International journal of cardiovascular research最新文献_第2页

Spot Stenting of Spontaneous Coronary Artery Dissection in a Patient Presenting with Anterior Wall ST Elevation Myocardial Infarction ST段前壁抬高型心肌梗死患者自发性冠状动脉夹层局部支架置入术

International journal of cardiovascular research Pub Date : 2020-07-27 DOI: 10.37532/ICRJ.2020.9(4).408

Sajjad Ahmadi-Renani, A. Soleimani, Negar Moradian Shahrbabaky, H. Ashraf

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Cardiopulmonary Exercise Testing in Children and Adolescents: Focusing on the Oxygen Uptake Efficiency Slope 儿童和青少年心肺运动测试：关注吸氧效率斜率

International journal of cardiovascular research Pub Date : 2020-07-23 DOI: 10.37532/ICRJ.2020.9(4).405

R. Baba, Koji Kitatsuji, Yukiko Okamura, N. Hotta, H. Ogata

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Regular Moderate Alcohol Consumption Reduces the Incidence of Cardiovascular Diseases: Review of Evidences and Plausible Mechanisms 经常适度饮酒可降低心血管疾病的发病率：证据和合理机制综述

International journal of cardiovascular research Pub Date : 2020-07-23 DOI: 10.37532/ICRJ.2020.9(4).406

A. Getu, Getahun Shibru

{"title":"Regular Moderate Alcohol Consumption Reduces the Incidence of Cardiovascular Diseases: Review of Evidences and Plausible Mechanisms","authors":"A. Getu, Getahun Shibru","doi":"10.37532/ICRJ.2020.9(4).406","DOIUrl":"https://doi.org/10.37532/ICRJ.2020.9(4).406","url":null,"abstract":"Background: Inappropriate consumption of alcohol contributes to the occurrence of chronic diseases, social and economic burdens though moderate consumption is proven to be beneficial. Moderate alcohol consumption is generally considered to be in the range of 1-3 drinks/day. Objective: The present narrative review was aimed to disclose the putative mechanisms of cardioprotective role of moderate alcohol consumption. Design: Narrative review of published studies. Evidence acquisition: This review was conducted by collecting clinical, epidemiological and translational research evidences from PubMed, Google scholar and Cochrane databases. Results: Several clinical and epidemiological studies outlined that drinking regularly of moderate amount of alcohol might decrease the incidence of debilitating cardiovascular diseases. Moderate Alcohol consumption increases high-density lipoproteins and reduces the oxidation of low density lipoprotein. It has also a capacity to induce the expression of endothelial nitric oxide synthase and synthesis of nitric oxide. In addition, moderate alcohol consumption induces the expression of putative cardio-protective proteins in the heart during ischemic conditions. Furthermore, it reduces unnecessary platelet aggregation and blood coagulation, facilitates smooth muscle cell proliferation during vascular insult, enhances insulin sensitivity and probably plays its cardioprotective role by reducing acute and chronic psychosocial stress which exerts allostatic load not only on cardiovascular system but also on the body. Conclusion: Cardiovascular diseases, Ethanol, Moderate ethanol consumption.","PeriodicalId":89940,"journal":{"name":"International journal of cardiovascular research","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2020-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48739140","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

Clinically Diagnosed Homozygous Familial Hypercholesterolemia-rare entity 临床诊断的单纯性家族性高胆固醇血症罕见病

International journal of cardiovascular research Pub Date : 2020-07-23 DOI: 10.37532/ICRJ.2020.9(4).404

Shivani Rao, R. Bhardwaj, P. Negi

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Free Floating Atrial Thrombus 游离浮动心房血栓

International journal of cardiovascular research Pub Date : 2020-07-23 DOI: 10.37532/ICRJ.2020.9(4).407

Sofía S. Sánchez, Luis Apac

引用次数: 0

Acute Rheumatic Fever Presenting With Severe Epistaxis in A Child in Sokoto, Nigeria 尼日利亚索科托一名儿童急性风湿热伴严重鼻出血

International journal of cardiovascular research Pub Date : 2020-05-30 DOI: 10.37532/ICRJ.2020.9(3).399

K. Isezuo, U. Sani, U. Waziri, B. I. Garba, Y. Mohammed, L. Coker, Monsurat A Falaye

{"title":"Acute Rheumatic Fever Presenting With Severe Epistaxis in A Child in Sokoto, Nigeria","authors":"K. Isezuo, U. Sani, U. Waziri, B. I. Garba, Y. Mohammed, L. Coker, Monsurat A Falaye","doi":"10.37532/ICRJ.2020.9(3).399","DOIUrl":"https://doi.org/10.37532/ICRJ.2020.9(3).399","url":null,"abstract":"Background: Rheumatic Heart Disease (RHD) is a preventable cause of cardiovascular death and disability. It is preceded by Acute Rheumatic Fever (ARF), which has some diagnostic criteria. Some cases present with atypical features including epistaxis, which occurs in about 4% of ARF. Objective: To report a case of a child who had febrile illness with epistaxis, then 2 months after developed rheumatic valvular heart disease. Case Report: A 10-year old girl with one-week history of high-grade fever, A day history of bleeding through the nostrils. She did not have sore throat, joint pains nor past history of epistaxis. She was febrile (38.70 C), moderately pale and anicteric. She was transfused within 24 hours, treated for sepsis and malaria. She had features of cardiac decompensation on 4th day of admission despite adequate blood transfusion. Results of complete blood count, peripheral blood film and clotting profile were not suggestive of bleeding abnormalities. Fever resolved after several antibiotics and antimalarials. She defaulted follow up for 2 months then presented with progressive easy fatiguability, cough and fast breathing. No prior fever, joint pains or sore throat. She was in respiratory distress and tachycardic. She had displaced apex beat and apical pansystolic murmur. Echocardiography revealed RHD with mitral and aortic regurgitation. She is presently on follow up in Paediatric cardiac clinic. Conclusion: The patient had febrile illness with epistaxis and heart failure some weeks before diagnosis of RHD supporting the possibility of the initial presentation to be probably ARF with epistaxis. At risk children presenting with fever, epistaxis and cardiac decompensation should be evaluated for ARF.","PeriodicalId":89940,"journal":{"name":"International journal of cardiovascular research","volume":"2020 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2020-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41767500","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}

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Routinely Performed Echocardiography and its Impact on Everyday Clinical Practice in Patients admitted to an Internal Medicine Ward 内科病房患者的常规超声心动图及其对日常临床实践的影响

International journal of cardiovascular research Pub Date : 2020-05-30 DOI: 10.37532/ICRJ.2020.9(3).400

E. Kwiecień, Leszek Drabik, Aleks, ra Matuszyk, A. Tyrka, Barbara Widlińska, T. Luberda, Barbara Biernacka-Fiałkowska, W. Płazak

{"title":"Routinely Performed Echocardiography and its Impact on Everyday Clinical Practice in Patients admitted to an Internal Medicine Ward","authors":"E. Kwiecień, Leszek Drabik, Aleks, ra Matuszyk, A. Tyrka, Barbara Widlińska, T. Luberda, Barbara Biernacka-Fiałkowska, W. Płazak","doi":"10.37532/ICRJ.2020.9(3).400","DOIUrl":"https://doi.org/10.37532/ICRJ.2020.9(3).400","url":null,"abstract":"Objectives: The aim of this study was to evaluate the frequency of significant heart abnormalities detected by routinely applied echocardiography in patients hospitalized in the internal medicine ward due to any medical disease and assess its impact on everyday clinical practice. Methods: Transthoracic Echocardiography (TTE) examinations were performed routinely in a cohort of 2756 patients admitted to the internal medicine ward. Demographic and clinical variables were collected retrospectively. Results: A total of 2756 patients (48.1%; n=1201 females) with a mean age of 76.3 ± 4.3 years were enrolled in the study. Almost half of the patients (41.8%; n=1153) showed significant heart pathology: Left Ventricular Ejection Fraction (LVEF) 36 mmHg, or pericardial effusion, which required further diagnosis and/or therapy. LVEF 50 mmHg. RVSP >50 mmHg was associated with lung disease (49.2%, n =87), left heart disease (29.6%, n=56), and pulmonary embolism (7.3%, n=13). In the examined group, 28.3% (n=781) of patients required specialist consultation and 10.7% (n=295) were considered as candidates for surgery. Conclusion: TTE is an essential non-invasive tool to evaluate heart structure and function. Routinely performed echocardiography has a significant impact on the decision-making process or treatment in almost half of the patients admitted to the internal medicine ward.","PeriodicalId":89940,"journal":{"name":"International journal of cardiovascular research","volume":" ","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2020-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48185129","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

Remote Ischemic Preconditioning Provides Clinical Benefits by Decreasing Periprocedural Myocardial Injury in Indian Patients 远程缺血预处理通过减少印度患者术中心肌损伤提供临床益处

International journal of cardiovascular research Pub Date : 2020-05-25 DOI: 10.37532/ICRJ.2020.9(2).398

Su Ch, ravanshi, S. Shrivastava, J. Patel, R. Shrivastava

{"title":"Remote Ischemic Preconditioning Provides Clinical Benefits by Decreasing Periprocedural Myocardial Injury in Indian Patients","authors":"Su Ch, ravanshi, S. Shrivastava, J. Patel, R. Shrivastava","doi":"10.37532/ICRJ.2020.9(2).398","DOIUrl":"https://doi.org/10.37532/ICRJ.2020.9(2).398","url":null,"abstract":"Background: Remote Ischemic Preconditioning (RIPC) in patients undergoing elective Percutaneous Coronary Intervention (PCI) may provide enhanced clinical benefits. However, published studies on PCI induced cardiac damage have yielded conflicting results. Aims: To determine whether RIPC reduces reperfusion injury and cardiac damage in Indian patients undergoing elective PCI. Materials and Methods: This prospective, randomized, control study was conducted among Acute Coronary Syndrome (ACS) patients undergoing PCI from July 2017 to October 2018 in Pt. Jawaharlal Nehru Memorial Medical College, Raipur and Dr. Bhimrao Ambedkar Memorial Hospital, Chhattisgarh. One group received RIPC (three 5-minute inflations and deflations of a standard blood-pressure cuff on the upper arm) at 1 hour before PCI. The other group which did not received RIPC served as control group. Cardiac biomarker release (Troponin-I and Creatine Kinase- MB), Electrocardiographic (ECG) and echocardiographic changes were measured in all patients before and after PCI at different time intervals. Results: A total of 52 patients were randomised and equally distributed into control and RIPC group (26 each). Post PCI, there was 77.29% reduction in mean Area Under Curve (AUC) for Troponin-I in RIPC group (8.84 ± 9.72) compared to control group (38.93 ± 79.11). Also, 64.82% reduction was found in mean AUC of CKMB in RIPC group (179.95 ± 120.7) compared to control group (511.65 ± 701.0). Conclusion: RIPC of the upper arm before primary PCI in patients with ACS could provide protection against cardiac damage and ischemia-reperfusion injury.","PeriodicalId":89940,"journal":{"name":"International journal of cardiovascular research","volume":"2020 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2020-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46834933","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

Factors Affecting Outcome of Rescue Percutaneous Coronary Intervention in Acute Myocardial Infarction 影响急性心肌梗死经皮冠状动脉介入治疗疗效的因素

International journal of cardiovascular research Pub Date : 2020-05-09 DOI: 10.37532/ICRJ.2020.9(1).394

M. S. Din, M. Mahmoud, M. A. Ghany, Ali Elsharkawi, A. Razik

{"title":"Factors Affecting Outcome of Rescue Percutaneous Coronary Intervention in Acute Myocardial Infarction","authors":"M. S. Din, M. Mahmoud, M. A. Ghany, Ali Elsharkawi, A. Razik","doi":"10.37532/ICRJ.2020.9(1).394","DOIUrl":"https://doi.org/10.37532/ICRJ.2020.9(1).394","url":null,"abstract":"Background: Rescue PCI (Percutaneous Coronary Intervention) in STEMI (ST Elevation Myocardial Infarction) performed with favorable outcome in patients that experience failure of reperfusion therapy, although limited information on the major predictors of outcome. Aim: Identify factors affecting Rescue PCI in STEMI as regard incidence of Major Adverse Cardiac Events (MACE) early after PCI in hospital& after six months of intervention. \u0000 \u0000Methods: This was a retrospective cross-sectional study assessed 120 patients receiving rescue PCI for STEMI. Effects of some factors including age, sex, coronary artery risk factors, time from symptoms onset to admission, time from failure of reperfusion to start PCI, Left Ventricular Function Ejection Fraction (LVEF), Thrombolysis In Myocardial Infarction (TIMI) flow, and type of stent implantation on MACE were studied. \u0000 \u0000Results: Age, DM, hypertension, and hyperlipidemia did not significantly affect the incidence of MACE (P>0.05). However, time from the start of symptoms onset to admission (P=0.04, OR=1.278), time from failure of reperfusion to start of PCI (P=0.038, OR=1.382), TIMI flow grade 0 at time of diagnostic coronary angiography (P=0.035, OR=3.75), and type of stent implantation (P=0.003, OR= 2.548) were independent risk factors associated with MACE post PCI, also good LVEF had significant relations with less incidence of MACE (P=0.02,OR=0.93). \u0000 \u0000Conclusion: Prolonged time from symptoms onset to admission, prolonged time from failure of reperfusion to start of PCI, TIMI flow grade 0 at time of diagnostic CA, BMS (Bare Metal Stent) implantation and LVEF are risk factors of MACE after rescue PCI.","PeriodicalId":89940,"journal":{"name":"International journal of cardiovascular research","volume":"2020 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2020-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48115336","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}

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Does Oral Anticoagulation Therapy Reduce Thromboembolic Events or Mortality In Patients with Device-detected Subclinical Atrial Fibrillation? A Review 口服抗凝治疗能降低器械检测的亚临床心房颤动患者的血栓栓塞事件或死亡率吗?回顾

International journal of cardiovascular research Pub Date : 2020-05-05 DOI: 10.37532/ICRJ.2020.9(2).395

G. S. Croix, L. Chacon, D. Baskaran, Hakop H. Hrachian

{"title":"Does Oral Anticoagulation Therapy Reduce Thromboembolic Events or Mortality In Patients with Device-detected Subclinical Atrial Fibrillation? A Review","authors":"G. S. Croix, L. Chacon, D. Baskaran, Hakop H. Hrachian","doi":"10.37532/ICRJ.2020.9(2).395","DOIUrl":"https://doi.org/10.37532/ICRJ.2020.9(2).395","url":null,"abstract":"Atrial fibrillation is the most prevalent arrhythmia occurring in 1.5- 2% of the general population, and accounting for approximately 30% of all strokes. In 20-45% of atrial fibrillation-related strokes, the arrhythmia is not documented and the patient is asymptomatic from a cardiovascular standpoint, prior to the stroke. Subclinical Atrial Fibrillation (SCAF) is defined as asymptomatic or clinically silent atrial fibrillation. Patients with SCAF exhibit no symptoms during the episode of atrial fibrillation. SCAF is frequently detected by continuous electrocardiographic monitoring in patients without history of atrial fibrillation. Several studies have shown that atrial tachyarrhythmias incidentally detected by implantable cardiac devices such as Implantable Cardiac Defibrillator (ICD) and pacemaker, are associated with a two-fold increase in the risk of death or stroke. While there is strong evidence for the benefit of Oral Anticoagulation (OAC) therapy in reducing stroke risk in patients with clinically diagnosed atrial fibrillation, information is lacking regarding benefit in those with subclinical atrial fibrillation. The aim of this current review is to present the prevalence and predictors of SCAF and to assess the impact of anticoagulation on all-cause mortality and thromboembolic events in patients with implantable devices.","PeriodicalId":89940,"journal":{"name":"International journal of cardiovascular research","volume":"2020 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2020-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47850345","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