Biomedical subjects

Salem Kachboura

Publications and source records attributed to Salem Kachboura.

5 recordsLinked to original sources

PubMed2003

[New indications for cardiac pacing].

Over the past decades, the pacemakers have become the standard treatment for patients with symptomatic sinus node disease or high grade atrioventricular block. With the development of pacemaker technology, attempts have been made to apply pacing to the treatment of problems other than symptomatic bradycardia. These problems include pacing to prevent atrial arrhythmia, improve hemodynamic function and to prevent neurocardiogenic syncope. The aim of modern pacing is not only reducing mortality but also improving quality of life and reducing morbidity. Ongoing studies will help to identify better the patient population that benefits most of this treatment.

Cardiac Pacing, Artificial↗

PubMed2002

[Mitral valve prolapse and sudden death: a case report].

Mitral valve prolapse (MVP) is a common disorder that, in general, has a good prognosis. Rare occasions of sudden death have been reported in patients with MVP and it is presumed that the basis of sudden death is arrhythmias. We report a case of a 47 years old men affected by MVP complicated by ventricular arrhythmias and sinoatrial block; who died suddenly from ventricular tachycardia. The pathophysiology and risk factors of sudden cardiac death in MVP are discussed.

Death, Sudden, Cardiac↗

PubMed2002

[Pacemaker infections].

Infectious complications following pacemaker implantation are not common but can be particularly severe. The reported incidence varies from 0.5 to 5% in the literature. The duration of the procedure and repeat procedures are considered to be predisposing factors. The main cause of these infections is thought to be local contamination during the implantation. The commonest causal organism is staphylococcus. Because the presentation may be atypical, the diagnosis is often confirmed by transesophageal echocardiography which is the investigation of choice for imaging a vegetation on an endocavitary pacing lead in cases of infectious endocarditis. The seriousness of this infection requires early diagnosis and adapted treatment including double bactericidal antibiotherapy and complete ablation of the material. Systematic preoperative prophylactic antibiotic therapy is recommended.

Anti-Bacterial Agents↗

PubMed2002

[Myocardial infarction by complete thrombosis of the common coronary trunk. Two case reports].

Complete thrombosis of the left main coronary artery is a rare angiographic finding. It carries a very high mortality rate related to cardiogenic shock; malignant arrhythmia or sudden death. We report two case of a 37 and 65 years old women, admitted to our hospital with complete occlusion of the left main coronary responsible of anteroseptal myocardial infarct. The revascularisation consisted in surgical treatment in one case and percutaneous angioplasty in the second patient. The aim of our study is to discuss the different therapeutic approaches and the prognosis of this affection.

Adult↗

PubMed2002

[Evaluation of thoracic aortic atherosclerosis by transesophageal ultrasonography: value and limits as predictive factor of coronary disease].

Atherosclerotic disease in the aorta is associated with a high risk of cardiovascular events. This prospective study was conducted to correlate the presence of aortic plaques in the thoracic aorta detected by transesophageal echocardiography (TEE) and angiographically significant coronary artery disease. The presence of aortic plaques on TEE had a sensitivity of 97%, a specificity of 80% and positive and negative predictive values of 89% and 94%. Univariate logistic regression revealed that aortic plaques were the most significant independent predictor factor of coronary artery disease compared to other risk factors. This study reveals that the thoracic aortic plaques detected by TEE is a strong predictor of the presence and the severity of coronary artery disease.

Adult↗