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When the Blood Pressure Misleads You:A Diagnostic Conundrum in an Unusual Case of Coarctation

Congenital Heart Disease 2021年第6期16卷 675-680页

作者： Eva kapravelou Hugo Issa Gordon Culham Martin Hosking sanjiv k.gandhi Shubhayan Sanatani Department of Pediatrics Division of CardiologyUniversity of British ColumbiaVancouverCanada Division of Pediatric Cardiothoracic Surgery University of British ColumbiaVancouverCanada Department of Pediatric Radiology British Columbia Children’s HospitalVancouverCanada

A 4-month-old previously healthy baby was found to be in congestive heart failure with LV dysfunction and a right aortic arch with severe coarctation,undetectable by blood pressure measurements.A cardiac CT and central blood pressure led to the diagnosis of a unique anatomic variant of aortic *** diagnosed the patient underwent surgery with an uncomplicated recovery.

关键词： Aorta coarctation right arch congenital heart disease

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Epidemiological and clinical perspectives on irritable bowel syndrome in India, Bangladesh and Malaysia: A review

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World Journal of Gastroenterology 2017年第37期23卷 6788-6801页

作者： M Masudur Rahman sanjiv Mahadeva Uday C Ghoshal Department of Gastroenterology Dhaka Medical College and Hospital Division of Gastroenterology Department of MedicineUniversity of Malaya Department of Gastroenterology Sanjay Gandhi Postgraduate Institute of Medical Sciences

Irritable bowel syndrome(IBS) is a chronic gastrointestinal disorder, common in clinic and in the community. It has a significant impact on both society and patients' quality of life. The epidemiology, clinical presentation, and management of IBS may vary in different geographical regions due to differences in diet, gastrointestinal infection, socio-cultural and psychosocial factors, religious and illness beliefs, symptom perception and reporting. Although previous reviews and consensus reports on IBS in Asia have been published, Asia is quite diverse socio-demographically. In this context, India, Bangladesh and Malaysia share some similarities, including:(1) large proportion of the population living in rural areas;(2) rapid development and associated lifestyle changes in urban areas; and(3) dietary, cultural and religious practices. The present review explores the clinical and epidemiological data on IBS from these three major nations in South and South-East Asia. In-depth review of the literature revealed important differences between IBS in the East, as revealed by studies from these three countries, and the West; these include a predominantly rural profile, differences in bowel habit and symptom profile, raising concern with regards to diagnostic criteria and subtyping of IBS, higher dietary fiber consumption, frequent lactose malabsorption, parasitosis, and possible overlap between post-infectious IBS and tropical sprue. Moreover, the current perception on difference in prevalence of the disorder in these countries, as compared to the West, might be related to variation in survey methods.

关键词：传染病学功能的胃肠的混乱急躁的肠症候群亚洲症状便秘腹泻

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