Archives of Cardiology and Cardiovascular Diseases最新文献

{"title":"Results of the Experimentation of a Platform for Automated Detection of Situations at Risk of Cardiac Decompensation (E-CarePlatform) in Elderly Patients with Multiple Comorbidities","authors":"E. Andrès, S. Talha, M. Hajjam, O. Keller, J. Hajjam, S. Ervé, A. Hajjam","doi":"10.22259/2638-4744.0101001","DOIUrl":"https://doi.org/10.22259/2638-4744.0101001","url":null,"abstract":"Introduction: Monitoring patients with heart failure by telemedicine systems is a potential means susceptible to optimize the management of these patients and avoid life-threatening emergencies. In this context, we experimented in patients with chronic disorders, especially heat failure, an e-platform E-care dedicated to automated, intelligent detection of situations at risk of heart failure. Methods: The E-care platform based on medical sensors, communicating, to go up, in real time, to an intelligent physiological information and an analysis of the ontology medical, leading ultimately to the generation of alerts. These are related to a deterioration of the health status of patients in relation to a decompensation of chronic pathologies ( criterion dHS), in particular of heart failure (criterion dCHF), leading to a potential hospitalization. To validate these alerts, an experiment was conducted between February 2014 and April 2015. The E-care platform was deployed to patients followed in internal medicine. During this phase, alerts were collected and analyzed retrospectively in terms of sensitivity (se), specificity (spe), positive predictive values (ppv) and negative (npv) in relation to clinical data. Results: One hundred and eighty patients were included and 1,500 measurements were obtained. The patient profile included in this experiment was an elderly patient, with comorbidity in 90% of cases –mean Charlson score of 4.1), with chronic heart failure in more than 60% of cases. The analysis of the alerts shows: 1) for criterion dHS: se, spe, ppv and npv values of respectively 100%, 30%, 89% and 100%; and 2) for criterion dCHF: se, spe, ppv and npv values of 100%, 72%, 90% and 100%, respectively. Conclusion: These results show that the remote monitoring platform E-care can detect 100% of cardiac decompensation and that in 3⁄4 cases, the alerts are related to the latter. Only 10% of alerts are not directly related to HF. In this experiment, the results highlight that in the absence of alert, the patient has no problem, at the cost of many false alarms. In practice, the telemedicine system E-care therefore allows automatically, non-intrusive, generate alerts related to the deterioration of the patient’s health and especially cardiac decompensation.","PeriodicalId":274365,"journal":{"name":"Archives of Cardiology and Cardiovascular Diseases","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128785916","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":"Paroxysmal Complete Atrioventricular Block: Who is the True Culprit?","authors":"Yingyun Hu, Hong-Guang Wu, Hai-ying Li","doi":"10.22259/2638-4744.0302003","DOIUrl":"https://doi.org/10.22259/2638-4744.0302003","url":null,"abstract":"","PeriodicalId":274365,"journal":{"name":"Archives of Cardiology and Cardiovascular Diseases","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121331480","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":"Modern Trends of Mortality from Cardiovascular Diseases in the Novgorod Region","authors":"B. Fishman, P. Fedchenko, Victor Licitcin, A. Dovgal′, Pavel Staricov, M. Yukhno, O. Lole, A. Orechova","doi":"10.22259/2638-4744.0101005","DOIUrl":"https://doi.org/10.22259/2638-4744.0101005","url":null,"abstract":"Over-mortality (68%) due to cardiovascular diseases is typical for the Novgorod region. Among external causes of death, the mental, endocrine, musculoskeletal system diseases and road traffic injuries are the most underestimated. The analysis revealed a problem of poor quality of intravital diagnosis and inadequate treatment of patients with cardiac pathology, taking into account the multiplicity of concomitant diagnoses. The causes of death analyzed are rarely comparable with the data of intravital observations on the main classes of diseases, which indicates the widespread prevalence of medical errors.","PeriodicalId":274365,"journal":{"name":"Archives of Cardiology and Cardiovascular Diseases","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115990479","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 Diagnosis of Alcoholic Cardiomyopathy","authors":"Y. Wang, Guangsen Li","doi":"10.22259/2638-4744.0201005","DOIUrl":"https://doi.org/10.22259/2638-4744.0201005","url":null,"abstract":"","PeriodicalId":274365,"journal":{"name":"Archives of Cardiology and Cardiovascular Diseases","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128684095","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":"Effect of High-Altitude on Motorcycle Riders","authors":"Gerez Fernandes Martins, Italo Cesar de Sousa Ribamar","doi":"10.22259/2638-4744.0402001","DOIUrl":"https://doi.org/10.22259/2638-4744.0402001","url":null,"abstract":"","PeriodicalId":274365,"journal":{"name":"Archives of Cardiology and Cardiovascular Diseases","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128872957","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":"On the Question of the Timing of Development of Neuroleptic Cardiomyopathy","authors":"Volkov V.P","doi":"10.22259/2638-4744.0201004","DOIUrl":"https://doi.org/10.22259/2638-4744.0201004","url":null,"abstract":"By a morphometric method of research the macroscopic changes of the heart in the process of antipsychotic therapy and in neuroleptic cardiomyopathy was determined. The aim of this work was to study an issue about the timing of this disease. The analysis of the obtained results shows that the risk of development of severe iatrogenic complications – NCMP, which is due to the side cardiotoxic effects of antapsychotic drugs, increases abruptly after ten years of psychotropic treatment.","PeriodicalId":274365,"journal":{"name":"Archives of Cardiology and Cardiovascular Diseases","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125876571","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":"Fibrinolysis is Misunderstood which is Responsible for an Unsuccessful Therapeutic Design","authors":"V. Gurewich","doi":"10.22259/2638-4744.0201002","DOIUrl":"https://doi.org/10.22259/2638-4744.0201002","url":null,"abstract":"","PeriodicalId":274365,"journal":{"name":"Archives of Cardiology and Cardiovascular Diseases","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132550658","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":"STEMI in Women","authors":"L. Pathak, Salil Shirodkar, Jaideep Rajebahadur, S. Patil, A. Jhavar","doi":"10.15761/vdt.1000153","DOIUrl":"https://doi.org/10.15761/vdt.1000153","url":null,"abstract":"Background: Cardiovascular disease (CVD) is the leading cause of mortality in Indian women. Acute coronary syndromes (ACS), including unstable angina (UA), non–ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI), represent a large portion of the clinical presentation of coronary artery disease (CAD) in Indians. Despite the importance of CAD for women, there is persistent perception that CAD is a man’s disease. We have been interested in coronary artery disease in women and thereafter we observed interesting data about STEMI in women, particularly highlighting the incidence, risk factors, interventional procedure with immediate and long-term outcome. Methods: We studied clinical and angiographic profiles of 100 women admitted with STEMI who underwent coronary angiography and angioplasty over a period of 5 years at Nanavati Hospital, Mumbai, India. The objectives were to examine the distribution of risk factor and coronary angiographic patterns of CAD in women presenting with STEMI. Results: It was observed that myocardial infarction is most commonly involving women between the age 50 to 80 years. Diabetes mellitus and Hypertension were found to be most common risk factors involved in development of myocardial infarction in obese females. Most common presentation of STEMI was inferior wall MI. Most common coronary angiography finding was multi vessel disease. Conclusion: The clinical presentation of myocardial infarction in women varies from mild chest discomfort to severe unstable angina. Primary angioplasty is the gold standard treatment for such patients. Data about gender as an independent prognostic factor for death is conflicting. Women usually present at a later age with atypical symptoms and have higher rates of comorbidity, which translates to a worse prognosis post-ACS than men. As this study is based on experience at single centre, various biases may be possible.","PeriodicalId":274365,"journal":{"name":"Archives of Cardiology and Cardiovascular Diseases","volume":"2015 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133980713","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":"Simultaneous Development of Ischemic Stroke and Myocardial Infarction after Bonsai use in a Young Patient","authors":"Muhammet Gurdogan, U. Ozkan","doi":"10.22259/2638-4744.0101008","DOIUrl":"https://doi.org/10.22259/2638-4744.0101008","url":null,"abstract":"","PeriodicalId":274365,"journal":{"name":"Archives of Cardiology and Cardiovascular Diseases","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122193917","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":"Venous Thromboembolism in Hospitalization in the Cardiology Department of University Hospital Gabriel Toure","authors":"M. I, Ba H O, C. S., C. Y, T. D, S. I, Diall I B, Fofana Ch, Camara H, Sogodogo A, T. A., S. S, Sidibe N, D. M, Thiam C, K. M, Sanogo K","doi":"10.22259/2638-4744.0201001","DOIUrl":"https://doi.org/10.22259/2638-4744.0201001","url":null,"abstract":"","PeriodicalId":274365,"journal":{"name":"Archives of Cardiology and Cardiovascular Diseases","volume":"146 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123485016","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}