ABSTRACT
PATIENT: Male, 69 FINAL DIAGNOSIS: Coronary artery to pulmonary artery fistula Symptoms: Chest pain Medication: - Clinical Procedure: Echocardiography ⢠angiography ⢠surgical intervention Specialty: Cardiology ⢠Cardiac Surgery. OBJECTIVE: Rare disease. BACKGROUND: A coronary artery fistula is an abnormal communication between a coronary artery and one of the cardiac chambers or a great vessel, so bypassing the myocardial capillary network. They are usually discovered incidentally upon coronary angiography. Clinical manifestations are variable depending on the type of fistula, the severity of shunt, site of shunt, and presence of other cardiac condition. CASE REPORT: We report a 69-year-old man without any previous medical history, who was admitted to our hospital with chest pain. The electrocardiogram (ECG) showed a sinus rhythm with ST depression in V2 to V6 precordial leads. Coronary angiography revealed a coronary artery fistula from left anterior descending coronary artery (LAD) to the main pulmonary artery, right coronary artery blockage and significant stenoses on the LAD and left circumflex artery (LCX). CONCLUSIONS: Surgical treatment was chosen because of the total occlusion of the right coronary artery and to relieve of pain to improve quality of life.
ABSTRACT
Premature burial (taphophobia) is an ancient fear, but it became especially common in 18th and 19th century Europe and may have a modern-day counterpart. Examination of a well-documented case from medieval Persia reveals the importance of funeral practices in the risk of actual premature burial and sheds light on the question of why taphophobia became so prevalent in Europe during the early industrial revolution period. The medieval Persian case was attributed to hysterical paralysis (conversion). We discuss the relationship between hysterical paralysis and premature burial more generally and show that although understanding of conversion syndrome remains incomplete, modern knowledge and practices have limited the risk of any similar tragedy today.
Subject(s)
Burial/history , Conversion Disorder/history , Phobic Disorders/history , Adolescent , Brain Death/diagnosis , Christianity , Cultural Characteristics , Diagnosis, Differential , Fear , Female , Forensic Medicine , History, 18th Century , History, 19th Century , History, Medieval , Humans , Islam , Persia , Phobic Disorders/psychologyABSTRACT
Among the first three manuscripts written in Persian, Akhawayni's Hidayat al-muta'allemin fi al-tibb was the most significant work compiled in the 10th century. Along with the hundreds of chapters on hygiene, anatomy, physiology, symptoms and treatments of the diseases of various organs, there is a chapter on sleep paralysis (night-mare) prior to description and treatment of epilepsy. The present article is a review of the Akhawayni's teachings on sleep paralysis and of descriptions and treatments of sleep paralysis by the Greek, medieval, and Renaissance scholars. Akhawayni's descriptions along with other early writings provide insight into sleep paralysis during the Middle Ages in general and in Persia in particular.
ABSTRACT
The great 11th-12th century Persian physician Seyed Esmail Jorjani (known as Hakim Jorjani) is known for his 750,000 word encyclopedia of medicine, the Treasure of King Khwarazm, which has been ranked along with Avicenna's Canon and the works of Haly Abbas. Translations of this work provide modern readers with a detailed insight into medical practice in medieval Persia. Parts of the Treasure are devoted to guidance about midwifery and perinatal care. In this article we present translations of excerpts from this part of the work.
