Heart Vessels and Transplantation最新文献

{"title":"Dynamics of deaths and mortality rate in Kazakhstan population","authors":"Zorina Tochieva, Farida A. Iskakova, K. Abzaliyev","doi":"10.24969/hvt.2023.402","DOIUrl":"https://doi.org/10.24969/hvt.2023.402","url":null,"abstract":"Objective: To e valuate the Kazakhstan population`s mortality dynamics on the number of deaths and rates from 2018 to 2020, according to region of residence, and gender. Methods: Overall, retrospective analysis of 389 674 deaths of Kazakhstan residents from 2018 to 2020 was conducted using the ICD-10 version. The sources of information were official data on the size and deaths from the RPN database \"Register of Death Certificates,\" the Statistics Agency of the Republic of Kazakhstan. We used a one-factor linear regression analysis of the main trends of deaths and mortality rate by place, gender, and country level. The results of the regression analysis were presented in the form of non-standardized coefficients (b) and the level of statistical significance (p). Results: There was a statistically significant increase in the total mortality rate of Kazakhstan's population (regression statistics b=17938.0. p=0.302) and by gender during the period under study in 2018-2020. Among the male population, the mortality rate increased by 1.4 times (regression statistic b=9827.5. p=0.292) and the female population – 1.3 times (regression statistics b=8110.5, p=0.313) in the same years. The leading causes of death for the population of Kazakhstan and by gender were non-communicable diseases (the circulatory system (\"I\"), diseases of the nervous system (\"G\"), respiratory diseases (\"J\"), malignant neoplasms (\"C\") and digestive diseases (\"K\") during the period from 2018-2020. While for women, nervous system diseases ranked first, and unclassifiable diseases ranked fifth . Conclusion: Thus, the increase in Kazakhstan's population mortality rate was determined in general and by disease classes during the studied time from 2018 to 2020. The leading causes of death for Kazakhstan's general population and by gender were non-communicable diseases despite of effects of COVID-19. Kazakhstan's Northern and Eastern regions had the highest mortality rates in the country and by sex","PeriodicalId":32453,"journal":{"name":"Heart Vessels and Transplantation","volume":"601 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77304805","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":"Study of usefulness of speckle-tracking echocardiography in detecting left ventricular dysfunction among adult cancer patients undergoing chemotherapy","authors":"Chandrakant Usendia, Anand N. Shukla, M. Kulkarni, V. Sharma, Karthik Natrajan, K. Kanabar, Dinesh Joshi, R. Charaniya, Pratik Raval, K. Patel","doi":"10.24969/hvt.2023.401","DOIUrl":"https://doi.org/10.24969/hvt.2023.401","url":null,"abstract":"Objective: Cancer treatment-related cardiac dysfunction (CTRCD) is a significant concern for patients undergoing chemotherapy. The aim of the present study was to study the accuracy and value of longitudinal strain in prediction of left ventricular dysfunction (LVD) in cancer patients undergoing cancer therapy.\u0000\u0000Methods: This was a prospective observational study conducted among 183 adult patients undergoing chemotherapy between 2018 and 2020. Patients with congenital or acquired valvular disease, prior myocardial infarction, coronary revascularization, or cardiac surgery were excluded. The patients were evaluated using a detailed history, clinical examination and echocardiography at baseline, 1 month, 3 months, and 6 months after chemotherapy. Speckle-tracking strain analysis was used to evaluate left ventricular (LV) global longitudinal strain (GLS), circumferential strain (GCS), and radial strain (GRS). LVD was defined as &qt;15% decrease in GLS, GCS, or GRS from baseline to 6 months. Accuracy of longitudinal strain in prediction of LVD was studied using ROC analysis.\u0000\u0000Results:  Of the 183 patients, 59% were male, and 54.1% were between 46-60 years of age. Breast cancer was the most common malignancy (10.9%). The most common chemotherapy regimen was doxorubicin + paclitaxel (9.9%). At baseline, the mean GLS, GCS, and GRS were -18.6 (1.03)%, -20.4 (1.11)%, and 39.9 (6.09)%, respectively. At the 6-month follow-up, 27 (14.8%) patients had LVD. The incidence of LVD was higher (51.48%) in patients who received doxorubicin-containing regimens compared to non-doxorubicin-containing regimens (P <0.0001). GLS has good accuracy in prediction of LVD at 6 months of follow-up (88.37%).\u0000\u0000Conclusions:  The incidence of LV dysfunction was higher (51.48%) in patients who received doxorubicin-containing regimens. GLS is different in LVD vs non LVD and the accuracy of GLS is more in prediction of LVD development during 6-month follow-up (88.37%).\u0000","PeriodicalId":32453,"journal":{"name":"Heart Vessels and Transplantation","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79137507","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":"Zero-Fluroscopy ablation for cardiac arrhythmias: A single-center experience in Mexico","authors":"Ulises Rojel-Martínez, A. Enríquez, Carlos de la Fuente, Oscar Sánchez-Parada, I. Lopez, Alejandro Rodríguez-Garza, Karla Bozada-Nolasco","doi":"10.24969/hvt.2023.400","DOIUrl":"https://doi.org/10.24969/hvt.2023.400","url":null,"abstract":"Objective: Catheter ablation (CA) is a highly effective procedure for treating symptomatic tachyarrhythmias. However, the use of fluoroscopy, which is commonly employed in CA, exposes patients and medical personnel to ionizing radiation and its associated health risks. To address this concern, alternative techniques such as electro anatomical mapping and intracardiac ultrasound have emerged as viable options for performing CA without fluoroscopy. This study aims to describe the process and outcomes of mapping and ablation procedures performed without fluoroscopy in a Mexican electrophysiology laboratory. Methods: Fifty-two patients with arrhythmias except atrial fibrillation were included in the study. The three-dimensional mapping system ENSITE Precision (Abbott) and intracardiac ultrasound, were used when the operator deemed it necessary. We assessed complications and immediate success of catheter ablation in our patients. Results: A total of 52 patients were included in the study from January 2021 to July 2022of which 24 were men (42%) and 32 were women (57%). Only four patients received diagnostic three-dimensional mapping as a result of clinical tachycardia not being caused. An ablation of 52 arrhythmias substrates was performed with the following results:","PeriodicalId":32453,"journal":{"name":"Heart Vessels and Transplantation","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81375508","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":"Endovascular treatment with coil embolization of saccular celiac artery aneurysm: a case report","authors":"N. Bolomatov, S. D. Chevgun, M. Gordov, F. N. Klishevich, A. Alekseev, B.M. Dzhamalutinov, K.V. Abasov, M.V. Gerasimenkova","doi":"10.24969/hvt.2023.399","DOIUrl":"https://doi.org/10.24969/hvt.2023.399","url":null,"abstract":"Objective: Aneurysms of the celiac artery and its visceral branches are more often an incidental finding and can lead to serious complications. Many difficulties arise in matters of their treatment due to the rarity of occurrence.\u0000\u0000Case presentation: This report describes the rare case of saccular celiac artery aneurysm in patient with severe cardiac comorbidities including history of cardiac surgeries.  Celiac artery aneurysm was treated using the endovascular coiling procedure.  We had coil dislocation during procedure, and 2nd attempt of coil embolization of aneurysm was successful. The dislocation into femoral artery was treated successfully. Immediate and 1st month follow-up data showed no evidence of recanalization and aneurysm enlargement and computed tomography angiography chowed correct position of coil.\u0000\u0000Conclusion: Coil embolization is a safe and effective method for the treatment of celiac artery aneurysm in patients with severe comorbid conditions. One should be also prepared for possible technical difficulties that were overcome successfully and thus making minimal invasive approach in such patients effective. \u0000","PeriodicalId":32453,"journal":{"name":"Heart Vessels and Transplantation","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81417793","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":"Comparative study of percutaneous transvenous mitral commissurotomy using ACCURA balloon in juvenile vs adult rheumatic mitral stenosis","authors":"S. Sushanth Kumar, K. Rangaiah, A. Cherukumudi, P. Dash, B. Barooah","doi":"10.24969/hvt.2023.398","DOIUrl":"https://doi.org/10.24969/hvt.2023.398","url":null,"abstract":"Objective: Mitral stenosis (MS) is rarely seen in children and adolescents but is not uncommon in developing countries where rheumatic fever is still endemic. Rheumatic MS in India commonly affects children and young adults less than 20 years old (juvenile mitral stenosis). Although percutaneous transvenous mitral commissurotomy (PTMC) using the ACCURA balloon catheter has been shown to be safe and effective technique in large series of adult patients, reports of this technique in children are scarce. In our study, we aim to evaluate the immediate and early follow-up results of PTMC in 50 patients of rheumatic MS age ≤ 20 years and compare the same with those of the patients aged > 20 years . Methods: Fifty consecutive patients aged ≤ 20 years with symptomatic rheumatic MS who met the inclusion criteria and whose valves are suitable for PTMC formed the cases, another 50 consecutive patients aged > 20 years with similar characteristics formed the control group. PTMC was done for both the groups as per the standard protocol and hemodynamic and echocardiography parameters were noted. Appropriate statistical tests were used to compare these data. Results: The juvenile group had more often severe MS than adult patients at baseline [mitral valve area (MVA) 0.77(0.16) cm 2 vs. 0.86(0.15) cm 2 , p<0.0069","PeriodicalId":32453,"journal":{"name":"Heart Vessels and Transplantation","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81633411","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":"Risk factors to predict severity of coronary artery disease in young patients undergoing coronary artery bypass grafting: A retrospective observational study","authors":"K. Bhatt, Mausam Shah, Nirav S Panchal, Himani Pandya, Aalay Parikh, C. Doshi","doi":"10.24969/hvt.2023.397","DOIUrl":"https://doi.org/10.24969/hvt.2023.397","url":null,"abstract":"Objective: The differing pattern of dyslipidemia combined with inherent insulin resistance and contribution from varying lifestyles makes Indians more vulnerable to coronary artery disease (CAD) at a younger age. Smoking and other forms of tobacco, dyslipidemia and hypertension are major risk factors in the young. Our aim of the study is to find out risk factors to predict severity of CAD in young patients undergoing coronary artery bypass surgery (CABG). Methods: Young patients below 45 years of age consecutively admitted at our hospital and undergoing CABG were included. Demographic data are collected and analyzed. All the risk factors for early coronary artery disease and its outcome and intraoperative and immediate postoperative complications are analyzed. Early outcome analysis was done at the end of 1 year and midterm analysis was done at the end of 5 years. All routine investigations, 2D-echocardiography, electrocardiogram, and chest X-ray were analyzed at regular intervals and when required in the follow-up period also. Results: We retrospectively evaluated 148 adult CAD patients aged ≤ 45 years, who underwent their first isolated CABG surgery at our institute. We observed that smoking was the most common risk factor followed by hypertension, altered lipid profile and diabetes. Family history of CAD and obesity were also noted in 32.4% and 21.6% of patients. Conclusion: Our young surgical patients have a high frequency of risk factors such as smoking and dyslipidemia, hypertension and obesity which may lead to accelerated atherosclerosis and high frequency of 80% of multivessel disease in our cohort. Hypertension is the significant predictor of severe CAD in our cohort. High prevalence of CAD risk factors and LV dysfunction are associated with mortality in our cohort. Five-year survival in young Indian population after CABG is 91.8% with good functional class.. Prevention of risk factors is necessary to prevent CAD in young adults. Optimal secondary prevention with medications and strict adherence to lifestyle changes should be ensured to reduce future coronary events","PeriodicalId":32453,"journal":{"name":"Heart Vessels and Transplantation","volume":"103 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74359460","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 rare case series of mechanical prosthetic heart valve structural deterioration presented as severe mitral regurgitation","authors":"J. Kothari, Sandip Lukhi, Utkarsh Sanghavi, Devvrat Desai, Ishan Gohil","doi":"10.24969/hvt.2023.396","DOIUrl":"https://doi.org/10.24969/hvt.2023.396","url":null,"abstract":"Objective: Structural valve deterioration in the form of stenosis or regurgitation or both though being a rare complication with newer generation mechanical heart valves can occur and can be critical. Case presentation: We report two cases of severe mitral regurgitation due to structural deterioration of TTK Chitra mechanical heart valve (disc fracture) in mitral position. Conclusion: In patients with mechanical heart valve prosthesis who present with acute decompensated heart failure or congestive heart failure, structural valve deterioration should be suspected and early diagnosis and treatment is the key to success in structural valvular deterioration.","PeriodicalId":32453,"journal":{"name":"Heart Vessels and Transplantation","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86647183","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":"Predictive role of fragmented QRS in patients with ST-elevation myocardial infarction undergoing primary percutaneous coronary intervention","authors":"Sunil Bobate, K. Kanabar, H. Joshi, P. Vyas, I. Patel, Kunal Parwani, Mit Chaudhary, Prarthi Shah, Tanmay Boob, Poojan J Prajapati","doi":"10.24969/hvt.2023.395","DOIUrl":"https://doi.org/10.24969/hvt.2023.395","url":null,"abstract":"B.J.Medical","PeriodicalId":32453,"journal":{"name":"Heart Vessels and Transplantation","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88643628","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":"Case report of symptomatic very late presentation of ALCAPA syndrome: from AL-CAPONE to Robin Hood of coronary artery anomalies","authors":"Raul Cruz Palomera, Rosa Elena Gutierrez Castaneda, Juan Francisco Rodriguez Alvarado, Juan Guzman Olea, Gabriel Guzman Olea, Jorge Guillermo Arenas Fonseca, Zuriel Almeyda Dominguez, Rolando Vicente Colmenares","doi":"10.24969/hvt.2023.394","DOIUrl":"https://doi.org/10.24969/hvt.2023.394","url":null,"abstract":"","PeriodicalId":32453,"journal":{"name":"Heart Vessels and Transplantation","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135703153","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":"ESC guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery: a practical guide for clinicians","authors":"G. Iuliano, R. Citro","doi":"10.24969/hvt.2023.393","DOIUrl":"https://doi.org/10.24969/hvt.2023.393","url":null,"abstract":"In 2022 European Society of Cardiology (ESC) released the new guidelines on cardiovascular (CV) assessment and management of patients undergoing non-cardiac surgery, which are substantially a deeply revised version of 2014 guidelines (1, 2). The increasing aging of the world's population and the rising burden of CV disease lead clinicians to evaluate on daily basis patients at high risk of developing CV complications in the perioperative setting. Such complication may particularly occur in patients with significant coronary artery disease (CAD), myocardial dysfunction, valvular heart disease (VHD) and arrhythmias. In addition, the type and duration of surgery are critical in stratifying each patient peri-operative risk, as any surgery carries a specific hemodynamic stress and hemorrhagic risk. When concerning peri-operative risk of myocardial ischemia, three leading mechanisms have been pointed out: oxygen supply-demand mismatch due to perioperative fluctuating coronary perfusion on top of noncritical coronary artery disease (type II myocardial infarction); stress induced atherosclerotic plaque erosion/rupture and thrombosis due to surgical-related prothrombotic and inflammatory state (type I myocardial infarction); stent thrombosis in patient with recent history of percutaneous coronary intervention (PCI) due to anti-platelet therapy interruption for preventing surgical-associated bleeding. These guidelines are aimed to help clinicians in standardizing an evidence-based approach to perioperative CV management, to reduce CV morbidity and mortality. A stepwise assessment of patient`s clinical risk factors and test-results, combined with a careful evaluation of the specific surgery-related risk, leads to a tailored risk stratification for each patient, thus allowing to the best preventive/therapeutic strategy before, during and after non-cardiac surgery (NCS). Clinical risk evaluation The first step involves the assessment of surgery-related risk and patient-related risk. All surgical operations are classified into 3 classes of risk: low, intermediate and high, according to 30-day risk of CV death, myocardial infarction (MI) and stroke (<1% for low, 1-5% for intermediate, >5% for high risk). Another crucial issue to be considered is the timing of surgery. If the surgery is deemed emergent or urgent, cardiac testing is not feasible but close follow-up after the intervention is advisable. In case of time-dependent surgery, the decision of performing individualized cardiac testing is taken by a multidisciplinary team on a case-by-case basis. Type and modalities of cardiac testing before elective surgery is closely related to patient characteristics, symptoms and risk profile. In patients aged 45-65 years without history of CV disease, without CV risk factors and without signs and/or symptoms of cardiac disease (e.g. chest pain, dyspnea, peripheral edema, etc) ECG and biomarkers (high sensitivity cardiac troponin I/T and/or BNP/NTproBNP) should be cons","PeriodicalId":32453,"journal":{"name":"Heart Vessels and Transplantation","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85917189","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}