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A Rare Case of Asymptomatic Giant Right Atrial Aneurysm: Case Report

Right atrial aneurysm is a rare abnormality of the heart. This defect is seen in all age groups and is usually diagnosed incidentally. The aneurysm can be asymptomatic or present with symptoms related to supraventricular arrhythmias or thromboembolic phenomenon. We present the case report of a 74-year-old male with right atrial aneurysm which was incidentally detected during echocardiographic evaluation.

Idiopathic Chest Pain in Children: Is it Gastroesophageal Reflflux Disease?

ABS TRACT Objective: Causes of chest pain in children, rarely due to cardiac disease and usually described as idiopathic, account for 20% to 45% of all cases. In this study, we investigated the frequency of gastroesophageal reflux in children with noncardiac chest pain and the characteristics of the pain. Material and Methods: Children with at least two episodes per month of chest pain for a maximum of six months were enrolled in the study. After diagnostic evaluation excluded a cardiac source of chest pain, all patients underwent 24-hour pH monitoring. Characteristics of chest pain and other symptoms were recorded daily by the patients or their parents using the symptom diary. Lansoprazole treatment was administered to patients diagnosed as having gastroesophageal reflux disease. Then, the results of the lansoprazole treatment were evaluated on the basis of the presence of chest pain and other symptoms at the second month after the completion of therapy. Results: Thirty-one children (17 boys and 14 girls) aged between eight and 18 years (11.6±2.4 years) with the primary complaint of chest pain were studied. Based on the 24-hour pH monitoring test results, eight patients (25.8%) for distal sensor and six patients (19.4%) for proximal sensor were defined as Gastroesophageal Reflux Disease (GERD)-positive. No significant difference was noted for characteristics of chest pain and other symptoms between the GERD-positive and GERD-negative groups. All GERD-positive children became symptom-free after the two-month lansoprazole therapy. Conclusion: The symptoms of GERD-induced chest pain are often non-specific, and can be determined with certainty only by 24-hour pH monitoring, so 24-hour pH monitoring may proposed to all children with idiopathic chest pain.

Akut Koroner Sendromu Taklit Eden Perimiyokardit ve İntravenöz İmmünglobulin Kullanımı

60 erimiyokardit, miyokardın ve kısmen perikardın tutulumu ile karakterize inflamatuar bir sendromdur.1-4 Miyokardiyal tutulum daha çok çocuklarda, özellikle de erkek ergenlerde daha yaygındır.1-3,4 Klinik tablo perimiyokardiyal tutulumun derecesini yansıtmaktadır.1,3 Hastaların çoğu belirtisiz olup, klinik belirti ve bulgular; göğüs ağrısı, ateş, bitkinlik, dispne, azalmış efor kapasitesi, perikardiyal sürtünme sesi, STsegment yükselmesi, kalpte aritmiler, perikardiyal efüzyon, kas ağrısı, gastrointestinal belirtiler şeklinde olabilmektedir. Göğüs ağrısı en yaygın belirti olup, iskemik ağrıdan ayırt etmek zordur. Bölgesel elektrokardiyografik Akut Koroner Sendromu Taklit Eden Perimiyokardit ve İntravenöz İmmünglobulin Kullanımı