ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology最新文献_第3页

A Rare Case of an Ascending Aorta and Aortic Arch Aneurysm with an Aberrant Right Common Carotid Artery 升主动脉和主动脉弓动脉瘤合并右颈总动脉异常一例

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2021-08-01 DOI: 10.31762/ahj2130.0103

Mikhail M. Olalo, S. Guillermo

{"title":"A Rare Case of an Ascending Aorta and Aortic Arch Aneurysm with an Aberrant Right Common Carotid Artery","authors":"Mikhail M. Olalo, S. Guillermo","doi":"10.31762/ahj2130.0103","DOIUrl":"https://doi.org/10.31762/ahj2130.0103","url":null,"abstract":"Ascending aortic aneurysms are asymptomatic and are usually discovered as an incidental finding on chest imaging. However, larger aneurysms can present with symptoms resulting from compression of surrounding structures including the trachea, bronchi, and the esophagus which can result in hoarseness, cough chest pain or back pain. The presence of an aortic arch anomaly, specifically an aberrant right common carotid artery, in a background of an aortic arch aneurysm is extremely rare with a worldwide incidence of <1%. They are usually asymptomatic but can result to catastrophic life threatening events and pose significant challenges to surgical or endovascular treatment. This is a case of a 63-year old Filipino male who presented with a sudden onset of dull back pain radiating to the left anterior chest. Workup revealed an ascending and aortic arch aneurysm with an aberrant right common carotid artery arising directly from the transverse aorta. Surgical aortic arch debranching was done to repair the aberrant vessels prior to Thoracic Endovascular Aortic Repair (TEVAR) wherein a custom-made Thoracic Valiant graft was deployed on the aneurysm. The patient was discharged on the 4th day after TEVAR without any complaints of dyspnea, back pain nor chest pain with no neurologic and visceral organ dysfunction. This case has emphasized that knowledge on the anatomy of the aortic arch is imperative in planning out thoracic surgery and endovascular interventions especially on rare anatomic anomalies such as seen in this case. Keywords aortic aneurysm, aberrant right common carotid artery, TEVAR","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90276697","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

Cardiology Fellowship Training One Year into COVID 19 Pandemic: The Philippine General Hospital Experience 2019冠状病毒病大流行一年:菲律宾总医院的经验

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2021-08-01 DOI: 10.31762/ahj2130.0102

L. Evangelista, Marie Kirk Patrich A. Maramara, R. D. Agustin, J. Magno, F. Punzalan

引用次数: 0

Imaging Criteria by Echocardiography for Detection of Hypertrophic Cardiomyopathy in Elite Athletes 超声心动图检测优秀运动员肥厚性心肌病的成像标准

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2020-09-23 DOI: 10.31762/ahj2027.0203

D. Foo, K. Lam, M. Bujang, A. Kilung, S. Ahip, T. Ong, A. Fong

引用次数: 0

A single-centered, retrospective cohort study of critically ill COVID-19 patients: Is the heart at risk? 一项针对COVID-19危重患者的单中心回顾性队列研究:心脏有危险吗?

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2020-09-23 DOI: 10.31762/ahj2027.0201

AN Khan, Glenn Rose B. Advincula, F. Férnandez, S. Sawit

{"title":"A single-centered, retrospective cohort study of critically ill COVID-19 patients: Is the heart at risk?","authors":"AN Khan, Glenn Rose B. Advincula, F. Férnandez, S. Sawit","doi":"10.31762/ahj2027.0201","DOIUrl":"https://doi.org/10.31762/ahj2027.0201","url":null,"abstract":"OBJECTIVE The Philippines has the highest COVID-19 mortality rate by country (per million) in South East Asia. We aim to explore predictors of mortality among critically ill COVID-19 patients. METHODS This single-centered, retrospective cohort study included consecutive patients with confirmed COVID-19 infection and acute respiratory distress syndrome requiring mechanical ventilation and intensive care unit (ICU) admission at The Medical City hospital from March 6 to March 31, 2020. Clinical data were obtained from medical records review and compared between survivors and non-survivors. troponin and NT-proBNP not associated with increased mortality. The clinical course and outcomes of critically ill COVID-19 patients during the first month of the outbreak in Metro Manila are similar to reports from other countries. The mortality of our cohort was high at 73%. We report the use of norepinephrine plus vasopressin and UFH for VTE prophylaxis were predictors of increased mortality among critically ill COVID-19 patients. Mean survival time of non-survivors is likely to be 13 days after ICU admission. We report that elevated troponin and NT-proBNP were not associated with increased mortality. Our findings suggest that those patients who eventually died had greater hemodynamic instability and thus required more vasopressor support. We can conclude that critically ill COVID-19 patients who require inotropic support are at increased risk of death. Although we believe our findings may help guide clinical decision making in COVID-19 patients requiring ICU care, caution must be applied when interpreting results presented here in view of our small cohort. The authors have no conflicts of interest to disclose.","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90953125","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: 2

Clinical Profile and Cost of Treatment among Patients with Lymphedema in Philippine Heart Center from 2018-2020 2018-2020年菲律宾心脏中心淋巴水肿患者的临床概况和治疗费用

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2020-01-01 DOI: 10.31762/ahj2029.0103

B. Toledano, Catherine V. Sta Monica, Gertie May B. Plameras

{"title":"Clinical Profile and Cost of Treatment among Patients with Lymphedema in Philippine Heart Center from 2018-2020","authors":"B. Toledano, Catherine V. Sta Monica, Gertie May B. Plameras","doi":"10.31762/ahj2029.0103","DOIUrl":"https://doi.org/10.31762/ahj2029.0103","url":null,"abstract":"PURPOSE This is a local study conducted that describes the clinical profile and cost incurred of patients with lymphedema among Filipinos seen in our institution. METHODS A descriptive study using the data from the Philippine Heart Center Lymphedema clinic from 2018-2020. It consists of the patient’s name, age, sex, lymphedema onset, classification, type, stage, affected site, treatment modality, and the number of sessions. The cost incurred was based on the clinic’s costing list, treatment modality, and the number of sessions rendered. RESULTS The analysis included a total of 97 patients. The mean age was 60.3 (± 14.3) years old, with female predominance (74.2% versus 25.8%). The majority is classified as secondary (91.8%) versus primary (8.2%). The classification of primary lymphedema are praecox (62.5%), congenital (25%) and tarda (12.5%) while for secondary it is cancer related (53.9%), phlebolymphedema (34.8%), lipolymphedema (3.4%), obesity induced 3.4%, trauma related, infection (3.4%) and iatrogenic (1.1). The stage of severity is stage IIA (60.8%), III (17.6%), IIB (13.4%), and I (8.2%). The most affected site is bilateral lower extremities (30%), followed by left (18.5%) and right (17.5%) lower extremities. The right and left upper extremities showed equal (16.5%) with no bilateral upper extremities affectation. The majority of treatment is unilateral (68.8%) versus bilateral (31.2%) decompressive lymphatic therapy. The total cost incurred was an average of P17,753 per patient and mostly came from the private section (89.7%) versus (10.3%). CONCLUSION Lymphedema is a chronic and recurrent disease that carries a substantial cost to patients. Its exact incidence, treatment outcomes, and quality of life among Filipinos are yet to be explored. A clinical profile will be the first step to raise awareness and to identify the different subset of populations for prevention, support, and treatment. Keywords Clinical profile, Cost of treatment, Lymphedema","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87144814","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

Electrocardiogram and Echocardiographic Findings of COVID-19 Patients in Makati Medical Center 马卡蒂医疗中心新冠肺炎患者的心电图和超声心动图表现

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2020-01-01 DOI: 10.31762/ahj2029.0101

Maria Kristina Cecilia P. Ozaeta, Frances Dianne M. Dela Cruz, Maria Cristina A. Sombrero, Kristine Karla N. Estuita, Valerie Zarza-Geron, P. Quetua, Gilbert G. Florentino, S. Javier

{"title":"Electrocardiogram and Echocardiographic Findings of COVID-19 Patients in Makati Medical Center","authors":"Maria Kristina Cecilia P. Ozaeta, Frances Dianne M. Dela Cruz, Maria Cristina A. Sombrero, Kristine Karla N. Estuita, Valerie Zarza-Geron, P. Quetua, Gilbert G. Florentino, S. Javier","doi":"10.31762/ahj2029.0101","DOIUrl":"https://doi.org/10.31762/ahj2029.0101","url":null,"abstract":"BACKGROUND Echocardiography and electrocardiogram may prove useful in the care of COVID-19 patients but there is limited data postulating their usefulness in this disease. OBJECTIVE To determine electrocardiographic and echocardiographic findings among COVID-19 patients in Makati Medical Center. METHODS A retrospective single center analytical study involving adult Reverse transcription polymerase chain reaction (RT-PCR) confirmed COVID-19 positive patients admitted in Makati Medical Center from March to April 16, 2020. These patients had more than one electrocardiogram (ECG) result and a 2D echocardiography done during their admission. The initial and repeat ECGs during the course of hospital stay were obtained to determine if there were changes in ECG. On the other hand, echocardiographic investigations were confined to studies of left and right ventricular systolic function. RESULTS In the initial ECG findings, the most common abnormalities observed were QT prolongation (39.39%), ischemic changes (15.15%), and fascicular blocks (12.12%). During the course of admission, the most common were still QT prolongation (39.39%) and ischemic changes (13.64%), with the additional observation of further prolongation in QT from baseline (24.24%). For the echocardiographic findings, the right and left systolic functions were preserved in majority of the patients. No significant difference was noted in the electrogram and echocardiographic findings between survivor and non-survivors. CONCLUSION Majority of patients had abnormal ECG at baseline with further worsening during the course of confinement. Almost all abnormalities were related to QT prolongation. Though most patients had elevated cardiac biomarkers, only few patients had notable abnormalities in left and right ventricular function. Keywords COVID 19, Electrocardiogram, 2D Echocardiography","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83720296","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

Preexisting Chronic Kidney Disease and Dyslipidemia are Strong Predictors for Early Acute Cerebrovascular Event After Isolated Coronary Artery Bypass Grafting: A Single Cardiac Center Experience 既往存在的慢性肾脏疾病和血脂异常是孤立冠状动脉搭桥术后早期急性脑血管事件的强预测因素:单一心脏中心经验

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2020-01-01 DOI: 10.31762/ahj2029.0102

L. Suciadi, A. H. Santoso, I. Cahyadi, H. Gunawan, Joshua Henrina Sudjaja, Andreas Willianto, Sylvie Sakasasmita, Alex Komalasari, M. Anwar, A. Sutandar

{"title":"Preexisting Chronic Kidney Disease and Dyslipidemia are Strong Predictors for Early Acute Cerebrovascular Event After Isolated Coronary Artery Bypass Grafting: A Single Cardiac Center Experience","authors":"L. Suciadi, A. H. Santoso, I. Cahyadi, H. Gunawan, Joshua Henrina Sudjaja, Andreas Willianto, Sylvie Sakasasmita, Alex Komalasari, M. Anwar, A. Sutandar","doi":"10.31762/ahj2029.0102","DOIUrl":"https://doi.org/10.31762/ahj2029.0102","url":null,"abstract":"The outcomes of coronary artery bypass grafting (CABG) surgery are determined by numerous factors. This study aimed to analyze the factors contributing to short-term outcomes of patients undergoing isolated CABG. This retrospective analysis enrolled all adult patients undergoing isolated CABG at our center between January 2013 and December 2016. Clinical characteristics and postoperative events were recorded and analyzed. Overall, 242 patients (mean age, 59.7 ± 9.5 years) were included. The majority of the patients (88.4%) were men. The median left ventricular ejection fraction (LVEF) was 50% ± 15%, with 38% patients having an LVEF lower than 40% and 9.1% having an LVEF lower than 25%. The mean preoperative creatinine level was 1.25 ± 0.73, and the estimated glomerular filtration rate was 68.55 ± 23 ml/min/1.73 m2. The intensive cardiac care unit stay and total in-hospital stay were 70 ± 59 h and 8 ± 4 days, respectively. The in-hospital mortality rate was 2.1%. The most common major adverse events were new-onset atrial fibrillation (31.8%) and significant worsening of renal function (21.5%). Stroke occurred in 3.7% patients, for which preexisting chronic kidney disease (CKD) and dyslipidemia were strong predictors (P < 0.05; area under the curve [AUC], 87.7%). Advanced age and hypertension were considered significant risk factors for developing new-onset atrial fibrillation (P < 0.05; AUC 65%). Worsening renal function and new-onset atrial fibrillation were the most frequent complications that occurred during hospitalization following CABG. Preexisting CKD and dyslipidemia were the major risk factors for developing acute stroke post surgery. KEYWORDS Acute cerebrovascular events, Chronic kidney disease, Coronary artery bypass grafting, Dyslipidemia.","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76770988","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

Bigger or Smaller? Common Coronary Stent Diameters used amongst Malaysian Patients 更大还是更小?马来西亚患者常用的冠状动脉支架直径

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2019-07-31 DOI: 10.31762/AHJ1926.0301

K. C. Lim, R. Stanislaus, K. Gurupparan

引用次数: 0

Cardiovascular polypharmacy for atherosclerotic cardiovascular disease, therapeutic goals and targets: Are we doing the right thing? 心血管多药治疗动脉粥样硬化性心血管疾病，治疗目标和靶点:我们在做正确的事情吗?

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2019-05-27 DOI: 10.31762/AHJ1926.0201

D. K. Quek

引用次数: 0

A Clinical Audit of Transthoracic Echocardiography in Malaysia: A District Hospital Experience 马来西亚地区医院经胸超声心动图的临床审计

ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology Pub Date : 2019-01-25 DOI: 10.31762/ahj1926.0101

W. J. Quah, Selvesten Anak Panting, T. Fam

引用次数: 0