Articles: chronic.
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Pulmonary Hypertension Posters IISESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Pulmonary hypertension[PH] is an overlooked condition with serious outcome. The exact prevalence of the disease remains unknown in many countries. We wanted to assess the prevalence of PH in patient referred to cardiology outpatient echo clinic of Benghazi Medical Centre (BMC)METHODS: Doppler echo cardiography reports, performed by experienced cardiologist, of adult patients referred to cardiology outpatients of BMC (serving secondary and tertiary level of medical service) in the period between January 2010 and March 2013 were retrospectively reviewed. Demographic data and available medical information including co-morbidities were obtained. PH was considered possible when tricuspid regurgitation velocity > 2.8 m.s -1, PA systolic pressure > 36 mmHg with or without additional echo-cardiographic variables suggestive of PH (Galie et al 2009). Evidence of any further action taken for patients with possible PH was noted. ⋯ The following authors have nothing to disclose: Khalid Gaber, Osama Elfaitouri, Sherif Hassi, Osama Embaig, Shawg NajemNo Product/Research Disclosure Information.
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BronchiectasisSESSION TYPE: Slide PresentationsPRESENTED ON: Saturday, March 22, 2014 at 09:00 AM - 10:00 AMPURPOSE: To assess the effectiveness of inhaled colistin in elderly patients with bronchiectasis and chronic bronchial PA infection in reducing hospital readmissions ⋯ The following authors have nothing to disclose: Eva Tabernero, Pilar Gil, Ramon Alkiza, Javier Garros, Anibal Hernandez, Juan Luis ArtolaNo Product/Research Disclosure Information.
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Congenital Disorder Case Report PostersSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Primary ciliary dyskinesia(PCD) is a well-known congenital disorder manifesting in infancy to childhood in 70-80% cases, with the rest being diagnosed in their second decade. The ciliary dysfunction affects the upper and lower respiratory apparatus leading to recurrent sinus infections, pneumonias and irreversible processes including bronchiectasis usually before reaching adulthood. ⋯ The following authors have nothing to disclose: Prashanth Thalanayar, Fernando HolguinNo Product/Research Disclosure Information.
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Cardiovascular Case Report Posters ISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Cafergot is an ergotamine commonly prescribed to treat migraine headaches. As a serotonin agonist, it works at 5-HT2B receptors to cause selective vasoconstriction. In this case, a 62 YO WF who had been taking Cafergot for 15 years developed sudden onset transudative recurrent pleural effusions, all common causes ruled out by negative cytology, chemistry, culture, and cell count. She eventually developed severe multiple valvulopathy, pulmonary hypertension, and congestive hepatopathy. This case is unique in its presentation with recurrent pleural effusions of unknown etiology, with delayed diagnosis of ergotamine-induced valvulopathy given its slow progression. ⋯ The following authors have nothing to disclose: Rachel Felber, Hassan BencheqrounNo Product/Research Disclosure Information.
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Mortality after lower limb amputation is high, with UK 30-day mortality rates of 9-17%. We performed a retrospective analysis of factors affecting early and late outcome after lower limb amputation for peripheral vascular disease or diabetic complications at a UK tertiary referral vascular centre between 2003 and 2010. Three hundred and thirty-nine patients (233 male), of median (IQR [range]) age 73 (62-79 [26-92]) years underwent amputation. ⋯ Anaesthetic technique was associated with long-term mortality on survival analysis (p = 0.04), but not when analysed using regression modelling. Mortality after lower limb amputation relates to patient age, ASA, out-of-hours surgery and renal dysfunction. These data support lower limb amputations' being performed during daytime hours and after modification replace with 'of ' correctable risk factors.