ABSTRACT
We present a rare case of cavernous sinuses air embolism occurring after peripheral venous catheterization. This 44-year-old lady followed for idiopathic thrombocytopenic purpura was referred to our service for vomiting and critical headaches after blood transfusion for her thrombocytopenia. Having been submitted to a brain computed tomography, this later showed air bubbles in bilateral cavernous sinuses related to cavernous sinuses gas embolism. This condition, which remains purely unusual could be fatal, where the ultimate importance that the radiologists and clinicians to be fully aware of.
ABSTRACT
The objective of this study was to determine both the prevalence of white-coat effect and white-coat hypertension (WCH) and which selected clinical variables were predictors of WCH. A total of 2462 patients underwent ambulatory blood pressure monitoring either in borderline hypertension (group 1) or for assessment of antihypertensive treatment (group 2) or for hypotension (group 3). In the overall population 33.0% of patients showed WCH, 32.8% in group 1 and 37.0% in group 2. In multivariate analysis, sex and grade of hypertension were independent predictors of WCH in groups 1 and 2.
Subject(s)
Blood Pressure Monitoring, Ambulatory , Hypertension/diagnosis , Hypertension/epidemiology , Office Visits , Bias , Blood Pressure Monitoring, Ambulatory/methods , Chi-Square Distribution , Databases, Factual , Female , Hospitals, Teaching , Humans , Hypertension/etiology , Logistic Models , Male , Middle Aged , Morocco/epidemiology , Multivariate Analysis , Prevalence , Risk Factors , Severity of Illness Index , Sex DistributionABSTRACT
The objective of this study was to determine both the prevalence of white-coat effect and white-coat hypertension [WCH] and which selected clinical variables were predictors of WCH. A total of 2462 patients underwent ambulatory blood pressure monitoring either in borderline hypertension [group 1] or for assessment of antihypertensive treatment [group 2] or for hypotension [group 3]. In the overall population 33.0% of patients showed WCH, 32.8% in group 1 and 37.0% in group 2. In multivariate analysis, sex and grade of hypertension were independent predictors of WCH in groups 1 and 2
Subject(s)
Hypertension , Prevalence , Blood Pressure Monitoring, Ambulatory , Hypotension , Physicians' OfficesABSTRACT
UNLABELLED: Left ventricular hypertrophy (LVH) is an independent risk factor in hypertensive patient. THE AIM: Of our study is to evaluate prospectively the relationship between left ventricular mass and clinical, echocardiographical and ambulatory blood pressure data in hypertensive subjects. METHODS: We studied 88 hypertensive patient who underwent clinical and laboratory investigation, echocardiography and 24 hours ambulatory blood pressure monitoring. Correlations were made between these data and left ventricular mass. RESULTS: Clinical data, which correlated well with left ventricular mass, were duration of hypertension, systolic arterial pressure and pulse arterial pressure. In echocardiography left atrial area and left ventricular dysfunction correlated significatively with left ventricular mass. Data from 24 hours blood pressure monitoring as daytime systolic pressure, nighttimes diastolic pressure, ambulatory systolic pressure and ambulatory pulse pressure. CONCLUSION: In hypertensive patient, left ventricular mass correlated well with left atrial dilation and diastolic left ventricular dysfunction. It also correlated with 24 hours ambulatory blood pressure monitoring data.
Subject(s)
Hypertension/physiopathology , Hypertrophy, Left Ventricular/physiopathology , Blood Pressure Monitoring, Ambulatory , Echocardiography , Heart Atria/physiopathology , Humans , Prospective Studies , Ventricular Dysfunction, Left/physiopathologyABSTRACT
The aim of our study was assess anatomical and functional results of renal artery angioplasty with and without stenting in 25 hypertensive patients (8 female and 16 male, 42.6 and 61.6 years old respectively) with significative renal artery stenosis (RAS) (atherosclerotic: 22; fibrodysplastic: 3). Eleven patients had simple angioplasty and 13 had stenting. The rate of angioplasty success was 96%. In the stent group, the anatomical result was better: 2% of residual stenosis versus 24% in the other group (p < 0.001). Restenosis occurred in 2 patients. Immediately after revascularisation arterial blood pressure decreased from 195/105 +/- to 150/85 +/- mmHg in-group without stent (p < 0.001) and from 190/100 to 145/85 mmHg in the group (p < 0.001). The value of serum creatinine concentration in patient with renal failure didn't change after revascularization.
Subject(s)
Angioplasty/methods , Hypertension/complications , Renal Artery Obstruction/surgery , Adult , Creatinine/blood , Female , Humans , Male , Recurrence , Renal Insufficiency , Retrospective Studies , Stents , Treatment OutcomeABSTRACT
We report a case of 34 years old female with a diagnosis of a big right Atrial myxoma revealed by echocardiography. The treatment consisted on a surgical excision of the tumour under extra corporal circulation. The patient made a good post-operative recovery. Authors showed the clinical signs of these tumours to be various, and echocardiography to be the definitive diagnosis procedure.
