Journal of Vessels and Circulation最新文献

{"title":"The Epidemiologic Features of Patients With Acute Stroke During COVID-19 Pandemic in a COVID-19 Center in Qazvin City, Iran","authors":"S. Mavandadi, Roghayeh Mehrdel, Mahyar Seddighhi, H. Mozhdehipanah","doi":"10.32598/jvc.2.3.92.1","DOIUrl":"https://doi.org/10.32598/jvc.2.3.92.1","url":null,"abstract":"Background and Aim: The novel coronavirus 2019 (COVID-19) disease is a global pandemic with different presentations ranging from mild respiratory problems to severe septic shock. Previous studies have established the association between acute stroke and COVID-19. Herein, we describe the characteristics of patients with stroke during the COVID-19 pandemic. Materials and Methods: In this cross-sectional study, all patients with acute stroke referred to Bouali Hospital were enrolled from March to June 2020. The patients were categorized into two groups with and without COVID-19. Then, the demographic and clinical characteristics of stroke patients in both groups were evaluated. Eventually, SPSS software, version 22 was used to analyze the data. Results: A total of 61 patients with acute stroke were identified, of which 22 patients were positive for COVID-19. Except for the in-hospital mortality (P=0.07) and type of hemorrhagic transformation (P=0.02), we did not find a significant difference in the demographic and clinical characteristics of patients in both groups. The majority of patients with COVID-19 were severely symptomatic. However, the severity of chest CT involvement was significantly correlated with the mean modified Rankin scale (P=0.05). Conclusion: In this study, we revealed that acute stroke affected COVID-19 patients with traditional stroke risk factors at an age typically seen in non-COVID populations, which mainly constitute cryptogenic acute ischemic stroke. We also noted a higher in-hospital mortality rate in patients with COVID-19-associated stroke, which reflects a worse outcome of COVID-19. These results highlight the possible hypercoagulopathy state associated with COVID-19, which predisposes patients to develop stroke.","PeriodicalId":318985,"journal":{"name":"Journal of Vessels and Circulation","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121075141","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":"Coronary Artery Bypass Graft Compared to Percutaneous Coronary Interventions in Patients With Coronary Artery Disease: A Cost-Effectiveness Analysis","authors":"Farbod Ebadifard Azar, Saeed Sheikh Gholami, A. Rezapoor","doi":"10.32598/jvc.2.1.85.2","DOIUrl":"https://doi.org/10.32598/jvc.2.1.85.2","url":null,"abstract":"Background and Aim: Coronary Artery Diseases (CADs) affect different physical, social, and economic aspects of patients’ lives. The cost-effectiveness analysis is a way to examine both the costs and health outcomes of one or more therapeutic interventions of this disease. In other words, it compares an intervention to another one by estimating how much it costs to gain a unit of a health outcome, for instance, a life-year gained or death prevented. This study aimed to compare Coronary Artery Bypass Graft (CABG) with Percutaneous Coronary Intervention (PCI) in patients with CADs. Materials and Methods: This study is descriptive-analytical. It was conducted on 601 patients who underwent CABG (n=287) and PCI (n=314) in three aspects. The first aspect is to measure the effectiveness of CABG and PCI (cardiac mortality rate and quality of life). The second aspect is to estimate the direct costs (e.g. medical and non-medical costs) and indirect costs (e.g. productivity losses due to morbidity and mortality) based on a societal perspective. The third aspect is the cost-effectiveness analysis. The obtained data were analyzed with Markov cohort simulation using Excel and the TreeAge tool. Uncertainties related to model parameters were evaluated using 1-way and 2-way sensitivity analyses. Results: During the follow-up period, 2% and 0.8% of patients died after CABG and PCI intervention, respectively. The Mean±SD EuroQol- 5 Dimension (EQ-5D) score after 12 months was 0.72±0.15 for the CABG group and 0.66±0.19 for the PCI group. All the therapeutic strategies yielded significant improvement in all dimensions during the follow-up. The mean annual total cost for the overall sample was $6243 per patient. This cost was significantly higher among patients who underwent CABG ($7234 per patient) than PCI ($5252 per patient). Direct costs accounted for 90%, and indirect costs accounted for 10% of the total costs. And the cost-effectiveness threshold was $14375. The Incremental Cost- Effectiveness Rate (ICER) in reducing mortality rate and increasing Quality of Life (QoL) was $-942.7 and $106050, respectively. Conclusion: The present study found which intervention (PCI and CABG) had better cost-effectiveness in CAD patients. PCI intervention is more cost-effective than CABG in reducing mortality rate and increasing quality of life. This study tries to resolve the previous controversies regarding the most appropriate treatment for patients with coronary artery disease. It can have significant policy and clinical implications for health policymakers, cardiologists, and health managers.","PeriodicalId":318985,"journal":{"name":"Journal of Vessels and Circulation","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115847496","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 Effect of Muscle Endurance Training on Blood Pressure, Resting Heart Rate and Endothelin-1 Levels in Inactive Men","authors":"S. Ramezani, Seyed Abbas Biniaz, M. Yaghoubi, Mohsen Akbarpour Beni","doi":"10.32598/jvc.2.1.76.1","DOIUrl":"https://doi.org/10.32598/jvc.2.1.76.1","url":null,"abstract":"Background and Aim: Sports activities play a protective and preventive role against heart diseases by reducing their risk factors. This study aimed to evaluate the effect of resistance training by muscle endurance method on blood pressure, heart rate, and plasma endothelin-1 levels of inactive healthy men. Materials and Methods: In this quasi-experimental study, 30 middle-aged men (Mean±SD age: 47.03±2.12 years, Mean±SD height: 172.90±3 cm, Mean±SD weight: 80.70±3.1 kg, Mean±SD Body Mass Index: 27.47±3.66 kg/m², and Mean±SD waist to hip ratio: 0.98 0±1.27) were purposefully selected and then randomly divided into the control and experimental groups (each 15 members). The experimental group performed 8 weeks of resistance training, three sessions per week with an intensity of 40% to 70% of 1 repetition maximum. Plasma endothelin-1, systolic and diastolic blood pressure, and resting heart rate were measured before and after 8 weeks of exercise. The dependent t-test was used to examine intra-group changes, and the independent t-test was used for inter-group differences. The significance level was considered less than 0.05. Results: Eight weeks of muscular endurance resistance training significantly reduced endothelin-1 plasma levels of inactive middle-aged men (P=0.002). Also, 8 weeks of resistance training significantly reduced their systolic blood pressure (P=0.001) and resting heart rate (P=0.01), but the decrease in diastolic blood pressure was not significant (P=0.0411). Conclusion: Based on the present study results, muscular endurance resistance training as a preventive factor can decrease the risk of hypertension and heart disease in healthy middle-aged men by reducing plasma endothelin-1 levels, systolic blood pressure, and resting heart rate.","PeriodicalId":318985,"journal":{"name":"Journal of Vessels and Circulation","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124477578","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":"Cardiovascular Complications of COVID-19 in Patients With Multiple Sclerosis: A Lesson From Our Experience","authors":"Seyed Fakhreddin Hejazi, Fereshteh Shahrab, T. Sabokbar, S. Hejazi","doi":"10.32598/jvc.2.1.74.2","DOIUrl":"https://doi.org/10.32598/jvc.2.1.74.2","url":null,"abstract":"Background and Aim: COVID-19 is an emerging threat that could affect the cardiovascular system in the setting of a cytokine storm syndrome. This study examines the cardiac injury associated with COVID-19 in patients with Multiple Sclerosis (MS). Case Presentation: We analyzed 6 cases of MS in association with COVID-19 who underwent cardiac evaluation during their hospitalization. The mean age of our patients was 36.6 years. Two patients had Secondary Progressive MS (SPMS), one patient had Primary Progressive MS (PPMS), and the rest had Relapsing-Remitting MS (RRMS). Our patients were on both immunomodulatory and immunosuppressive Disease-Modifying Therapies (DMTs). None of our patients had a cardiovascular risk factor or developed cardiovascular complications. Their electrocardiogram, echocardiography, and cardiac enzymes were within normal limits. Results: Their mean length of hospitalization was 11.8 days. After a month of follow-up, all patients returned to their baseline neurological status except the one with PPMS and moderate COVID-19, who experienced 0.5 points increase in her expanded disability status scale score. Conclusion: Patients with MS might be at risk of developing severe COVID-19 in which cardiac injury is a crucial complication. There are limited data describing myocarditis associated with COVID-19 in patients with MS. However, our cases revealed no evidence of cardiac injury in patients with MS, even under immunosuppressive DMTs.","PeriodicalId":318985,"journal":{"name":"Journal of Vessels and Circulation","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114554070","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 Strategies to Improve Quality Care in Pediatric Angiography","authors":"H. Heidari, A. Khaledifar, A. Ahmadi","doi":"10.32598/jvc.2.1.78.1","DOIUrl":"https://doi.org/10.32598/jvc.2.1.78.1","url":null,"abstract":"Background and Aim: The development of technology and the increase of intensive care beds strongly demand a professional care team in these areas. In addition, intensive care staff experience severe occupational stressors such as time pressure, low social support, overwork, and spiritual and moral distress. This study aimed to explain the strategies for promoting quality care in pediatric angiography. Materials and Methods: This is a qualitative study conducted with the participation of 20 members of the care unit. Sampling was done until data saturation. Data analysis was performed using qualitative content analysis. Results: By analyzing the data, three reform classes of structural management, human resource management, and human interaction were found. Conclusion: The strategies to improve the management of the Angiography Department are affected by various factors such as structural management, human resource management, and human interaction. To improve the management of this department, managers should pay special attention to the standardization of the department and increase the level of communication skills of the care team.","PeriodicalId":318985,"journal":{"name":"Journal of Vessels and Circulation","volume":"15 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113968345","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":"Myocarditis, a Life-Threatening Presentation of COVID-19 in a 4-Month-Old Infant","authors":"Shima Zargar, Y. Ghandi, M. Mousavi-Hasanzadeh","doi":"10.32598/jvc.2.1.70.1","DOIUrl":"https://doi.org/10.32598/jvc.2.1.70.1","url":null,"abstract":"Background and Aim: Significant cardiac sequelae may be one of the main causes of death in COVID-19 patients; however, very few reports are available that address these complications and their treatment strategies in children. Case Presentation: A 4-month-old male infant was admitted to the pediatric intensive care unit with sudden tachycardia, tachypnea, and low oxygen saturation after surgery. Laboratory tests and echocardiography revealed elevated troponin I levels and myocardial dyskinesia with decreased Left Ventricular Ejection Fraction (LVEF= 50%) and pulmonary hypertension (30 mm Hg) consistent with the cardiac injury. Despite his normal chest x-ray, the chest CT scan disclosed ground-glass opacities in the periphery of the left lower lobe indicative of viral infection. The patient fulfilled the diagnostic criteria of the “Chinese expert consensus statement for clinical myocarditis”. The viral test for COVID-19 obtained on the first day of admission was found positive a few days later. The patient successfully recovered clinically after receiving anti-failure therapy and IVIG. Trop I level reduced to 0.10 g/L, and the LVEF eventually recovered to 68%. Conclusion: COVID-19 patients may develop severe cardiac complications such as myocarditis and heart failure. Myocarditis in this patient was treated without antiviral drugs and only with supportive therapies.","PeriodicalId":318985,"journal":{"name":"Journal of Vessels and Circulation","volume":"315 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125197715","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 Epidemiological Study, Clinical Signs, Complications, and Treatment of Cellulities in Children","authors":"S. Rezvan, E. Noori, H. Heidari, Z. Movahedi","doi":"10.32598/jvc.2.1.64.5","DOIUrl":"https://doi.org/10.32598/jvc.2.1.64.5","url":null,"abstract":"Background and Aim: Cellulite is the most common soft tissue infection in children. Children are prone to cellulite because they are more disposed to trauma, insect or animal bites, wounds, and scratches. This study aimed to determine the frequency of causes, complications, and cellulite treatment in children referred to Hazrat Masoumeh Hospital in Qom City, Iran. Materials and Methods: This descriptive study was performed on all patients admitted to Hazrat Masoumeh Hospital in Qom during 2013-2020. The study data were extracted from patients’ medical records and statistically analyzed. Results: The Mean±SD age of the patients was 42.94±38.15 months. Their male/female sex ratio was almost one. The most affected areas were the lower extremities (43%), the upper extremities (26.5%), and the face and eyes (6.6%). The most common clinical manifestations were edema (75%), redness (62%), and fever (38%). The most commonly prescribed antibiotics were ceftriaxone (47%), cloxacillin (34.7%), and clindamycin (28%). The most common underlying causes were bites (16%), trauma (10%), and previous wounds (9%). Complications were abscesses (10%) and osteomyelitis (1.6%). Their Mean±SD values of erythrocyte sedimentation rate, C-reactive protein, and white blood count were 32.46±26.03 (mm/h), 24.14±23.07 (mg/dl), 12261±4587 (cell/μL), respectively. Preference was seen with Polymorphonuclear leukocytes (PMNs) in 80.5% of the cases. Blood culture was positive in 8% of the patients. According to the antibiogram response, the highest resistance was seen against cefazolin and then ceftriaxone, and the highest sensitivity to imipenem and ceftazidime. Conclusion: Finally, due to the limitations of retrospective research in collecting information, future research should focus on evaluating specific treatments and diagnostic methods for diseases such as cellulite in Iran. Future research can determine the prevalence of organisms involved in our country, as well as the type of appropriate treatment for all inpatients and outpatients.","PeriodicalId":318985,"journal":{"name":"Journal of Vessels and Circulation","volume":"53 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122470002","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 Effect of Selected Pilates Exercises on Balance, Blood Pressure, and Body Composition of Inactive Healthy Elderly Women","authors":"S. Ramezani, Sayed Abbas Biniaz, M. Yaghoubi, Nasrin Asadollahi","doi":"10.32598/jvc.2.1.76.2","DOIUrl":"https://doi.org/10.32598/jvc.2.1.76.2","url":null,"abstract":"Background and Aim: Aging is a process during which most of the body’s physiological functions are gradually weakened and disrupted. This study aimed to investigate the effect of 8 weeks of selected Pilates exercises on balance, body composition, and blood pressure in healthy older women. Materials and Methods: This randomized quasi-experimental study with the pre-test, posttest design was performed on 20 inactive older women with a Mean±SD age of 62±2.5 years, Mean±SD height of 160.6±4.51 cm, and Mean±SD weight of 67.70±4.60 kg. The participants were randomly divided into experimental (n=10) and control (n=10) groups. The experimental group participated in the Pilates program for 8 weeks, 3 sessions per week. During this period, the control group did not participate in any training program. The studied variables in the training group were evaluated at the beginning and after 8 weeks of the program. Finally, the results of pre-test and post-test exercises of both groups were compared. The Kolmogorov-Smirnov test was used to ensure the normality of the data and paired t test and analysis of variance was used to analyze intra-group and inter-group findings, respectively. The significance level was set as less than 0.05. Results: Eight weeks of Pilates training significantly increased static (P=0.04) and dynamic (P=0.0001) balance and significantly decreased body fat percentage (P=0.001) in older women. However, the results showed that Pilates exercises had no significant effect on blood pressure and waist to hip ratio in older women (P≥0.05). Conclusion: Pilates exercises can improve balance and reduce the percentage of body fat in older women, and it is a suitable and inexpensive alternative or complementary treatment to improve balance and reduce falls. However, more studies are needed on the effect of this type of exercise on other indicators of elderly health.","PeriodicalId":318985,"journal":{"name":"Journal of Vessels and Circulation","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130458421","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":"Implementing Johnson’s Behavioral System Model in a Patient With Heart Failure: A Case Study","authors":"L. Ghanbari Afra, Mahsa Haji Mohammad Hoseini","doi":"10.52547/jvesselcirc.1.4.45","DOIUrl":"https://doi.org/10.52547/jvesselcirc.1.4.45","url":null,"abstract":"Case Presentation: This case report study was performed in 2020 in a hospital affiliated with Qom University of Medical Sciences, Qom City, Iran. A patient with coronavirus disease 2019 (COVID-19) was examined and received JBSM. Based on the assessment form of JBSM, the relevant interviews and evaluations of subsystems were performed. The required data were collected using JBSM’s assessment checklist by observing, interviewing, and conducting physical examinations. Data sources included the client and her medical records, physicians, and nurses. The researcher followed up the patient for two months. In total, three face-to-face interviews were conducted with the patient. After the patient was discharged from the hospital, her condition was followed up via phone calls.","PeriodicalId":318985,"journal":{"name":"Journal of Vessels and Circulation","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115398730","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 Clinical Profile and 1-Year Prognosis of Patients With Cerebral Venous Sinus Thrombosis: A Study in Qom Province, Iran","authors":"E. Sharifipour, Farid Javaherian, M. Vahedian, T. Sabokbar, S. A. Hejazi","doi":"10.52547/jvesselcirc.1.4.1","DOIUrl":"https://doi.org/10.52547/jvesselcirc.1.4.1","url":null,"abstract":"","PeriodicalId":318985,"journal":{"name":"Journal of Vessels and Circulation","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125588060","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}