A rare case report of acute upper gastrointestinal hemorrhage due to splenic artery pseudoaneurysm.

Splenic artery aneurysm and splenic artery pseudoaneurysm are rare vascular pathologies. The splenic artery represents the third most common site for intra-abdominal aneurysms. In contrast with true splenic artery aneurysm, splenic artery pseudoaneurysm is typically symptomatic, presenting with a range of symptoms, from abdominal pain to hemodynamic instability due to rupture. However, gastrointestinal hemorrhage is an uncommon complication of splenic artery pseudoaneurysm. We report a case of acute upper gastrointestinal hemorrhage due to splenic artery pseudoaneurysm rupture. The patient was successfully treated by endovascular intervention.

Diagnosis and management of calcaneal Yakes type IV AVM: Two case reports.

Peripheral arteriovenous malformations (AVMs) are rare, congenital anomalies resulting from developmental genetic defects of the vasculature and cause significant disturbances in daily activities. AVMs can affect any part of the body and are rarely observed in the calcaneal region. Here, we describe two cases of Yakes type IV calcaneal AVMs managed by ethanol sclerotherapy at our institute.

Correction to: Prevalence and Risk Factors of Hypertension in the Vietnamese Elderly.

The author affiliations for Deepak B. Thimiri Govinda Raj which previously read.

Impact of body mass index and waist circumference on blood pressure: A cross-sectional survey in a population living in the Vietnam northern mountainous.

AIMS: Several epidemiological studies have indicated that elevated blood pressure (BP) is associated with the surfeit of body weight. Body fat accumulation is considered as be a significant factor contributing to the nexus between obesity and hypertension. Two of the most common indicators used to characterize the associations of BP are body mass index (BMI) and waist circumference (WC). This study was aimed to describe the differences in some characteristics among people aged 20 and above in three communes of a district in Vietnam and analyze the correlation between BMI and WC, and BP. MATERIALS AND METHODS: We conducted a survey with a cross-sectional design of 734 subjects in three communes in Chiem Hoa district of the Vietnam northern mountainous region. RESULTS: It was found that except for BMI, there were significant differences in some physical characteristics between genders (p < 0.05). Particularly, the effects on Systolic Blood Pressure (SBP) or Diastolic Blood Pressure (DBP) of WC were more significant than that of BMI in genders. The impacts of WC on SBP as well as DBP were also stronger than that of BMI in age groups with the cut-off point 60 than BMI. CONCLUSIONS: This study provides the science evidence in support of public and preventive health interventions to the locals residing in studied area. We recommend the existing correlations in subjects belonging to different ethnicities and continents.

Prevalence and Risk Factors of Hypertension in the Vietnamese Elderly.

INTRODUCTION: Hypertension (HT) is considered as a major determinant of cardiovascular complications. However, few studies have addressed HT prevalence among adults aged 60 years and older in the northern mountainous region of Vietnam. AIM: To determine the prevalence of HT and its risk factors in the elderly in that area. METHODS: A cross-sectional study was conducted in a study area in the northern of Vietnam. We interviewed 354 adults aged 60 years or over who were randomly selected, and then measured their blood pressure. RESULTS: The overall HT prevalence was 62.15%. The isolated systolic hypertension (ISH) prevalence was 22.88%. There was a slight decrease in the proportion of HT by stage 1, stage 2 and stage 3 respectively. The univariate and multivariate logistic regression analysis indicated some risk factors for HT including age groups, body mass index (BMI) and waist-hip ratio (WHR) (p < 0.05). Furthermore, we also found that the risk factors of ISH was obesity status classified by BMI category and WHR (p < 0.05). In particularly, the ethnicity was statistically significantly associated with ISH. CONCLUSION: Our data showed a high prevalence of hypertension in the elderly in studied area. The risk factors for HT and ISH among studied subjects included age groups, ethnic groups, BMI and WHR. Hence, these findings are important for policy-making related to launch public health prevention and control campaigns for hypertension among older adults in the northern mountainous region of Vietnam.