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1.
The Medical Journal of Malaysia ; : 217-219, 2016.
Artículo en Inglés | WPRIM | ID: wpr-630810

RESUMEN

Coronary artery anomalies are often discovered incidentally during cardiac catheterization or computed tomography coronary angiography and may involve the affected coronary artery origin and its course. Coronary artery anomalies are associated with congenital heart disease. The affected coronary arteries may have an unusual high take off origin, origin from contralateral or non-coronary sinus, origin from the pulmonary artery, single coronary system or coronary artery fistula.


Asunto(s)
Síndrome de Bland White Garland
2.
Journal of the Saudi Heart Association. 2015; 27 (4): 283-285
en Inglés | IMEMR | ID: emr-169622

RESUMEN

Coronary artery fistula is an abnormal connection between one coronary artery to another coronary artery or cardiac chambers. The coronary artery fistula may cause significant shunting of blood and cause ''pseudo-stenosis'' or ''steal phenomenon''. This will also accentuate pre-existing mild-moderate de novo coronary lesions with resultant greater pressure gradient difference across the lesions. Thus, fractional flow reserve can be a useful tool to guide intervention decision on the coronary artery fistula. There are very few published reports regarding the use of FFR to assess coronary artery fistula. In fact, there is no outcome data regarding the deferment of coronary artery fistula intervention when the FFR is not physiologically significant. This case highlighted the use of FFR to evaluate the functional significance of coronary fistula in the setting of ischemia evaluation and it was proven to be safe to defer intervention with good 3 year clinical outcome. Stress adenosine myocardial perfusion imaging correlated with the FFR result

3.
Heart Views. 2014; 15 (2): 49-50
en Inglés | IMEMR | ID: emr-147226

RESUMEN

Electrical or electrocution injury is a common accidental occurrence and mostly workplace related. Fatal arrhythmias, skin injury and sudden death may ensue. However, it is rare for electrocution to result in permanent low rate sinus bradycardia, incompatible with an active lifestyle. The probable mechanisms for this pathological sinus bradycardia are sinus node dysfunction and autonomic dysfunction with vagal predominance. We describe a young patient who suffered a non fatal electrocution with resultant low rate sinus bradycardia and its successful treatment with a dual chamber rate responsive pacemaker

4.
The Medical Journal of Malaysia ; : 186--, 2013.
Artículo en Inglés | WPRIM | ID: wpr-631000

RESUMEN

No available abstract

5.
The Medical Journal of Malaysia ; : 88--, 2013.
Artículo en Inglés | WPRIM | ID: wpr-630999

RESUMEN

No available abstract

6.
The Medical Journal of Malaysia ; : 618-619, 2012.
Artículo en Inglés | WPRIM | ID: wpr-630276

RESUMEN

We are seeing more implantation of cardiac device such as pacemakers and defibrillators and also cardiac implantable electronic device infection. The infection may affect just the pocket site or progress to deeper infection and bacteraemia. Inadequately treated infection may lead to right sided endocarditis, cardiotomy for pacemaker explantation and increased cost and length of stay in the hospital. We report a Staphylococcal infection of a pacemaker system, its successful medical and surgical management.

7.
The Medical Journal of Malaysia ; : 540-541, 2012.
Artículo en Inglés | WPRIM | ID: wpr-630265

RESUMEN

There is increasing consumption of exotic food in Malaysia. Animals such as insects, worms and wild life animals also form part of the staple food of the local population. This practice may lead to more incidence of food allergy and anaphylaxis. We report a non-indigenous man who developed food anaphylaxis after consuming fried sago worms and consequently Takotsubo cardiomyopathy. We postulate that certain food allergy and anaphylaxis could be another causative trigger for Takotsubo cardiomyopathy.

8.
The Medical Journal of Malaysia ; : 426-427, 2012.
Artículo en Inglés | WPRIM | ID: wpr-630244

RESUMEN

Sudden occlusion of the coronary artery results in ischemia, myocardial cell death and myocardial infarction(MI). The most common cause is atherosclerotic plaque rupture. MI can be complicated by arrhythmia such as ventricular tachycardia, heart block, heart failure, ventricular wall rupture and death.

9.
The Medical Journal of Malaysia ; : 420-421, 2012.
Artículo en Inglés | WPRIM | ID: wpr-630242

RESUMEN

Warfarin has its origin as a rat poison and has become one of the widely used anticoagulant drugs to prevent thrombosis and embolism. Many medications, foods and vegetables can interact with warfarin and affect its blood thinning effect in the body. The antibiotic, moxifloxacin official product monograph indicated no interaction with concomitant warfarin treatment as this fourth generation synthetic fluoroquinolone antibiotic does not share the same cytochrome P450 system metabolism pathway with warfarin. However, we report a case of increased anticoagulant activity in a patient treated with moxifloxacin and warfarin causing prolonged hospital stay.

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