background: many factors influence the prognosis of patients with (chf), among these; more attention has been focused on the role of left bundle branch block (lbbb).  the present study was performed to find out the prevalence of chf in lbbb patients. methods: in this cross-sectional study, 246 were diagnosed consecutive patients with lbbb pattern in ecg during july 2004 until october 2006 at im...

BACKGROUND Infective endocarditis (IE) involving the mitral valve can but rarely lead to complete atrioventricular block (CAVB). CASE REPORT A 74-year-old man with a history of infective endocarditis caused by Streptococcus gordonii (S. gordonii) presented to our emergency room with fever and loss of appetite, which had lasted for 5 days. On admission, results of serologic tests pointed to seve...

introduction left atrial thrombi are present in one third of patients with severe rheumatic mitral stenosis and atrial fibrillation. a left atrial mass can be diagnosed as a thrombus by transthoracic echocardiography in the presence of the predisposing factors for a thrombus such as mitral stenosis and atrial fibrillation. the sensitivity of transthoracic echocardiography for detecting left atr...

BACKGROUND Echocardiography is an essential investigation in patients with suspected heart failure. An echocardiogram provides assessment of cardiac chamber size and structure, ventricular function, valvular function and key haemodynamic parameters. OBJECTIVE This article explains the principles of echocardiography and how general practitioners can use echocardiograms to manage patients with ...

OBJECTIVE To investigate the predictors for adverse clinical outcome in patients with arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C) during long term follow up. METHODS 61 patients with ARVD/C were studied to assess the impact of family history, clinical findings, surface ECG parameters, echocardiographic findings, and electrophysiological findings on clinical outcome. The...

the prevalence of anemia in elderly with systolic heart failure hospitalized in alborz hospital of karaj 2008 asgharzadeh haghighi s , zeighami mohammadi sh received: 25 april, 2010 accepted: 2march, 2010 abstract background & aims: anemia is prevalent co morbidity in heart failure that is an independent risk factor for adverse clinical outcomes in patients with congestive heart failure. the ai...

A 32-year-old man with Duchenne muscular dystrophy (DMD) was admitted to the hospital because of worsening dyspnea and general fatigue. He had received medication therapy for cardiomyopathy with heart failure and home mechanical ventilation for respiratory failure. An electrocardiogram on admission showed intermittent third-degree atrioventricular block. Echocardiography showed global mild left...

conclusions: left ventricular systolic heart failure, may result in inter and intra-atrial asynchrony even in clinically stable patients without significant pulmonary hypertension and diastolic dysfunction. results: in heart failure patients either inter or intra-atrial asynchrony were far more common in comparison with normal subjects (p=0.008 and p=0.007 respectively). patients and methods: t...

BACKGROUND Polyneuropathy, organomegaly, endocrinopathy, monoclonal syndrome (POEMS) is a rare paraneoplastic syndrome associated with plasma cell dyscrasia. CASE REPORT A 48-year-old man presented with a 1-year history of paresthesia and progressive weakness of extremities. Diagnosis of POEMS syndrome was made for him on the basis of clinical presentation, additional physical findings, typic...