Probability Of Finding Signifigant Obstructive Coronory Artery Disease By Coronary Ct Angiography In Patients Presenting With Chest Pain In A Large, Multi- physician Outpatient Cardiology Private Practice
AbstractBackgroundAtrial myxoma remains a rare clinical entity with an incidence of surgically resected cases of 0.5 –0.7 per million population and prevalence of
We present the first case with history of repaired coarctation with multiple spontaneous intercostal artery aneurysmal rupture.
A 13-year-old girl presented with recurrent abdominal pain of 3 months' duration that appeared after menarche. Physical examination revealed tenderness over the left ovarian point. Laboratory tests (hemogram, biochemistry, urinary sediment, celiac disease serology, fecal parasites, and calprotectin) and the abdominal ultrasound were normal. Computed tomography angiography (Figure, A) and magnetic resonance imaging showed a double left renal vein with a retroaortic component, prominent left parauterine circulation, and engorged ipsilateral ovarian vein (caliber of 8 mm and grade II reflux).
We present the first case with history of repaired coarctation with multiple spontaneous intercostal artery aneurysmal rupture. PMID: 32035043 [PubMed - as supplied by publisher]
CONCLUSION: Here, we present the case of a 39-year-old male with isolated hypoplasia of the left circumflex artery detected by coronary Computed Tomography (CT) angiography who complained of palpitation. PMID: 31989912 [PubMed - in process]
ConclusionIt is preferable to perform CCTA in young patients with cardiac symptoms, especially in Asian and Middle Eastern countries even of the CAC score is zero.
We describe a comprehensive, multidisciplinary treatment approach for lumbar vertebral hemangiomas (VHs) with spinal stenosis and radiculopathy. A 59-year-old female presented with 1 year of pain predominantly in the lower back, with pain in the left buttock and proximal left anterior thigh as well and magnetic resonance imaging of the lumbar spine demonstrated lumbar scoliosis and an L3 vertebral lesion suspicious for hemangioma. A computed tomography guided biopsy was done, which supported the diagnosis. Definitive treatment entailed preoperative angiography and embolization, followed by L3 laminectomy, right L3 pedicle ...
CONCLUSION: Preoperative magnetic resonance imaging (MRI) and computed tomography angiography (CTA) can be used for diagnosis of CSHB. Finding and blocking the nutrient arteries during surgery is necessary reduce bleeding. Total tumor resection requires accurately identifying and separating the proliferative area around the tumor. PMID: 31953074 [PubMed - as supplied by publisher]
Authors: Alderwish E, Schultz E, Kassam Z, Poon M, Coplan N Abstract There is a broad differential diagnosis for patients presenting with acute chest pain. History, physical examination, electrocardiogram, and serial troponin assays are pivotal in assessing patients with suspected acute coronary syndrome. However, if the initial workup is equivocal, physicians are faced with a challenge to find the optimal strategy for further triage. Risk stratification scores have been validated for patients with known acute coronary syndrome, such as the TIMI and GRACE scores, but there may be limitations in undifferentiated che...
Abstract Pulmonary embolism (PE) is a condition characterised by an obstruction of the pulmonary arterial system by one or more emboli. Advanced clinical practitioners are often faced with ruling out a diagnosis of PE in patients with non-specific symptoms such as dyspnoea and pleuritic chest pain, which can be fairly mild and therefore a diagnosis of PE easily missed. PEs can be a challenge to diagnose, especially in elderly people, since it can be difficult to differentiate their symptoms from other less serious illnesses. Widely used scoring tools are helpful to calculate a patient's probability of having a PE....