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Takotsubo Cardiomyopathy Triggered by Acute Pancreatitis: A Case Report

Case Reports in Clinical Medicine 2024年第4期13卷 87-94页

作者： Ketevan Kapanadze Elene Shengelia Keti Solomnishvili Ahmed Saleh Abdelkader maha kassem Internal Medicine and Intensive Therapy Department Tbilisi Central Hospital Tbilisi Georgia Internal Medicine Residency Program Tbilisi State Medical University Tbilisi Georgia School of Medicine New Vision University Tbilisi Georgia

Takotsubo cardiomyopathy is a heart condition that is widely known to be caused by stress. It presents with symptoms that are similar to a myocardial infarction even though the coronary arteries are clear. This case report details the clinical characteristics, diagnostic assessment, and management plan of a 55-year-old male patient with a past medical history of alcoholism who arrived at the emergency department with the typical symptoms of acute pancreatitis. The case demonstrates the progression of Takotsubo cardiomyopathy, which was triggered by acute pancreatitis in the context of alcoholism, and underlines the significance of early detection and management to enhance the patient’s outcomes.

关键词： Takotsubo Cardiomyopathy Acute Pancreatitis Alcoholism Epigastric Pain

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Vasospasm as a Complication after Aneurysmal Rupture and Its Relation with Surgical Clipping and Endovascular Coiling among a Georgian Sample

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World Journal of Neuroscience 2022年第3期12卷 153-162页

作者： maha kassem Lama Alchaar Ahmed Abdelkader Mohammad Eghbalbakhtiary Koka Gogichashvili Mirza Khinikadze Shriniwas Chandrasekhar Yadav Astha Zambani Sonali Mankar mahalakshmi Jayasankar Mohamed Abdelsattar Atta Ismail Ali Sarah Ibrahim Natia Iashvili New-Vision University Tbilisi Georgia Medical Corporation Evex Caucasus Medical Center Tbilisi Georgia New-Vision University Hospital Tbilisi Georgia

Background: Potentially lethal, aneurysmal subarachnoid hemorrhage has a bad prognosis for many individuals. Over the past few decades, endovascular and surgical interventions have been developed, including surgical clipping, and endovascular coiling. Patients who have aSAH are also susceptible to delayed cerebral ischemia and cerebral vasospasm. The aim of this study is to compare the outcome of endovascular coiling with surgical clipping in patients with SAH, specifically in relation to prevalence of vasospasm, in the country of Georgia. Method: In this study, we present a retrospective review of the outcomes of 217 patients with acute subarachnoid hemorrhage who underwent endovascular coiling or surgical clipping. The data were gathered from patients who are admitted to New Vision University Hospital and Caucasus Medical Center in Tbilisi, Georgia, between 2017 and 2022. Results: Vasospasm was prevalent in 217 of the patients who had aneurysmal rupture when they first appeared. Endovascular coiling or surgical clipping was used to treat aneurysmal rupture. In our sample, 24.81 percent of patients who underwent coiling experienced vasospasm after 14 days, compared to 31.25 percent of patients who underwent clipping. After endovascular coiling and surgical clipping, the severity of vasospasm was only slightly different, according to Lindegaard ratios. Finally, 32 patients (23.35 percent) died after coiling whereas 55 patients (68.75 percent) died within three decades of clipping. Conclusion: After 5 years of data collection, this study has demonstrated the most favorable option for treatment is endovascular coiling. However, the treatment choice takes multiple factors into account, and clipping is not ideal for some ruptured aneurysms. Despite the fact that endovascular coiling is usually successful and minimally invasive, complications can occur and additional monitoring and potential surgical intervention are indicated.

关键词： Aneurysms Subarachnoid Hemorrhage Surgical Clipping Endovascular Coiling Vasospasm

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