@article{ref1,
title="A case control study of cardiovascular health in chemical war disabled Iranian victims",
journal="Indian journal of critical care medicine",
year="2010",
author="Rohani, Atoosheh and Akbari, Vahid and Moghadam, Fatemeh Tabesh",
volume="14",
number="3",
pages="109-112",
abstract="BACKGROUND: Sulfur mustard (SM) is an alkylating chemical warfare agent that was widely used during Iran-Iraq war between 1983 and 1988. SM exposure leads to various late complications. The aim of this study was to determine the late cardiovascular effects of SM in war-disabled Iranian victims. MATERIALS AND METHODS: This was a retrospective cohort case control study on 50 patients with symptoms of SM exposure and 50 cases who had been in Iran-Iraq war, without chemical injury. We performed exercise stress test and echocardiography for all of patients. RESULTS: The study group comprised 100 males of mean age 45.6 ± 6.2 years. In chemical war injury group, two patients (4%) had positive exercise stress test. On coronary angiography, they were found to have coronary artery disease. One patient had severe mitral regurgitation and normal coronary angiography; he was referred for mitral valve replacement. Left ventricular (LV) diastolic abnormality was detected in 23% of these subjects. In another group, 5% had LV diastolic abnormality (P = 0.02) and all of them had normal stress test. CONCLUSIONS: Cardiovascular abnormalities are another late complication in chemical war disabled Iranian victims. Diastolic dysfunction was the most common abnormality in both groups of patients.<p /> <p>Language: en</p>",
language="en",
issn="0972-5229",
doi="10.4103/0972-5229.74168",
url="http://dx.doi.org/10.4103/0972-5229.74168"
}