Tetralogy of Fallot with rheumatic mitral stenosis: A case report

<p>Abstract</p> <p>Introduction</p> <p>Rheumatic and congenital heart diseases account for the majority of hospital admissions for cardiac patients in India. Tetralogy of Fallot is the most common congenital heart disease with survival to adulthood. Infective endocarditis accounts for 4% of admissions to a specialized unit for adult patients with a congenital heart lesion. This report is unique in that a severe stenotic lesion of the mitral valve, probably of rheumatic aetiology, was noted in an adult male with Tetralogy of Fallot.</p> <p>Case presentation</p> <p>An unusual association of rheumatic mitral stenosis in an adult Indian male patient aged 35 years with Tetralogy of Fallot and subacute bacterial endocarditis of the aortic valve is presented.</p> <p>Conclusion</p> <p>In this case report the diagnostic implications, hemodynamic and therapeutic consequences of mitral stenosis in Tetralogy of Fallot are discussed. In addition, the morbidity and mortality of infective endocarditis in adult patients with congenital heart disease are summarized. The risk of a coincident rheumatic process in patients with congenital heart disease is highlighted and the need for careful attention to this possibility during primary and follow-up evaluation of such patients emphasized.</p

Hydrothermal Synthesis of Cr2Se3 Hexagons for Sensitive and Lowlevel Detection of 4-Nitrophenol in Water

We report a simple hydrothermal method used for the synthesis of Cr2Se3 hexagons (h-Cr2Se3) and its application towards electrochemical sensing of 4-nitrophenol (4-NP). The formation of h-Cr2Se3 was confrmed by using scanning electron microscopy, energy dispersive X-ray spectroscopy, X-ray difraction, and X-ray photoelectron spectroscopy. The electrochemical activity of the h-Cr2Se3 modifed screen-printed carbon electrode (SPCE) towards 4-NP was studied using cyclic voltammetry (CV) and amperometric i-t techniques. Typically,the obtained results were compared with those for a bare SPCE. The CV result clearly reveals that h-Cr2Se3 modifed SPCE has higher catalytic activity towards reduction of 4-NP than bare SPCE. Hence, h-Cr2Se3 modifed SPCE was concluded as a viable sensor for sensitive determination of 4-NP. Under optimized conditions, h-Cr2Se3 modifed SPCE demonstrates the excellent capacity to detect the 4-NP in a linear range from 0.05µM to 908.0µM. The LOD and sensitivity in detection of 4-NP were determined at 0.01µM and 1.24µAµM−1 cm−2 respectively. The sensor is highly selective and stable and shows reproducible recovery of 4-NP in domestic supply and river water samples