Platelet-To-Lymphocyte Ratio as a Predictor of No-Reflow after Primary Percutaneous Coronary Intervention in Patients with ST Elevation Myocardial Infarction: A Systematic Review and Meta-Analysis
Amin
Saberi
Medical student, Mashhad University of Medical Sciences, Mashhad, Iran
author
Mehrdad
Gazanchian
Medical doctor, Mashhad University of Medical Sciences, Mashhad, Iran
author
Ramin
Sadeghi
Nuclear Medicine Specialist, Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
Ali
Eshraghi
Cardiologist, Cardiology Department, Imam Reza Hospital, Mashhad University of Medical Sciences. Mashhad, Iran
author
text
article
2019
eng
Introduction: No-reflow increases the complications and mortality rate of primary percutaneous coronary intervention (PCI). Therefore, it is important to identify patients at a higher risk of developing no-reflow. This study aimed to systematically review the prognostic value of the platelet-to-lymphocyte ratio (PLR) to predict no-reflow. Materials and Methods: The databases, such as Pubmed, EMBASE, and Web of Knowledge were searched for the relevant studies. Two authors independently performed data extraction and quality assessment of the included studies. In this meta-analysis, sensitivity and specificity of PLR, as well as the pooled odds ratio were calculated to predict no-reflow and compared with the pooled means of PLR in no-reflow and reflow groups. Results: According to the results obtained from six out of eight studies in this systematic review, there was a significant association between PLR and no-reflow. Moreover, a pooled six-fold increase of no-reflow risk was observed in the high PLR group. Pooled sensitivity and specificity of PLR to predict no-reflow was 65% (CI95%: 61%-69%) and 77% (CI95%: 76%-79%), respectively. The mean pooled of PLR in the no-reflow group was significantly 65.2 (CI95%: 26.7-103.8) units higher than that in the reflow group. Conclusions: The PLR is a significant predictor of no-reflow in STEMI patients subjected to primary PCI which can be used alone or in combination with other markers to identify patients at higher risk of developing no-reflow.
Journal of Cardio-Thoracic Medicine
Mashhad University of Medical Sciences
2345-2447
7
v.
2
no.
2019
433
441
https://jctm.mums.ac.ir/article_13254_b6c13bf54b11fc11044354271077d10f.pdf
dx.doi.org/10.22038/jctm.2019.39393.1219
Evaluation of Pulmonary Function Test in Patients with Amyotrophic lateral sclerosis and its correlation with the symptoms of the disease
Mahnaz
Mozdourian
Pulmonologist, Lung Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
Davood
Attaran
Pulmonologist, Lung Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
Zahra
Javid arabshahi
Pulmonologist, Lung Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
Yalda
Ravanshad
Community Medicine Specialist, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Reza
Boostani
Neurologist, Department of Neurology Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2019
eng
Introduction: Amyotrophic lateral sclerosis (ALS) is a neurogenic progressive disease that leads to muscle atrophy. The purpose of this study was to evaluate pulmonary function test (PFT) in patients with ALS and its correlation with ASL symptoms. Materials and Methods: This cross-sectional study was performed on 32 ALS patients at Ghaem Hospital, Mashhad, Iran. All patients filled out a demographic form and underwent body plethysmography to determine forced vital capacity (FVC), forced expiratory volume in 1 sec (FEV1), and FEV1/FVC indexes based on their gender and age. Blood samples were also collected to analyze atrial blood gas (ABG) and the levels of oxygen and carbon dioxide. Finally, the data were analyzed by using SPSS20 software. Results: The mean age of the patients was 61.66±13.6 years. The prevalence of ALS was higher in females than in males. The study of the symptoms of the disease (87.1%) of the patients in the study was motor disorder, (0.31%) swallowing disorder, (48.0%) cough and shortness of breath and (40.0%) speech impairment. The results showed that there was a significant relationship between hypercarbia and night oxygen saturation , which the hypercarbia abundance was higher among patients whose night oxygen saturation was SO2 ˂90. But there was no significant relationship between hypercarbia and hypoxemia with symptoms of the disease.. Other results showed that the FEV1 test with swallowing disorder (P = 0.01) and cough and shortness of breath (P = 0.02) the results of FVC test with swallowing disorder (P = 0.01) and cough and shortness of breath (P = 0.02) and Also, there was a significant relationship between FEV1 / FVC test with swallowing disorder (P = 0.01) and cough and shortness of breath (P = 0.01) so that, With the normalization of the Pulmonary Function Test and the improvement of the patients , the symptoms of the disease also decreased. Conclusions: Overall, the results indicate that early detection of pulmonary involvement in patients with ALS can lead to interventions such as oxygen therapy and reduce symptoms and help improve their quality of life.
Journal of Cardio-Thoracic Medicine
Mashhad University of Medical Sciences
2345-2447
7
v.
2
no.
2019
442
446
https://jctm.mums.ac.ir/article_12722_bac9e057b23c31638be85fb88edb1e3f.pdf
dx.doi.org/10.22038/jctm.2019.38386.1208
A New Method for Removal of Supraglottic Leech Infestation, an Unusual Cause of Hemoptysis.
Mohammad Reza
Kasraei
Pulmonologist, Tehran University of Medical Scienses,Tehran,Iran
author
Ehsan
Ramezanian Nik
Lung Disease Research Center, Mashhad University of Medical Sciences,
Mashhad,Iran
author
text
article
2019
eng
Foreign bodies in upper airway may have various presentations and be life threatening. Leeches can attach to upper airway and cause serious problems. Herein we report a 55-year-old man with hemoptysis due to attachment of leech and explain our technique for its removal.
Journal of Cardio-Thoracic Medicine
Mashhad University of Medical Sciences
2345-2447
7
v.
2
no.
2019
447
449
https://jctm.mums.ac.ir/article_13255_a3cdbb5a2a8bcfb5353e4db65369e3af.pdf
dx.doi.org/10.22038/jctm.2019.40770.1228
Cardiac Myxoma Removal and Coronary Artery Bypass Grafting in a Middle-Aged Woman: A Case Report
Behrouz
Mottahedi
Cardiovascular Surgeon , Department of Cardiovascular surgery, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Majid
Ghodsi
Cardiovascular Surgeon, Faculty of Medicine ,Department Of Cardiovascular Surgery, Faculty Of Medicine, Mashhad University Of Medical Sciences, Mashhad, Iran
author
Bita
Zargaran
General practitioner, Faculty of Medicine, Islamic Azad University, Mashhad Branch, Mashhad, Iran
author
Roghaye
Alavinejad
Msn in Medical Surgical Nursing Education, Research Assistant of Department of Cardiovascular Surgery, Faculty of Medicine, Mashhad University Of Medical Sciences
author
Mahdi
Kahrom
Cardiovascular Surgeon , Department of Cardiovascular surgery, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2019
eng
Cardiac myxoma is usually a benign tumor in the left atrium that accounts for more than 50% of primary cardiac tumors. A 55-year-old female referred to our hospital with chest pain, referred pain to the left hand, and severe dyspnea. Transthoracic Doppler Echocardiography was performed and the results showed a large and mobile left atrial mass without any attachment to the interatrial septum. In addition, the three-vessel disease was detected using angiography. Myxoma was resected followed by coronary artery bypass grafting surgery.
Journal of Cardio-Thoracic Medicine
Mashhad University of Medical Sciences
2345-2447
7
v.
2
no.
2019
450
452
https://jctm.mums.ac.ir/article_13253_dcbb62d3903aa1f414bd722906ff7789.pdf
dx.doi.org/10.22038/jctm.2019.40645.1231
Aortic Pseudo aneurysm 3 Years after Interposition Tube Graft for Acute Dissection of Ascending Aorta
Aliasghar
Moeinipour
Cardiac Surgeon, Department of Cardiac Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Mohammad
Abbassi Teshnisi
Cardiac Surgeon, Department of Cardiac Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Mohamadreza
Akbari
General Physician, Faculty of medical science, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Kayhan
Mizani
Student Research Committee, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Mahsa
Moallemi
Student Research Committee, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Omid
Javdanfar
Resident of Cardiac Surgery, Department of Cardiac Surgery, Faculty of Medical Science, Mashhad University of Medical Sciences, Mashhad, Iran
author
Hamid
Hoseinikhah
Cardiac Surgeon, Department of Cardiac Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
author
text
article
2019
eng
Introduction: Patients with primary acute aortic dissection are at higher risk of complications, including increasing aortic aneurysm diameter, aortic rupture, aortic pseudo aneurysm, and recurrent aortic dissection. Case presentation We presented the case of a recurrent pseudo aneurysm and rupture of the aorta in the distal ascending aorta and proximal arch 3 years after the initial procedure for acute aortic dissection. The patient had bleeding from previous skin incision. In computed tomography angiography, the site of rupture of the aorta and abnormal communication with sternum were confirmed. Conclusion Recurrent aortic dissection is a catastrophic event and has high mortality; however, it is rare and is treated in a short time by redo surgery.
Journal of Cardio-Thoracic Medicine
Mashhad University of Medical Sciences
2345-2447
7
v.
2
no.
2019
453
455
https://jctm.mums.ac.ir/article_13256_e6ad539ab57a65dd713dafc1bff5e2be.pdf
dx.doi.org/10.22038/jctm.2019.40342.1225
Giant solitary fibrous tumor of pleura
Reza
Bagheri
Thoracic Surgeon, Lung Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2019
eng
A 60-year-old male presented with dyspnea and chest pain. He was referred with massive bulky mass. A mass in the left lung was observed using chest X-ray (Figures 1). A computed tomography scan of the chest showed a mass on the left lung with complete lung collapse Figures 2 (A, B). The needle biopsy was performed and the case was diagnosed with solitary fibrous tumor. Subsequently, the patient underwent complete resected open thoracotomy. In our case, the mass dimension was 50 × 35 cm weighting 5.600 gr Figures 3 (A,B).
Journal of Cardio-Thoracic Medicine
Mashhad University of Medical Sciences
2345-2447
7
v.
2
no.
2019
456
457
https://jctm.mums.ac.ir/article_13222_ee198394a8e32109240bf31b370f1b86.pdf
dx.doi.org/10.22038/jctm.2019.39634.1222
Extraction of chicken bone swallowing 10th day after ingestion with penetrating the esophageal walls
Reza
Bagheri
Thoracic Surgeon, Lung Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2019
eng
A 23-year-old male referred with a history of chicken bone swallowing a week ago (Figure 1). Endoscopy was performed at our center and a chicken bone was found penetrating the esophageal walls (Figure 2). The patient was managed successfully using flexible endoscopy and the chicken bone was removed.
Journal of Cardio-Thoracic Medicine
Mashhad University of Medical Sciences
2345-2447
7
v.
2
no.
2019
458
459
https://jctm.mums.ac.ir/article_13221_59b9812e144befb64490ad6c5e5fce30.pdf
dx.doi.org/10.22038/jctm.2019.40772.1229
Very large hydatid cyst in the 17-year-old Woman
Reza
Bagheri
Thoracic Surgeon, Lung Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2019
eng
A 17-year-old female presented with dyspnea, chest pain, and a very large cyst occupying the entire right hemithorax Figure 1(A, B). The patient is under full cyst extending to membrane Figure 2 (A, B).
Journal of Cardio-Thoracic Medicine
Mashhad University of Medical Sciences
2345-2447
7
v.
2
no.
2019
460
461
https://jctm.mums.ac.ir/article_13257_4132ad2bcb76b8724e0b46e63661d499.pdf
dx.doi.org/10.22038/jctm.2019.40773.1230