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Apr 28, 2023Open Access
Background: Heart failure is the inability of the heart to maintain adequate cardiac output to meet the demands of the body, it’s the end stage of all diseases that affect the heart and it is a major health problem in our society. It measures major challenges in its diagnosis and management. Aim: This study aimed at the registry of heart failure in young patients at AL-Wahdah Hospital, Dhamar Governorate, Yemen with its prevalence, major risk factors that can precipitate this condition, and the ...
Apr 20, 2023Open Access
Burkholderia pseudomallei is an unusual causative organism of infective endocarditis. We present a case of Melioidosis mitral valve endocarditis with dissemination to the liver and kidney in a young woman with underlying SLE with lupus nephritis. Despite the delay in reaching a diagnosis, the patient was successfully treated with intravenous Ceftazidime and oral trimethoprim-sulfamethoxazole and was discharged well. The identification of the specific aetiologic organism is important for t...
Mar 30, 2023Open Access
Cardiocerebral infarction (CCI), defined as the concomitant occurrence of acute myocardial infarction (AMI) and acute ischaemic stroke (AIS), has been rarely reported in the literature. The aim of this manuscript is to describe the challenges in the treatment of CCI and to highlight the different approaches in the management of this entity. We report the case of two young women admitted to our cardiology department with acute coronary syndrome concomitant with stroke at different times and whose...
Feb 24, 2023Open Access
Aim: The purpose of this study was to investigate the possible relationship of serum uric acid levels (SUA), in hypertensive patients treated or not, with blood clotting factors. Design and Methods: The study population consisted of 1297 hypertensive patients (46% men) treated (53%) or newly diagnosed untreated (mean age 57.8 years, mean office systolic/diastolic blood pressure -Ms/DBPo-: 147.9/91.6 mmHg, mean office heart rate -mHRo-: 75 ± 11.1 beats per minute, mean body mass index-Mbmi-: 28.2...
Jan 19, 2023Open Access
Background: The spectrum of heart diseases varies between and within countries, depending on the stage of epidemiological transition and risk factor profiles, understanding this spectrum requires regional and national data for each region and country. Objective: To assess the spectrum of heart diseases in Sanaa, the Capital of Yemen republic. Methods: This retrospective, descriptive registry reviewed abnormal echocardiographic findings of 6044 patients aged 0 - 100 years, (3264 male patients (54...
Jan 18, 2023Open Access
Introduction: Despite the shift in PCI application, the underlying criteria of complex PCI and its impact on clinical outcomes remain unexplained. Methods: Single-center retrospective observational study of complex PCI characteristics and 1-year outcome. Complex PCI was defined as any of the following: three-vessel disease, bifurcation lesion, left main disease, and moderate to severe calcification by angiography and CTO. Results: The study cohort includes 551 patients who had PCI over a two-mon...
Nov 17, 2022Open Access
The thrombocytopenia associated with cocaine consumption has been well documented]. Severe thrombocytopenia usually occurs within 3 weeks of intravenous or inhaled cocaine abuse. Microangiopathic hemolytic anemia (MHA) associated with cocaine is rare. We would like to report a case of cocaine-induced atypical hemolyticus uremic syndrome. Clinical Observation: this is a 29-year-old Causasian patient, followed in a psychiatric center under duress for 6 years for behavioral disorders, hallucination...
Oct 31, 2022Open Access
Background: During off-pump coronary surgery, temporary occlusion of the left anterior descending coronary artery (LAD) is often necessary as a preconditioning method or during the performance of the anastomosis. Our aim is to describe the effect of prolonged and intermittent occlusion of the LAD on the measurement of mean graft flow (MGF) and arterial graft pulsatility index (PI). Methods: Off-pump coronary surgery (internal mammary artery in situ to LAD) was performed on 8 pigs of the Landrace...
Aug 18, 2022Open Access
Clinical congestion is the main driver of heart failure (HF) decomposition and hospitalization. The combined assessment of congestion status at admission, through clinical examination, echocardiography and lung ultrasound, should be used to better recognize the type and the site of congestion. Different congestion locations may be related to a different outcome. The study evaluated: 1) Cardiac, pulmonary and systematic congestion occurrence in heart failure with reduced ejection fraction (HFrEF)...
Aug 03, 2022Open Access
Experience with patients shows that prescribed drugs for treating hypertension disease fail to work effectively, causing high mortality rates in African Ethnic types. This situation has resulted in the query as to why the situation exists. The study was conducted to investigate factors affecting the failure of hyper-tension drugs among patients suffering from the disease. Particularly, the study aimed at examining cultural, individual and financial factors affecting drug failure among Tanzania p...
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