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All Journal Indian Journal of Forensic Medicine & Toxicology
Basim Abd Ali Saeed
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Public Health

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Hypertension Response after Stenting adult with Coarctaion of Aorta One Year Follow Up Ali Yahya Abdullah Alsallami; Ahmed Abdulzahra Jeyad; Basim Abd Ali Saeed; Hassan Ali Essa Al Mamuri
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.15025

Abstract

Coarctaion of aorta occur in 6 % of patient with congenital heart disease, balloon dilation ,stenting andsurgery have been proved as modality of treatment coarctaion of aorta.Usually untreated coarctation of aortamay lead to renal, vascular and cardiac complication that start to appear at binging of fourth decade of life.Toknew hypertension response after stenting adult with coarctation of aorta. 75 patients with coarctaion of aorta30 male (40%) and 45 female (60 %) was involve in this prospective longitudinal study, there age range from16 to 41 year, for all echocardiography, CT chest done to confirm diagnosis then all undergo catheterizationof aorta with 2 sheath one femoral and other radial to measure pressure gradient across stenosis and stentlocalization follow by stenting with pre and post dilation if needed then measure pressure gradient acrossstent. All patients stent by uncover stent including for 2 case with interrupted coarctaion, immediately afterstent pressure gradient fall almost all our patient then follow up 6 month, 1 year by angiography assessmentwith CT chest show no stent fracture or aneurysm in aorta at stent site. The study conclude uncovered stentappear to be safe in treating coarctaion of aorta with less morbidity and mortality. stent adult with coarctaionof aorta have advantage of lowering blood pressure in those suffer from hypertension.
The Effect of Enhanced External Counter Pulsation on Improving Quality of Life in Patient with 3 Vessels Disease Treated Medically Versus Percutaneous Coronary Intervention, 1 Year Follow Up Ali Yahya Abdullah; Basim Abd Ali Saeed; Hassan Ali Essa Al mamuri; Ahmed Abdulzahra Jeyad Almurshidy
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.15027

Abstract

Background : Refractory angina usually refers to as (equal or more than 3 months in duration) stableischemic heart disease which cannot be regulated by a therapeutic treatment, surgical cardiac intervention,and where reversible cardiac ischemia has been stated to be the reason for the manifestation clinically.Aim:The efficacy of use enhanced external counter pulsation in treating refractory angina pectoris in those do PCIvs. medical alone and short-term outcome. PMethodology: 91 patients with refractory angina pectoris unrespond to treatment and/or intervention or unfit for intervention or surgery have been enrolled in this study,for all ECG, echocardiography study done to assess LV and valvular function, Doppler study for lower limbartery to assess if there is peripheral vascular disease, abdominal ultrasound done to exclude the presenceof aortic abdominal aneurysm, then if patient eligible for EECP inclusion criteria refer for EECP unit .Afterend of all session all patients assess improvement according to change in Canadian cardiovascular societygrading CCS pre and post EECP and on follow up 6 month and 1 year. Result: Over 12 month’s period of thestudy, 91 persons were assessed including 32(35%) women and 59 (65%) men. The age range was 45 yearsto 80 years with the mean age range 61 years (SD ± 8.2). Most patients treated with 30 session with 1 hourper session on average of 26 (SD ± 7) session with response rate at end of sessions 88.7% where responsemean improvement of symptom and according to (CCS) change per and post EECP.Conclusion: No befit from doing single vessel intervention in patient with 3 vessels disease in improvingresponse to EECP or improving echocardiographic parameter. EECP appear as safe effective therapy inselective patient with refractory angina not respond to medical and unfit for intervention or surgery. Responseto EECP in well selected patient persist for 1 year.
Co-Authors Ahmed Abdulzahra Jeyad Ahmed Abdulzahra Jeyad Almurshidy Ali Yahya Abdullah Ali Yahya Abdullah Alsallami Hassan Ali Essa Al Mamuri