Case of the Week

Mortality case: Hemorrhage and In-stent-thrombosis. 
By;
Prof. Soliman Gharib, Dr. Waleed Ammar, and Dr. Haisam Soliman
A 59 years male patient with CHD developed in-stent restenosis (ISR) 3 months after PCI. A second drug eluting stent (DES) was deployed to regain flow. However, three months later he suffered another acute MI, for which he received thrombolytics (tPA). His symptoms slightly improved, but shortly he developed severe hematemesis and melena, as a complication to tPA.
Urgent coronary angiography revealed a recent thrombosis and occlusion of the DES. A mechanical thrombectomy device was used successfully to remove the thromus and regain flow.
Two hours after the procedure he had repeated attacks of hematemesis.

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Only ECG
Discussed by: Prof. Hussien Rizk

ECG with continuous artifacts.

A 54 year old female came for regular check up for a permanent VVI-pacemaker. She had occasional palpitations. She was over weight and also complaining of recurrent backache. She has a long standing history of gastritis. Recording an ECG to assess the VVI-device showed frequent artifacts which did not disappear in spite of changing the electrodes.
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Article of Our Choice

Metformin; Recent Interest in an Old Drug.
Commented By;Dr. Adel Zaki
Management of type 2 diabetes is usually successful by many oral drugs from different drug classes in the last decade. The success of these drugs does not depend only on their hypoglycemic effect, but also to their immediate side effects and long use sequels. This concept was true for the biguanide metformin which was used since about 40 years. However, the Food and Drug Administration (FDA) approval was restricted because of the risk of lactic acidosis associated with the use of an earlier biguanide, phenformin. Later on the UK Prospective Diabetes Study Group published in 1998, that lactic acidosis is extremely rare with metformin
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Congenital Corner
Large Coronary Fistula from RCA; Closed With An Amplatzer VSD Device. 
By;
Prof. Howaida G. El-Saeed, Prof. Eustaquio Onorato, Prof. Sonia El-Saeedy, and Prof. Galal El-Saeed
A 4 years old male child complaining of shortness of breath grade 1-2/4. Physical examination showed a loud continuous murmur over the right upper sternal border. Echocardiography and multi-slice CT scan (MSCT) showed a fistula draining via a pouch into the right ventricle. An Amplatzer VSD device size 12 was deployed...
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Pripheral Intervension
Endovascular Revascularization of Total Subclavian Artery Occlusion. 
By;  Prof. Soliman Ghareeb, Dr. Waleed Ammar, and Dr. Alaa Abdel Hady
A female patient presented with acute rapidly progressive left upper limb tingling sensation, pain and weakness. The left hand was slightly colder than the right hand with impalpable radial, brachial and axillary arteries. On duplex examination the pressure wave was a damped monophasic/biphasic flow up to the axillary artery. Angiography revealed that the left subclavian artery was totally occluded shortly after its origin...
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Cardio Vascular Surgical Case
Left Ventricular Reconstruction with Mitral repair and CABG. 
By;
Prof. Yasser Menaissy
A 37 years old male who had an LAD stent in 2003, then he started complaining of chest pain and shortness of breath since 2005. Echo showed marked LV dilatation and impaired systolic function. Surgery was planned for coronary bypass, reconstruction of the LV and mitral valve repair...
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Visit Our New Journal - Heart Mirror Journal

 

www.HeartMirror.com

 

- Ibn Sina “Abu Ali al-Husayn ibn Abd Allah ibn Sina” (981-1037). Iranian physician, the most famous and influential of the philosopher-scientists of Islam. He composed the Kitab al-shifa' (“Book of Healing”), and The Canon of Medicine, which is among the most famous books in the history of medicine. Kitab al-shifais treats of logic, the natural sciences, including psychology, the quadrivium (geometry, astronomy, arithmetic, and music), and metaphysics. more

 

  • Adel Zaki. Metformin; Recent Interest in an Old Drug.

  • Hussien Rizk Heart Rate as marker of cardiovascular risk : The new kid on the block

  •  Amro R. Serag, et al. Risk Stratification Analysis of Operative Mortality in Patients Undergoing Mitral Valve Replacement

  • Mona Ahmed Amin, et al. E- Selection Gene Polymorphism and Coronary Artery Disease: A Genetic Association Study

  • Maged Y. Ateia, et al. Evaluation of Serum Levels of C- Reactive Protein (CRP) and Interleukin-6(Il-6) in Coronary Artery Ectasia    ....... and more

 

  • Mohamed S. El Guindy, SYNCOPE

  • Suggested International Abstracts. Adel Zaki.

مقالة


دردشه عن الغش و الأطباء!.
بقلم : أ.د. عــادل زكى
    قصة طبية
هو إنسان بسيط ومكافح بمعنى الكلمة ، تعرفت عليه منذ أكثر من خمس سنوات حيث ذهبت إلى بلدته فى جامعته الإقليمية كممتحن خارجى لرسالة الدكتوراة ، والأخيرة هى محصلة بحث علمى معملى على مرضى القلب وقام به الطبيب على مدى 3 سنوات على الأقل.
وعندما آتى إلى ومعه هذه الرسالة وهى على هيئة كتيب من حوالى 300 صفحة ، فطلبت منه أن يعطينى مهلة شهر لأتمكن من مراجعتها وقراءة المراجع والأبحاث المماثلة لها بالدوريات العلمية الأجنبية لكى أعطي تقييم علمى متكافىء لهذا البحث.
وفوجئت به فى شبه حالة إنهيار لطول مدة الإنتظار .. "يا بك فى عرضك .. فى طولك .. أنا غلبان .. هذا سيؤثر فى تعيينى بوظيفة مدرس بالجامعة .. رئيس القسم يكرهنى لأسباب لا يعلمها إلا الله .. هو يتعمد أن يؤخر أوراقى حتى تفوتنى فرصة التعيين بوظيفة مدرس بالقسم ..إعتبرنى إبنك .. أرجوك أن تقرأها فى مدة أسبوع !!". وعندما بدأت عيناه تغرورقان بالدموع وافقت على أن تكون المهلة اسبوعين.
ولا أنكر أننى وجدت الكثير من المشقة فى قراءة هذه الرسالة ، ليس لضيق الوقت فقط ، ولكن لكثرة الأخطاء العلمية و الإحصائية واللغوية بها.

باقي المقالة/ أعداد سابقة

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* مع رئيس قسم القلب بجامعة "جونز هوبكينز"..
* محاكمة طبيب..
* مجرد أرقام..
Heartjصيدلية
مقالة

Heart Rate as marker of cardiovascular risk : The new kid on the block
By : Hussein Rizk

    A considerable number of observational studies showed faster heart rates to be associated with cardiovascular morbidity and mortality. Several questions regarding the significance of a resting heart rate as marker of cardiovascular risk are still obscure. The inclusion of this variable in the list of cardiovascular risk factors is still unclear.
Background: The association between tachycardia and heart disease was observed since over 60 years, subjects with resting tachycardia were found to have more tendency to become hypertensive.

باقي المقالة/ أعداد سابقة
International Medical News

JACC
 


New England Journal of Medicine
 


Cardiosource
 


European Heart Journal
 


Current Opinion in Cardiology

إجتماعيات


* إفتتح قسم القلب - قصر العيني -أكبر مشروع
لأبحاث وعلاج ومناقشة Infective Endocarditis تحت إشراف أ.د. حسين رزق.
لمعرفة التفاصيل إضغط هنا

* يقوم قسم القلب بعلاج HOCM بدون جراحة وذلك بالمجان :
Catheter Occlusion of septal Artery in HOCM رجاء الإتصال ب د. محسن خيرى ت:0106063763

* سيقام يوم علمي عن Stem Cell in Cardiovascular Disease يوم الثلاثاء 6 مايو بقاعة احتفالات القصر العيني (مدرج-أ)

* تم إصدار العدد الثاني من المجلة العلمية Heart Mirror Journal وهي مجلة مطبوعة ومخصصة للأبحاث العلمية والنشر بدون مقابل مادي. لزيارة الموقع إضغط هنا www.Heartmirror.com
 


* يهنىء أعضاء مجلة القلب الإلكترونية الزميل أ.د. سامح فريد أستاذ السمعيات- على منصب عميد كلية الطب جامعة القاهرة.

الإصدارات السابقة

E-Letters& Comments

* Letter By: A.Z
I'm 23 years old, female
I have family history of hypertrophic cardiomyopathy (1st degree).
Before one month I didn't have any complaint but one month ago I started to feel chest tightness with effort or nervousness and sometimes irregular heart beats.
My hemoglobin level one month ago was 11.5mg
My ECG when the doctor saw it he said that he need to auscultate my heart sound or to do echo.
Please can you tell me your advice.
Thank you.

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* Letter By: M.A.

بسم الله الرحمن الرحيم
في البدايه انا لا اعرف حقيقة اذا كان الامر الذي اود استشارة حضرتكم بشانه ذا اهميه
منذ سنة تقريبا كنت اعاني آلام محمولة في الجهة اليسرى من الصدر ولكنها لم تكن تتكرر بشكل منتظم لكن كنت اشعر بسرعة شديدة في نبضات القلب في الاحوال الطبيعية وقد أصبت بنوبة سعال حادة استمرت شهر ونصف حتى أنني كنت لا أستطيع النوم ولا حتى التنفس بعمق وبعدها هدأ السعال ولكنه استمر لمدة ستة أشهر...


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* Letter By: M.Z.
I had CABG surgery since 4years, and occasionlly have chest pains when stessed or exposed to cold, should I take nitrate medications regularly or when needed only?
Thanks in advance
M.Z.

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* Letter By: Dr. M.A
frist of all,tnx 4 that great site
such ageart effort
i'm doctor 26 years old
i suffered from chest pain which become sever and comes in attachs and last 4 hours then i have made checkup and the clinical diagnosis was unstable angina.i undergo cardiac catheterisation
final diagnosis was coronary slow flow.
that was one year ago.the doctors adviced me to take asprine and diet and make some sport but i still suffering from chest pain esp in wintre and when i feel upset
what i have to do now
is there an active treatment
and if not ,is there symptomatic treatment as i have been told that nitrates r contraindicated.
plz help me and thank u again

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