Adel H Allam, Abdelhalium Nureldin, Gomma Adelmaksoub, Ibrahem Badr, Hany Abdel Amer, Muhamed Al-Tohamy Soliman, Gregory S Thomas, Randall C Thompson, Michael I Miyamoto, Ian G Thomas, Adam Thompson, Samuel Wann
{"title":"Something old, something new--computed tomography studies of the cardiovascular system in ancient Egyptian mummies.","authors":"Adel H Allam, Abdelhalium Nureldin, Gomma Adelmaksoub, Ibrahem Badr, Hany Abdel Amer, Muhamed Al-Tohamy Soliman, Gregory S Thomas, Randall C Thompson, Michael I Miyamoto, Ian G Thomas, Adam Thompson, Samuel Wann","doi":"10.15420/ahhj.2010.8.1.10","DOIUrl":"https://doi.org/10.15420/ahhj.2010.8.1.10","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"8 1","pages":"10-3"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29565666","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":"Using modern communications to manage chronic heart disease.","authors":"Alfred A Bove","doi":"10.15420/ahhj.2010.8.1.25","DOIUrl":"https://doi.org/10.15420/ahhj.2010.8.1.25","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"8 1","pages":"25-8"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29565669","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}
O. Şatıroğlu, Y. Çiçek, M. Bostan, M. Çetin, E. Bozkurt
{"title":"Acute change in left ventricle end-diastolic pressure after primary percutaneous coronary intervention in patients with ST segment elevation myocardial infarction.","authors":"O. Şatıroğlu, Y. Çiçek, M. Bostan, M. Çetin, E. Bozkurt","doi":"10.15420/AHHJ.2010.8.2.86","DOIUrl":"https://doi.org/10.15420/AHHJ.2010.8.2.86","url":null,"abstract":"UNLABELLED ST segment elevation myocardial infarction (STEMI) causes decreasing left ventricle compliance, increasing left ventricle end-diastolic pressure (LVEDP), and diastolic dysfunctioning. It is known that primary percutaneous coronary intervention (PCI) has an acute effect on left ventricle compliance. AIMS This study aims to determine whether left ventricle diastolic function improves and LVEDP decreases post-PCI in patients with STEMI. METHODS Twenty-nine patients (21 male, mean age 62 ± 12) diagnosed with a first anterior or inferior STEMI and hospitalized in the first six hours were enrolled. Coronary angiography (CAG) showed occlusion of the right coronary artery (RCA), circumflex (Cx), or left anterior descending (LAD) coronary artery. Aortic pressure and LVEDP were measured and compared before and after PCI. RESULTS After successful reperfusion, left ventricle diastolic function improved and LVEDP decreased significantly. Decrease in mean LVEDP was 5.7 ± 2.9 mmHg (p=0.0005) and 4.9 ± 6.5 mmHg (p=0.026) in inferior and anterior MI, respectively. Clinical and electrocardiographic (ECG) findings improved quickly. CONCLUSION Primary PCA provides rapid improvement of LVEDP and diastolic functions in both anterior and inferior MI. Left ventricular pressure (before and after PCI) can be measured during the procedure without any complication, so it can be used for quick evaluation of left ventricular diastolic function improvement.","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"8 2 1","pages":"E86-90"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67577052","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":"Left bundle branch block--significance of the spatial QRS axis (vector).","authors":"David H Spodick","doi":"10.15420/ahhj.2010.8.1.50","DOIUrl":"https://doi.org/10.15420/ahhj.2010.8.1.50","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"8 1","pages":"50-1"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29565588","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":"Case illustrations of long QT syndrome.","authors":"Omar Abdul Razakjr, Yeo Wee Tiong, Seow Swee Chong, Singh Devinder","doi":"10.15420/ahhj.2010.8.1.58","DOIUrl":"https://doi.org/10.15420/ahhj.2010.8.1.58","url":null,"abstract":"<p><p>Long QT syndrome (LQTS) is a rare potentially life-threatening condition. Physicians must remain vigilant and consider LQTS as a possible etiology in patients with a history of syncope. Prolongation of the QT interval on electrocardiogram (ECG) is an essential component for the diagnosis of LQTS, despite the limitations of this technique. Experience of analyzing the ECG and calculating corrected QTc still remain relevant and are the mainstay diagnostic tools. Often, the first sign of the problem is observed after careful evaluation of the resting ECG for the hallmark of the disorder. Unfortunately, more than 60% of physicians-even cardiologists-have been known to misinterpret the QT interval on ECG. The cases discussed in this article highlight the variable clinical presentation of prolonged QT interval and the need to be highly vigilant in clinical evaluation.</p>","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"8 1","pages":"58-62"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29565591","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}
Ananda C Dharshan, Avshim Tavakoli, Sharad Jaitly, Farshid Radparvar, Mohandas M Shenoy
{"title":"Left ventricular non-compaction cardiomyopathy.","authors":"Ananda C Dharshan, Avshim Tavakoli, Sharad Jaitly, Farshid Radparvar, Mohandas M Shenoy","doi":"10.15420/ahhj.2010.8.2.122","DOIUrl":"https://doi.org/10.15420/ahhj.2010.8.2.122","url":null,"abstract":"<p><p>In this article, we describe three patients with heart failure whose 2D echocardiograms showed left ventricular non-compaction cardiomyopathy characterized by prominent trabeculation with deep intertrabecular spaces in the myocardium.</p>","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"8 2","pages":"E122-4"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30150277","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}
Tanyanan Tanawuttiwat, Sharon Brennan, Stacie Ward, Marc A Silver
{"title":"Symptomatic calcific constrictive pericarditis presenting years after presumed resolved inflammatory heart disease.","authors":"Tanyanan Tanawuttiwat, Sharon Brennan, Stacie Ward, Marc A Silver","doi":"10.15420/ahhj.2010.8.2.130","DOIUrl":"https://doi.org/10.15420/ahhj.2010.8.2.130","url":null,"abstract":"<p><p>Inflammatory heart diseases are characterized as a focal, diffuse, or sparse inflammatory process of the myocardium and its adjacent structures. In adults, inflammatory heart disease often progresses to symptomatic dilated cardiomyopathy and heart failure. We report the case of a 42-year-old woman who was diagnosed with right-sided heart failure, presumably secondary to inflammatory heart disease, after the acute onset of exercise intolerance. Nine years after the initial diagnosis, she developed clinical symptoms of calcified constrictive pericarditis. Pericardiectomy was performed and the patient resumed normal functional capacity. In conclusion, close monitoring and careful evaluation of patients with presumed inflammatory heart disease is warranted because of the potential for late-occurring chronic constrictive sequelae.</p>","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"8 2","pages":"E130-2"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30150280","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}
Hamid Reza Sanati, Majid Kiavar, Negar Salehi, Farshad Shakerian, Ata Firoozi, Saeed Alipour Parsa, Neda Behzadnia, Hooman Bakhshandeh, Mohammad Mehdi Peighambari, Majid Maleki
{"title":"Percutaneous mitral valvuloplasty--a new method for balloon sizing based on maximal commissural diameter to improve procedural results.","authors":"Hamid Reza Sanati, Majid Kiavar, Negar Salehi, Farshad Shakerian, Ata Firoozi, Saeed Alipour Parsa, Neda Behzadnia, Hooman Bakhshandeh, Mohammad Mehdi Peighambari, Majid Maleki","doi":"10.15420/ahhj.2010.8.1.29","DOIUrl":"https://doi.org/10.15420/ahhj.2010.8.1.29","url":null,"abstract":"<p><strong>Background: </strong>Since the introduction of the Inoue technique for percutaneous balloon mitral valvuloplasty (PBMV), various criteria have been proposed for ideal balloon sizing. In routine practice, balloon size is chosen based on the patient's height according to a simple formula. We tried to define a simple and practical echocardiographic measure for adjusting balloon catheter size to achieve better success rates and fewer complications.</p><p><strong>Methods: </strong>Patients with moderate to severe mitral stenosis who were candidates for PBMV were selected. Maximal mitral commissural diameter at a fully opened state during diastole was measured by transthoracic echocardiography and compared with the values from the height-based formula. Data were compared by paired sample t-test.</p><p><strong>Results: </strong>Eighty-three patients (mean age 45±13.2 years; 77 female) participated. The median balloon size was 28 mm (standard deviation [SD] 1.2) according to the height-based formula and 26 mm (SD 1.6) according to echocardiography (p<0.001). Using a Bland-Altman plot, an excellent agreement was observed between the two methods. Regression models were fitted to estimate the balloon size using the patients' height, commissural diameter, and mitral valve score.</p><p><strong>Conclusion: </strong>Selection of balloon size according to echocardiographic commissural diameter is a good alternative method. Assuming the possible discrepancy between height-based and commissural-based estimated balloon sizes in some cases, adjustment of balloon sizes according to the maximal commissural diameter may result in acceptable results and fewer complications.</p>","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"8 1","pages":"29-32"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29565583","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":"Cardiac bradyarrhythmias in a patient with cervical spine injury.","authors":"Avneet Singh, Rajeev Garg, Richard Weachter","doi":"10.15420/ahhj.2010.8.1.63","DOIUrl":"https://doi.org/10.15420/ahhj.2010.8.1.63","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"8 1","pages":"63-5"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29565592","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":"Advanced ('third-degree' or 'complete') interatrial block.","authors":"David H Spodick","doi":"10.15420/ahhj.2009.7.1.63","DOIUrl":"https://doi.org/10.15420/ahhj.2009.7.1.63","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"7 1","pages":"63-4"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28391046","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}