300 results match your criteria: "Rajaei Cardiovascular Medical & Research Center; Tehran University of Medical Sciences[Affiliation]"

Purpose: Cardiotoxicity is one of the major concerns in breast cancer treatment, significantly affecting patient outcomes. To improve the likelihood of favorable outcomes for breast cancer survivors, it is essential to carefully balance the potential advantages of treatment methods with the risks of harm to healthy tissues, including the heart. There is currently a lack of comprehensive, data-driven evidence on effective risk stratification strategies.

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Propolis, as a by-product of honey production, has shown several beneficial effects on cardiovascular risks in past randomised controlled trials, although the findings are not conclusive. In this review, we intend to evaluate the effects of propolis consumption on cardiovascular risk factors by conducting a meta-analysis. The Web of Science, Medline and Scopus databases were comprehensively searched until September 2023.

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  • Cyanotic congenital heart diseases are serious conditions in newborns, with a rare form involving the direct connection between the right pulmonary artery and left atrium, needing prompt correction to prevent heart failure.
  • Two patients, aged 2 and 13, presented with central cyanosis and difficulty breathing, leading to a diagnosis of abnormal blood flow via imaging techniques.
  • Treatment has evolved from surgical methods to less invasive percutaneous techniques, emphasizing the importance of early diagnosis and appropriate intervention based on the unique characteristics of the congenital anomaly.*
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Background: Malnutrition is common among children with congenital heart disease (CHD). We compared the anthropometric indices, serum insulin-like growth factor (IGF), and IGF acid-labile subunit (IGFALS) of children with cyanotic and acyanotic CHD before corrective surgery.

Methods: This 82-patient case-control study included 1- to 24-month-old CHD patients referred for corrective surgery.

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Key Clinical Message: Microvascular angina (MVA) can present with recurrent chest pain and normal coronary angiography. Recognizing MVA is crucial as it significantly impacts patient morbidity and mortality. Early diagnosis and management with antianginal medications are essential for improving outcomes and quality of life.

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Introduction And Importance: Coronary-cameral fistulas (CCFs) are the anomalous connection between a coronary artery (CA) and a great vessel or cardiac chamber. About 90 % of CA fistulas are congenital and are related to persistent sinusoids during the embryonic period. Most fistulas originate from the right and left anterior descending CAs.

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  • Candida parapsilosis is a major fungus contributing to nail infections, known for forming biofilms that resist standard antifungal treatments.
  • This research focused on evaluating the effectiveness of the antifungal drug itraconazole against biofilms of C. parapsilosis, examining its ability to induce reactive oxygen species (ROS) that lead to cell death.
  • The findings suggest that targeting ROS can enhance the effectiveness of antifungal therapy, particularly for stubborn cases of nail fungus, highlighting the potential of itraconazole as a key treatment option.
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Background: Owing to the rich phytochemical content of Rhus coriaria L. (Anacardiaceae), known as Sumac, it may affect blood pressure, glycemic, and anthropometric indices. We, therefore, aimed to examine evidence on effect of Sumac on these factors by conducting a meta-analysis of RCTs.

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Introduction: Coronary cameral fistulas (CCFs) are rare congenital anomalies characterized by abnormal connections between a coronary artery and one of the cardiac chambers. These abnormal connections can lead to significant clinical implications, including heart failure and myocardial ischemia, necessitating timely diagnosis and intervention.

Case Presentation: A 5-year-old Iranian boy was brought to the emergency room at Heart Hospital Center complaining of chest pain and dyspnea on exertion.

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Background: Propolis, a natural resin produced by bees, has been studied for its potential effects on liver enzymes and obesity indices. However, a meta-analysis is necessary to comprehensively understand the impact of propolis on obesity and liver function.

Objectives: This meta-analysis of randomized controlled trials (RCTs) sought to evaluate the effects of propolis consumption on liver enzymes and obesity indices in adults.

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Introduction: Myocardial ischemia can occur due to several causes, which result in an imbalance between the supply and demand of oxygen to cardiac muscles. One potential reason for this condition is the overwork of the heart due to hyperstimulated thyroid function.

Case Presentation: The patient was a 36-year-old woman who presented with left-sided chest pain, dyspnea, palpitation, and tremor.

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Background: Percutaneous pulmonary valve implantation (PPVI) is a recognized alternative treatment to surgery for patients with dysfunctional right ventricular outflow tracts. Patient selection is essential to avoid serious complications from attempted treatment, such as rupture or dissection, especially of the calcified outflow tracts. We describe a case with an unexpected rupture of a calcified homograft valve and main pulmonary artery, which was treated successfully by emergency implantation of a self-expanding Venus P-Valve (Venus MedTech, Hangzhou, China) without the need for pre-stenting with a covered stent.

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  • - Despite being less common, T-cell malignancies are highly aggressive and typically have poor outcomes, prompting investigation into CD7-targeted CAR T cell therapy as a potential treatment option.
  • - A systematic review of clinical trials showed an overall response rate of 100%, with high rates of stringent/complete responses (85%) and minimal residual disease negativity (85%), though there were notable hematological toxicities.
  • - The results suggest that targeting CD7 in CAR T cell therapy is both effective and relatively safe for patients with relapsed or refractory T-cell cancers, with most adverse events being manageable.
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Clues of HLAs, metabolic SNPs, and epigenetic factors in T cell-mediated drug hypersensitivity reactions.

Heliyon

July 2024

Department of Photodynamic Therapy, Medical Laser Research Center, Academic Center for Education, Culture, and Research (ACECR), Tehran, Iran.

Drug hypersensitivities are common reactions due to immunologic responses. They are of utmost importance because they may generate severe and fatal outcomes. Some drugs may cause Adverse Drug Reactions (ADRs), such as drug hypersensitivity reactions (DHRs), which can occur due to the interaction of intact drugs or their metabolites with Human Leukocyte Antigens (HLAs) and T cell receptors (TCRs).

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Purpose: To evaluate the effects of a water drinking test (WDT) on the intraocular pressure (IOP) and vascular density of the optic nerve head and macula in healthy individuals and those with primary open glaucoma using optical coherence tomography angiography.

Methods: In this prospective comparative study, 30 healthy patients and 44 POAG subjects were divided into two groups. The study's outcome measures were the IOP and vessel density of the optic nerve and macular area.

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: Chronic rhinosinusitis (CRS) is an inflammatory condition classified into chronic rhinosinusitis with nasal polyps (CRSwNP) and chronic rhinosinusitis without nasal polyps (CRSsNP). Th cells manage inflammatory cells in CRS. Suppressor of Cytokine Signaling (SOCS) proteins regulate Janus kinase (JAK)-signal transducer and activator of transcription (STAT) pathway in Th cells by polarizing toward Th1, Th2, and Th17 cells.

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  • The study aimed to investigate antibiotic resistance mechanisms in Stenotrophomonas maltophilia isolates from patients who had open heart surgeries in Tehran, Iran.
  • The research included 60 clinical isolates verified through microbiological methods and PCR, and assessed resistance using the E-test for minimum inhibitory concentrations (MICs) and various antibiotic resistance genes.
  • Results showed 55% sensitivity to minocycline and significant resistance to ceftazidime (46.7%), with 25% of isolates carrying integron gene int1, indicating a concerning increase in antibiotic resistance within healthcare settings.
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Video capillaroscopy is a diagnostic method for evaluating microvascular changes in type 2 diabetes mellitus (T2DM). This study evaluated microvascular changes, including microvascular architecture, capillary distribution (morphology and density), and angiogenesis conditions in T2DM patients via video capillaroscopy. A total of 256 patients with T2DM enrolled in this study.

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Background: Dilated cardiomyopathy (DCMP) is characterized by the enlargement and weakening of the heart and is a major cause of heart failure in children. Infection and nutritional deficiencies are culprits for DCMP. Zinc is an important nutrient for human health due to its anti-oxidant effect that protects cell against oxidative damage.

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Penetrating cardiac trauma is a fatal condition and can result in the injury of various parts of the heart. Ventricular Septal Defect (VSD) following these traumas occurs only in 1-5% of cases. The patients' conditions depend on location, size, and concomitant injuries.

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Inflammasomes are complex platforms for the cleavage and release of inactivated IL-1β and IL-18 cytokines that trigger inflammatory responses against damage-associated molecular patterns (DAMPs) or pathogen-associated molecular patterns (PAMPs). Gut microbiota plays a pivotal role in maintaining gut homeostasis. Inflammasome activation needs to be tightly regulated to limit aberrant activation and bystander damage to the host cells.

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  • Focal atrial tachycardia (FAT) is an organized fast heart rhythm that originates from a specific spot in the atria, with the potential for it to be persistent or come and go.
  • A case study discusses a 36-year-old man who experienced symptoms like palpitations and was initially misdiagnosed with atrial flutter, but was later correctly diagnosed with FAT and underwent successful ablation.
  • Distinguishing between FAT and atrial flutter is essential for effective treatment, which can be done by analyzing differences in ECG patterns, such as wave shapes and intervals.
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Lung and hematopoietic stem cell transplantation are therapeutic modalities in chronic pulmonary and hematological diseases, respectively. One of the complications in these patients is the development of bronchiolitis obliterans syndrome (BOS). The efficacy and safety of available treatment strategies in BOS remain a challenge.

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Background: Diagnosis of neuropsychiatric systemic lupus erythematosus (NPSLE) is challenging due to nonspecific biomarkers. High serum levels of neurofilament protein light subunit (NFL), high mobility group box 1 (HMGB1), Matrix metalloproteinase-9 (MMP-9) and have been reported in several autoimmune diseases. The aim of this study was to examine whether their plasma levels could serve as a diagnostic or prognostic biomarker for NPSLE.

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Aortic dilation in adults with repaired tetralogy of Fallot: a single-centre study.

Cardiol Young

May 2024

Congenital Heart Disease Research Center, Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

Background: Tetralogy of Fallot is the most prevalent cyanotic CHD. With the advent of advanced surgical methods, the majority of tetralogy of Fallot patients reach adulthood. However, many need re-intervention for the residual anomalies including residual right ventricular outflow obstruction, pulmonary regurgitation, residual ventricular septal defects, and progressive aortic dilatation.

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