{"title":"Women's History Doesn't Begin or End: An Interview with Turkiya Lowe","authors":"S. Burtseva","doi":"10.1353/fmj.2018.0009","DOIUrl":"https://doi.org/10.1353/fmj.2018.0009","url":null,"abstract":"Abstract:The National Park Service's chief historian, Turkiya Lowe, discusses the organization's efforts to promote the research and interpretation of women's history. Lowe touches on the initiatives and theme studies, revised interpretation plans, intersectionality, centering underrepresented communities, and addressing the challenges posed by the integrity standard for resources nominated to the National Register of Historic Places and the National Historic Landmarks program.","PeriodicalId":32119,"journal":{"name":"International Cardiovascular Forum Journal","volume":"10 1","pages":"16 - 25"},"PeriodicalIF":0.0,"publicationDate":"2019-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78174451","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":"Dual Mechanism of Methamphetamine-induced Cardiomyopathy on Magnetic Resonance Imaging","authors":"T. Wang, S. El-Jack, A. To","doi":"10.17987/ICFJ.V14I0.512","DOIUrl":"https://doi.org/10.17987/ICFJ.V14I0.512","url":null,"abstract":"Methamphetamine is associated with a number of adverse cardiovascular effects and diseases. We present a case of a 50 year old male presenting with heart failure and angina and long-standing methamphetamine use. With the aid of cardiac magnetic resonance imaging and also coronary angiography, we speculated the dual pathophysiology of methamphetamine-induced cardiomyopathy in this patient.","PeriodicalId":32119,"journal":{"name":"International Cardiovascular Forum Journal","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73556236","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":"A Pathognomonic Case of Isolated Acute Right Ventricular Infarction","authors":"F. Cortese, M. Ciccone, M. Clemente, G. Calculli","doi":"10.17987/icfj.v14i0.507","DOIUrl":"https://doi.org/10.17987/icfj.v14i0.507","url":null,"abstract":"Isolated right ventricular infarction occurs only in about 3% of the overall myocardial ischemic episodes. Clinical presentation is often insidious and variable case by case. The correct diagnosis is therefore crucial for a proper management, and a good prognosis in the short and long term. It is based on the integration of clinical, electrocardiographic, and echocardiographic data. The revascularization strategy is the first line therapy. The involvement of the right ventricle determines an increased risk of death during hospitalization, on the other hand, the long-term prognosis is good. Our case report shows a case of isolated right ventricular infarction with ST segment elevation in right precordial leads, presenting with pathognomonic clinical and physio-pathological findings.","PeriodicalId":32119,"journal":{"name":"International Cardiovascular Forum Journal","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86467172","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":"Encasement of the Left Anterior Descending Coronary Artery: Association with Takotsubo Syndrome, and Diagnostic and Therapeutic Options","authors":"S. Peters","doi":"10.17987/ICFJ.V14I0.499","DOIUrl":"https://doi.org/10.17987/ICFJ.V14I0.499","url":null,"abstract":"Myocardial bridging is a rare event, which leads to chest pain, arrhythmias and discussable takotsubo syndrome (cardiomyopathy).We collected 41 patients (33 females, mean age 68.4 years) with all forms of takotsubo cardiomyopathy in most cases and 6 cases with chest pain and echocardiographic mid-ventricular hypokinesia. Left ventricular angiography revealed apical ballooning in 30 patients, mid-ventricular ballooning in 3 cases, and basal ballooning in one case.The correct diagnosis of myocardial bridging can be best made by intravascular ultrasound (IVUS) and fractional flow reserve (FFR) with either adenosine or dobutamine injection.Beyond atherosclerosis, myocardial bridging is a prominent cause of chest pain, although ischemia is difficult to verify.","PeriodicalId":32119,"journal":{"name":"International Cardiovascular Forum Journal","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86530856","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}
A. Olusegun-Joseph, K. Karaye, A. Akintunde, B. Okunowo, O. Opadijo, Abdulrazak Habib, S. Balarabe
{"title":"Profile of Hospitalized Hypertensives with Preserved and Reduced Left Ventricular Ejection Fraction in Nigeria","authors":"A. Olusegun-Joseph, K. Karaye, A. Akintunde, B. Okunowo, O. Opadijo, Abdulrazak Habib, S. Balarabe","doi":"10.17987/ICFJ.V14I0.502","DOIUrl":"https://doi.org/10.17987/ICFJ.V14I0.502","url":null,"abstract":"Introduction The impact of preserved and reduced left ventricular ejection fraction (LVEF) has been well studied in heart failure, but not in hypertension. We aimed to highlight the prevalence, clinical characteristics, comorbidities and outcomes of hospitalized hypertensives with preserved and reduced LVEF from three teaching hospitals in Nigeria. Methods: This is a retrospective study of hypertensives admitted in 2013 in three teaching hospitals in Lagos, Kano and Ogbomosho, who had echocardiography done while on admission. Medical records and echocardiography parameters of the patients were retrieved and analyzed. Results: 54 admitted hypertensive patients who had echocardiography were recruited, of which 30 (55.6%) had reduced left ventricular ejection fraction (RLVEF), defined as ejection fraction <50%; while 24 (44.4%) had preserved left ventricular ejection fraction (PLVEF). There were 37(61.5%) females and 17 (31.5%) males. Of the male patients 64.7% had RLVEF, while 35.3% had PLVEF. 19(51.4%) of females had RLVEF, while 48.6% had PLVEF. Mean age of patients with PLVEF was 58.83±12.09 vs 54.83± 18.78 of RLVEF; p-0.19. Commonest comorbidity was Heart failure (HF) followed by stroke (found among 59.3% and 27.8% of patients respectively). RLVEF was significantly commoner than PLVEF in HF patients (68.8% vs 31.3%; p- 0.019); no significant difference in stroke patients (46.7% vs 53.3%; p-0.44). Mortality occurred in 1 (1.85%) patient who had RLVEF. Conclusion: RLVEF was more common than PLVEF among admitted hypertensive patients; they also have more comorbidities. In-hospital mortality is, however, very low in both groups.","PeriodicalId":32119,"journal":{"name":"International Cardiovascular Forum Journal","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84084819","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}
Aaron R Casha, A. Manché, L. Camilleri, K. Yamagata, S. Santucci, M. Gauci, J. Galea
{"title":"An Echocardiographic Comparison of Sutureless and Conventional Aortic Valve Replacement: a Matched Case-Control Study","authors":"Aaron R Casha, A. Manché, L. Camilleri, K. Yamagata, S. Santucci, M. Gauci, J. Galea","doi":"10.17987/ICFJ.V14I0.536","DOIUrl":"https://doi.org/10.17987/ICFJ.V14I0.536","url":null,"abstract":"Background Patients at a high operative risk for conventional aortic valve replacement (AVR) may be offered sutureless valve implantation. Sutureless valves resemble conventional valves but incorporate an anchoring mechanism without using annular sutures. Methods Pre-operative and six month post-operative echocardiography data from our first year, single centre experience of sutureless valves was compared to conventional aortic valve replacements in patients matched for operative risk. Left ventricular ejection fraction, mean and peak AV gradients and inter-ventricular septal thickness, effective orifice area (EOA) and indexed effective orifice area (iEOA) were measured. Results The drops in mean and peak pre- to post-operative gradients were greater in the sutureless group, p=0.039 and p=0.001 respectively. Post-operative EOA was 1.69 cm2 and 1.26 cm2 (p=0.001) in the sutureless and conventional groups. Similarly iEOA was 0.93 cm2 and 0.74 cm2 (p=0.001) in the sutureless and conventional groups. There was also a reduction in patient prosthesis mismatch (PPM) in the sutureless group as compared to the conventional group (Chi square test p=0.026). Post-operative inter-ventricular septal thickness was 1.13 cm2 in the sutureless group and 1.35 cm2 in the conventional group (p=0.011). Conclusions Use of sutureless valves with a stent framework resulted in larger EOA and iEOA and a diminution in PPM; and lead to a statistically significant faster regression in inter-ventricular septal thickness that is a measure of left ventricular mass. The rate and extent of regression in left ventricular hypertrophy after AVR is important since it determines long-term survival including mortality, heart failure and decreased admission rates.","PeriodicalId":32119,"journal":{"name":"International Cardiovascular Forum Journal","volume":"261 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79683849","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":"Role of Optical Coherence Tomography in the Diagnosis of Spontaneous Coronary Artery Dissection","authors":"K. Terada","doi":"10.17987/ICFJ.V14I0.531","DOIUrl":"https://doi.org/10.17987/ICFJ.V14I0.531","url":null,"abstract":"Spontaneous coronary artery dissection (SCAD) is an infrequent and often missed diagnosis among patients with acute coronary syndrome (ACS), especially young healthy females. Unfortunately, SCAD can result in significant morbidity, such as ischemia and infarction. Currently, there has been a surge in the diagnosis of SCAD due to the widespread use of new intracoronary imaging modalities, especially optical coherence tomography (OCT).However, no specific guidelines exist concerning appropriate treatment for SCAD. Moreover, the role of intracoronary imaging with OCT has yet to be fully established. The aim of our review is to provide a comprehensive contemporary update of SCAD; the epidemiology, etiology, diagnosis, management and cardiovascular outcomes are reviewed from the viewpoint of OCT.","PeriodicalId":32119,"journal":{"name":"International Cardiovascular Forum Journal","volume":"136 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72566316","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}
H. Ismaili, H. Jashari, B. Merovci, Teuta Hasbahta, Zana Kusari, D. Kerleshi, M. Henein
{"title":"Infective Endocarditis on the Tricuspid Valve in a Neonate","authors":"H. Ismaili, H. Jashari, B. Merovci, Teuta Hasbahta, Zana Kusari, D. Kerleshi, M. Henein","doi":"10.17987/ICFJ.V14I0.548","DOIUrl":"https://doi.org/10.17987/ICFJ.V14I0.548","url":null,"abstract":"A full-term female neonate with infective endocarditis was reviewed. Transthoracic echocardiography showed vegetations attached to the tricuspid valve. The baby had clinical signs of septicaemia and positive blood culture Pseudomonas aeruginosa. Thus, echocardiography remains an important tool in the diagnosis and follow-up of infective endocarditis.","PeriodicalId":32119,"journal":{"name":"International Cardiovascular Forum Journal","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89891049","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}
Z. Oman, Lucas Gu, Nauman Khalid, Rahil Rafeedheen, H. Alkhawam, Ammar Nasir
{"title":"Refractory Angina Secondary to Large Unligated Side Branch of Internal Mammary Artery","authors":"Z. Oman, Lucas Gu, Nauman Khalid, Rahil Rafeedheen, H. Alkhawam, Ammar Nasir","doi":"10.17987/ICFJ.V14I0.527","DOIUrl":"https://doi.org/10.17987/ICFJ.V14I0.527","url":null,"abstract":"Coronary artery disease (CAD) has become a common diagnosis. Managing the symptoms of CAD continues to be an ongoing dilemma requiring optimal medication management or potential revascularization with either percutaneous coronary interventions or coronary artery bypass grafting (CABG). We present a case of debilitating refractory angina in a patient with severe CAD after optimal medical therapy and CABG secondary to coronary steal phenomenon via the left internal mammary artery conduit supplying a large unligated side branch to the internal chest wall. While current data are inconclusive on this phenomenon, our patient had complete resolution of angina following coil embolization of unligated side branch of the internal mammary artery. ","PeriodicalId":32119,"journal":{"name":"International Cardiovascular Forum Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89577987","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":"Electrocardiographic Changes in Athletes of Black Ethnicity","authors":"Dillan Ismail, A. Eriksson, S. Mörner, A. Rydberg","doi":"10.17987/ICFJ.V13I0.484","DOIUrl":"https://doi.org/10.17987/ICFJ.V13I0.484","url":null,"abstract":"AbstractIntensive participation in sport has positive physiological effects on the heart. The contractility of the heart improves, the ejection fraction increases and the muscle mass of the heart increases, thus leading to a greater cardiac output. Despite these positive effects, there is still an increased risk for acute cardiac events. The workload of the heart can be very high in some sports and may in some cases be the reason for sudden cardiac death. In these cases, there is often an underlying heart disease (cardiomyopathy) unknown before the actual event. Electrocardiographic examination (ECG) may reveal some of these diseases but although ECG examinations can be a useful tool to discover pathological conditions, there could be difficulties in interpreting different ECG patterns, especially in athletes. In some cases, athletes may exhibit ECG patterns that are similar to those in heart diseases such as cardiomyopathies (QRS-amplitudes, ST-segment elevation and T wave inversions in lateral leads). This pattern is even more common in athletes of African origins. Furthermore, cardiomyopathies such as hypertrophic cardiomyopathy (HCM) are more common among athletes with African heritage than in white athletes. Thus correct interpretation of ECG is crucial for several reasons: to distinguish between benign physiological (‘athlete’s heart’) and pathological changes, to lower the risk of sudden cardiac death, and to save time and money by not undertaking further examination of the heart.","PeriodicalId":32119,"journal":{"name":"International Cardiovascular Forum Journal","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80281068","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}