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The proceedings contain 63 papers. The topics discussed include: the CAT is significantly correlated to DLCO and 6-minute walk test in patients with long-COVID;cardiac and non-cardiac pain and sleep in patients participating in outpatient cardiac rehabilitation;the PEM/PESE activity questionnaire: a novel health-related quality of life measure for post-exertional disablement;comparison of AM-PAC and FSS-ICU in patients recovering from open heart surgery in ICU;assessment of physical therapy students' self-efficacy and accuracy measuring blood pressure using a task trainer;functional improvements observed in long-covid patients following participation in pulmonary rehabilitation;effects of a virtually-delivered program on breathing strength and lung function - a retrospective study;the influence of kinesiology tape on posture and breathing mechanics in healthy individuals;is there a role for increasing daily lifestyle walking bouts in asymptomatic peripheral arterial disease?;and impact of standard vs. modified sternal precautions on function following median sternotomy: a systematic review.
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Background: In this study, we aimed to examine the effect of novel coronavirus 2019 disease (COVID-19) on the healing process of patients undergoing open-heart surgery. Methods: Between October 2020 and May 2021, a total of in 22 patients (14 males, 8 females; mean age: 60±15 years; range, 18 to 82 years) who developed COVID-19 within the first 30 days after open-heart surgery were retrospectively analyzed. Since the study was conducted in the pre-vaccination period, all of the patients were unvaccinated. Demographic, operative, and laboratory data of the patients were analyzed, and morbidity and mortality rates were evaluated. Results: Postoperative COVID-19 infection occurred in 22 of 1,171 patients who underwent open-heart surgery. Pneumonia developed in 14 (64%) patients and mechanical ventilation support was required in 50% (n=7) of them. Mortality was seen in eight (36%) patients. Only procalcitonin level (p=0.003) and age (p=0.005) had significant effects on survival. Conclusion: Postoperative COVID-19 infection is associated with high pneumonia and mortality rates in unvaccinated patients. Protocols that can prevent false polymerase chain reaction negativity and early contamination can be life-saving.
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The utilization of open cardiac surgery on patients infected with coronavirus disease 2019 (COVID-19) has resulted in a very challenging perioperative management method. High rates of morbidity and mortality have been documented in the literature for patients who have undergone open heart surgery while infected with COVID-19; however, data on complications that may occur during and after surgery in patients with COVID-19 infection are limited. In this article, we aimed to present the clinical course and perioperative consequences of three patients with preoperative COVID-19 infection.
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Background: Despite increasing incidence of cardiac diseases,there has been only one public cardiac centre for many years. Even in this centre the output has remained on the lower side and cannot cope with increasing demand for heart surgery.This paper describes successes and challenges of cardiac surgery in a Kenyan public hospital Methods: Coast general teaching and referral hospital has the necessary layout and infrastructure for cardiac surgery.Initial preparation involved convincing the county government and hospital fraternity to support the programme. Once this was accepted a planning committee was set up. The task of the committee was to enable purchase and acquisition of equipment and supplies and to ensure proper patient selection.Further, the committee organised for the assembly of kenyan experts and the necessary staff members. Later ,the committee started organising for foreign teams to visit and help the local team Results: A total of 68 patients have undergone open heart surgeries for the past 5 years.These were distributed as follows: Mitral valve replacement 38,intrcardiac repair for congenital heart disease 14,aortic valve replacement 7,mitral valve repair 6,double valve replacement 3. 6 patients died within the first month of surgery and 14 patients out of the 68 have succumbed so far.The small numbers were due to lack of serious political and administrative support,poor funding,lack of full complement of staff and of late, the covid pandemic Conclusion: Open heart surgery is cost intensive.Political support,interactions between surgeons ,collaboration between heart centres in Kenya and abroad is necessary successful establishment of an efficient heart centre.
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Inflammation and thrombogenic effects of coronavirus disease 2019 (COVID-19) can lead to cardiovascular complications in patients even after recovery from COVID-19. Intracardiac thrombus is life-threatening and can cause sudden death. Our study describes two patients who recovered from COVID-19 and presented with chronic intracardiac thrombus.
Subject(s)
COVID-19 , Heart Diseases , Thrombosis , Heart Diseases/diagnostic imaging , Heart Diseases/etiology , Humans , SARS-CoV-2 , Thrombosis/diagnostic imaging , Thrombosis/etiologyABSTRACT
SARS-CoV-2 was reported for the first time in China on December 31, 2019, as the cause of some pneumonia cases characterized by fever, cough, dyspnea, myalgia, and fatigue. Here, we present our approach to a 54-year-old male patient who had coronary artery bypass (CABG) surgery diagnosed as high probability coronavirus disease 2019 (COVID-19) in early postoperative period.