Venous Obstruction Following Pacemaker or Implantable Cardioverter-Defibrillator Implantation, Mini Review

Venous obstruction is relatively frequent following permanent pacemaker or implantable cardioverter-defibrillator (ICD) implantation. However, most of them are asymptomatic. Although the exact risk factor for this complication is not known, number of leads, heart failure and infection may prone the patient to this complication. The goal standard for detection of vein stenosis is venography; however, ultrasound sonography has an acceptable accuracy. Anticoagulant therapy may be considered for symptomatic patients. For device upgrading, non-functional leads removal, venoplasty and rarely surgical treatment may be indicated

His Bundle Extrasystole or A Dual Atrioventricular Nodal Response

A dual atrioventricular (AV) nodal response and His bundle extrasystole cannot be different in many cases with certainty. We present a 31-year-old man with episodes of palpitation and conducted and non-conducted His bundle extrasystole detected during an electrophysiology study

Cardiac Resynchronization Therapy With or Without Defibrillation

No abstract available

Comparison of data mining techniques to predict and map the Atterberg limits in central plateau of Iran

The Atterberg limits display soil mechanical behavior and, therefore, can be so important for topics related to soil management. The aim of the research was to investigate the spatial variability of the Atterberg limits using three most common digital soil-mapping techniques, the pool of easy-to-obtain environmental variables and 85 soil samples in central Iran. The results showed that the maximum amount of liquid limit (LL) and plastic limit (PL) were obtained in the central, eastern and southeastern parts of the study area where the soil textural classes were loam and clay loam. The minimum amount of LL and PL were related to the northwestern parts of the study area, adjacent to the mountain regions, where the samples had high levels of sand content (>80%). The ranges of plasticity index (PI) in the study area were obtained between 0.01 to 4%. According to the leave-in-out cross-validation method, it should be highlighted the combination of artifiial bee colony algorithm (ABC) and artifiial neural network (ANN) techniques were the best model to predict the Atterberg limits in the study area, compared to the support vector machine and regression tree model. For instance, ABC-ANN could predict PI with RMSE, R2 and ME of 0.23, 0.91 and -0.03, respectively. Our fiding generally indicated that the proposed method can explain the most of variations of the Atterberg limits in the study area, and it could berecommended, therefore, as an indirect approach to assess soil mechanical properties in the arid regions, where the soil survey/sampling is difficult to undertake

Echocardiographic Findings of ICU-Admitted COVID-19 Patients: a Multicenter Retrospective Study

Background: The coronavirus disease 2019 (COVID-19) pandemic has left many victims and caused many problems for the healthcare systems of different countries. Many COVID-19 patients have cardiovascular complications, which are detectable using echocardiography. This study aimed to determine the echocardiographic findings and their association with mortality in an intensive care unit (ICU)-admitted COVID-19 patients. Materials and Methods: In this retrospective study, COVID-19 patients admitted to the ICU of four hospitals in Tehran, Iran, from April 2020 to March 2021 were recruited. Data were collected by the census method. We reviewed the medical records regarding demographic features, clinical history, laboratory results, and echocardiographic findings. Finally, variables were compared regarding disease outcomes at the end of hospitalization. We used the Chi-square test, Fisher’s exact test, independent-samples t-test, and logistic regression model to analyze the data. Results: This study showed that the mean age of 629 COVID-19 patients was 66.42±14.53 years. Overall, 56.8% of the patients were male. Multivariate regression analysis showed that age (OR=1.03; 95% CI: 1.01-1.05), left ventricular ejection fraction (OR=0.95; 95% CI: 0.92-0.98), and systolic pulmonary arterial pressure (OR=1.12; 95% CI: 1.06-1.18) were predictors of mortality. Conclusion: Cardiovascular involvement is prevalent among critically ill COVID-19 patients. Among echocardiographic findings, EF and s-PAP were significantly associated with the disease outcomes

Valsalva maneuver using a Handmade Device in Supraventricular Tachycardia Reversion; a Quasi Experimental Study

Introduction: The use of vagal nerve stimulation is identified as a proper treatment option in patients with stable supraventricular tachycardia (SVT). This study aimed to assess the success of Valsalva maneuver via a handmade device in reversion of SVT. Methods: In this quasi experimental study, using a handmade device, vagus nerve stimulation was performed for SVT patients presenting to emergency department or cardiac intervention unit and the success rate and its related factors were assessed. Results: 100 patients with the mean age of 53.05 ± 13.70 years were studied (67% female). 12 (12%) cases were unable to do the maneuver. Out of the 88 (88.0%) patients who could perform the maneuver, 75 (85.2%) cases were unsuccessful. Dysrhythmia was controlled in 6 (6.8%) cases on the first attempt and in 7 (8.0%) cases on the second one (14.8% total success rate). 12 of the 13 cases (92.3%) with successful maneuver had history of SVT (p = 0.031). There was not any significant association between success rate and sex (p = 0.084), age (p = 0.744), or other medical histories (p ≥ 0.05). Conclusion: Based on the results of the present study, the success rate of Valsalva maneuver with the mentioned handmade device was calculated to be 14.8%. The only independent related factor of successful reversion was SVT history.

Change in Atrial Activation Pattern during Ablation of Atrial Flutter

Different types of supraventricular tachycardia have been reported in patients with history of surgical repair of Tetralogy of Fallot. This report presents appearance of focal atrial tachycardia during radiofrequency ablation of the cavotricuspid isthmu

Comparison of Two Marketed Hydroxypropyl Methylcellulose Based Artificial Tear Drops in Young Patients with Dry Eye Syndrome

Background: Artificial tears have been among the first line of therapy in management of Dry Eye Syndrome (DES). This study was conducted to compare a local artificial tear with an imported one in reduction of DES. This comparison would help to evaluate the cost and benefits of each drop in the proper management of DES.Materials and Methods: In this double-blind randomized clinical trial study, a total 65 students meeting our inclusion criteria for DES entered the study. The OSDI questionnaire, TBUT, corneal and conjunctival staining and Schirmer test, were performed. The patients were divided into two groups by block randomization. Group 1 received first drop and group 2 received second drop. Both groups were instructed to use the drops 4 times a day for 14 days. The same tests were performed by the same examiner who was blind to the treatment type after two weeks. Repeated measured ANOVA was used to analyze the data.Results: A total of 58 patients completed the study. In both groups, after the intervention, the OSDI scores (P<0.001), TBUT score (P=0.041), corneal (P<0.001) and conjunctival staining scores (P<0.001) showed improvement in compare to those before the intervention. However, the Schirmer test score did not show significantly difference before and after intervention. In comparing two groups the OSDI scores, the TBUT score, the corneal and conjunctival staining scores and the Schirmer scores did not show statistically significant difference.Conclusion: The two artificial tears equally reduced the symptoms and signs of DES in two weeks