research centers


Search results: Found 35

Listing 1 - 10 of 35 << page
of 4
>>
Sort by

Article
Cardiac Involvement in Patients with Systemic Lupus Erythematosus

Authors: Mahdi Saleh Alzaidi --- Adil S. Abdul Ghafour
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2011 Volume: 4 no 1 Issue: 9 Pages: 988-993
Publisher: Kerbala University جامعة كربلاء

Loading...
Loading...
Abstract

background: The aim this study was to analyze the patterns of involvement of the heart in our patients with SLE by means of clinical evaluation, electrocardiography, and echocardiography. Methods: Forty six consecutive patients (40 females and 6 males) with systemic lupus erythematosus (SLE) were studied for cardiac manifestations of the disease. Clinical history, physical examination, electrocardiography, chest X ray ,echocardiography study and standard laboratory tests were performed .Thirty three patients (72%) have evidence of cardiac involvement . Results: Thirty one patients (67%) were found to have abnormal echocardiography findings. Reduction in shortening fraction which reflects reduction in left ventricular function was the commonest abnormality. It was present in 15 patients (33%). Endocardial involvement in form of valvular dysfunction with or with out thickening was found in 10 patients (22%).Conclusion: The heart is a common target for systemic lupus erythematosus. Therefore, echocardiography should be performed periodically in SLE patients.


Article
Contrast Enhanced Doppler Echocardiography in Chronic Obstructive Airway Disease to Assess Peak Pulmonary Artery Systolic Pressure
إستخدام محاليل الزرق الوريدي كأوساط كاشفة في فحوص الأيكو دوبلر الصدري في أمراضالشعب الهوائية الأنسدادية المزمنة لتقييم ضغط الدم الإنقباضي للشريان الرئوي

Author: Saad Eldin Majeed د. سعد الدين مجيد
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2006 Volume: 19 Issue: 1 Pages: 51-55
Publisher: Al-Mustansyriah University الجامعة المستنصرية

Loading...
Loading...
Abstract

Abstract: Background: Evaluation of pulmonary artery pressure is essential in the management of chronic obstructive airway disease. Aim of the study: Evaluation of commonly used infusion fluids as contrast media to improve the attenuated transthoracic Doppler echocardiographic estimation of pulmonary artery systolic pressure in chronic obstructive airway disease patients with poor acoustic window.Methods: Peak pulmonary artery systolic pressure (PPASP) in 60 healthy adults detected by trans-thoracic Doppler/echo was compared with that of similar number of difficult to image chronic obstructive pulmonary disease (COPD) patients before and after a contrast enhancement of the acoustic signal using commonly available infusion fluids (5% Glucose water, 0.9% normal saline, and 20% albumin and 5% albumin solutions) prepared by hand agitation. Results: Contrast enhancement has significantly improved the color display and the spectral velocity envelope, and although albumin was the best contrast medium among the tested fluids, its diluted solution had reported the best profiles. Conclusion: Hand agitated diluted albumin as contrast agent provide safe, inexpensive mean of improving the limited capabilities of the conventional Doppler/echocardiographic estimation of PPASP in COPD patients with poor acoustic window. Key words: COPD, contrast echocardiography

الملخص:عند مقارنة النتائج المقروءة لضغط الدم للشريان الرئوي و المستحصلة بإستخدام تقنية الأيكو/دوبلر الصدري لدى (60) ستين من البالغين الأصحاء بمثيلاتها عند عدد مماثل من المصابين بألتهاب الشعب الهوائية الأنسدادي المزمن قبل و بعد إستخدام محاليل الزرق الوريدي كأوساط كاشفة، لوحظ تحسناً معتبراً في الأشارة الصوتية المعتمدة، و تفوق محلول الألبومين المخفف كوسط كاشف. توفر الدراسة حلاً آمناً و رخيصاً و تكميلياً لتجاوز قصور تقنية الأيكو/دوبلر الصدري في حساب ضغط الدم الرئوي لدى المصابين قيد البحث.


Article
An Echocardiographic Study of Valvular Heart Disease Associated with Systemic Lupus Erythematosus

Author: Safa Ez-Aldeen Al-Mukhtar
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 4 Pages: 396-405
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND:Valvular heart disease is the most important cardiacmanifestation of systemic lupus erythematosus (SLE). We performed a study to determine the relation of valvular disease to other clinical features of lupus, the type and the incidence of valvular heart disease in SLE patients.METHODS:We performed transthoracic echocardiography (TTE) and rheumatologic evaluations in 56 patients with systemic lupus erythematosus. The echocardiographic findings were compared with those in 40 healthy volunteers.RESULT:Abnormal valvular Echocardiographic findings were multiple valvular abnormalities found in 21 patients (37.5%), were distributed in three groups according of valvular involvement: (Group1) included patients with anatomical and functional valvular involvement (AFVI) in seven patients (12.5%). (Group2) included patients with anatomical valvular involvement without Doppler detected valve dysfunction (AVI) in 11 patients (19.6%). (Group3) included patients with functional abnormalities (stenosis or regurgitation) without valvular thickening (FVI) in three patients (5.3%). Positive antiphospholipids antibody (aPLs) was found in a total of 29 patients (51.7%), of those 17 patients (58.6%) had valvular echocardiographic abnormalities and four patients (14.8%) of the 27 patients with negative aPLs had abnormal echocardiographic findings.CONCLUSIONS:Valvular heart disease is common in patients with SLE, valvular abnormalities were correlated with the aPLs in patients with SLE. Echocardiography is an excellent tool for the diagnosis and follows up of valvular abnormalities in patients with SLE.


Article
Initial Experience of Dobutamine Stress Echocardiography in Ibn Al-Bitar Hospital for Cardiac Surgery

Author: Muhannad A. Mohammed* FICMS د. مهند عبد الحر محمد
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2009 Volume: 51 Issue: 3 Pages: 239-244
Publisher: Baghdad University جامعة بغداد

Loading...
Loading...
Abstract

Summary:Background: Dobutamine stress echocardiography (DSE) is a well established non invasive test for the diagnosis and risk stratification of patients with coronary artery disease. Aim of the study was to conduct a pilot study in order to establish the basis for the future routine practice of DSE in our center (Ibn Al-Bitar Hospital for Cardiac Surgery).Patients and Methods: Fifty consecutive patients who were referred from the outpatient of our center, from August 2007 to July 2008, were included. The age range was 39 – 70 years with an average of 57.18 years. Fifty-eight percent were males. Patients were enrolled in the study in accordance with the American Heart Association/ American College of Cardiology guidelines, including mainly those who are unable to exercise due to an orthopedic problem (26%) or limited functional capacity (30%). Some Patients with resting electrocardiographic changes (20%) and non diagnostic exercise test (14%) were also included as well as five patients (10%) for the assessment of myocardial viability. The baseline echocardiogram was normal in 44 % of cases. Others had resting wall motion abnormalities due to previous myocardial infarction (50%) or left bundle branch block (6%). Dobutamine was given by a syringe or an infusion pump at incremental doses (every three minutes) of 5,10,20,30, and finally 40 µg/kg/min. Atropine was needed at peak test in 36% of cases to increase the proportion of patients who reach the target heart rate. Results: The test was positive in 5 patients (10%); negative in 34(68%), non diagnostic in 2(4%), aborted due to intolerable symptoms in 3(6%) and stopped due to arrhythmias in 3(6%) patients. Side effects included chest tightness and irritability in 40%, headache in 12%, nausea and vomiting in 10%, and postural hypotension in 4%. Infrequent ventricular/atrial ectopics occurred in 13%, supraventricular tachycardia in one patient, and complex multiple ventricular ectopics in 3 patients; no incidence of sustained ventricular tachycardia or ventricular fibrillation occurred. There was no incidence of myocardial infarction or death.Conclusions: DSE is a safe and practical test provided it is used according to the recommended protocols. A special unit for DSE in our centre is recommended.Keywords: Dobutamine, echocardiography, imagining stress test


Article
Echocardiographic Assessment of Left Ventricular Remodeling Process Among Acute Myocardial Infarction Patients

Author: Mayyadah Dheyauldeen Mohsin*, Abbas Khalifa Ressan**, Asaad Abdullah Abbas**
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2016 Volume: 15 Issue: 4 Pages: 465-473
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND:Echocardiography is use for assessment of left ventricular remodeling after myocardial infarction, which is the focus of this thesis. We investigated the influence of various traditional echocardiographic parameters to assess the process of left ventricular remodeling such as left ventricular volumes and ejection fraction, wall motion score index, mitral regurgitation and diastolic dysfunctionOBJECTIVE: To invistigate the usefulness of two-dimensional echocardiography for accurate evaluation of left ventricular (LV) remodeling after acute ST elevation myocardial infarctions (STEMI).METHODS AND RESULTS:Two-dimensional echocardiography was performed within 5 days on a 100 patients admitted to the hospital with a first ST-elevation AMI. Several clinical and echocardiographic variables were analyzed. Baseline demographic data, blood pressure, and pulse were obtained. Various traditional echocardiographic parameters have been shown to provide diagnostic information, such as left ventricular volumes and ejection fraction, wall motion score index, mitral regurgitation and left atrial pressure. A left ventricular wall motion score index was derived from analysis of regional wall motion; an index of 1.5 or more within 5 days of admission identified patients at high risk for remodeling and LV dysfunction. Predictors of early LV remodeling were older age, male gender, history of diabetes mellitus or hypertension, high leukocyte count, high admission blood glucose level, high wall motion score and anterior location myocardial infarction.CONCLUSION:After acute ST-elevation myocardial infarction, early determination of the wall motion score index by two-dimensional echocardiography is useful for identifying patients at high risk for complications and to differentiate patients with and without development of LV remodeling accurately and early on the basis of wall motion score index as a measure of infarct size, a highly predictive variable..


Article
KAWASAKI DISEASE IN SULAYMANIYAH/ KURDISTAN/ IRAQ
مرض الکواساکی فی السلیمانیة / کردستان العراق

Authors: JAMAL A. RASHID --- ADNAN M HASAN --- ASO F. SALIH
Journal: Duhok Medical Journal مجلة دهوك الطبية ISSN: ISSN: 20717334 (online)/ ISSN: 20717326 (Print) Year: 2017 Volume: 11 Issue: 2 Pages: 37-45
Publisher: University of Dohuk جامعة دهوك

Loading...
Loading...
Abstract

Background: Kawasaki disease is the most common cause of acquired heart disease in developed countries. Kawasaki disease it has been increasingly reported from developing countries. The aim of this study was to assess the clinical and epidemiological characteristics of Kawasaki disease in children of Sulaimaniyah city.Subject and Methods: In this study all children diagnosed as Kawasaki disease included during the period between January 2010 and December 2014. The hospital records / pediatric cardiology clinic data were reviewed, and data were abstracted onto standardized forms.Results: During the study period from January 2010 to December 2014, 36 patients were diagnosed as Kawasaki disease. Their mean age at diagnosis was 2.8± 2 years (range 6 months -9years). Most of the patients (30 patients 83.3%) were under age of 5 years, and the median age was 2.1 year. Male to female ratio was 1.76. Most of cases occurred during winter and spring season. Out of 36 patients, 16 (44.4%) patients had coronary disease, and 4 cases of coronary cases were classified as A4 and A5 class according to Japanese Classification of Severity of Coronary Artery Lesions. There was non-significant difference between coronary and non-coronary group regarding hemoglobin level, platelet count, ESR and WBC count.Conclusions: Kawasaki disease is not uncommon in Sulaymaniyah, the clinical and epidemiological pattern is not different from other parts of the world. We need to increase the index of suspicion in order not to miss Kawasaki disease cases and avoid its serious cardiac complications.

الخلفية والأهداف: مرض الکواساکی من الامراض الشائعة فی الدول المتقدمـة و فی وقتنا الحاضر المرض اصبح شائعا فی الدول النامیة . الغرض من الدراسة متابعة مرضی الکاواساکی فی السلیمانیة و متابعةالاعراض المتلازمة له.طرق البحث: الدراسة اجریت علی الاطفال اللذین یشکون من المرض الکاواساکی من فترة ٢٠١٠ الی ٢٠١٤فی قسم قلب الاطفال / مستشفی الاطفال التعلیمی فی السلیمانیة ، المشخصة حسب الاعراض المتبعة من مجلس الکاواساکی الیابانیة .النتائج: شخصت ٣٦ ‌‌حالة خلال مدة الدراسة کحالة کاواساکی كاملة ، معدل العمر کان ٢+/- ٢.٦ سنة (٦ اشهر -٩ سنة ) . اکثریة المرضی (٨٣.٣%) کانوا دون عمر ٥ سنوات . نسبة الذکور الی الاناث ١.٧٦، و اکثریة الحالات شخصت فی الشتاء و الربیع . شخصت ١٦ حالة ( ٤٤.٤%) کتوسع شرایین التاجیة للقلب و اربعة حالات صنفت بتصنیف (A4,A5 ) حسب الاعراض المتبعة من مجلس الکاواساکی الیابانیة للقلب.واستنتجت ایضا انە لیس هناک ایة فی نسبة الدم ، کریات البیضاءو صفائح الدم بین المجموعتین.الاستنتاجات: استنتجت من الدراسة ان فی وقت الحاضر مرض الکاواساکی منتشر فی السلیمانیة و لیس هناک اختلاف فی انتشار و اعراض المرض مقارنة بمناطق العالم. و استنتجت ایضا اننا نحتاج الی توعیة الاطباء الاطفال حول اعراض و مضاعفات مرض الکاواساکی لغرض تشخیصـه فی المراحل الاولی.


Article
Does the Increase of Body Mass Index (BMI) or Waist to Hip Ratio (WHR) Affect Left Ventricular Myocardial Performance Index (MPI) in Normal Men?
هل تؤثر زيادة مؤشر كتلة الجسم أو نسبة الخصر إلى الورك على مؤشر كفاءة البطين الأيسر في الرجال الطبيعيين؟

Author: *Dr. Akeel AMH., Zwain (PhD., UK), Dr. Asaad H. Noaman (MB.Ch.B)
Journal: KUFA MEDICAL JOURNAL مجلة الكوفة الطبية ISSN: 1993517X Year: 2011 Volume: 14 Issue: 2 Pages: 11-19
Publisher: University of Kufa جامعة الكوفة

Loading...
Loading...
Abstract

Background: Despite its clinical use as a sensitive measure of left ventricular performance, little is known about whether MPI is influenced by increasing BMI or WHR. Aim: The present study is targeted at investigating the impact of different grades of BMI and WHR on left ventricular myocardial performance index in normal men. Method: 82 normal male subjects were involved in this study. The subjects were divided as per BMI groups into group Ia (BMI= 20-24.9, n=34, mean age 32.315±10.179 as a control group) and group IIa (BMI= >24.9, n=44, mean age 38.181±11.501); as well as, by dividing the subjects in to two groups according to Waist-Hip ratio, group Ib (WHR <0.8-0.9, n=45, mean age 31.8±8.91) and group IIb (WHR >0.9, n=37, age 39.918±12.239). MPI was determined in all these subjects using the formula proposed by Tie as MPI=IVCT+IVRT/ET. Results: There were statistically no significant variations in MPI with increased BMI (p>0.05) or WHR (p>0.05). There was no linear correlation between MPI and BMI (r= 0.0023), and MPI and WHR (r=0.0007). Conclusion: MPI is a simple and accurate tool for quantitative assessment of left ventricular functions and because of easy application, cost effectiveness, and reproducibility; it could be regarded as an important measurement in a comprehensive hemodynamic study, especially in those with increased BMI or WHR, in whom the increased BMI or WHR was found to have no effect on MPI.

خلفية الدراسة: على الرغم من استعمال مؤشر كفاءة البطين الأيسر كقياس حساس لمعرفة كفاءة البطين الأيسر,القليل من المعلومات متوفرة فيما إذا كان هذا المؤشر يتأثر بزيادة مؤشر كتلة الجسم أو زيادة نسبة الخصر إلى الورك.الهدف من الدراسة: تحرّت الدراسة الحالية عن تأثير الدرجات المختلفة لمؤشر كتلة الجسم ونسبة الخصر إلى الورك على مؤشر كفاءة البطين الأيسر في الرجال الطبيعيين.الطريقة: الدراسة تضمنت 82 متبرع من الذكور الطبيعيين, قسّموا حسب دليل كتلة الجسم إلى مجموعتين, مجموعة 1أ (مؤشر كتلة الجسم 20-24,9, العدد=34, متوسط العمر=32,315±10,179) ومجموعة 2أ (مؤشر كتلة الجسم أكثر من 24,9, العدد= 44, متوسط العمر=38,181±11,501). كذلك قسموا إلى مجموعتين حسب نسبة الخصر إلى الورك, مجموعة 1ب (نسبة الخصر إلى الورك= اقل من 0,8 إلى 0,9, العدد=45, متوسط العمر=31,8±8,91 ) و مجموعة 2ب (نسبة الخصر إلى الورك= اكثرمن0,9, العدد=37, متوسط العمر=39,918±12,239).النتائج: إحصائيا لا توجد هناك اختلافات معنوية بين مؤشر كفاءة البطين الأيسر مع زيادة مؤشر كتلة الجسم أو نسبة الورك إلى الخصر. كذلك لاتوجد هناك علاقة خطية بين مؤشر كفاءة البطين الأيسر مع مؤشر كتلة الجسم أو نسبة الورك إلى الخصر. الاستنتاج: مؤشر كفاءة القلب أداة بسيطة ودقيقة للتقييم الكمي لوظائف البطين الأيسر,وبسبب التطبيق السهل لهذا المؤشر لذا يمكن استخدامه في دراسات جهاز الدوران الشاملة خصوصا أولئك الذين لديهم زيادة في مؤشر كتلة الجسم أو نسبة الورك إلى الخصر حيث إن هذه الزيادة لا تؤثر بشكل ملحوظ عليه.


Article
Detection of the Early Cardiac changes of hypertension by Echocardiography

Authors: Ramaq G. Wahbi Al-Kadi, --- Muataz F. Hussein --- Anmar S. Zaki,
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2009 Volume: 51 Issue: 2 Pages: 123-126
Publisher: Baghdad University جامعة بغداد

Loading...
Loading...
Abstract

Background: Hypertension causes changes on the cardiac performance, and this effect is more profound on the LV where systolic high pressure is present. Patients and Methods: We studied 30 patients (14 females and 16 males of average age of 54.8±13.5) with hypertension and 20 normal individuals, the control group (age range 45.6±17.8, 11 females and 9 males). Measurements of early filling velocity E, late filling velocity A at atrial contraction and ejection fraction were taken, also isovolumetric relaxation, and contraction times and ejection times were taken. MPI myocardial performance index was calculated. Results: Results shows a significant increase in the isovolumetric relaxation time IRT (30%),were IRT for the patients group was(105.4±20.8)compared to(73±6.86) for the normal group. The late velocity A (42%), were A for the patients group was (89.28±18) compared to (51.1±18) for the normal group. Ejection time ET (26%), were ET (438.2±88) for the patients group compared to (324±34) for the normal group. And the ratio A/E (41%), were A/E for patients group (1.33) compared to (0.78) for the normal group. While no significant change was observed on ejection fraction (EF %), isovolumetric contraction time (ICT), early velocity E, and myocardial performance index (MPI). Conclusion: Diastolic function impairment was found to occur earlier than systolic function impairment in hypertensive patients.


Article
Echocardiographic Parameters of Left Ventricle Systolic and Diastolic Function in Patients with β-Thalassemia Major

Authors: Asaad Abdullah Abbas --- Basil Najeb --- Alaa Abdulhussein --- Jassim Hanoon Jassim --- et al.
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 4 Pages: 562-568
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND:Advances in the current treatment of β-thalassemia major have contributed to improve prognosis, and nowadays, an increasing number of patients do survive up to the third or fourth, decade. Cardiac complications are still the most common cause of death in patients with major thalassemia.OBJECTIVE:Assessment of Left ventricular systolic and diastolic parameters in β-Thalassemia Major patients and its relation to ferritin level and to spleen status.PATIENT AND METHODS:A Cross -sectional descriptive study done at Ibn Al- Albalady Hospital for Children and Maternity Baghdad city from beginning of January 2011-to the end of July 2011,( 427) patients with β-thalassemia major were considered for analysis, all patients on regular blood transfusion & chelation therapy. M-mode, 2D and Doppler echocardiographic parameters were averaged over 3 cardiac cycles and all echocardiographic measurements were performed according to the guidelines for performance of a pediatric echocardiogram by American Society of EchocardiographyRESULTS:LA, Aortic diameter ,LA/AO ratio, LV posterior wall thickness , interventricular wall thickness, Left Ventricular end systolic and diastolic diameter were larger in β-thalassemic patients. Peak E, peak A, isovolumic relaxation time were higher in thalassemic patient. There were no difference in E/A flow ratio and E deceleration time. Strok volume, LV mass index and MPI were higher in thalassemic patients. No change in Ejection Fraction and Fraction Shortening. No effect found in all mitral valve Doppler parameters in relation to ferritine level. LV mass index higher in splenctomized patients. No effect found in all mitral valve Doppler parameters in relation to spleen status.CONCLUSION:The findings of this study shows that in β-Thalassemic patients there is good systolic function but decrease in diastolic function and there was no correlation between ferritin level and LV systolic and diastolic function.


Article
Clinical and Doppler Study of Restrictive Filling Pattern in Patients with Dilated Cardiomyopathy

Author: Ali A Mohammed Al Mousawi (FICMS) a Nezar Naser Al Attabi (FICMS) a *Hassan Ali Farhan (FICMS)
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2013 Volume: 9 Issue: 2 Pages: 89-91
Publisher: Baghdad University جامعة بغداد

Loading...
Loading...
Abstract

Background: Dilated cardiomyopathy (DCM) is a well-recognized cause of cardiovascular morbidity and mortality.Objectives: To evaluate the prognostic implications of the restrictive left ventricular filling pattern (RFP) in dilated cardiomyopathy.Methods: Patients with DCM admitted to Ibn AL-Bitar Hospital for Cardiac Surgery, Baghdad-Iraq, from May 2006 to August 2008, underwent a full clinical evaluation and Doppler echocardiography study. Patients were classified into three groups: Group I had persistent restrictive filling pattern; Group II had reversible restrictive filling pattern; and Group III had nonrestrictive filling pattern. Results: The current study was conducted on a total number of 80 patients with DCM, fifty (62.5 %) were males and 30(37.5%) were females with a male to female ratio 1.6:1. Patients with restrictive filling pattern (Group I&II) were 51 (63.8%), while patients with nonrestrictive filling pattern (Group III) were 29 (36.2%). During follow up, patients with persistent restrictive filling pattern (30; 37.5%) had higher New York Heart Association (NYHA) class symptoms, low ejection fraction (EF) and higher mortality; 6 (20%) died within the first year, 6 (20%) died in the second year. Clinical improvement was significantly frequent in Group II and III than Group I.Conclusions: In patients with DCM, the persistence of restrictive filling at 3 months is associated with a high mortality the patients with reversible restrictive filling have a high probability of improvement and excellent survival.

Listing 1 - 10 of 35 << page
of 4
>>
Sort by
Narrow your search

Resource type

article (35)


Language

English (28)

Arabic and English (5)


Year
From To Submit

2019 (2)

2018 (2)

2017 (4)

2016 (3)

2015 (5)

More...