{"title":"esolution of a high risk AV prosthetic valve malfunction after fibrinolytic therapy; a case report","authors":"S. Yazdani, M. Mousavi, Pegah Joghataie","doi":"10.15406/JCCR.2020.13.00462","DOIUrl":"https://doi.org/10.15406/JCCR.2020.13.00462","url":null,"abstract":"","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"1 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2020-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76760676","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":"Smart financial incentives to promote cardiovascular health.","authors":"Donald S Shepard","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"13 1","pages":"11-13"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7661851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38702394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lipid alterations in renal patients and cardiovascular repercussions","authors":"A. Saldanha","doi":"10.15406/JCCR.2020.13.00473","DOIUrl":"https://doi.org/10.15406/JCCR.2020.13.00473","url":null,"abstract":"","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"14 1","pages":"46-49"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73213429","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":"Effect of admission glycated hemoglobin on short term outcome of acute ST elevation myocardial infarction in non-diabetic patient","authors":"Youssef Bassily Ra","doi":"10.15406/JCCR.2019.12.00461","DOIUrl":"https://doi.org/10.15406/JCCR.2019.12.00461","url":null,"abstract":"","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"4 1","pages":"165-170"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78348125","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":"Analysis of autonomic activity during head-up tilt in patients with lone paroxysmal atrial fibrillation","authors":"Mário Oliveira","doi":"10.15406/JCCR.2020.13.00478","DOIUrl":"https://doi.org/10.15406/JCCR.2020.13.00478","url":null,"abstract":"The autonomic nervous system (ANS) has been recognized as an important modulator in the pathogenesis of paroxysmal atrial fibrillation (PAF). Changes in ANS control of heart rate (HR) and blood pressure (BP) variability occur during orthostatism to maintain cardiovascular homeostasis. The wavelet transform (WT) has been used as a tool that provides a time-frequency decomposition of the signal under investigation, allowing intermittent components to be elucidated. Aim: To study HR and BP variability with WT analysis in younger patients (P) with PAF and normal echocardiographic findings, and in healthy individuals (HI) during head-up tilt (HUT). Methods: 17P with lone PAF (age <60 years [33-59], 9 men) and 17 HI (<60years [20-59], 8 men) underwent passive HUT (70º) while on sinus rhythm. Continuous monitoring of ECG and BP was obtained without antiarrhythmic drug medication. Acute changes in RR-intervals and systolic BP were evaluated with WT, and LF (low-frequency power), HF (high-frequency power) and LF/HF calculated for 1) the last 2 minutes of the supine period; 2) the 15 seconds of tilting movement (TM); 3) 1st and 2nd minutes of HUT. Results: RR intervals were identical for the two groups in baseline and during HUT. Supine basal BP was similar for both groups. During HUT, two BP response profiles were observed: a sustained increase in PAF P, and a decrease followed by an increase and further recovery in HI. WT analysis of RR intervals for PAF P, when compared to HI, showed lower LF/HF values in the supine position (2.0±0.5 vs. 2.5±0.3, p<0.05), and a decreased LF power during TM (574±134 ms² vs. 1347±393 ms², p<0.05). In the 1st and 2nd minutes of HUT, changes were comparable in PAF P and in HI. Analysis of systolic BP for PAF P, compared to HI, showed statistically significant differences regarding lower HF values in basal (0.69±0.14 ms² vs 1.05±0.13 ms², p<0.05) and lower LF and LF/HF values during TM (6.3±2.5 ms² vs 8.2±1.6 ms², 8.4±2.9 vs 12.8±4.4; p<0.05). No differences were detected with respect to the 1st and 2nd minutes of HUT. Conclusion: P with PAF presented modified autonomic control of HR and BP in the supine position and during the initial phase of orthostatism. These findings suggest that wavelets analysis may provide a new insight into the assessment of the dynamicity of autonomic cardiovascular regulation and underscore the presence of ANS disturbances in PAF.","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74315762","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":"Contrast Nephropathy Review","authors":"","doi":"10.36879/jcr.19.000127","DOIUrl":"https://doi.org/10.36879/jcr.19.000127","url":null,"abstract":"Contrast-induced nephropathy (CIN) is a common cause of acute kidney dysfunction. It is necessary to identify at-risk patients at early stages to implement preventive strategies to decrease the incidence of this nephropathy. However, mechanisms of CIN have not fully explained yet. Most predictive models for contrast-induced nephropathy in clinical use have modest ability and are only relevant to patients receiving contrast for coronary angiography. Further research is needed to develop models that can better inform patient-centred decision making, as well as improve the use of prevention strategies for contrast-induced nephropathy.","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83006472","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":"In-Hospital and 1-Year Results of Intravascular Ultrasound-Guided Versus Angiography-Guided Intervention for Type C Coronary Lesions","authors":"","doi":"10.36879/jcr.19.000126","DOIUrl":"https://doi.org/10.36879/jcr.19.000126","url":null,"abstract":"Background: Class C lesions are considered to have the highest degree of lesion complexity so we compared between Intravascular Ultrasound\u0000(IVUS)-guided and angiography-guided PCI for Type C coronary lesions regarding procedural success and occurrence of Major Adverse Cardiac\u0000Events (MACE).\u0000Results: Our study was conducted on patients undergoing elective PCI for type C coronary lesions. The study included 50 patients who underwent\u0000IVUS guided PCI and 50 patients who underwent angiographic guided PCI. We evaluated IVUS guidance on clinical outcomes. MACE, all-cause\u0000mortality, ST elevation infarction, and target lesion revascularization, were end points for comparison. Follow-up duration was 12 months. Adding\u0000IVUS to the procedure was associated with more procedure time but with less amount of contrast. Patients with IVUS-guided PCI underwent more\u0000direct stenting, post-dilatation, larger maximal stent diameter, and greater number of implanted stents. The IVUS guided group had significantly\u0000better final diameter stenosis but at 1-year follow up, IVUS use failed to reduce MACE significantly in comparison to angiographic guidance.\u0000In conclusion: use of IVUS is associated with lower amount of radiographic contrast used during the procedure, more procedural time, more post\u0000dilatation and less postintervention final diameter stenosis. In addition, use of IVUS in complex lesions allows optimizing PCI procedures and stent\u0000apposition. A strategy of IVUS for stent implantation in complex coronary lesions didn’t reduce the 1-year MACE rates and thus, isn’t recommended\u0000routinely","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86175570","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. Cifuentes, C. Louis, M. Perez, Boris Barreno, M. Gelatt, Davide Maldonado, M. Cardarelli
{"title":"Persistent left superior vena cava with absent right superior vena cava in a patient with a secundum atrial septal defect","authors":"R. Cifuentes, C. Louis, M. Perez, Boris Barreno, M. Gelatt, Davide Maldonado, M. Cardarelli","doi":"10.15406/jccr.2019.12.00459","DOIUrl":"https://doi.org/10.15406/jccr.2019.12.00459","url":null,"abstract":"We present a case report of an 11 year old patient, with SitusSolitus, normal segmental anatomy, persistent Left Superior Vena Cava (LSVC) draining into the coronary sinus and absent Right Superior Vena Cava (RSVC). The peculiarity of this presentation was the combination of a LSVC with a secundum Type Atrial Septal Defect (ASD), instead of the more common association to sinus venosus type ASD. From this case, we learned that surgical team’s professional experience on rare cardiological pathogenic conditions is the key for survival of patients.","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89548631","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}
N. Camacho, C. Amaral, G. Alves, Joana Catarino, Ricardo Correira, R. Bento, M. E. Ferreira
{"title":"Innominate steal syndrome–a hybrid approach","authors":"N. Camacho, C. Amaral, G. Alves, Joana Catarino, Ricardo Correira, R. Bento, M. E. Ferreira","doi":"10.15406/jccr.2019.12.00458","DOIUrl":"https://doi.org/10.15406/jccr.2019.12.00458","url":null,"abstract":"The innominate and subclavian arteries are the most common locations for stenotic lesions in the upper extremities.1 Innominate steal phenomenon (ISP) is a rare clinical finding, characterized by a flow inversion of a segment or the entire carotid axis, on color duplex scan (CDS), caused by a stenosis or occlusion of the innominate artery.2 Hemodynamic findings on CDS include reversed or bidirectional flow in the right vertebral artery, midsystolic deceleration or total reversed flow in any of the branches of the right carotid axis and an elevated left common carotid artery (CCA)/right CCA ratio.2,3 Unlike subclavian steal, ISP is usually symptomatic, affecting booth posterior fossa and hemispheric cortex.4","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88041560","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}