心血管病(英文)最新文献_第8页

Venous Thromboembolic Disease in the Cardiology Department of the Nianakoro Fomba Hospital in Segou (HNF) 塞古市Nianakoro formba医院心内科静脉血栓栓塞性疾病(HNF)

心血管病(英文) Pub Date : 2022-01-01 DOI: 10.4236/wjcd.2022.1211052

M. Sako, M. Touré, Boureima Dembélé, Y. R. Koumaré, M. Konaté, M. Diakité, C. Thiam, A. Kodio, S. Sidibé, A. Keita, Aichata Dao, Y. Camara, B. Sonfo, B. Traoré, Souleymane Mariko, S. Coulibaly, I. Menta

引用次数: 0

Preventing Heart Disease via Coronary Artery Calcium Scoring to Make a Definitive Diagnosis of Atherosclerosis 通过冠状动脉钙化评分预防心脏病以明确诊断动脉粥样硬化

心血管病(英文) Pub Date : 2022-01-01 DOI: 10.4236/wjcd.2022.1210047

D. Schade, S. Wann, Martin Hickey, S. Obenshain, Jennifer A Febbo, R. Eaton

引用次数: 0

Asymptomatic Mitral Regurgitation Caused by an Isolated Mitral Leaflet Cleft in a Young Adult: A Case Report 年轻成人孤立二尖瓣小叶裂致无症状二尖瓣返流1例报告

心血管病(英文) Pub Date : 2022-01-01 DOI: 10.4236/wjcd.2022.122012

M. Leye, S. Beye, M. Dioum, Sarah Mouna Coly, D. A. Affangla, D. Ba, F. Aw, Khadidiatou Guèye, S. Akani, M. Ndiaye

引用次数: 0

Determinants of Blood Pressure Variability in Individuals with Essential Hypertension: A Survey-Based Study 原发性高血压患者血压变异性的决定因素:一项基于调查的研究

心血管病(英文) Pub Date : 2022-01-01 DOI: 10.4236/wjcd.2022.125026

A. Kamal

{"title":"Determinants of Blood Pressure Variability in Individuals with Essential Hypertension: A Survey-Based Study","authors":"A. Kamal","doi":"10.4236/wjcd.2022.125026","DOIUrl":"https://doi.org/10.4236/wjcd.2022.125026","url":null,"abstract":"Background: Blood pressure variability (BPV) in hypertensive patients is implicated as a remarkable feature leading to additional cardiovascular complications. The aim of the study was to identify the determinants influencing BPV among patients with essential hypertension seen at the Cardiology department of the faculty of medicine, University of Alexandria, Egypt. Methods: This was a descriptive cross-sectional hospital-based study conducted from August 2019 to November 2019. All the eligible patients were made to fill out a standard questionnaire to obtain family and personal clinical history and undergo routine physical examination, laboratory tests and 24-hour ambulatory blood pressure monitoring. BPV was summarized as the standard deviation (SD) of all-day systolic and diastolic BP in both normal patients (with SD < 11) and abnormal patients (with SD ≥ 11). Results: Out of a total of 114 patients, 18 (15.8%) non-hypertensive patients were included in the control group and the remaining 96 (84.3%) were classified based on the degree of hypertension. BPV in all these patients was found to be significantly related to the male gender, a mild or moderate degree of hypertension, high prevalence of non-dipping, diabetes, use of beta-blockers as antihypertensive medication, heart rate variability, BMI, and increased day-time variability. Conclusion: Variability in blood pressure influenced by different intrinsic and extrinsic factors plays an important role in the management of hypertension. In order to reduce the burden of disease and for a better quality of life for hypertensive patients, it is important that physicians start considering lowering BPV in addition to reducing physiological BP levels.","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70870182","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

Cardiac Amyloidosis: A Case Report of Seven Patients 心脏淀粉样变性7例报告

心血管病(英文) Pub Date : 2022-01-01 DOI: 10.4236/wjcd.2022.123017

N. Djita, I. Sylla, Aissatou Barry, Murielle Ahodakin, D. Sylla, E. Y. Baldé, M. B. Bah, Houzeiph Abdou Lassissi, A. Koné, Sana Soumra, M. Balde, M. Béavogui, M. Baldé, Noura Feniche

{"title":"Cardiac Amyloidosis: A Case Report of Seven Patients","authors":"N. Djita, I. Sylla, Aissatou Barry, Murielle Ahodakin, D. Sylla, E. Y. Baldé, M. B. Bah, Houzeiph Abdou Lassissi, A. Koné, Sana Soumra, M. Balde, M. Béavogui, M. Baldé, Noura Feniche","doi":"10.4236/wjcd.2022.123017","DOIUrl":"https://doi.org/10.4236/wjcd.2022.123017","url":null,"abstract":"Introduction: Cardiac amyloidosis is a rare and under-diagnosed disease. The objective of this study was to collect cases of cardiac amyloidosis in patients hospitalized in the cardiology department of the Centre Hospitalier Intercommunal Alençon-Mamers (CHICAM). Patients and Methods: This was a retrospective descriptive study of the records of patients diagnosed with cardiac amyloidosis. The study took place in the cardiology department of the CHICAM over 12 months (from January 1, 2020 to December 31, 2020). We included the files of patients in whom the diagnosis of cardiac amyloidosis was confirmed on the basis of clinical, echocardiographic, biological, scintigraphic and cardiac MRI evidence. Results: Seven patients were included. The mean age was 86.71 years. Six men for one woman. Most of the patients were in heart failure. There was one case of periorbital ecchymosis. Troponinemia was increased in three patients, NTproBNP was always high with a mean of 1000 ng/L. Cardiac echography showed a hyperbright septum in four cases, concentric hypertrophy of the left ventricle with a mean interventricular septum in diastole of 13.85 mm. Six cases were senile transthyretin amyloidosis (TTR), one case was mutated transthyretin amyloidosis (TTRm). Two cases of death were noted. Conclusion: Cardiac amyloidosis has a poor prognosis due to delayed diagnosis.","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70870299","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

Transcatheter Aortic Valve Replacement in High-Risk Surgical Patient with Severe Aortic Insufficiency 经导管主动脉瓣置换术治疗严重主动脉不全高危手术患者

心血管病(英文) Pub Date : 2022-01-01 DOI: 10.4236/wjcd.2022.127038

F. Khan, Danielle Cannon, Alon Yarkoni

{"title":"Transcatheter Aortic Valve Replacement in High-Risk Surgical Patient with Severe Aortic Insufficiency","authors":"F. Khan, Danielle Cannon, Alon Yarkoni","doi":"10.4236/wjcd.2022.127038","DOIUrl":"https://doi.org/10.4236/wjcd.2022.127038","url":null,"abstract":"Background: Transcatheter aortic valve replacement (TAVR) is approved by the FDA for severe aortic stenosis (AS) in patients of all surgical risk categories but has yet to be studied for its utility in aortic insufficiency (AI), despite the need for a safe alternative to surgery for prohibitive surgical risk patients. Case Report: We describe a case of a female patient who presented with acute decompensated congestive heart failure (CHF) with New York Heart Association (NYHA) Class IV symptoms. She was found to have severe AI leading to acute decompensation. Two years prior to this, she had aortic valve endocarditis that had potentially resulted in severe AI. Considering her underling comorbidities including diabetes mellitus, hypertension, morbid obesity and multiple myeloma on active chemotherapy at the time of evaluation, the patient was a high-risk surgical candidate for surgical aortic valve repair (SAVR) in view of elevated risk of mortality, infection, and poor wound healing. After critical and comprehensive assessment, transcatheter aortic valve intervention was considered to be an appropriate choice of treatment. TAVR was successfully performed that resulted in immediate improvement of aortic valve func-tion. On subsequent follow-ups, she demonstrated markedly improved symptoms and reduced status to NYHA Class II HF symptoms. Conclusion: TAVR is a potential treatment modality for patients with severe AI who are poor surgical candidates for SAVR. We hope our case contributes to the growing pool of studies investigating the utility of TAVR procedure in patients with severe AI.","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70871253","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

Autonomic Function in Individuals with Slow Heart Rate Response following an Exercise Stress Test 运动应激试验后慢心率反应个体的自主神经功能

心血管病(英文) Pub Date : 2022-01-01 DOI: 10.4236/wjcd.2022.126028

I. Goldfarb, Kobi Serr, S. Segev, J. Shemesh, I. Goldenberg, M. Scheinowitz

引用次数: 0

Impact of Acute Ischemia-Reperfusion Injury on Left Ventricular Pressure-Volume Relations in Dogs 急性缺血再灌注损伤对犬左心室压力-容积关系的影响

心血管病(英文) Pub Date : 2022-01-01 DOI: 10.4236/wjcd.2022.124024

J. Kingma, Denys Simard, J. Rouleau

引用次数: 0

Papillary Muscle Relocation in Secondary Mitral Regurgitation: Midterm Outcomes 继发性二尖瓣返流的乳头肌移位:中期结果

心血管病(英文) Pub Date : 2022-01-01 DOI: 10.4236/wjcd.2022.124022

Pramote Porapakkham, P. Porapakkham

{"title":"Papillary Muscle Relocation in Secondary Mitral Regurgitation: Midterm Outcomes","authors":"Pramote Porapakkham, P. Porapakkham","doi":"10.4236/wjcd.2022.124022","DOIUrl":"https://doi.org/10.4236/wjcd.2022.124022","url":null,"abstract":"Background: Mitral valve repair in secondary mitral regurgitation is still uncertain as the chance of recurrence is approximately 30 percent after solely undersized annuloplasty. Some procedures adding to the subvalvular level are proposed to alleviate the recurrent rate. This study was to evaluate the clinical and echocardiographic outcomes of papillary muscle relocation plus undersized ring in secondary mitral regurgitation (2 nd MR). Methods: Medical records of moderate to severe 2 nd MR with tethering depth of more than 1 cm patients who underwent papillary muscle relocation plus undersized ring from 2014 to 2020 were reviewed. Clinical and echocardiographic parameters before and after operation were analyzed. Results: Thirty-two patients were included during the 6-year period. There was no perioperative mortality. Two patients died at one year from ischemic stroke and car accidents with overall 5-year survival of 93.7%. All patients were in NYHA class I and II with MR grading as trivial or mild at a median follow-up of 33 months. Postoperative mean tenting depth, area and posterior leaflet angle decreased remarkably from 1.18 cm, 2.61 cm 2 and 46.5 degree to 0.65 cm, 1.22 cm 2 and 28.6 degree, respectively (p < 0.001, 0.02, and 0.01). Moreover, left ventricular function and remodeling were also notably improved (EF; 38.2% vs 49.1%: p = 0.018, LVEDD; 62.8 vs 54.6 mm: p = 0.005, LVESD; 50.2 vs 42.4 mm: p = 0.01). Conclusions: Papillary muscle relocation combined with undersized annuloplasty improved mid-term clinical outcomes. Apart from reduction of recurrent MR rate, restoration of mitral configuration and reverse LV remodeling could be the effect of adding subvalvular correction in this pathology.","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70870549","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

Cardiovascular and Cerebrovascular Prognosis at 5 Years of Patients Who Presented with an Ischemic Stroke at Principal Hospital of Dakar 达喀尔主要医院缺血性脑卒中患者5年的心脑血管预后

心血管病(英文) Pub Date : 2022-01-01 DOI: 10.4236/wjcd.2022.121008

W. N. Mboup, M. Ka, S. C. Ndao, D. Balde, D. Ba, K. Dia, Pape Diadji Fall, M. C. Mboup

{"title":"Cardiovascular and Cerebrovascular Prognosis at 5 Years of Patients Who Presented with an Ischemic Stroke at Principal Hospital of Dakar","authors":"W. N. Mboup, M. Ka, S. C. Ndao, D. Balde, D. Ba, K. Dia, Pape Diadji Fall, M. C. Mboup","doi":"10.4236/wjcd.2022.121008","DOIUrl":"https://doi.org/10.4236/wjcd.2022.121008","url":null,"abstract":"Aims: To determine the cardiovascular and cerebrovascular prognosis at 5 years of patients who underwent an ischemic stroke in Senegal. Methods: We performed a descriptive, retrospective and exhaustive study conducted at Principal Hospital of Dakar. We included all patients hospitalized at Principal Hospital of Dakar from 2013 to 2019 for an ischemic stroke confirmed by a cerebral CT-Scanner or by magnetic resonance imaging, and who survived the acute phase. Results: Overall, one hundred and seventy-one (171) patients were gathered. Ninety-six (96) male patients account for 56.14% and seventy-five (75) female patients account for 43.86%, with a sex ratio of 1.28. Patients’ mean age was 66.33 ± 13.99 years. Twenty-one (21) young patients (12.35%), aged less than 50 years, presented with an ischemic stroke. Myocardial infarction was found in a female patient (0.6%) 3 months after she experienced an ischemic stroke, nine (9) patients (5.29%) underwent a recurrence of the ischemic stroke with a mean recurrence period of 8 months and extremes ranging from sion: Long-term prognosis of ischemic stroke remains unclear in Senegal. Therefore, a strategy for primary prevention is highly crucial and it requires the control of risk factors in general and that of high blood pressure in par-ticular.","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70869215","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