Journal of Clinical Cardiology最新文献

{"title":"Transpedal Approach for the Treatment of Acute Limb Ischemia in a Patient with Limited Access Sites","authors":"A. Robert, Rajper Naveed, P. Joseph, Ratcliffe Justin","doi":"10.23937/2378-2951/1410186","DOIUrl":"https://doi.org/10.23937/2378-2951/1410186","url":null,"abstract":"We present a 53-year-old male with a history of extensive peripheral vascular disease, including a repaired type B aortic dissection complicated by occlusion of the left subclavian artery requiring carotid to subclavian bypass. The patient then had a subsequent repair of a graft endoleak complicated by left iliac artery occlusion requiring fem-fem bypass. He presented to the ED with left foot pain concerning for acute limb ischemia needing for prompt revascularization. However, given the extensive prior vascular surgeries, traditional femoral approaches were unable to be utilized. Therefore, a retrograde ipsilateral transpedal approach was chosen as the only remaining possible access site for angiography and intervention. The left anterior tibial artery was cannulated via a 4 French access. The angiogram revealed a total occlusion in the left posterior tibial artery with poor pedal arch flow. Via the 4Fr system, treatment with mechanical thrombectomy, percutaneous transluminal angioplasty, and thrombolysis with tPA was performed and successful restoration of flow to the limb was achieved.","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86778791","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 Report of Aerococcus urinae Prosthetic Valve Infective Endocarditis Initially Misidentify","authors":"Lattanzio Natalia, Abdelal Qassem, Bell Stephen, A. Talal, Lorenzo Christian, V. Ricardo, Wiese-Rometsch Wilhelmine, Gordillo Manuel","doi":"10.23937/2378-2951/1410184","DOIUrl":"https://doi.org/10.23937/2378-2951/1410184","url":null,"abstract":"Infective endocarditis (IE) is most commonly caused by species such as staphylococci, streptococcus and enterococci. When IE is caused by organisms such as Aerococcus urinae, misidentification of the organism in culture is common, resulting in misdiagnosis. We present a case of IE caused by Aerococcus urinae in a 67-year-old male with a bioprosthetic aortic valve whose culture initially grew micrococcus.","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77250416","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":"ABO-Rhesus Blood Group Distribution among Peri-Partum Cardiomyopathy Patients: A Multi-Center Study in Sokoto, Nigeria","authors":"Umar Hayatu, Isezuo Simeon Alabi, Usman Muawiyya Zagga, A AdeshinaYusuf, Umar Bello Tambuwal, Akintomide Femi Akindotun, A. Abdulaziz, Muhammad Aminu Sakajiki, M. A. Sadiq, Liman Hamidu Muhammad, Oborien Isah Omokhudu, Muhammad Musa Baba, Y. Abdulmumini, B. Samaila, W. Muhammad, Omoniyi Nicholas Oluwamayowa, Umar Musa Tambuwal, Bamaiyi Adamu Jibril","doi":"10.23937/2378-2951/1410182","DOIUrl":"https://doi.org/10.23937/2378-2951/1410182","url":null,"abstract":"Background: Cardiovascular disease is a major cause of death among women of child bearing age in Northern Nigeria. As much as 60% of Peripartum Cardiomyopathy (PPCM) was reported among women with heart failures in a tertiary health institution in Sokoto, Northwestern Nigeria and was responsible for about 34% of deaths in peripartum women in South Africa. The Millennium and Sustainable Development Goals (MDG & SDG) 2000 to 2015 and 2015 to 2030, respectively have it as their cardinal quests, to reduce maternal deaths ratio by three quarter by the year 2030. Studies have identified the risk factors of cardiovascular diseases among women in their reproductive age and a study had observed that cardiovascular diseases may be partly explained by blood group polymorphism, but none to our knowledge has considered the possible association of the various sub-classes of ABO-Rhesus blood group and PPCM. Consequently, the present study assessed the distribution of the different ABO-Rh groups among ninety patients diagnosed with PPCM from three centres in Sokoto metropolis. Methods: Records from ninety (90) consecutive consenting patients were analyzed for this study. Data included were demographic, Clinical, Electrocardiographic and Echocardiographic. Data analysis was carried out using IBM SPP software. Values were expressed as mean ± standard deviation (SD), as well as tables of frequencies. Where relationships for non-parametric data were sought, chi-square goodness of fit was estimated. Single factor ANOVA was used to determine difference in means among the different blood groups, using Microsoft excel. P-value of ≤ 0.05 was considered statistically significant. Results: The mean age of the study participants was 27.2 ± 8.2 years, with range 17 45 years. About 55.1% of the patients enrolled in the study are of Blood group B, Blood group O constitute 30.8%, while groups A and AB form a paltry 14.1% of the study population (χ2 = 52.99, P < 0.0001, df = 3). About 86.6% of the patients had ejection fraction (EF) below 45%, with mean value of 36.70 ± 7.52%. Mean EFs for the groups were 35.46 ± 8.05, 37.09 ± 8.12, 36.00 ± 4.36 and 36.98 ± 6.81 for A, B, AB and O respectively (F = 0.1399, Fcrit = 2.7159, df = 3, P = 09358). 93.3% of the *Corresponding author: Hayatu Umar, MBBS, MSc, FWACP, Department of Internal Medicine, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria, Tel: +2348095100566 ISSN: 2378-2951 DOI: 10.23937/2378-2951/1410182 Umar et al. Int J Clin Cardiol 2020, 7:182 • Page 2 of 9 • Earlier studies made efforts to identify the risks factors for cardiac diseases in the reproductive age, including a study that showed association between ABO blood groups and the risk of CAD [7,10]. An individual may have type A, type B, type O, or type AB blood group and this arise from inheriting one or more of the alternative 3 main alleles two codominant (A and B) and one recessive (O) [12]. The role of ABO blood group antigens in the aetiopathogenesis","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79340976","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 Show Must Go On: Using Proximie to Facilitate Collaboration between Experts to Perform a Complex Mitral Clip Procedure during COVID-19","authors":"F. Sawaya, A. Zgheib, Karim Js, N. Hachach‐Haram","doi":"10.23937/2378-2951/1410183","DOIUrl":"https://doi.org/10.23937/2378-2951/1410183","url":null,"abstract":"• Page 1 of 3 • Sawaya et al. Int J Clin Cardiol 2020, 7:183 Citation: Sawaya F, Zgheib A, Karim JS, Hachach-Haram N (2020) The Show Must Go On: Using Proximie to Facilitate Collaboration between Experts to Perform a Complex Mitral Clip Procedure during COVID-19. Int J Clin Cardiol 7:183. doi.org/10.23937/2378-2951/1410183 Accepted: June 10, 2020; Published: June 12, 2020 Copyright: © 2020 Sawaya F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. The Show Must Go On: Using Proximie to Facilitate Collaboration between Experts to Perform a Complex Mitral Clip Procedure during COVID-19","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89768537","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 Rare Case of End-Stage HF Salvaged by Rescue Cardiac Resynchronization Therapy (CRT)","authors":"Khalid Yaser, Dasu Neethi, Dasu Kirti, J. Paul, Sailam Vivek","doi":"10.23937/2378-2951/1410181","DOIUrl":"https://doi.org/10.23937/2378-2951/1410181","url":null,"abstract":"• Page 1 of 6 • Khalid et al. Int J Clin Cardiol 2020, 7:181 Citation: Khalid Y, Dasu N, Dasu K, Jang P, Sailam V, et al. (2020) A Rare Case of End-Stage HF Salvaged by Rescue Cardiac Resynchronization Therapy (CRT). Int J Clin Cardiol 7:181. doi.org/10.23937/23782951/1410181 Accepted: June 04, 2020; Published: June 06, 2020 Copyright: © 2020 Khalid Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. recommend against the use of Cardiac Resynchronization Therapy (CRT) as a rescue device in end-stage HF. We present a case of an unconventional approach using CRT to treat refractory end-stage HF. CRT is a promising intervention for new-onset end-stage HF for patients who may be able to recover enough of their EF to restart GDMT. This report highlights the promising clinical outcome of an unconventional CRT use in end-stage HF despite a level C recommendation in current guidelines.","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"80 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79303137","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 Therapeutic Prospects: Cardiotoxicity Concerns","authors":"A. Olawale","doi":"10.23937/2378-2951/1410180","DOIUrl":"https://doi.org/10.23937/2378-2951/1410180","url":null,"abstract":"• Page 1 of 2 • Adeyemi. Int J Clin Cardiol 2020, 7:180 Citation: Adeyemi O (2020) Covid-19 Therapeutic Prospects: Cardiotoxicity Concerns. Int J Clin Cardiol 7:180. doi.org/10.23937/2378-2951/1410180 Received: May 08, 2020: Accepted: June 01, 2020; Published: June 03, 2020 Copyright: © 2020 Adeyemi O. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. quinacrine after World War I and ultimately produced chloroquine (CQ) in 1934 [6]. Recognition of the value of chloroquine was delayed, and it was not brought forward until it was reevaluated in the United States and designated the drug of choice against malaria near the end of World War II [7]. Chinese experts recommend that mild, moderate and severe COVID-19 cases (without contraindications to CQ) be treated with 500 milligrams of CQ twice daily for 10 days [8]. Years of safety data show that hydroxychloroquine can cause cardiac ECG QT prolongation and subsequent arrhythmias, including torsades de pointes and can prolong the QT correction (QTc), even when taken as recommended [9].","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90096477","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":"New Onset Atrial Fibrillation in Health Profession Student with Newly Diagnosed ADHD: A Case Report on Wellness and Cardiovascular Consequences of Burnout","authors":"G. Mary, C. Justin, N. Gayathri, C. Derek, R. Parth, Lomiguen Christine","doi":"10.23937/2378-2951/1410175","DOIUrl":"https://doi.org/10.23937/2378-2951/1410175","url":null,"abstract":"Atrial fibrillation (AF) is an arrhythmia of the heart, typically caused by damage to the myocardium or its electrical pathways, resulting in characteristic “irregularly, irregular” contractions of the atria [1]. It is the most common arrhythmia worldwide, with over 33.5 million people affected [2]. Advanced age, male sex, and geographic location have all been linked to increased rates of AF [1,2]. According to the American Heart Association, heart disease is the most common risk factor for AF, while hypertension, obesity, smoking, diabetes mellitus, and other cardiac comorbidities have also been shown to play a role [3]. Conversely, lone AF has been used historically to describe AF in patients with structurally and functionally normal hearts [4].","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88085200","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 and the Cardiologist!","authors":"Prachi Sharma, R. Sethi, S NarainV","doi":"10.23937/2378-2951/1410174","DOIUrl":"https://doi.org/10.23937/2378-2951/1410174","url":null,"abstract":"While the world is badly hit by this SARS-CoV-2 pandemic, the cardiologists have a special role to play and risks too to bear. Patients with known cardiovascular diseases are at a risk of increased morbidity and mortality by this infection. Also, Covid-19 may present with varied cardiovascular manifestations. This puts the upfront managing cardiologist and his team at greater risk of catching infection. So, they need to find the best possible way to help such patients with minimum possible risk of cross infection. In the midst of genuine and great fear of catching infection in the minds of general population, the number of STEMI visiting the cardiology ER has dramatically fallen. This is posing a great setback to patients who would otherwise have had the mortality advantage primary percutaneous intervention offers. Hope, the cardiologists and their patients sail out of this pandemic safely along with all others too.","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77675076","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":"Coronary-Pulmonary Arterial Fistula in a Heart Transplant Patient","authors":"H. Weiliang","doi":"10.23937/2378-2951/1410172","DOIUrl":"https://doi.org/10.23937/2378-2951/1410172","url":null,"abstract":"• Page 1 of 3 • Huang. Int J Clin Cardiol 2020, 7:172 Citation: Huang W (2020) Coronary-Pulmonary Arterial Fistula in a Heart Transplant Patient. Int J Clin Cardiol 7:172. doi.org/10.23937/2378-2951/1410172 Accepted: April 18, 2020; Published: April 21, 2020 Copyright: © 2020 Huang W. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. correlate with longer donor ischaemic time [7].","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74591257","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":"National Trends and Outcomes of Myocardial Infarction: Result from National Inpatient Sample 2000 to 2015","authors":"S MuseediAbdulrahman, Nashawi Mouhamed, Ghali Abdullah, Alameri Aws, Qaysi Mustafa Al, Nathanson Robert","doi":"10.23937/2378-2951/1410173","DOIUrl":"https://doi.org/10.23937/2378-2951/1410173","url":null,"abstract":"The burden of cardiovascular disease within the United States is profound, with large volumes of economic and academic resources being utilized to treat patients with cardiovascular diseases. Myocardial infarctions (MI) represent one of the most acute forms of cardiovascular pathology, with a profound mortality rate if prompt treatment and medical attention is not sought out after. While elements of changes in clinical practice and the spurring of new guidelines are responsible for improved health outcomes within year to year, the appraisal of trends in clinical outcomes allows for the scrutiny of methodology in approaching the patient with MI. Moreover, stratification of outcomes based on variables that have been shown to be associated with differential end outcomes in MI, such as age, sex, and type of institution allow for further partitioning of guidelines to meet more specific and tailored decision making guidelines or algorithms. For our dataset, a sampling of MI discharges between the years of 2000 and 2015 using the National Inpatient Sample (NIS), an open-access all-player database that features data on inpatient statistics represented in hospital admissions within institutions that participate within the NIS. Analyses regarding year-to-year length of stay and mortality outcomes of patients by age, sex, and type of institution was performed, showing a decrease in MI discharges, and a statistically significant difference in mean length of stay time at teaching institutions vs. non-teaching hospitals. These results can be compared with contemporary guidelines to assess whether current clinical practice is equipped to address these differential clinical outcomes. OBSeRvAtiONAl StuDy","PeriodicalId":15510,"journal":{"name":"Journal of Clinical Cardiology","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84946875","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}