State of Utah v. Christena White : Appellant\u27s Reply Brief to Appellee\u27s Brief

DISTRICT COURT NO. 021900588FS APPELLANT COURT NO. 20040201-C

A huge multilocular hydatid cyst with an unusual localization

WOS: 000367502600024PubMed ID: 26717232

Unexpected diagnosis in a liver donor candidate

WOS: 000388798200013PubMed ID: 27865675

Subclinical left ventricular systolic dysfunction in patients with severe aortic stenosis: A speckle-tracking echocardiography study

WOS: 000429103400004PubMed ID: 29339687Objective: In patients with aortic stenosis (AS), the left ventricular (LV) geometry changes due to the increased LV afterload. However, subclinical myocardial dysfunction can develop despite a normal LV ejection fraction (EF). This study was an investigation of subclinical LV systolic dysfunction in patients with severe AS with a normal LV EF using a strain imaging method, speckle-tracking echocardiography (STE), and an evaluation of its correlation with novel indices to assess the severity of AS. Methods: A total of 45 asymptomatic patients with severe AS and 25 age-and sex-matched controls without any cardiac disease and with preserved LV EF (EF >= 60%) were studied. In addition to performing conventional echocardiography and STE-based strain imaging, novel indices (energy loss index [ELI], valvulo-arterial impedance, systemic arterial compliance) were also measured. Results: The LV EF, and the LV end-diastolic and end-systolic diameters were similar in the 2 groups. The LV longitudinal peak systolic strain (10.66 +/- 1.15% to 19.66 +/- 2.62%; p=0.0001) and strain rate (0.32 +/- 0.07 s(-1) to 1.85 +/- 0.32 s(-1); p=0.0001) were significantly impaired in the study patients compared to the controls, demonstrating subclinical ventricular systolic dysfunction. A significant positive correlation was observed between the ELI and the LV strain/strain rate (r=0.45, p=0.002; r=0.55, p=0.0001, respectively). Conclusion: Patients with severe AS develop subclinical LV systolic dysfunction, despite a preserved EF. Novel strain imaging-based echocardiographic techniques may provide additional data that can detect early myocardial systolic deterioration in these patients

A rare cause of acute coronary syndromes in young adults - myeloproliferative neoplasms: A case series

WOS: 000503202800001PubMed: 31784298Introduction: Acute coronary syndromes (ACS) mostly occur in patients with traditional risk factors. Especially in young adults without major cardiovascular (CV) risk factors, one of the less common causes of ACS is myeloproliferative neoplasms (MPNs). Methods: We retrospectively collected data on 11 consecutive patients (nine men, two women, mean age 40.18 +/- 8.4 years) with a diagnosis of MPN who presented with ACS. the demographic characteristics of the study population, type of MPN, clinical manifestations, location of myocardial infarction (MI), coronary angiography findings, complete blood count and other related findings, and treatment strategy before and after diagnosis were analyzed. Results: Six patients were diagnosed with polycythemia vera, four with essential thrombocytosis and one with primary myelofibrosis. A JAK2 mutation was found in nine patients. Mean time to diagnosis of MPN was 2.81 years after presenting ACS and mean age at first MI was 32.9 +/- 6 years. Six patients had no major CV risk factors. Ten patients had anterior MI and one had inferior MI. After initiation of specific treatment for MPN, no recurrent thrombotic events were observed in a mean follow-up of 4 +/- 2.44 years. Conclusions: in young adults presenting with ACS, MPNs should be considered, especially in the absence of atherosclerotic coronary artery lesions. It is also important to pay attention to blood cell count abnormalities seen in intracoronary thrombotic events. Early diagnosis and treatment of MPNs is essential to prevent recurrence of thrombotic events and may reduce mortality and morbidity related to thrombotic complications. (C) 2019 Sociedade Portuguesa de Cardiologia. Published by Elsevier Espana, S.L.U

Subclinical Biventricular Systolic Function is Impaired in Patients with Systemic Sclerosis: A Speckle Tracking-Based Echocardiographic Study

29th Turkish Cardiology Congress of the Turkish-Society-of-Cardiology (TSC) with International Participation -- OCT 26-29, 2013 -- Antalya, TURKEYWOS: 000329858400392…Turkish Soc Cardio

Subclinical Left Ventricular Systolic Dysfunction in Patients with Coronary Artery Anomaly: A Speckle Tracking and Velocity Vector Imaging-Based Study

29th Turkish Cardiology Congress of the Turkish-Society-of-Cardiology (TSC) with International Participation -- OCT 26-29, 2013 -- Antalya, TURKEYWOS: 000329858400497…Turkish Soc Cardio