Journal of Arak University of Medical Sciences

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Showing 2 results for Echocardiography

Evaluation of the Effect of Integrilin in Primary Coronary Angioplasty on Mortality and Echocardiography Findings in Patients with Acute Myocardial Infarction

Behfar Pakbaz, Navidreza Mashayekhi, Alireza Ali Saeidi, Mohamadreza Taheri-Nejad, Reza Shah Mirzae,
Volume 17, Issue 5 (8-2014)

Abstract

Background: Early, complete, and stable coronary revascularization is the main criteria for standard treatment in patients with ST segment elevation myocardial infarction (STEMI). The aim of this study was to evaluate the safety and efficacy of integrilin as glycoprotein IIb/IIIa receptor inhibitor in treatment of STEMI patients undergoing primary percutaneous coronary intervention (PCI).

Materials and Methods: In this clinical trial study, 106 STEMI patients who complained of acute chest pain and were referred to Amir Al Momenin hospital, Arak, entered the study. Patients were randomly divided into two equal groups. The first group was treated with integrilin immediately before angioplasty. The 2nd group was treated with conventional percutaneous coronary intervention.

Results: After receiving treatment and undergoing angioplasty, TIMI Frame Count was equal to 15.7±8.04 in the 1st group and 14.2±5.4 in the 2nd group which showed no significant difference between them (p=0.4). Ejection fraction in patients receiving integrilin was significantly more than control group in first (p=0.043) and third month (p=0.012) after treatment.

Conclusion: Based on the results of the present study, it seems that using integrilin in standard time, causes long-term benefits for patients and reduces damage to the heart wall.

Cardiac Adaptations (Structural and Functional) to Regular Mountain Activities in Middle-aged Men

Abbas Saremi, Ali Akbar Farahani, Nader Shavandi,
Volume 20, Issue 6 (9-2017)

Abstract

Abstract
Background: Physical exercise is an important and effective part of comprehensive care of seniors, which declines aging progression. Because of the importance of physical activity in cardiovascular diseases prevention this study intends to investigate the comparision of structural and functional characterictics of the heart between middle- aged montaineer men and non-athlete peers.
Materials and Methods: In this cross-sectional and descriptive–analytical study, 13 middle- aged montaineer (age: 54.5±2.0 y, body mass index: 25.59±2.4 kg/m2) who have continues mountain activities during previous 24 months for at least 2 sessions per week, each session lasted 120 minute, and 14 sedentary, healthy peers (age: 54.1±2.2 y, body mass index: 26.8±2.3 kg/m2) who were not currently experiencing any regular physical activity (at least 6 months), were selected. All subjects underwent standard two-dimensional and Doppler echocardiography at rest. Cardio respiratory fitness was assessed using Bruce test. T test was used to compare groups with α=0.05.
Results: The results showed that mountain activities significantly increased left ventricular mass (p=0.03) and left-ventricular-end-diastolic-diameter (p=0.04). We also observed that systolic blood pressure (p=0.04), ejection fraction (p=0.05), stroke volume (p=0.03) and cardio respiratory fitness (p=0.03) were significantly improved by mountain climbing. In some of parameters such as shortening fraction, interventicular septum and left ventricular posterior wall there were no significant differences between groups (p>0.05).
Conclusion: These results suggest that regular mountain sports activities can have beneficial effects on structural and functional characterictics of the heart in middle-aged men.

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