associated with simple to complex congenital cardiac anomalies. Several anatomical variants exist even in the classical form, and therefore, it may require multimodal diagnostic modalities to characterize and differentiate for better percutaneous interventional or surgical planning...
December 2, 2016: Seminars in Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/27723019/requests-for-emergency-hyperbaric-oxygen-treatment-for-carbon-monoxide-poisoning-in-ankara-turkey
#2
Münïre Kübra Özgök-Kangal, Iclal Karatop-Cesur, Gökhan Akcali, Senol Yildiz, Günalp Uzun
BACKGROUND: Carbon monoxide (CO) poisoning is common in Turkey. Our department is the main provider of emergency hyperbaric oxygen therapy (HBOT) in Ankara and neighboring cities. In this study, we analyzed the characteristics of CO-poisoned patients who were referred by phone to our department for emergency HBOT. METHODS: We retrospectively reviewed the records of phone consultations with emergency departments regarding the need for treatment of CO-poisoned patients with HBOT between 14 January 2014 and 14 January 2015...
September 2016: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/27642300/supine-frequent-ventricular-extrasystoles-in-a-pregnant-woman-without-structural-heart-disease
#3
Natália Stela Sandes Ferreira, Tatiana La Croix Barros, Ronaldo Altenburg Gismondi
Arrhythmias are the most common cardiac complication during gestational period and may occur in women with or without known structural heart disease. Premature extra beats and sustained tachyarrhythmias are the most common arrhythmias in pregnancy. Symptomatic episodes occur in 20-44% of pregnant women, usually as palpitations, dizziness, or syncope. We searched on Pubmed for ventricular premature complexes (VPC) in pregnant women and found no case reporting increased incidence of this arrhythmia while supine...
2016: Case Reports in Medicine
https://www.readbyqxmd.com/read/27555134/complete-heart-block-in-pregnancy-case-report-analysis-and-review-of-anesthetic-management
#4
Lalitha Sundararaman, Jennifer Hochman Cohn, J Sudharma Ranasinghe
Maternal complete heart block can pose significant challenges for the anesthesiologist in the antepartum, peripartum, and postpartum periods. Some patients may present for the first time in the puerperium with dizziness, weakness, syncope, or congestive heart failure as a result of the additional hemodynamic burden that accompanies pregnancy. Although there is an increase in permanent pacemaker placement in young symptomatic patients before pregnancy, prophylactic placement of pacemakers in asymptomatic parturients is not always indicated...
September 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27128800/hormones-and-sex-differences-changes-in-cardiac-electrophysiology-with-pregnancy
#5
REVIEW
Glenna C L Bett
Disruption of cardiac electrical activity resulting in palpitations and syncope is often an early symptom of pregnancy. Pregnancy is a time of dramatic and dynamic physiological and hormonal changes during which numerous demands are placed on the heart. These changes result in electrical remodelling which can be detected as changes in the electrocardiogram (ECG). This gestational remodelling is a very under-researched area. There are no systematic large studies powered to determine changes in the ECG from pre-pregnancy, through gestation, and into the postpartum period...
May 1, 2016: Clinical Science (1979-)
https://www.readbyqxmd.com/read/27054604/the-influence-of-pregnancy-in-patients-with-congenital-long-qt-syndrome
#6
Lohit Garg, Jalaj Garg, Parasuram Krishnamoorthy, Amy Ahnert, Neeraj Shah, Raman S Dusaj, Babak Bozorgnia
Congenital long QT syndrome (LQTS) is a disorder of myocardial repolarization and is characterized by a prolonged QT interval on AN electrocardiogram. A prolonged QT predisposes patients to an increased risk of syncope and sudden cardiac death secondary to polymorphic ventricular tachycardia. Several mutations linked to the LQT syndrome have been identified, the most common of which have been found in the potassium channel KCNQ1 (LQT1) and hERG (LQT2) genes and in the sodium channel SCN5A (LQT3) gene. Female gender is an independent risk factor for the development of torsades de pointes (TdP) in LQTS...
March 31, 2016: Cardiology in Review
https://www.readbyqxmd.com/read/27005719/acute-pulmonary-embolism-after-cesarean-section
#7
S Pandey, J Sharma, B L Manandhar, A Adhikari
Pregnancy is a well-known state of hypercoagubality, increasing the risk of venous thromboembolism (VTE). It is more common with cesarean delivery than vaginal delivery. Pulmonary Embolism (PE) is under diagnosed during pregnancy and postpartum period as majority of signs and symptoms of PE are non-specific. We describe a case of 35-yearold obese female who suffered a syncopal attack following caesarean delivery and was diagnosed to have pulmonary embolism. A high index of suspicion is required for the timely diagnosis and treatment of PE as most of the signs and symptoms of PE are nonspecific...
September 2015: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/26985213/senile-calcification-of-the-trachea-aortic-arch-and-mitral-annulus-an-incidental-finding-on-chest-x-ray
#8
Mahmood Hosseinzadeh Maleki, Toba Kazemi, Navid Davoody
A 94-year-old woman presented with dizziness and hypotension of 2 days' duration. She denied any syncope, presyncope, or angina. She had received a permanent pacemaker 12 years previously for the management of complete heart block (CHB), but she failed to program it. Twelve-lead electrocardiography revealed CHB with ventricular escape rhythm (40/min), so we inserted a temporary pacemaker. Anteroposterior chest X-ray showed trachea, aortic arch, and severe mitral valve calcification. Tracheal calcification is usually seen after 40 years old without clinical importance...
October 27, 2015: Journal of Tehran Heart Center
https://www.readbyqxmd.com/read/26753471/diclofenac-suppository-pretreatment-in-prevention-of-vasovagal-reflex-associated-complications-for-infertile-women-undergoing-local-endometrial-injury
#9
K Kitaya, Y Tada, T Hayashi, S Taguchi, M Funabiki, Y Iwaki, M Karita, Y Nakamura
PURPOSE OF INVESTIGATION: To assess the effects of the diclofenac suppository pretreatment in prevention of vasovagal reflex-associated complications for infertile women undergoing local endometrial injury (LEI). MATERIALS AND METHODS: Eighty-six infertile outpatients with repeated implantation failure following transfer of morphologically good embryos and/or blastocysts underwent single curettage LEI to improve the pregnancy outcome in the subsequent embryo/blastocyst transfer cycle...
2015: Clinical and Experimental Obstetrics & Gynecology
https://www.readbyqxmd.com/read/26515744/symptoms-in-women-with-peripartum-cardiomyopathy-a-mixed-method-study
#10
Harshida Patel, Marie Berg, Anders Barasa, Cecily Begley, Maria Schaufelberger
OBJECTIVE: Peripartum Cardiomyopathy is a form of cardiac disease often associated with cardiac failure, occurring in late pregnancy or after childbirth. The anatomical and physiological changes in the mother associated with normal pregnancy are profound, and this may result in symptoms and signs that overlap with Peripartum Cardiomyopathy, leading to missed or delayed diagnosis. Women's experiences of Peripartum Cardiomyopathy symptoms remain poorly studied. The aim of this study was to explore and describe women's experiences of symptoms in Peripartum Cardiomyopathy...
January 2016: Midwifery
https://www.readbyqxmd.com/read/26495337/qt-interval-in-pregnant-and-non-pregnant-women
#11
Majid Zamani, Mehrdad Esmailian, Zahra Yoosefian
INTRODUCTION: Prolongation of QT interval might result in dangerous cardiac arrhythmias, including Torsades de Pointes (TdP), consequently leading to syncope or death. A limited number of studies carried out in this respect to date have shown that QT interval might increase during pregnancy. On the other hand, it has been shown that each pregnancy might result in an increase in the risk of cardiac accidents in patients with long QT interval. Therefore, the present study was undertaken to compare QT intervals in pregnant and non-pregnant women...
2014: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/26411141/schmidt-s-syndrome-in-a-32-years-old-female
#12
Abdul Latif Khattak, Abdul Latif Khatak, Waqar Ali, Salman Saleem, Zameer Ahmad Nayyer, Muhammad Idris, Mohammad Idrees, Naseer Ahmad Khan, Nayyer Ahmad, Waseem Pasha
In polyglandular autoimmune (PGA) syndromes, there is immune dysfunction of two or more endocrine glands. Immunity mediated disorders of non-endocrine organs may also be seen. These syndromes are of two main types: type I and type II. We are reporting this case of a 32 years old lady who presented initially with hypothyroidism for many years and received thyroid replacement therapy. After that she was married and had children. After an interval of about seven years of the initial diagnosis of hypothyroidism, she was hospitalized in first trimester of pregnancy for severe vertigo, syncopal episodes and hypotension...
April 2015: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/26199795/a-case-report-and-review-of-postural-orthostatic-tachycardia-syndrome-in-pregnancy
#13
Brianna Lide, Sina Haeri
Purpose Postural orthostatic tachycardia syndrome (POTS) is a form of orthostatic intolerance characterized by an increased heart rate upon transition from supine to standing, and head-up tilt without orthostatic hypotension. Its etiology is multifactorial, and no clear cause has been identified. Common symptoms include light-headedness, blurred vision, weakness, cognitive difficulties, and fatigue and are often accompanied by palpitations, shortness of breath, syncope, or gastrointestinal symptoms. Management includes volume expansion, physical counter maneuvers, and pharmacological agents such as fludrocortisone, midodrine, propranolol, and pyridostigmine...
April 2015: American Journal of Perinatology Reports
https://www.readbyqxmd.com/read/26107345/an-overview-of-quadrivalent-human-papillomavirus-vaccine-safety-2006-to-2015
#14
REVIEW
Michelle Vichnin, Paolo Bonanni, Nicola P Klein, Suzanne M Garland, Stan L Block, Susanne K Kjaer, Heather L Sings, Gonzalo Perez, Richard M Haupt, Alfred J Saah, Fabio Lievano, Christine Velicer, Rosybel Drury, Barbara J Kuter
BACKGROUND: A quadrivalent human papillomavirus (HPV4) type 6/11/16/18 vaccine (GARDASIL/SILGARD®) has been licensed in many countries around the world for the prevention of cervical, vulvar, vaginal, and anal cancers and precancers, as well as external genital warts causally related to HPV types 6/11/16/18. Across 7 phase 3 clinical trials involving more than 29,000 males and females ages 9-45 years, vaccination was generally well tolerated. Because of its expected public health benefit in reducing cervical cancer and other HPV-related diseases, the vaccine has been implemented in the national vaccination programs of several countries, with over 178 million doses distributed worldwide...
September 2015: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/26023605/is-interstitial-pregnancy-clinically-different-from-cornual-pregnancy-a-case-report
#15
Mehmet Akif Sargin, Niyazi Tug, Selçuk Ayas, Murat Yassa
Interstitial pregnancy is a rare form of ectopic pregnancy with significant risk for morbidity. A 32-year-old woman, was brought to the emergency department with severe abdominal pain and syncope. There was no history of menolipsis and usage of any contraceptive methods. Serum ß hCG arrival was 11224 IU/L. Trans-vaginal ultrasound scan showed an empty uterus with a displaced 16 × 26 mm gestation sac on the left corn of the uterine cavity which surrounded by a thin myometrium. Free abdominal fluid and coagulum were also detected in the cul-de-sac...
April 2015: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/26022593/jervell-and-lange-nielsen-syndrome-with-homozygous-missense-mutation-of-the-kcnq1-gene
#16
Esra Kılıç, İlker Ertuğrul, Sema Özer, Mehmet Alikaşifoğlu, Dilek Aktaş, Koray Boduroğlu, Gülen Eda Ütine
Jervell and Lange-Nielsen syndrome (JLNS) is an autosomal recessive cardioauditory ion channel disorder characterized by congenital bilateral sensorineural deafness and long QT interval. JLNS is a ventricular repolarization abnormality and is caused by mutations in the KCNQ1 or KCNE1 gene. It has a high mortality rate in childhood due to ventricular tachyarrhythmias, episodes of torsade de pointes which may cause syncope or sudden cardiac death. Here, we present a 4.5-year-old female patient who had a history of syncope and congenital sensorineural deafness...
September 2014: Turkish Journal of Pediatrics
https://www.readbyqxmd.com/read/25883261/unresponsive-primipara-after-rupture-of-membranes
#17
Johanna Buechel, Andreas Berset, Michael A Lehmann, Olav Lapaire
Amniotic fluid embolism, also called anaphylactoid syndrome of pregnancy, is a rare but severe problem in obstetrics. It occurs in 8/100,000 births and the maternal mortality is up to 90%. We report the case of a patient with amniotic fluid embolism who was transferred to our hospital. The initial presentation was an unresponsive patient after spontaneous rupture of the membranes. The massive hypotension and coagulopathy as well as fetal bradycardia of 60 bpm led, after stabilisation of the mother, to an emergency caesarean section...
2015: BMJ Case Reports
https://www.readbyqxmd.com/read/25863772/emergency-evaluation-for-pulmonary-embolism-part-1-clinical-factors-that-increase-risk
#18
REVIEW
Jeffrey A Kline, Christopher Kabrhel
BACKGROUND: Pulmonary embolism (PE) can be fatal, but profligate testing for PE can harm patients. OBJECTIVES: With consideration of potential medicolegal implications, this two-part review provides current evidence about the care of patients with suspected and diagnosed PE in the emergency department (ED) setting. DISCUSSION: In part 1, we review published evidence to describe the epidemiology, risk factors, and clinical presentation of PE in the ED setting...
June 2015: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25807149/associations-of-baroreflex-sensitivity-heart-rate-variability-and-initial-orthostatic-hypotension-with-prenatal-and-recent-postnatal-methylmercury-exposure-in-the-seychelles-child-development-study-at-age-19-years
#19
Daniel Périard, Bujar Beqiraj, Daniel Hayoz, Bharathi Viswanathan, Katie Evans, Sally W Thurston, Philip W Davidson, Gary J Myers, Pascal Bovet
BACKGROUND: A few studies have suggested an association between prenatal exposure to methylmercury and decreased heart rate variability (HRV) related to autonomic heart function, but no study has examined this association using baroreflex sensitivity (BRS). In this study we assessed the distribution of BRS and immediate orthostatic hypotension (IOH) in young Seychellois adults and their associations with exposure to prenatal and recent postnatal methylmercury. METHODS: Subjects in the Seychelles Child Development Study (SCDS) main cohort were evaluated at age 19 years...
March 2015: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/25481782/supraventricular-tachycardia-and-syncope-during-pregnancy-a-case-for-catheter-ablation-without-fluoroscopy
#20
Tiago Luiz Luz Leiria, Leonardo Martins Pires, Marcelo Lapa Kruse, Gustavo Glotz de Lima
Arrhythmias during pregnancy pose a dilemma for the treating physician. Most antiarrhythmic drugs are classified as category C in the FDA labeling system during pregnancy. We describe the case of a pregnant woman who presented syncope due to drug-refractory supraventricular tachycardia who underwent catheter ablation without the use of fluoroscopy.
December 2014: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
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