Thirteen patients have completed a randomised double blind cross over study to compare the effects of chronic ventricular and atrial synchronous pacing on exercise capacity and symptoms. Maximal symptom limited exercise was significantly increased after one month of atrial synchronous pacing compared with ventricular pacing. Symptomatic assessment (by diary card and monthly symptom scores) of "...

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a clinical entity characterized by myocardial necrosis which becomes symptomatic shortly after birth; survival beyond infancy is uncommon because of severe left heart failure. To our knowledge, it is rare for an ALCAPA patient to survive to adulthood. Here we present a case of a 17-year-old girl with ALCAPA who w...

Subacute thyroiditis is an inflammatory disease of the thyroid that usually caused by a viral infection, this study aimed to estimate incidence subacute in patients at Sultan Qaboos University Hospital and determine epidemiological, clinical, biochemical, radiological characteristics as well treatment choices were employed patients, hopes improve care add body knowledge. This retrospective whic...

Systemic lupus erythematosus (SLE) is frequently associated with cardiovascular manifestations, but rarely complicated with aortic disease. We report a 28-year-old female patient with a 14-year history of SLE and a 3-year history of hypertension. She had suffered from palpitation and chest tightness for 1 month before admission. Heart echo showed thoracic to low abdominal level with low flow. A...

Introduction: Bidirectional ventricular tachycardia (VT) is a rare type of VT that appears in digoxin toxicity and young patients with catecholaminergic polymorphic VT (CPVT). The occurrence of bidirectional VT originating from the papillary muscle has not been reported in the literature. Case Presentation: A 38-year-old female presented with long standing palpitation lasting several months. Pa...

Glucocorticoids can cause allergic reaction in rare cases. A ten year old boy, known asthmatic, was treated with intramuscular injection of glucocorticoids, followed by nausea, vomiting and abdominal pain. His lips turned pale along with palpitation and light headache. His right eye lid and lower lip were swollen. Heart rate was 177/min, and BP was 66/46 mmHg,. Patient spontaneously improved an...

1. Department of Radiology, Academic Medical Center, Amsterdam, The Netherlands Background: A 54-year-old patient presented with dyspnea, palpitation, a swollen, dysfunctional edematous left leg and discomfort. Medical history revealed chronic, a-specific leftsided thoracic pain, corticosteroid use because of Morbus Sjogren and a recent surgical lumbar hernia repair. Retrospectively, follow-up ...

SARS is a new infection in human. Patients recovering from SARS had palpitation in the form of sinus tachycardia. This study to identify the possible causes for the tachycardia excluded active disease, thyroid dysfunction, haematological, cardiac, autonomic and significant pulmonary defect at 2 months from onset of disease. The symptomatology was attributed to physical deconditioning and anxiet...

Mr J.J., a 32-year-old Iraqi presented for investigation of anhidrosis. In 1967 he first developed a pruritic erythroderma with exfoliation, alopecia, nail loss and mucosal ulceration. There was no history of drug ingestion. Recovery was gradual. Since 1968 the patient has been unable to sweat. As a result he is heat intolerant, with 10 min in a hot environment causing palpitation, headache and...