Publications by authors named "ElOuafi N"

Antiphospholipid syndrome (APS) is characterized by hypercoagulability, manifesting as venous or arterial thrombosis, and pregnancy-related complications, such as fetal loss, pre-eclampsia, and eclampsia. These conditions occur in the presence of antiphospholipid antibodies (aPL), including anticardiolipin antibodies (aCL) and/or a positive lupus anticoagulant (LA) test. Antiphospholipid syndrome (APS) can manifest as a primary, isolated condition or be associated with connective tissue diseases, such as systemic lupus erythematosus (SLE).

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Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a rare myocardial genetic disease that leads to heart failure and sudden cardiac death. The diagnosis of ARVC remains challenging given its variable presentation. A 66-year-old woman was admitted to our cardiac intensive care unit for the management of a left heart failure flare-up with an atrial flutter, which remains an atypical mode of the revelation of arrhythmogenic right ventricular cardiomyopathy (ARVC) retained based the association of genetic predisposition, the presence of repolarization abnormalities on electrocardiogram (EKG), the occurrence of an episode of sustained ventricular tachycardia and imaging data.

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Article Synopsis
  • * Dienogest (DNG), a selective progestin, is commonly used for treating adenomyosis, but a specific case raised concerns about its safety.
  • * A 42-year-old woman on dienogest therapy suffered from dangerous uterine bleeding leading to hemorrhagic shock and a pulmonary embolism, ultimately requiring emergency surgery and anticoagulation treatment, suggesting a link between her condition, the medication, and the complications.
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  • - A 60-year-old woman experienced persistent complete heart block, a serious heart condition often linked to other diseases, despite fixing her electrolyte levels, needing a pacemaker.
  • - Investigations revealed her heart block was due to adrenal insufficiency from tuberculosis, a condition that can have varied clinical and biological symptoms.
  • - This case emphasizes the rare connection between tuberculosis and heart conduction issues, showcasing the need for clinicians to recognize complex symptoms outside the lungs in tuberculosis patients.
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Cannabis smoking has been reported as one of the risk factors for coronary heart disease, which can trigger in rare cases, an acute coronary syndrome (ACS). In this report, we present a case of a 27-year-old man presented with acute myocardial infarction (AMI) following cannabis consumption. The patient developed ST-segment elevation on the anterior and inferior leads.

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Introduction: and importance: is a nematode parasite that causes ascariasis Cardiac involvement in ascariasis is uncommon and rarely reported in the literature.

Case Presentation: We present the case of 45 years-old man, with previous medical history of ascaris infection one week before his admission to the emergency department for acute chest pain. The electrocardiogram revealed ST-segment and T wave abnormalities in septo-apico-lateral and inferior leads, along with high levels of troponin T and eosinophil blood cells count, while transthoracic echocardiography showed lateral and inferior walls motion abnormalities.

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Introduction: Congenital aneurysm of the left atrial appendage (LAAA) is a very rare heart with potentially serious and life-threatening complications. Diagnosis is difficult because of the asymptomatic forms, until complications arise. Early surgery is the treatment of choice, but the recommendation today remains unclear.

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Introduction: With the outbreak of COVID-19, the number of cardiac manifestations related to this virus was more remarquable, among them heart thrombus (HTh) which is considered as a rare and severe complication associated with thromboembolic phenomena.

Methods: We present case report of 4 patients who presented heart thrombus as a complication of COVID-19.

Cases Report Management: During the pandemic, these patients were presented to our center for respiratory symptoms related to COVID-19 infection.

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Introduction: The complications of infective endocarditis (IE) are frequent and severe. Our aim was to study the clinical and paraclinical profiles and prognosis of vascular complications, observed in a cardiology unit in Oujda, Morocco. Among 57 patients hospitalized for IE between 2015 and 2020 at the cardiology unit, 19 patients, or 33.

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Introduction: Myocardial infarction is usually due to thrombotic occlusion of a coronary vessel caused by rupture of a vulnerable atherosclerosis plaque. There is also the acute myocardial infarction with no evidence of relevant stenosis of the coronary artery, known as myocardial infarction with non-obstructive coronary arteries (MINOCA) such as Takotsubo, myocarditis and catecholamine induced cardiomyopathy. Pheochromocytoma is one of the causes of MINOCA.

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The cardiovascular effects of cannabis are not well known. Cannabis use has been shown to cause arrhythmia, including ventricular tachycardia, sudden death, and increase in the risk of myocardial infarction (MI). We report a 62-year-old woman with chronic cannabis abuse inducing MI complicated by cardiogenic shock, chronic dilated cardiomyopathy, and atrial fibrillation.

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Introduction: SARS-CoV-2 viral infection can manifested by respiratory symptoms, or other symptoms, such as the cardiovascular manifestations including acute coronary syndrome, pericardial effusion, and heart failure.

Clinical Case: A 51-year-old patient admitted to the emergency room for epigastric pain with no respiratory signs and with an ST-segment elevation inelectrocardiogram that ultimately revealed myocarditis and SARS CoV-2 2 infection.

Conclusion: The clinical manifestations of SARS CoV-2 might be atypical, and the diagnosis might be considered in this pandemic area.

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Background: To date, more than 105,805,951 cases of COVID-19 have been diagnosed including 2,312,278 deaths. Many patients have cardiovascular risk-factors and/or co-morbidities and a lot of them developed heart conditions during the active or the post-infectious phase of the infection. A number of studies tried to demonstrate an association between poor prognostic outcomes and cardiovascular comorbidities and related damages, but the quality of current evidence is still weak.

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Acute limb ischemia (ALI) is an abrupt interruption of limb blood flow due to acute occlusion of the peripheral artery. Its concomitant occurrence with myocardial infarction (MI) constitutes a rare but serious clinical situation that worsens the functional prognosis of the affected limb or leads to the death of the patient. We report a case of an 87-year-old male patient who was diagnosed with acute left lower limb ischemia concomitant with MI.

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Hydatid disease is caused by the larvae of Echinococcus granulosus. Domestic animals like cats and dogs are the primary carriers of echinococcal organisms. This parasitosis is still endemic in some particular regions of the world.

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The innominate artery aneurysm (IAA) accounts for a small percentage of all peripheral aneurysms. However, its clinical outcomes are potentially devastating, especially when it is associated with coronary disease, due to the high risk of spontaneous rupture and thromboembolic complications. Surgical repair is always recommended in such cases.

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Peripartum cardiomyopathy (PPCM) is a rare cause of heart failure that occurs during the final month of pregnancy through about five months after delivery, without any other known cause, and it increases the risk of thromboembolic events by many folds. A 38-year-old female with a history of peripartum dilated cardiomyopathy was admitted to our hospital, one month after a cesarean section, for severe breathlessness. Examination revealed signs of global heart failure and right deep vein thrombosis.

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Article Synopsis
  • Patients with cancer are highly susceptible to various blood clotting complications, both venous and arterial, leading to serious conditions like deep vein thrombosis and heart attacks.
  • In a specific case, a 59-year-old woman with advanced lung cancer experienced chest pain due to a myocardial infarction, which was confirmed by an electrocardiogram and coronary angiography showing unusual thrombus presence without atherosclerosis.
  • The treatment included medication to dissolve the clots and anticoagulants, which highlighted the significant impact of cancer on blood clotting, emphasizing the need for careful management of thrombotic issues in cancer patients.
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Cardiac hydatidosis is an unusual disease and the interventricular septum is infrequently involved. It can cause various complications because of rupture and embolization. Interventricular septal cysts, may in rare conditions, induce symptoms corresponding to compression of the conduction pathway such as atrioventricular block.

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Infective endocarditis caused by Acinetobacter (A.) baumannii is a rare but severe complication that affects seriously ill, hospitalized patients undergoing invasive procedures. It is associated with an increased mortality rate than that of endocarditis due to the HACEK group (Haemophilus species, Aggregatibacter actinomycetemcomitans, Cardiobacterium hominis, Eikenella corrodens, Kingella kingae) gram-negative bacteria.

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Echinococcosis is an endemic zoonotic parasitic infection found in Morocco, due to . Cardiac localization is a rare form, presenting in various ways. The right heart is an uncommon site of cardiac involvement.

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Although atherosclerosis remains the major cause of acute coronary syndrome, there are many other etiologies that should be taken into account, especially in young patients with no atherosclerotic risk factors. Coronary involvement is extremely rare in patients with Behçet's disease, notably in young patients. In addition, acute inferior myocardial infarction revealing Behçet's disease has rarely been reported.

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Introduction: Pheochromocytoma is an uncommon but treatable cause of secondary hypertension, it may present with a wide variety of manifestations. The coexistence of pheochromocytoma and vascular abnormalities is described but rarely reported entity.

Presentation Of Case: A 36-year-old man was admitted to our hospital for severe hypertension, examination revealed absent femoral pulses with notion of intermittent claudication.

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Background: The incidence of infective endocarditis (IE) in chronic hemodialysis (CHD) patients remains high, despite the preventive measures implemented by nephrologists, especially the rigorous respect of hygiene, the use of antibiotic locks for catheters and the use of tunneled catheters instead of non-tunneled.

Objective: The objective of this study was to determine the clinical, biological, and echocardiographic characteristics, and the prognosis of IE in CHD.

Patients And Methods: It was a retrospective study, conducted from December 2010 to March 2020, at the Nephrology and Cardiology units of University Hospital in Oujda, Morocco.

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Acute pancreatitis can be associated with electrical changes mimicking acute coronary syndrome with normal coronary arteries. The association of acute pancreatitis with ST-segment elevation and elevated cardiac enzymes has been reported in few observations. The pathophysiological mechanisms of this association remain poorly understood.

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