{"title":"A 75-Year-Old Female with Left Anterior Descending Coronary Artery Originating from the Right Coronary Artery Presenting with Recurrent Major Bleeding due to Dual Antiplatelet Therapy Managed with Percutaneous Coronary Intervention and Ticagrelor Monotherapy","authors":"Shashu Bekele Alemayehu","doi":"10.23937/2378-2951/1410244","DOIUrl":"https://doi.org/10.23937/2378-2951/1410244","url":null,"abstract":"","PeriodicalId":112011,"journal":{"name":"International Journal of Clinical Cardiology","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114496715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prousi George S, Davis James A, Feldman Barry J, Siddique Sultan
{"title":"Premature Ventricular Tachycardia Induced Cardiomyopathy Presenting as Trigeminy in the Setting of a Submandibular Abscess and Sepsis","authors":"Prousi George S, Davis James A, Feldman Barry J, Siddique Sultan","doi":"10.23937/2378-2951/1410241","DOIUrl":"https://doi.org/10.23937/2378-2951/1410241","url":null,"abstract":"Premature ventricular contractions (PVCs) are often considered benign ectopic heartbeats commonly caused by early depolarizations. Recent attention has been made to the potential manifestation of cardiomyopathy and reduced left ventricular function, especially when PVC burdens exceed 15% [1]. Further, electrophysiological (EP) studies and ablation have been utilized to identify and potentially eliminate PVC sources with the hope of improving cardiac function and ejection fraction [2]. We report a case of PVC induced cardiomyopathy presenting as trigeminy in the setting of a systemic infection secondary to an oral abscess. CASe RePoRt","PeriodicalId":112011,"journal":{"name":"International Journal of Clinical Cardiology","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131235943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Taurine in Congestive Heart Failure","authors":"Ahmad Farrukh, Sharma Nitish Kumar","doi":"10.23937/2378-2951/1410246","DOIUrl":"https://doi.org/10.23937/2378-2951/1410246","url":null,"abstract":"Taurine is a ubiquitous amino acid found across the animal kingdom. It is a sulfur-containing amino acid, found in high concentration in the intracellular compartment of excitable tissue, including the myocardium. It functions as an intracellular osmolyte, involved in cell volume regulation. Being a neutral zwitterion, transport of taurine is not accompanied by a change in charge gradient across membranes. This chemical property makes taurine the perfect candidate of cellular osmoregulation. Taurine also regulates sodium and calcium homeostasis, and normal functioning of mitochondria. It has demonstrated ionotropic effects, probably due to its effect on calcium metabolism. Several clinical trials have shown that taurine supplementation improves cardiac performance in those suffering from congestive heart failure. Given its extensive safety profile, taurine supplementation may be beneficial in patients with congestive heart failure. Review ARticle","PeriodicalId":112011,"journal":{"name":"International Journal of Clinical Cardiology","volume":"21 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116642080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
García Paula Mariño, Moure Ángeles Fuertes, Bendayán Isaac Martínez, Barreiro Vanesa Balboa, Núñez Fernando Rueda
{"title":"Draw your Heart Disease: A Graphic Assessment of the Knowledge of Congenital Heart Disease of Patients and their Parents","authors":"García Paula Mariño, Moure Ángeles Fuertes, Bendayán Isaac Martínez, Barreiro Vanesa Balboa, Núñez Fernando Rueda","doi":"10.23937/2378-2951/1410243","DOIUrl":"https://doi.org/10.23937/2378-2951/1410243","url":null,"abstract":"","PeriodicalId":112011,"journal":{"name":"International Journal of Clinical Cardiology","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127894764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evolution of Pediatric Cardiology over the Last 50 Years - Part IV","authors":"Rao P Syamasundar","doi":"10.23937/2378-2951/1410245","DOIUrl":"https://doi.org/10.23937/2378-2951/1410245","url":null,"abstract":"","PeriodicalId":112011,"journal":{"name":"International Journal of Clinical Cardiology","volume":"14 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120925664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Olatunbosun Tolulope O, Awotidebe Taofeek O, Adedoyin Rufus A, Fasakin Olufesola M, Ogunyemi Suraj A, Olawoye Abayomi A, Odunlade Adekola J
{"title":"Correlation between Self-Reported Daily Activity and Submaximal Walk Test in the Assessment of Functional Capacity among Patients with Hypertension","authors":"Olatunbosun Tolulope O, Awotidebe Taofeek O, Adedoyin Rufus A, Fasakin Olufesola M, Ogunyemi Suraj A, Olawoye Abayomi A, Odunlade Adekola J","doi":"10.23937/2378-2951/1410238","DOIUrl":"https://doi.org/10.23937/2378-2951/1410238","url":null,"abstract":"Background: Time constraint on the part of clinicians or musculoskeletal comorbidities in the lower limbs in some patients with hypertension may sometimes prevent submaximal walk test. Hence, self-reported activity thus becomes an alternative method for assessing quick functional capacity (FC). This study assessed FC using a self-reported daily activity tool; Duke Activity Status Index (DASI) and correlated its value with 6-Minute Treadmill Walk (6-MTW) among patients with hypertension. Methods: This cross-sectional study recruited 150 (males: n = 54; females: n = 96) patients with mild-to-moderate hypertension from the Cardiac Care Unit of a Nigerian teaching hospital using purposive sampling technique. Physical and socio-demographic characteristics were recorded. Pre and post 6-MTW cardiovascular parameters were measured using an electronic sphygmomanometer. FC: maximum oxygen consumption (VO2 max) was evaluated using DASI and 6-MTW. Data were analyzed using descriptive and inferential statistics. Alpha level was set at p < 0.05. Results: Participants were comparable in all physical and cardiovascular variables except body mass index (BMI) and heart rate (p < 0.05). The means of estimated VO2 max by DASI and 6-MTW were 24.4 ± 5.7 and 12.5 ± 3.6 mL/kg/min respectively. There was significant moderate correlation between DASI and 6MTW estimated VO2 max (r =0.58; p = 0.001). However, there were significant inverse correlations between estimated DASI VO2 max and each of age (r = -0.39; p = 0.006) and BMI (r = -0.35; p = 0.012). Similarly, there were significant inverse correlations between estimated 6-MTW VO2 max and each of age (r = -0.38; p = 0.012) and BMI (r = -0.29; p = 0.043). Conclusion: Estimated functional capacity assessed using the self-reported daily activity (DASI) demonstrated significant positive correlation with six-minute treadmill walk in patients with hypertension. DASI may be used as a quick tool for assessing functional capacity in patients with hypertension. Findings from this study may help to limit problems of insufficient laboratory facilities and inadequate experts in the assessment of functional capacity in many patients with cardiac challenges.","PeriodicalId":112011,"journal":{"name":"International Journal of Clinical Cardiology","volume":"601 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126329289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case of a Large Coronary Artery Fistula","authors":"Latyshev Yevgeniy","doi":"10.23937/2378-2951/1410237","DOIUrl":"https://doi.org/10.23937/2378-2951/1410237","url":null,"abstract":"Coronary artery fistulas are rare anomalies found during coronary angiography and non-invasive cardiac imaging. Recent advances in understanding of the pathophysiology allow more effective surgical and percutaneous treatments. It is important to recognize and treat hemodynamically significant fistulas when appropriate before ischemia and or heart failure occurs. We present a case of coronary artery fistula that was treated conservatively after a heart team discussion. Case RepoRt","PeriodicalId":112011,"journal":{"name":"International Journal of Clinical Cardiology","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126152886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Espinosa, Christopher A Woolley II, S. Nolan, J. Waalen, B. Kimura
{"title":"Appropriate Use and Outcomes of In-Hospital Telemetry: Implications Regarding the Contemporary Code Blue","authors":"R. Espinosa, Christopher A Woolley II, S. Nolan, J. Waalen, B. Kimura","doi":"10.23937/2378-2951/1410235","DOIUrl":"https://doi.org/10.23937/2378-2951/1410235","url":null,"abstract":"Background: Although practice standards for telemetry reflect the historical benefit of early monitoring for arrhythmias in select admissions, few data exist on the initial appropriateness of telemetry for contemporary inpatients who then later suffered a “code blue.” As telemetry monitoring is a significant resource, we sought to review appropriate use, detection of causative arrhythmias, and the timing and outcomes of telemetry use in code blues. Methods: Over a 3-year period in a 300-bed teaching hospital, data that had been recorded from all inpatient ward “code blues” were reviewed and initial rhythm categorized as shockable or non-shockable. The presence and length of telemetry prior to the code, initial appropriateness of telemetry by American Heart Association practice standards, and presence of a causative arrhythmia were recorded. Associations of 22 clinical variables with return of spontaneous circulation and survival to hospital discharge were assessed in bivariate and multivariable models. Results: Of 177 code blues, 91% were on telemetry of which 94% were guideline appropriate. Telemetry vs. nonmonitored patients were older (70y ± 15.7 vs. 59 y ± 15.5; p = 0.01) and demonstrated no significant difference in return of spontaneous circulation nor survival-to-discharge. Non-shockable rhythms were responsible for the majority of code blue events (86%). The best multivariable model for survival-to-discharge included younger age, lack of indication for telemetry, lower admission troponin levels, and a shorter length of telemetry prior to the code. Conclusions: In our hospital, most patients who suffered code blue events had been appropriately placed on telemetry but demonstrated non-shockable etiologies.","PeriodicalId":112011,"journal":{"name":"International Journal of Clinical Cardiology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115484961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}