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Article
H. Pylori Infection in Iraqi patients with ischemic heart diseases

Authors: Basil. N. Saeed ايمان العبيدي --- Eman Sh. AL-Obeidy
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2011 Volume: 53 Issue: 1 Pages: 29-31
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Cardiovascular diseases are among the most common cause of death in Developed countries. In addition to traditional risk factors for cardiovascular disease, nowadays, accumulating evidence indicates that a variety of infectious agents may contribute to pathogenesis of ischemic heart disease.Patients and methods: 125 patients (25 females and 100 males) attending the department of cardiology, Baghdad, teaching hospital over the period December 2008- June 2009were enrolled. Their age range between (39-75 years) compared with 50 healthy individuation (Age & sex matched).The sera were tested for H. pylori antibodies using enzyme linked immunosorbent assay (ELISA).Results: 80% of patients showed the anti-H. Pylori IgGs (P < 0.05). But there were no significant association between risk factors & H. pylori infection (P > 0.05).Conclusions: These findings raise the possibility that exposure to H. pylori may lead to increased risk of coronary artery disease independent of other risk factors.Keywords: coronary artery disease, Helicobacter pylori, RAO


Article
Status of Some Trace Elementsin Idiopathic and Ischemic Cardiomyopathy and Coronary Artery Disease: Echocardiographic Correlation

Authors: Waleed K. Hussein --- Ali Y. Majid --- Basil O. Saleh
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2010 Volume: 52 Issue: 3 Pages: 331-335
Publisher: Baghdad University جامعة بغداد

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Abstract

Background:The most principal mechanisms of cardiomyopathies are;high preload and afterload and low myocardial contractility, imbalance of trace elements may cause myocardial metabolic dysfunction and may have a role in aetiology of cardiomyopathy, particulary in IDC. Trace elements are being increasingly recognized as essential mediators of the development and progression of heart diseases.
Methods: Study design Multi case-control study and single center estimation of trace elements concentrations in a number of volunteer settings this study was conducted in the Department of Cardiology, Ibn Albitar Hospital, and in the Physiological Chemistry Department of the College of Medicine, Baghdad University, from June 2005 to July 2006. Subjects Twenty-five patients with IDC, 15 patients with ICM, 16 patients with coronary artery disease(CAD) who have normal LV function, and seventeen healthy individuals as controls were included in this study. Investigations included serum estimation of zinc (Zn), copper (Cu), and magnesium (Mg) concentrations in these groups of patients and controls.
Results: The mean (±SD) value of serum zinc was significantly decreased in CAD patients compared with controls (P< 0.003). Serum Cu values (mean±SD) were significantly higher in IDC, ICM and CAD groups than in controls (P< 0.0001, P< 0.002, and P< 0.007, respectively). Serum Mg (mean±SD) value was significantly decreased in ICM patients compared to controls (P<0.007). Furthermore, there was a significant positive correlation between serum Mg levels and the values of LVEF % in IDC patients (r=0.522, P< 0.007).
Conclusion: This study confirmed that heart failure (IDC and ICM) and CAD are associated with serum trace elements (Zn, C u, and Mg) abnormalities.


Article
Coronary angiographic findings in patients with chest pain and rightbundle branch block

Authors: Mohammed H. Al Myahi --- Kassim M. J. Al Doori*, --- Ihssan A. Abid
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2008 Volume: 50 Issue: 3 Pages: 282-285
Publisher: Baghdad University جامعة بغداد

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Abstract

Back ground : Coronary artery diseases are not uncommon in the presence of right bundle
branch block .
Aim : The aim of this study is to assess the findings of coronary angiography in patients with
chest pain and right bundle branch block.
Methods : The study involved review of case sheets and coronary angiography of one
hundred patients, who underwent coronary angiography due to chest pain suspected to have
coronary artery diseases (CAD) , fifty patients of them had right bundle branch block (RBBB) ,
the other fifty did not have RBBB , those 100 patients were presented to Ibin Al Bitar hospital
for cardiac surgery from January 2004 to June 2006.
History, clinical examinations, electrocardiogram (ECG) , ECG exercise tests (EET)
echocardiogram (ECHO) and coronary angiography had been performed.
Results : Mean age of patients was 53± 10.6 years, 84% were male , hypertension, diabetes
mellitus, and smoking as risk factors were present as 30%, 32% and 48% respectively. 58% of
patients presented with chronic stable angina (CSA) while 42% with acute coronary syndrome
(ACS), ECHO showed that left ventricular dysfunction (LVD) was present in 34%, EET was
positive in 11 of the 23 patients (47.8%) who were able to perform EET. Normal coronary
angiography found in 20% of patients and there were no significant difference in coronary
angiographic findings between patients with and without RBBB.
Conclusion : RBBB of indeterminate age has no significant impact on clinical and
haemodynamic characteristics of CAD patients and it may be incidental finding.


Article
The Effect of Combined Administration of Fish Oil with Garlic to Lower Cholesterol in Hypercholesterolemic Subjects (Comparative Study)

Authors: Hnoosh, L. J. --- Abdil Razzak, A.*
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2007 Volume: 1 no.3 Issue: 2 Pages: 217-224
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: Garlic and its preparations have been widely recognized as agents for prevention andtreatment of cardiovascular and other metabolic diseases, atherosclerosis, hyperlipidemia,thrombosis, hypertension and diabetes.Elevated total cholesterol, especially low-density lipoprotein has been documented as the leading riskfactor for the coronary artery disease. Studies with fish oil supplementation alone have shown an increasein low-density lipoprotein, thereby enhancing the risk associated with incidence of coronary artery diseasein hypercholesterolemic subjects. In view of this, the effect of a combined supplementation of fish oil withgarlic pearls on the serum lipid profile of hypercholesterolemic subjects was studied.Methods and Results: We administered 600 mg of fish oil with 500 mg of garlic pearls (garlic oil) perday to 16 hypercholesterolemic subjects with a total cholesterol above 220 mg/dl for 60 days. The effectof this combined supplementation was compared with group that administered 500mg garlic only per dayto 16 hypercholesterolemic subjects with a total cholesterol above 220 mg/dl for 60 days also while thecomparison done with garlic group(16 hypercholesterolemic subjects) that take only garlic and with acontrol group (16 hypercholesterolemic subjects) without any supplementation. Significant reductionswere seen in all the lipid parameters (except high-density lipoprotein which was increased) in the testgroups after 60 days compared to that of the control group. The total cholesterol, low-density lipoprotein,serum triglyceride, very low-density lipoprotein, and the total cholesterol: high-density lipoprotein ratioreduced significantly.


Article
The Study of Association Between Toxoplasma gondii Infection with Ischemic Heart Diseases

Authors: Tariq.Q.Tallab --- Jabbar R. Al-Autabbi --- Dhiaa.k.Al-Umer
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 4 Pages: 557-561
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: Coronary artery disease (CAD) is the main cause of mortality in industrial and developing countries. New risk factors including infections are under investigation as potential factors. One of these infectious agents is Toxoplasma gondii, few data have been published on the association of atherosclerosis (the usual cause of ischemic heart disease) and Toxoplasma gondii infection. The OBJECTIVE:Was to investigate potential role of T.gondii infection as a risk factor for coronary atherosclerosis in ischemic heart disease patients and the correlation between T.gondii with other cardiovascular risk factorsPATIENTS AND METHODS:This study was conducted on (58) patients with Ischemic Heart Diseases attended cardiac care unite in Al-Hussein teaching hospital in Nasseriya city, southern Iraq and 32 healthy controls ,all are free from clinically evident disease were attending the blood bank in Nasseriya city between November 2010 to the end of August 2011. the sera of the patients and control groups were tested for T.gondii antibodies using Enzyme-Linked Immunosorbent Assay (ELISA) technique. The obtained data was analyzed and the results were tabulated.RESULTS: 22(37.9 %) in the case group and 11(34.4 %) in the control group were seropositive for T.gondii antibodies, odds ratio (OR) 1.167 . P= 0.915 . And there were no association between risk factors and Toxoplasma gondii infection, (Table 2, 5). ( Figure 1).CONCLUSION: This study shows that there is no association between Toxoplasma gondii infection and ischemic heart disease


Article
Coronary Artery Ectasia in Ischemic Heart Disease Patients Referred to aTertiary Cardiac Center

Authors: Hilal AL-Saffar --- Hussein Nasser --- Ammar A. AL-Shaibii
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: supplement Pages: 623-729
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Coronary artery ectasia represents a form of atherosclerotic coronary artery disease seen in 1-5% of patients undergoing coronary angiography.OBJECTIVE:This study was conducted to verify the clinical characteristics and angiographic patterns of patients with coronary artery ectasia (CAE) among ischemic heart disease patients.METHODS:Coronary artery ectasia was identified in 62 patients by using coronary angiography. Patients were divided into 2 groups: Group A, included patients with isolated CAE (CAE and non flow limiting narrowing < 50%). Group B, included 51 patients with coexistence CAE with obstructive coronary artery disease (CAE and >70% narrowing of coronary artery). Then we compared these two groups with a control group (group C) which included patients with obstructive coronary artery disease in absence of CAE.RESULTS:In the study, 122 were analyzed; the mean age of patients was 56.1 ± 9.6 years. There were 99 (81.1%) males and 23 (18.9%) females. There were no significant differences regarding (age, hypertension, smoking, diabetes mellitus, body mass index and family history of ischemic heart disease) among three groups, but there was significant difference regarding gender in which males constituted (54.5%), (90.2%), (78.3%) of patients in group A, group B and group C respectively.There was significant difference in mode of presentation among these groups in which typical ischemic chest pain was found in (27.3%), (72.5%), (83.3%) of patients in group A, group B and group C respectively. Also there was significant difference in the electrocardiographic changes in which the changes were found in (45.5%), (84.4%), (58.6%) of patients in group A, group B and group C respectively.In patients with isolated CAE, right coronary artery was most frequently involved (91%) and by diffuse type of ectasia (50%) while in patients with coexistence of CAE and obstructive coronary artery disease, the left anterior descending artery was most frequently involved (72.5%) and by focal type of ectasia (45%).CONCLUSION:Male gender was more prevalent in patients with obstructive coronary artery disease than patients with isolated CAE. Also typical ischemic and electrocardiographic changes of myocardial ischemia were more prevalent in patients with obstructive coronary artery disease.


Article
Assessment of the Common Risk Factors for re-Stenosis of Coronary Arteries inWomen

Authors: Huda, B.H هدى باقر حسن --- Abdulla, L.J عبد اللة لفتة --- Akeel, H.J.* اقبال
Journal: Al-Mustansiriyah Journal for Pharmaceutical Sciences مجلة المستنصرية للعلوم الصيدلانية ISSN: 18150993 Year: 2013 Volume: 13 Issue: 1 Pages: 32-37
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract:The study aims to identify the common risk factors for arterial re-stenosis in women, and tofind out the correlation between restenosis and some risk factors. Descriptive analytical design ofthe study was conducting on 35 women, starting from January 4th 2010 to the March 4th 2010.The questionnaire was composed of two parts and introductory page that invite the womenwho participate in the study, part one is demographic- characteristics sheet which consist of 7 itemswhich included: age, social status, level of education, income levels, family members, andemployments, Part two included risk factors which consist of 9 Items.The researchers used the appropriate statistical methods in the data analysis which includeddescriptive data analysis and inferential data analysis.Results of the present study revealed that 28.6% of restenosis women at 52-57 and 58-63years old, majority of them were married, 28.6% of the study sample were illiterate, 97.1% ofwomen were high cholesterol level, 51.4% of them were obese, and the results presented that therewere correlation between coronary arterial restenosis and overweight and types of live event of thewomen.

الخلاصة:تھدف الدراسة للتعرف على عوامل الخطورة الاكثر شیوعا" لعودة تضیق الشرایین عند النساء ولایجاد الفروقات المعنویةبین عودة تضیق الشرایین مع بعضعوامل الخطورة, دراسة وصفیة تحلیلیة إجریت على 35 إمرأة وبدأت الدراسة في الثاني منكانون الثاني 2010 ولغایة الثاني من شباط 2011 وتكونت الاستبانة من جزئین مع صفحة الترحیب بالمشاركین بالدراسةوتضمن الجزء الاول من الاستبانة 26 فقرة تتعلق بالمعلومات الدیموغرافیة للمریضات وھي العمر والمستوى الاجتماعيوالمستوى التعلیمي ومعدل الدخل وعدد افراد العائلة والعمل والجزء الثاني تضمن 27 فقرة تتعلق بعوامل الخطورة واستعملالباحثون الوسائل الاحصائیة المناسبة في تحلیل النتائج وھي الاحصاء الوصفي والتحلیلي وأشارت نتائج الدراسة الحالیة أن 9,2863 سنة ومعظم النساء متزوجات و 9,28 % من - % من النساء اللواتي یعانین من عودة تضییق الشرایین ضمن الفئة العمریة 5551 % من النساء بدینات وأشارت النتائج بوجود , النساء غیر متعلمات و 1,97 % منھن یعانین من ارتفاع نسبة الكولسترول وأن 4فروقات معنویة عالیة بین عودة تضییق الشرایین ومعدل السمنة ونوع الاحداث الحیاتیة المؤثرة على النساء لذا أوصى الباحثونبتأھیل النساء اللواتي اجرین عملیة القسطرة القلبیة من خلال المحاضرات المبرمجة المتعلقة بعوامل الخطورة الاكثر شیوعا"والمؤدیة الى عودة تضییق الشرایین وتشجیع النساء لأستعمال تمارین الاسترخاء من أجل تخفیف أعباء الاحداث الیومیة.


Article
Awareness of Healthier Lifestyle Change among Patients with Coronary Artery Diseases
الوعي الصحي للمرضى المصابين بإمراض الشرايين التاجية حول التغيير لنمط الحياة

Authors: . Sahar A. Ali --- HussamAbass
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2013 Volume: 3 Issue: 3 Pages: 1-9
Publisher: University of Kufa جامعة الكوفة

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Abstract

Objective: presented study aimed to assess the awareness of healthier lifestyle change among patient with coronary artery disease. Methodology: descriptive design study was conducted at Coronary Care Unit in Marjan hospital in Hillia city, data was gathered by using a questionnaire form the period (June15. 2012 to August 20.2012) . Results: the results shows that the higher percentage of the sample (53.7%) were male most of them were smoker 61.1%, and 38% of the sample were hypertensive; most of them didn't applied any change in their lifestyle pattern.Conclusion: Most of the convenient sample of the study was male, illiterate, housewives and city resident. Most of the sample were overweight, with hypertension, smoker, and related to alcohol consuming they were not alcoholicRecommendation: the researchers recommended that there is a serious need to health education, which properly structured to promote patient education in order to enhance their lifestyle pattern, by improving knowledge and bring about a change in attitudes.

الاهداف: تهدف الدراسة تقييم الوعي الصحي للمرضى المصابين بإمراض الشرايين التاجية حول التغيير لنمط الحياة المنهجية: دراسة ميدانية وصفية أجريت في وحدة العناية القلبية في مستشفى مرجان بمدينة الحلة,تم إعداد استبانه لجمع العينة للفترة ما بين (15 حزيران 2012 ولغاية 20 أب 2012)النتائج:أشارت نتائج البحث بان معظم إفراد العينة هم من الذكور بنسبة 53.7%وان نسبة مدخنين كانت 61% وان نسبة 38%منهم يعانون من ارتفاع ضغط الدم, توصلت الدراسة إلى إن معظم المرضى لم يغيروا من نمط حياتهم.الاستنتاج: وكان اغلب عينة الدراسة من الأميين والذكور وربات البيوت وسكان المدينة .كما وكانت معظم العينة من الذين يعانون من زيادة الوزن، وارتفاع ضغط الدم، والمدخنين، وفيما يخص تناولهم للكحول فكانت افراد العينة ليسوا ممن يتناولون الكحولالتوصيات: أوصى الباحثان بان هنالك حاجة ملحة لبناء برنامج تعليمي للمرضى وذلك لتحسين نمط حياتهم وكذلك تطوير معلوماتهم لإحداث للتغيير أللازم في سلوكهم باتجاه ا نماط حياتية صحية


Article
ASSESSMENT OF COMPLETE BLOOD COUNT IN PATIENTS WITH CORONARY ARTERY DISEASE

Author: Qais A. AL-Oqaily قيس عامر عبد الامير العكيلي
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2014 Volume: 12 Issue: 1 Pages: 82-87
Publisher: Al-Nahrain University جامعة النهرين

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Background:Several studies have demonstrated the role of hematological parameters like hemoglobin (Hb), white blood cells (WBC) count and platelet count in the assessment of patients with coronary artery disease; some studies suggest an additional role of platelet indices in the prognosis of patients with coronary artery disease.Objective:To assess complete blood count and platelet indices in patients with coronary artery disease.Methods:Blood sample of 42 newly diagnosed ischemic heart disease patients including 20 patients with myocardial infarction (MI) and 22 patients with unstable angina were studied. The control group included 15 individuals with no history of heart disease and a normal electrocardiogram. Clinical and laboratory information regarding age, sex, packed cell volume, WBC count, platelets count, platelet distribution width and platelet volume were obtained.Results:The frequency of diabetes and smoking was higher in patients with coronary heart disease in comparison to the control group (P < 0.05), while the frequency of hypertension was not significntly different. Significant difference in WBC count and Hb level of patients with coronary heart disease (P < 0.05), while no significant difference in the platelet count, platelet distribution width and mean platelet volume was found. In patients with unstable angina there was a significant difference in the Hb level (P < 0.05) while no significant difference in WBC count, platelet count, platelet distribution width and mean platelet volume was observed. In patients with myocardial infarction, there was a significant difference in the Hb level and the WBC count (P < 0.05), whereas no significant difference in platelet count, platelet distribution width and mean platelet volume was found.Conclusion:Hemoglobin level was significantly lower in patients with coronary artery disease while the mean level of WBC count was significantly higher than that of the control group. There was no significant difference in platelet count and platelet indices between those two groups. In patients with unstable angina the WBC count was not statistically different from that of the control group.Key words:Coronary artery disease, Hb, WBC, PDW, MPV.

Keywords

Coronary artery disease --- Hb --- WBC --- PDW --- MPV.


Article
Assessment of the Risk Factors of Coronary Artery Diseases in Al-Nasiriyah City
تقييم عوامل الخطورة لأمراضِ الشرايين التاجيةِ في مدينةِ الناصرية

Authors: Khalida A. Mansour --- Ied A. Omar
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2014 Volume: 27 Issue: 1 Pages: 38-46
Publisher: Baghdad University جامعة بغداد

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Abstract

Objective: to assess the risk factors of coronary artery disease patients. Methodology: A non-probability (purposive) sample of (100) patients. The study population consisted of a sample of adults from both genders whose ages were 30 years and more, and was newly diagnosed as having CAD by coronary angiography in the cardiac catheterization unit of An Nasiriyah heart center.Results: The result of the study showed that the most common modifiable risk factors were low HDL-C levels (58%), smoking (53%), hypertension (46%), diabetes mellitus (34%), obesity (30%), high triglycerides (19%), hypercholesterolemia (17%), and high LDLC (14%). All these factors were positively and significantly associated with the development of CAD. Whereas, the most common non-modifiable risk factors were age 50 years and more, sex, family history of CADRecommendation: Based on the above results, this study recommends conducting educational programs targeting patients and their families about coronary artery disease (severity and risk factors of disease, who the patient can control himself to avoid complications), this can be achieved through government organization or non- government organization.

الهدف: تقييم عوامل خطر مرض الشرايين التاجية في مدينة الناصرية. المنهجية : اختيرت عينة غرضيه تكونت من (100) مريض. وتألفت سكان الدراسة من عينة من البالغين من كلا الجنسين الذين كانت اعمارهم 30 عاما وأكثر،وشخصوا حديثا بإصابتهم بمرض الشرايين التاجية بواسطة تصوير الأوعية التاجية في وحدة قسطرة القلب بمركز الناصرية للقلب. النَتائِج: أظهرت نتيجة الدراسة أن عوامل الخطر الشائعة التي یتحكم بها هي انخفاض البروتين الدهني عالي الكثافة (58٪)،التدخين (53٪), وارتفاع ضغط الدم (46٪)، داء السكري(34٪) ،السمنة (30٪) ، وارتفاع الدهون الثلاثية (19٪)، ارتفاع الكولسترول (17٪)، وارتفاع البروتين الدهني منخفض الكثافة (14٪).كل هذه العوامل ترتبط ارتباطا وثیقا بالمرض. أما عوامل الخطورة الأخرى الشائعة و التي لا یتحكم بها هي العمر فوق سن الخمسین، الجنس والتاریخ العائلي لمرضى الشرایین التاجیة.التوصيات: استنادا إلى النتائج المذكورة أعلاه فإن هذه الدراسة توصي إلى تنظيم برامج تثقيفية تستهدف المرضى وأسرهم حول مرض الشرايين التاجية (عوامل الخطوررة وشدَّةَ المرضِ،كيف يُمْكِن للمريض أَنْ يُسيطرَ على نفسه لتَفادي المضاعفات)،ويمكن تحقيق هذا من خلال مؤسسة حكومية أو منظمة غير حكومية.

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