International Archives of Cardiovascular Diseases最新文献

{"title":"Cardiovascular Urgencies and Emergencies in Pregnancy: A Case Based Review of Some Cardiovascular Diseases Affecting Pregnant Females","authors":"Paterick Timothy","doi":"10.23937/2643-3966/1710041","DOIUrl":"https://doi.org/10.23937/2643-3966/1710041","url":null,"abstract":"This manuscript explores the clinical presentation and physical examination findings in pregnant patients with presumed heart disease. There is a review of the clinical presentation, physical examination, and multi-modality imaging that led to a diagnosis in pregnant patients with coronary artery disease, cardiomyopathies, arrhythmias, valvular heart disease, and pulmonary hypertension. The cases are not exhaustive, but represent a subset of the large number of cardiovascular conditions affecting pregnant patients. For an excellent and exhaustive review, the readership is directed to the 2018 ESC Guidelines for the management of cardiovascular disease during pregnancy.","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128336507","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":"Impella Device is Superior to an Intra-Aortic Balloon Pump in Cardiogenic Shock","authors":"Khan Muhammad Zubair, F. Sona, Hyman Richard","doi":"10.23937/2643-3966/1710040","DOIUrl":"https://doi.org/10.23937/2643-3966/1710040","url":null,"abstract":"A Percutaneous assist device is commonly used in cardiogenic shock to improve hemodynamics. The Impella provided superior hemodynamic support in the ISARSHOCK study compared with an intra-aortic balloon pump (IABP), with no change in clinical outcome. In this trial, the IABP was used in one group, and the Impella was placed in a comparator group. We present a case in which the hemodynamics of cardiogenic shock was assessed in the same patient after IABP and after Impella placement. In our case, the hemodynamics improved after Impella placement and removal of IABP. *Corresponding author: Richard Hyman, MD, Department of Medicine, St. Mary Medical Center, 1201 NewtownLanghorne Rd, Langhorne, PA 19047, USA, Tel: +1-215-750-7000 Check for updates","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125947047","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":"Technical Feasibility Does Not Guarantee Clinical Improvement: A Word of Caution for Valve-in-Valve Procedures in Small Surgical Prosthesis","authors":"Stelzmueller Marie-Elisabeth, Mora Bruno, Laufer Guenther, Wisser Wilfried","doi":"10.23937/2643-3966/1710038","DOIUrl":"https://doi.org/10.23937/2643-3966/1710038","url":null,"abstract":"","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121065340","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":"Complete Heart Block in a Patient with COVID-19","authors":"J. VillasmilRicardo, J. LorenzoChristian, K. AbdelalQassem, I. ConteJorge, Lattanzio Natalia, Wiese-Rometsch Wilhelmine, G. ChengHenry","doi":"10.23937/2643-3966/1710039","DOIUrl":"https://doi.org/10.23937/2643-3966/1710039","url":null,"abstract":"The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has been reported to cause cardiac complications including myocarditis, acute myocardial infarction (AMI) and various tachyarrhythmias. We present a 63-year-old male who developed nonreversible symptomatic bradycardia due to advanced atrioventricular block (AV) requiring pacemaker placement in the setting of severe SARS-CoV-2 pneumonia.","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121835083","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 Influence of Iterative Reconstruction Technique on the Diagnosis of Coronary Artery Calcification","authors":"AlShamakhi Ahmed Khamis, Jamkhandikar Rakesh Malhari, AlWahshi Yahya Mohammed, P. S. Murthi","doi":"10.23937/2643-3966/1710033","DOIUrl":"https://doi.org/10.23937/2643-3966/1710033","url":null,"abstract":"Objectives: This study aimed to assess the impact of iterative reconstruction (IR) algorithms for the evaluation of coronary artery calcification (CAC) in terms of image quality and subjective diagnostic performance. Methods: This study was performed in a single center and written informed consent was obtained from all patients. Thirty-one consecutive patients (26 men/5 women) underwent CT calcium score to rule out CAC. Image data were reconstructed with both; filtered back projection (FBP) and different levels of IR algorithms. Both the qualitative and quantitative image quality and subjective diagnostic performance were compared; Agatston scores and calcium density were measured for a total of 100 coronary arteries. Results: Quantitatively; image noise was substantially reduced with high levels of IR reflecting high significances of noise level (p < 0.001). In terms of subjective diagnostic performance, it was observed with increased IR levels; 49% of coronary arteries showed decrease, 14% showed increase, 32% were constant and 5% of coronary arteries showed fluctuation in total Agatston scores. Certain Agatston scores were not detected in coronary arteries in some levels of IR algorithms. Conclusions: IR resulted in substantial noise reduction and improved in both signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR). Higher levels of IR might lead to disappearance or underestimation of detectable calcium in coronary arteries with low calcium burden. Iterative reconstruction technique should be used with caution for better calcium quantification.","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"216 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131545083","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 Artery Disease Risk Assessment in Sedentary and Active Patients: Medical Risk, Behavioral Psychology, and the Standard of Care","authors":"M. Vinay, E. PaterickTimothy","doi":"10.23937/2643-3966/1710032","DOIUrl":"https://doi.org/10.23937/2643-3966/1710032","url":null,"abstract":"Objective: A practical approach to determining risk in sedentary and active patients for coronary artery disease. Identify how personal/family history, atherogenic risk factors, and coronary calcium are essential to determining and predicting risk potential. Materials/methods: Review of the medical, behavioral psychology, and standard of care literature to identify how human psychology, statistical risk of coronary disease, and coronary calcium shape risk prediction. Results: A comprehensive personal/family history, risk factor assessment and comprehensive physical examination are the foundation of risk assessment. Understanding the cognitive process of risk potential is critical to management strategies. Stress testing and coronary calcium scoring are useful adjuncts when initial screening is suggestive of intermediate atherogenic risk. Conclusion: Comprehensive personal/family history, risk factor assessment, comprehensive physical examination, cognitive processing of risk potential, stress testing and calcium scoring all have a role in risk assessment of sedentary and active patients.","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129833031","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 Usefulness of Long Inflation Balloon Angioplasty Using a Perfusion Balloon for Intracoronary Thrombus","authors":"Watanabe Shingo, Usui Michio","doi":"10.23937/2643-3966/1710031","DOIUrl":"https://doi.org/10.23937/2643-3966/1710031","url":null,"abstract":"• Page 1 of 4 • Citation: Watanabe S, Usui M (2020) The Usefulness of Long Inflation Balloon Angioplasty Using a Perfusion Balloon for Intracoronary Thrombus. Int Arch Cardiovasc Dis 4:031. doi.org/10.23937/26433966/1710031 Accepted: June 10, 2020; Published: June 12, 2020 Copyright: © 2020 Watanabe S, 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.","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127340656","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":"Pacemaker Lead Associated Superior Vena Cava Syndrome Treated By Veno-Atrial Bypass","authors":"Gunawardena Thilina, S. Balasubramanium, Bandara Gayan, Cassim Rezni, Wijeyaratne Mandika","doi":"10.23937/2643-3966/1710030","DOIUrl":"https://doi.org/10.23937/2643-3966/1710030","url":null,"abstract":"• Page 1 of 4 • Citation: Gunawardena T, Saseekaran B, Bandara G, Cassim R, Wijeyaratne M (2020) Pacemaker Lead Associated Superior Vena Cava Syndrome Treated By Veno-Atrial Bypass. Int Arch Cardiovasc Dis 4:030. doi.org/10.23937/2643-3966/1710030 Accepted: June 09, 2020; Published: June 11, 2020 Copyright: © 2020 Gunawardena T, 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.","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"26 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125750481","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":"Two Dimensional Speckle Tracking Echocardiography Assessment of Left Ventricular Remodeling in Patients after Myocardial Infarction","authors":"Saad Moustafa Kamal Eldin Ibrahim Khalil, El-khashab Khalid A, Ragab Tamer M","doi":"10.23937/2643-3966/1710028","DOIUrl":"https://doi.org/10.23937/2643-3966/1710028","url":null,"abstract":"Background: Adverse Left Ventricular Remodelling (LVR), defined as progressive ventricular dilatation, distortion of chamber shape, myocardial hypertrophy and deteriorating function, begins in some patients who suffered from Acute Myocardial Infarction (AMI), sometimes even after successful Percutaneous Coronary Intervention (PCI). If uninterrupted, it could lead to Congestive Heart Failure (CHF) and a poor clinical outcome. Aims: This study aims at evaluating the value of Speckle Tracking Echocardiography (STE) in predicting LVR after successful PCI in AMI patients. Materials and Methods: Eighty-four AMI patients had a complete echocardiographic study, including speckle tracking, performed two days after PCI and then two months afterwards. The patients were then divided into two groups based on the presenceh of remodelling; R+ (remodelling) group and R- (non-remodelling) group. Results: At the baseline study, group R+ showed significantly lower strain parameters than group R-. These included Global Longitudinal Strain (GLS) (-11.14 ± 0.5 VS -16.78 ± 0.4, p˂0.0001), longitudinal strain rate (-1.01 ± 0.05 VS -1.07 ± 0.04, p˂0.0001), Culprit Longitudinal Strain (CulLS) (-9.74 ± 0.59 VS -15.68 ± 0.49, P˂0.0001), and culprit longitudinal strain rate (-0.95 ± 0.05 VS -1.02 ± 0.04, P˂0.0001). In the follow up study, all of the strain parameters studied were again significantly lower in the R+ than the R- group. The most sensitive and specific parameters were the GLS and CulLS (sensitivities of 91.7% and 95.8% respectively and specificities of 95% and 96.7% respectively). Conclusion: Our findings show that impaired indices of LV deformation detected two days after successful PCI for AMI may provide a predictive value in early detection of LV remodelling.","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130941767","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 Artery Involvement Following Kawasaki Disease: A Case Report of a 5 Month Old African Infant","authors":"Hilda Tumwebaze, Emma Ndagiire, Judith Namuyonga, Aliku Twalib, P. Lwabi, Sulaiman Lubega","doi":"10.23937/2643-3966/1710025","DOIUrl":"https://doi.org/10.23937/2643-3966/1710025","url":null,"abstract":"Background: Kawasaki disease (KD) is an acute systemic vasculitis which progresses to cause coronary artery abnormalities as a complication. Echocardiographic and cardiac angiographic data indicate that 20-40% of untreated KD patients develop coronary artery abnormalities. However, majority of the lesions regress over time. Timely treatment with high dose intravenous immunoglobulins (IVIG) and high dose of aspirin has been found to reduce the incidence of developing coronary artery aneurysms to 2%-3%. Data on KD in the African region is unavailable. We present a case of a 5 month old infant that presented at the Uganda Heart Institute with KD associated with coronary artery involvement and is currently undergoing follow up. Case presentation: A 5-months-old female infant presented to the pediatric emergency unit with a persistent high grade fever for 7 days with refusal to breast feed, diarrhea and irritability, a generalized maculopapular rash that had started 2 days after onset of fever. Her vaccination status was up to date. She was evaluated and initially managed for gastroenteritis and septicemia with no improvement. A pediatric cardiology review was done at day 22 of illness due to symptoms of difficulty in breathing and palpitations. Significant physical findings were of a very sick infant, febrile with generalized maculopapular rash, peeling of extremities and perineum, hyperemia of the conjunctiva bilaterally and the pharynx, no cervical lymphadenopathy. She had tachypnea, tachycardia with a gallop rhythm but no murmurs, tender hepatomegally, irritability but conscious with no signs of meningeal irritation. A transthoracic echocardiography done significantly showed dilated coronary arteries, moderate pericardial effusion with preserved ejection fraction. Laboratory findings were of leucocytosis predominantly neutrophilia, thrombocytosis, anemia, raised C-reactive protein levels, hypoalbuminemia and raised liver function tests. Blood cultures and blood smear for malaria were unremarkable. A diagnosis of KD with coronary artery involvement was made by the pediatric cardiologist. Treatment for KD was started immediately with high dose intravenous immunoglobulins (IVIG) as a single dose and high dose aspirin with remarkable improvement as the fever subsided with in 24 hours of treatment. Follow up serial transthoracic echocardiography findings showed regression of coronary artery dilatation over time and currently at 3 years of age the coronary arteries are of normal diameter for her body surface area. ISSN: 2643-3966 DOI: 10.23937/2643-3966/1710025 Hilda et al. Int Arch Cardiovasc Dis 2019, 3:025 • Page 2 of 5 • month-old infant with coronary artery involvement in Uganda in Africa.","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116613255","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}