Background: Atrial fibrillation (AF) is a common arrhythmia in daily practice and one of the heart disorders with the highest morbidity and death rates, as it is responsible for a huge number of negative consequences. In our country, there is limited information on the prevalence or natural history of the less well-defined clinical types. Objective: to evaluate the clinical profile and coronary artery findings in atrial fibrillation patients. Patients and Methods: This cross-sectional study was conducted during the period from the first of October 2019 to end of July 2021 at the Iraqi Center for the heart disease at Baghdad Medical City. Included 32 Iraqi patients with atrial fibrillation of both genders. Angiography performed through the femoral Artery approach, Data collected by history, through clinical examination and investigations, using data collection sheet Results: The main type of AF was chronic, (62.5%), Echocardiography findings revealed Systolic dysfunction in 31.1% of patients, Diastolic dysfunction in 37.5%, and both dysfunctions in 6.2%, Left atrium was dilated in 13 (40.6%). Angiographic findings revealed RCA lesion in 13 (40.6%) patients, LCA in 9 (28.1%) while both RCA and LCA lesions present in 3 (9.4%) patients. LAD lesions reported in 10 (31.2%) patients, LCX in 27.8% and LMS in 16.8%. Conclusion: Chronic AF was the more frequent type, Systolic and diastolic dysfunction are frequent among AF patients. RCA was more frequently affected than LCA, LAD was the more affected branch.
Background: Crohn's disease (CD) is an immunological disorder associated with chronic inflammatory process of several unspecific regions of gastrointestinal tract but frequently detected in the terminal Ilium and proximal colon or both. This disease frequently presented with various oral manifestations as a consequence of inflammatory process of the disease, nutritional deficiency or medications side effects. Several therapeutic approaches have been developed for CD management that are targeting the inflammatory process and directed at controlling the host immune response. Immunosuppressants such as Azathioprine and anti-TNF α agents as well as the combination of them have been widely used as an effective therapeutic modality with a bett
... Show MoreBackground: In the elderly, depression is the most frequent mood condition. It has been linked to major consequences such as disability, functional decline, decreased quality of life, higher mortality, it is the most costly health problem among elderly, a little study is written about depression among elderly patients in Iraq.
Objectives: To determine the prevalence of depression in elderly aged 60 years and more who visited primary health care centers in Diyala.
Methodology: It is a descriptive, cross-sectional study that was conducted on 218 patients from PHCs of 2 sectors: Al-Kales and 1st Baquba, Diyala governorate-Iraq. A direct interview was conducted by
... Show MoreBackground: Joubert syndrome (JS) is a very rare autosomal recessive disorder characterized by agenesis of cerebellar vermis, abnormal eye movements, respiratory irregularities, and delayed generalized motor development. Retinal dystrophy and cystic kidneys may also be associated with this clinical syndrome. The importance of recognizing JS is related to the outcome and its potential complications. This syndrome is difficult to diagnose clinically because of its variable phenotype. Its neuroimaging hallmarks include the characteristic molar tooth sign and bat wing-shaped fourth ventricle
Background: five clinical phases were described in patients with chronic (HBV) infection: HBeAg- positive HBV infection, HBeAg- positive chronic HB, HBeAg negative HBV infection, HBeAg-negative CHB and occult HBV infection.
Aim: This study aimed to determine the incidence of the unclassified phase (gray zone) in chronic hepatitis B patients and its significant in the clinical practice.
Patients and methods: The study was conducted retrospectively on 109 patients' who have HBsAg positive for more than 6 months. The data recorded include; HbeAg and anti-HBe Ab, ultrasound of the abdomen, HBV DNA load and alanine aminotransferase (ALT), accordingly; we classify the patients
... Show MoreBackground: Geographic variations in the incidence of different congenital coronary anomalies are well known, but infrequently studied in the Iraqi population.
Recognition of coronary anomalies is important in patients undergoing coronary arteriogrphy; coronary interventions and cardiac surgery .Variation in the frequency of primary congenital coronary anomalies may possibly have a genetic background.
Patients and methods: Three thousands adult patients underwent diagnostic coronary angiography at two cardiac centers in Baghdad between January 2003 to March 2006. Their angiographic films were reviewed by at least two experts in coronary angiographic study.
Results: Among 3000 adult patients wh
Background: Uncontrolled hyperphosphatemia is the main difficulty facing staff treating patients with end-stage renal disease on hemodialysis. Sevelamer and calcium-containing phosphate binders have been associated with cost burden and tissue calcification, respectively. Therefore, the current trial was targeted to investigate the efficacy of a new phosphate binder, ferric citrate, in a sample of Iraqi patients with end-stage renal disease on hemodialysis. Keywords: Ferric citrate, Hemodialysis Phosphate binder
Background: One of the major health concerns and possible risk factors in open heart surgery is the increasing prevalence of obesity among patients.
Methodology: Over a period of sixteen months (February 2017 to June 2018), 246 patients underwent coronary artery bypass graft surgery (CABG) in Slemani Cardiac Hospital (SCH). The patients were divided according to the WHO classification into two groups: The obese (BMI ≥ 30) and the non-obese (BMI < 30) and were compared in regard to the rate of occurrence of early postoperative complications.
Objective: To evaluate the impact of obesity [body mass i
... Show MoreBackground: Magnetic resonance imaging (MRI) is the modality of choice for investigation of disorders of the spine. The use of spinal MRI imaging has increased over the last few years, with improvement in hardware such as magnets, coils as well as imaging techniques. Which should lead to accurate reporting of these examinations includes identifying the incidental abnormalities even if they are not related to the spine.
Objective: The objective is to evaluate the incidence, types and associated variables of
Patients and methods: A retrospective study of 507 patients was reviewed for MRI spine at Baghdad teaching hospital and x- ray institute who underwent imaging between J
... Show MoreBackground: Fibromyalgia syndrome (FMS) is a very common cause of multiple regional musculoskeletal (MSK) pain and disability; it is characterized by chronic widespread for at least
three months and tender points identified by the American Collage of Rheumatology (ACR).The cause of FMS is currently unknown. However, several hypotheses have been developed including genetic predisposition. This study aims to evaluate the contribution of serum lipid profile to the pathophysiology of FMS.
Patients & Methods: The study has included 160 patients with FMS with age range (18-72) years and 60 control individuals who were age and sex matching with FMS patients: 29 patients with chronic musculoskeletal compla