Distal left main coronany stem lesion managed by intervententional crush technique

Intervententional Crush might end high rates of restenosis. Studying immediate and late outcome of crush technique in distal left main stem lesion intervention. [40] patient had crush technique intervention method for management of LMS lesions, [15] patients done as primary PCI method, while [25] patients as elective management. A total of 40 patients with distal left main stem lesion included in our study, their age range between 45-75 years with a mean +/- SD of 59 +/- 4.5 years, 25 were male, 15 female. One patient died in one year follow up because of noncompliance for medication. One patient had ISR treated by drug eluted balloon. Two patients lost follow up after 2 months. 25 patients [62.5%] had more than one significant lesion, 9 patients [22.5%] had low ejection fraction at time of intervention, functional MR were reported in 5 [12.5%] of patients. All ischemic chest pain disappeared after interventional procedure. LMS crush technique is favorable alternative method for the management of LMS especially in patients unable to do CABG

Echocardiographic parameters of left ventricle systolic and diastolic function in patients with beta-thalassemia major

Advances in the current treatment of beta-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. Assessment of Left ventricular systolic and diastolic parameters in beta-Thalassemia Major patients and its relation to ferritin level and to spleen status. 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 beta-thalassemia major were considered for analysis, all patients on regular blood transfusion and 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 Echocardiography. LA, Aortic diameter ,LA/AO ratio, LV posterior wall thickness, interventricular wall thickness, Left Ventricular end systolic and diastolic diameter were larger in beta-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. The findings of this study shows that in beta-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