{"title":"The South African Heart Journal and the Protection of Personal Information Act","authors":"N. Ntusi","doi":"10.24170/18-2-4878","DOIUrl":"https://doi.org/10.24170/18-2-4878","url":null,"abstract":"","PeriodicalId":55781,"journal":{"name":"SA Heart Journal","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72926332","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}
R. D. Toit, A. Doubell, M. Abelson, F. Hellig, Adie Horak, T. Mabin, E. Klug, E. Schaafsma, J. V. Wyk, J. Scherman, M. Ntsekhe, H. Weich
{"title":"The South African SHARE-TAVI registry: incidence and risk factors leading to conduction disturbances requiring permanent pacemaker implantation","authors":"R. D. Toit, A. Doubell, M. Abelson, F. Hellig, Adie Horak, T. Mabin, E. Klug, E. Schaafsma, J. V. Wyk, J. Scherman, M. Ntsekhe, H. Weich","doi":"10.24170/18-2-4881","DOIUrl":"https://doi.org/10.24170/18-2-4881","url":null,"abstract":"Background: One of the most common complications post transcatheter aortic valve implantation (TAVI) is the development of heart block requiring permanent pacemaker implantation (PPM). The incidence of PPM in international registries ranges from 13% - 17.5%. \u0000Methods: The aim of this observational study was to report the PPM rate in the SHARE-TAVI registry and determine the clinical, electrocardiographic and procedural predictors of PPM as well as the effect of PPM on clinical outcomes. Results: Three hundred and fi ve subjects were analysed. The PPM rate was 9%. Third degree atrioventricular block at the time of implant was the most common indication for PPM. Self-expanding valves (PPM rate 14% vs. 6% for balloon-expandable valves, p=0.02) were correlated with the need for PPM. Baseline ECG predictors of PPM were axis deviation, QRS duration and conduction delay, most notably a pre-existing right bundle branch block (OR 15.88, p<0.01). PPM infl uenced functional class at 30 days, but not the need for repeat hospitalisation or mortality at 30-day and 1-year follow-up. \u0000Conclusions: A PPM rate lower than that reported in large international registries was found. Predictors of PPM and the infl uence of PPM on outcomes were similar to those reported in the international data.","PeriodicalId":55781,"journal":{"name":"SA Heart Journal","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73998776","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":"Critical thinking in cardiovascular imaging: hypertrophic cardiomyopathy and anterior mitral valve cleft","authors":"T. John, J. Bodenstein, P. Herbst","doi":"10.24170/18-2-4889","DOIUrl":"https://doi.org/10.24170/18-2-4889","url":null,"abstract":"We present a case of a 72-year-old female with hypertrophic cardiomyopathy with systolic anterior motion (SAM) of the mitral valve and secondary mitral regurgitation (MR). The jet direction was noted to be centrally directed which is atypical for SAM associated MR. A search for a secondary cause revealed a mitral valve cleft at the A2/3 transition zone. This case highlights the importance of critical thinking in cardiovascular imaging.","PeriodicalId":55781,"journal":{"name":"SA Heart Journal","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76877317","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 ten commandments for comprehensive heart failure management","authors":"J. Hitzeroth, N. Ntusi","doi":"10.24170/18-1-4768","DOIUrl":"https://doi.org/10.24170/18-1-4768","url":null,"abstract":"","PeriodicalId":55781,"journal":{"name":"SA Heart Journal","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81817250","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":"Mural endocarditis - by default","authors":"A. Patel, D. Kakooza, T. Kalk, N. Tsabedze","doi":"10.24170/18-1-4777","DOIUrl":"https://doi.org/10.24170/18-1-4777","url":null,"abstract":"We report on a case of a 33-year-old female patient with known adult congenital heart disease in the form of a coronary cameral fistula who, on prior presentation, had refused treatment and subsequently defaulted follow-up, but unfortunately developed a serious and rare complication. She presented with non-specific neurological symptoms of transient visual loss and headaches. Clinical examination revealed aortic regurgitation with peripheral features of infective endocarditis. This was confirmed with transthoracic echocardiogram, but additionally, we found mural endocarditis of the right atrial posterior wall. An initial CT brain scan and ophthalmology assessments were negative, blood cultures were positive and confirmed infective endocarditis, and she was referred for urgent cardiothoracic surgery. Unfortunately, she had further complications with a large intracranial haemorrhage which ultimately led to her death. This case illustrates a rare entity with disastrous complications.","PeriodicalId":55781,"journal":{"name":"SA Heart Journal","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75020103","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":"Variation in ascending thoracic aorta position","authors":"J. Koen, J. Janson","doi":"10.24170/18-1-4773","DOIUrl":"https://doi.org/10.24170/18-1-4773","url":null,"abstract":"Background: There is no evidence in current literature that demonstrates the prevalence of ascending thoracic aortic variation in relation to the sternum in the general, or diseased population. This measurement has become an important factor in decision-making for Trans- \u0000Catheter Aortic Valve Implantation (TAVI) and Minimally Invasive Cardiac Surgery (MICS). \u0000Methods: We conducted a cross-sectional study in Cape Town, South Africa. We evaluated the Thoracic CT scans of pre-selected TAVI patients (n=25) and compared these to Thoracic CT scans from the same general population (n=100). Three parameters of ascending thoracic aorta variations were measured. \u0000Results: Mean aorta distance from sternum was 28.01mm (95% CI: 24.56 - 31.48) in cases and 27.34mm (95% CI: 25.49 - 29.20) in controls (p 60 years revealed no difference between groups (p=0.314). An overall linear relationship of aortoventricular angle, compared to age, was demonstrated. \u0000Conclusion: Statistical analysis of ascending thoracic aorta position indicates that patients presenting for aortic valve surgery, especially older patients (>70 years), have favourable anatomy for MICS through a right thoracotomy. The aortic distance from the sternum was \u0000larger in the exposed group >60 years. Aortic valve disease does not cause variation in aorto-ventricular angle. The aorto-ventricular angle increases linearly with age, in both groups.","PeriodicalId":55781,"journal":{"name":"SA Heart Journal","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88546779","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}