{"title":"Association between Leukocyte Telomere Length and Atrial Fibrillation: A Mendelian Randomization Study","authors":"Jingmeng Liu, Jun Chen","doi":"10.33696/cardiology.4.039","DOIUrl":"https://doi.org/10.33696/cardiology.4.039","url":null,"abstract":"Atrial fibrillation (AF) is the most common cardiac arrhythmia worldwide. The prevalence of AF increases significantly associated with increasing age, ranging from less than 0.5% of the population younger than 40 to 5% of those aged 65 and older and more than 10% of those surviving to the eighth decade of life. Therefore, AF is thought to be closely related to biological ageing. Telomeres (TL), repetitive DNA elements located at the ends of chromosomes, have been implicated as potential mediators of biological aging. TL is generally measured in leucocytes due to the easy accessibility of these cells in peripheral blood. Whether a causal effect of leucocytes TL (LTL) on AF is not clear. We used two-sample MR analysis model to evaluate the causal effect of LTL on AF. The summary statistics data for AF and LTL were derived from the recently published largest GWAS. Twenty SNPs at 17 genomic loci were discovered as genetic instruments for LTL. The MR analysis in the fixed-effect inverse-variance weighted models and MR Egger (bootstrap) method showed that LTL was associated with an increased risk of AF (odds ratio [OR], 1.145; 95% CI, 1.065-1.230, P<0.001; OR, 1.158; 95% CI, 1.007-1.331, P=0.021) based on 20 SNPs as the instrument variables. However, the opposite results were observed in other MR methods, which revealed LTL has no strong causal effect on AF at current evidence.","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88403390","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":"The Fatal Interplay between Stress Induced Cardiomyopathy, Arrhythmia and Cardiogenic Shock","authors":"Mariam Khabsa, Bilal Al Kalaji, Sumaya Rasheed, Farah Zahra, Alok Patel","doi":"10.33696/cardiology.4.037","DOIUrl":"https://doi.org/10.33696/cardiology.4.037","url":null,"abstract":"A 59-year-old man presents to the hospital following a syncopal episode after a low-speed car accident without visible injuries. He was diagnosed with stress cardiomyopathy and severe triple-vessel coronary artery disease. The case was complicated by complete heart block that culminated in refractory cardiogenic shock. Literature and current approach are reviewed.","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89358897","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":"Effects of Anastomotic Angles and Distances of the Bypass Graft to the Stenosis on Blood Flow Hydrodynamics in a Bypass Grafting Coronary Artery","authors":"A. Golshirazi, Vahid Javanbakht","doi":"10.33696/cardiology.2.036","DOIUrl":"https://doi.org/10.33696/cardiology.2.036","url":null,"abstract":"It is believed that the proper distance between the grafting location and the stenosis location and the appropriate angle of graft or transplantation in the blocked artery of the heart are two important factors in the removal or decrease of reappearance and re-development of intimal hyperplasia (IH), blood clotting, and re-blockage of the surgical artery. In the present study, a 3-D geometry of the host coronary artery as non-elastic with 75% symmetric axial cross-sectional area reduction is considered. The main assumptions were incompressible, laminar, steady-state, Newtonian, and non-Newtonian (with Herschel Bulkley model) blood flow. The 3-D Navier-Stokes equations coupled with the non-Newtonian constitutive model were solved numerically using a finite volume method with the procedure of the SIMPLE program. Shear stress distribution was obtained on the areas of potential re-obstruction and the occurrence of IH such as the Toe, Heel, arterial bed, suture location, and graft artery walls. Based on the results, the distribution of wall shear stress near the Heel, Toe location, and the intersection of the host and graft arteries suddenly increased dramatically. Wall shear stress (WSS) distribution was obtained in the areas of hyperplasticity re-incidence for some important anastomosis angles of grafted arteries, i.e. α=35°,45°,65°,75°. In addition, the increase in the angle of the graft artery caused a sharp increase in the shear stress on the area after the graft and the arterial bed in front of the branching region, and the shear stress decreases in the pre-graft region. Therefore, the excessive angle of the graft artery can cause damage to the arterial endothelial cells in the surrounding suture region.","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90352630","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":"Should we Target Myostatin, PCSK9 or Their Combination in Ischemia/Reperfusion Injury?","authors":"","doi":"10.33696/cardiology.3.029","DOIUrl":"https://doi.org/10.33696/cardiology.3.029","url":null,"abstract":"","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"155 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73317351","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}
L. Bacharova, Andrea Thaler, L. Petrikova, B. Mladosievičová, D. Světlovská, Katarina, Kalavska, Z. Krivošíková, J. Mardiak, M. Mego, M. Chovanec
{"title":"Late ECG Changes after Cisplatin-Based Chemotherapy in Testicular Cancer Survivors","authors":"L. Bacharova, Andrea Thaler, L. Petrikova, B. Mladosievičová, D. Světlovská, Katarina, Kalavska, Z. Krivošíková, J. Mardiak, M. Mego, M. Chovanec","doi":"10.33696/cardiology.3.027","DOIUrl":"https://doi.org/10.33696/cardiology.3.027","url":null,"abstract":"Ljuba Bacharova1,2, Andreas Thaler3, Lucia Petrikova2,4, Beata Mladosievicova2, Daniela Svetlovska5, Katarina Kalavska5, Zora Krivosikova6, Jozef Mardiak5, Michal Mego5, Michal Chovanec5 1International Laser Center CVTI, Bratislava, Slovak Republic 2Institute of Pathological Physiology, Medical School of Comenius University, Bratislava, Slovak Republic 3Medical University, Mainz, Germany 4Department of Oncohematology, Faculty of Medicine, Comenius University and National Institute of Oncology, Bratislava, Slovak Republic 52nd Department of Oncology, Faculty of Medicine, Comenius University and National Institute of Oncology, Bratislava, Slovak Republic 6Slovak Medical University, Bratislava, Slovak Republic *Correspondence should be addressed to Ljuba Bacharova; bacharova@ilc.sk","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79094442","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":"The Novel Antiplatelet Agent Revacept in Cardiovascular Medicine: The Promise of Efficacy Without Bleeding","authors":"","doi":"10.33696/cardiology.3.028","DOIUrl":"https://doi.org/10.33696/cardiology.3.028","url":null,"abstract":"","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81786384","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":"Beta 3-Adrenergic Receptor (?3-AR) Activation at the End of Sustained Ischemia and/or Early Reperfusion may Prove to be a Valuable Cardioprotective Strategy","authors":"R. Salie, E. Marais, A. Lochner","doi":"10.33696/cardiology.2.034","DOIUrl":"https://doi.org/10.33696/cardiology.2.034","url":null,"abstract":"Beta 3-Adrenergic Receptor (β3-AR) Activation at the End of Sustained Ischemia and / or Early Reperfusion may Prove to be a Valuable Cardioprotective Strategy.","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80360676","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}
K. Nazif, R. Mastouri, Joseph Zenisek, Deborah Green-Hess, M. Ghabril, H. Feigenbaum, S. Sawada
{"title":"Prognosis of Patients with Advanced Liver Disease and Positive Stress Echocardiograms: Impact of Coronary Artery Disease, Non-alcoholic Steatohepatitis, and Beta-blocker Therapy","authors":"K. Nazif, R. Mastouri, Joseph Zenisek, Deborah Green-Hess, M. Ghabril, H. Feigenbaum, S. Sawada","doi":"10.33696/cardiology.2.032","DOIUrl":"https://doi.org/10.33696/cardiology.2.032","url":null,"abstract":"Background: In the general population, a positive dobutamine stress echocardiogram (DSE) in the absence of obstructive coronary artery disease (CAD) still identifies a high risk group. DSE is a widely employed screening method in candidates for liver transplantation. We investigated the prognostic impact of a positive DSE, CAD, and clinical factors in advanced liver disease.\u0000\u0000Methods: We obtained follow-up for cardiovascular events (angina requiring revascularization, heart failure, infarction, and cardiac death) in 61 liver transplant candidates who had positive DSE and coronary angiography. Event-free survival was compared between 22 patients with obstructive CAD (≥ 70% stenosis) and 39 patients with no obstructive CAD. Cox regression was used to identify factors associated with events.\u0000\u0000Results: Over a mean follow-up of 27 ± 28 months, 21% (8/39) of patients with positive DSE and no CAD had events compared with 45% (10/22) of patients with positive DSE and CAD (p = 0.04). Event free survival was better in those without CAD (p = 0.014) but one year cardiac mortality was similar in those with (9%) and without CAD (8%). Multivariable analysis showed that beta blocker use (HR: 4.1, 95% CI: 1.7 – 9.9, p-value = 0.010), CAD (HR: 4.4 95% CI: 1.8– 10.8, p-value = 0.008), and non-alcoholic steatohepatitis (NASH) (HR: 4.9, 95% CI: 2.0 – 11.7, p-value = 0.04) were independently associated with events.\u0000\u0000Conclusion: Advanced liver disease patients with positive DSE are at increased risk. CAD, beta blocker use and NASH are independently associated with cardiac events.","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"107 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74829685","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":"COVID-19 Delays Presentation and Management of Acute Coronary Syndrome","authors":"","doi":"10.33696/cardiology.3.030","DOIUrl":"https://doi.org/10.33696/cardiology.3.030","url":null,"abstract":"","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89963050","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}