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  1. Article ; Online: Myocarditis and related complications of SARS-CoV-2 infection.

    Rahman, Atifur

    Australian journal of general practice

    2022  Volume 51, Issue 9, Page(s) 661–665

    Abstract: Background: Myocarditis and pericarditis are associated with a wide range of presentations and have received renewed interest because of the association with SARS-CoV-2 infection. Some of these complications have also been reported with the mRNA ... ...

    Abstract Background: Myocarditis and pericarditis are associated with a wide range of presentations and have received renewed interest because of the association with SARS-CoV-2 infection. Some of these complications have also been reported with the mRNA vaccines used for preventing the infection, which has caused widespread anxiety and uncertainty in the community.
    Objective: The aim of this article is to summarise an approach to the clinical problem of myocarditis and treatment/management of patients with myocarditis in the community. This article also discusses SARS-CoV-2 infection and vaccines.
    Discussion: Myocarditis and pericarditis need to be considered as a differential, especially in all adolescents or young adults presenting with acute chest pain, shortness of breath or palpitations. Other serious causes of chest pain - such as acute myocardial infarction, pulmonary embolism, aortic dissection and pneumothorax - also need to be excluded. Initial electrocardiography, troponin and C-reactive protein tests are recommended, and cardiology advice should be sought for all suspected cases.
    MeSH term(s) Adolescent ; COVID-19/complications ; Chest Pain/etiology ; Humans ; Myocarditis/diagnosis ; Myocarditis/etiology ; Myocarditis/therapy ; Pericarditis/diagnosis ; Pericarditis/etiology ; Pericarditis/therapy ; SARS-CoV-2 ; Young Adult
    Language English
    Publishing date 2022-08-31
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2924889-9
    ISSN 2208-7958 ; 2208-794X
    ISSN (online) 2208-7958
    ISSN 2208-794X
    DOI 10.31128/AJGP-02-22-6325
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Cardiovascular conditions and COVID-19.

    Rahman, Atifur

    Australian journal of general practice

    2020  Volume 49

    Abstract: Although COVID-19 primarily affects the respiratory system, cardiovascular involvement is common, especially in individuals who are severely ill. ...

    Abstract Although COVID-19 primarily affects the respiratory system, cardiovascular involvement is common, especially in individuals who are severely ill.
    Keywords covid19
    Language English
    Publishing date 2020-05-20
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2924889-9
    ISSN 2208-7958 ; 2208-794X
    ISSN (online) 2208-7958
    ISSN 2208-794X
    DOI 10.31128/AJGP-COVID-22
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  3. Article: Cardiovascular conditions and COVID-19

    Rahman, Atifur

    Aust. J. Gen. Pract

    Abstract: Although COVID-19 primarily affects the respiratory system, cardiovascular involvement is common, especially in individuals who are severely ill. ...

    Abstract Although COVID-19 primarily affects the respiratory system, cardiovascular involvement is common, especially in individuals who are severely ill.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #477760
    Database COVID19

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  4. Article ; Online: SARS-CoV-2 and the kidney.

    Titus, Thomas / Rahman, Atifur

    Australian journal of general practice

    2021  Volume 50, Issue 7, Page(s) 441–444

    Abstract: Background: COVID-19 has been at the forefront of public and scientific attention since the initial report in December 2019. The kidney is one of the target organs of the causative SARS-CoV-2 virus.: Objective: The aim of this article is to discuss ... ...

    Abstract Background: COVID-19 has been at the forefront of public and scientific attention since the initial report in December 2019. The kidney is one of the target organs of the causative SARS-CoV-2 virus.
    Objective: The aim of this article is to discuss the current understanding of COVID-19 renal disease from a primary care perspective, with the caveat that our knowledge of the pathogenesis, clinical course and outcome of the disease is still rapidly evolving.
    Discussion: The kidney is one of the target organs of the causative SARS-CoV-2 virus, affecting the endothelium, podocytes and renal tubular epithelial cells. Clinical presentation ranges from isolated proteinuria, haematuria to severe acute kidney injury (AKI) requiring renal replacement therapy. Renal dysfunction associated with COVID-19 has a worse prognosis whether it be in the form of AKI or worsening of pre-existing chronic kidney disease, or in patients undergoing renal replacement therapy.
    MeSH term(s) COVID-19/complications ; COVID-19/pathology ; COVID-19/therapy ; Humans ; Kidney Diseases/pathology ; Kidney Diseases/therapy ; Kidney Diseases/virology
    Language English
    Publishing date 2021-05-30
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2924889-9
    ISSN 2208-7958 ; 2208-794X
    ISSN (online) 2208-7958
    ISSN 2208-794X
    DOI 10.31128/AJGP-12-20-5764
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Dear editor.

    Rahman, Atifur

    Australian family physician

    2015  Volume 44, Issue 3, Page(s) 87

    MeSH term(s) Anticoagulants/therapeutic use ; Blood Loss, Surgical/prevention & control ; Humans ; Perioperative Care/methods ; Platelet Aggregation Inhibitors/therapeutic use ; Postoperative Hemorrhage/prevention & control ; Surgical Procedures, Operative ; Thromboembolism/prevention & control
    Chemical Substances Anticoagulants ; Platelet Aggregation Inhibitors
    Language English
    Publishing date 2015-03
    Publishing country Australia
    Document type Comment ; Letter
    ZDB-ID 423718-3
    ISSN 0300-8495
    ISSN 0300-8495
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  6. Article ; Online: A Unique Case Report of Complete Left Main Coronary Artery Occlusion in a 24-Year-Old Male.

    Heyworth, Paul B / Essack, Nasser / Rahman, Atifur

    The Journal of invasive cardiology

    2020  Volume 32, Issue 5, Page(s) E140

    Abstract: A 24-year-old male presented to hospital following syncope with electrocardiographic changes and was found to have left main coronary artery occlusion requiring emergent coronary artery bypass grafting. ...

    Abstract A 24-year-old male presented to hospital following syncope with electrocardiographic changes and was found to have left main coronary artery occlusion requiring emergent coronary artery bypass grafting.
    MeSH term(s) Coronary Artery Bypass ; Coronary Occlusion/diagnosis ; Coronary Occlusion/surgery ; Coronary Vessels ; Humans ; Male ; Syncope ; Young Adult
    Language English
    Publishing date 2020-05-01
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1154372-3
    ISSN 1557-2501 ; 1042-3931
    ISSN (online) 1557-2501
    ISSN 1042-3931
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    Zs.MO 272: Show issues
    Zs.MG 31: Show issues

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  7. Article ; Online: An unusual case of stent thrombosis: a case report.

    Rahman, Atifur / Wong, Sophia

    European heart journal. Case reports

    2019  Volume 3, Issue 3, Page(s) ytz119

    Abstract: Background: Stent thrombosis is a serious and potentially life-threatening complication of percutaneous coronary intervention. It often presents dramatically, typically resulting in ST-elevation myocardial infarction which is associated with a high ... ...

    Abstract Background: Stent thrombosis is a serious and potentially life-threatening complication of percutaneous coronary intervention. It often presents dramatically, typically resulting in ST-elevation myocardial infarction which is associated with a high mortality rate. Premature discontinuation of antiplatelet therapy in the initial 30 days after stenting is arguably the most important predictor of stent thrombosis. In some cases, discontinuation of therapy is unintentional, such as in patients with short-bowel length or malabsorption syndromes.
    Case summary: A 70-year-old man presented to our hospital with stent thrombosis due to non-absorption of antiplatelet agents, 3 days after an elective percutaneous intervention to the right coronary artery. The patient, who had had a laparoscopic high anterior resection due to previous colorectal cancer, had noticed tablets passing whole into his colostomy bag. Repeat balloon angioplasty and stenting were performed and the patient received further antiplatelet therapy in a crushed form.
    Discussion: Drug absorption in the gastrointestinal tract is altered when a significant length of the gut has been resected. Reduced intestinal luminal transit time and insufficient contact time with intestinal mucosa leads to reduced bioavailability of drugs and increased risk of stent thrombosis. The aetiology of stent thrombosis can be investigated with intravascular imaging techniques and platelet function testing. Management includes using different drug formulations and doses and monitoring the outcomes of therapy. In some cases, it may also be appropriate to involve a gastroenterology team, preferably in the multidisciplinary environment of an intestinal rehabilitation centre.
    Language English
    Publishing date 2019-07-13
    Publishing country England
    Document type Case Reports
    ISSN 2514-2119
    ISSN (online) 2514-2119
    DOI 10.1093/ehjcr/ytz119
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  8. Article: Pericarditis.

    Rahman, Atifur / Saraswat, Avadhesh

    Australian family physician

    2017  Volume 46, Issue 11, Page(s) 810–814

    Abstract: Background: Pericarditis is an important diagnosis to consider, along with various other differential diagnoses, in a patient who presents with chest pain.: Objective: This article describes in detail the common features, management and complications ...

    Abstract Background: Pericarditis is an important diagnosis to consider, along with various other differential diagnoses, in a patient who presents with chest pain.
    Objective: This article describes in detail the common features, management and complications of pericarditis in the general practice setting.
    Discussion: Characteristic clinical findings in pericarditis include pleuritic chest pain and pericardial friction rub on auscultation of the left lower sternal border. Electrocardiography may reveal diffuse PR-segment depressions and diffuse ST-segment elevations with upward concavity. The most common aetiologies of pericarditis are idiopathic and viral, and the most common treatment for these are nonsteroidal anti-inflammatory drugs and colchicine. The complications of pericarditis include pericardial effusion, tamponade and myopericarditis. The presence of effusion, constriction or tamponade can be confirmed on echocardiography. Tamponade is potentially life-threatening and is diagnosed by the clinical findings of decreased blood pressure, elevated jugular venous pressure, muffled heart sounds on auscultation and pulsus paradoxus.
    MeSH term(s) Anti-Inflammatory Agents, Non-Steroidal/pharmacology ; Anti-Inflammatory Agents, Non-Steroidal/therapeutic use ; Chest Pain/etiology ; Diagnosis, Differential ; Electrocardiography/methods ; Friction/physiology ; Humans ; Pericarditis/diagnosis ; Pericarditis/physiopathology ; Pericarditis/therapy
    Chemical Substances Anti-Inflammatory Agents, Non-Steroidal
    Language English
    Publishing date 2017-11
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 423718-3
    ISSN 0300-8495
    ISSN 0300-8495
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  9. Article ; Online: Multimodality imaging of cor triatriatum sinistrum diagnosed in an adult female.

    Markham, Ryan / Rahman, Atifur

    International journal of cardiology

    2015  Volume 185, Page(s) 90–92

    MeSH term(s) Aged ; Cor Triatriatum/diagnosis ; Echocardiography, Doppler, Color ; Echocardiography, Transesophageal ; Female ; Humans ; Magnetic Resonance Imaging, Cine
    Language English
    Publishing date 2015-04-15
    Publishing country Netherlands
    Document type Case Reports ; Letter
    ZDB-ID 779519-1
    ISSN 1874-1754 ; 0167-5273
    ISSN (online) 1874-1754
    ISSN 0167-5273
    DOI 10.1016/j.ijcard.2015.03.093
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  10. Article ; Online: Simultaneous multiple organ emboli in a patient with solid organ malignancy: a case report.

    Wang, Christopher Shing Wen / Hii, Isabell / Rahman, Atifur

    European heart journal. Case reports

    2019  Volume 3, Issue 2

    Abstract: Background: Thrombosis is a dangerous complication of cancer. At least 20% of cancer patients are diagnosed with a venous thrombotic event and 1% with an intra-arterial thrombotic event. Here, we present a patient that developed separate thrombi that ... ...

    Abstract Background: Thrombosis is a dangerous complication of cancer. At least 20% of cancer patients are diagnosed with a venous thrombotic event and 1% with an intra-arterial thrombotic event. Here, we present a patient that developed separate thrombi that occurred simultaneously in both the venous and arterial circulation.
    Case summary: An 80-year-old woman with a history of recently diagnosed squamous cell lung cancer presented to our institution with an out of hospital cardiac arrest. On arrival, she was found to have an inferior ST-elevation myocardial infarction on electrocardiogram and on examination was found to have right-sided neurological deficits. Computed tomography head and aortogram showed an acute ischaemic stroke and bilateral segmental pulmonary emboli. Coronary angiogram showed thrombotic occlusion distal to the right coronary artery, and the patient underwent aspiration thrombectomy with thrombolysis in myocardial infarction 3 flow established at the end of the procedure. The patient was then transferred to interventional radiology where she had successful clot retrieval of the cerebral thrombus. The patient progressed well and had full neurological recovery 72 h post-presentation. Subsequent transoesophageal echocardiography showed no evidence of a patent foramen ovale or other intracardiac shunt. The patient was prescribed long-term anticoagulant with Clexane.
    Discussion: There was suspicion for a deep vein thrombosis with subsequent embolization to the lungs and paradoxical embolization through an intracardiac shunt. However, no such defect was detected and it appears that the patient did develop thrombi in the arterial and venous system separately. This case highlights the prothrombotic state of malignancy, with the patient suffering from multiple separate life-threatening thrombi.
    Language English
    Publishing date 2019-08-20
    Publishing country England
    Document type Journal Article
    ISSN 2514-2119
    ISSN (online) 2514-2119
    DOI 10.1093/ehjcr/ytz048
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