The frequency of left atrial thrombus on transthoracic echocardiogram in patients with mitral stenosis

Background: Patients with mitral stenosis (MS) are more prone to develop left atrial (LA) thrombus. This cross-sectional study was conducted to determine the frequency of LA thrombus on transthoracic echocardiography (TTE) in patients with MS.Methods: In this study, we included patients diagnosed with MS undergoing TTE at the echocardiography department of the National Institute of Cardiovascular Disease (NICVD), Karachi, Pakistan. The severity of MS was classified based on the mitral valve area (MVA) as follows: very severe: MVA of ≤1.0 cm2; severe: MVA of ≤1.5 cm2; and mild to moderate: MVA of \u3e1.5 cm2. The LA thrombus was observed and noted on TTE.Results: A total of 256 MS patients were included in this study, out of which 46.5% (119) were male. The mean age was 33.78 ±11.51 years. MS was classified as mild to moderate in 3.5% of the patients, severe in 54.3%, and very severe in 42.2%. In 98.8% of the patients, the etiology of MS was rheumatic. LA thrombus was observed in 25% (64) of the patients and LA smoke was observed in 12.1% (31). Among other findings, mitral regurgitation (MR) was observed in 17.2% of the patients, aortic regurgitation (AR) in 5.1%, aortic stenosis (AS) in 4.7%, and tricuspid regurgitation (TR) in 48.8%. Five (2%) patients had atrial septal defect (ASD), 17.3% had left ventricular (LV) dysfunction, 15.2% had right ventricular (RV) dysfunction, and vegetation was seen in 11.8% of the patients. Patients with LA thrombus were found to be associated with the following conditions on a higher scale compared to those without: decreased ejection fraction (EF) (52 ±8.5% vs. 54.94 ±6.6%; p: 0.011); RV dysfunction (39.1% vs. 7.3%; p: Conclusion: LA thrombus on TTE was detected in a significant number (25%) of patients with MS. It was also found to be strongly associated with the severity of the disease, reduced EF, RV dysfunction, and the presence of associated value pathologies

Experimental evaluation of liquid nitrogen fracturing on the development of tight gas carbonate rocks in the Lower Indus Basin, Pakistan

Tight gas carbonate formations have enormous potential to meet the supply and demand of the ever-growing population. However, it is impossible to produce from these formations due to the reduced permeability and lower marginal porosity. Several methods have been used to extract unconventional tight gas from these reservoirs, including hydraulic fracturing and acidizing. However, field studies have demonstrated that these methods have environmental flaws and technical problems. Liquid nitrogen (LN2) fracturing is an effective stimulation technique that provides sudden thermal stress in the rock matrix, creating vivid fractures and improving the petro-physical potential. In this study, we acquired tight gas carbonate samples and thin sections of rock from the Laki limestone formation in the Lower Indus Basin, Pakistan, to experimentally quantify the effects of LN2 fracturing. Initially, these samples were characterized based on mineralogical (X-ray diffraction), petrography, and petro-physical (permeability and porosity) properties. Additionally, LK-18-06 Laki limestone rock samples were exposed to LN2 for different time intervals (30, 60, and 90 mins), and various techniques were applied to comprehend the effects of the LN2 before and after treatment, such as atomic force microscopy, scanning electron microscopy, energy-dispersive spectroscopy, nano-indentation, and petro-physical characterization. Our results reveal that the LN2 treatment was very effective and induced vivid fractures of up to 38 µm. The surface roughness increased from 275 to 946 nm, and indentation moduli significantly decreased due to the decreased compressibility of the rock matrix. Petro-physical measurements revealed that the porosity increased by 47% and that the permeability increased by 67% at an optimum LN2 treatment interval of 90 mins. This data can aid in an accurate assessment of LN2 fracturing for the better development of unconventional tight gas reservoirs

Investigating Rheological Properties of High Performance Cement System for Oil Wells

Abstract: The main purpose of designing cement slurry for extreme and deep environment (HPHT wells) is to develop high performance cement system in well bore to achieve zonal isolation. The primary objective of cement slurry is to improve rheological properties and displacement efficiency of cement system. Oil well slurries depend on its homogeneity of additive concentrations, quality and quantity to contribute the placement and success of a well drilling cementing operation. This research study is focused on the laboratory study of the High Performance Cement System (HPCS). This investigation of cement slurry was prepared with Silica Fume (SF) and excess amount of water to decrease the slurry density in order to observe the rheological properties above 120C at different concentration of SF. Results indicates that the designed cement rheological properties are directly influenced by the shear rate and shear stress on the pump-ability of the cement with the increase of the SF concentration for the rheological improvement

Could shale gas meet energy deficit: its current status and future prospects

Abstract The production of gas from conventional reserves has shown steep decline, whereas the demand of hydrocarbons as energy source is rising. Hence, the resulting deficit of energy can be met by developing the unconventional energy resources. Among all unconventional energy resources, shale gas is relatively the potential source of energy to be developed in a sustainable way. However, the degree of uncertainty is large for sustainable development of shale gas reservoirs. The shale gas found is held in extremely low-permeability formations having poor porosity; the free gas and the adsorbed gas are also found together. Therefore, the production mechanisms of shale gas reservoirs are quiet complex than the conventional gas reservoirs. Hence, the shale gas resources sustainable development remain ambiguous. In order to find sustainable way of exploitation of shale gas resources, this manuscript reviews in detail, the shale gas potential in Pakistan and the world in terms of its distribution, production mechanism, policy implications and development trends

Application of cellulose‑based polymers in oil well cementing

Cellulose-based polymers have been successfully used in many areas of petroleum engineering especially in enhanced oil recovery drilling fluid, fracturing and cementing. This paper presents the application of cellulose-based polymer in oil well cementing. These polymers work as multifunctional additive in cement slurry that reduce the quantity of additives and lessen the operational cost of cementing operation. The viscosity of cellulose polymers such as hydroxyethyl cellulose (HEC), carboxymethylcellulose (CMC) and hydroxypropyl methylcellulose (HPMC) has been determined at various temperatures to evaluate the thermal degradation. Moreover, polymers are incorporated in cement slurry to evaluate the properties and affect in cement slurry at 90 °C. The API properties like rheology, free water separation, fluid loss and compressive strength of slurries with and without polymer have been determined at 90 °C. The experimental results showed that the viscosity of HPMC polymer was enhanced at 90 °C than other cellulose-based polymers. The comparative and experimental analyses showed that the implementation of cellulose-based polymers improves the API properties of cement slurry at 90 °C. The increased viscosity of these polymers showed high rheology that was adjusted by adding dispersant which optimizes the rheology of slurry. Further, improved API properties, i.e., zero free water separation, none sedimentation, less than 50 ml/30 min fluid loss and high compressive strength, were obtained through HEC, CMC and HPMC polymer. It is concluded that cellulose-based polymers are efficient and effective in cement slurry that work as multifunctional additive and improve API properties and cement durability. The cellulose-based polymers work as multifunctional additive that reduces the quantity of other additives in cement slurry and ultimately reduces the operational cost of cementing operation. The comparative analysis of this study opens the window for petroleum industry for proper selection of cellulose-based polymer in designing of cement slurry

Comparison of Klinkenberg-Corrected Gas and Liquid Permeability in Kirthar Fold Belt Tight Gas Sands

A detailed laboratory study was carried out to investigate the controls and differences between Klinkenbergcorrected gas and liquid permeability. For this reason outcrop core samples were collected from Kirthar fold belt of lower Indus basin, the plugs were horizontally taken, in cylindrical shape having dimension of 3.5-5.32 cm length and with maximum of 3.2 cm diameter. The sample porosity measurements were performed using calculations from grain volume and bulk volume method. For the purpose of comparison, slippage free gas permeability tests using nitrogen gas was measured and liquid permeability of samples was measured using brine (NaCl) of different compositions. The data obtained showed that liquid permeability was lower by an order of magnitude than the permeability of samples measured with gas. However, the gas permeability corrected for Klinkenberg effects showed difference of half an order of magnitude when compared with liquid permeability. Hence the differences in liquid permeability and gas permeability could be described by other mechanism of particles mobilization and dissolution and pore blocking phenomena. Moreover, the obtained data of gas and liquid permeability was then used to develop permeability estimation correlations. The results suggests that there is scatter in the measured values and predicted values of gas and liquid permeability data, which means that such correlations should not be used where accurate liquid permeability values of tight sandstones are needed. Permeability predicted using the existing correlations developed based on gas permeability data lead to an overestimation of permeability also the flow rates might be over predicted within such low permeability reservoirs

Laboratory Investigation to Assess the Impact of Pore Pressure Decline and Confining Stress on Shale Gas Reservoirs

Four core samples of outcrop type shale from Mancos, Marcellus, Eagle Ford, and Barnett shale formations were studied to evaluate the productivity performance and reservoir connectivity at elevated temperature and pressure. These laboratory experiments were conducted using hydrostatic permeability system with helium as test gas primarily to avoid potential significant effects of adsorption and/or associated swelling that might affect permeability. It was found that the permeability reduction was observed due to increasing confining stress and permeability improvement was observed related to Knudsen flow and molecular slippage related to Klinkenberg effect. Through the effective permeability of rock is improved at lower pore pressures, as 1000 psi. The effective stress with relatively high flow path was identified, as 100-200 nm, in Eagle Ford core sample. However other three samples showed low marginal flow paths in low connectivity

Effect of Temperature and Alkali Solution to Activate Diethyl Carbonate for Improving Rheological Properties of Modified Hydroxyethyl Methyl Cellulose

The applications of cellulose ethers in the petroleum industry represent various limitations in maintaining their rheological properties with an increase in both concentration and temperature. This paper proposed a new method to improve the rheological properties of hydroxyethyl methyl cellulose (HEMC) by incorporating diethyl carbonate (DEC) as a transesterification agent and alkali base solutions. Fourier transform infrared (FTIR) analysis confirmed the grafting of both composites onto the HEMC surface. The addition of sodium hydroxide (NaOH) improved the stability of the polymeric solution as observed from ζ-potential measurement. Shear viscosity and frequency sweep experiments were conducted at concentrations of 0.25–1 wt % at ambient and elevated temperatures ranging from 80–110 °C using a rheometer. In the results, the increase in viscosity at specific times and temperatures indicated the activation of DEC through the saponification reactions with alkali solutions. All polymeric solutions exhibited shear-thinning behavior and were fitted well by the Cross model. NaOH-based modified solution exhibited low shear viscosity compared to the DEC-HEMC solution at ambient temperature. However, at 110 °C, its viscosity exceeded that of the DEC-HEMC solution due to the activation of DEC. In frequency sweep analysis, the loss modulus (G″) was greater than the storage modulus (G′) at lower frequencies and vice versa at higher frequencies. This signifies the viscoelastic behavior of modified solutions at 0.50 wt % and higher concentrations. The flow point (G′ = G″) shifted to a low frequency, indicating the increasing dominance of elastic behavior with the rising temperature. At 110 °C, the NaOH-based modified solution exhibited both viscous and elastic behavior, confirming the solution’s thermal stability and flowability. In conclusion, modified HEMC solution was found to be effective in controlling viscosity under ambient conditions, enhancing solubility, and improving thermal stability. This modified composite could play a significant role in optimizing viscoelastic properties and fluid performance under challenging wellbore conditions