Cardiovascular and reproductive health of women have been going hand in hand
since the dawn of time, however, their links have been poorly studied and
once the basis of their connections started to be established in late 20th
century, it depended on local regional abilities and the level of
progressive thinking to afford comprehensive women?s care beyond the ?bikini
medicine?. Further research identified different associations rendering
more conditions sex-specific and launching therefore a slow, yet initial
turn around in clinical trials? concept as the majority of global
cardiovascular guidelines rely on the results of research conducted on a
very modest percentage of women and even less on the women of color.
Currently, the concept of women?s heart centers varies depending on the
local demographics? guided needs, available logistics driven by budgeting
and societal support of a broad-minded thinking environment, free of bias
for everyone: from young adults questioning their gender identity, via women
of reproductive age both struggling to conceive or keep working part time
when healthy and line of work permits it during pregnancy, up to aging and
the elderly. Using ?Investigate-Educate-Advocate-Legislate? as the four
pillars of advancing cardiovascular care of women, we aimed to summarize
standing of women?s health in Serbia, present ongoing projects and propose
actionable solutions for the future.
A single coronary artery is a very rare condition, commonly associated with other congenital anomalies. It could be generally classified as neither benign nor malignant form of congenital coronary artery anomalies since its pathophysiological and clinical implications grossly depend on different anatomical patterns defined by the site of origin and distribution of the branches. By presenting the patient with an isolated single coronary artery, who underwent successful combined aortic valve replacement and coronary artery bypass grafting surgery, we intend to distinguish casual from causal in this extremely rare clinical and surgical scenario. This is the first-ever case published, combining such underlying pathology, clinical presentation, and surgical treatment.
Introduction. Cardiac hemangiomas of the right ventricle are very rare and mostly asymptomatic benign tumors. The surgical excision is the first line treatment. Case report. We report a case of 69-year-old woman with an asymptomatic arteriovenous hemangioma of the right ventricle. The complete surgical excision was performed with the use of cardiopulmonary bypass and the patient was discharged on the postoperative day 6 after the uneventral postoperative course. There was no relapse during the six-month followup. Literature review revealed totally 35 cases of this tumors including our case Conclusion. Described procedure can be performed safely with the excellent long-term results.
A single coronary artery is a very rare condition, commonly associated with other congenital anomalies. It could be generally considered as neither benign nor malignant form of congenital coronary artery anomalies since its pathophysiological and clinical implications grossly depend on different anatomical patterns defined by the site of origin and distribution of the branches. By presenting the patient who underwent successful coronary artery bypass grafting and aortic valve replacement surgery in a presence of isolated single coronary artery, we intend to emphasize natural and procedural risks and distinguish casual from causal in this extremely rare clinical and surgical scenario.
Introduction/Objective Dry eye is a multifactorial disease with up to 50% in
population. It is characterized by a loss of homeostasis of the tear film
and accompanied by ocular symptoms. Ocular Surface Disease Index (OSDI)
questionnaire is designed to provide a rapid assessment of the symptoms. The
aim of this study was to evaluate diagnostic capacity of OSDI. Methods A
prospective, randomized and observational study was conducted at the Clinic
for Eye Disease, Clinical Center of Serbia, between December 2018 and
February 2019. The OSDI questionnaire was used to rate the severity of dry
eye disease. Schirmer I test, tear break-up time test (TBUT), Rose Bengal
test and lid-parallel conjunctival folds (LIPCOF) test were performed as a
clinical proof of the symptoms. Results A total of 27 patients, 15 male
(55.4%) and 12 female (44.6%), with mean age of 60 ? 15 years were included
in the study. The average value of OSDI score was 26.37 ? 23.98 (0-80).
Schirmer I test and Rose Bengal test for right and left eye, as well as BUT
test for left eye were positively correlated with OSDI score (Spearman
correlation coefficient). Conclusion OSDI questionnaire is fast, reliable,
and cheap test. In our study we have found correlation between OSDI score
and other clinical tests, except with LIPCOF test. At this moment, the
questionnaire that could be the gold standard for dry eye disease diagnosis
doesn?t exist, therefore further studies concerning this topic are needed.
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