Title : Yassers squaring saddling syndrome, partial modified Yassers WPW syndrome, Yassers lateral halo sign, neglected infarction, bifascicular block, and craniofacial hyperhidrosis post organophosphorus with interlacing COVID pneumonia cardiovascular radiological discoveries: A case report
Abstract:
Introduction: Hyperhidrosis (HH) is described as overrun sweating that directly influences the quality of life, emotional, social, and professional status of the patient. Silent myocardial ischemia is an ischemic episode without causing noticeable symptoms like chest pain or discomfort, with at least 15% to 30% of acute myocardial infarction have evidence of prior silent myocardial ischemia. Right bundle branch block (RBBB) alternating with either left anterior fascicular block (LAFB) or left posterior fascicular block (LPFB) results in a bifascicular block in the ECG. Organophosphates (OP) are a diverse group of chemical compounds that have cardiovascular, neurological, and respiratory adverse effects. Kounis-Zafras (KZ) syndrome is a newly described syndrome relevant to allergen exposure. COVID-19 infection may have lethal cardiovascular and respiratory complications. The halo sign and the reversed halo sign in CT are associated with patches of ground-glass opacities at the late phase of COVID-19 infection.
Case presentation: Elderly married male, a Farmer, a non-smoker, Egyptian, patient, was presented to the POC after over 5 years of follow-up, after two attacks of COVID-19 pneumonia and a neglected and passed myocardial infarction, post-prolonged exposure history of inhalation of organophosphorus. The chest CT, oxygenation, ECG, and echocardiographywere the interventions.
Conclusion: "Yasser's squaring saddling syndrome", "partial modified Yasser's WPW syndrome", and "Yasser's lateral halo sign" are new cardiovascular and radiological discoveries. Senility, chronic exposure to organophosphates, old myocardial infarction, two attacks of COVID-19 pneumonia, fixed bifasicular heart block, transient trifasicular heart block, dilated cardiomyopathy, bigeminal premature ventricular complexes (PVCs), multiple irregular PVCs, premature ventricular couplets, runs of ventricular tachycardia (VT), and left ventricular (LV) systolic dysfunction with global hypokinesia are serious constellation risk factors. Further wide studies will be recommended.and acute pulmonary embolism are a new description of post-COVID-19 pneumonia.
