Research in Cardiovascular Medicine最新文献_第3页

Evaluation of aortic root dilation in adult patients after repair of tetralogy of Fallot 成人法洛四联症修复后主动脉根部扩张的评价

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Research in Cardiovascular Medicine Pub Date : 2022-07-01 DOI: 10.4103/rcm.rcm_3_22

Mozhgan Parsaee, A. Rezaeefar, Z. Khajali, Hamideh Khesali, Mohammad Bidkhori, A. Soleimani

{"title":"Evaluation of aortic root dilation in adult patients after repair of tetralogy of Fallot","authors":"Mozhgan Parsaee, A. Rezaeefar, Z. Khajali, Hamideh Khesali, Mohammad Bidkhori, A. Soleimani","doi":"10.4103/rcm.rcm_3_22","DOIUrl":"https://doi.org/10.4103/rcm.rcm_3_22","url":null,"abstract":"Background and Aim: Aortic root dilation is one of the common complications in patients with a history of tetralogy of Fallot total correction (TFTC). We evaluate the frequency of aortic root dilation in adult TFTC patients and analyze probable risk factors related to the dilated aortic root. Materials and Methods and Results: We reviewed echocardiography images of 146 adult TFTC patients who admitted at Rajaie Cardiovascular Medical and Research Center from 1383 to 1399 in an observational retrospective cohort study. Sinus of Valsalva (SOV) was measured in parasternal long-axis view. Aortic root dilation was determined by two definitions. When we adjusted SOV diameter for body surface area and sex, the frequency of aortic root dilation was 68%, with a mean SOV diameter of 3.5 ± 0.7 cm and when we used absolute diameter ≥4 cm for dilated SOV, 22% showed aortic root dilation. By multivariate logistic regression analysis, male sex (odds ratio (OR) = 3.47, P = 0.003), age at the time of TFTC (OR = 1.06, P = 0.009), and aortic regurgitation (OR = 3.97, P = 0.003) were associated with increased adds of dilated aortic root. Three patients underwent aortic surgery, including one case of type A aortic dissection. Conclusion: Although aortic root dilation was common, aneurysmal dilation and adverse events were not so frequent. Serial evaluation of all segments of the ascending aorta, including the aortic root, is important but not more frequent than previously suggested.","PeriodicalId":21031,"journal":{"name":"Research in Cardiovascular Medicine","volume":"11 1","pages":"59 - 65"},"PeriodicalIF":0.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41505425","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

Demographic characteristics, predisposing factors, clinical presentations, echocardiographic findings, complications, and outcomes of patients with viridans streptococcal endocarditis 病毒性链球菌性心内膜炎患者的人口学特征、易感因素、临床表现、超声心动图检查结果、并发症和转归

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Research in Cardiovascular Medicine Pub Date : 2022-07-01 DOI: 10.4103/rcm.rcm_23_22

P. Moradnejad, S. Boudagh

{"title":"Demographic characteristics, predisposing factors, clinical presentations, echocardiographic findings, complications, and outcomes of patients with viridans streptococcal endocarditis","authors":"P. Moradnejad, S. Boudagh","doi":"10.4103/rcm.rcm_23_22","DOIUrl":"https://doi.org/10.4103/rcm.rcm_23_22","url":null,"abstract":"Background: Several microorganisms are associated with infective endocarditis (IE), but the most common IE causes are staphylococci and streptococci. Among streptococci, the viridans group streptococci are responsible for a considerable percentage of all IE cases. Methods: Since 2006, the Iranian Registry of Infective Endocarditis has recorded information regarding all adult patients with a definite or possible IE diagnosis according to the modified Duke criteria. Patients with viridans streptococcal endocarditis were detected through three blood culture sets. The patients' demographic characteristics, predisposing factors, clinical presentations, and echocardiographic findings were recorded. Results: Of 731 patients diagnosed with endocarditis, viridans streptococci were found in 46 (6.3%) patients, consisting of 28 (60.9%) men and 18 (39.1%) women at a mean age of 42.56 ± 15.46 years, who were subsequently included in the study. Among the 46 patients with viridans streptococcal endocarditis, 26 had a subacute course, whereas 20 had an acute course. Vegetation was detected in 35 patients. All the patients were treated with the standard antibiotic regimen for viridans streptococcal endocarditis, and cardiac surgery was performed on 16 patients. Conclusions: Clinicians should pay sufficient heed to the following points in all cases of viridans streptococcal endocarditis: firstly, an appropriate antibiotic regimen must be based on a precise minimal inhibitory concentration determination for the usual antibiotics. Secondly, since prolonged antibiotic therapy is crucial to the eradication of microorganisms within vegetation, all patients with viridans streptococcal endocarditis must receive an adequate therapy course.","PeriodicalId":21031,"journal":{"name":"Research in Cardiovascular Medicine","volume":"11 1","pages":"71 - 75"},"PeriodicalIF":0.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41892384","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

Familial hypercholesterolemia within cardiology practice – single-center experience during 2-year period 心脏病学实践中的家族性高胆固醇血症- 2年期间的单中心经验

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Research in Cardiovascular Medicine Pub Date : 2022-07-01 DOI: 10.1016/j.atherosclerosis.2022.06.462

E. Begić, Ada Djozic, Emina Karavelic, Nadira Zatric, Adela Sinancevic, A. Džubur, A. Durak-Nalbantić, A. Begić, N. Begić, Amina Šahbaz, Esma Hasanagić, Ena Gogić, N. Naser, F. Zukić, Edin Medjedović, A. Iglica, M. Halilčević, Z. Begić

引用次数: 0

Sawtooth cardiomyopathy 锯齿心肌病

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Research in Cardiovascular Medicine Pub Date : 2022-07-01 DOI: 10.4103/rcm.rcm_14_22

Zahra Ansari, S. Saedi, N. Rezaeian

引用次数: 1

Predicting cardiac index using the electrocardiogram in pulmonary hypertension patients 肺动脉高压患者心电图预测心脏指数

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Research in Cardiovascular Medicine Pub Date : 2022-07-01 DOI: 10.4103/rcm.rcm_11_22

M. Mirtajaddini, N. Naderi, Khadije Mohammadi, S. Taghavi, Maryam Maharloo, S. Mazloomzadeh, A. Amin

{"title":"Predicting cardiac index using the electrocardiogram in pulmonary hypertension patients","authors":"M. Mirtajaddini, N. Naderi, Khadije Mohammadi, S. Taghavi, Maryam Maharloo, S. Mazloomzadeh, A. Amin","doi":"10.4103/rcm.rcm_11_22","DOIUrl":"https://doi.org/10.4103/rcm.rcm_11_22","url":null,"abstract":"Background: Pulmonary hypertension (PH) is a fatal disease where on-time treatment can change the prognosis. The selection of treatment is dictated by the severity of PH. The cardiac index (CI) is a robust indicator of PH severity. This trial aimed to find out the association between electrocardiogram (ECG) data and CI as a prognostic factor of PH. Methods: Ninety-five patients with precapillary PH were included in the study. The cardiac output of patients was calculated using the right heart catheterization and the Fick formula. Patients were categorized into low- and high-risk groups based on the CI. Their ECGs were interpreted by an expert cardiologist. The association between ECG parameters and severity of PH was evaluated based on the CI. Results: The median age of patients was 36 years. The mean of CI was 2.35 L/min/m2 with a standard deviation of 0.74. About 36% of patients were in the high-risk category based on the CI. Among ECG parameters, ST segment depression in V1-V6 and R/S ratio ≥1 in V1 were found significantly correlated with CI for high-risk category (P = 0.026). Conclusion: ST segment depression in V1-V6 and R/S ratio ≥1 in V1 had a significant association with CI in the range lower than 2 L/min/m2, which is an indicator of poor PH prognosis. Therefore, these variables can be used as an inexpensive and available prognostic factor in patients with precapillary PH.","PeriodicalId":21031,"journal":{"name":"Research in Cardiovascular Medicine","volume":"11 1","pages":"76 - 80"},"PeriodicalIF":0.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44654057","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

A clinical trial of comparing dexmedetomidine and remifentanil on the oximetry parameters in the patients with end-stage renal disease undergoing arteriovenous fistula formation 右美托咪定与瑞芬太尼对终末期肾病动静脉瘘患者血氧测定参数的比较

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Research in Cardiovascular Medicine Pub Date : 2022-07-01 DOI: 10.4103/rcm.rcm_12_22

R. Dolatabadi, S. Motlagh, Mohamadreza Ghodraty, A. Shafeinia, A. Maleki, Z. Norouzi, Shiva Khaleghparast

{"title":"A clinical trial of comparing dexmedetomidine and remifentanil on the oximetry parameters in the patients with end-stage renal disease undergoing arteriovenous fistula formation","authors":"R. Dolatabadi, S. Motlagh, Mohamadreza Ghodraty, A. Shafeinia, A. Maleki, Z. Norouzi, Shiva Khaleghparast","doi":"10.4103/rcm.rcm_12_22","DOIUrl":"https://doi.org/10.4103/rcm.rcm_12_22","url":null,"abstract":"Background: Oximetry is a method for measuring the arterial hemoglobin saturation (SpO2) using pulse oximeter and is essential in any type of anesthetic procedures. The growing population of geriatrics in the recent decades in combination with an increase in the prevalence of chronic diseases including diabetes and hypertension are some of the leading causes for an increase in the prevalence of chronic kidney disease and end-stage renal disease (ESRD). The definite treatment for ESRD is renal transplant but unfortunately, it may take a long time to find a suitable kidney and continuing the patient's life may depend on dialysis. Arteriovenous fistula (AVF) formation is one of the first steps to prepare the patient for hemodialysis. ESRD itself is a reason for physical and psychosocial issues. Preparing a favorable condition for AVF surgery is essential to decrease the burden of the underlying disease. An efficient respiratory supply is necessary in all parts of an anesthetic procedures. Aims and Objectives: This study is a double-blind clinical trial to compare two anesthetic agents, dexmedetomidine and remifentanil in patients with ESRD who underwent AVF formation. Materials and Methods: SpO2 was measured on different phases including the time of initial incision, and after 10, 30, 60, 90, and 120 min of finishing the surgery. The data were analyzed using SPSS version 22, two-way repeated measures (ANOVA), and independent t-test. Results: This study showed that there was no any significant difference in using any of these two agents with regard to SpO2 in the different times of measurements during the anesthetic procedure and after the surgery in the recovery phase. Conclusion: This study showed that there is not any superiority in using DEX or REM in the patients undergo AVF formation. More studies on the other groups of the patients with different surgeries.","PeriodicalId":21031,"journal":{"name":"Research in Cardiovascular Medicine","volume":"11 1","pages":"66 - 70"},"PeriodicalIF":0.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47248218","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

Comparative study to assess the effect of priming solutions (Plasmalyte-A and Ringer Lactate) on Acid–base balance during cardiopulmonary bypass for adult cardiac surgery 血浆- a和乳酸林格液对成人心脏手术体外循环患者酸碱平衡影响的比较研究

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Research in Cardiovascular Medicine Pub Date : 2022-04-01 DOI: 10.4103/rcm.rcm_65_21

Amit Vashisth, Yasir Saleem, Anshuman Darbari, Anish Gupta, R. Lahiri, Ajay Kumar

{"title":"Comparative study to assess the effect of priming solutions (Plasmalyte-A and Ringer Lactate) on Acid–base balance during cardiopulmonary bypass for adult cardiac surgery","authors":"Amit Vashisth, Yasir Saleem, Anshuman Darbari, Anish Gupta, R. Lahiri, Ajay Kumar","doi":"10.4103/rcm.rcm_65_21","DOIUrl":"https://doi.org/10.4103/rcm.rcm_65_21","url":null,"abstract":"Background: Priming solution used in cardiopulmonary bypass has different impact on body, primarily on the metabolic acidosis and electrolytes. This observational comparative study was done to find the metabolic effects of Ringer lactate and Plasmalyte-A as priming solutions for various metabolic parameters during adult cardiac surgery. Materials and Methods: In the present study, 52 subjects were included who received different priming solutions. Subjects were categorized into two groups. Group P received Plasmalyte-A as prime and Group R received Ringer lactate. From all these cases, samples were collected at predefined time durations, and results were compared between both groups. Observation and Results: A total of 52 patients were evaluated for the metabolic changes concerning different priming solutions. Group P included the subject who received Plasmalyte-A as pump prime (n = 26), and Ringer lactate was used as pump prime in Group R (n = 26). We compared various parameters such as pH: In Group R, a decrease in pH was statistically significant with P < 0.05 at 40 min of bypass (T40) and P < 0.05 at 6 h of postbypass (T6). Base Excess: The mean value in Group P was − 1.72 ± 2.18 and − 3.16 ± 2.48 and in Group R at 30 min of bypass (T30). A statistically significance was found between the two groups for this parameter (P < 0.05). Lactate and Strong Ions Difference: A statistically significant data were found between the two groups for this parameter throughout the bypass as well as postoperative hours with the P < 0.05. Conclusion: Plasmalyte-A is more favorable crystalloid solution as a pump prime fluid as it helped to maintain satisfactory metabolic parameters with less metabolic acidosis during adult cardiac surgeries.","PeriodicalId":21031,"journal":{"name":"Research in Cardiovascular Medicine","volume":"11 1","pages":"49 - 53"},"PeriodicalIF":0.3,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45491597","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: 1

Lateral wall ischemia secondary to funnel-shaped left main coronary artery aneurysm with stenotic osteoproximal left circumflex coronary artery in a child with recent recovery from kawasaki disease: A case report and review of literature 川崎病近期康复儿童漏斗形左主冠状动脉瘤伴左回旋支狭窄继发侧壁缺血1例报告及文献复习

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Research in Cardiovascular Medicine Pub Date : 2022-04-01 DOI: 10.4103/rcm.rcm_70_21

Debasish Das, A. Banerjee, Tutan Das, Manaranjan Dixit, Abhinav Kumar, S. Singh

引用次数: 1

First 10 transcatheter pulmonary valve-in-valve procedures in rajaie cardiovascular medical and research center rajaie心血管医疗研究中心首个10个经导管肺动脉瓣中瓣手术

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Research in Cardiovascular Medicine Pub Date : 2022-01-01 DOI: 10.4103/rcm.rcm_67_21

S. Abdi, A. Firouzi, M. Alemzadeh-Ansari, Zahra Hosseini, A. Alizadehasl, Z. Khajali, S. Saedi, Nima Salehi, B. Koohestani, E. Khalilipur

引用次数: 0

Discharge against medical advice in patients during the COVID-19 outbreak: Correspondence 新冠肺炎疫情期间患者根据医疗建议出院：通信

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Research in Cardiovascular Medicine Pub Date : 2022-01-01 DOI: 10.4103/rcm.rcm_60_21

P. Sookaromdee, V. Wiwanitkit

引用次数: 0