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Biomedical subjects

M R Boujnah

Publications and source records attributed to M R Boujnah.

At least 19 recordsLinked to original sources
PubMed2006

[Peripartum cardiomyopathy].

Peripartum cardiomyopathy is a rare and under recognized form of dilated cardiomyopathy, defined as a heart failure in the last month of pregnancy or in the first five months post-partum with absence of determinable cause for cardiac failure and absence of demonstrable heart disease. The incidence of peripartum cardiomyopathy ranges from 1 in 1300 to 1 in 15,000 pregnancy. Advanced maternal age, multiparity, twin births, preeclampsia and black race are known risk factors. The etiology of peripartum cardiomyopathy remains unknown but viral, autoimmune or idiopathic myocarditis are highly suggested. The clinical presentation on patients with peripartum cardiomyopathy is similar to that of patients with systolic heart failure. The treatment is based on drugs for sympyomatic control. Studies in graeter populations are need to determine the role of immunosupressive treatment. About half patients of peripartum cardiomyopathy recover. The left ventricular ejection fraction and the left ventricular end-diastolic diameter are statistically significant prognostic factors. The risk of developing peripartum cardiomyopathy in subsequent pregnancies remains high. The place of dobutamine stress test in counseling the patients who desire pregnancy must be more studied.

Cardiomyopathy, Dilated↗
PubMed2001

[Brugada syndrome].

The Brugada syndrome is a clinical-electrocardiographic diagnosis characterised by syncopal or sudden death episodes in patients with a structurally normal heart with a characteristic electrocardiographic pattern consisting of ST segment elevation in the precordial leads V1 to V3 and a morphology of the QRS complex resembling a right bundle branch block. In many patients with the Brugada syndrome, the electrocardiographic manifestations transiently normalize; leading to underdiagnosis of the syndrome. The administration of sodium channel blockers such as ajmaline, flecainide or procainamide accentuate the ST segment elevation and can be used to unmask concealed and intermittent forms of the disease. The incidence of sudden death in this syndrome is very high and can only be prevented by implanting a cardioverter-defibrillator. Because of high incidence of familial occurrence, the extension of the testing to family members is important.

Bundle-Branch Block↗
PubMed2000

[Auricular fibrillation].

There is many progresses in term of comprehension of physiopathologic mechanisms and also therapeutic indications. The increase of treatment modalities need a clear strategy and an adapted choice from pharmacologic, to surgical, external electric shock, prophylactic cardiac stimulation, implantable auricular defibrillation, and ablative methods.

Atrial Fibrillation↗
PubMed2000

[Hypertrophic cardiomyopathy and pregnancy].

We report the case of a 32 years old patient, with a known diagnostic of hypertrophic cardiomyopathy; who has presented at the first trimester of pregnancy a ventricular fibrillation treated by electric shock with a favorable outcome. The risks for the mother and the foetus are discussed; The recommendations for the conduct of the delivery are reviewed.

Adult↗
PubMed2000

[Cardiac insufficiency with normal systolic function].

Cardiac failure with normal systolic function represents 30 to 50% of all the cardiac failures. Ther is no clinical radiographical electrocardio graphical symptom to characterize this Kind of Cardiac failure. It's diagnosis and its valuation could be done with doppler chocardiography. The etiology is dominated by the ischemic cardopathy, the hpertophic myocardis fathies and senile heart. It's treatment isn't codified Yet.

Age Factors↗
PubMed1993

[Prognosis and treatment of chronic cor pulmonale].

We have report one hundred cases of chronic pulmonary heart observed between 1982 and 1991. Mean age was 63 years, 61% were men. COPD was the most frequent etiology of CP (84%) before restrictive (14%) and thromboembolic diseases (2%). Diuretics were used in all patients, nifedipine in 32% and digitalis in 16%. Eleven patients died during their first admission, and six died later. Only 31 patients are still regularly.

Adult↗
PubMed1993

[Syphilitic aortic insufficiency. Apropos of a case].

The authors report a case of aortic insufficiency with aneurysm of the ascending aorta of syphilitic origin. The diagnosis was made only histologically in the presence of a syphilitic granuloma. This opportunity is taken to review the various aspects of cardiovascular syphilis.

Adult↗