the duration of icu (intensive care unit) stay in cardiac surgery patients has an important role in the rate of complications and costs. the aim of this study was to determine the role of perioperative risk factors in clinical outcome based on the time of icu discharge. in this descriptive study, 219 patients undergoing off-pump coronary artery bypass (opcab) surgery in afshar hospital in yazd,...

this study evaluates the effect of preoperative increased level of serum creatinine (cr) on early outcomes after coronary artery bypass graft surgery (cabg). 1140 patients who underwent cabg in our center were studied. patients with cr >2.25 mg/dl or preoperative dialysis and who had off-pump operations were excluded. group 1 consisted of 892 patients with normal cr (0.5-1.2 mg/dl) and group 2 ...

background: strengthening exercises are not favored in the rehabilitation of patients after coronary artery bypass grafts (cabg) for concerns over potential adverse effects. however, patients often present with weakened skeletal muscles post cabg due to disuse. methods: we studied the effects of aerobic and strengthening exercises on the serum c-reactive protein (crp) levels and blood pressure ...

background: new-onset atrial fibrillation (af) after cardiac surgery contributes to increased morbidity, hospital length of stay, and resource utilization. although many aspects of af after cardiac surgery have already been elucidated, the mechanism by which cardiac surgery predisposes patients to af has hitherto remained unknown. recent evidence supports the notion that blood transfusion enhan...

abstract background: right ventricular myocardial performance index (rvmpi) is a doppler–derived parameter of non-geometrical ventricular function that measures both systolic and diastolic functions of the right ventricle. the aim of this study is to compare prognostic value of rvmpi with global rv function in patients undergoing coronary artery bypass graft (cabg). methods: in a longitudinal s...

introduction: left ventricular ejection fraction (lvef) is considered to be the single most important prognostic factor in patients with previous myocardial infarction. lvef is not improved in all patients after coronary artery bypass grafting (cabg). this study aimed to assess the possibility of prediction of lvef changes after cabg using myocardial perfusion gated signle photon emission compu...

patients and methods this blinded clinical trial was performed on 60 patients admitted to icu following cabg. patients intubated and those under mechanical ventilation were unable to report their pain. the study population was randomly divided into two groups of control and music intervention groups (preferred music listening). in the intervention group, preferred music (including classical, in...

We report a case of a 26-year-old female, who presented at 34 weeks of an uncomplicated pregnancy with an acute ST elevation anterior wall myocardial infarction. Cardiac catheterization suggested a left main coronary artery dissection with pseudoaneurysm formation. The patient's course was complicated by congestive heart failure. She was initially managed conservatively by a multidisciplinary t...

A 76-year-old female, with a history of asthma and tracheal bronchitis, presented with a non-ST elevation, myocardial infarction. Chest x-ray on admission showed a widened mediastinum, which was further evaluated with a computed tomography (CT) scan. It disclosed a giant substernal goiter compressing the trachea and the ascending aorta. Cardiac catheterization showed significant coronary diseas...

Aneurysmal coronary disease or ectasia is defined as the dilation of a vessel at least 1.5 times the diameter of a normal adjacent segment. The prevalence of the disease has been encountered in up to 5% of patients undergoing angiographies. Atherosclerotic heart disease has been mentioned as the most common etiologic factor involved in the development of coronary aneurysms. We present a case of...