International Archives of Cardiovascular Diseases最新文献_第4页

Clinical Features and Management of Patients with an Anomalous Origin of the Coronary Arteries 冠状动脉起源异常患者的临床特点和处理

International Archives of Cardiovascular Diseases Pub Date : 2018-12-31 DOI: 10.23937/iacvd-2017/1710005

Espejo-Paeres Carolina, O. Carmen, M. Pedro, I. Fabian, Higueras-Nafria Javier, V. David, Vilacosta Isidre

{"title":"Clinical Features and Management of Patients with an Anomalous Origin of the Coronary Arteries","authors":"Espejo-Paeres Carolina, O. Carmen, M. Pedro, I. Fabian, Higueras-Nafria Javier, V. David, Vilacosta Isidre","doi":"10.23937/iacvd-2017/1710005","DOIUrl":"https://doi.org/10.23937/iacvd-2017/1710005","url":null,"abstract":"Background: An anomalous origin of a coronary artery is a rare congenital condition in which a coronary artery arises from the opposite coronary sinus. Most coronary artery anomalies are an incidental finding without clinical signifi -cance, although some cases may be potentially life threat-ening, depending on the origin, course and termination of the anomalous vessel. Anatomical features of risk are an aortic intramural course or inter-arterial course. Methods: We present 4 cases of an anomalous origin of the coronary arteries with radiological confirmation by cardiac computed tomography angiography (CCTA) and clinical history of chest pain. Two patients were incidentally diagnosed by invasive coronary angiography, while two of them under-went a CCTA exam directly. Ischemia detection tests such as treadmill test or myocardial perfusion imaging with single photon emission computed tomography (SPECT) were performed in all of them to rule out ischemia. Results: In all 4 cases, none relationship between clinical symptoms and anatomical features was established. Once ischemia was ruled-out by ischemia detection tests, we chose clinical follow-up instead of surgery given the ab-sence of anatomical or risk clinical features. Conclusion: Only a minority of patients have symptoms due to these coronary anomalies. An expectant attitude with periodical surveillance seems to be the best option in patients with low-risk variants of coronary artery anomalies without clinical documentation of myocardial ischemia.","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124032834","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}

引用次数: 0

Takotsubo Cardiomyopathy Pathophysiology May Also Affect the Gut 心肌病的病理生理也可能影响肠道

International Archives of Cardiovascular Diseases Pub Date : 2018-12-31 DOI: 10.23937/iacvd-2017/1710010

A. Paolo

引用次数: 1

Coronary Artery Ectasia: An Interventional Cardiologist's Dilemma 冠状动脉扩张:介入心脏病专家的困境

International Archives of Cardiovascular Diseases Pub Date : 2018-12-31 DOI: 10.23937/iacvd-2017/1710007

S. Matthew, Paterick Timothy E

引用次数: 5

Why Atherothrombosis is in Principle a Hematologic Disease: The Effect of Disorders and Drugs which Affect Thrombosis on the Development of Atherosclerotic Plaques 为什么动脉粥样硬化血栓原则上是一种血液疾病:影响血栓形成的疾病和药物对动脉粥样硬化斑块发展的影响

International Archives of Cardiovascular Diseases Pub Date : 2018-12-31 DOI: 10.23937/IACVD-2017/1710012

Sloop Gregory D, Popa Gheorghe, Weidman Joseph J, Cyr John A St

{"title":"Why Atherothrombosis is in Principle a Hematologic Disease: The Effect of Disorders and Drugs which Affect Thrombosis on the Development of Atherosclerotic Plaques","authors":"Sloop Gregory D, Popa Gheorghe, Weidman Joseph J, Cyr John A St","doi":"10.23937/IACVD-2017/1710012","DOIUrl":"https://doi.org/10.23937/IACVD-2017/1710012","url":null,"abstract":"The authors hypothesize that thrombosis causes both the complications of atherosclerosis as well as the underlying lesion, the atherosclerotic plaque. Atherosclerotic plaques develop from the organization of mural thrombi. In this process, circulating progenitor cells trapped within the thrombus differentiate into myofibroblasts which synthesize collagen, and endothelial cells which form granulation tissue. Eventually, all or most of the thrombus is replaced by collagen. Thus, conditions and drugs which affect thrombosis also affect the development of atherosclerotic plaques, i.e., atherogenesis. The authors review the process of organization and evidence showing that altered hemodynamics, increased blood viscosity, thrombophilias, coagulopathies, myeloproliferative disorders and drugs which modify the risk of thrombosis also affect atherogenesis. Accelerated atherogenesis is an underappreciated complication of many of these conditions. This paradigm explains how diverse risk factors, many of which have no association with inflammation or dyslipidemia, cause the same lesion. These data have implications for atherothrombosis theory and clinical practice.","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134197863","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}

引用次数: 3

Clinical Significance and Applications of D-Ribose in Cardiovascular Disease d -核糖在心血管疾病中的临床意义及应用

International Archives of Cardiovascular Diseases Pub Date : 2018-12-31 DOI: 10.23937/IACVD-2017/1710013

Bayram Melike, P. David, Cyr Ja St, T. AbrahamWilliam

引用次数: 2

International Archives of Cardiovascular Diseases Pub Date : 2018-12-31 DOI: 10.23937/IACVD-2017/1710011

Dayer Mohammad Reza, Nazemi Vahideh-Sadat, Dayer Mohammad Saaid, Alavi Sayed Mohammad Reza

引用次数: 0

Implantation of Pacemaker in a Patient with Dextrocardia, Persistent Left Superior Vena Cava, TGA and Heart Block 心脏右旋、持续性左上腔静脉、TGA和心脏传导阻滞患者的心脏起搏器植入

International Archives of Cardiovascular Diseases Pub Date : 2018-12-31 DOI: 10.23937/IACVD-2017/1710009

Kerkütlüoğlu Murat, Katircibaşi Mahmut Tuna

{"title":"Implantation of Pacemaker in a Patient with Dextrocardia, Persistent Left Superior Vena Cava, TGA and Heart Block","authors":"Kerkütlüoğlu Murat, Katircibaşi Mahmut Tuna","doi":"10.23937/IACVD-2017/1710009","DOIUrl":"https://doi.org/10.23937/IACVD-2017/1710009","url":null,"abstract":"Congenital anomalies of the heart may generate difficul ties for cardiac invasive procedures. Dextrocardia is a rare congenital heart disease in which the apex of the heart is located on the right side of the chest. Patients with trans position of great arteries (TGA) abnormalities are at risk for complete cardiac block and usually require a permanent cardiac pacemaker in long-term follow-up. The persistent left superior vena cava (PLSCV) is a rare venous anomaly, often associated with abnormalities of the cardiac transduc tion system. It is usually seen by chance during permanent pacemaker implantation. Even if electrodes are not impos sible to be placed through this abnormal venous structure, it can be challenging. In this study, we present a permanent pacemaker implantation to a 31-year-old female patient with a combination of dextrocardia, PLSVC, and TGA due to complete heart block. Congenital anomalies of the heart can make transvenous procedures such as right heart catheterization or pacemak er implantation difficult. During embryological development, PLSVC occurs as a result of obliteration of the proximal part of the right anterior and right cardinal veins [ 1 ]. The left an terior cardinal vein creates a vena cava superior that opens to the right atrium through the left coronary sinus or direct ly to the left atrium. The persistent left superior vena cava (PLSCV) is rare but the most common systemic venous anomaly, which is 0.5% in general population and 3-10% in congenital heart defects [ 2 ]. Another anomaly is congenital dextrocardia, which is","PeriodicalId":170730,"journal":{"name":"International Archives of Cardiovascular Diseases","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114212697","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}

引用次数: 0

Ventricular Electrical Standstill in a Patient with Left Ventricular Assist Device 使用左心室辅助装置患者的心室电停止

International Archives of Cardiovascular Diseases Pub Date : 2018-12-31 DOI: 10.23937/IACVD-2017/1710004

T. C. Kiang, Houxi Leng, T. Louis, Sim David, Kerk Ka Lee, Soon Jia Lin, Tan Teing Ee, C. Sivathasan, Lim Choon Pin

引用次数: 0

Lipoprotein(a) and Atherosclerosis: A Case Report and Literature Review 脂蛋白(a)与动脉粥样硬化:1例报告及文献复习

International Archives of Cardiovascular Diseases Pub Date : 2018-12-31 DOI: 10.23937/IACVD-2017/1710006

Lubitz Marc, Mukerji Vaskar

引用次数: 2

Cardiovascular Disease as a Chronic Sequel to COVID-19: A Case Report 心血管疾病作为COVID-19的慢性后遗症:一例报告

International Archives of Cardiovascular Diseases Pub Date : 1900-01-01 DOI: 10.23937/2643-3966/1710054

Melo Oscar Rene Vazquez, Cahuich Ramon Eduardo Garcia, Rodriguez Jose Julián Sosa, Báez María Valeria Jiménez

引用次数: 0