A case report of stomach perforation during automatic mechanical chest compression following pulseless electrical activity due to cibenzoline intoxication.

Background: The current report describes a case of stomach perforation, a rare but serious complication, that occurred during cardiopulmonary resuscitation following severe cibenzoline intoxication.

Case Presentation: A woman aged in her 30s was brought into our hospital while receiving cardiopulmonary resuscitation for pulseless electrical activity. After starting extracorporeal membrane oxygenation (ECMO), her abdominal X-ray examination revealed free air in her abdomen.

Comparison of the Effects of Carperitide and Tolvaptan on Patients with Left Ventricular Dysfunction: A Two-Center Retrospective Study.

In patients with left ventricular (LV) dysfunction, diuretics can reduce blood pressure and lead to electrolyte abnormalities. The aim of this study was to compare the effects of tolvaptan (T group) and carperitide (C group) in these patients. Sixty-one consecutive patients admitted to the Iwate Prefectural Kuji Hospital or the Emergency Center of the Iwate Medical University between July 2011 and April 2015 were included in this study.

[Diagnosis of ischemic heart disease with coronary artery calcification score by electron beam computed tomography].

Coronary artery calcification score (CACS) by electron beam computed tomography (EBT) is determined as useful to access ischemic heart disease. Our study shows the availability of CACS by EBT among Japanese population as much as previous reports from abroad. Although EBT does not spread in Japan for less multipurposeness and good cost, multi-detector row CT which enables to measure CACS spread over Japan.

MR angiography and CT angiography of the artery of Adamkiewicz: noninvasive preoperative assessment of thoracoabdominal aortic aneurysm.

It is important to identify the artery of Adamkiewicz in patients with thoracoabdominal aortic aneurysm to aid in surgical planning and to prevent postoperative paraplegia or paraparesis. However, the artery of Adamkiewicz is difficult to visualize and impossible or very dangerous to evaluate with selective intercostal or lumbar angiography. The feasibility, advantages, and limitations of magnetic resonance (MR) angiography and computed tomographic (CT) angiography in the preoperative assessment of the artery of Adamkiewicz were evaluated in 30 patients with thoracoabdominal aortic aneurysm.

[Coronary artery calcification score measured by electron beam computed tomography for evaluation of ischemic heart disease in Japanese].

The objective of this study was to assess the usefulness of coronary artery calcification score(CACS) as measured by electron beam computed tomography(EBT) for evaluating coronary artery disease(CAD) in the Japanese population. The study included 513 consecutive patients(384 men and 129 women). All patients underwent EBT, and CACS was calculated.