Medical Sciences Commons^™

Correction Of Post Keratoplasty Refractive Error By Two Step Femto-Lasik Approach, Hazem Abdallah Elnashar

Journal of Medicine in Scientific Research

Background: Vision rehabilitation following a successful keratoplasty remains difficult. Occasionally, Post Keratoplasty Refractive Error cannot be corrected with eyeglasses or contact lenses. In such situations, refractive surgery may be the answer. It has been demonstrated that Femto-LASIK is a safe and effective procedure for reducing postoperative refractive error in keratoplasty patients. Aim: To assess the visual and refractive effect of using two step Femto-LASIK approach for correction of post keratoplasty refractive error. Methods: Prospective interventional study involved 12 patients with high refractive error after keratoplasty that a Two-step Femto-LASIK procedure was performed on after corrective lenses (contacts or glasses) failed …

Effect Of Mirror-Based Lateral Walking Training On Balance In Children With Hemiparesis: A Randomized Controlled Trial, Mohamed I. Elsepaee, Eman I. Elhadidy, Samia A. Abd Elrahman, Hesham A.E. Elghaiaty, Seham M. Abd El-Moghny

Journal of Medicine in Scientific Research

Background: Cerebral palsy children with hemiparesis manifest impaired balance during static and dynamic activities which impact gait, functional activities, and quality of life. Purpose: To determine the effect of mirror-based lateral walking training on balance in cerebral palsy children with hemiparesis. Methods: The study included 60 children of both sexes with hemiparesis between the ages of five and seven who met the following inclusion criteria: they able to walk independently at level II on the Gross Motor Function Classification System (GMFCS), with spasticity at grade 1+ to 2 on the modified Ashworth scale. Results: Following training, both groups showed statistically …

Antithrombotic Therapy Improves Icu Mortality Of Septic Patients With Peripheral Vascular Disease In Shebin Elkom Teaching Hospital, Talal Ibrahim Mostafa Hagag, Mohamed Abdelsamie Abdelkhalek Elbahat, Shimaa Mohamed Wahed Kalama Dr

Journal of Medicine in Scientific Research

Background One of the main reasons critically ill patients suffer from severe illness and pass away, especially those who already have peripheral vascular disease (PVD), is sepsis. Sepsis's hypercoagulable condition exacerbates microvascular thrombosis, resulting in organ damage and unfavorable clinical outcomes. Antithrombotic treatment options, such as anticoagulants, antiplatelet medications, or a combination of these, have the potential to improve sepsis patients' prognosis. Objective In this study, septic patients with peripheral vascular disease (PVD) who were admitted to Shebin Elkom Teaching Hospital are examined for the effects of antithrombotic therapy on ICU mortality and clinical outcomes. Methods 112 septic ICU patients …

Impact Of Using The Multi-Ethnic Global Lung Initiative As A Spirometry Reference Equation: Retrospective Cross-Sectional Study In Egyptians, Mohamed Gs. El-Shiekh

Journal of Medicine in Scientific Research

Context: Spirometry interpretation is largely affected by the reference equation. European Coal and Steel Community/European Respiratory Society reference equation 93 (ECSC-ERS93) is widely used in Egypt, despite the endorsement of multiethnic global lung initiative equation (GLI-2012) by many international societies as a reference. Aim: We aimed to investigate the interpretive impact of shifting from ECSC-ERS93 to GLI-2012 among Egyptians. Methods: Acceptable pre-bronchodilator spirometry tests for Egyptian subjects, obtained between January 2022 and July 2024 were included, excluding those with age and anthropometric limits of ECSC-ERS 93 equation. Interpretation of spirometric results (normal, preserved ratio impaired spirometry (PRISm), spirometric obstruction, spirometric …

The Incidence Between Carpal Tunnel Syndrome (Cts) And De Quervain’S Tenosynovitis (Dqt) Using Electrophysiological And Ultrasonography Study., Shaimaa M. Abd El Aziz, Lamis Safwat

Journal of Medicine in Scientific Research

One of the most common entrapment neuropathies affecting the upper limbs is carpal tunnel syndrome (CTS). de Quervain tenosynovitis (DQT) is a condition that affects the wrist's first dorsal compartment and is characterized by tendon entrapment and thickening of sheaths around the abductor pollicis longus and extensor pollicis brevis. The association of idiopathic CTS and idiopathic DQT has been studied in a few researches. In this study, we would like to summarize the most recent knowledge about the occurrence of CTS and DQT on the same hand using electrophysiological and ultrasonography studies.

Does Coronary Artery Bypass Grafting Surgery Affect The Right Ventricular Function Postoperatively?, Ahmed A Faragalla, Ahmed M Elshiemy, Sherif A Elhindawy, Ahmed A Abdelhamid

Journal of Medicine in Scientific Research

Background A well-established benefit of coronary artery surgery (CABG) is to improve the left ventricular (LV) performance meanwhile, its impact on the right ventricular (RV) chamber is obscure and an issue of continuous investigations. Aim This study explores the influence of CABG on the RV performance. Methods This study employed a prospective longitudinal, observational design to evaluate function in 30 patients undergoing isolated CABG. Echocardiography with a transthoracic approach was accomplished preoperatively, one week and one-month post-surgery. The myocardial performance index (Tei index), tricuspid annular plane systolic excursion (TAPSE), and peak systolic (Sm) and early diastolic (Em) myocardial velocities at …

Endovascular Re-Intervention For Recurrent Lower Limb Ischemia After Previous Endovascular Intervention, Mohamed Abdelsamie Abdelkhalek Elbahat

Journal of Medicine in Scientific Research

Background Redo endovascular interventions are increasingly employed to address recurrent lower limb ischemia following prior successful procedures. Despite their minimally invasive nature and flexibility, there is limited data on their midterm effectiveness and safety. Objective To evaluate the effectiveness and outcomes of endovascular re-intervention in managing recurrent lower limb ischemia after previous procedures. Patients and Methods This study included 40 patients with recurrent lower limb ischemia, managed at Shebin Elkoom Teaching Hospital between 2023 and 2024. Patients had previously undergone successful endovascular interventions at least 30 days before recurrence and were treated with angioplasty alone or in combination with stenting. …

Cervical Ripening In Nulliparous, Healthy, Full-Term Pregnant Women: The Impact Of Oral Evening Primrose, Ghada Abdelmaksoud Badr, Magdy Hassan Balaha, Ramy Mohamed Elnaggar, Sherin Barakat Elbahoty

Journal of Medicine in Scientific Research

Background Seeds of the evening primrose plant (Oenothera biennis) are used to make evening primrose oil (EPO) capsules. EPO's omega-6 essential fatty acids are mostly responsible for their therapeutic advantages since they have an impact on prostaglandin and cytokine synthesis. The purpose of this study was to assess how EPO affected cervical ripening in healthy nulliparous women who were carrying fullterm pregnancies. Methods A single-blinded randomized controlled trial was conducted involving 110 healthy nulliparous women, all with a Bishop score of 6 or lower, singleton pregnancies, cephalic presentations, and no signs of cephalo-pelvic disproportion. Participants were split into two equal …

Proximal Chronic Total Occlusion Of The Left Anterior Descending Coronary Artery: Conventional Vs. Minimally Invasive Revascularization, Ahmed Shafeek Ali, Mahmoud Maher Abdou Ibrahim, Haitham Alshahat Ramadan

Journal of Medicine in Scientific Research

Introduction Minimally invasive techniques have gained much popularity in recent years. Our goal is comparing the initial outcomes of the minimally invasive technique to the traditional method for managing chronic total occlusion of the left anterior descending coronary artery. Methods A total of 60 ischemic individuals with isolated chronic total occlusion (CTO) of the left anterior descending coronary artery and a history of failed PCI were prospectively studied at the National Heart Institute, Cairo, Egypt, between June 2021 to November 2023. Patients were matched using EuroSCORE II, all patients were operated on utilizing the off-pump technique. Group 1 encompassed 30 …

Hand Grip Strength As A Predictor Of Pulmonary Function In Children With Congenital Heart Disease: A Cross-Sectional Study, Taher S.E. Taha, Abeer El Sayed Hamed, Mohamed Ahmed Omar, Shymaa Mahmoud Maaty

Journal of Medicine in Scientific Research

Background Children with congenital heart disease (CHD) frequently present with reduced pulmonary function due to cardiopulmonary impairments and decreased physical activity levels. Peripheral muscle weakness is common and may reflect overall respiratory performance. Aim To examine the correlation between hand grip strength (HGS) and pulmonary function parameters in pediatric CHD patients. Settings and Design In this cross-sectional study, 50 children aged 6–14 years with confirmed CHD were recruited from the National Heart Institute, Egypt. Methods and Material Pulmonary function tests were conducted using a calibrated spirometer, measuring FVC, FEV1, PEF, FEV1/FVC ratio, and MMV. HGS was assessed using a hydraulic …

One And Half Versus Bi-Ventricular Repair In Pediatric E Bstein Anomaly, Short-Term Outcomes Retrospective Analysis, Rania Abushokka, Hanan Mohammed Hassan, Ahmed Meawad, Ahmed Algebaly

Journal of Medicine in Scientific Research

-Background: The application of one and half-ventricular repair in Ebstein anomaly(EA) should be considered, in association with effective cone repair, to reduce the volume preload on a dysfunctional right ventricle, and to take the benefit of obtaining ante-grade pulmonary blood flow. The one and half-ventricular repair that applied in patients with hypoplastic sub pulmonic ventricle can alternate effectively the Fontan pathway. This provides pulsatility in pulmonary circulation. However, pressure elevation in superior vena cava (SVC) and right atrial hypertension can occur in patient’s undergone one and half ventricular repair. Aim The aim of this study to evaluate the short-term outcomes …

Impact Of Body Mass Index On Echocardiographic Parameters Of Patients With Ischemic Cardiomyopathy, Rehab M Al-Ashry, Mohamed Elbayomi, Nesreen M. Zakaria

Journal of Medicine in Scientific Research

Background: Since obesity raises the risk of several metabolic and cardiovascular disorders, it is a serious global health concern. Researches on its effects on heart anatomy, function, and metabolic parameters in ischemic cardiomyopathy patients are still ongoing. Aim: To assess how elevated body mass index (BMI) is related to echocardiographic parameters in patients with ischemic cardiomyopathy. Methods: There were two patient groups in this investigation with ischemic cardiomyopathy: overweight/obese (Group I, BMI >25) and non-obese (Group II, BMI ≤25). Echocardiographic measurements, comprising systolic and diastolic performance, wall thickness, and left and right ventricular dimensions were evaluated. Laboratory parameters, including glycemic …

Utility Of Platelet And Lymphocyte Indices Among Dengue Seropositive Patients, Lionel Rohit Mathew, Hemnath Rajkumar, Varshaa Chithrra, Pavithra Murugan, Nalini Peravali, Ashwini Suruthy, Madeeha Tahseen, Arthy Subramanian, Shalini Karthikeyan, Sridevi Vijayasankar, Mahendranath Pernati, Saraswathi Manikam

Journal of Medicine in Scientific Research

Introduction: Dengue Fever is a common mosquito-borne viral infection that causes epidemics in countries like India [1]. Dengue Hemorrhagic Fever and Dengue Shock Syndrome are life-threatening complications where a sudden drop in platelet count leads to plasma leakage and bleeding manifestations [2, 3].Platelet Count, Platelet indices, Total Leucocyte Count and Lymphocyte Count are useful for the early diagnosis and prognosis of Dengue Fever [3, 4]. Aim: The aim of the study is to assess the utility of Platelet and Lymphocyte parameters among the Dengue-Seropositive patients. Methodology: This is a longitudinal observational study done in the Department of Pathology in Sri …

Effect Of Integrated Neuromuscular Inhibition Technique On Iliotibial Band Friction Syndrome, Esraa Tarek Farouk Ahmed, Amir Mohamed Saleh, Hassan Hussien Ahmed, Doaa Rafat El Azab

Journal of Medicine in Scientific Research

Background: It was reported that, 25% of adults experience limited mobility and a diminished quality of life due to knee pain. The iliotibial band friction syndrome (ITBFS) is a frequent overuse injury that causes lateral knee pain. It is marked by recurrent lateral knee pain as well as motor impairment in the lower extremities. Pain worsens with exercise and weight-bearing activities, especially at 30° of knee flexion, and patients usually have a history of overuse caused by knee flexion and extension.Objective: To determine the impact of the integrated neuromuscular inhibition technique on pain intensity, knee range of motion and knee …

Endoscopic Management Of Third Ventricular Colloid Cysts: Efficacy, Safety, Technique, Result, And Limitations, Mohammad Abdulsalam Soliman

Journal of Medicine in Scientific Research

Background: Colloid cysts of the third ventricle are rare, benign lesions that may cause life-threatening obstructive hydrocephalus. Full-endoscopic resection has emerged as a minimally invasive alternative to microsurgical approaches. This study evaluates the surgical outcomes and safety profile of the trans-frontal endoscopic technique, with emphasis on the swiveling technique for capsule excision. Methods: This retrospective and prospective cohort study included 24 patients who underwent full-endoscopic trans-frontal resection of third ventricular colloid cysts at Al- Ahrar Teaching Hospital, a tertiary neurosurgical center in Egypt, between January 2016 and December 2024. All procedures were performed using a 6° angled rigid neuroendoscopy with …

Effect Of Non-Complicated Cataract Extraction With Phacoemulsification On Central Macular Thickness (Cmt) And Ganglion Cell Complex (Gcc) In Non-Diabetic Patients At Sohag Teaching Hospital, Mohammed Shikhoun Ahmed, Mariam Kamal

Journal of Medicine in Scientific Research

Background: Cataracts are widely acknowledged as the primary cause of blindness on a global scale. Cataract surgery, particularly phacoemulsification, is the most effective and the only approved intervention for cataracts, regardless of etiology. Phacoemulsification, with its numerous advantages, is the most widely used method for cataract removal. It is important to note that while phacoemulsification is considered a safe and effective procedure, there are potential complications that need to be managed. Methods: This study included one hundred eyes of 93 nondiabetic patients undergoing noncomplicated cataract operation at the ophthalmology department at Sohag Teaching Hospital. A preoperative assessment of the best …

Impact Of Anaemia On Right And Left Ventricular Function In Dialysis Patients, Nesreen M. Zakaria, Naglaa F. Al-Mihy, Rehab M. Al-Ashry

Journal of Medicine in Scientific Research

Background A common complication in cases with end stage renal disease (ESRD) undergoing hemodialysis is anemia, contributing significantly to cardiovascular morbidity. The goal of this research is to assess anemia impact on right ventricular (RV) and left ventricular (LV) function in patients undergoing regular dialysis. Methods In this prospective study, one hundred ESRD patients on regular hemodialysis were enrolled, divided into two groups: 72 anemic patients (Group I) and 28 non-anemic patients (Group II). Anemia was characterized by hemoglobin (Hgb) levels below 120 g/L for males and below 110 g/L for women. Group I patients underwent echocardiographic evaluations at baseline, …

Seroprevalence Of Hiv Markers Among Patients Attending To Shebin El- Kom Teaching Hospital, Elham T. Awwad, Rasha G Mostafa, Asmaa M Soliman, Abdelghany Aish, Mariam A. Fouad

Journal of Medicine in Scientific Research

Objectives: to determine the prevalence of HIV infections and assess the accuracy of various testing methods among patients at Shibin El Kom teaching hospital.

Background: HIV/AIDS is a global public health challenge, with increasing prevalence in developing countries like Egypt. Stigma and limited detection methods have hindered the accurate assessment of HIV cases. Early detection is critical for effective prevention and treatment.

Methods:

A retrospective study was conducted from May 2006 to December 2022, involving 71,353 individuals who underwent routine preoperative and preadmission investigations. Blood samples were collected and tested using an immunochromatographic rapid test, ELISA, chemiluminescence, and Western blot. …

Incidence Of Peripartum Hysterectomy In Al-Galaa Teaching Hospital, Marwa R. Shahine, Sherif M. Safwat

Journal of Medicine in Scientific Research

Introduction: A hysterectomy carried out at the moment of delivery or within a day after it is known as a peripartum hysterectomy. Either a scheduled or emergency procedure can be carried out. It is a dramatic life-saving technique carried out when all other conservative management avenues have failed, made worse by the frequent emergency circumstances in which it is carried out.

Objectives: Studying the causes and patterns of peripartum hysterectomy at Al-Galaa Maternity Teaching Hospital, A tertiary referral hospital, in addition to studying the associated maternal and fetal complications.

Methodology: In order to analyze the emergency peripartum hysterectomy performed at …

Unilateral Versus Bilateral Laparoscopic Ovarian Drilling In Clomiphene Citrate Resistant Cases Of Polycystic Ovarian Syndrome: A Randomized Controlled Study, Sahar Saeed Elhalfawy, Mostafa Zein- Elabedeen Mohammed, Ayman Shehata Dawood, Mai Nabil Ageez

Journal of Medicine in Scientific Research

Background: Laparoscopic Ovarian Drilling (LOD) is superior to gonadotropins as it induces mono-ovulation, hence eliminating the potential risks linked to multiple pregnancies or ovarian hyperstimulation syndrome (OHSS).

Aim: To contrast the efficiency of unilateral laparoscopic ovarian drilling (ULOD) and bilateral ovarian drilling (BLOD) in treating clomiphene citrate (CC) resistant instances of polycystic ovarian syndrome (PCOS) according to clinical responses, change in biochemical parameters, follicle stimulating hormone (FSH), anti-mullerian hormone (AMH), luteinizing hormone (LH), ovulation rate over six months.

Methods: This Randomized Controlled Work was performed on 140 participants aged from 25 to 35 years old, with PCOS, infertile …

Association Between Urolithiasis And Non-Alcoholic Fatty Liver Disease ; A Comprehensive Study In National Institute Of Urology And Nephrology, Jehan Ibrahim M. Altohamy, Basma Aref Eltaweel, Ahmed Mostafa Elgamal, Salwa Mohammed Ahmed Dahesh, Ghadir Mohamed Elsawy

Journal of Medicine in Scientific Research

Background: Numerous studies have documented an important association between non-alcoholic fatty liver disease (NAFLD) and urolithiasis. NAFLD is described as 5% fat or more of the liver contents in other liver diseases absence including those related to alcohol consumption, chronic viral hepatitis, other chronic liver diseases as autoimmune hepatitis, and drug-induced hepatic diseases (1). Liver tru-cut biopsy is considered the gold standard yet invasive NAFLD diagnostic technique and carries potential complications (2). On the other hand, Computed Tomography (CT) is considered a non-invasive convenient tool that allows for measurable assessment of NAFLD allowing for quantitative diagnosis. Consequently, CT has proven …

The Changes In The Coefficient Of Variation Of The Corneal Endothelial Cell Size (Cv) In Specular Microscopy Following Cataract Surgery, Tarek Ibrahim Badr

Journal of Medicine in Scientific Research

Background Phacoemulsification surgery is the most widely used technique for cataract surgery worldwide. Phacoemulsification comes in two flavors: torsional and longitudinal. Our research compares The changes in the Coefficient of Variation of endothelial cell size(CV) in specular microscopy following longitudinal and torsional phacoemulsification. Patients and Methods In this prospective randomized study, we want to assess the impact of torsional versus longitudinal phacoemulsification on the variations in the Coefficient of Variation of endothelial cell size (CV) in specular microscopy. Our study will comprise 50 eyes with cataract of nuclear type, grades 1, 2 or 3. Results Upon comparing the two groups' …

Spirometry Reference Equations: A Comparative Cross-Sectional Study In Egyptian Population Sample, Mohamed Gaber El-Shiekh

Journal of Medicine in Scientific Research

Context:

Global lung initiative-2012 (GLI-2012) was published and endorsed by many international societies as the standard reference for spirometry interpretation. European coal and steel community (ECSC) equation updated in 1993 by the European respiratory society (ERS) is still widely used in Egypt as a reference.

Aims:

Investigating the difference between GLI-2012 and ECSC-ERS93 reference values.

Settings and Design:

Retrospective cross-sectional study in Mataria teaching hospital.

Methods and Material:

Spirometry tests (fulfilling the latest ERS acceptability criteria) for Egyptian subjects, from January 2022 to July 2024 were included. GLI-2012 and ECSC-ERS93 values of predicted and lower limit of normal (LLN) for …

Prognostic Value Of Neutrophil Gelatinase-Associated Lipocalin (Ngal)For Early Detection Of Acute Kidney Injuries In Liver Disease Patients With Different Morbidities, Naglaa F. Al-Mihy, Atteyat A. Semeya, Dina A. Ibrahim, Marwa K. Hassan, Hani S. Aboalam, Mona Youssef

Journal of Medicine in Scientific Research

Background A glycoprotein with a molecular weight of 25 kDa is known as neutrophil gelatinaseassociated lipocalin (NGAL). It is often detected in tiny amounts in many human organs. Aim of the research: To identify the profile of circulating NGAL in liver disease patients with different morbidities and also evaluate the potential for NGAL as a prognostic indicator for early identification of AKI in these individuals. Patients & methods: This cross-sectional research was performed on 230 cases with different liver diseases, selected from the inpatient and outpatient clinics in the hepatology and gastroenterology departments of the multicentric They were divided into …

Characteristics Of Gait In Patients With Early Hip Osteoarthritis, Mai M. Kamel, Salwa M.A. Dahesh, Amr M. Gamil, Ahmed A. Elatreby

Journal of Medicine in Scientific Research

Background: Quantitative gait analysis is used to characterize the spatiotemporal parameters and sagittal plane hip kinematics in patients with early-stage unilateral hip osteoarthritis (OA) compared to healthy controls. Our aim was identifying gait changes that occur in the early stages of hip OA, before maladaptive patterns become fully established.

Patients and Methods: The study included thirty (30) patients with unilateral symptomatic painful hip OA and forty (40) healthy persons as the control group. Both groups underwent a plain x-ray of their hip joints, and the Kellgren and Lawrence (KL) radiographic classification system was used to assess the degree of …

Study Of Association Of Helicobacter Pylori Infection With Portal Hypertensive Gastropathy (Phg) In Patients With Liver Cirrhosis, Hany Kamal Abdelhamed, Ramadan Ahmed Ramadan, Omar Mahmoud Azzam

Journal of Medicine in Scientific Research

Background: Liver cirrhosis disease is regarded as a major global health concern and is linked to several insults. One of its most frequent injuries, portal hypertensive gastropathy (PHG), can cause bleeding in the gastrointestinal tract. With a global prevalence of 50%, Helicobacter pylori (H. pylori) is regarded as one of the most prevalent harmful organisms. As of right moment, it is unclear how H. pylori infection and PHG are related.

Objective: To find out if PHG severity in cirrhotic cases is associated with H. pylori infection, and to explore the association between H. pylori infection and PHG.

Methodology: In a …

The Effect Of Using Letrozole Alone Protocol Versus Using Letrozole And Hcg Protocol On Induction Of Ovulation In Polycystic Ovarian Syndrome Patients: A Prospective Cohort Study, Ahmed A. Kassab, Ahmed M. Salman, Heba M. Khattab, Ali Khayal, Sherif Abdelmordy, Mohammed I. Elazab

Journal of Medicine in Scientific Research

Background: This study seeks to question the customary utilization of HCG in straightforward letrozole induction methods, proposing its restricted requirement in particular instances, perhaps diminishing expenses and anxiety for infertile couples.

Material and Methods: This is a prospective cohort study was done at the assisted reproductive unit in Ahmed Maher teaching hospital in Cairo. The study includes 132 infertile women aged 18 to 35 with PCOS, free from other medical disorders and not taking conflicting medications.

Prerequisites involve normal hysterosalpingography and semen analysis. Participants were evenly divided into two groups: the first receiving letrozole exclusively for ovulation induction, and the …

How Does Plasma L-Fabp Level Correlate With Cardiovascular Disease Risk In Patients With Chronic Kidney Disease, And Can It Serve As A Reliable Biomarker For Risk Stratification?”, Nehad Refat Ibrahim, Ghadir Elsawy

Journal of Medicine in Scientific Research

Chronic kidney disease (CKD) affects up to 10% of the global adult population, with cardiovascular disease (CVD) being a major concern. CKD patients face increased CVD-related morbidity and mortality. While the exact mechanisms linking CKD and CVD are complex, traditional risk factors (e.g., diabetes, hypertension) and nontraditional factors (e.g., inflammation, oxidative stress) play a role. Liver-type fatty acid-binding protein (L-FABP) is associated with lipid metabolism and kidney injury. Few studies suggest L-FABP as a potential biomarker for CVD risk in CKD patients, but further research is needed to fully understand its role. This study aims to explore the link between …

Postoperative Quality Of Life Improvement: Tavi Vs. Mini-Sternotomy Tissue Valve Insertion In Elderly Patients With Significant Aortic Stenosis, Ahmed Shafeek Ali, Mostafa Abd Al Salam Mohamed Ghazi, Mahmoud Maher Abdou Ibrahim, Reham Mohammed Salah Eldin Ahmed

Journal of Medicine in Scientific Research

Background: Postoperative improvements in the quality of life represent a master scale for procedural success, particularly in elderly patients with cardiac conditions. Objectives: To detect positive changes in quality of life for elderly candidates with significant calcific aortic stenosis treated by aortic tissue valve insertion, either through TAVI or mini-sternotomy AVR. Patients and methods: A prospective study was done on 88 patients above 65 years with severe calcific aortic stenosis. They sought treatment at the National Heart Institute in Cairo, Egypt between March 2020 and July 2022. All patients underwent aortic tissue valve replacement. Eight candidates were removed from the …

Predictors Of Residual Vsd After Surgical Versus Transcatheter Closure, Ramdan Ibrahim Mohammed Ouf, Deyaa Ahmed Abdallah Mohamed

Journal of Medicine in Scientific Research

Background: Ventricular septal defect (VSD) repair is a frequently performed cardiac procedure in children, and it is associated with a extremely low likelihood of experiencing post-operative complications. Aim of the study: to identify the incidence of residual shunt across interventricular septum after surgical repair or device closure of isolated VSD or associated with another congenital anomaly. Methods: This is a retrospective study included 60 patients undergoing closure of VSD between January 2021 and January 2023 in National Heart Institute. They were divided into 2 groups: Group I underwent surgical closure (30 patients) and group II underwent transcatheter closure (30 patients). …