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  1. Article ; Online: Magnetic Resonance Imaging of Cardiac Involvement in COVID-19.

    Rafiee, Moezedin Javad / Friedrich, Matthias G

    The British journal of radiology

    2024  

    Abstract: The COVID-19 pandemic, caused by the SARS-CoV-2 virus, has led to a diverse pattern of myocardial injuries, including myocarditis, which is linked to adverse outcomes in patients. Research indicates that myocardial injury is associated with higher ... ...

    Abstract The COVID-19 pandemic, caused by the SARS-CoV-2 virus, has led to a diverse pattern of myocardial injuries, including myocarditis, which is linked to adverse outcomes in patients. Research indicates that myocardial injury is associated with higher mortality in hospitalized severe COVID-19 patients (75.8% versus 9.7%). Cardiovascular Magnetic Resonance (CMR) has emerged as a crucial tool in diagnosing both ischemic and non-ischemic myocardial injuries, providing detailed insights into the impact of COVID-19 on myocardial tissue and function. This review synthesizes existing studies on the histopathological findings and CMR imaging patterns of myocardial injuries in COVID-19 patients. CMR imaging has revealed a complex pattern of cardiac damage in these patients, including myocardial inflammation, oedema, fibrosis, and ischemic injury, due to coronary microthrombi. This review also highlights the role of LLC criteria in diagnosis of COVID-related myocarditis and the importance of CMR in detecting cardiac complications of COVID-19 in specific groups, such as children, manifesting multisystem inflammatory syndrome (MIS-C) and athletes, as well as myocardial injuries post-COVID-19 infection or following COVID-19 vaccination. By summarizing existing studies on CMR in COVID-19 patients and highlighting ongoing research, this review contributes to a deeper understanding of the cardiac impacts of COVID-19. It emphasizes the effectiveness of CMR in assessing a broad spectrum of myocardial injuries, thereby enhancing the management and prognosis of patients with COVID-19 related cardiac complications (Figure of summarized illustration of CMR findings of cardiac involvement in COVID-19).
    Language English
    Publishing date 2024-04-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 2982-8
    ISSN 1748-880X ; 0007-1285
    ISSN (online) 1748-880X
    ISSN 0007-1285
    DOI 10.1093/bjr/tqae086
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Multimodality imaging findings of cardiac neuroendocrine tumour metastasis.

    Rafiee, Moezedin Javad / Hickeson, Marc / Chetrit, Michael

    European heart journal. Case reports

    2023  Volume 7, Issue 12, Page(s) ytad587

    Language English
    Publishing date 2023-11-20
    Publishing country England
    Document type Case Reports
    ISSN 2514-2119
    ISSN (online) 2514-2119
    DOI 10.1093/ehjcr/ytad587
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: 5-fluorouracil-induced coronary vasospasm: A cardiovascular magnetic resonance imaging case report.

    Garbis, Kelly / Rafiee, Moezedin Javad / Luu, Judy

    Global cardiology science & practice

    2023  Volume 2023, Issue 3, Page(s) e202316

    Abstract: We report the case of a 45-year old male with metastatic colon cancer who presented with chest pain and transient diffuse ST-segment elevation on electrocardiogram after his third cycle of FOLFOX (folinic acid, fluorouracil, oxaliplatin). Initial ... ...

    Abstract We report the case of a 45-year old male with metastatic colon cancer who presented with chest pain and transient diffuse ST-segment elevation on electrocardiogram after his third cycle of FOLFOX (folinic acid, fluorouracil, oxaliplatin). Initial transthoracic echocardiogram showed reduced left ventricular ejection fraction of 35% with mildly elevated troponins. Further investigations with cardiovascular magnetic resonance imaging demonstrated recovery of left ventricular function with evidence suggestive of coronary vasospasm. This case report will review the utility of cardiovascular magnetic imaging in the evaluation of underlying etiologies for myocardial injury in patients with low likelihood of obstructive coronary artery disease.
    Language English
    Publishing date 2023-08-01
    Publishing country Qatar
    Document type Case Reports
    ZDB-ID 2738381-7
    ISSN 2305-7823
    ISSN 2305-7823
    DOI 10.21542/gcsp.2023.16
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Extensive myocardial calcifications in a dialysis patient: A porcelain heart manifesting with abdominal pain.

    Rafiee, Moezedin Javad / Bandegi, Pouya / Taylor, Jana Lyn

    Radiology case reports

    2023  Volume 19, Issue 2, Page(s) 523–530

    Abstract: This case report describes a 41-year-old male patient with chronic kidney disease on peritoneal dialysis presenting with upper abdominal pain and mild thigh numbness. CT chest demonstrated extensive myocardial calcifications and left atrial thrombus. ... ...

    Abstract This case report describes a 41-year-old male patient with chronic kidney disease on peritoneal dialysis presenting with upper abdominal pain and mild thigh numbness. CT chest demonstrated extensive myocardial calcifications and left atrial thrombus. This case emphasizes the clinical relevance of myocardial calcifications, especially in patients with end-stage renal disease. It also highlights the potential association between these calcifications and complications such as atrial fibrillation and thromboembolic events. The findings emphasize the need for diagnostic vigilance and an improved understanding of the pathophysiology of myocardial calcifications in the context of renal disease.
    Language English
    Publishing date 2023-11-22
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2406300-9
    ISSN 1930-0433
    ISSN 1930-0433
    DOI 10.1016/j.radcr.2023.10.081
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Extensive myocardial calcifications in a dialysis patient

    Moezedin Javad Rafiee, MD / Pouya Bandegi, MD, MSc / Jana Lyn Taylor, MD, FRCPC, FCAR

    Radiology Case Reports, Vol 19, Iss 2, Pp 523-

    A porcelain heart manifesting with abdominal pain

    2024  Volume 530

    Abstract: This case report describes a 41-year-old male patient with chronic kidney disease on peritoneal dialysis presenting with upper abdominal pain and mild thigh numbness. CT chest demonstrated extensive myocardial calcifications and left atrial thrombus. ... ...

    Abstract This case report describes a 41-year-old male patient with chronic kidney disease on peritoneal dialysis presenting with upper abdominal pain and mild thigh numbness. CT chest demonstrated extensive myocardial calcifications and left atrial thrombus. This case emphasizes the clinical relevance of myocardial calcifications, especially in patients with end-stage renal disease. It also highlights the potential association between these calcifications and complications such as atrial fibrillation and thromboembolic events. The findings emphasize the need for diagnostic vigilance and an improved understanding of the pathophysiology of myocardial calcifications in the context of renal disease.
    Keywords Myocardial calcification ; Cardiac calcinosis ; Chronic kidney disease ; End-stage renal disease ; Thromboembolism ; Left atrial/atrial appendage thrombus ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Subject code 610 ; 616
    Language English
    Publishing date 2024-02-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: Pancreatic involvement in Erdheim-Chester disease: Rare presentation of a rare disease.

    Rafiee, Moezedin Javad / Taylor, Jana / Hickeson, Marc / Friedrich, Matthias G / Chetrit, Michael

    Radiology case reports

    2023  Volume 18, Issue 5, Page(s) 1809–1820

    Abstract: Erdheim-Chester disease (ECD) as a rare non-Langerhans histiocytosis has various clinical manifestations. It is characterized histologically by infiltration of every organ, more commonly bone, retroperitoneum, cardiovascular and CNS systems with foamy, ... ...

    Abstract Erdheim-Chester disease (ECD) as a rare non-Langerhans histiocytosis has various clinical manifestations. It is characterized histologically by infiltration of every organ, more commonly bone, retroperitoneum, cardiovascular and CNS systems with foamy, lipid -laden macrophage. Pancreatic involvement as a manifestation of this uncommon disease has very rarely been reported. Here we report a 73-year-old woman with ECD and pancreas involvement in CT, MRI and PET scans. We also aim to increase radiologist knowledge about considering ECD as a differential diagnosis for pancreas mass in the appropriate clinical situation.
    Language English
    Publishing date 2023-03-04
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2406300-9
    ISSN 1930-0433
    ISSN 1930-0433
    DOI 10.1016/j.radcr.2023.02.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: MRI findings of epipericardial fat necrosis: As a rare cause of acute chest pain in a healthy man.

    Rafiee, Moezedin Javad / Khaki, Mahya / Haririsanati, Leila / Fard, Faranak Babaki / Chetrit, Michael / Friedrich, Matthias G

    Radiology case reports

    2022  Volume 17, Issue 7, Page(s) 2488–2491

    Abstract: Epipericardial fat necrosis (EPFN) is a rare, benign cause of acute chest pain imitating symptoms of life-threatening diseases, such as acute coronary syndrome. Here We report a 37-year-old, healthy male presented to the emergency department (ED) with ... ...

    Abstract Epipericardial fat necrosis (EPFN) is a rare, benign cause of acute chest pain imitating symptoms of life-threatening diseases, such as acute coronary syndrome. Here We report a 37-year-old, healthy male presented to the emergency department (ED) with sudden-onset pleuritic chest pain after an isometric physical training. Initial cardiac workup included ECG, echocardiography was unremarkable, but diagnosis of an inflammatory process that involved the epipericardial fat tissue surrounding the heart was made by showing encapsulated fatty lesion, enhanced adjacent parietal pericardium using of contrast-enhanced magnetic resonance imaging (MRI). Magnetic resonance imaging would help physicians to differentiate EPFN from severe and life-treating conditions.
    Language English
    Publishing date 2022-05-09
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2406300-9
    ISSN 1930-0433
    ISSN 1930-0433
    DOI 10.1016/j.radcr.2022.04.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Pancreatic involvement in Erdheim-Chester disease

    Moezedin Javad Rafiee, MD / Jana Taylor, MD, FRCP / Marc Hickeson, MD / Matthias G. Friedrich, MD, FESC, FACC / Michael Chetrit, MD, FACC

    Radiology Case Reports, Vol 18, Iss 5, Pp 1809-

    Rare presentation of a rare disease

    2023  Volume 1820

    Abstract: Erdheim-Chester disease (ECD) as a rare non-Langerhans histiocytosis has various clinical manifestations. It is characterized histologically by infiltration of every organ, more commonly bone, retroperitoneum, cardiovascular and CNS systems with foamy, ... ...

    Abstract Erdheim-Chester disease (ECD) as a rare non-Langerhans histiocytosis has various clinical manifestations. It is characterized histologically by infiltration of every organ, more commonly bone, retroperitoneum, cardiovascular and CNS systems with foamy, lipid -laden macrophage. Pancreatic involvement as a manifestation of this uncommon disease has very rarely been reported. Here we report a 73-year-old woman with ECD and pancreas involvement in CT, MRI and PET scans. We also aim to increase radiologist knowledge about considering ECD as a differential diagnosis for pancreas mass in the appropriate clinical situation.
    Keywords Pancreatitis ; Erdheim-Chester disease ; PET scan ; Histiocytes ; Retroperitoneum ; BRAFV600E ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Language English
    Publishing date 2023-05-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: COVID-19, myocardial edema and dexamethasone.

    Rafiee, Moezedin Javad / Babaki Fard, Faranak / Friedrich, Matthias G

    Medical hypotheses

    2020  Volume 145, Page(s) 110307

    Abstract: Severe acute respiratory syndrome corona virus 2(SARS-CoV-2), the cause of coronavirus disease- 2019 (COVID-19) after emerging in china in late 2019 is spreading rapidly across the world. The most common cause of death in patient with COVID-19 is the ... ...

    Abstract Severe acute respiratory syndrome corona virus 2(SARS-CoV-2), the cause of coronavirus disease- 2019 (COVID-19) after emerging in china in late 2019 is spreading rapidly across the world. The most common cause of death in patient with COVID-19 is the rapid progression of acute respiratory distress syndrome (ARDS) shortly after the beginning of dyspnea and hypoxemia. Patients with severe COVID-19 may also develop acute cardiac, kidney and liver injury that are associated with poor prognosis and can lead to high mortality rate. Numerous randomized trials are ongoing to find an effective, safe and widely available treatment. Remdisivir is the only FDA -approved antiviral agent for treatment of severe COVID-19. Glucocorticoids (GCs) have been used for treatment of cytokine storm syndrome and respiratory failure in hospitalized patient with severe covid-19. One of the therapeutic effects of GCs is stability of vascular endothelial barrier and decreasing tissue edema. In our opinion, the decreasing vascular permeability effect of glucocorticoids in the injured myocardium might has an important additional factor in reducing mortality in severe, hospitalized COVID-19 patients.
    MeSH term(s) Antiviral Agents/therapeutic use ; COVID-19/complications ; Capillary Permeability ; China/epidemiology ; Dexamethasone/therapeutic use ; Edema/complications ; Edema/diagnosis ; Fibrosis ; Glucocorticoids/therapeutic use ; Hospitalization ; Humans ; Inflammation ; Myocardium/pathology ; Permeability ; COVID-19 Drug Treatment
    Chemical Substances Antiviral Agents ; Glucocorticoids ; Dexamethasone (7S5I7G3JQL)
    Keywords covid19
    Language English
    Publishing date 2020-09-28
    Publishing country United States
    Document type Letter
    ZDB-ID 193145-3
    ISSN 1532-2777 ; 0306-9877
    ISSN (online) 1532-2777
    ISSN 0306-9877
    DOI 10.1016/j.mehy.2020.110307
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: COVID-19, myocardial edema and dexamethasone

    Rafiee, Moezedin Javad / Babaki Fard, Faranak / Friedrich, Matthias G.

    Medical Hypotheses

    2020  Volume 145, Page(s) 110307

    Keywords General Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 193145-3
    ISSN 1532-2777 ; 0306-9877
    ISSN (online) 1532-2777
    ISSN 0306-9877
    DOI 10.1016/j.mehy.2020.110307
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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