Publications by authors named "Said Abdirahman Ahmed"

Coronary artery aneurysm (CAA) is a rare form of coronary artery disease characterized by abnormal dilation of a coronary artery segment. While CAAs can present with various symptoms, syncope is notably uncommon, with limited documented cases. We present the case of a 24-year-old woman with a 2-month history of recurrent syncope, occurring in the absence of other symptoms.

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Atrioventricular valve parachute deformity is rare and is generally seen in the mitral position, called the parachute mitral valve. It is rare to see it in the tricuspid valve and up to now, there have been approximately 14 cases of parachute abnormalities in tricuspid valves in a literature review. We present here a 21-year-old male who presented to the emergency department with progressive shortness of breath over several months.

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Introduction: Spontaneous Intracerebral hemorrhage (ICH) in young patients is less common and not well studied compared to ICH in older patients. The etiology, risk factors and outcome of ICH in young patients may have regional and ethnic differences. The study aims to investigate the clinical characteristics, risk factors, etiology and outcome of spontaneous intracerebral hemorrhage in young adults in Somalia.

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Blast and gunshot-induced penetrating traumatic vascular injuries represent a significant portion of patients with vascular trauma in countries where there are higher rates of war-related violence. These injuries are especially challenging in resource-limited countries due to early diagnosis and transfer delays. This report aimed to present our experience regarding the surgical management and outcome of such injuries at a major referral vascular surgery centre in the country.

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Article Synopsis
  • * Risk factors contributing to UH include lack of comorbidities, poor dietary habits, and non-adherence to recommended physical activity levels, with specific predictors identified through binary logistic regression analysis.
  • * The findings underscore the need for better management strategies for hypertension, focusing on lifestyle modifications and enhancing treatment adherence to reduce the high prevalence of UH in the population.
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Introduction: Pseudoaneurysm of the brachiocephalic artery is a rare condition that can occur as a result of various causes, including trauma, iatrogenic injury, and infection. The clinical presentation of brachiocephalic artery pseudoaneurysms can vary depending on the size and location of the pseudoaneurysm. The treatment options for innominate artery pseudoaneurysms include both surgical and endovascular approaches.

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  • Pericardial effusion (PE) is an abnormal accumulation of fluid in the pericardial space, with diverse incidence rates influenced by various factors, as highlighted in a study of 93 patients from Mogadishu Somali Turkish Training and Research Hospital.
  • The study aimed to analyze the clinical features, causes, echocardiographic characteristics, and outcomes of patients suffering from PE, noting that 86% of them had at least one comorbidity.
  • Key findings revealed that cardiac disease was the most frequent cause of PE, symptoms included shortness of breath and chest pain, and the majority of patients were treated with medications like furosemide and anti-inflammatories.
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Introduction: The door-to-balloon time, the time between a patient's arrival at the hospital and percutaneous coronary intervention, is crucial for managing myocardial infarction. Aiming for less than 90 minutes is recommended, as shortened times are associated with improved outcomes. However, limited healthcare resources, infrastructure, transportation and poverty impact management, leading to poorer outcomes and delayed door to balloon time.

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Aim: Coronary artery diseases (CAD) are chronic disorders in which atherosclerosis plays a major role in their pathogenesis. Their severity is directly related to cardiovascular outcomes. The assessment of Coronary Artery severity is quite complex, in which different parameters are used, such as the gensini score, syntax score, etc.

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  • Myocardial infarction and cardiovascular diseases are critical health concerns in Somalia, exacerbated by conflict, lack of education, and poor healthcare infrastructure; risk factors like diabetes and hypertension are common in the population.
  • The study surveyed 313 urban residents in Mogadishu using a Somali questionnaire to assess their knowledge, attitudes, and behaviors about myocardial infarction, revealing that many participants lacked awareness and education on the topic.
  • Results showed that a significant portion of respondents had inadequate knowledge about myocardial infarction, with many unable to recognize its symptoms and low engagement in healthy behaviors, highlighting a need for better education and resources.
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Cerebral venous thrombosis (CVT) is a less common type of stroke, mostly in young patients. The majority of these cases are due to thrombosis of superior sagittal sinus and transverse sinus. Isolated thrombosis of the inferior sagittal sinus is very rare.

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Intensive care for a hypertensive mother with preeclampsia or eclampsia is crucial for both maternal and neonatal outcomes. This study highlights the level of morbidity and mortality among women with preeclampsia and eclampsia admitted to the intensive care unit. .

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Rheumatic heart disease (RHD) is the leading cause of valvular heart disease in underdeveloped nations. It remains a significant public health issue in Sub-Saharan African countries. This study aimed to determine the pattern, severity, and complications of RHD in Somalia.

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Article Synopsis
  • New oral anticoagulants (NOACs), particularly apixaban, are popular for treating blood clots, being safer than warfarin but still carrying a risk of spontaneous bleeding.
  • An 81-year-old man with heart failure developed cognitive issues and right side weakness after using apixaban, leading to the discovery of a large subdural hematoma on brain imaging.
  • Despite discussions about surgery, the patient’s age and health factors led to a conservative approach, and he is now recovering with physiotherapy, highlighting the potential risks associated with apixaban.*
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Introduction: Penetrating cardiac injuries are a significant challenge for surgeons and can have varying outcomes depending on factors such as initial care, characteristics of the wounds, and surgical management. These injuries can result from both stab wounds and gunshot wounds, with different mortality rates associated with each. Life-threatening illnesses include penetrating injuries to the heart.

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  • The study investigates the relationship between pericardiac conditions and acute ischemic strokes in a cohort of 315 patients from Mogadishu, Somalia, focusing on the importance of transthoracic echocardiography for identifying potential cardiac sources of strokes.
  • Over 80% of patients had comorbidities, primarily hypertension, diabetes, and hyperlipidemia, with 54% exhibiting some form of cardiac pathology; specifically, a notable percentage showed left ventricular dysfunction or hypertrophy.
  • The findings suggest that patients with both hypertension and diabetes had significantly more echocardiographic abnormalities and that these abnormalities were associated with higher mortality rates during hospitalization.
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Key Clinical Message: Bilateral thalamic infarction in paramedian artery territory may present with severe acute illness, confusion, coma and memory impairment. However, subtle clinical presentation as in our case should alert the clinician to consider such a diagnosis as it can be associated with good prognosis.

Abstract: Bilateral thalamic infarct is a rare form of stroke.

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A spontaneous coronary artery dissection (SCAD) is a tear that forms in a blood vessel in the heart without any obvious underlying etiology It could be a single vessel or multiple vessels. We present a 48-year-old male known to be a heavy smoker without any chronic diseases or family history of heart disease who presents to the cardiology outpatient clinic with shortness of breath and chest pain on exertion. Electrocardiography demonstrated ST depression with T wave inversion of anterior leads, while echocardiography of the patient showed left ventricular systolic dysfunction with severe mitral regurgitation and mildly dilated left chambers.

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Spontaneous coronary artery dissection is described as the intramural bleeding that separates the layers of an epicardial coronary artery wall, either with or without an intimal tear. Atherosclerosis, iatrogenic damage, or trauma are not linked to this syndrome. Here we present a 28-year-old male with 1 month history stroke but no any chronic disease as well family history of heart disease who presented with 2 days' duration of typical cardiac chest pain.

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Introduction: and importance: Isolated left ventricular noncompaction cardiomyopathy (LVNC), uncommon type of primary hereditary cardiomyopathy. It is a spongy morphological appearance of the myocardium that occurs largely in the LV.

Case Presentation: We discuss here a case of 19 years old female with no known past medical history who present with Shortness of breath (SOB) and left sided weakness following delivery.

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Introduction And Importance: Leriche syndrome, also known as aortoiliac occlusive disease, is characterized by chronic obstruction of the abdominal aorta and iliac arteries. The disease was first described by Robert Graham in 1814. Leriche syndrome was named after a French surgeon, Rene Leriche, who first operated on the condition.

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Constrictive pericarditis is an uncommon complication of acute pericarditis, mainly caused by non-idiopathic sources. Pneumopericardium is the presence of air in the pericardial sac resulting from various procedures and circumstances, including trauma, iatrogenic, non-iatrogenic and natural causes. Here, we report a 16-year-old girl who came to the cardiology outpatient complaining of weakness, abdominal distention and shortness of breath while lying down and exertion.

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Introduction: Thyroid disease is an independent predictor of heart failure in patients. This study aimed to investigate the prevalence of thyroid dysfunction among patients with heart failure in Mogadishu, Somalia.

Methods: From January 2019 to January 2021, a total of 250 patients diagnosed with heart failure admitted to the cardiology outpatient and emergency departments were evaluated retrospectively.

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