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    Wyświetlanie 1-4 z 4
    Tytuł:
    Patient with atypical chest pain and nephrotic range proteinuria finally diagnosed with non-secretory myeloma
    Autorzy:
    Holecki, Michał
    Fryźlewicz-Moska, Agata
    Strzałkowska, Dorota
    Chudek, Jerzy
    Duława, Jan
    Powiązania:
    https://bibliotekanauki.pl/articles/1039564.pdf
    Data publikacji:
    2010
    Wydawca:
    Śląski Uniwersytet Medyczny w Katowicach
    Tematy:
    chest pain
    myeloma
    proteinuria
    Opis:
    Multiple myeloma is the second most common neoplastic disease of lymphoid tissue in adults. However, its atypical non secretory form, is quite rare. We present a case of 70 year old male with atypical chest pain and nephrotic range proteinuria fi nally diagnosed as non secretory myeloma who did not present any of characteristic fi ndings when admitted to hospital. Despite the unusual course the diagnosis was established quickly enough to provide a proper treatment. One should remember that occasionally patients do not match typical criteria necessary for diagnosing a disease.
    Źródło:
    Annales Academiae Medicae Silesiensis; 2010, 64, 5-6; 89-91
    1734-025X
    Pojawia się w:
    Annales Academiae Medicae Silesiensis
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Characteristics, types and causes of chest pain in an urban family practice secondary care center in South India
    Autorzy:
    Kumar G.S., Yeshvanth
    Rajkumar Honest, Prince Christopher
    Subramanian, Apoorva
    Abraham, Ranjit
    Teja Velaga, Saran
    Pricilla, Ruby Angeline
    Kirubah Vasandhi, David
    Sunil, Abraham
    Powiązania:
    https://bibliotekanauki.pl/articles/553099.pdf
    Data publikacji:
    2017
    Wydawca:
    Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
    Tematy:
    chest pain
    family practice
    secondary care
    India.
    Źródło:
    Family Medicine & Primary Care Review; 2017, 4; 377-381
    1734-3402
    Pojawia się w:
    Family Medicine & Primary Care Review
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    To determine the prognostic accuracy of the HEART score as a predictor for major adverse cardiac events in patients presenting with chest pain to emergency department in a tertiary care hospital
    Autorzy:
    Krishna, Penagaluru Pranay
    Velavarthipati, Ravi Sankar
    Srikanth, Midde
    Krishna, B Skanda Gopala
    Sriramula, Nayan
    Goud, Dabbi Praveen Kumar
    Powiązania:
    https://bibliotekanauki.pl/articles/29432050.pdf
    Data publikacji:
    2023-03
    Wydawca:
    Towarzystwo Pomocy Doraźnej
    Tematy:
    Acute coronary syndrome
    emergency department
    chest pain
    score
    HEART
    Opis:
    INTRODUCTION: One of the main causes of sudden cardiac death in the emergency department is myocardial infarction. Although there are several scores that helped predict an identified acute coronary incident, there was no quantitative tool available to risk stratifying patients with chest pain to support more decisions. The study is aimed to determine the prognostic accuracy of the HEART score as a predictor for major adverse cardiac events in patients presenting with chest pain to the emergency medicine department (ED). MATERIAL AND METHODS: Study included 83 adult patients presenting with Acute Myocardial Infarction who had chest pain attending to the ED were studied their HEART score to predict major adverse cardiac events. RESULTS: 60.24% of males and 39.76% of females with mean age of 57.83 ± 12.85 years were presented to ED. 44.56% had hypertension, 46.99% of diabetes mellitus, 21.69% of smoking, 16.87% of alcoholism, 4.82% of obesity, and 3.61% of patients with family history of cardiac diseases. 28.92% had non-specific repolarization, and 33.73% of patients had significant ST-Depression. According to Heart score, 26.51% of patients had low risk, 39.76% of patients had moderate risk, and 33.73% of patients had high risk. More percentage of male patient’s (67.9%) were in the high risk group of heart score than females (32.1%). ST-Depression cases were more in the high risk group (85.7%), and statistical significant association seen between ECG and the heart score (P<0.0001). among risk factors, Hypertension and Diabetes mellitus patients was more in the high risk groups with 48.6%, and 53.8% (P=0.001). 100% of high risk cases had ≥3 x normal limit of troponin, and there was a statistically association seen between troponin and heart score (P<0.0001). Diagnosis of HEART score of the low risk group showed that the risk factor had significantly higher AUC value (AUC = 0.801) than the age group (AUC = 0.778), history (AUC = 0.747), Troponin (AUC = 0.738), and ECG (AUC = 0.722). Out of 22 cases of the low risk group, 6 of Unstable angina (UA), 16 of NSTEMI, 4 of Percutaneous coronary intervention (PCI), 2 CABG, and 1 cardiovascular (CV) death. For moderate risk group (n=33), 13 of UA, 17 of NSTEMI, 3 of STEMI, 20 of PCI, 14 of CABG, and 12 of CV deaths. For high risk group (n=28), 10 UA, 14 of NSTEMI, 3 of STEMI, 9 of PCI, 6 of CABG, and 4 number of CV death. CONCLUSIONS: It was concluded that the HEART score should be used as the primary clinical decision tool for the risk stratification and a good predictor of major adverse cardiac events in patients presenting with chest pain to the emergency department to promote their safe and efficient nature in a community hospital setting.
    Źródło:
    Critical Care Innovations; 2023, 6, 1; 1-16
    2545-2533
    Pojawia się w:
    Critical Care Innovations
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The impact of iatrogenic embolisation and endovascular removal of a fractured central vein catheter on the Health Related Quality of Life (HRQoL)
    Autorzy:
    Muszyński, Tomasz
    Polak, Karina
    Tomala, Marek
    Iwaszczuk, Paweł
    Kwiatkowski, Tomasz
    Trystuła, Mariusz
    Powiązania:
    https://bibliotekanauki.pl/articles/2106193.pdf
    Data publikacji:
    2019-02-12
    Wydawca:
    Fundacja Edukacji Medycznej, Promocji Zdrowia, Sztuki i Kultury Ars Medica
    Tematy:
    life-threatening condition
    chest pain
    parenetral alimentation
    endovascular approach
    interventional cardiology
    Opis:
    Iatrogenic embolisation of the right ventricle of the heart by a fragment of one of the most basic ICU devices, which has fractured and detached the central vein catheter, is rarely described in subject literature. Removing such an element from the heart is highly risky and requires the use of very modern techniques and equipment. The Atrieve Vascular Snare™ was employed in the described patient. Therefore, it is necessary to present this process and its effectiveness through an evaluation of the health related quality of life (HRQoL) associated with the perception of health status by those patients. This is a requirement in modern medicine. The main aim of this paper was to evaluate the HRQoL after this embolisation. A 67-year-old patient was referred to the Vascular Surgery Department with Endovascular Interventions Ward, John Paul II Hospital in Kraków, after the defragmenting of the central vein catheter and replacement to the right ventricle of the heart. An endovascular approach through the right common femoral vein (RCFV) under local anesthesia of the groin was chosen as the preferred method for removing the broken catheter fragment. The right ventricle of the heart was reached using a 18-30mm Atrieve Vascular Snare™. A structure consisting of three loops facilitated the quick grasp and removal of the catheter fragment at the first attempt through the RCFV. Despite the short time needed for the procedure, the patient experienced periprocedural ventricular fibrillation (VF) with the necessity of defibrillation. After one successful defibrillation attempt, sinus rhythm was restored. The post-operative course showed no complications whatsoever, and the patient was sent to the General Surgery Ward in order for a new Hickman catheter to be implemented and further parenteral nutrition treatment to be carried out. The endovascular technique with the use of Atrieve Vascular Snare™ is an effective method which was used in the case of our patient under local anesthesia. It provides for the fast, safe and convenient removal of a disrupted and dislocated catheter fragment. It allows one to improve the patient’s HRQoL not only in the short term, but also in the longitudinal (6 months after surgery) follow up.
    Źródło:
    Acta Neuropsychologica; 2019, 17(1); 1-7
    1730-7503
    2084-4298
    Pojawia się w:
    Acta Neuropsychologica
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
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