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  1. Article ; Online: COVID-19 Presenting with Spontaneous Pneumothorax.

    Ahmed, Intisar / Shahab, Hunaina / Ahmed, Muhammad Arslan / Sohaib, Muhammad

    Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

    2021  Volume 31, Issue 1, Page(s) S29–S31

    Abstract: The coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The disease mainly affects respiratory system. Its common clinical findings include fever, cough and shortness of breath. Characteristic ... ...

    Abstract The coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The disease mainly affects respiratory system. Its common clinical findings include fever, cough and shortness of breath. Characteristic radiological features of the disease include peripherally distributed, bilateral ground-glass opacities, predominantly involving the lower lung zones. In this report, we present a case of COVID-19 disease presenting with spontaneous pneumothorax. A 26-year male patient was admitted to the Emergency Department with fever, dry cough, shortness of breath and right-sided chest pain. Radiographic imaging of the patient revealed pneumothorax on the right and peripherally distributed non-homogenous opacification. The patient underwent right lateral tube thoracostomy. COVID-19 was diagnosed on testing of nasopharyngeal swab. In conclusion, spontaneous pneumothorax is one of the rare presentations of COVID-19 pneumonia and should be kept in mind in patients presenting with shortness of breath and chest pain. Key Words: Spontaneous pneumothorax, Corona, pneumonia.
    Language English
    Publishing date 2021-09-17
    Publishing country Pakistan
    Document type Case Reports
    ZDB-ID 2276646-7
    ISSN 1681-7168 ; 1022-386X
    ISSN (online) 1681-7168
    ISSN 1022-386X
    DOI 10.29271/jcpsp.2021.Supp1.S29
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: COVID-19 Presenting with Spontaneous Pneumothorax.

    Ahmed, Intisar / Shahab, Hunaina / Ahmed, Muhammad Arslan / Sohaib, Muhammad

    Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

    2021  Volume 31, Issue 1, Page(s) S29–S31

    Abstract: The coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The disease mainly affects respiratory system. Its common clinical findings include fever, cough and shortness of breath. Characteristic ... ...

    Abstract The coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The disease mainly affects respiratory system. Its common clinical findings include fever, cough and shortness of breath. Characteristic radiological features of the disease include peripherally distributed, bilateral ground-glass opacities, predominantly involving the lower lung zones. In this report, we present a case of COVID-19 disease presenting with spontaneous pneumothorax. A 26-year male patient was admitted to the Emergency Department with fever, dry cough, shortness of breath and right-sided chest pain. Radiographic imaging of the patient revealed pneumothorax on the right and peripherally distributed non-homogenous opacification. The patient underwent right lateral tube thoracostomy. COVID-19 was diagnosed on testing of nasopharyngeal swab. In conclusion, spontaneous pneumothorax is one of the rare presentations of COVID-19 pneumonia and should be kept in mind in patients presenting with shortness of breath and chest pain. Key Words: Spontaneous pneumothorax, Corona, pneumonia.
    MeSH term(s) Adult ; COVID-19/complications ; COVID-19/epidemiology ; Humans ; Male ; Pandemics ; Pneumothorax/diagnosis ; Pneumothorax/etiology ; Radiography, Thoracic/methods ; SARS-CoV-2 ; Tomography, X-Ray Computed/methods
    Language English
    Publishing date 2021-03-04
    Publishing country Pakistan
    Document type Case Reports
    ZDB-ID 2276646-7
    ISSN 1681-7168 ; 1022-386X
    ISSN (online) 1681-7168
    ISSN 1022-386X
    DOI 10.29271/jcpsp.2021.01.S29
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Highlights of Cardiovascular Disease Studies Presented at the 2021 American Heart Association Scientific Sessions.

    Lee, Michelle T / George, Jerin / Shahab, Hunaina / Hermel, Melody / Rana, Jamal S / Virani, Salim S

    Current atherosclerosis reports

    2022  Volume 24, Issue 1, Page(s) 61–72

    Abstract: Purpose of review: This review highlights major studies across a broad array of topics presented at the virtual 2021 American Heart Association (AHA) Scientific Sessions.: Recent findings: Assessed studies examine a remotely delivered hypertension ... ...

    Abstract Purpose of review: This review highlights major studies across a broad array of topics presented at the virtual 2021 American Heart Association (AHA) Scientific Sessions.
    Recent findings: Assessed studies examine a remotely delivered hypertension and lipid program in 10,000 patients across a diverse healthcare network; a cluster-randomized trial of a village doctor-led intervention for hypertension control; empagliflozin in heart failure with preserved ejection fraction (EMPEROR-Preserved); efficacy and safety of empagliflozin in hospitalized heart failure patients (EMPULSE); icosapent ethyl versus placebo in outpatients with coronavirus disease 2019 (PREPARE-IT 2); clinical safety, pharmacokinetics, and low-density lipoprotein cholesterol-lowering efficacy of MK-0161, an oral proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitor; and effects of aspirin on dementia and cognitive impairment in the ASCEND trial. Research presented at the 2021 AHA Scientific Sessions emphasized the importance of interventions for cardiovascular disease prevention.
    MeSH term(s) American Heart Association ; Anticholesteremic Agents/therapeutic use ; COVID-19 ; Cardiovascular Diseases/drug therapy ; Cardiovascular Diseases/prevention & control ; Humans ; Proprotein Convertase 9 ; Randomized Controlled Trials as Topic ; United States/epidemiology
    Chemical Substances Anticholesteremic Agents ; PCSK9 protein, human (EC 3.4.21.-) ; Proprotein Convertase 9 (EC 3.4.21.-)
    Language English
    Publishing date 2022-01-24
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, P.H.S. ; Review
    ZDB-ID 2057369-8
    ISSN 1534-6242 ; 1523-3804
    ISSN (online) 1534-6242
    ISSN 1523-3804
    DOI 10.1007/s11883-022-00985-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Challenges of managing hypertension in Pakistan - a review.

    Elahi, Adil / Ali, Arzina Aziz / Khan, Aamir Hameed / Samad, Zainab / Shahab, Hunaina / Aziz, Namra / Almas, Aysha

    Clinical hypertension

    2023  Volume 29, Issue 1, Page(s) 17

    Abstract: Background: This review aims to describe existing evidence on the state of hypertension in Pakistan, including the prevalence, associated risk factors, preventive strategies, and challenges in the management of hypertension.: Methods: A comprehensive ...

    Abstract Background: This review aims to describe existing evidence on the state of hypertension in Pakistan, including the prevalence, associated risk factors, preventive strategies, and challenges in the management of hypertension.
    Methods: A comprehensive literature search was conducted electronically using PubMed and Google Scholar. Using specific screening methodology, 55 articles were selected to be included.
    Results: We found from this extensive review that several small studies report high prevalence of hypertension but there is a lack of population based prevalence of hypertension in Pakistan. Lifestyle risk factors such as obesity, unhealthy diet, decreased physical activity, low socioeconomic status, and lack of access to care were the main associated factors with hypertension. Lack of blood pressure monitoring practices and medication non-adherence were also linked to uncontrolled hypertension in Pakistan and were more evident in primary care setups. The evidence presented is essential for delineating the burden of the disease, hence allowing for better management of this underserved population.
    Conclusion: There is a need for updated surveys to depict the true prevalence and management of hypertension in Pakistan. Cost-effective implementation strategies and policies at the national level are needed for both prevention and control of hypertension.
    Language English
    Publishing date 2023-06-15
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2806585-2
    ISSN 2056-5909
    ISSN 2056-5909
    DOI 10.1186/s40885-023-00245-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: A comparison of cardiology training in Pakistan and the United States.

    Iltaf Satti, Danish / Minhas, Abdul Mannan Khan / Ijaz, Sardar Hassan / Khan, Muhammad Shahzeb / Samad, Zainab / Hussain, Aliza / Shams, Pirbhat / Shahab, Hunaina / Baloch, Farhala / Virani, Salim S

    Proceedings (Baylor University. Medical Center)

    2024  Volume 37, Issue 2, Page(s) 369–371

    Language English
    Publishing date 2024-02-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2703932-8
    ISSN 1525-3252 ; 0899-8280
    ISSN (online) 1525-3252
    ISSN 0899-8280
    DOI 10.1080/08998280.2023.2288474
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Highlights of Cardiovascular Disease Studies Presented at the 2021 European Society of Cardiology Congress.

    Lee, Michelle T / Mahtta, Dhruv / Dlouhy, Louis / Shahab, Hunaina / Al Rifai, Mahmoud / Virani, Salim S

    Current atherosclerosis reports

    2021  Volume 23, Issue 12, Page(s) 76

    Abstract: Purpose of review: This review highlights select studies presented at the virtual 2021 European Society of Cardiology (ESC) Congress.: Recent findings: Reviewed studies assess single photon emission computed tomography, positron emission tomography, ... ...

    Abstract Purpose of review: This review highlights select studies presented at the virtual 2021 European Society of Cardiology (ESC) Congress.
    Recent findings: Reviewed studies assess single photon emission computed tomography, positron emission tomography, magnetic resonance imaging in coronary artery disease (PACIFIC-II); empagliflozin in heart failure with preserved ejection fraction (EMPEROR-Preserved); dapagliflozin in chronic heart failure (DAPA-HF); proprotein convertase subtilisin/kexin type 9 inhibitor and its lipid lowering effects (NATURE-PCSK9); fixed-dose combination therapies with or without aspirin in primary prevention; overview of contrasting results between REDUCE-IT versus STRENGTH trials; Quadruple UltrA-low-dose tReaTment for hypertension (QUARTET); evolocumab and changes in plaque composition on optical coherence tomography (HUYGENS); and low-dose rivaroxaban during the acute phase of acute coronary syndrome (H-REPLACE). Research presented at the 2021 ESC Congress shows promise in reducing burden of cardiovascular disease and reinforces the value of cardiovascular disease prevention.
    MeSH term(s) Acute Coronary Syndrome ; Cardiology ; Cardiovascular Diseases/drug therapy ; Cardiovascular Diseases/prevention & control ; Humans ; Proprotein Convertase 9
    Chemical Substances PCSK9 protein, human (EC 3.4.21.-) ; Proprotein Convertase 9 (EC 3.4.21.-)
    Language English
    Publishing date 2021-10-14
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S. ; Review
    ZDB-ID 2057369-8
    ISSN 1534-6242 ; 1523-3804
    ISSN (online) 1534-6242
    ISSN 1523-3804
    DOI 10.1007/s11883-021-00975-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Congenitally Corrected Transposition of the Great Arteries in a Septuagenarian from the Developing Country of Pakistan.

    Shahab, Hunaina / Ashiqali, Salima / Atiq, Mehnaz

    Cureus

    2018  Volume 10, Issue 6, Page(s) e2737

    Abstract: Congenitally corrected transposition of the great arteries (CCTGA) is a rare congenital cardiac defect with atrioventricular and ventriculoarterial discordance which leads to heart failure and limits patients' lifespan. We report the case of a 70-year- ... ...

    Abstract Congenitally corrected transposition of the great arteries (CCTGA) is a rare congenital cardiac defect with atrioventricular and ventriculoarterial discordance which leads to heart failure and limits patients' lifespan. We report the case of a 70-year-old lady, from a poor province in Pakistan, who presented for the first time with palpitations and was diagnosed to have CCTGA. She had moderate pulmonic valve stenosis which was protective against heart failure. She had six children all born via spontaneous vertex delivery in her local village. This case exemplifies the fact that pulmonic stenosis is favourable for patients with CCTGA. In a country where the average life expectancy of females is only 68 years, the survival of our patient with CCTGA beyond the average lifespan is indeed interesting.
    Language English
    Publishing date 2018-06-05
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.2737
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Bilateral Pulmonary Artery Mycotic Aneurysms in a Female with Infective Endocarditis.

    Khandwala, Kumail / Shahab, Hunaina / Khan, Dawar B / Bokhari, Saira

    Cureus

    2019  Volume 11, Issue 7, Page(s) e5114

    Abstract: We present a case of a young female who had large bilateral pulmonary artery aneurysms and was found to have infective endocarditis on echocardiography. Endovascular treatment was sought; however, was not possible due to severe sepsis and other ... ...

    Abstract We present a case of a young female who had large bilateral pulmonary artery aneurysms and was found to have infective endocarditis on echocardiography. Endovascular treatment was sought; however, was not possible due to severe sepsis and other associated complications. Subsequent serial imaging revealed the rapid enlargement of one of the aneurysms and possible rupture which proved to be fatal. Although pulmonary artery aneurysms are a rare vascular anomaly, they are seen in a wide variety of conditions, such as congenital heart disease, infection, trauma, pulmonary hypertension, cystic medial necrosis, and generalized vasculitis. This case highlights the consequences of mycotic aneurysms and emphasizes the importance of prompt diagnosis. Early angioembolization and/or surgical repair is often essential to avoid death from rupture of the aneurysm.
    Language English
    Publishing date 2019-07-10
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.5114
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: A Curious Case of Intermittent Left Bundle Branch Block Associated with Cough.

    Shahab, Hunaina / Faheem, Osman / Khandwala, Kumail / Khan, Aamir H

    Cureus

    2018  Volume 10, Issue 10, Page(s) e3520

    Abstract: A handful of cases of voluntary control of left bundle branch block (LBBB) have been described in the literature. We report the case of a middle-aged man who was found to have LBBB on baseline electrocardiogram (ECG) which disappeared on coughing and ... ...

    Abstract A handful of cases of voluntary control of left bundle branch block (LBBB) have been described in the literature. We report the case of a middle-aged man who was found to have LBBB on baseline electrocardiogram (ECG) which disappeared on coughing and then reappeared with the same maneuver. Subsequent myocardial perfusion scan showed reduced count in the anteroseptal region likely attributed to LBBB. It is possible that the intermittent conduction changes may be due to the alteration in the vagal tone associated with cough as reflected in the change in the PR interval on the ECG.
    Language English
    Publishing date 2018-10-30
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.3520
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Antidromic Atrioventricular Reentrant Tachycardia Dependent on a Unidirectional Left Anterior Accessory Pathway Mimicking Peri-mitral Ventricular Tachycardia: Successful Ablation via a Transseptal Approach.

    Khan, Aamir H / Khan, Maryam H / Shahab, Hunaina / Roziman, Qamaruddin

    Cureus

    2018  Volume 10, Issue 7, Page(s) e3060

    Abstract: Antidromic atrioventricular reentrant tachycardia (aAVRT) is rare compared to orthodromic atrioventricular reentrant tachycardia (oAVRT). An aAVRT that is dependent on a unidirectional, decremental accessory pathway (AP) is even rarer. Idiopathic ... ...

    Abstract Antidromic atrioventricular reentrant tachycardia (aAVRT) is rare compared to orthodromic atrioventricular reentrant tachycardia (oAVRT). An aAVRT that is dependent on a unidirectional, decremental accessory pathway (AP) is even rarer. Idiopathic ventricular tachycardias (iVT) that have benign prognoses and respond well to medical therapy can be confused with aAVRTs dependent on APs having ventricular insertion sites close to the iVT focus and have a real risk of sudden death. The preferred approach of ablation for such tachycardias with anterograde conduction only is a retrograde aortic approach, which facilitates the mapping of the earliest ventricular activation during atrial pacing or tachycardia from the ventricular side. This, however, necessitates access to the arterial system with accompanying complications. We describe herein the case of a wide complex tachycardia, which was treated initially as VT with intravenous lidocaine. The baseline electrocardiogram (ECG) did not show preexcitation. An electrophysiology study (EPS) revealed a left anterior AP that conducted anterograde only. AVRT was easily inducible at a cycle length of 290 ms. Successful ablation was undertaken via the transseptal approach without recurrence.
    Language English
    Publishing date 2018-07-27
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.3060
    Database MEDical Literature Analysis and Retrieval System OnLINE

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