Acute coronary syndrome with precordial ST segment elevation is usually related to left anterior descending artery occlusion, although isolated right ventricular infarction has been described as a cause of ST elevation in V1-V3 leads. We present a case of a patient with previous inferior wall infarction and new acute ST elevation myocardial infarction (STEMI) due to proximal right coronary thro...

conclusions both anesthetic regimens were acceptable for induction in patients with coronary artery disease and left ventricular dysfunction undergoing coronary artery bypass graft surgery. results incidence of pain on injection (2 - 4%) and myoclonus (10%) was less in both groups. the hemodynamic response was similar in the two groups for all variables over the time interval, except for ci at ...

In the 1970s and early 1980s, randomized trials comparing coronary bypass surgery with medical therapy emphasized the indications for coronary revascularization. In these trials and database studies, the major benefit of surgery over medical therapy upon survival was among 'sicker' patients, characterized by the severity of ischaemia, the extent of coronary disease and the presence of left vent...

Kawasaki disease (KD) can result in coronary artery disease in the form of ectasia, aneurysm and stenosis. The final complication can be myocardial infarction. We report a child who presented with severe left ventricular dysfunction following KD and was detected on angiography to have total left anterior descending artery occlusion. Angioplasty was done which resulted in improvement in the flow...

introduction anabolic-androgenic steroids (aas), a synthetic derivate of testosterone, have become a popular drug among athletes and bodybuilders to enhance muscle mass and improve the athletic performance. many pathological effects such as hepatic and endocrine dysfunction, behavioural changes and cardiovascular complications have been reported. case report within these ast ones, we find an in...

Cardiotoxicity is one of the most important adverse event related to anthracycline therapy and can lead in about 1-5% of cases to the occurrence of heart failure. In a higher percentage of patients treated with these drugs asymptomatic left ventricular dysfunction can occur, so that guidelines recommend a strict clinical and echocardiographic monitoring. However, the occurrence of left ventricu...

conclusion metallic stent placement is a safe and effective procedure for salvage of native hemodialysis fistula after unsuccessful balloon angioplasty. results twenty-one stents were applied. the anatomical and clinical success rate was 100%. seventeen additional interventions were done for 11 (55%) patients due to stent thrombosis or stenosis during follow-up. our 1- and 2-year secondary pate...

normal 0 false false false en-us x-none ar-sa microsoftinternetexplorer4 background : supervised exercise-based cardiac rehabilitation programs (crp) have been suggested to all patients, especially after myocardial infarction. however, the effects of cardiac rehabilitation on systolic function are controversial. the aim of this study was to examine the effects of an 8-week cardiac rehabilitatio...

BACKGROUND It remains unclear whether patients with chronic heart failure (CHF) and advanced left ventricular (LV) dysfunction on β-blocker therapy benefit from exercise training (ET). METHODS AND RESULTS We studied 45 CHF patients with advanced LV dysfunction [ejection fraction (LVEF) < 25%] and impaired exercise tolerance [normalized peak oxygen uptake (PVO₂) < 70%] receiving a β-blocker: 3...

background chronic vestibular dysfunction is a frustrating problem in the elderly and can have a tremendous impact on their life, but only a few studies are available. vestibular rehabilitation therapy (vrt) is an important therapeutic option for the neuro-otologist in treating patients with significant balance deficits. objectives the purpose of this study was to assess the effect of vestibula...