Context:Intracardiac masses(ICMs)are detected during the exploration of cardiovascular pathologies or discovered incidentally.They include intracardiac thrombi,cardiac tumors and valvular vegetations.Method:This was a...Context:Intracardiac masses(ICMs)are detected during the exploration of cardiovascular pathologies or discovered incidentally.They include intracardiac thrombi,cardiac tumors and valvular vegetations.Method:This was a descriptive study retrospectively collected within the cardiology department from January 1,2011 to March 31,2013.All the patients diagnosed and hospitalized for intracardiac masses and followed-up for at least three months were included in the study.Outcomes:Among the 1066 patients admitted in the period of study,80 patients had intracardiac masses,corresponding to a hospital frequency of 7.5%.The average age was 48.4±17.4 years.ICM was detected during a thromboembolic complication in 18 cases(22.5%)and during a cardiological check-up for heart disease in 62 cases(77.5%).Thromboembolic complications were dominated by strokes in 55.6% of cases.Cardiology check-up was done because of exertional dyspnea(62 patients)in 77.5% of cases.Among these intracardiac masses(ICMs),intracardiac thrombosis(ICT)was observed in 41 cases(50.6%),followed by intracardiac vegetations in 32 cases(39.5%).The curative treatment of intracardiac masses consisted of anticoagulants in 65%of cases,antibiotics in 58.8%of cases and instrumental treatments in 1.3%of cases.We didn’t use cardiac surgery as a therapeutic means in our study.Twenty patients(25%)died during hospitalization,six of whom(30%)died as a result of thromboembolic complications.Conclusion:Intracardiac masses visualized on ultrasound are most often due to thrombi,vegetations or myxomas.In our study,intracardiac thrombosis was the most common masses,accounting for 50.6%of cases.展开更多
Introduction/Objective:This study aims at studying the epidemiological,clinical,paraclinical,therapeutic and evolutionary profiles of acute heart failure.Patients and Method:This was a prospective and observational st...Introduction/Objective:This study aims at studying the epidemiological,clinical,paraclinical,therapeutic and evolutionary profiles of acute heart failure.Patients and Method:This was a prospective and observational study conducted on 62 cases from February to April 2016.All the patients diagnosed with acute heart failure detected through clinical and echocardiographic findings were included in the study.Out-of-hospital follow-up of patients consisted in collecting clinical and paraclinical parameters at one week and one month after discharge from hospital.Multivariate regression was used to analyze the effect of the variables on the occurrence of death,with p<0.05 as the threshold of significance.Outcomes:The prevalence of acute heart failure(AHF)in cardiology was estimated at 45.25%.The average age was 58.24±19.04,with a sex ratio of 1.58.The clinical picture was that of congestive heart failure(87.10%)and right heart failure(08.06%)on admission.The ECG showed atrial fibrillation in 19.35%of cases.Thirty-five patients(54.10%)had impaired LVEF(<40%).Furosemide injection was the dominant treatment.The average duration of the hospital stay was 9 days.In-hospital mortality was estimated at 11.30% and mortality at one month reached 3.64%.Conclusion:AHF is a frequent and serious syndrome in cardiology.Patients with cardiovascular collapse upon admission or with pre-existing HF have a bad prognosis.展开更多
文摘Context:Intracardiac masses(ICMs)are detected during the exploration of cardiovascular pathologies or discovered incidentally.They include intracardiac thrombi,cardiac tumors and valvular vegetations.Method:This was a descriptive study retrospectively collected within the cardiology department from January 1,2011 to March 31,2013.All the patients diagnosed and hospitalized for intracardiac masses and followed-up for at least three months were included in the study.Outcomes:Among the 1066 patients admitted in the period of study,80 patients had intracardiac masses,corresponding to a hospital frequency of 7.5%.The average age was 48.4±17.4 years.ICM was detected during a thromboembolic complication in 18 cases(22.5%)and during a cardiological check-up for heart disease in 62 cases(77.5%).Thromboembolic complications were dominated by strokes in 55.6% of cases.Cardiology check-up was done because of exertional dyspnea(62 patients)in 77.5% of cases.Among these intracardiac masses(ICMs),intracardiac thrombosis(ICT)was observed in 41 cases(50.6%),followed by intracardiac vegetations in 32 cases(39.5%).The curative treatment of intracardiac masses consisted of anticoagulants in 65%of cases,antibiotics in 58.8%of cases and instrumental treatments in 1.3%of cases.We didn’t use cardiac surgery as a therapeutic means in our study.Twenty patients(25%)died during hospitalization,six of whom(30%)died as a result of thromboembolic complications.Conclusion:Intracardiac masses visualized on ultrasound are most often due to thrombi,vegetations or myxomas.In our study,intracardiac thrombosis was the most common masses,accounting for 50.6%of cases.
文摘Introduction/Objective:This study aims at studying the epidemiological,clinical,paraclinical,therapeutic and evolutionary profiles of acute heart failure.Patients and Method:This was a prospective and observational study conducted on 62 cases from February to April 2016.All the patients diagnosed with acute heart failure detected through clinical and echocardiographic findings were included in the study.Out-of-hospital follow-up of patients consisted in collecting clinical and paraclinical parameters at one week and one month after discharge from hospital.Multivariate regression was used to analyze the effect of the variables on the occurrence of death,with p<0.05 as the threshold of significance.Outcomes:The prevalence of acute heart failure(AHF)in cardiology was estimated at 45.25%.The average age was 58.24±19.04,with a sex ratio of 1.58.The clinical picture was that of congestive heart failure(87.10%)and right heart failure(08.06%)on admission.The ECG showed atrial fibrillation in 19.35%of cases.Thirty-five patients(54.10%)had impaired LVEF(<40%).Furosemide injection was the dominant treatment.The average duration of the hospital stay was 9 days.In-hospital mortality was estimated at 11.30% and mortality at one month reached 3.64%.Conclusion:AHF is a frequent and serious syndrome in cardiology.Patients with cardiovascular collapse upon admission or with pre-existing HF have a bad prognosis.
