The Cardiology最新文献_第4页

Identification of severe coronary stenosis by two-dimensional strain in acute coronary syndrome without ST segment elevation. 非ST段抬高急性冠脉综合征重症冠脉狭窄的二维应变鉴别。

The Cardiology Pub Date : 2020-01-01 DOI: 10.35841/cardiology.4.1.29-37

A. Vilela, J. Assef, E. Santos, Fern, O. R. Ramos, D. L. Bihan, R. Barretto, A. Sousa

{"title":"Identification of severe coronary stenosis by two-dimensional strain in acute coronary syndrome without ST segment elevation.","authors":"A. Vilela, J. Assef, E. Santos, Fern, O. R. Ramos, D. L. Bihan, R. Barretto, A. Sousa","doi":"10.35841/cardiology.4.1.29-37","DOIUrl":"https://doi.org/10.35841/cardiology.4.1.29-37","url":null,"abstract":"Background: The main objective of our study was to identify, by means of global longitudinal strain (GLS), territorial strain (TS), and postsystolic shortening (PSS) of left ventricle, which patients with acute coronary syndrome without ST elevation (NSTE-ACS) had ≥ 70% coronary stenosis. Methods: One hundred patients (PTS) with diagnosis of NSTE-ACS were stratified according to GRACE risk score, and underwent coronary angiography. GLS and TS were calculated. We also evaluated the strain curves in the 18 segments to identify the presence of the PSS and to calculate the post systolic index (PSI). Results: Mean age was 60 ± 11. 4, 62% was male. The majority were low and moderate cardiovascular risk. They were divided into group A (34 PTS) with coronary stenosis<70% and group B (66 PTS) with coronary stenosis ≥ 70%. Clinical score was higher in group B (GRACE=88. 7 ± 24. 18, p=0. 040) and 98. 5% was in low/moderate risk by GRACE score. GLS allowed the identification of PTS with coronary stenosis ≥ 70% in this group (AUC=0. 72, p=0. 001, sensitivity=58%, specificity=88%, positive predictive value=75. 1% and negative predictive value=74. 9%). Regarding the TS, the accuracy to determine coronary stenosis ≥ 70% was 0. 70 (p=0,001). The accuracy of the PSS in detecting coronary stenosis ≥ 70% was 69. 3%, with sensitivity estimated at 73. 3% and specificity at 60. 7%. Conclusion: The GLS, territorial strain, and PSS may improve the detection of severe coronary stenosis in patients with low/moderate risk by GRACE risk score. Thus, it can be an additional tool for a better stratification of such patients in the emergency unit.","PeriodicalId":22442,"journal":{"name":"The Cardiology","volume":"55 1","pages":"29-37"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91029921","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

Exaktné hodnotenie funkcie ľavej komory / Exact classification of left ventricular function exaktn<s:1> hodnotenie funkcie ľavej komory /左心室功能的精确分类

The Cardiology Pub Date : 2020-01-01 DOI: 10.4149/cardiol_2020_4_5

O. Beňačka, V. Horváth, R. Hatala, E. Goncalvesová

引用次数: 0

Vplyv antidepresív na kardiovaskulárny systém a bezpečnosť kardiovaskulárnych liečiv pri depresívnych poruchách / The effect of antidepressants on the cardiovascular system and the safety of cardiovascular drugs in depressive disorders

The Cardiology Pub Date : 2020-01-01 DOI: 10.4149/cardiol_2020_3_7

K. Beňová, Z. Horvátová

引用次数: 0

Anti-embolic stockings (AES) for cardiac surgery patients in the perioperative period. 心脏手术患者围手术期的抗栓塞袜(AES)。

The Cardiology Pub Date : 2020-01-01 DOI: 10.35841/CARDIOLOGY.4.1.15-17

Mohammad Miah, M. Uddin, M. P. Ahmed, S. A. Nahian, Thomas Seddon, A. Ashoub

引用次数: 0

„Polypill“ u seniorov: možná frekvencia používania fixných kombinácií liečiv podľa údajov zo štúdie SAFIS / Polypill in seniors: possible frequency of fixed drug combination according to the SAFIS study

The Cardiology Pub Date : 2020-01-01 DOI: 10.4149/cardiol_2020_2_7

M. Dúbrava, F. Németh, T. Drobná, L. Gerlich

{"title":"„Polypill“ u seniorov: možná frekvencia používania fixných kombinácií liečiv podľa údajov zo štúdie SAFIS / Polypill in seniors: possible frequency of fixed drug combination according to the SAFIS study","authors":"M. Dúbrava, F. Németh, T. Drobná, L. Gerlich","doi":"10.4149/cardiol_2020_2_7","DOIUrl":"https://doi.org/10.4149/cardiol_2020_2_7","url":null,"abstract":"Dubrava M, Nemeth F, Drobna T, Gerlich L. Polypill in seniors: possible frequency of fixed drug combination according to the SAFIS study. Cardiology Lett. 2020;29(2):97–101 Abstract. Aims: Polypharmacy is one of the most typical features of geriatrics. Unreliable drug usage belongs to its risks, among others. One way of reducing this risk is to integrate more drugs into one tablet (polypill). Nowadays this could be done especially in cardiovascular medicine. Real world data from the health care provided in Slovakia, which would reflect the potential for switching from more tabs with one drug towards the polypill in seniors, are almost unknown. Methods: We used the “Slovak Audit of atrial FIbrillation Study” (SAFIS) data (3 706 patients, average age 80.5 years) and evaluated how frequently patients had the combination of an angiotensin converting enzyme inhibitor (ACEI) or an AT1-receptor for angiotensin II inhibitor (ARB) and a diuretic, an ACEI/ARB and a betablocker (BB), an ACEI/ARB and a statin or at least 3 out of these 4 drug groups at discharge. Results: The average number of recommended drugs was 9.1 at discharge. A diuretic, BB, statin or ACEI/ ARB was recommended in 68.9, 64.1, 31.9 and 52.4% of patients respectively. Simultaneous treatment with a diuretic and an ACEI/ARB, BB and an ACEI/ARB, statin and an ACEI/ARB was recommended in 37.9, 36.2, and 19.7% patients respectively. The frequency of these co-treatments was typically higher than 40% in 65-79 yrs. old, declining with age moderately, but staying above 20% even in the oldest (90 yrs. and older) for combinations of an ACEI/ARB with a diuretic or a BB. At least 3 drugs from the groups ACEI/ARB, BB, diuretics, statins were recommended in 38.6% of patients. Conclusion: The potential for the reduction of the number of daily used tablets with their integration in a polypill is really high in seniors. Fig. 1, Tab. 1, Ref. 20, on-line full text (Free, PDF) www.cardiologyletters.sk","PeriodicalId":22442,"journal":{"name":"The Cardiology","volume":"31 1","pages":"97-101"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73627199","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

Left atrium function testing in pre- and post-balloon mitral valvotomy patients using 2d speckle tracking of strain imaging. 用二维斑点跟踪应变成像检测球囊二尖瓣切开术前后患者的左心房功能。

The Cardiology Pub Date : 2020-01-01 DOI: 10.35841/cardiology.4.1.38-41

Sameer Ambar, S. Patted, S. Porwal, R. PrasadM., Vijay Metgudmath, Anupama Khanapur

{"title":"Left atrium function testing in pre- and post-balloon mitral valvotomy patients using 2d speckle tracking of strain imaging.","authors":"Sameer Ambar, S. Patted, S. Porwal, R. PrasadM., Vijay Metgudmath, Anupama Khanapur","doi":"10.35841/cardiology.4.1.38-41","DOIUrl":"https://doi.org/10.35841/cardiology.4.1.38-41","url":null,"abstract":"Background: Rheumatic Mitral stenosis is a concern in developing world. Quantification of the left atrium (LA) strain by bi-dimensional speckle tracking echocardiography is a new diagnostic technique. Objectives: To assess the left atrium function by Two-Dimensional Speckle-tracking echocardiography in patients with moderate to severe mitral stenosis (MS), among the patients undergoing balloon mitral valvotomy (BMV) procedure. Methodology: Echocardiography examination was conducted among 37 patients with rheumatic MS, before and after 24 hours of BMV were included. Functional assessment of LA was done by the assessment of MS by planimetry method, mean pressure gradient and two-dimensional speckle tracking echocardiography (STE). Distribution of mitral valve area (MVA), myocardial perfusion grade (MVG), LA volume, STE 4C and STE 2C were assessed before and after treatment. Comparison of variables between pre-test and post-test of mean pressure gradient (MPG), STE 4C, STE 2C and global longitudinal strain (GLS) was done using Student’s “t” test and comparison of MVA and LA volume was carried out using Wilcoxon signed rank test with p-value<0.05 considered as significant. Results: Mitral valve area increased to 1.7+0.11 cm2 post- BMV with a statistical significance of p<0.0001. LA volume showed a marked reduction after BMV i.e. 51.34 ± 20.14 sq.cm. There was a significant improvement in the LA strain i.e. STE 4C, STE 2C and GLA; with p<0.001. Conclusion: A marked improvement of the LA function among the patients with symptomatic mitral stenosis was observed, which was an indicator of successful BMV, with the aid of STE.","PeriodicalId":22442,"journal":{"name":"The Cardiology","volume":"33 1","pages":"38-41"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87964300","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

Indikácie a význam AMTK v klinickej praxi / Indication and importance of ABPM in clinical practice Indikácie a význam AMTK v klinickej praxi / ABPM在临床中的适应症和重要性

The Cardiology Pub Date : 2020-01-01 DOI: 10.4149/cardiol_2020_2_8

L. Gaspar, S. Filipová

引用次数: 0

Examining the Gallstone Existence in Patients with Coronary Artery Stenosis Compared to Non-Coronary Artery Stenosis 冠状动脉狭窄与非冠状动脉狭窄患者胆囊结石的比较研究

The Cardiology Pub Date : 2019-10-31 DOI: 10.36478/tcard.2019.1.6

Mehrnoosh Boroomandpoor, Nika Hajatpour

引用次数: 0

Dental Tissue-Derived Stem Cells Exerts Therapeutic Effects on Chronic Myocardial Infarction Model of Rabbit 牙组织源性干细胞对兔慢性心肌梗死模型的治疗作用

The Cardiology Pub Date : 2019-10-31 DOI: 10.36478/tcard.2014.1.6

S. Petchdee, N. Pattanapon, R. Bootcha, Petcharin Srivattanakul, Taweesak Songserm