Pakistan Journal of Cardiovascular Intervention最新文献

Short term Outcomes of left main coronary artery Percutaneous Coronary Intervention A large tertiary care dedicated Cardiac Centre experience. 左冠状动脉主干经皮冠状动脉介入治疗的短期结果一个大型三级保健专门的心脏中心经验。

Pakistan Journal of Cardiovascular Intervention Pub Date : 2022-12-01 DOI: 10.58889/pjcvi.3.24.30

A. Ullah, M. Ishaq, Rafiullah Jan, A. Raza

{"title":"Short term Outcomes of left main coronary artery Percutaneous Coronary Intervention A large tertiary care dedicated Cardiac Centre experience.","authors":"A. Ullah, M. Ishaq, Rafiullah Jan, A. Raza","doi":"10.58889/pjcvi.3.24.30","DOIUrl":"https://doi.org/10.58889/pjcvi.3.24.30","url":null,"abstract":"Background: Left main coronary artery intervention is getting common throughout the world. Data in our local population are still lacking. Our aim was to study the short-term outcomes after revascularization of left main coronary artery (LMCA) at a tertiary care Centre at public sector hospital in Pakistan. \u0000Methodology: In this descriptive study conducted at Peshawar Institute of Cardiology, we enrolled consecutive patients who underwent LMCA intervention from January 2021 till November 2021. Direct patients’ interviews, reviewing charts and records were used for in-hospital outcomes and telephonic and physical follow up were used to document three months outcome. Results were expressed as means, standard deviations and percentages for different variables. \u0000Results: Total number of patients in the study were 68. The mean age was 61 ± 11.7 years, 73.5% (50 cases) were males. Six patients (8.8%) were in cardiogenic shock and five of them were put on mechanical ventilation. Thirty-two (47.1%) patients had presentation as acute coronary syndrome (ACS) within the last seven days. Mean follow up time was 170 ± 71 days. Mortality in-hospital was 5.8%, at the mean follow up it was 8.8%. \u0000Conclusion: Comparable short-term outcomes of left main coronary artery PCI, to national and international data can be achieved in a public sector hospital in our country where resources are scarce. Hence LMCA PCI is an acceptable alternative to CABG in suitable patients.","PeriodicalId":438573,"journal":{"name":"Pakistan Journal of Cardiovascular Intervention","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126718143","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: 0

Chronic ischemia in Left anterior descending artery territory presenting as intractable hiccups: An unusual symptom of coronary artery disease. 左前降支区域慢性缺血表现为顽固性打嗝:冠状动脉疾病的一种不寻常症状。

Pakistan Journal of Cardiovascular Intervention Pub Date : 2022-12-01 DOI: 10.58889/pjcvi.3.77.79

S. Khan, A. Khan, Syed Abid Habib

引用次数: 0

Left Main Coronary Artery Stenosis following Bentall Procedure: A case report. 本特尔手术后左主干冠状动脉狭窄1例报告。

Pakistan Journal of Cardiovascular Intervention Pub Date : 2022-12-01 DOI: 10.58889/pjcvi.3.60.64

Hannah Hameed, Tara Anne John, M. Tahirkheli, Bruce Cannon, Julie Ellen White, Hussnain Zafar, M. Baig, Zarrar Sani, A. Chohan, A. Weitzel, Humza Razaq, A. Siddiqi, Mehak Ali, Ilsa Rizvi, Arslan Ahmad, Bireera Muzaffar, Sakina Batool, Riyan Imtiaz Karamat, Qasim Manzoor Amjad, A. Karim, N. Tahirkheli

{"title":"Left Main Coronary Artery Stenosis following Bentall Procedure: A case report.","authors":"Hannah Hameed, Tara Anne John, M. Tahirkheli, Bruce Cannon, Julie Ellen White, Hussnain Zafar, M. Baig, Zarrar Sani, A. Chohan, A. Weitzel, Humza Razaq, A. Siddiqi, Mehak Ali, Ilsa Rizvi, Arslan Ahmad, Bireera Muzaffar, Sakina Batool, Riyan Imtiaz Karamat, Qasim Manzoor Amjad, A. Karim, N. Tahirkheli","doi":"10.58889/pjcvi.3.60.64","DOIUrl":"https://doi.org/10.58889/pjcvi.3.60.64","url":null,"abstract":"Since its introduction, Bentall procedure has remained the standard of care for management of ascending aortic aneurysms with associated aortic valve pathologies. It involves replacement of aortic root, ascending aorta and the aortic valve, using a hybrid vascular graft with built in valves. The openings of the main coronary arteries are then rejoined with the graft. The procedure has satisfactory long term survival rate. However, there are some complications including graft infection, stroke from dislodged plaques and coronary insufficiency due to kinking of the reconnected main coronary arteries. \u0000Here, we report a rare and life-threatening complication following Bentall procedure. A 76-year-old female developed left main stenosis following Bentall procedure, successfully treated with percutaneous coronary intervention (PCI). We discuss various etiologies and treatment options for this complication. We recommend routine surveillance with coronary angiography at six months post Bentall.","PeriodicalId":438573,"journal":{"name":"Pakistan Journal of Cardiovascular Intervention","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115195057","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: 0

Comparative outcomes of MACE after Drug eluting balloon Vs. Drug Eluting Stent in treatment of in-stent restenosis (ISR) patients presented with acute coronary syndrome. 药物洗脱球囊与药物洗脱支架治疗急性冠脉综合征支架内再狭窄(ISR)患者的疗效比较

Pakistan Journal of Cardiovascular Intervention Pub Date : 2022-12-01 DOI: 10.58889/pjcvi.3.31.36

S. Khan, A. Khan, Jasia Bukhari, Muhammad Idrees Khan, Imad Uddin

{"title":"Comparative outcomes of MACE after Drug eluting balloon Vs. Drug Eluting Stent in treatment of in-stent restenosis (ISR) patients presented with acute coronary syndrome.","authors":"S. Khan, A. Khan, Jasia Bukhari, Muhammad Idrees Khan, Imad Uddin","doi":"10.58889/pjcvi.3.31.36","DOIUrl":"https://doi.org/10.58889/pjcvi.3.31.36","url":null,"abstract":"Background: Currently, patients with coronary artery disease are advised to use coronary stenting as their primary revascularization method. This study aims to compare outcome of MACE after DEB Vs DES in treatment of patients within stent restenosis (ISR) presented with chest pain. \u0000Methodology: The current study was Quasi experimental study carried out at the Department of Cardiology, MTI-HMC Peshawar for duration of six months from 21 April 2021 to 21 Nov 2021. In this study, 94 patients in DEB group and 94 patients in DES group were followed for 06 months to look for development of MACE. All data was collected through a well-defined proforma. Data was entered on computer software SPSS version 22. \u0000Results: In DEB group, 52 (55.3%) male patients and 42 (44.7%) female patients were recorded whereas in DES group, 57 (60.6%) male patients while 37 (39.4%) female patients were recorded. In DEB group, 15 (16.0%) patients were recorded with MACE whereas in DES group, 38 (40.4%) patients were recorded with MACE. \u0000Conclusion: Our study showed that DEB is superior to DES in the management of in-stent restenosis and results in fewer major adverse cardiovascular events (MACE), so DEB may be considered as a treatment option for CAD patients admitted to our setting in in order to reduce mortality and morbidity associated to restenosis in such patients.","PeriodicalId":438573,"journal":{"name":"Pakistan Journal of Cardiovascular Intervention","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126836303","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: 0

Recurrent coronary spasm presenting as acute STEMI; To stent or not to stent? 复发性冠状动脉痉挛表现为急性STEMI;支架还是不支架?

Pakistan Journal of Cardiovascular Intervention Pub Date : 2022-12-01 DOI: 10.58889/pjcvi.3.69.76

A. Ullah, F. Keshavarzi, D. Fraser

引用次数: 0

Stress cardiomyopathy: Same pathology caused by variety of triggers. 应激性心肌病:由多种诱因引起的相同病理。

Pakistan Journal of Cardiovascular Intervention Pub Date : 2022-12-01 DOI: 10.58889/pjcvi.3.7.16

A. Ullah, N. Malik, D. Fraser, A. Raza, F. Ordoubadi, M. Omar

{"title":"Stress cardiomyopathy: Same pathology caused by variety of triggers.","authors":"A. Ullah, N. Malik, D. Fraser, A. Raza, F. Ordoubadi, M. Omar","doi":"10.58889/pjcvi.3.7.16","DOIUrl":"https://doi.org/10.58889/pjcvi.3.7.16","url":null,"abstract":"Stress cardiomyopathy (SCM), also known as Takatsubo cardiomyopathy or broken heart syndrome has been well documented in literature since its first description. With more awareness of the condition and increasing evidence base, the reported incidence of SCM has steadily increased over years and currently estimated at 1-2 % of the patients presenting with acute coronary syndrome. \u0000There are different criteria proposed for diagnosis of stress cardiomyopathy and this address more or less the same clinical questions while diagnosing this not so uncommon condition. \u0000Despite extensive research , there has been a lack of understanding on the exact mechanism and causative factors leading to SCM. We report a variety of cases where a different trigger appears to have been responsible for causation of SCM. It would seem that irrespective of the original trigger, the final clinical picture and course remains identical. These further strengths the idea that the condition is mediated by a common neurocardiovacular pathway in susceptible individuals. Further exploration of these mechanisms would be crucial to improve our strategies to try to prevent and effectively manage this potentially disabling condition.","PeriodicalId":438573,"journal":{"name":"Pakistan Journal of Cardiovascular Intervention","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133509693","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: 0

History of PTMC at National Institute of Cardiovascular Diseases Karachi. 卡拉奇国立心血管疾病研究所PTMC的历史。

Pakistan Journal of Cardiovascular Intervention Pub Date : 2022-12-01 DOI: 10.58889/pjcvi.3.1.6

Khan Shah Zaman

引用次数: 0

STEMI Pakistan; A National Heart Attack Management Program. STEMI巴基斯坦;全国心脏病发作管理计划。

Pakistan Journal of Cardiovascular Intervention Pub Date : 2022-12-01 DOI: 10.58889/pjcvi.3.17.23

Salman S Nishtar

{"title":"STEMI Pakistan; A National Heart Attack Management Program.","authors":"Salman S Nishtar","doi":"10.58889/pjcvi.3.17.23","DOIUrl":"https://doi.org/10.58889/pjcvi.3.17.23","url":null,"abstract":"Coronary artery disease (CAD) accounts for more than two-thirds of these deaths. It is indicated per the latest information that one in four Pakistani adults over 40 has CAD. \u0000The stable coronary disease has a relatively low annual mortality, while acute myocardial infarction (MI) carries a high mortality and morbidity. Though recent advancements in coronary interventions have however revolutionized the management of acute myocardial infarction, resulting in a significant reduction of cardiovascular morbidity and mortality in the developed world but in Pakistan, the majority of ST-elevation myocardial infarction (STEMI) patients still remain sub-optimally managed. Urban areas are relatively better equipped, but this does not necessarily translate into universal access to quality and timely cardiac care. There is not only substantial variation in accessibility and practices amongst cardiac healthcare facilities between rural and urban areas but also amongst major city hospitals. Such variations clearly indicate an urgent need for a nationwide standardized STEMI management program to ensure that everyone with an acute STEMI will have speedy access to quality and standard acute care without being economically burdened.","PeriodicalId":438573,"journal":{"name":"Pakistan Journal of Cardiovascular Intervention","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131335349","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: 0

rare case of pericardial tamponade during Transthoracic Echocardiogram. 经胸超声心动图发现心包填塞一例。

Pakistan Journal of Cardiovascular Intervention Pub Date : 2022-12-01 DOI: 10.58889/pjcvi.3.65.68

A. Ullah, Colin Cunningham

引用次数: 0

Correlation of TIMI score with severity of coronary artery disease in acute coronary syndrome 急性冠状动脉综合征患者TIMI评分与冠状动脉疾病严重程度的相关性

Pakistan Journal of Cardiovascular Intervention Pub Date : 2022-12-01 DOI: 10.58889/pjcvi.3.52.59

Ahmad Q. Hasan, A. Iqbal, S. Tawab, I. Hussain

{"title":"Correlation of TIMI score with severity of coronary artery disease in acute coronary syndrome","authors":"Ahmad Q. Hasan, A. Iqbal, S. Tawab, I. Hussain","doi":"10.58889/pjcvi.3.52.59","DOIUrl":"https://doi.org/10.58889/pjcvi.3.52.59","url":null,"abstract":"Background: ACS presents as wide range of clinical ailments that requires prompt treatment to avoid unforeseen circumstances. As noninvasive strategy, TIMI risk assessment is a widely accepted tool for risk stratification of ACS patient to initiate timely management. Purpose of the present study is to determine the association of TIMI score in predicting the severity of coronary artery disease in ACS. \u0000Methodology: A cross-sectional study was conducted in specialized tertiary care cardiac hospital on 255 patients from January 2021 to June 2021. For all patients, TIMI score calculated based on all the seven variables. Confidentiality of the participants was maintained. Ethical approval was obtained from review board of concerned hospital. Data was analyzed on SPSS version 23.0. One way ANOVA was used to compare categorical variables. Chi square test used to reveal difference in proportion to three TIMI groups. \u0000Results: Finding show that ST segment deviation was evident in 51.5% patients. Out of 37 patients in group-III with ST segment changes, 91.8% were found of having significant CAD. Results show that in group-III, 54.1% had significant three vessel CAD compared to 17.6% group-II & 7.5% group-I patients. Also, p-value of <0.001 depict significant association between TIMI score and severity of CAD. \u0000Conclusion: A significant association from this study gives a notion that TIMI score is valuable tool in clinical setting to make urgent decision regarding the management of CAD. Also, it was concluded from current study that patients with higher TIMI score had additional risk of three vessel CAD and left main vessel CAD in patients with ACS.","PeriodicalId":438573,"journal":{"name":"Pakistan Journal of Cardiovascular Intervention","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124306512","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: 0