Cardiology research and cardiovascular medicine最新文献

{"title":"Hospital Prevalence of Arterial Hypertension in the Cardiology Department of National Reference Teaching Hospital","authors":"A. Zakaria, A. A. Ali, F. Sakadi, Allawaye Lucien, T. A. Ibrahim","doi":"10.11648/j.ccr.20210502.14","DOIUrl":"https://doi.org/10.11648/j.ccr.20210502.14","url":null,"abstract":"Introduction: Arterial hypertension is a frequent pathology in cardiology consultations in Chad. We report these observations with the aim of determining the prevalence of arterial hypertension in cardiological consultation at the National Reference University Hospital in N’Djamena. Methodology: We conducted an 8-month retrospective study from September 12, 2019 to April 16th, 2020, in the Cardiology Department of the National Reference Teaching Hospital. The variables studied were socio-demographic and clinical. Results: out of 352 patients seen, 121 met the selection criteria, ie a hospital prevalence of 34.34% with a female predominance. The average age was 64.5 years old with extremes ranging from 17 to 94 years old. Household were the most represented with 47.93% of cases. The most common antecedents were multiparity, arterial hypertension during pregnancy, hyperuricemia with respectively 21, 48% then 4.95% for each of the last two. The most common associated cardiovascular risk factors (FDRCV) were obesity and diabetes with 13.22% and 6.61%. Grade III systolic hypertension was the most represented with 33.05% as well as grade III diastolic hypertension with 32.23% of cases. Conclusion: Hypertension is a public health problem in Chad. Hospital prevalence has almost tripled in 26 years in the same department.","PeriodicalId":92185,"journal":{"name":"Cardiology research and cardiovascular medicine","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89608969","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":"Platelet to Lymphocyte Ratio as a Predictor of Infarct-Related Artery Patency in Patients Undergoing Primary Percutaneous Coronary Intervention","authors":"Abdalla Mostafa Kamal, Mona Fikry Fathy, Ghada Mahmoud Soltan","doi":"10.11648/j.ccr.20210502.12","DOIUrl":"https://doi.org/10.11648/j.ccr.20210502.12","url":null,"abstract":"Background: In myocardial infarction (MI) patients, myocardial reperfusion and subsequently, early infarct related artery (IRA) patency are very critical in this emergency situation. Recently, there is growing research on the ability of platelet to lymphocyte ratio (PLR) to be a predictor of outcome and its value as a marker for inflammation and coagulopathy detection. Our work aims at finding the relation between PLR and the prognosis of IRA in STEMI patients. Methodology: Two hundred cases presented with STEMI were included for the study. Patency of IRA was estimated by Thrombolysis in Myocardial Infarction (TIMI) grade. Patent IRA was defined as TIMI grade III flow and occluded IRA was defined as TIMI grade 0-II flow. Blood samples were withdrawn on admission at emergency department to calculate PLR. Results: Forty-one (20.5%) cases revealed TIMI 3 flow in IRA before pPCI. Occluded group showed significantly higher PLR than patent group with mean PLR 231.3±94.2 vs 100.95±37.7 respectively with P value <0.0001. Multivariate regression analysis demonstrated, both HTN [95% CI (- 0.135)-(-0.747)] & PLR ratio [95% CI (-0.001)-(-0.002)] together are the most independent predictors for TIMI flow in IRA (F-ratio=12.2, p<0.001). Conclusion: our results show that high Platelet lymphocyte ratio predicts patency of IRA independently in cases with STEMI before pPCI.","PeriodicalId":92185,"journal":{"name":"Cardiology research and cardiovascular medicine","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74347155","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":"Use of CTFFR and CTCA to Diagnose and Triage Patients of INOCA: A Retrospective Study","authors":"A. Kapoor, G. Mahajan, A. Kapur","doi":"10.11648/J.CCR.20210502.13","DOIUrl":"https://doi.org/10.11648/J.CCR.20210502.13","url":null,"abstract":"Objectives: INOCA (Ischemia in non- obstructive coronary arteries) has been recognized as a global health problem and poses a diagnostic challenge to establish the diagnosis which involves first ruling out obstructive coronary artery disease by the use of CT coronary angiography (CTCA) or an invasive angiogram. Second step involves the use of intracoronary pressure and Doppler monitoring which is not only costly, time consuming and lacks easy availability. CTFFR has emerged as frontline tool in the non invasive evaluation of patients with stable chest pain. This retrospective study was designed to evaluate the spectrum of findings of ischemia on CTCA and CT FFR in patients with stable chest pain to determine if this protocol can be used to identify patients with INOCA before they are subjected to invasive protocol. Methods: This was a retrospective study of 500 consecutive patients of stable chest pain with more than >1mm ST depression on resting EKG and or positive stress test who underwent CTCA along with CTFFR evaluation using a prescribed CT angiographic protocol. Post processing was done to reconstruct multiplanar angiographic views followed by CT FFR evaluation. All patients with no obstruction or stenosis less than 50% and with CT FFR of <0.80 were labeled as having INOCA. Subcategorisation of all INOCA patients was done based on Vessel tapering index (VTI), Plaque volume Index (PVI) into four subtypes- TypeI (vasospastic), Type II (site specific atherosclerotic), Type III (distal macrovascular dysfunction- DMD), Type IV (mixed). Results: Study showed 122 (34%) patients of stable chest pain had INOCA. Types I, III formed the largest group of patients 38% and 31% followed by the other two subtypes and showed significant differences in the VTI and PVI along with reduced FFR of <.80 in all these patients. Conclusion: Use of CTCA and CTFFR can be used as a first line tool to not only rule out obstructive coronary disease with ischemia but also to non invasively detect INOCA in patients with stable chest pain before subjecting these patients for further invasive protocols and can influence accurate management of such patients.","PeriodicalId":92185,"journal":{"name":"Cardiology research and cardiovascular medicine","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90553279","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":"Electrocardiographic and Echocardiographic Changes in Cameroonian Hypertensive Patients","authors":"O. P. Mbouemboue, Herman Cabrel Ngangao, Wavoulansa Zourmba, Ahmadou Hayatou","doi":"10.11648/J.CCR.20210502.11","DOIUrl":"https://doi.org/10.11648/J.CCR.20210502.11","url":null,"abstract":"High blood pressure is a major cardiovascular risk factor. It has repercussions on the heart, which can be easily assessed by non-invasive examinations. The objective of this study was to describe electrocardiographic and echocardiographic abnormalities in hypertensive patients under follow up at the Ngaoundere Regional Hospital, (Cameroon). The study was analytical and cross-sectional in nature. It was carried out at the Ngaoundere Regional Hospital (Cameroon). All known adult hypertensive patients who had a resting electrocardiogram (ECG) and echocardiography done during their follow up were included in the study. The study population consisted of 200 hypertensive patients. The mean age of the patients was 59±1.6 years with extremes of 25 and 85 years. Of all the ECGs performed, a total of 94% had abnormal findings. The most frequent electrocardiographic abnormalities were cardiac arrhythmias (53.5%), and left ventricular hypertrophy (LVH) (22%). Overall, 91% of the cardiac echography performed had abnormal findings most of which were ventricular hypertrophy, diastolic dysfunction and left atrial enlargement. In conclusion: a wide variety of electrocardiographic and echocardiographic abnormalities are diagnosed in the hypertensive patient in our environnement. None of them should be neglected. They all present, although to varying degrees, an interest in the orientation and organization of the therapeutic strategy of patients with hypertension. The use of ECG and echocardiography for this purpose should be encouraged in resource-limited areas.","PeriodicalId":92185,"journal":{"name":"Cardiology research and cardiovascular medicine","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81588716","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":"Intravenous Nicorandil Versus Adenosine for Fractional Flow Reserve Measurement to Assess Coronary Artery Stenosis: A Systematic Review and Meta-Analysis","authors":"","doi":"10.29011/2575-7083.000066","DOIUrl":"https://doi.org/10.29011/2575-7083.000066","url":null,"abstract":"","PeriodicalId":92185,"journal":{"name":"Cardiology research and cardiovascular medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69467883","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":"Prevalence of Hypertension and Associated Factors Among Bank Workers in Harar Town, Eastern Ethiopia","authors":"Hailu Dagne, T. Gebru, Yalew Mossie","doi":"10.11648/j.ccr.20210504.19","DOIUrl":"https://doi.org/10.11648/j.ccr.20210504.19","url":null,"abstract":"","PeriodicalId":92185,"journal":{"name":"Cardiology research and cardiovascular medicine","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88483026","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":"Simulation of Altered Blood Flow in Bicuspid Aortic Valve Disease: <i>A Proof of Concept Study</i>","authors":"L. Holmes, George Black, R. Jeremy, R. Cordina, D. Celermajer, S. Karkenahalli, R. Puranik","doi":"10.11648/j.ccr.20210504.13","DOIUrl":"https://doi.org/10.11648/j.ccr.20210504.13","url":null,"abstract":"","PeriodicalId":92185,"journal":{"name":"Cardiology research and cardiovascular medicine","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84310491","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":"Global Cardiovscular Risk and Vascular Age in Patients with Ischemic Cardiopatia at the Kara University Hospital (Kara-U H)","authors":"M. Pio, T. Tcherou, Doguénsaga Borgotia Atta, L. Djalogue, Abalo Mario Bakai, Bénédicte Souho, Yaovi Mignazonzon Afassinou, S. Pessinaba, Wiyaou Dieu-Donné Kaziga","doi":"10.11648/j.ccr.20210504.21","DOIUrl":"https://doi.org/10.11648/j.ccr.20210504.21","url":null,"abstract":"","PeriodicalId":92185,"journal":{"name":"Cardiology research and cardiovascular medicine","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73509205","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":"Reducing the Incidence of Cardiovascular Disease in North China by Healthy Dieting","authors":"Zhao Xi Lin, Ting Wen Xie, Liang Li","doi":"10.11648/j.ccr.20210504.16","DOIUrl":"https://doi.org/10.11648/j.ccr.20210504.16","url":null,"abstract":"","PeriodicalId":92185,"journal":{"name":"Cardiology research and cardiovascular medicine","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73546389","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":"Multicenter Long Term Experience with Management of TASC II C, D Femoropopliteal Occlusive Disease Drug Coated Versus Uncoated Ballon Angioplasty","authors":"Mohammad Alsagheer Alhewy, Abdelaziz Ahmed Abdelhafez, Ehab Abdelmoneim Ghazala","doi":"10.11648/j.ccr.20210504.17","DOIUrl":"https://doi.org/10.11648/j.ccr.20210504.17","url":null,"abstract":"","PeriodicalId":92185,"journal":{"name":"Cardiology research and cardiovascular medicine","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83840678","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}