ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology最新文献_第2页

Three-year Follow-up of Unresected Large Anterolateral Papillary Muscle Lipoma 未切除大前外侧乳头状肌脂肪瘤三年随访

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2022-12-01 DOI: 10.31762/ahj2231.0202

Faye Miranda, Richie Pilapil, Simonette Kristine Sawit

引用次数: 0

Single Coronary Anomaly detected by Coronary Computed Tomography Angiography in an Elderly Female with Angina 老年女性心绞痛的冠状动脉ct血管造影发现单冠状动脉异常

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2022-12-01 DOI: 10.31762/ahj2231.0203

Rainier John S. Buensalida, N. Pecache, Kristina Marie Michelle O. Rivera, V. Lazaro, S. Sawit

引用次数: 0

Giant Coronary Artery Aneurysm in a Severe Hemophilia A with Acute Coronary Syndrome: A Case Report and Brief Literature Review 严重血友病a伴急性冠状动脉综合征并发巨大冠状动脉动脉瘤一例报告及简要文献复习

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2022-10-01 DOI: 10.31762/ahj2231.0104

Selvaratnam Veena, Bee Sun Lee, S. Jameela, K. Pau

{"title":"Giant Coronary Artery Aneurysm in a Severe Hemophilia A with Acute Coronary Syndrome: A Case Report and Brief Literature Review","authors":"Selvaratnam Veena, Bee Sun Lee, S. Jameela, K. Pau","doi":"10.31762/ahj2231.0104","DOIUrl":"https://doi.org/10.31762/ahj2231.0104","url":null,"abstract":"The management of acute coronary syndromes (ACSs) among adult patients with severe hemophilia A remains a clinical challenge, due to the use of anti-platelet, anti-thrombotic agents and/or revascularization procedures in them. We report here a case of severe hemophilia A presented with acute non-ST elevation myocardial infarction (NSTEMI), with incidental finding of coronary artery aneurysms (CAA), requiring an open-heart surgery. He successfully underwent a combined coronary artery bypass grafting (CABG) and closure of right coronary artery giant aneurysm with factor VIII (FVIII) replacement therapy, without bleeding complications nor requiring blood product transfusion. His FVIII activity level was maintained above 100% during the operation and 72 hours post-operatively. Thereafter, the FVIII coverage was reduced to maintain a trough level above 50% for another 1-week before switching back to his prophylactic dose. No inhibitor was detected. He was put on dual anti-platelets for 6 months, in which was reduced to single anti-platelet until today with no occurrence of chest pain. This case highlighted the occurrence of NSTEMI as a consequence of underlying CAA and its management challenge during the open-heart surgery.","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87681893","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

The Incidence of Venous Thromboembolism in Dengue Viral Infections: A Systematic Review 登革病毒感染的静脉血栓栓塞发生率:一项系统综述

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2022-08-01 DOI: 10.31762/ahj2231.0103

I. D. Nugraha, Tao Fan, R. Dewangga, S. Adiarto, S. Indriani

{"title":"The Incidence of Venous Thromboembolism in Dengue Viral Infections: A Systematic Review","authors":"I. D. Nugraha, Tao Fan, R. Dewangga, S. Adiarto, S. Indriani","doi":"10.31762/ahj2231.0103","DOIUrl":"https://doi.org/10.31762/ahj2231.0103","url":null,"abstract":"BACKGROUND Dengue infection has become a major public health problem with significant socioeconomic burden to the increasing geographical extension, number of cases, and severity of the disease. One of the neglected complications in dengue is venous thromboembolism (VTE) which could also be as fatal is often overlooked in the overall management of dengue. OBJECTIVE This study aimed to provide a perspective on the incidence of thromboembolism in patients with dengue infection. METHODS The search strategy was conducted through PubMed and LinkSpringer. About 182 articles were retrieved using ‘vein thrombosis’ and ‘dengue’ keywords. Further, screening was carried out and resulted in 15 articles. In the end, five articles were included. To be eligible, the articles should be published from 2011-2121 and published in English. RESULTS This review found that VTE can occur in dengue patients of all ages, genders, and severities. VTE is more common in dengue shock syndrome patient rather than dengue haemorrhagic fever or least likely in dengue fever. Administering Anticoagulants is still the preferred option in managing VTE in dengue patients with caution of the thrombocyte count of patients. CONCLUSIONS The likeliness of VTE occurrence is linear with the severity of the dengue infection and the patient’s length of stay in hospitals. Preventive measures could be taken to prevent VTE in high-risk dengue patients, thus it is important to do risk scoring in high-risk patients. Thrombocytopenia must be taken into account when realizing said preventive measure, i.e., administering anticoagulant as prophylaxis.","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74742760","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

A Case Series on Hypertrophic Cardiomyopathy with Midventricular Obstruction and Apical Aneurysm 肥厚性心肌病合并室中梗阻及顶动脉瘤的病例分析

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2022-08-01 DOI: 10.31762/ahj2231.0102

Philippe Ryan K. Chung, Emma Y. Gaspar-Trinidad, T. Razon-Cuenza, L. Cuenza

{"title":"A Case Series on Hypertrophic Cardiomyopathy with Midventricular Obstruction and Apical Aneurysm","authors":"Philippe Ryan K. Chung, Emma Y. Gaspar-Trinidad, T. Razon-Cuenza, L. Cuenza","doi":"10.31762/ahj2231.0102","DOIUrl":"https://doi.org/10.31762/ahj2231.0102","url":null,"abstract":"Midventricular obstruction (MVO) is a rare phenotypic subvariant of hypertrophic cardiomyopathy (HCM). It occurs in 1-10% of patients and due to its rarity, its clinical progression and natural history has not yet been extensively studied. However, the available data has shown it to have worse clinical outcomes and prognosis. While reports on hypertrophic cardiomyopathy has been published in the Philippines, there has been no data on this particular variant in the local literature. We identified 3 cases of hypertrophic cardiomyopathy with midventricular obstruction. 2 cases were initially managed as a case of ischemic heart disease who were ruled out after undergoing cardiac magnetic resonance. One case was initially admitted due to a stroke however, an incidental finding on 2D Echo noted the presence of HCM. He also underwent cardiac magnetic resonance which revealed the full extent of his disease. All 3 patients were also found to have apical aneurysms due to ischemia from the pressure coming from the obstruction. Hypertrophic cardiomyopathy is the most common genetic cardiovascular disease but its subvariants are rare and difficult to diagnose. Apical aneurysms are also often missed on 2D Echo. However, cardiac magnetic resonance provides increased detection of the disease with better detailing of the extent and severity. It could also provide information regarding prognostication with regards to arrhythmias and sudden cardiac death. More data however is needed so new avenues for research are open on its application.","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82508045","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

Case Report: Stemi With Covid-19 病例报告:Stemi With Covid-19

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2021-12-01 DOI: 10.31762/ahj2130.0204

Herawati Isnanijah, Chyntia Monica, I. Trisnawaty, Y. B. Juwana, D. Firman

{"title":"Case Report: Stemi With Covid-19","authors":"Herawati Isnanijah, Chyntia Monica, I. Trisnawaty, Y. B. Juwana, D. Firman","doi":"10.31762/ahj2130.0204","DOIUrl":"https://doi.org/10.31762/ahj2130.0204","url":null,"abstract":"BACKGROUND Severe acute respiratory syndrome coronavirus 2 (SARS-CoV‑2) causing coronavirus disease 2019 (COVID-19) has reached pandemic levels by March 2020. Patients with cardiovascular disease, particularly with cardiac injury represent a vulnerable population and increased risk of mortality and morbidity. There is still no guidelines for management of cardiovascular disease during the COVID-19 pandemic. CASE ILLUSTRATION An unconscious 52-year-old male brought to ER with complaints of abdominal discomfort and nausea. The patient had a cardiac arrest in ER and ROSC was obtained. The patient was intubated ECG showed anterior STEMI and primary PCI was performed. The endotracheal tube was changed due to blockage of excessive and thick slime. Tracheostomy was performed. Bronchoscopy was performed and found tracheal mucosal edema, hyperemic and easily bleed; mucous plug and blood clots in the tip of tracheostomy cannula. Thoracic CT-Scan showed ground-glass appearance and fibrosis of the 6th thoracic dextra segment. PCR SARS-CoV-2 showed reactive. The patient was discharged from our hospital after three weeks with clinically stable and referred to COVID-19 center hospital nearby his home for another two weeks. After PCR SARS CoV-2 was performed twice showed negative results, the patient was discharged. CONCLUSION SARS-CoV‑2 infection may lead to acute myocardial injury through viral systemic inflammation, although specific mechanism remained uncertain. A thick mucus plaque and stool cell may be a specific clinical features in COVID-19 patients. Tracheostomy has a continuing role in managing weaning from extended periods of mechanical ventilation during the COVID-19 pandemic.","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80736872","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: 1

Successful Decannulation of Hybrid ECMO Circuitry: The First Philippine Experience 混合型ECMO电路的成功脱管:菲律宾首例经验

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2021-11-01 DOI: 10.31762/ahj2130.0201

R. Ong, Maria Stephanie Alessa R. Sales-Florentino, Frederick H. Verano, R. Castro, Jillian Mae L. Tabora-Lacdao, R. Lapitan

{"title":"Successful Decannulation of Hybrid ECMO Circuitry: The First Philippine Experience","authors":"R. Ong, Maria Stephanie Alessa R. Sales-Florentino, Frederick H. Verano, R. Castro, Jillian Mae L. Tabora-Lacdao, R. Lapitan","doi":"10.31762/ahj2130.0201","DOIUrl":"https://doi.org/10.31762/ahj2130.0201","url":null,"abstract":"We report the first VA-VAV-VV ECMO conversion in a 57-year-old Filipino female with persistent coronary insufficiency from toxic shock syndrome due to Streptococcus pyogenes bacteremia, acute respiratory distress syndrome, and Harlequin syndrome with progressive acute limb ischemia from cone snail venom poisoning. The patient came in via air ambulance transport because deteriorating clinical status after having stepped on a cone snail 3 days prior and developing severe dehydration from vomiting and passage of voluminous watery stools after eating a local delicacy. The patient was admitted at the ICU where after 3 days of treatment, the patient developed cardiac tamponade and underwent stat pleuropericardial windowing with pericardiocentesis. Due to increasing pressor requirements from the combined shock, Swan-Ganz catheterization was inserted and a VA-ECMO system was set up. There was gradual improvement in cardiac hemodynamics, however oxygen requirement was increasing and both lower extremities became progressively violaceous with decreasing pulses. Harlequin syndrome was ruled in, the multidisciplinary team decided to convert to VAV hybrid circuit by adding a venous access by way of the right internal jugular vein. Improvement in oxygenation lead to eventual conversion from VAV to purely VV dedicated circuit. Ultrafiltration via ECMO was likewise done because of worsening azotemia and oliguria. The patient was then gradually weaned off from ECMO and was successfully decannulated after 8 days. Below knee amputation was done to address the progressive acute limb ischemia. The patient was nutritionally built up and physically rehabilitated and was eventually discharged improved on the 28th hospital day.","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81458128","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

Outcomes of Tricuspid Regurgitation after Percutaneous Mitral Commissurotomy 经皮二尖瓣合拢切开术后三尖瓣反流的结果

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2021-11-01 DOI: 10.31762/ahj2130.0203

B. Toledano, Maria Johanna Jaluage-Villanueva, S. Lacson

{"title":"Outcomes of Tricuspid Regurgitation after Percutaneous Mitral Commissurotomy","authors":"B. Toledano, Maria Johanna Jaluage-Villanueva, S. Lacson","doi":"10.31762/ahj2130.0203","DOIUrl":"https://doi.org/10.31762/ahj2130.0203","url":null,"abstract":"PURPOSE The gap in evidence in the management of multivalvular lesions can be addressed by providing more data on clinical and echocardiographic outcomes after Percutaneous Mitral commissurotomy (PMC). METHODS Participants were Filipinos aged >/= 19 years old, admitted due to severe mitral stenosis with moderate to severe tricuspid regurgitation (TR). The outcome of PMC was divided into 2 groups: Significant TR which included the progression of moderate to severe TR or persistence of severe TR and Insignificant TR group which included those with mild TR, regression to moderate to mild TR, severe to moderate, or persistence of moderate TR. These groups were compared from baseline, 24th hour, 1st month, and 6th month using the same echocardiographic parameters. The numerical data between significant and nonsignificant tricuspid regurgitation were compared using non-parametric Mann Whitney U test and categorical data using the Chi-Square test. RESULTS A total of 38 participants were analyzed. On the 24th-hour post- PTMC, the Significant TR group had significantly higher RAVI (42.3 vs 26.1, p=.004), RVD mid (3.81 vs 2.92, p=.001), SPAP (60.5 vs 38.5, p=.003), and RVOT (2.8 vs 2.2, p=.001) and lower MV planimetry (1.25 vs 1.58, p=.009); On the 1st-month RVD mid (3.4 vs 2.8, p=.02) and TV annulus (3.35 vs 2.76, p=0.10) were significantly higher in the Significant TR group; On the 6th month RAVI (59 vs 24.7, p=.001), RVD mid (4 vs 2.73, p=.006), and TV annulus (4.5 vs 2.67 p=.001) were significantly higher in the Significant TR group when compared to Insignificant TR group. CONCLUSION PMC improved baseline parameters of SPAP, MV planimetry, MV gradient, and functional class on short-term follow-up on both groups of TR. Majority of outcomes after the procedure had insignificant TR. However, those with significant TR had higher RVD mid and TV annulus from the 24th hour to 6 months when compared to the insignificant TR group.","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87266034","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

Takayasu Arteritis Presenting as Severe Pulmonary Hypertension 高须动脉炎表现为严重肺动脉高压

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2021-11-01 DOI: 10.31762/ahj2130.0202

R. Bhardwaj, Ranjana Gupta, Sivaji Patibandla, Himanshu Tanwar, M. Ahmed, Gaurav Aggrawal

引用次数: 0

Slaying Monster with Catheter: A Case Report 导管杀怪1例

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2021-08-01 DOI: 10.31762/ahj2130.0104

S. Yahaya, A. Omar

引用次数: 0