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Your search keyword '"Farhat, M. Ben"' showing total 9 results
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9 results on '"Farhat, M. Ben"'

3. [Prognosis of infectious endocarditis]

Author

Hamda K, Ben, F, Betbout, F, Addad, H, Gamra, F, Maatouk, Z, Dridi, M A, Zidi, R, Hammouda, and Farhat M, Ben

Subjects
Adult, Male, Analysis of Variance, Tunisia, Adolescent, Endocarditis, Bacterial, Middle Aged, Prognosis, Disease-Free Survival, Hospitals, University, Treatment Outcome, Predictive Value of Tests, Risk Factors, Child, Preschool, Disease Progression, Humans, Female, Hospital Mortality, Morbidity, Child, Echocardiography, Transesophageal, Aged, Proportional Hazards Models, Retrospective Studies
Abstract

To study clinical course and prognostic factors of infective endocarditis.Infective endocarditis was identified in 126 consecutive patients (criteria of DURACK). Of these, 73 were male, mean age was 29.9 + 15 years, 98 (77.7%) had past history of cardiac disease. The evolution has been marked by 38 deaths (30%) in spite of the recourse to surgery (69 patients). The mean follow-up period was 52 months, the event-free survival was 61% at 5 years.By univariate analysis the predictors of bad prognosis: Large vegetations10 mm, delay of apyrexia10 days presence of a neurological accident and the absence of surgical treatment. Multivariate analysis: Vegetation10 mm (OR 1.97, 1-4.1, p = 0.05), presence of a neurological accident (OR:2.76, 1.32-5.76, p = 0.007) and the absence of surgical treatment (OR: 5.03, 2-11.4, p0.001).Infective endocarditis remains a serious affection, identification of patients with poor prognosis should lead to early surgical referral: this attitude provides good immediate and long-term results.

Published
2003

7. Percutaneous balloon mitral commissurotomy during pregnancy

Author

Thaalbi, R., Farhat, M. Ben, Gamra, H., Betbout, F., Maatouk, F., Jarrar, M., Addad, F., Tiss, M., Hammami, S., and Chahbani, I.

Abstract

ObjectiveTo evaluate the effectiveness and safety of percutaneous balloon mitral commissurotomy for the treatment of pregnant women with severe mitral stenosis over a period of six years.DesignAnalysis of clinical, haemodynamic, and echocardiographic data before and immediately after the procedure, the pregnancy outcome, and the fate of newborn babies.SettingAcademic cardiovascular centre in Monastir, Tunisia.Patients44 pregnant patients who underwent percutaneous transvenous dilatation of the mitral valve between January 1990 and February 1996. Grade 2 mitral regurgitation was present in two patients and densely calcific valves in three (7%).ResultsCommissurotomy was successfully achieved in all cases. The total mean (SD) duration of the procedure was 72 (18) minutes and that of fluoroscopy 16 (7) minutes. Left atrial pressure decreased from 28 (10) to 14 (7) mm Hg, mitral pressure gradient fell from 22 (8) to 5 (3) mm Hg. Cardiac output increased from 4·8 (1·1) to 6·3 (1·2) l/min and Gorlin mitral valve area from 0·96 (0·21) to 2·4 (0·4) cm2 (all P << 0·001). Cross sectional echocardiographic mitral valve area increased from 1·07 (0·21) to 2·32 (0·36) cm2. There were no maternal or fetal deaths. Complications included a grade 4 mitral regurgitation in one patient that required early valve replacement. All patients delivered at full term, 42 vaginally and two (5%) by caesarean section; 41 babies were normal and three whose mothers had the procedure near term were relatively hypotrophic. At a mean follow up of 28 (12) months (range 2 to 26) all children had normal growth.ConclusionsDuring pregnancy, balloon mitral commissurotomy is the treatment of choice of severe pliable mitral stenosis in patients who are refractory to medical treatment.

Published
1997

8. Lipids and lipoprotein(a) concentrations in Tunisian type 2 diabetic patients: Relationship to glycemic control and coronary heart disease

Author

Smaoui, M., Hammami, S., Chaaba, R., Attia, N., Hamda, K. Ben, Masmoudi, A.S., Mahjoub, S., Bousslama, A., Farhat, M. Ben, and Hammami, M.

Subjects
*LIPIDS, *LIPOPROTEINS, *DIABETES, *CORONARY disease
Abstract

The aim of this study was to evaluate plasma lipoprotein(a) [Lp(a)] concentrations in Tunisian patients with type 2 diabetes mellitus (DM), to correlate the values with other lipid parameters, and to examine the relationship to glycemic control and coronary heart disease (CHD). Diabetic patients with and without CHD (n=200) had significantly higher levels of Lp(a) (327.94±239.93 mg/l) and a greater proportion of elevated (>300 mg/l) Lp(a) concentrations (46%) compared with 100 healthy nondiabetic controls (269.83±225.6 mg/l, P<.01, and 26%, P<.01), while there were no statistically significant difference between diabetics without CHD (n=100) and controls. No significant association of Lp(a) with glycemic control (HbAlc or fasting blood glucose) was noted in diabetic patients. Positive correlations were observed between Lp(a) levels and total cholesterol and LDL-C in all diabetic patients and particularly in diabetic men. Male patients with CHD showed significantly higher plasma Lp(a) levels than those without CHD (P=.023), and 57.3% of patients with CHD showed increase (>300 mg/l) Lp(a) compared with 33.3% of patients without CHD. Elevated levels of Lp (a) and abnormal lipid profile in diabetic men suggest their involvement in atherogenesis and subsequent development of CHD. [Copyright &y& Elsevier]

Published
2004
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