Assuntos
Eletrocardiografia/métodos , Efeitos Adversos de Longa Duração/mortalidade , Embolia Pulmonar , Idoso , Idoso de 80 Anos ou mais , Angiografia por Tomografia Computadorizada/métodos , Feminino , Seguimentos , Mortalidade Hospitalar , Humanos , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Prognóstico , Modelos de Riscos Proporcionais , Artéria Pulmonar/diagnóstico por imagem , Embolia Pulmonar/diagnóstico , Embolia Pulmonar/mortalidade , Medição de Risco , Turquia/epidemiologiaRESUMO
OBJECTIVES: Acute spinal cord ischemia syndrome (ASCIS) due to coronary invasive intervention is rarely seen. In this case report we wish to highlight the mortality and morbidity of this entity. METHODS: Case report. RESULTS: A 60-year-old woman, diagnosed with acute myocardial infarction, presented with paresthesia and paraparesis of her legs after coronary invasive intervention. Magnetic resonance imaging showed hyperintensity from T6 to T10 consistent with ASCIS. Despite immediately starting rehabilitation program the patient never regained ambulation. CONCLUSION: Spinal cord infarction secondary to coronary intervention is rare, but when it presents the mortality and morbidity are high.
Assuntos
Procedimentos Cirúrgicos Cardiovasculares/efeitos adversos , Infarto do Miocárdio/cirurgia , Isquemia do Cordão Espinal/etiologia , Doença Aguda , Feminino , Humanos , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Medula Espinal/patologia , Isquemia do Cordão Espinal/patologia , Isquemia do Cordão Espinal/fisiopatologia , Isquemia do Cordão Espinal/reabilitação , Vértebras TorácicasRESUMO
We report the case of a 32-year-old man with new diagnosed Behcet's disease (BD) with cardiac, central nervous system and vascular involvement. Transthoracic echocardiography disclosed a thrombus in the right ventricle and another thrombus in the inferior vena cava (IVC). The color Doppler imaging was compatible with Budd-Chiari syndrome. Magnetic resonance imaging (MRI) of the brain revealed atrophy of brain stem and right hemisphere and a milimmetric lacunar infarct. Although therapy with urokinase, pulse methylprednisolone and cyclophosphamide was administered immediately, the patient died due to hepatic failure. BD should always be considered in the differential diagnosis of thromboses in the young and thrombotic events should be evaluated during the clinical course of BD.
Assuntos
Síndrome de Behçet/diagnóstico , Cardiopatias/diagnóstico , Trombose/diagnóstico , Veia Cava Inferior , Adulto , Síndrome de Behçet/complicações , Síndrome de Behçet/terapia , Síndrome de Budd-Chiari/diagnóstico , Infarto Cerebral/etiologia , Diagnóstico Diferencial , Ecocardiografia , Evolução Fatal , Cardiopatias/etiologia , Cardiopatias/terapia , Humanos , Falência Hepática/etiologia , Imageamento por Ressonância Magnética , Masculino , Valor Preditivo dos Testes , Trombose/etiologia , Trombose/terapia , Ultrassonografia Doppler em Cores , Veia Cava Inferior/diagnóstico por imagemRESUMO
The aim of the present study was to investigate degree of erectile dysfunction (ED) in males with slow coronary flow (SCF). Endothelial dysfunction was proposed to be the underlying mechanism in both diseases. A total of 29 male patients with slow coronary flow (mean age 45+/-7 years) and 23 male patients with normal coronary arteries (mean age 48+/-12 years) were included in the study. The severity of ED was determined according to the International Index of Erectile Function (IIEF) questionnaire. Mean IIEF scores in patients with SCF and control group were determined as 20.97+/-7.26 and 25.26+/-5.17, P=0.016. ED was detected in 45% (n=13) of SCF patients and 35% (n=8) of the control group (P=0.035). There was a negative correlation between the mean TIMI frame count and IIEF score between patients with SCF and controls (r=-0.31, P=0.029). These data suggest that ED is observed more frequently in patients with SCF phenomenon compared to patients with otherwise normal coronary angiograms.
Assuntos
Circulação Coronária , Células Endoteliais , Disfunção Erétil/sangue , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
We investigated sexual function in female patients with coronary artery disease (CAD). A total of 20 consecutive female patients (38.2+/-3.8 years) with CAD diagnosed by coronary angiography and 15 healthy subjects (37.9+/-5.4 years) were enrolled in this study. The Female Sexual Function Index (FSFI) was used to assess sexual function in all the participants. Women with psychiatric disorders, gynecologic and systemic diseases that may affect sexual function were excluded from the study. The other exclusion criteria were usage of antidepressants and drugs affecting sexual function. Patients with CAD and healthy women were comparable in age, body mass index and education level. Female sexual dysfunction (FSD) was diagnosed in 12 of 20 women with CAD (60%), whereas five of 15 healthy women (33.3%) were found to have FSD (P<0.05). Patients with CAD had a significantly lower number of sexual intercourse episodes per month than healthy women volunteers (2.24 versus 5.2, respectively; P<0.05). The FSFI total score was clearly significantly decreased in the CAD group compared with that in healthy controls (17.8+/-2.9 and 26.0+/-4.8, P=0.001). When the subscores of each domain of FSFI were evaluated, all the subscores of FSFI, except the satisfaction domain, in patients with CAD were significantly lower than those of healthy subjects (P<0.05). This preliminary study demonstrates that female patients with CAD have distinct sexual dysfunction compared with healthy controls. Women with CAD should be evaluated also in terms of sexual function to provide better quality of life.
