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http://dx.doi.org/10.1016/s0022-3476(70)80165-2DOI Listing

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A 9-month-old female Jack Russell Terrier was referred because of two episodes of suspected syncope. Echocardiography revealed a large, isolated mid-muscular ventricular septal defect (7 mm) with bidirectional shunting. A diagnosis of Eisenmenger syndrome and erythrocytosis (68.

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Article Synopsis
  • Patients with cyanotic congenital heart disease (CCHD) and polycythemia are at higher risk for strokes during childhood, but there's mixed data on stroke prevalence in adults.
  • Studies report a 10-13% rate of strokes and transient ischemic attacks in adults with complex CCHD, but others argue these events are rare.
  • Treatment for polycythemia through phlebotomy is infrequently used due to risks, and the text details a case of an adult male with CCHD who suffered an acute ischemic stroke.
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Article Synopsis
  • Erythrocytosis is a condition where there are too many red blood cells, and doctors frequently see it in their patients.
  • There are two types: primary erythrocytosis (like polycythemia vera) and secondary erythrocytosis, which can have different causes, including issues with the heart.
  • Eisenmenger syndrome is a serious condition related to untreated heart defects that can cause erythrocytosis, but doctors need to be careful with treatments like blood removal, only using them when necessary to avoid harm.
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Background: Monoclonal gammopathy (MG) is characterized by monoclonal protein overproduction, potentially leading to the development of hyperviscosity syndrome.

Objective: To assess retinal circulation using optical coherence tomography angiography (OCTA) parameters in patients with monoclonal gammopathy.

Methods: OCTA measurements were performed using the Optovue AngioVue system by examining 44 eyes of 27 patients with MG and 62 eyes of 36 control subjects.

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