187 research outputs found

    Body mass index and health-related quality of life in patients preparing for coronary angiography

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    There is evidence that body mass index (BMI) is related to some extent to the health related quality of life (HRQoL) in different populations. The purpose of our study was to investigate the relationship between the BMI and the HRQoL in patients awaiting coronary angiography. The sample consisted of 100 patients (68 males and 32 females) with symptomatology indicated for coronary angiography. For all of them BMI was calculated. They were also administered Duke Health profile questionnaire which measures adult self-reported functional health status. The findings reveal that BMI is related to some aspects of HRQoL. Considering this, health counseling directed at regulating body weight as part of the positive health behavior can benefit and improve some domains of the HRQoL and the QoL per se of the individuals having health problems

    Body mass index and health-related quality of life in patients preparing for coronary angiography

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    There is evidence that body mass index (BMI) is related to some extent to the health related quality of life (HRQoL) in different populations. The purpose of our study was to investigate the relationship between the BMI and the HRQoL in patients awaiting coronary angiography. The sample consisted of 100 patients (68 males and 32 females) with symptomatology indicated for coronary angiography. For all of them BMI was calculated. They were also administered Duke Health profile questionnaire which measures adult self-reported functional health status. The findings reveal that BMI is related to some aspects of HRQoL. Considering this, health counseling directed at regulating body weight as part of the positive health behavior can benefit and improve some domains of the HRQoL and the QoL per se of the individuals having health problems

    ВранскатСтСр ΠΏΠ΅Ρ€ΠΊΡƒΡ‚Π°Π½ΠΎ Π·Π°Ρ‚Π²ΠΎΡ€Π°ΡšΠ΅ Π½Π° ductus arteriosus

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    Ductus arteriosus persistens (DAP) Π΅ чСста аномалија со 9%- 15% ΠΎΠ΄ ситС Π°Π΄ΡƒΠ»Ρ‚ΠΈ со Π²Ρ€ΠΎΠ΄Π΅Π½ΠΈ срцСви ΠΌΠ°Π°Π½ΠΈ (VSM) ΠΈ Π²ΠΎ 25% кај Π΄Ρ€ΡƒΠ³ΠΈ VSM. НовородСни со коплСксни VSM ΠΌΠΎΠΆΠ΅ Π΄Π° ΠΈΠΌΠ°Π°Ρ‚ DAP зависна Ρ†ΠΈΡ€ΠΊΡƒΠ»Π°Ρ†ΠΈΡ˜Π° (ΠΏΡ€Π΅ΠΊΠΈΠ½Π°Ρ‚ Π°ΠΎΡ€Ρ‚Π΅Π½ Π»Π°ΠΊ, ΠΏΡƒΠ»ΠΌ. Π°Ρ‚Ρ€Π΅Π·ΠΈΡ˜Π° Π±Π΅Π· VSD). ΠŸΡ€ΠΎΡ‚ΠΎΠΊΠΎΡ‚ зависи ΠΎΠ΄ ΡˆΠΈΡ€ΠΈΠ½Π°Ρ‚Π° ΠΈ ΠΏΡƒΠ»ΠΌΠΎΠ½Π°Π»Π½Π°Ρ‚Π° васкуларна Ρ€Π΅ΡΡ‚Π΅Π½Ρ†ΠΈΡ˜Π°

    Π’Ρ€Π΅Ρ‚ΠΌΠ°Π½ Π½Π° Π°Ρ‚Π΅Π»Π΅ΠΊΡ‚Π°Π·ΠΈ

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    АтСлСктази сС Π½Π°Ρ˜Ρ‡Π΅ΡΡ‚ΠΈ ΠΏΡƒΠ»ΠΌΠΎΠ½Π°Π»Π½ΠΈ ΠΊΠΎΠΌΠΏΠ»ΠΈΠΊΠ°Ρ†ΠΈΠΈ ΠΈ сС Ρ˜Π°Π²ΡƒΠ²Π°Π°Ρ‚ кај 25% ΠΎΠ΄ ΠΎΠΏΠ΅Ρ€ΠΈΡ€Π°Π½ΠΈΡ‚Π΅ Π²ΠΎ Ρ‚ΠΎΡ€Π°ΠΊΠ°Π»Π½Π° ΠΈ Π°Π±Π΄ΠΎΠΌΠΈΠ½Π°Π»Π½Π° Ρ…ΠΈΡ€ΡƒΡ€Π³ΠΈΡ˜Π°. ΠΠ°Ρ˜Ρ‡Π΅ΡΡ‚ΠΎ сС Ρ˜Π°Π²ΡƒΠ²Π°Π°Ρ‚ кај постаритС ΠΈ Π°Π΄ΠΈΠΏΠΎΠ·Π½ΠΈ Π±ΠΎΠ»Π½ΠΈ, кај ΠΏΡƒΡˆΠ°Ρ‡ΠΈΡ‚Π΅ ΠΈΠ»ΠΈ кај ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈ ΠΊΠΎΠΈ Π²Π΅ΠΊΠ΅ ΠΈΠΌΠ°Π°Ρ‚ Π½Π΅ΠΊΠΎΠ΅ рСспираторно Π·Π°Π±ΠΎΠ»ΡƒΠ²Π°ΡšΠ΅. АтСлСктазитС сС Π΅Π²ΠΈΠ΄Π΅Π½Ρ‚Π½ΠΈ 48 часа ΠΏΠΎ ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΡ˜Π° ΠΈ сС ΠΎΠ΄Π³ΠΎΠ²ΠΎΡ€Π½ΠΈ Π·Π° Ρ„Π΅Π±Ρ€ΠΈΠ»Π½ΠΈΡ‚Π΅ Π΅ΠΏΠΈΠ·ΠΎΠ΄ΠΈ Π²ΠΎ овој ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ Π²ΠΎ ΠΏΡ€Π΅ΠΊΠΎ 90% ΡΠ»ΡƒΡ‡Π°Ρ˜Π΅Π²ΠΈ

    Aorto-Bilateral-Femoral-Bilateral-Popliteal Bypass for Leriche Syndrome With Occlusion of Both Superficial Femoral Arteries

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    A 68-year-old man, who is a smoker with hypertension and hyperlipidemia, presented in our hospital with rest pain in both calves. His symptoms started 1 year prior with short distance walking pain in both legs. Preoperative work up discovered Leriche's syndrome with occlusion of both superficial femoral arteries, as shown on the 64-slice computerized tomographic scan (Fig 1). Operative treatment included aorto-bilateral femoral bypass, using 16/8 mm Dacron (Edwards Lifesciences, Irvine, CA) Y-graft, anastomosed termino-terminal to the aorta and latero-lateral to both common femoral arteries. The excess 8-mm tube grafts were cut, and the procedure continued with termino-lateral anastomosis using an 8-mm Dacron tube graft (Edwards Lifesciences) on the popliteal artery, then connecting the distal tube graft with the proximal tube graft on the femoral level using termino-terminal anastomosis. The same operative steps were repeated for the other leg. His postoperative stay was uneventful. He was discharged home 7 days later. A follow-up 64-slice computerized tomographic scan (Fig 2) of the aorto-bilateral-femoral-bilateral-popliteal bypass

    Body mass index and quality of life in patients waiting for coronary angiography

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    Aim: There is evidence that the body mass index (BMI) is related, to some extent, to the quality of life (QoL) in different populations. The purpose of our study was to investigate the differences in QoL in relation to the BMI in patients awaiting coronary angiography. Method: The sample consisted of 100 patients (68 males and 32 females) with symptoms indicating coronary angiography. For all of them BMI was calculated. The participants completed the Duke Health profile questionnaire (DUKE) which measures adult self-reported functional health status. Results: After splitting the group in two according to the BMI median cut-off point, the findings reveal differences in the following aspects of QoL secondary to BMI: mental health (p = .006), general health (p = .038), perceived health (p = .008), anxiety (p = .022), depression (p = .008), anxiety-depression (p = .004), but not related to: physical health (p = .384), social health (p = .267), self-esteem (p = .172), pain (p = .797), disability (p = .710). Conclusion: Considering the findings, health counselling directed at regulating body weight is recommended as part of the positive health behaviour. It can benefit and improve some domains of the QoL of individuals having health problems

    Low - dose CT of the chest as a screening method for early detection of pulmonary cancer

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    Dose limitation is one of the vital principles in radiation protection regulation. The use of that Low-dose chest CT can be a screening method of choice for early detection of pulmonary cancer

    Asessment of coronary arteries with ECG GATED 64-multidetector computed tomography (MDCT) in patients with suspected aortic dissection Stanford type A

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    The purpose of our study is to show the value of ECG gated 64-MDCT as an non - invasive and reliable method for simultaneous assessment of coronary arteries as part of the aortic root evaluation. Methods and Materials. From February 2009 until March 2010 we performed 46 ECG - gated, 64 MDCT examinations to confirm a diagnosis of suspected aorta ascendens dissection . A transthoracic (TTE) and/or transesophageal (TEE) echocardiography was initially performed in all patients ( mostly TEE) Patients (pts) with arrhythmia and non-stable haemodynamic conditions were excluded. All MDCT scans were performed with retrospectively ECG gated technique (0,625mm slice thickness). Premedicaton with i.v. betaBlocker (propranolol) was administrated in all with heart rate> 70 bpm

    Π₯ΠΈΠΏΠ΅Ρ€Ρ‚Ρ€ΠΎΡ„ΠΈΡ‡Π½Π° ΠΊΠ°Ρ€Π΄ΠΈΠΎΠΌΠΈΠΎΠΏΠ°Ρ‚ΠΈΡ˜Π° со ΠΊΠΎΠΌΠΏΠ»ΠΈΠΊΠ°Ρ†ΠΈΡ˜Π° масивна ΠΏΡƒΠ»ΠΌΠΎΠ½Π°Π»Π½Π° Смболија

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    Π’ΠΎΠ²Π΅Π΄: Π₯ΠΈΠΏΠ΅Ρ€Ρ‚Ρ€ΠΎΡ„ΠΈΡ‡Π½Π°Ρ‚Π° ΠΊΠ°Ρ€Π΄ΠΈΠΎΠΌΠΈΠΎΠΏΠ°Ρ‚ΠΈΡ˜Π° прСтставува Π·Π°Π΄Π΅Π±Π΅Π»ΡƒΠ²Π°ΡšΠ΅ Π½Π° срцСвиот мускул (β‰₯ 15ΠΌΠΌ) симСтрично ΠΈΠ»ΠΈ асимСтрично, чСсто гСнСтски ΠΎΠ΄Ρ€Π΅Π΄Π΅Π½ΠΎ. Π—Π°Π±ΠΎΠ»ΡƒΠ²Π°ΡšΠ΅Ρ‚ΠΎ ΠΌΠΎΠΆΠ΅ Π΄Π° Π±ΠΈΠ΄Π΅ асимптоматско Π΄ΠΎΠ»Π³ΠΈ Π³ΠΎΠ΄ΠΈΠ½ΠΈ ΠΏΡ€Π΅Π΄ Π΄Π° сС ΠΏΠΎΡ˜Π°Π²Π°Ρ‚ Π·Π½Π°Ρ†ΠΈ Π·Π° ΠΈΡΡ…Π΅ΠΌΠΈΡ˜Π° ΠΈ Π°Ρ€ΠΈΡ‚ΠΌΠΈΠΈ, ΠΊΠΎΠΈ ΠΌΠΎΠΆΠ°Ρ‚ Π΄Π° Π΄ΠΎΠ²Π΅Π΄Π°Ρ‚ Π΄ΠΎ Π½Π°Π³Π»Π° смрт. ΠŸΠΎΡΡ‚ΠΎΠ΅ΡšΠ΅Ρ‚ΠΎ Π½Π° повСќС кардиоваскуларни Ρ€ΠΈΠ·ΠΈΠΊ Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΈ Π²ΠΎΠ΄ΠΈ Π΄ΠΎ Π·Π³ΠΎΠ»Π΅ΠΌΠ΅Π½ ΠΌΠΎΡ€Π±ΠΈΠ΄ΠΈΡ‚Π΅Ρ‚ ΠΈ ΠΌΠΎΡ€Ρ‚Π°Π»ΠΈΡ‚Π΅Ρ‚. Π¦Π΅Π»Ρ‚Π° Π½Π° овај ΠΏΡ€ΠΈΠΊΠ°Π· Π½Π° ΡΠ»ΡƒΡ‡Π°Ρ˜ Π΅ Π΄Π° ΠΏΠΎΠΊΠ°ΠΆΠ΅ΠΌΠ΅ Π΅Π΄Π½Π° дијагноза Π½Π΅ исклучува ΠΏΠΎΡΡ‚ΠΎΠ΅ΡšΠ΅ Π½Π° Π΄Ρ€ΡƒΠ³ΠΈ дијагнози. ΠœΠ°Ρ‚Π΅Ρ€ΠΈΡ˜Π°Π»ΠΈ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈ: Кај ΠΌΠ°ΠΆ Π½Π° 67 годишна возраст, со симптоми Π½Π° Π³ΡƒΡˆΠ΅ΡšΠ΅ ΠΈ Π·Π°ΠΌΠΎΡ€ (NYHA 3) β€žΠ²ΠΎ послСдно Π²Ρ€Π΅ΠΌΠ΅β€œ, ΠΏΡ€Π΅Π»Π΅ΠΆΠ°Π½ ΠΈΠ½Ρ„Π°Ρ€ΠΊΡ‚ Π½Π° ΠΌΠΈΠΎΠΊΠ°Ρ€Π΄ΠΎΡ‚ ΠΈ пласиран стСнт Π½Π° циркумфлСксната Π°Ρ€Ρ‚Π΅Ρ€ΠΈΡ˜Π° бСшС Π½Π°ΠΏΡ€Π°Π²Π΅Π½a трансторакална Π΅Ρ…ΠΎΠΊΠ°Ρ€Π΄ΠΈΠΎΠ³Ρ€Π°Ρ„ΠΈΡ˜Π°. ΠšΠ°Ρ€Π΄ΠΈΠΎΠ²Π°ΡΠΊΡƒΠ»Π°Ρ€Π½ΠΈ Ρ€ΠΈΠ·ΠΈΠΊ Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΈ: артСриска Ρ…ΠΈΠΏΠ΅Ρ€Ρ‚Π΅Π½Π·ΠΈΡ˜Π°, Π΄ΠΈΡ˜Π°Π±Π΅Ρ‚Π΅Ρ мСлитус Ρ‚ΠΈΠΏ 2, Π±Π΅Π½ΠΈΠ³Π½Π° Ρ…ΠΈΠΏΠ΅Ρ€ΠΏΠ»Π°Π·ΠΈΡ˜Π° Π½Π° простата, Ρ…Ρ€ΠΎΠ½ΠΈΡ‡Π½Π° Π±ΡƒΠ±Ρ€Π΅ΠΆΠ½Π° ΠΈΠ½ΡΡƒΡ„ΠΈΡ†ΠΈΠ΅Π½Ρ†ΠΈΡ˜Π°. Врансторакалната Π΅Ρ…ΠΎΠΊΠ°Ρ€Π΄ΠΈΠΎΠ³Ρ€Π°Ρ„ΠΈΡ˜Π° ΠΏΠΎΠΊΠ°ΠΆΠ° ΠΈΠ·Ρ€Π°Π·Π΅Π½Π° Ρ…ΠΈΠΏΠ΅Ρ€Ρ‚Ρ€ΠΎΡ„ΠΈΡ˜Π° со ΠΎΠΏΡΡ‚Ρ€ΡƒΠΊΡ†ΠΈΡ˜Π° Π²ΠΎ ΠΌΠΈΠ΄ Π΄Π΅Π»ΠΎΠ²ΠΈ ΠΈ Π°ΠΏΠΈΠΊΠ°Π»Π½Π° дискинСзија. НаправСни сС лабараториски Π°Π½Π°Π»ΠΈΠ·ΠΈ ΠΈ ΠΌΠ°Π³Π½Π΅Ρ‚Π½Π° Ρ€Π΅Π·ΠΎΠ½Π°Π½Ρ†Π° Π½Π° срцС. Π Π΅Π·ΡƒΠ»Ρ‚Π°Ρ‚ΠΈ: ΠœΠ°Π³Π½Π΅Ρ‚Π½Π°Ρ‚Π° Ρ€Π΅Π·ΠΎΠ½Π°Π½Ρ†Π° Π½Π° срцС ΠΊΠ°ΠΊΠΎ случаСн Π½Π°ΠΎΠ΄ ΠΏΠΎΠΊΠ°ΠΆΠ° масивна ΠΏΡƒΠ»ΠΌΠΎΠ½Π°Π»Π½Π° Смболија Π²ΠΎ Π³Π»Π°Π²Π½ΠΈΡ‚Π΅ ΠΏΡƒΠ»ΠΌΠΎΠ½Π°Π»Π½ΠΈ Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠΈ ΠΈ Ρ‚Ρ€ΠΎΠΌΠ± Π²ΠΎ апСкс Π½Π° Π»Π΅Π²Π°Ρ‚Π° ΠΊΠΎΠΌΠΎΡ€Π°, СксцСнтрична ΠΈΠ·Ρ€Π°Π·Π΅Π½Π° Ρ…ΠΈΠΏΠ΅Ρ€Ρ‚Ρ€ΠΎΡ„ΠΈΡ˜Π° (сСптум 23ΠΌΠΌ) ΠΈ нСвијабилСн ΠΌΠΈΠΎΠΊΠ°Ρ€Π΄ Π²ΠΎ 41%. ΠŸΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΡ‚ бСшС хоспитализиран, ΠΎΡ€Π΄ΠΈΠ½ΠΈΡ€Π°Π½Π° бСшС ΠΏΠ΅Ρ€ΠΎΡ€Π°Π»Π½Π° Π°Π½Ρ‚ΠΈΠΊΠΎΠ°Π³ΡƒΠ»Π°Π½Ρ‚Π½Π° Ρ‚Π΅Ρ€Π°ΠΏΠΈΡ˜Π° со апиксабан спорСд ΠΏΡ€ΠΎΡ‚ΠΎΠΊΠΎΠ». ПослС отпуст ΠΎΠ΄ Π±ΠΎΠ»Π½ΠΈΡ†Π° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΡ‚ Π΅ со ΠΏΠΎΠ΄ΠΎΠ±Ρ€Π΅Π½Π° ΠΊΠ»ΠΈΠ½ΠΈΡ‡ΠΊΠ° ΡΠΎΡΡ‚ΠΎΡ˜Π±Π° (NYHA 1). Π—Π°ΠΊΠ»ΡƒΡ‡ΠΎΠΊ: ΠŸΠΎΡ‚Ρ€Π΅Π±Π½ΠΈ сС Ρ‚Π΅ΠΌΠ΅Π»Π½ΠΈ ΠΈΡΠΏΠΈΡ‚ΡƒΠ²Π°ΡšΠ° кај комплСксни ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈ. ΠŸΠ΅Ρ€ΠΎΡ€Π°Π»Π½Π°Ρ‚Π° Π°Π½Ρ‚ΠΈΠΊΠΎΠ°Π³ΡƒΠ»Π°Π½Ρ‚Π½Π° Ρ‚Π΅Ρ€Π°ΠΏΠΈΡ˜Π° со ксабани сС ΠΏΠΎΠΊΠ°ΠΆΠ° ΠΊΠ°ΠΊΠΎ Сфикасна Ρ‚Π΅Ρ€Π°ΠΏΠΈΡ˜Π° кај ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΈ со ΠΏΡƒΠ»ΠΌΠΎΠ½Π°Π»Π½Π° Смболија ΠΈ Ρ‚Ρ€ΠΎΠΌΠ± Π²ΠΎ Π»Π΅Π²Π°Ρ‚Π° ΠΊΠΎΠΌΠΎΡ€Π°
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