introduction: psychological symptoms of non-cardiac chest pain (nccp) including perceptual, emotional, and behavioral problems can effect patient perception of chest pain. this study was conducted to determine the effect of metaphor therapy on mitigating depression, anxiety, stress, and pain discomfort in patients with nccp. materials and methods: this randomized, controlled, trial was conducte...

Regular packed cell transfusion in patients with thalassemia major leads to iron overload. Chelation therapy is one of the important aspects of thalassemia care as iron overload causes significant cardiac, hepatic, and endocrine dysfunction. We report a case of thalassemia major with severe iron overload causing cardiac and liver dysfunction who benefitted from triple drug chelation therapy. Tr...

introduction : although many protocols are available in the field of the prehospital medical care (pmc), there is still a notable gap between protocol based directions and applied clinical practice. this study measures the rate of protocol adherence in pmc provided for patients with chest pain and loss of consciousness (loc). method : in this cross-sectional study, 10 educated research assistan...

a 29-year-old woman was referred to our hospital due to exacerbation in dyspnea on exertion and easy fatigability. a known case of congenitally corrected transposition of the great vessels and congenital complete heart block, she had already received a permanent single-chamber pacemaker. decision was made to implant a biventricular pacemaker for the treatment of the failing heart. excellent cor...

the brucellosis with multi-organ involvement in a patient with a history of the composite aortic graft ( bentall procedure) and hepatitis b infection is rare. a 35-year-old man presented to us with fever and loss of consciousness. four years ago, he was idu and underwent cardiac surgery because of endocarditis. recently lumbar spondylodiscitis was diagnosed. the wright (1/320) and coombs wright...

brucella endocarditis is an uncommon but not rare manifestation of brucellosis in our country. we report six adult patients aged 20 to 45 years. two of our patients were female, and this is the first time that brucella endocarditis was reported in adult females. in five cases, aortic valve replacement was performed in addition to combined antibiotic therapy. one of them died due to immediate co...

background: the right ventricular (rv) dyssynchrony has not been studied extensively and the existing literature has established the effect of cardiac resynchronization therapy (crt) on the left ventricular (lv) dyssynchrony, but there is a dearth of data on the effect of crt on the forgotten ventricle . we sought to evaluate the presence of mechanical right ventricular dyssynchrony in patients...

Objective(s): The current management of coronary artery disease (CAD) relies on three major therapeutic options, namely medication, percutaneous coronary intervention (PCI), and coronary artery bypass grafting (CABG). However, severe CAD that is not indicated for PCI or CABG still bears a poor prognosis due to the lack of effective treatments. In 2006, extracorporeal cardiac shock wave (SW) the...

Brucella endocarditis is an uncommon but not rare manifestation of brucellosis in our country. We report six adult patients aged 20 to 45 years. Two of our patients were female, and this is the first time that Brucella endocarditis was reported in adult females. In five cases, aortic valve replacement was performed in addition to combined antibiotic therapy. One of them died due to immedia...