Publications by authors named "O M Popa"

Background: Cardiac resynchronization therapy (CRT) is an essential treatment for patients with symptomatic heart failure and ventricular conduction abnormalities. Low-ejection-fraction (EF) cardiomyopathy often involves a wide QRS complex displaying a left bundle branch block (LBBB) morphology and markedly delayed activation of the LV lateral wall. Following CRT, patients with heart failure and LBBB have better outcomes and quality-of-life improvements.

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Cardiac resynchronization therapy is an essential treatment for heart failure patients. Candidates typically have cardiomyopathy accompanied by delayed electrical activation in the left ventricular lateral wall, causing uncoordinated contractions and worsening heart failure. Heart failure severity can be assessed with functional tests: the cardiopulmonary test, which is a maximal exercise test, remains the gold standard, but the 6 min walk test has emerged as an easier, faster, and more comfortable alternative to be used by clinicians to adjust treatment protocols for cardiovascular and pulmonary conditions.

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Article Synopsis
  • - Graves' disease (GD) is an autoimmune condition that impacts the thyroid, potentially leading to hyperthyroidism and other complications, but recent studies indicate it may also increase the risk of thyroid cancer, especially differentiated thyroid carcinomas and, less frequently, medullary thyroid carcinoma (MTC).
  • - A case series highlighted three female patients with GD who were diagnosed with MTC, all showing concerning thyroid nodules and elevated calcitonin levels, ultimately requiring total thyroid removal, with histology confirming MTC.
  • - The study emphasizes the need for routine calcitonin screening in GD patients to ensure early detection of thyroid cancers and recommends this testing be included in standard diagnostic procedures for those with thyroid abnormalities.
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Background: Cardiac involvement in Fabry disease (FD) usually manifests as a concentric left ventricular hypertrophy with rare cases developing left ventricular outflow tract obstruction (LVOTO), symptoms varying from fatigue and exercise associated dyspnoea to angina or arrhythmias.

Case Summary: We present the case of a 54-year-old man with cardiovascular risk factors and aggravated exertional dyspnoea in the past year, in whom the echocardiography showed hypertrophic obstructive cardiomyopathy (HOCM). Cardiac magnetic resonance was used as differential diagnosis tool between sarcomeric HOCM and other phenocopies, suggesting a cardiac involvement of FD.

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The aim of this study was to evaluate the clinical-pathological profile in young patients with thyroid cancer. We realized a retrospective study on patients with thyroid neoplasms who underwent surgery at the "Pius Brinzeu" County Clinical Emergency Hospital in Timisoara, Romania. A comparative analysis of some parameters between two groups, young patients (<45 years) versus patients ≥45 years, was performed.

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