valvular heart lesions have deleterious effects on hemodynamics in parturients during pregnancy. cesarean section with an opioid-based general anesthesia is used to alleviate the adverse effects. we described a case of a 28-year-old primigravida at 37 weeks’ gestation with a diagnosis of severe mitral regurgitation, tricuspid regurgitation, and pulmonary hypertension in active labor. cesarean s...

Introduction: Gastroesophageal reflux (GER) is the most common of esophageal disorder in all ages.  GER defined as passage of gastric contents into the esophagus, and GER disease (GERD), (symptoms or complications of GER), are common pediatric problems. Clinical manifestations of GERD in infants include regurgitation, irritability, choking, gagging vomiting, poor weight gain and respiratory dis...

OBJECTIVES To identify the implications of living with untreated cleft palate and develop an outcome measure which reflects the broad impact of surgery but is sensitive to the physical impact, speech changes, and psychosocial implications of late intervention. Design, Participants, Setting: Focus groups and individual interviews were used to gather information on the implications of living with...

background: moderate non-organic tricuspid regurgitation (tr) concomitant with coronary artery disease is not uncommon. whether or not tr improves after pure coronary artery bypass grafting (cabg), however, is unclear.   the aim of this study was to evaluate the effect of isolated cabg on moderate non-organic tr. methods: this study recruited 50 patients (40% female, mean age: 65.38 ± 8.01 year...

background: gastroesophageal reflux disease (gerd) is a common disorder in the western population but detailed population-based data in iran is limited. the aim of this study was to investigate the prevalence of gerd in esfahan. materials and methods: a population-based study was conducted in 2004. major gerd symptoms (heartburn and acid regurgitation) were assessed through an interview by six ...

results of the 41 patients with dcm, echocardiography examination revealed 11 patients (27%) without mitral regurgitation and 12 (29%) with mild, 11 (27%) with moderate, and seven (17%) with severe mitral regurgitation. all of the morphological and functional parameters of left ventricle, atrium and mitral valve in dcm patients were greater than those in healthy subjects (all p < 0.05), except ...

background: in cases of moderate(2 or 3+ on a scale of 0 to 4+) nonorganic mitral regurgitation (mr) and coronary artery disease, operative strategy continues to be debated between coronary artery bypass grafting alone (cabg) or concomitant valve repair. to clarify the optimal management of these patients, we evaluated the mid-term results of isolated cabg in the study group. methods: from marc...