International Journal of Cardiovascular Practice最新文献_第5页

Prevalence of Coronary Artery Disease and Its Risk Factors in Patients Undergoing Permanent Pacemaker Implantation 永久性心脏起搏器植入患者冠状动脉疾病的患病率及其危险因素

International Journal of Cardiovascular Practice Pub Date : 2019-07-19 DOI: 10.29252/IJCP-25262

A. Jayaram, Jerry Iype, Deeksha Karkera, Sudhakar M Rao, Tom Devasiya, P. Ramachandran, Umesh M Pai, Jyothi Samanth, G. Paramasivam

{"title":"Prevalence of Coronary Artery Disease and Its Risk Factors in Patients Undergoing Permanent Pacemaker Implantation","authors":"A. Jayaram, Jerry Iype, Deeksha Karkera, Sudhakar M Rao, Tom Devasiya, P. Ramachandran, Umesh M Pai, Jyothi Samanth, G. Paramasivam","doi":"10.29252/IJCP-25262","DOIUrl":"https://doi.org/10.29252/IJCP-25262","url":null,"abstract":"Objective: To determine prevalence of CAD and its risk factors among patients undergoing permanent pacemaker implantation (PPI). Methods: This prospective, single-center hospital based study examined patients >40 years of age, who required PPI. Presence of atherosclerotic risk factors and CAD was examined. Results: Of 258 patients undergoing PPI, CAD was present in 50 (19.4%) patients. CAD was more common among middle age and elderly patients (P=0.032). Patients with age ≥50.5 years had sensitivity of 96.0% for an association with CAD. Multivariate analysis showed that age (odds ratio: 1.042; 95% confidence interval: 1.009–1.075; P=0.011) and diabetes (odds ratio: 3.437; 95% confidence interval: 1.618–7.303; P=0.001) had a statistically significant association with CAD. Of 31 patients with involvement of left anterior descending (LAD), 28 (43.1%) had associated atrioventricular (AV) nodal disease (P=0.01), suggesting an association between LAD disease and chronic degenerative changes in the AV node. Conclusion: CAD was present in 19.4% patients undergoing PPI. Age and diabetes have strong association with CAD. LAD stenosis was significantly associated with AV nodal/ infra-hisian disease.","PeriodicalId":31436,"journal":{"name":"International Journal of Cardiovascular Practice","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86447388","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

A Prospective Study of Prevalence of Carotid Artery Disease in Patients with Coronary Artery Disease and its Correlation with Traditional Atherosclerotic Risk Factors in Central India 印度中部冠心病患者颈动脉疾病患病率及其与传统动脉粥样硬化危险因素相关性的前瞻性研究

International Journal of Cardiovascular Practice Pub Date : 2019-06-20 DOI: 10.29252/IJCP-24576

U. Chandra, Y. Panwar, A. Bharani

{"title":"A Prospective Study of Prevalence of Carotid Artery Disease in Patients with Coronary Artery Disease and its Correlation with Traditional Atherosclerotic Risk Factors in Central India","authors":"U. Chandra, Y. Panwar, A. Bharani","doi":"10.29252/IJCP-24576","DOIUrl":"https://doi.org/10.29252/IJCP-24576","url":null,"abstract":"Introduction: Early atherosclerosis mainly involves carotid artery, which leads to increased carotid artery intima media thickness (CIMT).The potential value of CIMT improving the predictive capacity of traditional risk factors of CAD is an understudied and underutilized issue. Because of increasing availability of highly sensitive ultrasonography probes and for a noninvasive procedures, we can predict coronary artery disease (CAD) more precisely in patients having multiple traditional risk factors so it may reduce morbidity and mortality due to CAD and elevated CIMT can be used as surrogate marker of underlying CAD. Methods: This study enrolled 250 admitted patients as a case of CAD. The patients were assessed by detailed history taking, thorough clinical examination, measurement of CIMT, blood sugar and lipid level. Results: Carotid artery disease was present in 88 (35%) of 250 CAD patients. All modifiable cardiovascular risk factors were statistically significantly high in patients of CAD with carotid artery disease. In obese, diabetic, hypertensive, dyslipidemia and smoker patients, carotid artery disease was present in 55% (P = 0.00), 41% (P = 0.00), 43% (P = 0.007), 47% (P = 0.002) and 43% (P = 0.003) respectively. CAD patients who had 1 risk factor, 29% were associated with carotid artery disease. Comparison of single risk factor with patients who had no risk factor, there was non-significant correlation for carotid artery disease. CAD patients who had 2, 3, 4 and 5 risk factors, carotid artery disease was present 24 (32%) (p = 0.02), 15 (55%) (P = 0.0003), 17 (61%) (P = 0.00006) and 6 (67%) (P = 0.0008). Conclusion: elevated CIMT can be used as one of the important risk factor for early diagnosis of CAD and to reduce morbidity and mortality due to CAD.","PeriodicalId":31436,"journal":{"name":"International Journal of Cardiovascular Practice","volume":"89 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83450404","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

Serum Cortisol Level as a Predictor of In-Hospital Mortality in Patients Undergoing Primary Percutaneous Intervention for ST Segment Elevation Myocardial Infarction 血清皮质醇水平作为ST段抬高型心肌梗死经皮介入治疗患者住院死亡率的预测因子

International Journal of Cardiovascular Practice Pub Date : 2019-06-12 DOI: 10.29252/IJCP-24650

M. Rao, T. Devasia, H. Kareem, R. Padmakumar, A. Ashwal

{"title":"Serum Cortisol Level as a Predictor of In-Hospital Mortality in Patients Undergoing Primary Percutaneous Intervention for ST Segment Elevation Myocardial Infarction","authors":"M. Rao, T. Devasia, H. Kareem, R. Padmakumar, A. Ashwal","doi":"10.29252/IJCP-24650","DOIUrl":"https://doi.org/10.29252/IJCP-24650","url":null,"abstract":"Introduction: Various laboratory markers have been proposed to assess prognosis in myocardial infarction. Serum cortisol is one such laboratory marker. There are only few studies done in the recent past which prove that cortisol is a prognostic marker in STEMI. Methods: We studied a total of 168 patients who presented with STEMI and underwent primary percutaneous intervention (PPCI) within 12 hours of symptom onset between April 2016 and November 2016. Results: The average age of study population was 61 ± 0.12 years. Males were predominant (n = 132, 78.57%). 155 patients survived, whereas 13 patients died in the hospital. Mean syntax score was 16.65 ±5. 33 among patients who died, whereas it was 13.11 ± 5.62 among survivors (P = 0.03). Mean cortisol was significantly higher among the patients who died (46.13 ± 14.61 mcg/dl) than the survivors (31.16 ± 13.16 mcg/dl) (P = 0.003). The ROC AUC for in-hospital mortality was 0.77 (95% confidence interval [CI], 0.645–0.897). An optimal cut-point identified from the ROC curve was a random serum cortisol concentration of 33.66 mcg/dl, with corresponding sensitivity and specificity of 69.2 % and 64 %, respectively. At a cut-point of 29.55 mcg/dl, sensitivity and specificity were 84.6 and 50 %, respectively. Conclusion: This study showed that serum cortisol level is a strong predictor of mortality in patients undergoing PPCI for STEMI. Levels more than 33.66 mcg/dl can predict mortality with a sensitivity of almost 70 percent and specificity of 64 percent.","PeriodicalId":31436,"journal":{"name":"International Journal of Cardiovascular Practice","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89837883","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

Assessment of Strain and Strain Rate in Patients with Coronary Artery Disease Before and After Percutaneous Intervention on Left Anterior Descending Coronary Artery 经皮冠状动脉左前降支介入治疗前后冠状动脉患者应变及应变率的评估

International Journal of Cardiovascular Practice Pub Date : 2019-05-07 DOI: 10.29252/IJCP-24016

Ali Heidari Sarvestani, A. Separham, Naser khezerloo

{"title":"Assessment of Strain and Strain Rate in Patients with Coronary Artery Disease Before and After Percutaneous Intervention on Left Anterior Descending Coronary Artery","authors":"Ali Heidari Sarvestani, A. Separham, Naser khezerloo","doi":"10.29252/IJCP-24016","DOIUrl":"https://doi.org/10.29252/IJCP-24016","url":null,"abstract":"Introduction: Strain (S) and Strain Rate (SR) as echocardiography parameters are important in assessing changes in myocardial tissue and global and regional evaluation of systolic and diastolic functions and in detection of myocardial disorders as they change in early stages of myocardial ischemia. Therefore, the aim of this study was to compare changes of S and SR indices in systolic phase in patients with a significant stenosis of left anterior descending (LAD) before and after percutaneous coronary intervention (PCI). Methods: 48 patients candidate for PCI with significant lesion in LAD were enrolled in this study. Echocardiographic images taken one day before and a week after PCI. Echocardiographic scope of the LAD was defined as mid, basal, anteroseptal and mid-septal and apical segments then, S and SR parameters in all segments measured separately during systolic phase before and after PCI and compared together. Results: there was a significant increase after PCI only in two segments and SR values showed significant increase after PCI in four segments. In the analysis of sum of mean parameters, a significant increase was observed in SR values (10.12 to 11.30; P = 0.001), but not in S values (149.54 to 143.36; P = 0.1) Conclusions: The remedial effect of PCI on deformation values was observed in the first week. In early reperfusion period, S/SR indices have potential to be used as determinants of favorable response to revascularization therapy.","PeriodicalId":31436,"journal":{"name":"International Journal of Cardiovascular Practice","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89493764","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

9P21.3 locus; An Important Region in Coronary Artery Disease: A Panel Approach to Investigation of the Coronary Artery Disease Etiology 9 . 3轨迹;冠状动脉疾病的重要区域:冠状动脉疾病病因调查的小组方法

International Journal of Cardiovascular Practice Pub Date : 2019-05-07 DOI: 10.29252/IJCP-25001

Soodeh Omidi, F. Ebrahimzadeh, Samira Kalayinia

引用次数: 3

Short-and Long–Term Follow–up in the Elderly Patients With ST–Elevation Myocardial Infarction Receiving Primary Angioplasty or Thrombolytic Therapy 接受初级血管成形术或溶栓治疗的老年st段抬高型心肌梗死患者的短期和长期随访

International Journal of Cardiovascular Practice Pub Date : 2019-03-16 DOI: 10.21859/IJCP-403

M. Kazemi, K. Alimohammadzadeh, A. Maher

{"title":"Short-and Long–Term Follow–up in the Elderly Patients With ST–Elevation Myocardial Infarction Receiving Primary Angioplasty or Thrombolytic Therapy","authors":"M. Kazemi, K. Alimohammadzadeh, A. Maher","doi":"10.21859/IJCP-403","DOIUrl":"https://doi.org/10.21859/IJCP-403","url":null,"abstract":"Introduction: The ischemic time serves as the most important parameter for treatment choice in patients with ST–elevation myocardial infarction (STEMI). The current study aimed at comparing the short– and long–term follow–up of elderly patients with STEMI undergoing primary angioplasty (PCI) or thrombolytic therapy. Methods: The current cross sectional study was conducted on all patients aged >65 years, admitted to the emergency department of Imam Hossein Hospital, Tehran, Iran from January 2014 to July 2016, diagnosed with STEMI . The demographics, medical history, family history, and mediation history were recorded for all patients. Patients received PCI or thrombolytic therapy based on the ischemic time and the treatment outcome and the following events were recorded. Patients were contacted after six months and data of their death or used treatments were recorded. All data were compared between the groups. Results: Of all patients, 38 subjects received thrombolytic therapy and 62 PCI. There was no significant difference between the groups in terms of mean age and gender (P=0.5 and 0.1, respectively). The frequency of positive medical history and smoking did not differ between the groups. There was no difference in the mean values of vital signs or serum parameters, mean ischemic time, left ventricular ejection fraction (LVEF), frequency of pulmonary emboli, cardiogenic shock, the involved vessel, and post-treatment complications between the groups (P>0.05). Of the 14 cases that died after six months, five were in the thrombolytic therapy group and nine in the PCI group (P=0.8). Mean hospital stay was not different between the groups (P=0.5). Conclusions: The results of the present study on two groups with similar demographics showed no significant difference between the groups in terms of the short– and long–term follow–up of PCI and thrombolytic therapy. The results indicated the appropriateness of treatment choice based on ischemic time and the available methods.","PeriodicalId":31436,"journal":{"name":"International Journal of Cardiovascular Practice","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82978774","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

Electrocardiography in Post-heart Transplant 心脏移植后的心电图

International Journal of Cardiovascular Practice Pub Date : 2019-03-05 DOI: 10.21859/IJCP-405

Neda Toofaninejad

引用次数: 0

Comparison of Face to Face vs. Group Training on Self-pulse Rate taking Ability of Patients 面对面训练与小组训练对患者自我脉搏测量能力的比较

International Journal of Cardiovascular Practice Pub Date : 2019-02-20 DOI: 10.21859/IJCP-401

H. Saadat, Roxana Sadeghi, Maryam Jannatipour, A. Abadi, Z. Saadat, Saeed Parsa

{"title":"Comparison of Face to Face vs. Group Training on Self-pulse Rate taking Ability of Patients","authors":"H. Saadat, Roxana Sadeghi, Maryam Jannatipour, A. Abadi, Z. Saadat, Saeed Parsa","doi":"10.21859/IJCP-401","DOIUrl":"https://doi.org/10.21859/IJCP-401","url":null,"abstract":"Introduction: Determining the rate and regularity of peripheral arterial pulses has a major role in assessing the clinical status of patients with cardiovascular disorders. We compared two training methods on the ability of patients to take their radial pulse rate accurately. Methods: Three-hundred patients were randomly divided into two arms. One arm received individual face-to-face training and the other arm received group training via displaying an animation movie. Immediately after the training and then after 48 hours, the patients were tested by a nurse to find out whether they have learned the correct technique of taking radial pulse rate or not. Results: Immediately after the intervention, 84.9% in face-to-face arm and 81.8% in group training arm were able to correctly count their radial pulse rate (P = 0.536). After 48 hours, 71.7% in face-to-face and 60.8% in group training arm were able to correctly count their radial pulse rate (P = 0.051). Conclusions: Both methods were effective to improve the ability of the patients to count their radial pulse rate correctly though face-to-face method was marginally superior to group training.","PeriodicalId":31436,"journal":{"name":"International Journal of Cardiovascular Practice","volume":"119 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81732688","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

Thrombophilia in Pregnancy 妊娠期血栓形成

International Journal of Cardiovascular Practice Pub Date : 2019-02-20 DOI: 10.21859/IJCP-404

C. Hoţoleanu

{"title":"Thrombophilia in Pregnancy","authors":"C. Hoţoleanu","doi":"10.21859/IJCP-404","DOIUrl":"https://doi.org/10.21859/IJCP-404","url":null,"abstract":"Pregnancy represents a physiologic hypercoagulable state. The presence of inherited thrombophilias (factor V Leiden, prothrombin G20210A mutation, deficiencies of protein C, protein S and antithrombin) or acquired thrombophilias (antiphospholipid syndrome) increases the risk for venous thromboembolism, which represents one of the most common causes of direct maternal death. The clinical diagnosis of thrombosis can be difficult because of the overlap of symptoms with pregnancy-related manifestations. Antiphospholipid syndrome is correlated with early and late pregnancy complications whereas the association between the inherited thrombophilias and adverse pregnancy outcomes is still controversial. The psychological impact of thrombophilia in pregnancy should be also taken into consideration to prevent the negative effects of anxiety and stress on mother’s health and on birth outcomes. Thrombophilia testing in pregnancy is recommended only in cases in which the result is likely to influence the therapeutic decision. Low-molecular-weight heparins are the preferred anticoagulant for prophylaxis and therapy of thromboembolic events in pregnancy, presenting a low incidence of side effects. Future research is required to establish the optimal therapeutic strategy in pregnant women with thrombophilia, based upon a better stratification, in order to prevent thromboembolism and to improve pregnancy outcomes.","PeriodicalId":31436,"journal":{"name":"International Journal of Cardiovascular Practice","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90988283","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

Superselective Angioembolisation: A Report of Two Rare Cases of Hemoptysis 超选择性血管栓塞术:2例罕见咯血病例报告

International Journal of Cardiovascular Practice Pub Date : 2019-02-10 DOI: 10.21859/IJCP-402

M. Keshmiri, B. Sharif-Kashani, A. Serati, Seyed Reza Seyedi, F. Naghashzadeh, S. Salehi, Omid Dehghan

引用次数: 2