Journal of Yeungnam Medical Science

Case reports

Atypical presentation of DeBakey type I aortic dissection mimicking pulmonary embolism in a pregnant patient: a case report: Sou Hyun Lee, Ji Hee Hong, Chaeeun Kim; J Yeungnam Med Sci. 2024;41(2):128-133. Published online February 5, 2024; DOI: https://doi.org/10.12701/jyms.2023.01319

710 View
24 Download

Abstract PDF: Aortic dissection in pregnant patients results in an inpatient mortality rate of 8.6%. Owing to the pronounced mortality rate and speed at which aortic dissections progress, efficient early detection methods are crucial. Here, we highlight the importance of early chest computed tomography (CT) for differentiating aortic dissection from pulmonary embolism in pregnant patients with dyspnea. We present the unique case of a 38-year-old pregnant woman with elevated D-dimer and N-terminal pro-brain natriuretic peptide (NT-proBNP) levels, initially suspected of having a pulmonary embolism. Initial transthoracic echocardiography did not indicate aortic dissection. Surprisingly, after an emergency cesarean section, a chest CT scan revealed a DeBakey type I aortic dissection, indicating a diagnostic error. Our findings emphasize the need for early chest CT in pregnant patients with dyspnea and elevated D-dimer and NT-proBNP levels. This case report highlights the critical importance of considering both aortic dissection and pulmonary embolism in the differential diagnosis of such cases, which will inform future clinical practice.

Effect of pulmonary rehabilitation on patients with acute COVID-19: a single-center case series: Son Mi Lee, Min Woo Kim, Donghyun Shin, Songi Han, Ju Sun Oh; J Yeungnam Med Sci. 2023;40(3):297-301. Published online November 1, 2022; DOI: https://doi.org/10.12701/jyms.2022.00591

1,467 View
78 Download
1 Web of Science
1 Crossref

The coronavirus disease 2019 (COVID-19) pandemic has been ongoing for more than 2 years. Many patients who recover from severe acute respiratory syndrome coronavirus 2 infection continue to have aftereffects such as dyspnea and fatigue, which may lead to functional decline. Therefore, the need for managing these symptoms using methods such as pulmonary rehabilitation (PR) has emerged. The purpose of this study was to report the effectiveness of PR in five patients with acute COVID-19. PR was performed in patients with persistent dyspnea and oxygen demand after COVID-19. All five patients were able to maintain an independent functional status before COVID-19. However, after acute COVID-19, they were unable to walk independently and needed assistance for activities of daily living due to dyspnea and fatigue. Therefore, they were referred to rehabilitation units, and PR was performed. The modified Medical Research Council dyspnea scale, maximal expiratory pressure (MEP), 6-minute walking test, forced vital capacity, and grip strength were assessed before and after PR, and the results were compared. After PR, the parameters improved, except for the MEP in one patient (patient 3) and the grip strength in another patient (patient 4). After PR, two out of five patients returned to work and the other three returned home. Therefore, we conclude that PR is necessary for patients with acute COVID-19 with activity limitations.

Citations

Citations to this article as recorded by

Effect of Chest Physiotherapy Technique on Bilateral Bronchial Pneumonia Secondary to Acute Respiratory Distress Syndrome: A Case Report
Urvini R Lokhande, H V Sharath, Vaishnavi M Thakre
Cureus.2023;[Epub] CrossRef

Case Report

Anesthetic Induction in a Sitting Position for a Patient with Congestive Heart Failure.: Seung Dong Kim, Gul Jung, Dae Lim Jee; Yeungnam Univ J Med. 2008;25(2):150-153. Published online December 31, 2008; DOI: https://doi.org/10.12701/yujm.2008.25.2.150

1,530 View
2 Download

Abstract PDF: A 67-year-old woman with severe congestive heart failure (New York Heart Association, NYHA class IV) was set to receive general anesthesia for cardiac surgery. For several months, she had been in a constant sitting position from which the slightest change evoked dyspnea. A patient in such a condition is rarely considered a candidate for general anesthesia, because such patients are never eligible for any type of surgery other than that used to fix the heart problem itself. We report this case to explain how anesthesia was induced with the patient sitting in a crouching position and discuss other methods of induction that can probably be used in similar situations.

First
Prev
Page of 1
Next
Last

Search