RESUMEN
Coronary allograft vasculopathy, often known as cardiac allograft vasculopathy (CAV), is a substantial source of morbidity and mortality in people who have had heart transplants. Early detection and monitoring of CAV are crucial for improving outcomes in this population. Although cardiac computed tomography (CT) has emerged as a possible method for finding and evaluating CAV, invasive coronary angiography has long been thought of as the gold standard for recognizing CAV. This study focuses on the utility of cardiac CT for CAV diagnosis and treatment in the post-heart transplant population. It provides an overview of recent studies on the application of cardiac CT in CAV and highlights the advantages and disadvantages of this imaging modality. The potential application of cardiac CT for CAV risk assessment and care is also examined in the study. Overall, the data point to a potential role for cardiac CT in the detection and treatment of CAV in post-heart transplant patients. It enables evaluation of the whole coronary tree and low-radiation, high-resolution imaging of the coronary arteries. Hence, further study is required to determine how best to employ cardiac CT in treating CAV in this group.
Asunto(s)
Hematoma , Humanos , Hematoma/etiología , Arteria Radial , Masculino , Músculos Pectorales/cirugía , FemeninoRESUMEN
The present cross-sectional study was designed to describe the pattern of comorbid headache among children with epilepsy (CWE) secondary to neurocysticercosis (NCC). Children aged 6 to 14 y (n = 70) already diagnosed with neurocysticercosis on a minimum follow-up of six months were consecutively enroled in the study over a period of four months. Majority of them were boys [41 (58%)] with a mean (SD) age of 9.8 (3.2) y. Headache was reported by 24 (34.2%) children. Only one child among them qualified the diagnosis of migraine as per International Classification of Headache Disorders (ICHD)-3 criteria. The proportion of children with and without headache was comparable among those with active or inactive lesion [p = 0.21]; single or multiple lesions [p = 0.78]; and stages of NCC [p = 0.23]. The proportion of children with headache was similar irrespective of the activity and the number of NCC lesions. This alerts the pediatrician to evaluate the headache and consider migraine among CWE treated for NCC.