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Papers by marzieh nikparvar

Clinical Transplantation, 2011

Hormozgan Medical Journal

Background: Stroke is a significant cause of morbidity and mortality worldwide. The association b... more Background: Stroke is a significant cause of morbidity and mortality worldwide. The association between non-hemorrhagic stroke and some electrocardiographic and echocardiographic findings shows its potential cardiac source. This study aimed to evaluate electrocardiographic and echocardiographic findings of patients with non-hemorrhagic stroke. Methods: This cross-sectional study included 134 patients with non-hemorrhagic stroke admitted to the neurology ward of Shahid Mohammadi hospital, Bandar Abbas, Iran, from 2018 to 2019. Patients’ characteristics including age, gender, family history of stroke, diabetes, hypertension, dyslipidemia, inadequate physical activity, and smoking were recorded. All patients underwent electrocardiography (ECG) and echocardiography. Results: The patients’ mean age was 68.57±12.08 years. Additionally, 84 patients (62.7%) were male. The most common risk factor was dyslipidemia (72.4%) followed by hypertension (64.9%), diabetes (45.5%), smoking (44.8%), an...

We describe the case of a 47-year-old woman with a history of sternotomy and insertion of a stern... more We describe the case of a 47-year-old woman with a history of sternotomy and insertion of a sternal prosthesis six months prior to admission due to sternal chondrosarcoma. The patient was admitted with dyspnea and chest discomfort, which had increased twenty days before admission. Echocardiography showed moderate pericardial effusion with moderate right ventricular enlargement and dysfunction and large gelatinous mass in the right atrium, which had protruded to the right ventricle through the inflow valve. Unfortunately, the patient died before any intervention. Final echocardiography revealed a reduction in the size of the mass, confirming that the patient's death occurred secondary to metastatic pulmonary emboli (

Gynecologic Oncology, 2009

We report the case of a patient affected by a voluminous uterine tumor for which the histological... more We report the case of a patient affected by a voluminous uterine tumor for which the histological analysis conclude in a smooth muscle tumor of uncertain malignant potential. This type of tumor is rare, but requires to be individualized to differentiate it from a benign hyperplasia or a sarcoma. The treatment must be made keeping in mind the risk of degeneration towards a malignant form.

Introduction: Multiple coronary artery aneurysm is a rare anomaly which could be congenital or ac... more Introduction: Multiple coronary artery aneurysm is a rare anomaly which could be congenital or acquired. Its complications including sudden cardiac death, clot and distal emboli, rupture and bleeding or fistula. Decision about its management depends on aneurysm conditions and the Patient's clinical situation Case Report: A 55 years old patient with unstable angina and multiple coronary artery aneurysms and three vessels disease on angiography, underwent CABG. The patient was asymptomatic and showed normal activity after about two years of follow up. Conclusion: Here, multiple coronary artery aneurysms and its management is discussed as a rare disease.

Disease and Diagnosis

Background: Heart failure is one of the most important public health problems with an increasing ... more Background: Heart failure is one of the most important public health problems with an increasing prevalence and identifying its contributing factors is imperative. This study was conducted to evaluate the iron status in patients with chronic systolic heart failure in Shahid Mohammadi Hospital of Bandar Abbas. Materials and Methods: A total of 80 patients with chronic left ventricular failure participated in this cross-sectional study. Data were collected using a researcher developed checklist containing demographic details and echocardiographic data (left ventricular ejection fraction, LVEF%). Additionally, the frequency and distribution of iron status were measured in the research population. Results: The results showed that the prevalence of anemia was significantly high in patients with chronic heart failure (77.3%). The prevalence of iron deficiency (ID) was 77.33% based on iron level (<60 μg/dL), and it was 82.66% based on the mean ferritin level (ferritin<100, or ferriti...

Scientific Reports, 2021

Dyslipidemia, a major risk factor for cardiovascular diseases, has become a global issue. Due to ... more Dyslipidemia, a major risk factor for cardiovascular diseases, has become a global issue. Due to the variations in the prevalence of dyslipidemia, this study aimed to evaluate dyslipidemia and its associated factors in women of the Bandare-Kong Cohort Study (BKNCD). This study was conducted on women from the population-based BKNCD, as part of the Prospective Epidemiological Research Studies in IrAN (PERSIAN). Sociodemographic data, medical history, and anthropometric indices were collected. Dyslipidemia was defined as any lipid abnormality including low-density lipoprotein (LDL) ≥ 160, total cholesterol (TC) ≥ 240, high-density lipoprotein (HDL) 200 mg/dl. From the 2223 women in this study (mean age: 48.28 ± 9.26 years), dyslipidemia was observed in 851 (38.3%). High TC was the most common lipid abnormality (18.5%) followed by high LDL (17.7%). Dyslipidemia was most prevalent among women aged 55–70 years, the married, those with

Background: Dyslipidemia, a major risk factor for cardiovascular diseases, has become a global is... more Background: Dyslipidemia, a major risk factor for cardiovascular diseases, has become a global issue. Due to geographic and demographic variations in the prevalence of dyslipidemia, this study aimed to evaluate dyslipidemia and its associated factors in women of the Bandare-Kong Cohort Study (BKNCD). Methods: This study was conducted on women from the population-based BKNCD, as part of the Prospective Epidemiological Research Studies in IrAN (PERSIAN). Sociodemographic data, medical history, and anthropometric indices were collected. Diastolic blood pressure, systolic blood pressure, fasting plasma glucose, serum triglyceride (TG), total cholesterol (TC), high-density lipoprotein (HDL), and low-density lipoprotein (LDL) were measured. Daily calorie intake and weekly metabolic equivalent of tasks were also recorded. Dyslipidemia was de ned as any lipid abnormality based on the Adult Treatment Panel III criteria. Results: From the 2223 women in this study (mean age: 48.28±9.26 years), dyslipidemia was observed in 1884 (84.8%). High TC was the most common lipid abnormality (53.9%) followed by low HDL (50.8%). Dyslipidemia was most prevalent among women aged 65-70 years, the widowed, illiterate, unemployed, and overweight, with very low socioeconomic status, diabetes, and high waist circumference, hypertension, those using hookah and living in urban areas. Logistic regression revealed that only women with high WHR were at increased risk of dyslipidemia (OR=2.48, 95% CI:1.75-3.53, P<0.001). Having a high school diploma (OR=0.57, 95% CI:0.37-0.89, P=0.015) and living in rural areas (OR=0.68 95% CI:0.49-0.96, P=0.028) were protective. Conclusions: Dyslipidemia was highly prevalent in women of BKNCD. High WHR appears to be the only signi cant risk factor for dyslipidemia.

Iranian Journal of Medical Sciences, 2016

In patients with sickle cell disease, thrombotic microangiopathy is a rare complication. Also in ... more In patients with sickle cell disease, thrombotic microangiopathy is a rare complication. Also in sickle cell disease, intracardiac thrombus formation without structural heart diseases or atrial arrhythmias is a rare phenomenon. We herein describe a 22-year-old woman, who was a known case of sickle cell-βthalassemia, had a history of recent missed abortion, and was admitted with a vaso-occlusive crisis. The patient had manifestations of microangiopathic hemolytic anemia, including laboratory evidence of hemolytic anemia, thrombocytopenia, respiratory distress, fever, jaundice, and abnormal liver function and coagulation tests, accompanied by clot formation on the Eustachian valve of the inferior vena cava in the right atrium and also a long and worm-like thrombus in the right ventricle. Therapeutic plasma exchange improved her clinical condition, and her intracardiac thrombus was completely resolved after 1 week. Echocardiography, as a simple and inexpensive imaging modality, had a s...

Addiction & Health, 2021

Background Patients who undergo percutaneous coronary intervention (PCI) receive anticoagulants, ... more Background Patients who undergo percutaneous coronary intervention (PCI) receive anticoagulants, most commonly heparin to prevent thrombotic events during the procedure. Opioid addicts may require higher doses of heparin for PCI. We aimed to compare the effect of heparin on activated clotting time (ACT) between opioid addicts and non-addicts prior to and during PCI. Methods This comparative study included 107 patients scheduled for elective PCI, of whom 50 were opioid addicts and 57 non-addicts. Patients’ baseline characteristics including age, gender, weight, comorbidities, drug history, and smoking were recorded. Prothrombin time (PT), ýpartial thromboplastin time (PTT), international normalized ratio (INR), and platelet count were measured in venous blood samples collected from all participants. All patients underwent PCI through femoral access. They received 100 IU/kg heparin right at the beginning of the procedure. ACT was measured at 2 and 30 minutes. Findings Age, gender, wei...

Background and Objective: Heart failure is one of the most common cardiovascular disorders and al... more Background and Objective: Heart failure is one of the most common cardiovascular disorders and also it is one of the main problems of general health in the current society. Considering the role of health literacy in improving the quality of life of patients, the present study was conducted to determine the health literacy status of patients with heart failure hospitalized in Shahid Mohammadi Hospital in Bandar Abbas and its relationship with quality of life in these patients. Materials and Methods: This cross-sectional study was performed on 200 patients with heart failure hospitalized in Shahid Mohammadi Hospital in Bandar Abbas in 2019. Sampling was random sampling in even days of week. Data was collected by two questionnaires including standard questionnaire of health literacy and the Minnesota Quality of Life Questionnaire (MLHF). The reliability of each scale was tested by Cronbach alpha. Data were analyzed by descriptive statistics and Pearson correlation test using SPSS 21 so...

ARYA Atherosclerosis, Feb 12, 2010

INTRODUCTION: The most important factor in mortality and morbidity and disability in most world c... more INTRODUCTION: The most important factor in mortality and morbidity and disability in most world countries is cardiovascular disease. Preventable risk factors include smoking, hyperlipidemia, hypertension, sedentary life and obesity. Unfortunately, in these eras, obesity is an important health challenge. We assessed the trend of obesity in the southern Iran community. METHODS: Two cross-sectional community-based studies in 2002 and 2006 in 1% of community aged over 18 years residing in southern Iran were performed. ...

Left atrial appendage rupture is a rare complication of cardiac surgery. We describe a 62-year-ol... more Left atrial appendage rupture is a rare complication of cardiac surgery. We describe a 62-year-old woman who developed the complication after multiple surgeries for her mitral valve. The diagnosis was established with transesophageal echocardiography.

Bimonthly Journal of Hormozgan University of Medical Sciences, 2015

Introduction: The study was carried out to assess the incidence of cardiovascular risk factors in... more Introduction: The study was carried out to assess the incidence of cardiovascular risk factors in an Iranian young population. Methods: This cross-sectional study was conducted on 137 students (42 male and 95 female, mean age: 21.99±1.54) of Hormozgan University of Medical Sciences in Bandar Abbas, Iran from January 2008 to December 2009. By the use of a questionnaire, required data concerning age, sex, marital status, family history of early onset of coronary heart disease, oral contraceptive consumption, smoking status and physical activity were collected. Then height, weight, BMI, systolic and diastolic blood pressure were measured on all participants. Blood sample was also taken for the measurement of glucose and lipid profile. Finally, the incidence rate of cardiovascular risk factors among students were calculated by Chi-square, ANOVA and t-test. Results: It was observed that 21% of students (30 cases) expose at least one coronary artery disease risk factor. The prevalence of ...

Iranian Journal of Diabetes and Obesity, 2020

Objective: Diabetes mellitus is a chronic illness and adherence to medications is vital to manage... more Objective: Diabetes mellitus is a chronic illness and adherence to medications is vital to manage the illness. The purpose of this study was to examine the prediction of medication adherence based on personality factors in a group of individuals with type 2 diabetes in Yasuj. Materials and Methods: One hundred twenty individuals with type 2 diabetes who visited health centers were selected for this study through convenience sampling. The participants completed the NEO-Five Factor Inventory and Medication Adherence Rating Scale (MARS). The data were analyzed by mean, standard deviation, and multiple regression analysis using SPSS software. Results: The results showed that among the big-five personality factors, only neuroticisms significantly predicted adherence to medications (β= -0.31, P-value< 0.003). Furthermore, the model explained only 19% of the variance in medication adherence (R2= 0.19, P-value< 0.01). Conclusion: This study indicated that a large proportion of patient...