Heart Views最新文献

{"title":"Congenital Tricuspid Valve Stenosis with Small Ostium Secundum Atrial Septal Defect and Ventricular Septal Defect Eisenmenger Complex.","authors":"Abhay Krishna, Priti Singhania","doi":"10.4103/heartviews.heartviews_60_24","DOIUrl":"https://doi.org/10.4103/heartviews.heartviews_60_24","url":null,"abstract":"<p><p>Congenital tricuspid valve stenosis is a rare anomaly. Tricuspid stenosis in adults is almost always rheumatic in origin. Here, we report a case of organic tricuspid valve disease associated with ventricular septal defect Eisenmenger complex and a small ostium secundum atrial septal defect in an adult patient.</p>","PeriodicalId":32654,"journal":{"name":"Heart Views","volume":"25 3","pages":"183-186"},"PeriodicalIF":0.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coronary Flow Distribution in Composite Arteriovenous Grafts: Physiopathological Concepts.","authors":"José Glauco Lobo Filho, Matheus Duarte Pimentel, Heraldo Guedis Lobo Filho, Marilia Leitão Montenegro","doi":"10.4103/heartviews.heartviews_81_24","DOIUrl":"https://doi.org/10.4103/heartviews.heartviews_81_24","url":null,"abstract":"","PeriodicalId":32654,"journal":{"name":"Heart Views","volume":"25 3","pages":"195-196"},"PeriodicalIF":0.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interrupted Aortic Arch Complicated with Type A Aortic Dissection in a Young Adult.","authors":"Ashish Dua, Arun Sharma, Rupesh Kumar, Manphool Singhal","doi":"10.4103/heartviews.heartviews_39_24","DOIUrl":"https://doi.org/10.4103/heartviews.heartviews_39_24","url":null,"abstract":"<p><p>Interrupted aortic arch (IAA) is a congenital anomaly characterized by a discontinuity between the ascending and descending aorta. We present a 27-year-old male patient who had presented with Stanford Type A aortic dissection and was subsequently found to have IAA on computed tomography aortogram. The patient subsequently underwent emergency surgery for the repair of aortic dissection. Although few studies with IAA and coexistent Stanford type-B aortic dissection have been described, there is no reported case in literature on IAA with Stanford Type A aortic dissection.</p>","PeriodicalId":32654,"journal":{"name":"Heart Views","volume":"25 3","pages":"166-168"},"PeriodicalIF":0.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dual-chamber Pacemaker Implantation through Persistent Left Superior Vena Cava.","authors":"Narayanapillai Jayaprasad","doi":"10.4103/heartviews.heartviews_5_24","DOIUrl":"https://doi.org/10.4103/heartviews.heartviews_5_24","url":null,"abstract":"","PeriodicalId":32654,"journal":{"name":"Heart Views","volume":"25 3","pages":"193-194"},"PeriodicalIF":0.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Noninvasive Diagnostic Techniques in Identifying Coronary Artery Disease: A Systematic Review.","authors":"Shahad Mubarak Alajmi, Fahad Homoud Aljabbari, Hussain Abdullah Alabdullah, Reema Mohammed Alshehri, Hadi Abdulhakim Rashid, Ali Mohammad Alyami, Abdulrahman Ahmad Alahmadi, Hussain Ammar Almaqtouf, Mada Ali Alghamdi, Maream Abdulmohsen Aldehniam, Norah Saeed Kadasah, Ahmed Aljizeeri","doi":"10.4103/heartviews.heartviews_73_24","DOIUrl":"https://doi.org/10.4103/heartviews.heartviews_73_24","url":null,"abstract":"<p><strong>Background: </strong>Coronary artery disease (CAD) poses a significant global health burden, necessitating optimal diagnostic strategies for risk assessment and management. This study systematically reviews randomized controlled trials (RCTs) comparing different noninvasive imaging modalities for CAD evaluation, focusing on their subsequent invasive outcomes and major adverse cardiac events (MACEs).</p><p><strong>Methods: </strong>A comprehensive electronic search was conducted across multiple databases, identifying 24 relevant RCTs published between 2010 and 2023. Key outcomes assessed included downstream referral to invasive testing, MACE rates, cost-effectiveness, and hospitalization outcomes.</p><p><strong>Results: </strong>The majority of included RCTs focused on comparing coronary computed tomography angiography (CCTA) with alternative imaging techniques. While CCTA is often associated with increased invasiveness, it demonstrates slightly better MACE rates, cost-effectiveness, and hospitalization outcomes compared to other imaging modalities.</p><p><strong>Conclusion: </strong>Continued investigation into alternative noninvasive diagnostic methods for CAD is essential to advance clinical practice and optimize patient care. By exploring new strategies beyond CCTA and leveraging technological innovations, health-care providers can improve diagnostic precision, mitigate procedural risks, and ultimately enhance outcomes for individuals with CAD.</p>","PeriodicalId":32654,"journal":{"name":"Heart Views","volume":"25 3","pages":"139-151"},"PeriodicalIF":0.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aortic Dissection Presenting as Cardiac Tamponade with Hemopericardium Initially Identified by Echocardiography.","authors":"Khalid Sawalha, Angel López-Candales","doi":"10.4103/heartviews.heartviews_49_24","DOIUrl":"https://doi.org/10.4103/heartviews.heartviews_49_24","url":null,"abstract":"<p><p>In this case, a 79-year-old white male is seen in the emergency department complaining of acute chest pressure, shortness of breath, diaphoresis, and dizziness that began for 4 h from the time of presentation. Physical examination showed signs concerning for cardiac tamponade in the presence of hypotension. Echocardiography showed a large amount of hemopericardium. We then injected intravenous contrast that became visible within the pericardial space. Chest computed tomography showed Type A aortic dissection. The patient was transferred to a higher-level facility for intervention. We share this rare presentation of spontaneous aortic dissection complicated by cardiac tamponade and hemopericardium.</p>","PeriodicalId":32654,"journal":{"name":"Heart Views","volume":"25 3","pages":"179-182"},"PeriodicalIF":0.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oxidative Stress, Antioxidant Capacity, and Inflammatory Markers in Patients with Idiopathic Complete Heart Block.","authors":"Shobhit Shah, Monika Bhandari, Pravesh Vishwakarma, Wahid Ali, Mohammad Kaleem Ahmad, Abhishek Singh, Ayush Shukla, Akhil Kumar Sharma, Gaurav Chaudhary, Akshyaya Pradhan, Sharad Chandra, Rishi Sethi, S K Dwivedi","doi":"10.4103/heartviews.heartviews_43_24","DOIUrl":"https://doi.org/10.4103/heartviews.heartviews_43_24","url":null,"abstract":"<p><strong>Background: </strong>The majority of cases of complete heart block (CHB) still have an idiopathic etiology, despite recent advancements in CHB management. This previously unexplored aspect of CHB is examined in our work. In this study, we sought to evaluate the etiological characteristics of patients with CHB.</p><p><strong>Materials and methods: </strong>Sixty patients with CHB, ranging in age from 30 to 80 years, who were admitted as inpatients to the emergency room made up the study population. Catalase (CAT) activity, serum malondialdehyde (MDA), serum glutathione (GSH), and serum superoxide dismutase (SOD) activity were used to measure oxidative stress. Serum total antioxidant capacity levels (TAOC) were used to calculate antioxidant activity. Tumor necrosis factor-alpha (TNF-alpha) and serum interleukin-5 (IL-5) levels were used to gauge the degree of inflammation. These numbers were contrasted with those of 30 healthy individuals who had never smoked or had diabetes mellitus. Individuals with drug-induced CHB and acute myocardial infarction were not accepted.</p><p><strong>Results: </strong>Out of 60 patients, the gender distribution was 37 men and 23 women, with a mean age of 62.48 ± 7.98 years. Serum MDA (ng/ml) has a mean value of 1451.26 ± 206.32 in patients and 1197.98 ± 234.71 in controls (<i>P</i> ≤ 0.001). Serum GSH (ug/ml) has a mean value of 46.982 ± 18.613 in patients and 54.155 ± 10.762 in controls (<i>P</i> = 0.027). Serum CAT activity (unit/min/mg protein) has a mean value of 10.763 ± 4.038 in cases and 19.878 ± 7.787 in controls (<i>P</i> = 0.003). Serum SOD activity (unit/g) has a mean value of 24.950 ± 5.4565 in patients and 46.214 ± 14.6309 in controls (<i>P</i> = 0.891). The mean serum total antioxidant capacity (U/ml) for the patients was 5.546 ± 0.620, whereas the controls had a mean value of 8.346 ± 2.781 (<i>P</i> = 0.025). Total antioxidant capacity levels(TOAC) (<i>P</i> = 0.025), GSH (<i>P</i> = 0.027), CAT (<i>P</i> = 0.003), and SOD (<i>P</i> = 0.891) were considerably lower in patients during a CHB compared to the healthy control group, indicating that an increase in oxidative free radicals leads to endothelial dysfunction. High significant increases in MDA (<i>P</i> ≤ 0.001) were indicative of increased reactive oxygen species-mediated tissue damage. Serum IL-5 (pg/ml) has a mean value of 67.347 ± 20.445 (<i>P</i> < 0.001) in controls and 481.442 ± 28.8995 in patients. The patients' mean serum TNF-alpha value (pg/ml) is 196.741 ± 73.771, whereas the controls' mean value is 144.530 ± 42.599 (<i>P</i> = 0.081).</p><p><strong>Conclusions: </strong>Serum MDA and inflammatory markers were markedly elevated during a CHB. This is particularly the case with IL-5, which was significantly increased in patients with CHB. According to our research, some inflammatory markers, such as IL-5 and oxidative markers like MDA, may actively contribute to the development of heart block.</p>","PeriodicalId":32654,"journal":{"name":"Heart Views","volume":"25 3","pages":"133-138"},"PeriodicalIF":0.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Carcinoid Heart Disease Associated with Primary Ovarian Carcinoid Tumor: A Rare Presentation.","authors":"Rawaha Ahmad, Ian Loke, Fizza Saifullah, Hafsa Zafar, Saddam Hussain Abbasi","doi":"10.4103/heartviews.heartviews_104_23","DOIUrl":"https://doi.org/10.4103/heartviews.heartviews_104_23","url":null,"abstract":"<p><p>Primary ovarian carcinoid tumors, an extremely rare subset of ovarian malignancies (<0.1% of cases), typically manifest with abdominal pain and bloating. The occurrence of carcinoid heart disease (CHD) without classic carcinoid syndrome features is exceptionally uncommon. We report a 54-year-old female presenting with dyspnea and edema over months, lacking typical carcinoid syndrome signs. Initial assessments diagnosed heart failure, supported by elevated NT-Pro BNP, echocardiographic right ventricular dilation, and pulmonary/tricuspid valve regurgitation (normal left ventricular function). Right heart catheterization showed normal pulmonary/right ventricular pressures. Subsequent investigations (computed tomography thorax abdomen pelvis, 5-hydroxyindole acetic acid levels) strongly suggested carcinoid disease, confirmed by an octreotide scan revealing an octreotide-secreting ovarian carcinoid tumor. Surgical intervention included tricuspid and pulmonary valve repair, total abdominal hysterectomy, and bilateral salpingo-oophorectomy. Primary ovarian carcinoid tumors, though rare, may lead to unexpected complications like CHD. Timely diagnosis and intervention are pivotal for optimizing patient outcomes in such cases.</p>","PeriodicalId":32654,"journal":{"name":"Heart Views","volume":"25 2","pages":"106-109"},"PeriodicalIF":0.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiac Magnetic Resonance Imaging Findings in COVID-19: Experience from a Tertiary Care Center of North India.","authors":"Manphool Singhal, Arun Sharma, Shritik Devkota, Harsimran Bhatia, Parag Barwad, Parminder Singh Otaal, Ajay Bahl","doi":"10.4103/heartviews.heartviews_123_23","DOIUrl":"https://doi.org/10.4103/heartviews.heartviews_123_23","url":null,"abstract":"<p><strong>Purpose: </strong>Here, we describe cardiac magnetic resonance imaging (CMR) findings in patients with proven COVID-19 infection and presenting with cardiac problems both at presentation and in convalescence from a tertiary care center, in North India. A pertinent review of the literature is also discussed.</p><p><strong>Materials and methods: </strong>Retrospective analysis of patients with real-time reverse transcriptase-polymerase chain reaction proven COVID-19 infection either at presentation or convalescence referred for CMR at our facility from January 2021 to December 2023 was done. CMR was performed on a 3T system (Ingenia, Philips Healthcare, Best, The Netherlands) and examinations were customized according to the clinical indications.</p><p><strong>Results: </strong>Retrospective analysis yielded 14 patients (4 at presentation; 10 in convalescence). Patients at presentation 4/14 had clinically presented with chest pain with raised troponins and electrographic abnormalities, while 10/14 patients had presented with clinical features of heart failure with two-dimensional transthoracic echocardiography demonstrating systolic dysfunction with reduced left ventricular ejection fraction. Out of 14, 4 patients at presentation, CMR showed features of acute myocarditis in three patients, while one had inferior wall myocardial infarction (MI) (this patient on catheter angiogram had aneurysmally dilated coronary arteries with thrombus and stenosis in the mid right coronary artery which was successfully stented). Out of 14, 10 patients on CMR had features of dilated cardiomyopathy (DCMP).</p><p><strong>Conclusion: </strong>Cardiac involvement in COVID-19 can have vivid clinicoradiological presentations with features of myocarditis and MI at presentation or DCMP in convalescence. CMR in such cases is a problem-solving tool where myocarditis is candidly differentiated from MI. Moreover, follow-up CMR demonstrates temporal changes in COVID-19-associated myocarditis and evaluation of cardiac structure and function in patients presenting with DCMP.</p>","PeriodicalId":32654,"journal":{"name":"Heart Views","volume":"25 2","pages":"69-73"},"PeriodicalIF":0.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chiari Network: Cause of an Unusual Difficulty during Atrial Septal Defect Device Closure.","authors":"Aamir Rashid, Vamiq Rasool, Jan M Sheikh, Hilal Rather","doi":"10.4103/heartviews.heartviews_97_23","DOIUrl":"https://doi.org/10.4103/heartviews.heartviews_97_23","url":null,"abstract":"<p><p>We report an unusual difficulty in unscrewing and releasing the atrial septal defect device during device closure because of the entrapment of the delivery cable in the prominent Chiari network. We suggest careful pre- and intra-procedure transesophageal guidance in recognizing and managing this rare challenge.</p>","PeriodicalId":32654,"journal":{"name":"Heart Views","volume":"25 2","pages":"103-105"},"PeriodicalIF":0.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}