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C Jazra

Publications and source records attributed to C Jazra.

At least 19 recordsLinked to original sources
PubMed1995

[Spontaneous closure of a coronary fistula between the left anterior descending artery and the pulmonary artery. Apropos of a case].

A 35-year-old man presented with a coronary fistula between the left anterior descending artery (LAD) and the pulmonary artery trunk. Coronary angiography, performed after an inferior infarct, showed occlusion of the posterior descending artery, complete closure of the fistula and good visualization of the LAD. The authors emphasise the association of coronary fistula and coronary atherosclerosis and the ultrasonographic surveillance designed to follow the course of these fistulas and to detect possible spontaneous closures.

Adult↗
PubMed1995

[First Lebanese series of percutaneous mitral commissurotomies].

From January 1993 to January 1994, we realized at Risk Hospital 11 percutaneous mitral commissurotomies (PMC). This first Lebanese series comprised 9 women and 2 men. The mean age was 36 y (18-73 y). Ten patients were en class III of the NYHA and one in class IV (pregnant woman on the end of the 7th month). The predilatation evaluation was done by transthoracic echocardiography for the just 2 patients and by transthoracic with transesophageal multiplane echocardiography for the 9 others. The mean gradient was at 20 mmHg (10-24 mmHg) and the mean mitral area at 1 cm2 (0.65-1.5 cm2). We used the Inoue balloon for all these procedures with a stepwise technique and a color echo-doppler control between inflations. We obtain bicommissural opening in 8 patients and unicommissural opening in 3 patients. The mean gradient post dilatation was at 4 mmHg (3-8 mmHg) and the mean mitral area at 2.3 cm2 (1.5-2.8 cm2). No mitral regurgitation > 2/4 was noted. After a general review, we concluded the PMC is at present the treatment of choice of non or discrete calcified mitral stenosis and this procedure has to be taken on charge by the Ministry of Health in Lebanon.

Adolescent↗
PubMed1995

[Coronary artery-cardiac fistulas. Review of the literature. Two accidentally discovered cases].

We report two cases of coronary artery fistula discovered accidentally during coronary-angiography. One case between the left anterior descending and the pulmonary artery and another case between the circumflex and the left ventricule. Both cases were associated with hypertrophic cardiomyopathy. There was a spontaneous closure of the fistula in the first case. A brief review of the literature is presented because this anomaly is being discovered frequently because of the possibility of diagnosis with transesophageal echocardiography.

Adult↗
PubMed1993

[Constrictive pericarditis after aortocoronary bypass. Apropos of a case].

We report a case of pericarditis following aorto-coronary by-pass surgery which gradually developed into chronic constrictive pericarditis. The disease was a long time ignored because symptoms are not specific. In our case the clinical presentation looked like a cirrhosis especially that our patient developed an hepatitis after blood transfusion. In this occasion criteria of diagnostic are reminded. Hemodynamic investigation is still the best method of diagnosis and the only treatment is surgical and consists of pericardial decortication.

Coronary Artery Bypass↗
PubMed1993

[Complications of single chamber pacemakers (pacemaker syndrome). Short-term and long-term follow-up of 278 patients].

OBJECTIVES: To assess complications of single chamber pacemaker VVI. MATERIALS AND METHODS: We reviewed the medical files of 278 patients implanted with VVI pacemaker at Saint Joseph Hospital, Bawchrieh, Lebanon, between 1978 and 1988. We looked for complications that have been reported by the patients. We compared these complications to different factors: age, indication, retrograde conduction ECG aspect before implant. RESULTS: 36 patients (12.9%) reported at least once one of these complications: fatigue, headache, neck pain, palpitations, confusion, dyspnea, angina, chest pain, pulmonary oedema, pedal oedema, atrial fibrillation, cerebrovascular accident. These complications were more frequent when the indication was an atrial disease compared to AV Block. The retrograde conduction was frequent in patient with complications. Heart failure was aggravated by stimulation, but not induced by it. CONCLUSIONS: The single chamber VVI is complicated by symptoms which could be minor, moderate and major. VVI is an acceptable mode of stimulation when the indication is AV block. The dual chamber pacemaker should consider the cost-effectiveness.

Adolescent↗
PubMed1991

[After a myocardial infarction].

According to the literature and our experience, une expose our conception and our methodology of taking in charge patients after acute myocardial infarction. It is important to evaluate risks based on clinical data and exercise tests. Cardiac rehabilitation is taught of as a number of measures acting on the physical, the psychiatric and the socio-occupational levels, the importance of correcting risk factors and long-term follow-up.

Adaptation, Psychological↗
PubMedDate not supplied

Gender differences in the diagnosis and treatment of acute myocardial infarction in Lebanon.

PURPOSE: To study the gender differences in presentation, diagnosis and treatment of acute myocardial infarction in Lebanon. MATERIAL & METHODS: Consecutive admissions due to myocardial infarction to 18 medical centers in various regions of Lebanon were entered into the Lebanese Myocardial Infarction Study, conducted between January and July 1996. Information was obtained on age, gender, time of onset of symptoms, delay to hospital arrival, mode of transport, and coronary risk factor analysis. The patients were followed up in hospital for analysis of modes of therapy, complications and mortality. RESULTS: Of 433 admissions, 99 were female. Compared to men, women were older, presented later, smoked less but tended to have a higher frequency of hypertension. The other coronary risk factors were similarly prevalent in males and females. Inotropic agents were used more commonly in females but thrombolytics were used less so. Women tended to develop more heart failure and had significantly higher incidence of recurrent ischemia or myocardial infarction, high level atrioventricular block and atrial arrhythmias. The overall mortality rate was higher in females than in males (16.2% vs. 8.1%, P = 0.037). CONCLUSIONS: The results reveal similarities between gender differences among Lebanese and Western populations. The higher mortality rate in women may relate to the late arrival to hospital, the older age and the more frequent complications. This emphasizes the need to educate women about coronary risk and to urge them to seek early medical care.

Adult↗
PubMedDate not supplied

In-hospital mortality after acute myocardial infarction in Lebanon: incidence, associations, and influence of newer treatment regimens.

PURPOSE: To study the incidence of in-hospital mortality following acute myocardial infarction in Lebanon, and its relationship to demographic, clinical variables, and therapeutic strategies. PATIENTS & METHODS: Consecutive admissions due to myocardial infarction to 18 medical centers in various regions of Lebanon were entered into the Lebanese Myocardial Infarction Study, conducted between January and July 1996. Information was obtained on age, gender, time of onset of symptoms, delay to hospital arrival, mode of transport, and coronary risk factor analysis. The patients were followed up in hospital for analysis of modes of therapy, complications and mortality. RESULTS: There were 44 in-hospital deaths among the 433 admissions (10.2%), which is a rate lower than those previously reported from Lebanon. Less than half the patients presented within 6 hours of onset of symptoms and only 28% received thrombolytic therapy. The mortality rate was higher in older age groups, those presenting with cardiogenic shock or pulmonary edema, those with a history of angina, infarction or heart failure, and those who developed recurrent ischemia or infarction during their hospital stay. Furthermore, occurrence of ventricular arrhythmias, mechanical complications, congestive heart failure and left bundle branch block was associated with a higher mortality rate. Treatment with angiotensin converting enzyme inhibitors, beta-blockers, aspirin, heparin, nitrates and thrombolytics significantly reduced mortality rates. CONCLUSIONS: The results reveal improvement in the survival of patients after acute myocardial infarction to values similar to those reported from Western countries. Further effort should be expended to enhance early arrival to the hospital, increased thrombolytic therapy and to implement treatment strategies supported by large clinical trials such as use of aspirin, ACE inhibitors and beta-blockers.

Adult↗