Cardiology and vascular medicine最新文献

{"title":"Knowledge and perception of coronary angiography and coronary angioplasty by physicians involved in the management of cardiovascular emergencies in Togo","authors":"Yaovi Mignazonzon Afassinou, Souleymane Pessinaba, Borgatia Atta, Cuma Vianney Barhinjibanwa, Hervé Liberus Ayewanou Edorh, Nansirine Oloude, Machihude Pio, Soodougoua Baragou, Findibe Damorou","doi":"10.33425/2768-0436.1015","DOIUrl":"https://doi.org/10.33425/2768-0436.1015","url":null,"abstract":"Objectives: Interventional cardiology is emerging in Togo. The aim of this study is to assess the knowledge and attitudes regarding coronary angiography and angioplasty of physicians involved in the management of cardiovascular emergencies in Togo. Materials and methods: This was a cross-sectional study that was conducted for three months from January 15 to June 30, 2022 and that focused on doctors involved in the management of cardiovascular emergencies in Togo, who volunteered to participate in the study. Results: We interviewed 150 doctors with an average age of 32.8 5.6 years. Eight (10.7%) physicians reported having no knowledge of coronary angiography. All physicians recognized acute coronary syndromes (ACS) with persistent ST-segment elevation, the positive myocardial ischemia test as an indication of coronary angiography. Indications of coronary angiography, such as ventricular rhythm disorders, unexplained heart failure and stable angina were not well understood by 20 (13.3%), 19 (12.7%) and 9 (6.0%) respectively. All doctors knew that angioplasty could be accompanied by complications, but 48% were unaware of the skin complications of irradiation. The availability of coronary angiography and angioplasty in cardiac practice in Togo was ignored by 23 physicians or 15.3%. Coronary angiography and coronary angioplasty were perceived as very expensive by 70.7% of physicians. The cost of these procedures was a barrier to their prescription among 78 doctors (52. %). Conclusion: Coronary interventional cardiology is performed routinely in Togo. Physicians involved in the management of cardiovascular emergencies have a level of knowledge and attitudes that need to be improved.","PeriodicalId":488790,"journal":{"name":"Cardiology and vascular medicine","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136240699","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":"The Impact of Diabetes Reversal on Myocardial Function and Quality of Life in Diabetic Cardiomyopathy -A Prospective Research Study","authors":"Ashish K Mohapatra, Bhagylaxmi Deo, Ayad Alramadan","doi":"10.33425/2768-0436.1016","DOIUrl":"https://doi.org/10.33425/2768-0436.1016","url":null,"abstract":"Introduction: Diabetes mellitus and its related consequences impose a significant worldwide cost on human health and economic resources. Cardiovascular illnesses are the primary cause of mortality among those with diabetes, who face a 2- to 5-fold increased likelihood of developing heart failure compared to non-diabetic individuals of the same age, regardless of any coexisting medical conditions. Diabetic cardiomyopathy refers to the manifestation of atypical heart structure and impaired cardiac function in the absence of other risk factors commonly associated with cardiac conditions, such as coronary artery disease, hypertension, and notable valve abnormalities. The density of patients with diabetic cardiomyopathy is rising progressively. Even now, the focus is more on diabetes blood sugar management, diabetic nephropathy, diabetic neuropathy, and poor quality of life; diabetic cardiomyopathy needs to be more pronounced in the treatment- guidelines; very few studies have been conducted on diabetic cardiomyopathy. Methods: This prospective study was initiated in January 2021, was conducted for 18 months, and was completed in June 2022. This study is a prospective study of diabetic patients with manifested diabetic cardiomyopathy, the effect of an integrated approach of dietary modification and guided exercise protocol enhancing cardiac performance and the quality of life. The patients satisfying the inclusion criteria without exclusion criteria were randomized to intervention and control groups. Results: The age group of the mean (years) ± SD (58.41±10.43) in the Intervention Group and (56.87±11.23.) in the Control Group. Both the groups comprised female participants, 39% in the Intervention Group and 27% in the Control Group. The initial evaluation was done at the beginning of this prospective study. The follow-ups were done in 1, 3, 6, 9, 12, and 18 months. Clinical examination, peak VO2 evaluation in a cardiopulmonary exercise test, and echocardiography with Left Ventricular Global Longitudinal Strain (LV-GLS) measurements. During the study period, it was noted that there were substantial improvements in HbA1C, low-density lipoprotein (LDL), peak VO2, and Quality of Life (QoL). Conclusion: In Conclusion, based on the findings of this prospective study, the integrated approach of nutritional modification and guided exercise protocol in diabetic cardiomyopathy with or without heart failure patients has tremendous benefits in cardiac performance and remarkable improvement in QoL. As the life span improves, that leads to more heart failure patients presently and in the future. Along with pharmacotherapy against diabetes, diabetes reversal should be emphasized from the beginning of diabetes diagnosis to achieve a better quality of life. Considering the importance of a guided diabetes reversal program through this study, it would not be wrong to suggest it as an initial treatment strategy in case of diabetes with or without diabetic cardiomyopathy m","PeriodicalId":488790,"journal":{"name":"Cardiology and vascular medicine","volume":"170 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136240698","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":"Enhancing Quality of Life (QOL) And Cardiac Function in Heart Failure Patients Through Integrated Tele-Cardiopulmonary Rehabilitation And Psychological Support: A Prospective Study","authors":"Ashish K Mohapatra, Ayad Alramadan","doi":"10.33425/2768-0436.1012","DOIUrl":"https://doi.org/10.33425/2768-0436.1012","url":null,"abstract":"Introduction: Herat failure (HF) is one global pandemic affecting millions of people across the globe. Patients with HF report decreased functional capacity, increased dyspnea and weariness, and a diminished ability to do daily tasks. In previous years there was much advancement in pharmacological therapy against heart failure. Several studies have shown that cardiopulmonary rehabilitation programs are safe and effective in improving functional capacity and quality of life while decreasing readmission rates and all-cause death in heart failure patients. However, heart failure patients' psychological status is often unknowingly neglected, leading to poor quality of life. Methods: This prospective Study was initiated in May 2022, was conducted for 18 months, and was completed in October 2022. This study is a prospective study of heart failure patients, the effect of an integrated approach of tele-cardiopulmonary rehabilitation along with psychologist-guided psychological support enhancing the quality of life. The patients satisfying the inclusion criteria without exclusion criteria were randomized to intervention and control groups. Results: The age group of the mean (years)+/- SD(67+/-14.4) in the Intervention Group and (66+/- 14) in the Control group. Both the groups comprised female participants, 63% in the Intervention group and 68% in the control group. The initial evaluation was done at the beginning of this prospective study. The follow-ups were done in 6 weeks, 12 weeks, and 24 weeks. Clinical examination, 6-Minute Walk Test, peak VO2 evaluation in a cardiopulmonary exercise test, and echocardiography with LVGLS measurements. During the study period, it was noted that there were substantial improvements in LVGLS, 6-Minute Walk Test distance, peak VO2, and Quality of Life. Conclusion: In Conclusion, based on the findings of this prospective study, the integrated approach of tele- cardiopulmonary rehabilitation and psychological support in heart failure patients has tremendous benefits and remarkable improvement in Quality of Life. As the life span improves, that leads to more heart failure patients presently and in the future. Along with pharmacotherapy against heart failure, telerehabilitation, and psychological support should be emphasized from the beginning of heart failure treatment to achieve a better quality of life. Considering the importance of Rehabilitation, through this study, it would not be wrong to suggest an additional pillar of heart failure treatment along with four other robust pillars in the guidelines","PeriodicalId":488790,"journal":{"name":"Cardiology and vascular medicine","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136240701","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":"Effect of Physical Rehabilitation on Hemodynamic Status","authors":"АN Grashchenkova, DE Grashchenkov, SN Puzin, ОТ Bogova","doi":"10.33425/2768-0436.1014","DOIUrl":"https://doi.org/10.33425/2768-0436.1014","url":null,"abstract":"Cardiovascular diseases (hereinafter - CVD) have become the leading cause of death worldwide: for no other reason as many people die every year as from CVD. This problem affects low and middle income countries to varying degrees. More than 80% of deaths from CVD occur in these countries, almost equally among men and women, however, patients who survived after myocardial infarction (hereinafter - MI) are at high risk of death. According to the main facts of the WHO, 17.9 million people died from CVD in 2016, which accounted for 31% of all deaths in the world. In this connection, it is necessary to improve medical rehabilitation (hereinafter - MR), in particular for CVD, especially on an outpatient basis. Competent MR, cardiac rehabilitation in patients with myocardial infarction is associated with improved survival and effectiveness of quality of life, as well as prevention of recurrent MI. There is a legislative framework FZ-No. 323 of 21.11.2011 \"On the basics of health protection of citizens in the Russian Federation\" concerning medical rehabilitation and \"Procedure for organizing medical rehabilitation\" No. 1705n of 29.12.2012. Multiple meta-analysis showed that cardiovascular rehabilitation (hereinafter - CVR) reduces mortality in patients with coronary artery disease. Despite the recommendations and recommending the use of programs for patients with previous MI, patient participation in these programs remains low, which has led to the development of alternative models of medical rehabilitation.","PeriodicalId":488790,"journal":{"name":"Cardiology and vascular medicine","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136240703","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":"Minimally Invasive Surgical Repair of Left- Sided Partial Anomalous Pulmonary Venous Connection: A Case Report","authors":"Olivier Jegaden, Adel Al Shamry, Abdulah Al Ajami, Zubin Nalladaru, Salah Ashafy","doi":"10.33425/2768-0436.1011","DOIUrl":"https://doi.org/10.33425/2768-0436.1011","url":null,"abstract":"Left side atrial anomalous pulmonary venous connection (PAPVC) is a rare entity. We report one case surgical treated off-pump with minimally invasive approach. We present a case of left side PAPVC with a non-significant atrial septal defect (ASD) in an asymptomatic 40-year old patient. Angiographic computed tomography (CT) scan has confirmed the diagnosis of vertical vein between left superior pulmonary vein and left brachiocephalic vein, responsible of a significant shunt and right heart dilation. Surgical repair consisted of implantation of the vertical vein into the left appendage through a left mini-thoracotomy and video-assistance. Outcome was event free and patient was discharged on day 4. Conclusion: Off-pump minimally invasive surgical repair of left side PAPVC is safe, effective and easily reproducible. Possible associated ASD may be treated with hybrid approach and percutaneous closure if indicated.","PeriodicalId":488790,"journal":{"name":"Cardiology and vascular medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136240705","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":"Enterococcal Prosthetic Valve Infective Endocarditis Presenting as Complete Heart Block with Intramyocardial Abscess Causing Asystolic Cardiac Arrest","authors":"Benjamin Borokhovsky","doi":"10.33425/2768-0436.1013","DOIUrl":"https://doi.org/10.33425/2768-0436.1013","url":null,"abstract":"The extension of an intracardiac abscess causing complete heart block is a rare complication of infective endocarditis that is associated with a high mortality. Early identification of conduction abnormalities and a low threshold for suspecting infective endocarditis is crucial to provide prompt management to prevent intracardial extension of infection. We report a case of a patient presenting with complete heart block in the setting of profound hyperkalemia, and was then found to have enterococcal prosthetic valve endocarditis, which was complicated by an intracardiac aortic root abscess which led to asystolic cardiac arrest. The development of heart block in endocarditis serves as a marker for poor prognosis and can signify progression of infection. Management therefore requires immediate pacing, antibiotic delivery to lessen infectious burden, and evaluation for consideration of surgical options such as valve replacement. It is therefore recommended for patients with endocarditis complicated by conduction abnormalities or intracardial abscesses to be treated by a multi-disciplinary team consisting of cardiologists, cardiothoracic surgeons, and infectious disease specialists.","PeriodicalId":488790,"journal":{"name":"Cardiology and vascular medicine","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136240704","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}