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Leili Pourafkari, Aidin Baghbani-Oskouei, Safa Savadi-Oskouei, Samad Ghaffari, Raziye Parizad, Arezou Tajlil, Nader D Nader
BACKGROUND AND OBJECTIVE: The use and range of indications for anticoagulation therapy are steadily growing. The objective of this study was to develop a scoring model to predict the occurrence of significant bleeding in patients taking warfarin with a supra-therapeutic international normalized ratio. METHODS: Data were collected from the medical records of patients taking warfarin with an international normalized ratio > 3.5. The characteristics of bleeding episodes and the need for transfusion of blood products were recorded...
March 18, 2019: Clinical Drug Investigation
Leili Pourafkari, Aidin Baghbani-Oskouei, Naser Aslanabadi, Elgar Enamzadeh, Samad Ghaffari, Rezvaniyeh Salehi, Bahram Sohrabi, Safa Savadi-Oskouei, Arezou Tajlil, Nader D Nader
OBJECTIVE: The aim of this study was to examine the role of isolated rheumatic mitral stenosis (MS) in remodeling of the aorta at various locations. METHODS: In this prospective study, patients who were to undergo transesophageal echocardiography for various indications were screened. The study participants were classified into 2 groups according to the presence of MS with a valve area ≤1.5 cm2. Factors associated with the index dimensions of the aorta at the levels of the annulus, root, sinotubular junction (STJ), and the proximal ascending portion (5 cm from the annulus) were evaluated...
January 2019: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
Rabiepoor Soheila, Jabbari Shiva, Tajlil Arezou, Razavi Ramona, Yas Atefeh
Objectives: This study evaluates the interaction of obesity, self-efficacy for eating control and body image on each other in women. Material and Methods: This is a descriptive analytic study performed on 300 healthy married women. Our sample included three groups of individuals including those with normal, high and very high BMI levels, with 100 consecutive cases in each group; the participants were asked to complete three questionnaires: Demographic Information Questionnaire, Weight Efficacy Lifestyle Questionnaire (WEL), and Multidimensional Body-Self Relations Questionnaire (MBSRQ)...
September 2018: Mædica
Leili Pourafkari, Catherine Choi, Reza Garajehdaghi, Arezou Tajlil, Hasan H Dosluoglu, Nader D Nader
The neutrophil-lymphocyte ratio (NLR), as a marker of inflammation, is associated with the severity of peripheral artery disease (PAD). The role of the NLR on predicting future complications after elective revascularization for patients with PAD remains unknown. We aimed to examine the role of the NLR in the development of major adverse limb events (MALE) and the long-term mortality of these patients. We evaluated 1708 revascularization procedures from May 2001 to December 2015 at the Veterans Affairs Western New York Healthcare System from a prospectively maintained vascular database that included demographics, comorbidities and pre-procedural medications...
October 2018: Vascular Medicine
Ahmad Separham, Bahram Sohrabi, Arezou Tajlil, Leili Pourafkari, Robabeh Sadeghi, Samad Ghaffari, Nader D Nader
BACKGROUND: Lead aVR provides prognostic information in various settings in patients with ischemia. We aim to investigate the role of a positive T wave in lead aVR in non-ST segment myocardial infarction (NSTEMI). METHODS: In a prospective cohort study, we included 400 patients with NSTEMI. Presentation electrocardiogram (ECG) was investigated for presence of a positive T wave as well as ST segment elevation (STE) in aVR and study variables were compared. Predictors of primary outcome defined as hospital major adverse cardiovascular events (MACE) and secondary outcome, defined as three-vessel coronary disease and/or left main coronary artery stenosis (3VD/LMCA) stenosis in angiography, were determined in multivariate logistic regression analysis...
September 2018: Annals of Noninvasive Electrocardiology
Ali Mahdavi Fard, Rana Daei Sorkhabi, Kamal Nasiri, Arezou Tajlil
OBJECTIVE: The aim of this study was to evaluate the effect of trabeculectomy on ocular higher-order aberrations following surgery in a group of patients with open angle glaucoma. METHODS: In this prospective study, patients with primary open angle glaucoma underwent wavefront aberrometry before trabeculectomy with mitomycin-C. Coma-like, spherical-like, and total ocular higher-order aberrations were measured as root mean square values. The measurements were repeated 1 month and 3 months after the procedure...
2018: Northern Clinics of Istanbul
Leili Pourafkari, Aidin Baghbani-Oskouei, Naser Aslanabadi, Arezou Tajlil, Samad Ghaffari, Ali Mosavi Sadigh, Safa Savadi-Oskouei, Elgar Enamzadeh, Raziyeh Parizad, Nader D Nader
BACKGROUND: Atrial fibrillation (AF) as the most rhythm disturbance in patients with rheumatic mitral stenosis (MS), is classified in to coarse and fine subtypes according to the height of fibrillatory wave amplitude. The aim of this study is to identify the factors associated with the presence of fine versus coarse morphology in patients with rheumatic MS. METHODS: In this cross-sectional study, patients with confirmed diagnosis of severe rheumatic MS admitted between March 2013 and March 2017 were screened...
July 2018: Annals of Noninvasive Electrocardiology
Leili Pourafkari, Christopher K Wang, Arezou Tajlil, Ata H Afshar, Michael Schwartz, Nader D Nader
AIM: To examine the role of the ratios of platelet or neutrophil to lymphocyte count (PLR or NLR) in predicting hospital death and long-term mortality in acute heart failure (AHF). Methods & materials: The records of 554 admissions from 354 patients discharged from VAWNY with AHF between 2011 and 2015 were reviewed. The associations between admission PLR or NLR and hospital and long-term mortality were assessed by univariate and multivariate analyses. RESULTS: PLR was similar regarding hospital mortality...
January 2018: Biomarkers in Medicine
Samad Ghaffari, Reza Hajizadeh, Leili Pourafkari, Behrouz Shokouhi, Arezou Tajlil, Sarvin Mazani, Hadiseh Kavandi, Hosein Ansari, Nader D Nader
We investigated the association between the levels of air pollutants and the number of daily admissions due to ST segment elevation myocardial infarction (STEMI) in a metropolitan in the northwest of Iran. Daily concentrations of common air pollutants were obtained for the greater city of Tabriz for a period of 2 years. These reports included sulfur dioxide (SO2), nitrogen dioxide (NO2), nitric oxide (NO), nitrogen byproducts (NOx), carbon monoxide (CO), ozone (O3), and particulate matters < 10 μm (PM10)...
December 2017: Environmental Science and Pollution Research International
Leili Pourafkari, Kourosh Masnadi-Shirazi, Mohammadreza Taban, Solmaz Mohammadi, Razieh Parizad, Samad Ghaffari, Arezou Tajlil, Mir Milad Pourmousavi Khoshknab, Nader D Nader
BACKGROUND: Masked hypertension (MHTN) and lack of nocturnal dipping in blood pressure (BP) have been linked to the state of inflammation. AIMS: We aimed to assess the frequency of nocturnal patterns of BP and heart rate (HR) in patients with IBD. METHODS: Sixty-three normotensive patients with confirmed IBD during remission and 63 healthy subjects were enrolled in a case-control study. All subjects were monitored for BP and HR over a period of 24 h under ambulatory setting...
October 2017: Digestive Diseases and Sciences
Samad Ghaffari, Leili Pourafkari, Arezou Tajlil, Roza Bahmani-Oskoui, Nader D Nader
OBJECTIVES: To investigate the impact of gender in outcomes of patients with ST segment myocardial infarction in a setting with limited access to primary percutaneous coronary intervention METHODS: In 1017 consecutive patients hospitalized with ST segment myocardial infarction during years 2008-2013, distribution of risk factors, therapeutic methods, heart failure and in-hospital mortality were compared between males and females. Association of gender and primary outcomes was determined after adjustment for confounding factors...
April 2017: Indian Heart Journal
Samad Ghaffari, Leili Pourafkari, Arezou Tajlil, Mohammad Hassan Sahebihagh, Asghar Mohammadpoorasl, Jafar Sadegh Tabrizi, Nader D Nader, Akbar Azizi Zeinalhajlou
Introduction: Adequate treatment of hypertension is infrequent in older patients. Determining the prevalence of hypertension in older patients, identifying the pattern of the treatment in this age group and evaluating their awareness of the disease may help healthcare systems to devise appropriate programs for controlling the disease. Methods: This descriptive cross sectional study included a sample from population of Tabriz, a large city in North-West of Iran, who were 60 years or older. Data collection and blood pressure measurements were conducted in the households of the participants from 1st June 2015 through 1st August 2015...
2016: Journal of Cardiovascular and Thoracic Research
L Pourafkari, S Ghaffari, M Ahmadi, A Tajlil, N Aslanabadi, N D Nader
BACKGROUND: In patients with mitral stenosis (MS), pulmonary hypertension (PH) is a significant contributor to the associated morbidity. We aimed to study factors associated with the presence of significant PH (sPH) and whether incorporating body surface area (BSA) in the mitral valve area (MVA) would improve the predictive value of the latter. METHODS: The medical records of 558 patients with severe MS undergoing percutaneous balloon mitral commissurotomy were evaluated over a period of 8 years...
December 2017: Herz
Leili Pourafkari, Arezou Tajlil, Samad Ghaffari, Rezayat Parvizi, Mohammadreza Chavoshi, Kasra Kolahdouzan, Nasrin Khaki, Raziyeh Parizad, Geoffery G Hobika, Nader D Nader
We determine the frequency of initial misdiagnosis and inappropriate treatment with antiplatelets/anticoagulants in the emergency department (ED) and the resultant clinical outcomes in patients with acute type A aortic dissection (AAOD). Medical records of patients with a final diagnosis of AAOD admitted from March 2004 through October 2015 to our tertiary-level heart hospital were evaluated. Patients with suspected dissection in ED were compared to those with initial misdiagnosis regarding demographics and clinical presentation, laboratory and echocardiographic findings...
December 2017: Internal and Emergency Medicine
Samad Ghaffari, Arezou Tajlil, Naser Aslanabadi, Ahmad Separham, Bahram Sohrabi, Gholamreza Saeidi, Leili Pourafkari
BACKGROUND: The coronary slow-flow phenomenon (CSFP) is a multifactorial angiographic finding with no established pathogenesis. OBJECTIVE: To investigate the role of clinical profile and laboratory findings in patients with CSFP. METHODS: We prospectively recruited 69 patients with angiographically diagnosed CSFP and compared them with 88 patients with normal coronary flow. Demographic information, comorbidities and laboratory analysis, including complete blood count with differential, lipid profile and serum biochemical analysis, were documented and compared in univariate and multivariate analyses...
January 2017: Perfusion
Ali Riazi, Samad Shams Vahdati, Arezou Tajlil
No abstract text is available yet for this article.
March 2014: Turkish Journal of Emergency Medicine
Samad Ghaffari, Reza Asadzadeh, Arezou Tajlil, Amirhossein Mohammadalian, Leili Pourafkari
BACKGROUND: The significance of electrocardiographic changes during exercise tolerance testing for distinguishing occluded artery is not well known. We tried to determine the role of ST elevation in leads aVR and V1 during exercise in detecting stenosis of left main coronary artery and proximal left anterior descending artery. METHODS: ST segment changes during exercise in 230 patients, who underwent diagnostic angiography, were documented. The association of ST elevation in lead aVR, V1 , leads aVR + V1 , and STE in leads aVR + V1 with ST depression in other leads with pattern of coronary stenosis were investigated...
January 2017: Annals of Noninvasive Electrocardiology
Leili Pourafkari, Samad Ghaffari, Arezou Tajlil, Fariborz Akbarzadeh, Farin Jamali, Nader D Nader
BACKGROUND: Prognostic stratification of patients with acute pulmonary embolism (PTE) is crucial in identifying patients who would benefit from more aggressive treatment. We aimed to examine the value of ST elevation in lead aVR (STEaVR ) in predicting hospital mortality following PTE. MATERIALS: Two hundred patients with a diagnosis of PTE were allocated into two groups based on the presence or absence of STEaVR . Multivariate logistic regression analysis was used to investigate the role of "STEaVR " in relation to the other risk factors in predicting prognosis of PTE...
March 2017: Annals of Noninvasive Electrocardiology
Leili Pourafkari, Arezou Tajlil, Samad Ghaffari, Mohammadreza Chavoshi, Kasra Kolahdouzan, Rezayat Parvizi, Raziyeh Parizad, Nader D Nader
BACKGROUND: Electrocardiography (ECG) offers some information that may be used to prognosticate acute type A aortic dissection (AAOD) for short- and long-term mortality. METHODS: We retrospectively analyzed the electrocardiograms of patients with AAOD admitted from March 2004 to March 2015. The frequency of ECG findings and their prognostic value on hospital and follow-up mortality were investigated. Findings pertaining to coronary involvement and troponin level were also examined...
August 2016: American Journal of Emergency Medicine
Leili Pourafkari, Saeid Joudi, Samad Ghaffari, Arezou Tajlil, Babak Kazemi, Nader D Nader
BACKGROUND: Elevation of ST segment in leads V3R/ V4R, which is commonly encountered in right ventricular myocardial infarction, may also occur in patients with anterior ST elevation myocardial infarction (STEMI). However, the clinical impact of this finding in the setting of anterior myocardial infarction is not well understood. AIMS: We aimed to investigate the prognostic value of ST segment elevation in leads V3R/V4R in patients with first acute anterior myocardial infarction...
January 2016: Balkan Medical Journal
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