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1.
Health Qual Life Outcomes ; 16(1): 139, 2018 Jul 11.
Article in English | MEDLINE | ID: mdl-29996874

ABSTRACT

BACKGROUND: This study aimed to examine the associations among the International Classification of Functioning, Disability, and Health (ICF) core sets relevant to chronic ischemic heart disease (CIHD) using the least absolute shrinkage and selection operator (LASSO) model based on the ICF core sets scale in Chinese patients. METHODS: This was a prospective study of 120 patients with CIHD selected from January 2013 to June 2014 at the Fada Institute of Forensic Medicine & Science (Beijing, China). Functioning was qualified using the ICF core sets checklist for CIHD (Chinese version). The variables of core set categories of the ICF assessment scale for CIHD were entered into the LASSO model for mining dependencies among those variables. Graphical modeling was applied using LASSO generalized linear models. RESULTS: "Muscle endurance functions", "sensations associated with cardiovascular and respiratory functions", "blood vessel functions", and "heart functions" were the most injured in CIHD status. "Recreation and leisure" and "intimate relationships" were the most affected in CIHD status. "General social support services, systems, and policies" and "acquaintances, peers, colleagues, neighbors, and community members" were important for the outcome of functional status of the CIHD patient. "Economic self-sufficiency" and "family relationships" of the CIHD patient were not undermined in most cases. CONCLUSIONS: Graphical modeling can be used to describe associations between different areas of functioning in CIHD patients. The results suggest that these associations could be used as basis to improve rehabilitation and provide a deeper understanding of functioning in Chinese CIHD patients.


Subject(s)
Disability Evaluation , Disabled Persons/rehabilitation , International Classification of Functioning, Disability and Health , Myocardial Ischemia/parasitology , Activities of Daily Living , China , Female , Health Status Indicators , Humans , Male , Middle Aged , Myocardial Ischemia/rehabilitation , Prospective Studies , Quality of Life
2.
J Cardiovasc Med (Hagerstown) ; 10(5): 425-7, 2009 May.
Article in English | MEDLINE | ID: mdl-19300277

ABSTRACT

Hydatid disease is a parasitic infection caused by larvae of Echinococcus granulosus, which is still endemic in many cattle-raising areas. Cardiac involvement is a rare, but potentially a very serious complication of the hydatid disease. The diagnosis of cardiac cyst hydatid may be difficult due to the nonspecific symptoms and varying clinical presentations. With this report, we describe a case of giant hydatic cyst of the interventricular septum that caused ischemic changes on ECG, mimicking acute myocardial infarction. The final diagnosis was made by combining echocardiography, MRI, and serological tests. Surgical resection of the cyst, followed by albendezol treatment yielded a favorable outcome.


Subject(s)
Echinococcosis/diagnosis , Electrocardiography , Heart Diseases/diagnosis , Myocardial Infarction/diagnosis , Myocardial Ischemia/parasitology , Ventricular Septum/pathology , Albendazole/therapeutic use , Anticestodal Agents/therapeutic use , Cardiac Surgical Procedures , Combined Modality Therapy , Diagnosis, Differential , Echinococcosis/therapy , Echocardiography, Three-Dimensional , Heart Diseases/parasitology , Heart Diseases/therapy , Humans , Magnetic Resonance Imaging, Cine , Male , Middle Aged , Myocardial Ischemia/pathology , Myocardial Ischemia/therapy , Serologic Tests , Treatment Outcome , Ventricular Septum/parasitology , Ventricular Septum/surgery
3.
Heart Lung Circ ; 18(1): 59-61, 2009 Feb.
Article in English | MEDLINE | ID: mdl-18082448

ABSTRACT

Cardiac involvement in hydatid cyst disease is uncommon, occurring in approximately 2% of hydatid cases. Two cases of cardiac hydatid cysts with negative serologic tests are reported herein. In Case 1, the patient underwent surgery to remove cysts from the liver and 10 years later presented with symptoms and signs of ischaemic heart disease. In Case 2, the patient first underwent surgery to remove cysts from the brain and 3 years later for cyst removal from the breast. In both cases the diagnosis was established by transthoracic two-dimensional echocardiography and then confirmed by surgery and histological examination. These cases are of particular interest because of the rarity of cardiac localisation as a new site of the hydatid cyst after one or more previous surgeries for hydatid cyst removal, and stress the need for frequent reevaluation to detect new hydatid cyst formation in the heart and elsewhere caused by the Echinococcosis organism.


Subject(s)
Echinococcosis/surgery , Myocardial Ischemia/surgery , Adult , Aged , Echinococcosis/blood , Echinococcosis/diagnostic imaging , Echocardiography, Doppler , Female , Humans , Myocardial Ischemia/blood , Myocardial Ischemia/diagnostic imaging , Myocardial Ischemia/parasitology
4.
J Card Surg ; 23(5): 573-5, 2008.
Article in English | MEDLINE | ID: mdl-18624986

ABSTRACT

Cardiac hydatid cyst is an uncommon disease, especially in France. It is rarely responsible for myocardial ischemia, and even more rarely in the young. We report the clinical features and imaging of a 24-year-old Tunisian woman with hydatid cyst of the free wall of the left ventricle responsible for myocardial ischemia, associated with a hepatic hydatid cyst. Management consisted of a combination of surgery with cystopericystectomy and coronary artery bypass graft and prolonged medical treatment as for treatment of hepatic hydatid cyst. Three-year follow-up revealed no recurrence. This case illustrates two interesting points: the rare clinical presentation of cardiac hydatid cyst with a coronary syndrome in a young 24-year-old woman related to compression of the left anterior descending artery by the cyst with a need for coronary artery bypass graft after resection of the cyst, and the value of medical treatment of hydatid disease, even for cardiac localization.


Subject(s)
Coronary Artery Bypass , Echinococcosis/complications , Echinococcus granulosus , Heart Ventricles/pathology , Myocardial Ischemia/etiology , Adult , Animals , Echinococcosis/surgery , Female , Heart Ventricles/diagnostic imaging , Heart Ventricles/parasitology , Heart Ventricles/surgery , Humans , Myocardial Ischemia/parasitology , Myocardial Ischemia/physiopathology , Myocardial Ischemia/surgery , Ultrasonography , Ventricular Dysfunction, Left/parasitology , Ventricular Dysfunction, Left/surgery , Young Adult
5.
Cardiovasc Pathol ; 9(5): 257-65, 2000.
Article in English | MEDLINE | ID: mdl-11064272

ABSTRACT

Chagas' disease, caused by Trypanosoma cruzi, is an important cause of myocarditis and chronic cardiomyopathy and is accompanied by microvascular spasm and myocardial ischemia. We reported previously that infection of cultured endothelial cells with T. cruzi increased the synthesis of biologically active endothlein-1 (ET-1). In the present study, we examined the role of ET-1 in the cardiovascular system of CD1 mice infected with the Brazil strain of T. cruzi and C57BL/6 mice infected with the Tulahuen strain during acute infection. In the myocardium of infected mice myonecrosis and multiple pseudocysts were observed. There was also an intense vasculitis of the aorta, coronary artery, smaller myocardial vessels and the endocardial endothelium. Immunohistochemistry studies employing anti-ET-1 antibody revealed increased expression of ET-1 that was most intense in the endocardial and vascular endothelium. Elevated levels of mRNA for preproET-1, endothelin converting enzyme and ET-1 were observed in the same myocardial samples. Plasma ET-1 levels were significantly elevated in infected CD1 mice 10-15 days post infection. These observations suggest that increased levels of ET-1 are a consequence of the initial invasion of the cardiovascular system and provide a mechanism for infection-associated myocardial dysfunction.


Subject(s)
Chagas Cardiomyopathy/metabolism , Endothelin-1/metabolism , Myocardium/metabolism , Trypanosoma cruzi/isolation & purification , Animals , Aspartic Acid Endopeptidases/genetics , Aspartic Acid Endopeptidases/metabolism , Biomarkers , Chagas Cardiomyopathy/parasitology , Coronary Vessels/parasitology , Coronary Vessels/pathology , DNA Primers/chemistry , Endothelin-1/genetics , Endothelin-Converting Enzymes , Endothelins/genetics , Endothelins/metabolism , Endothelium, Vascular/parasitology , Endothelium, Vascular/pathology , Male , Metalloendopeptidases/genetics , Metalloendopeptidases/metabolism , Mice , Mice, Inbred C57BL , Myocardial Ischemia/metabolism , Myocardial Ischemia/parasitology , Myocarditis/metabolism , Myocarditis/parasitology , Protein Precursors/genetics , Protein Precursors/metabolism , RNA, Messenger/genetics , RNA, Messenger/metabolism , Reverse Transcriptase Polymerase Chain Reaction
6.
Ital Heart J ; 1(6): 431-4, 2000 Jun.
Article in English | MEDLINE | ID: mdl-10929745

ABSTRACT

We report the case of a 33-year-old patient with clinical history of echinococcosis admitted to our Hospital for the appearance of chest pain and electrocardiographic findings of anterior ischemia. The cardiac enzymogram was in the normal range, the chest roentgengram did not show any pathological findings, but two-dimensional echocardiography revealed the presence of a small circular area in the interventricular septum. Transesophageal echocardiography and cardiac nuclear magnetic resonance confirmed the presence of a small hydatid cyst in the middle ventricular septum; in addition, a myocardial scintigraphy revealed an apical stress defect with late reperfusion. Besides cardiologic therapy, the patient was treated with albendazole, an antiparasitic drug, 400 mg bid, for cycles of 28 days with 14 day withdrawal. After two cycles of albendazole therapy, two-dimensional echocardiography showed the absence of the round cystic mass of the interventricular septum previously described. In conclusion, in the case described, long-term therapy with albendazole determined the complete recovery from the illness with the simultaneous disappearance of the cyst and of clinical and electrocardiographic findings of myocardial ischemia.


Subject(s)
Albendazole/therapeutic use , Antiparasitic Agents/therapeutic use , Echinococcosis/complications , Echinococcosis/drug therapy , Heart Septum/parasitology , Myocardial Ischemia/parasitology , Adult , Echinococcosis/diagnosis , Echinococcosis/diagnostic imaging , Echocardiography, Transesophageal , Heart Ventricles/parasitology , Humans , Magnetic Resonance Spectroscopy , Male , Myocardial Ischemia/diagnosis , Myocardial Ischemia/diagnostic imaging
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