The Egyptian Heart Journal最新文献_第9页

Post cardiac surgery sternal wound sepsis burden, risk factors and outcomes at Red Cross War Memorial Children’s Hospital, Cape Town, South Africa: A five-year experience 南非开普敦红十字战争纪念儿童医院心脏手术后胸骨伤口败血症负担、危险因素和结局:五年经验

The Egyptian Heart Journal Pub Date : 2020-04-30 DOI: 10.24170/17-1-4021

F. Mpisane, A. Brooks, W. Basera, L. Zühlke

{"title":"Post cardiac surgery sternal wound sepsis burden, risk factors and outcomes at Red Cross War Memorial Children’s Hospital, Cape Town, South Africa: A five-year experience","authors":"F. Mpisane, A. Brooks, W. Basera, L. Zühlke","doi":"10.24170/17-1-4021","DOIUrl":"https://doi.org/10.24170/17-1-4021","url":null,"abstract":"Purpose: Sternal wound infection (SWI) is associated with significant morbidity and mortality in post-operative cardiac patients. We aimed to describe the burden, risk factors and outcomes of SWI in post-operative paediatric cardiac patients at a tertiary children’s hospital. Methods: We conducted a retrospective record review of cardiac surgeries via median sternotomy over a 5-year period to identify cases of SWI. Results: Between 2011 and 2016, 1 319 patients underwent median sternotomy. Thirty four (2.6%) patients developed SWI; 18 (13%) patients developed deep sternal wound infection (DSWI), and 16 (12%) developed superficial sternal wound infections (SSWI). Twenty two (16%) of SWIs were apparent within a week postsurgery before discharge, and the remaining were readmitted post-discharge. Seven (0.5%) patients died from complications. Conclusion: Significant morbidity was associated with SWI. Furthermore, with a mortality rate of 20% in the case of DSWI, we strongly support quality improvement procedures such as the Sternal Wound Prevention Bundle (SWPB) that was introduced in late 2014. However, the rate of SWI implies that ongoing monitoring and evaluation of the SWPB is necessary and more stringent adherence to the protocol may result in better outcomes .","PeriodicalId":22462,"journal":{"name":"The Egyptian Heart Journal","volume":"109 1","pages":"78-89"},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74889417","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

Cardiac catheterisation and surgery in Namibia 纳米比亚的心脏导管插入术和手术

The Egyptian Heart Journal Pub Date : 2020-04-30 DOI: 10.24170/17-1-4029

F. Shidhika, Alfred Mureko, Nicolaas Feris, W. Mey, H. Toit, Simon Beshir, J. Mumba, M. Jordaan, N. Afshani, M. Joseph, M. Phillips, Ndapewa Ipinge, Ndati Agapitus, Pascal Walters, Progress Mhangami, Sphamandla Simelane, Y. Makar, T. Michael, E. Rieth, J. Brink, O. Stumper

引用次数: 1

The year in cardiology: valvular heart disease. The year in cardiology 2019. 心脏病学年度:瓣膜性心脏病。2019年是心脏病学年。

The Egyptian Heart Journal Pub Date : 2020-04-30 DOI: 10.24170/17-1-4026

R. Binder, M. Dweck, B. Prendergast

引用次数: 0

Non-compliant left atrium masquerading as severe mitral regurgitation on cardiac catheterisation haemodynamics 不顺应左心房伪装成严重二尖瓣反流心导管血流动力学

The Egyptian Heart Journal Pub Date : 2020-04-30 DOI: 10.24170/17-1-4031

P. Mkoko, B. Cupido

引用次数: 0

The short and one-year outcome of transcatheter Patent Ductus Arteriosus closure at Inkosi Albert Luthuli Central Hospital, Durban, South Africa: A Descriptive retrospective chart review 南非德班Inkosi Albert Luthuli中心医院经导管动脉导管未闭闭合的短期和一年结果:描述性回顾性图表回顾

The Egyptian Heart Journal Pub Date : 2020-04-30 DOI: 10.24170/17-1-4020

K. Koolash, E. Hoosen

{"title":"The short and one-year outcome of transcatheter Patent Ductus Arteriosus closure at Inkosi Albert Luthuli Central Hospital, Durban, South Africa: A Descriptive retrospective chart review","authors":"K. Koolash, E. Hoosen","doi":"10.24170/17-1-4020","DOIUrl":"https://doi.org/10.24170/17-1-4020","url":null,"abstract":"Background: Transcatheter closure of patent ductus arteriosus is a common intervention worldwide. A review of the outcomes of patients undergoing this procedure was undertaken at a central hospital in Durban, South Africa. Methods: Retrospective observational descriptive study of the short ( 1 year) efficacy and safety of patients who underwent transcatheter closure of PDA from January 2010 - December 2015 at Inkosi Albert Luthuli Central Hospital (IALCH), Durban, KwaZulu-Natal. Results: Over the 5 years, 181 patients underwent cardiac catheterisation for PDA closure: 170 (93.9%) had successful percutaneous closure, and 11 (6.07%) required surgical ligation. Mean age was 30.2 ± 9.7 months, weight 11.2kg ± 3.6kg, PDA diameter on echocardiography was 3.64mm (SD ± 0.97mm), fluoroscopy time 13.66 minutes (SD ± 4.37min) and radiation dose 468.61 microGrays (SD ± 149.9microGrays). Devices used included the Amplatzer Duct Occluder (ADO) I, ADO II, ADO II AS, Cera, Occlutech, detachable coils and vascular plugs. Twenty-five patients (15%) had complications (6 major: 2 device embolisation, 1 blood loss and 3 pulse loss). Conclusion: Percutaneous PDA closure at IALCH, South Africa, had a comparable level of safety and efficacy to reports from other centres.","PeriodicalId":22462,"journal":{"name":"The Egyptian Heart Journal","volume":"1 1","pages":"70-76"},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89961408","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

ECG Quiz 57 Answer 心电图测验57答案

The Egyptian Heart Journal Pub Date : 2020-04-30 DOI: 10.24170/17-1-4034

R. Millar, A. Chin

引用次数: 0

In memoriam: Lionel Henry Opie (06 May 1933 - 20 February 2020) 纪念:莱昂内尔·亨利·奥皮(1933年5月6日- 2020年2月20日)

The Egyptian Heart Journal Pub Date : 2020-04-30 DOI: 10.24170/17-1-4030

N. Ntusi

引用次数: 0

Response to letter on the Cape Town Declaration 对《开普敦宣言》致函的回应

The Egyptian Heart Journal Pub Date : 2019-12-19 DOI: 10.24170/16-4-3840

P. Zilla, R. Bolman, P. Boateng

{"title":"Response to letter on the Cape Town Declaration","authors":"P. Zilla, R. Bolman, P. Boateng","doi":"10.24170/16-4-3840","DOIUrl":"https://doi.org/10.24170/16-4-3840","url":null,"abstract":"Heart Federation]) formed an umbrella body (“Cardiac Surgery Intersociety Alliance” [CSIA]) – with the goal of jointly facilitating access to cardiac surgery in the developing world. It was ratified by all councils and is chaired by Robert Higgins, Chief at Johns Hopkins and President of STS. As called for in the Cape Town Declaration, the main mission of CSIA is to facilitate the establishment of local cardiac surgical capacity rather than fly-in “missions” or sporadic “fly-out” assistance affecting only a few children. As stated in our joint assessment of “Global unmet needs in cardiac surgery”(3) “The question as to whether these fly-in or fly-out missions have benefitted a few while harming the many is a controversial topic of ongoing debates. While one may argue that these missions could be seen as trial-runs for the infrastructure and interdisciplinary skills-harmonisation necessary for commencing local openheart surgery, the long-term verdict is largely less positive. In the long run, ‘missions’ – f inanced by NGOs or their governments and mostly deploying big teams for a handful of predominantly congenital corrections and well publicized ‘fly-out’ missions for a handful of children to private health businesses provided the local governments with fig leaves. Being able to superficially claim that heart surgery was offered to their population, allowed them to camouflage the gap between the population’s needs for life-saving surgery and the actually offered miniscule relief for society.”","PeriodicalId":22462,"journal":{"name":"The Egyptian Heart Journal","volume":"94 1","pages":"302-303"},"PeriodicalIF":0.0,"publicationDate":"2019-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74408514","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

Neurodevelopmental evaluation and referral practices in children with congenital heart disease in central South Africa 南非中部先天性心脏病儿童的神经发育评估和转诊实践

The Egyptian Heart Journal Pub Date : 2019-12-19 DOI: 10.24170/16-4-3844

R. Smith, H. Nel, C. Marais, R. Kraaij, H. Roux, E. Scholtz, R. Steenkamp, T. V. Eeden, M. V. Wyk, C. V. Rooyen, S. Brown

{"title":"Neurodevelopmental evaluation and referral practices in children with congenital heart disease in central South Africa","authors":"R. Smith, H. Nel, C. Marais, R. Kraaij, H. Roux, E. Scholtz, R. Steenkamp, T. V. Eeden, M. V. Wyk, C. V. Rooyen, S. Brown","doi":"10.24170/16-4-3844","DOIUrl":"https://doi.org/10.24170/16-4-3844","url":null,"abstract":"Introduction: Children with congenital heart disease (CHD) are at higher risk for developmental delays than the general population. The American Heart Association (AHA) published a guideline to address these concerns in 2012. This study determined the neurodevelopmental evaluation and referral practices of practitioners in central South Africa. Method: An online survey was administered to practitioners (n=45) including paediatric cardiologists (n=4), cardiothoracic surgeons (n=4) and general paediatricians (n=37). Information on practitioner characteristics, awareness of the 2012 AHA guideline; and neurodevelopmental evaluation and referral practices was collected. Results: Twenty-one practitioners responded, including paediatric cardiologists (n=4), cardiothoracic surgeons (n=2) and paediatricians (n=15). Data for 20 practitioners was included. Despite most practitioners (n=18) indicating guidelines for the management of development were important, the majority (n=16; 80%) were unaware of the guideline. Most practitioners (n=18; 90%) failed to risk stratify children to identify those to be evaluated. Children with developmental delays were referred for formal developmental evaluation (n=11; 55%) and to intervention therapies (n= 15; 75%). Conclusion: Most practitioners are unaware of the 2012 AHA guideline. Awareness of the developmental risks associated with CHD and implementation of the guideline could promote early identification of developmental delays with referral to intervention therapies.","PeriodicalId":22462,"journal":{"name":"The Egyptian Heart Journal","volume":"11 1","pages":"324-332"},"PeriodicalIF":0.0,"publicationDate":"2019-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78406476","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

ECG Quiz 56 Answer 心电图测试56答案

The Egyptian Heart Journal Pub Date : 2019-12-19 DOI: 10.24170/16-4-3846

A. Chin, R. Millar

引用次数: 0