ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology最新文献

Left Ventricular Global Longitudinal Strain as a Predictor for Poor Outcomes in Patients Hospitalized for COVID-19 Infection 左心室整体纵向应变作为COVID-19感染住院患者不良预后的预测因子

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2023-07-01 DOI: 10.31762/ahj2332.0203

Juan Armando D. Diaz, R. Lapitan

{"title":"Left Ventricular Global Longitudinal Strain as a Predictor for Poor Outcomes in Patients Hospitalized for COVID-19 Infection","authors":"Juan Armando D. Diaz, R. Lapitan","doi":"10.31762/ahj2332.0203","DOIUrl":"https://doi.org/10.31762/ahj2332.0203","url":null,"abstract":"BACKGROUND Establishing a correlation between left ventricular global longitudinal strain (LV-GLS) with transthoracic echocardiography (TTE), and the severity and outcomes of patients infected with COVID-19 offers several advantages in patient care and management. This study aims to explore the utility of measuring the LV-GLS to predict outcomes in hospitalized patients infected with COVID-19. METHODS This was a retrospective cohort study of COVID-19 patients in a tertiary care center who had a TTE with GLS measurements from April 2021 to May 2021. Comparisons between parameters of left ventricular function (GLS and LVEF) were performed using the t-test or Mann-Whitney U test for continuous variables and the χ2 test or Fisher exact test for categorical variables. Kaplan-Meier survival analysis was used to estimate mortality and length of hospital stay. Log-rank test was used to assess the association of GLS on in-hospital mortality. RESULTS A total of 124 participants were included in the study. 73.2% (90/123) had a decreased GLS; average GLS was -19.2% [-27.6 to -4.7]. A significant model was created using GLS as a main factor with pre-selected co-variates with a Wald χ2 (2, N = 121) = 7.932 (p = .020). Co-variates were average GLS magnitude (HR = 0.897 [95% CI 0.808 to 0.997], p = .0.043) and presence of severe complications (HR = 2.630 [95% CI of 1.087 to 6.362], p = 0.032). CONCLUSION A model considering severe complications showed that among patients admitted for COVID-19 an abnormal average global longitudinal strain predicts increased in-hospital mortality.","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88687381","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

Successful Minimally Invasive Mitral Valve Replacement in a Post-thymectomy Patient with Myasthenia Gravis: A Case Report 微创二尖瓣置换术成功治疗胸腺切除术后重症肌无力1例

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2023-07-01 DOI: 10.31762/ahj2332.0202

Joseph Lawrence Ponciano, Jeannica Kriselle Lerios-Dela Pena

{"title":"Successful Minimally Invasive Mitral Valve Replacement in a Post-thymectomy Patient with Myasthenia Gravis: A Case Report","authors":"Joseph Lawrence Ponciano, Jeannica Kriselle Lerios-Dela Pena","doi":"10.31762/ahj2332.0202","DOIUrl":"https://doi.org/10.31762/ahj2332.0202","url":null,"abstract":"Presented is a case of a 68-year-old Filipino, female, a known case of Myasthenia Gravis, post-thymectomy maintained on pyridostigmine, with a history of hypertension and Mitral Valve Prolapse who was admitted for acute heart failure symptoms. Diagnostics revealed a torn chordae tendineae of the mitral valve and the patient was subsequently advised to undergo mitral valve replacement due to acute decompensation. Pre operative coronary evaluation showed angiographically normal coronary arteries while CT aortogram showed no distinct evidence of aortic aneurysm, stenosis, dissection or severe calcification of thoraco-abdominal aorta and iliac-femoral vessels. The patient underwent minimally invasive mitral valve replacement with a bioprosthetic valve, however suddenly experienced ptosis and respiratory depression while at the recovery room which were attributed to stress from surgery and missed doses of Pyridostigmine while undergoing surgery. She was closely monitored at the Intensive Care Unit and her symptoms gradually resolved upon resumption of Pyridostigmine. Despite the unanticipated respiratory depression and ptosis, the patient was able to complete 5 days of phase I cardiac rehabilitation post operatively and was discharged well and improved. The case reported may be the first locally documented ruptured chordae tendineae with coinciding Myasthenia Gravis who underwent minimally invasive valve replacement with successful treatment outcomes.","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91008754","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

Single Coronary Artery: An Unwonted Incidental in a 54-year-old Chronic Kidney Disease Filipino Female with ST Elevation Myocardial Infarction in Cardiogenic Shock 单冠状动脉:一个罕见的意外在54岁慢性肾病菲律宾女性心脏源性休克ST段抬高心肌梗死

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2023-07-01 DOI: 10.31762/ahj2332.0201

Renato C. Ong, Jr., Charles Tadeo O. Galang

{"title":"Single Coronary Artery: An Unwonted Incidental in a 54-year-old Chronic Kidney Disease Filipino Female with ST Elevation Myocardial Infarction in Cardiogenic Shock","authors":"Renato C. Ong, Jr., Charles Tadeo O. Galang","doi":"10.31762/ahj2332.0201","DOIUrl":"https://doi.org/10.31762/ahj2332.0201","url":null,"abstract":"INTRODUCTION A single coronary artery is extremely rare. Patients with this coronary anomaly are usually asymptomatic and is commonly an incidental finding among imaging diagnostics. CASE REPORT We report a case of 56-year-old hypertensive, diabetic Filipino female on thrice-weekly maintenance hemodialysis who had a single origin coronary artery on invasive coronary angiography after she developed STEMI in cardiogenic shock along the course of her admission for an elective below knee amputation. Advised revascularization via coronary artery bypass grafting, however refused. She was eventually discharged against medical advice upon stabilization. She refused further renal replacement therapy; she succumbed two weeks later. LEARNINGS Single coronary artery is a rare condition associated with increased risk of sudden cardiac death. A multidisciplinary team in place is ideal to determine the best management strategy to employ. Guideline-directed medical therapy with aggressive risk factor control offers benefit. KEYWORDS Single coronary artery. SCA. Cardiogenic shock. ST-elevation myocardial infarction. STEMI.","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76312533","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

Device Closure of Aortic Paravalvular Leak 主动脉瓣旁泄漏闭合装置

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2023-03-01 DOI: 10.31762/ahj2332.0102

R. Bhardwaj, Sachin Sandhu, Shivani Rao

引用次数: 0

PART 1: RAAS Blockers – Are They All The Same? 第一部分:RAAS阻滞剂-它们都是一样的吗?

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2023-03-01 DOI: 10.31762/ahj2332.0101

Vijaya Ramasamy

引用次数: 0

Review Article: Cardiac Arrhythmia among Hospitalized COVID-19 Patients 综述文章:COVID-19住院患者心律失常

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2023-03-01 DOI: 10.31762/ahj2332.0103

{"title":"Review Article: Cardiac Arrhythmia among Hospitalized COVID-19 Patients","authors":"","doi":"10.31762/ahj2332.0103","DOIUrl":"https://doi.org/10.31762/ahj2332.0103","url":null,"abstract":"Cardiac arrhythmia is one of the common complications among hospitalized COVID-19 patients. The incidence of arrhythmia in COVID-19 varies from 5.9% to 16.7%. This literature review to explore the epidemiology, risk factors, clinical manifestation, pathophysiology, outcomes, and management of hospitalized COVID -19 patients with cardiac arrhythmia. The literature search and review of the literature was performed on PubMed and Google Scholar from January 2020 to July 2021. Age, comorbidities, and COVID-19 disease severity may increase the risk to develop arrhythmia. Hypertension, coronary artery disease, heart failure, diabetes mellitus, and renal disease are more frequently observed patients with arrhythmia. The proposed pathophysiology of arrhythmia in COVID-19 are myocardial injury, hypoxia, cytokine storm, and drugs side effects. In addition, comorbidity, pre-existing scar or conduction defect, history of previous arrhythmia, electrolyte abnormalities may play a role in the pathophysiology of tachyarrhythmia and bradyarrhythmia. The in-hospital mortality, need of intensive care unit, need of mechanical ventilation or non-invasive ventilation, hypotension, and thromboembolic event were higher in hospitalized COVID-19 patients with arrhythmia. The general managements were to treat the underlying COVID-19 infection and to tackle the hemodynamic disturbances due to tachyarrhythmia or bradyarrhythmia. Cardiac arrhythmia is a common complication among hospitalized COVID-19 patients. Hospitalized COVID-19 patients with tachyarrhythmia or bradyarrhythmia had worse in-hospital outcomes compared with patients without arrhythmia.","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72379054","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

Device Closure of Left Circumflex Coronary Artery to Coronary Sinus Fistula 左旋冠状动脉至冠状窦瘘闭合装置

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2023-01-01 DOI: 10.31762/ahj2332.0303

R. Bhardwaj, S. Asotra

引用次数: 0

Case of An Isolated Tricuspid Valve Regurgitation Presenting as Right Sided Heart Failure 孤立性三尖瓣返流表现为右侧心力衰竭1例

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2023-01-01 DOI: 10.31762/ahj2332.0301

MM Cheng-Co, RM Rivera, M. Alegre, S. Sawit, G. Martinez

{"title":"Case of An Isolated Tricuspid Valve Regurgitation Presenting as Right Sided Heart Failure","authors":"MM Cheng-Co, RM Rivera, M. Alegre, S. Sawit, G. Martinez","doi":"10.31762/ahj2332.0301","DOIUrl":"https://doi.org/10.31762/ahj2332.0301","url":null,"abstract":"Trivial to mild tricuspid regurgitation is commonly seen in patients with a normal right heart. It is usually asymptomatic and when severe enough may cause symptoms of right-sided heart failure such as ascites, edema and congestive hepatopathy. We present a case of a 46-year-old female who presented with progressive bipedal edema. Transthoracic echocardiography showed dilated right atrium and right ventricle with severe tricuspid regurgitation. Patient then underwent tricuspid valve replacement with a 29mm bioprosthetic valve. Final histopath report showed myxomatous degeneration of valve leaflets. Post-operatively, patient developed increasing shortness of breath and orthopnea. A repeat transthoracic echo revealed decompensation of right ventricle with decline in right ventricular systolic function. Patient was then given inotropic support with milrinone and norepinephrine and adequate diuresis with IV furosemide. She was gradually weaned off the inotropes. Prior to discharge, a repeat transthoracic echocardiogram done showed improvement of right ventricular systolic function and she was discharged on oral furosemide and spironolactone.","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82258318","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

Pacing Induced Cardiomyopathy: Diagnosis and Management 起搏引起的心肌病:诊断和治疗

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2023-01-01 DOI: 10.31762/ahj2332.0302

Sidhi Laksono, Irwan Surya Angkasa, Cliffian Hosanna

引用次数: 0

Myocarditis with Complete Heart Block in a Child With COVID-19 Infection COVID-19感染儿童心肌炎伴完全性心脏传导阻滞

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2022-12-01 DOI: 10.31762/ahj2231.0201

Jose Jonas Del Rosario, J. Ng, Priscilla Mae C. Rosales

{"title":"Myocarditis with Complete Heart Block in a Child With COVID-19 Infection","authors":"Jose Jonas Del Rosario, J. Ng, Priscilla Mae C. Rosales","doi":"10.31762/ahj2231.0201","DOIUrl":"https://doi.org/10.31762/ahj2231.0201","url":null,"abstract":"INTRODUCTION Severe acute respiratory syndrome coronavirus 2 (COVID 19), also known as COVID 19, was first detected in 2019 as a result of a cluster of pneumonia cases in China. It is known to cause respiratory illness in a majority of cases, however myocardial involvement can be seen in 7% of cases, with even a smaller number in pediatric populations. CASE PRESENTATION We are presented with a 14 year old male with confirmed COVID 19 infection that is followed by a fulminant myocarditis resulting in High grade AV Block and subsequent pacemaker insertion, which is the first reported case in the pediatric population. DISCUSSION Cardiac injury resulting from a recent COVID 19 infection can result to a fulminant myocarditis. This can present as arrhythmia, seen in 16.7% of cases. The mainstay of treatment is still maintaining hemodynamic stability and initiating immunomodulatory support, however, specifically in this case resulting in third-degree AV block, pacemaker insertion may also be required. CONCLUSION Although severe cardiac involvement in COVID 19 infection is rare, a fulminant myocarditis is possible for some patients. KEYWORDS COVID 19, Myocarditis, pacemaker, arrhythmia","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79832315","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