Acute limb ischemia is a sudden decrease in perfusion that threatens viability and requires urgent evaluation management. Most of the causes acute are thrombosis artery or bypass graft, embolism from heart disease artery, dissection, trauma. Assessment determines whether viable irreversibly damaged. Prompt diagnosis revascularization by means catheter-based thrombolysis thrombectomy surgery reduce risk loss mortality. Amputation performed patients with irreversible damage. Despite...

In this experimental colitis model, it is aimed to evaluate effects of enterally administered daidzein on colonic anastomoses rats. 48 male Wistar albino rats, 8-10 weeks old, were used. They randomly divided into 8 groups, containing 6 rats each. Half the selected given water rectally using a catheter and other half received 2 cc 4% acetic acid solution by same way cause colitis. Five days after procedure, operated 4 cm long segment, proximal anal verge, was resected an end-to-end...

Objectives: Previous studies showed the association between major adverse cardiovascular outcomes and both higher neutrophil lower lymphocyte counts. We aimed to investigate whether there is an neutrophil-lymphocyte ratio (NLR) value development of coronary collateral circulation (CCC) in patients with chronic total occlusion (CTO). Methods: A 274 CTO were included this study. Patients then classified according their Rentrop grades as either poor (Rentrop 0-1) or good 2-3). Clinical...

Pre-infarction angina reduces myocardial infarct size by preventing the myocardium from being subjected to ischemia reperfusion (I/R) injury. Ischemic preconditioning is proposed mechanism for this effect. Sphingosine 1 phosphate (S1P) activates ischemic pathways and may play a role in presence of cardioprotective effects pre-infarction angina. Therefore, we evaluated relationship between serum S1P levels.Between May 2011 January 2012, 79 patients with acute infarction were included study....

The aim of this study was to determine the factors associated with postoperative atrial fibrillation (AF) in patients left (LA) myxoma.Thirty-six consecutive LA myxoma (10 men, mean age: 49.3 ± 15.7 years), who were operated on between March 2010 and July 2012, included retrospective study. Pre-operative electrocardiograms echocardiographic examinations each patient reviewed.Postoperative AF developed 10 patients, whereas there no evidence paroxysmal after resection remaining 26 patients....

In the developed countries, stroke is third most common cause of death. There are many data indicating that stents reduce risk embolism but there few publications assessing whether different stent designs can influence periprocedural complications.To determine effects open- and closed-cell on 1-month results carotid artery stenting (CAS).The study group consisted 290 consecutive patients (216 men 74 women, mean age 66.6 ±8.7 years). Neuroprotection with a distal protection device was used in...

Introduction: Although percutaneous coronary intervention is an accepted "first-line" therapy in acute ST elevation myocardial infarction (STEMI) general population, few data are available on the short- and long-term outcomes of very old patients (age >90 years). Our aim to evaluate compare short after primary (PPCI) or medical nonagenarian with STEMI. Methods: We retrospectively identified older than 90 years our clinic, STEMI who presented within 12 hours symptoms onset, either underwent...

Resumo Fundamentos A determinação precisa do colesterol de lipoproteína baixa densidade (LDL-C) é importante para se alcançar concentrações LDL-C recomendadas por diretrizes e reduzir resultados cardiovasculares adversos em pacientes diabéticos. equação Friedewald comumente usada (LDL-Cf) produz imprecisos diabéticos devido a dislipidemia diabética associada. Recentemente, duas novas equações – Martin/Hopkins (LDL-CMH) Sampson (LDL-Cs) foram desenvolvidas melhorar precisão da estimativa...

Abstract Background Primary percutaneous coronary intervention ( PPCI ) is the standard treatment in patients with ST ‐segment elevation myocardial infarction STEMI ). Thrombectomy devices are used to remove thrombus or prevent embolization of and plaque during . QT dispersion (the difference between maximal minimal interval calculated on a 12‐lead electrocardiogram) represents regional nonuniformity ventricular repolarization. It may reflect early reperfusion reducing electrophysiological...

Cilostazol is a PDE3 inhibitor and used to treat peripheral arterial disease. There are few reports on the influence of cilostazol heart.The aim this study was assess effect right ventricular function pulmonary artery pressure.Forty patients with normal left ejection fraction mild or moderate hypertension were enrolled in study. Right assessed by tricuspid annular plane systolic excursion (TAPSE), fractional area change (FAC), tissue Doppler imaging (TDI), two-dimensional speckle-tracking...

Objective Although carotid stenting is an effective treatment for severe stenosis, it has been associated with alterations in autonomic functions during or shortly after the procedure. Heart rate variability (HRV) established tool asessment of autonumic functions. In this study, our aim was to investigate relation between and HRV by Holter monitoring parameters. Methods Patients (19 male, 8 female) that are suitable artery stenting, without a history hypertension, diabetes mellitus, coronary...

Total atrial conduction time (TACT) is the most important parameter in predicting development of new-onset fibrillation. We investigated effect cilostazol therapy on TACT patients with peripheral artery disease.Thirty disease were treated (200 mg/day) for 6 months. The baseline echocardiographic total was compared 6-month follow-up.The duration decreased all after (121.8 ± 19.3 vs. 109.1 15.9 milliseconds, p<0.001). However, left (LA) diameter not changed therapy. reduction correlated...

Background: During coronary artery bypass grafting (CABG), one of the most important complications related to internal mammary (IMA) is perioperative spasm. Nebivolol causes endothelium-dependent vascular relaxation by increasing nitric oxide (NO) release and prevents endothelial dysfunction in long-term use. In our study, we measured effect a third generation beta blocker, nebivolol, on flow dynamics IMA grafts. Methods: We recruited 90 hypertensive patients undergoing isolated CABG...

Access from the femoral arteries to thoracic aorta for intra-aortic balloon pump (IABP) insertion may not be feasible in a substantial number of patients with severe peripheral vascular disease. Since using an alternative access is inevitable certain requiring IABP support, all accesses should added surgical armamentarium. Herein, we present our 27-year experience different following failed contraindication artery cannulation. The techniques described below were: transthoracic tube graft, -...

The influence of plasma adiponectin levels on myocardial contractile function has not been fully examined. We aimed to investigate the relationship between three-directional systolic and in asymptomatic hypertensive patients using two- dimensional speckle-tracking echocardiography. study population consisted 78 with hypertension 40 healthy controls. Longitudinal strain was significantly reduced all patients, including those without LV hypertrophy (p=0.009). In multiple-regression analysis,...

Cardiac troponin T is a marker of myocardial injury, especially when measured by means the high-sensitivity assay (hs-cTnT). The echocardiographic and clinical predictors hs-cTnT may be different in ischemic heart failure (IHF) non-ischemic dilated cardiomyopathy (DCM).Sixty consecutive patients (19 female, 41 male; mean age 56.3 ± 13.9 years) with stable congestive (33 patient IHF 27 DCM), New York Heart Association functional class I-II symptoms, left ventricular ejection fraction < 40%...

The abdominal cocoon is a rare disease in which there total or partial encapsulation of the small bowel by fibrous membrane. A correct diagnosis not often made pre-operatively. Awareness this cause surgical emergency may prevent delay treatment and avoid unnecessary procedures for patient, such as resection. We report patient diagnosed with who was subsequently treated.