Journal of Tehran University Heart Center最新文献_第9页

Very Early Discharge of Patients with ST-Segment-Elevation Myocardial Infarction after Primary Percutaneous Coronary Intervention 经皮冠状动脉介入治疗后st段抬高型心肌梗死患者的早期出院

Journal of Tehran University Heart Center Pub Date : 2021-07-01 DOI: 10.18502/jthc.v16i3.8188

S. K. Hosseini, B. Naghshtabrizi, F. Emami, A. Yazdi, Nima Naghshtabrizi, S. Zebarjadi

{"title":"Very Early Discharge of Patients with ST-Segment-Elevation Myocardial Infarction after Primary Percutaneous Coronary Intervention","authors":"S. K. Hosseini, B. Naghshtabrizi, F. Emami, A. Yazdi, Nima Naghshtabrizi, S. Zebarjadi","doi":"10.18502/jthc.v16i3.8188","DOIUrl":"https://doi.org/10.18502/jthc.v16i3.8188","url":null,"abstract":"Background: The discharge of uncomplicated patients with ST-segment-elevation myocardial infarction (STEMI) within 48 to 72 hours has been proven safe and feasible. The safety and feasibility of the very early discharge (≤48 h) of such patients, especially during the COVID-19 pandemic with limited bed availability and infection risk, have yet to be evaluated. Methods: In this cohort study on 108 patients with STEMI who presented to Farshchian Heart Center between February and May 2020, 30 patients received fibrinolysis and 78 were scheduled for emergent coronary angiography. One patient had no coronary obstruction, 3 underwent emergent surgery, and 3 had high-risk features mandating a prolonged stay. The remaining patients were assigned to either Group A (≤48 h) or Group B (>48 h) regarding hospital discharge. Demographic, angiographic, procedural, and outcome data were compared between the 2 groups. Results: Group A consisted of 51 patients, including 7 women (13.7%), at a mean age of 62.74±12.35 years, and Group B comprised 20 patients, including 4 women (20.0%), at a mean age of 65.20±12.82 years. The mean hospital length of stay was 38.02±9.15 hours in Group A and 88.20±23.31 hours in Group B (P<0.001). The mean stent diameter was smaller in Group B (3.19±0.34 mm vs 2.96±0.29 mm; P=0.008). Demographic, angiographic, procedural, and outcome data, including the rates of in-hospital, 1-week, and 1-month mortality, were similar between the 2 groups. Conclusion: This study shows that a hospital discharge in less than 48 hours in low-risk patients with STEMI is safe and feasible. The potential advantages of this approach in the COVID-19 pandemic should be balanced against its risks.","PeriodicalId":39149,"journal":{"name":"Journal of Tehran University Heart Center","volume":"12 1","pages":"113 - 118"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73739848","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: 2

Association between Angiotensin-Converting Enzyme Inhibitors and Angiotensin II Receptor Blockers and Mortality in Patients with Hypertension Hospitalized with COVID-19. 血管紧张素转换酶抑制剂和血管紧张素受体阻滞剂与COVID-19住院高血压患者死亡率的关系

Journal of Tehran University Heart Center Pub Date : 2021-07-01 DOI: 10.18502/jthc.v16i3.8185

Amirhossein Abedtash, Maryam Taherkhani, Soheil Shokrishakib, Shahriar Nikpour, Adineh Taherkhani

{"title":"Association between Angiotensin-Converting Enzyme Inhibitors and Angiotensin II Receptor Blockers and Mortality in Patients with Hypertension Hospitalized with COVID-19.","authors":"Amirhossein Abedtash, Maryam Taherkhani, Soheil Shokrishakib, Shahriar Nikpour, Adineh Taherkhani","doi":"10.18502/jthc.v16i3.8185","DOIUrl":"https://doi.org/10.18502/jthc.v16i3.8185","url":null,"abstract":"Background: Angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin II receptor blockers (ARBs) are common hypertension medications. We aimed to investigate the association between treatment with ACEIs/ARBs and disease severity and mortality in patients with hypertension hospitalized for coronavirus disease 2019 (COVID-19). Methods: Information from the medical records of 180 hospitalized patients diagnosed with COVID-19 infection admitted in 2020 to Loghman Hakim Hospital, Tehran, Iran, was collected. Clinical histories, drug therapies, radiological findings, hospital courses, and outcomes were analyzed in all the patients. The demographic and clinical characteristics of the patients were also analyzed, and the percentage of patients with hypertension taking ACEIs/ARBs was compared between survivors and nonsurvivors. Results: The study population consisted of 180 patients at mean±SD age of 67.76±18.72 years. Hypertension was reported in 72 patients (40.0%). Patients with hypertension were older than those without it (mean±SD age =72.35±12.09 y). Among those with hypertension, death occurred in 33 patients (45.8%), of whom 60.6% were men. Fifty-three patients (73.6%) with hypertension were on ACEIs/ARBs. The ACEIs/ARBs group had a significantly lower mortality rate than the non-ACEIs/ARBs group (37.7% vs 68.4%; OR: 0.192; 95% CI: 0.05-0.68; P=0.011). Conclusion: This single-center study found no harmful effects associated with ACEIs/ARBs treatment. Patients on ACEIs/ARBs had a lower rate of mortality and disease severity than the non-ACEIs/ARBs group. Our study supports the current guideline to continue ACEIs/ARBs in patients with hypertension.","PeriodicalId":39149,"journal":{"name":"Journal of Tehran University Heart Center","volume":"16 3","pages":"95-101"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bf/3f/JTHC-16-95.PMC9108475.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10600647","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}

引用次数: 1

The Efficacy of an Intervention Program for Pain Intensity Reduction in Patients Undergoing Arterial Sheath Removal after Coronary Artery Angioplasty. 干预方案对冠状动脉成形术后动脉鞘切除患者疼痛强度降低的效果。

Journal of Tehran University Heart Center Pub Date : 2021-07-01 DOI: 10.18502/jthc.v16i3.8186

Esmail Heidaranlu, Naser Sedghi Goyaghaj, Ali Moradi, Abbas Ebadi

{"title":"The Efficacy of an Intervention Program for Pain Intensity Reduction in Patients Undergoing Arterial Sheath Removal after Coronary Artery Angioplasty.","authors":"Esmail Heidaranlu, Naser Sedghi Goyaghaj, Ali Moradi, Abbas Ebadi","doi":"10.18502/jthc.v16i3.8186","DOIUrl":"https://doi.org/10.18502/jthc.v16i3.8186","url":null,"abstract":"Background: Pain management after sheath removal is one of the most significant points in patient care. The use of a simple, practical, and combined method in this field is essential. The purpose of this study was to evaluate the efficacy of an intervention program for pain intensity reduction in patients undergoing arterial sheath removal after coronary artery angioplasty. Methods: This semi-experimental study was conducted in 2020 on 90 eligible patients selected via the purpose-based method and randomly assigned to experimental and control groups. The intervention program for the experimental group included training to relax the abdominal muscles, deep and slow breathing, and precise pressure on the femoral pulse. Pain intensity was measured before, during, and several times after arterial sheath removal. The independent t, Fisher exact, and χ2 tests were used to analyze the data. Results: Women comprised 66.6% of the study participants, who had a mean age of 58.20±8.70 years. No significant differences were observed concerning pain intensity, bleeding, pseudoaneurysm formation, and hematoma between the 2 groups before the intervention (P=0.531). However, during the intervention and in the fifth and tenth minutes after the intervention, pain intensity was lower in the experimental group (P<0.050), whereas no such differences were observed regarding bleeding, pseudoaneurysm formation, and hematoma. Conclusions: Given the effectiveness of our intervention program in ameliorating pain intensity and vasovagal response after arterial sheath removal, we suggest that this program, along with prescription drugs, be used for the management of patients' pain.","PeriodicalId":39149,"journal":{"name":"Journal of Tehran University Heart Center","volume":"16 3","pages":"102-108"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3f/ba/JTHC-16-102.PMC9108473.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9285730","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}

引用次数: 0

Left Ventricular Mechanical Dispersion for the Better Risk Stratification of Patients With Hypertrophic Cardiomyopathy: Is It Possible? 肥厚性心肌病患者的左心室机械离散度更好的风险分层:可能吗?

Journal of Tehran University Heart Center Pub Date : 2021-07-01 DOI: 10.18502/jthc.v16i3.8193

Reza Mohsenibadalabadi, A. Hosseinsabet

引用次数: 0

Energy Drink-Associated Cardiomyopathy after Excessive Consumption: A Case Report. 过量饮用能量饮料引起的心肌病1例报告。

Journal of Tehran University Heart Center Pub Date : 2021-07-01 DOI: 10.18502/jthc.v16i3.8189

Muhammet Uyanik, Omer Gedikli, Ufuk Yildirim

{"title":"Energy Drink-Associated Cardiomyopathy after Excessive Consumption: A Case Report.","authors":"Muhammet Uyanik, Omer Gedikli, Ufuk Yildirim","doi":"10.18502/jthc.v16i3.8189","DOIUrl":"https://doi.org/10.18502/jthc.v16i3.8189","url":null,"abstract":"The basic components of energy drinks include caffeine, guarana, taurine, ginseng, and sugar. The excessive consumption of energy drinks has been associated with cardiovascular events such as tachycardia and myocardial infarction in the literature. We herein describe a 24-year-old man admitted to the emergency department. The patient's medical history and family history were unremarkable. It was, however, learned that he had consumed 8 to 10 cans of energy drinks per day (3.5-4 Lit/d) in the 2-week period leading to the hospital admission. Physical examination revealed bilateral diffuse rales and 2+ pretibial edema. Echocardiography showed a left ventricular ejection fraction of 25% with global left ventricular hypokinesia and dilated left ventricular dimensions. Coronary angiography demonstrated normal coronary arteries. On cardiac magnetic resonance imaging, the left ventricle was dilated, and the systolic function was reduced. No pathological enhancement was observed. This case report and many previous studies support a possible link between caffeinated energy drinks and cardiovascular events.","PeriodicalId":39149,"journal":{"name":"Journal of Tehran University Heart Center","volume":"16 3","pages":"119-122"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2d/99/JTHC-16-119.PMC9108477.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10600648","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}

引用次数: 2

Longitudinal Stent Deformation in Undeployed Stents: A Case Series. 未展开支架的纵向支架变形:一个案例系列。

Journal of Tehran University Heart Center Pub Date : 2021-07-01 DOI: 10.18502/jthc.v16i3.8190

Parminder Singh Otaal, Dinakar Bootla

引用次数: 0

Large Tricuspid Valve Myxoma in an Asymptomatic Patient with Uterine Myoma: An Uncommon Case. 无症状子宫肌瘤患者的大三尖瓣黏液瘤:一例罕见病例。

Journal of Tehran University Heart Center Pub Date : 2021-04-01 DOI: 10.18502/jthc.v16i2.7388

Mohammad Khani, Morteza Abdar Esfahani, Fariba Bayat, Alireza Khalaj, Abdolhamid Bagheri

引用次数: 0

Intramyocardial Mass with an Echo-Free Center as an Echocardiographic Presentation of Hypertrophic Cardiomyopathy. 心内肿块伴无回声中心是肥厚性心肌病的超声心动图表现。

Journal of Tehran University Heart Center Pub Date : 2021-04-01 DOI: 10.18502/jthc.v16i2.7392

Zahra Alizadeh-Sani, Ali Hosseinsabet

{"title":"Intramyocardial Mass with an Echo-Free Center as an Echocardiographic Presentation of Hypertrophic Cardiomyopathy.","authors":"Zahra Alizadeh-Sani, Ali Hosseinsabet","doi":"10.18502/jthc.v16i2.7392","DOIUrl":"https://doi.org/10.18502/jthc.v16i2.7392","url":null,"abstract":"A 43-year-old man presented to the emergency department with atypical chest pains. Physical examinations yielded no significant findings. Serial electrocardiography and high-sensitivity troponin measurements were normal. Transthoracic echocardiography in the emergency department revealed increased septal wall thickness; therefore, the patient was referred to the echocardiography ward for further evaluation. The echocardiographic findings were normal, except for an intramyocardial mass with an echo-free center in the base-to-mid portion of the inferior and inferoseptal walls (Figures 1. A, B & C). Additionally, the base and mid portions of the anteroseptal wall were hypertrophied. Cardiac magnetic resonance imaging demonstrated myocardial hypertrophy in the base and mid portions of the anteroseptal, inferoseptal, and inferior walls (Figures 2. A, B, C, D & E), as well as a patchy mid-wall appearance of late gadolinium enhancement, at the anterior and posterior junction of the right ventricle to the left ventricle (Figures 2. F, G & H). The findings were typical of hypertrophic cardiomyopathy. What was revealed in the late gadolinium-enhanced images was compatible with the echo-free space in echocardiography. Otherwise speaking, the cardiac magnetic resonance images delineated the background pathology (hypertrophic cardiomyopathy) and revealed fibrosis as the etiology of the echo-free space in echocardiography. Holter monitoring of electrocardiography was unremarkable. To our knowledge, intramyocardial masses with echo-free centers as an echocardiographic presentation of hypertrophic cardiomyopathy have not been reported yet. Accordingly, in the differential diagnosis of the aforementioned echocardiographic findings, hypertrophic cardiomyopathy should be included. Cardiac magnetic resonance imaging in this condition is helpful.","PeriodicalId":39149,"journal":{"name":"Journal of Tehran University Heart Center","volume":"16 2","pages":"89-91"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8d/4b/JTHC-16-89.PMC8742868.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39739131","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}

引用次数: 0

The Burden of Cardiovascular Diseases in the Kurdistan Province, Iran, from 2011 through 2017. 2011年至2017年伊朗库尔德斯坦省心血管疾病负担

Journal of Tehran University Heart Center Pub Date : 2021-04-01 DOI: 10.18502/jthc.v16i2.7385

Shahram Moradi, Ghobad Moradi, Bakhtiar Piroozi

{"title":"The Burden of Cardiovascular Diseases in the Kurdistan Province, Iran, from 2011 through 2017.","authors":"Shahram Moradi, Ghobad Moradi, Bakhtiar Piroozi","doi":"10.18502/jthc.v16i2.7385","DOIUrl":"https://doi.org/10.18502/jthc.v16i2.7385","url":null,"abstract":"Background: Calculating the burden of diseases is essential for their monitoring. The burden of cardiovascular diseases in Kurdistan Province has not been reported. This study aimed at calculating the burden of cardiovascular diseases in the Kurdistan Province from 2011 through 2017. Methods: In this cross-sectional study, incidence data were extracted from registration systems. The methods of the World Health Organization (WHO) were employed to calculate disability-adjusted life years (DALYs) of cardiovascular diseases in the Kurdistan Province. DALYs were calculated by summing the years of life lost (YLLs) and the years of life lived with disability (YLDs) for sex, age group, and year. Results: The burden of cardiovascular diseases increased from 18569.1 DALYs in 2011 to 34929.8 DALYs in 2017. The highest increase and the largest decrease in DALY according to the all age-standardized DALYs index were related to acute myocardial infarction and heart failure in women, respectively. The highest DALYs in both sexes were in the age group of over 80 years. Conclusion: The burden of cardiovascular diseases is increasing in the Iranian province of Kurdistan. It is, therefore, essential to implement appropriate and adequate interventions such as lifestyle modification, extensive screening, public education promotion, and operational plan development. We hope our results will aid decision-makers in performing urgent interventions.","PeriodicalId":39149,"journal":{"name":"Journal of Tehran University Heart Center","volume":"16 2","pages":"51-57"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/18/03/JTHC-16-51.PMC8742865.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724299","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}

引用次数: 0

The Malposition of the Pacing Lead in the Left Ventricle through an Atrial Septal Defect. 房间隔缺损导致左心室起搏导联错位。

Journal of Tehran University Heart Center Pub Date : 2021-04-01 DOI: 10.18502/jthc.v16i2.7393

Arezou Zoroufian, Ali Vasheghani-Farahani, Neda Toofaninejad

引用次数: 0