Cardiovascular Journal最新文献

{"title":"Association of Preoperative HbA1c Level with Incidence of New-onset Atrial Fibrillation during Early Postoperative Period after Off-Pump Coronary Artery Bypass Grafting Surgery in Diabetic Patients","authors":"Md Jilhaj Uddin, Akm Manzurul Alam, A. Rahim, Aym Shahidullah, A. Hossain, Manzil Ahmad","doi":"10.3329/cardio.v12i2.47988","DOIUrl":"https://doi.org/10.3329/cardio.v12i2.47988","url":null,"abstract":"Background: Diabetes mellitus is an independent risk factor for coronary artery disease and it adversely affects the postoperative outcome after CABG surgery. Adequate control of diabetes for a longer period, which can be assessed by HbA1c, before OPCAB may reduce development of postoperative atrial fibrillation and thus improve outcome. \u0000Methods: This was an observational study included sixty diabetic patients purposively who underwent isolated off pump coronary artery bypass procedure in NICVD. Total sample contained 60 diabetic patients, which were divided in two equal groups. Grouping was Group I – 30 Diabetic patients with preoperative HbA1c <7% and Group II – 30 Diabetic patients with preoperative HbA1c ≥7% and all of whom underwent isolated OPCAB. Postoperative atrial fibrillation and other complications were recorded and compared in two groups of patients. \u0000Results: Most postoperative atrial fibrillation (AF) developed in higher age group 61-70 years (61.5%). Postoperative complications were higher in group II. Postoperative AF was significantly higher in diabetic patients having preoperative HbA1c ≥7% compare to diabetic patients with HbA1c <7% in early postoperative period after OPCAB. Age (61-70 years) (OR=1.872, p=0.018), preoperative HbA1c ≥7% (OR=19.029, p=0.002) and hypertension (OR=1.091, p=0.019) was found significantly associated with increased development of postoperative atrial fibrillation. \u0000Conclusion: Our study revealed that higher preoperative HbA1c level was associated with increased incidence of new onset atrial fibrillation after OPCAB. So, it can be used as a reliable indicator for adequate control of diabetes preoperatively among patients selected for isolated elective OPCAB in future. \u0000Cardiovasc. j. 2020; 12(2): 113-119","PeriodicalId":9438,"journal":{"name":"Cardiovascular Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76179012","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":"Surgical Extraction of a Huge Pacemaker Lead Vegetation Causing Infective Endocarditis","authors":"Smazn Palash, M. D. Hossain, Tamjid Mohammad Najmus Sakib Khan, T. Meher, K. Hassan, Saiful Khan, N. Ahmed, Sohail Ahmed, Z. Haider","doi":"10.3329/cardio.v12i2.47997","DOIUrl":"https://doi.org/10.3329/cardio.v12i2.47997","url":null,"abstract":"Infections of implantable intracardiac devices such as pacemakers are relatively rare but serious complications. In this paper we report removal of a huge vegetation in RV lead of permanent pacemaker though open surgical approach using extracorporeal circulation which was giving rise to lead endocarditis. A new epicardial lead was placed as the patient was pacemaker dependent. Though the culture of the extracted material didn’t reveal any organism but the patient was improved a lot after operation from both symptomatic (subsidence of fever) & hemodynamic point of view. In follow-up OPD visit she was found to be recovered well without any complication. In conclusion, explantation of the entire pacemaker system is necessary to cure lead endocarditis in addition to appropriate antibiotic therapy. (Cardiovasc. j. 2020; 12(2): 162-166)","PeriodicalId":9438,"journal":{"name":"Cardiovascular Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79293258","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":"Clarence Walton Lillehei: The Pioneer Open Heart Surgeon","authors":"Anisuzzaman, N. Hosain","doi":"10.3329/cardio.v12i2.47994","DOIUrl":"https://doi.org/10.3329/cardio.v12i2.47994","url":null,"abstract":"Abstract not available \u0000Cardiovasc. j. 2020; 12(2): 145-148","PeriodicalId":9438,"journal":{"name":"Cardiovascular Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76194236","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":"Impact of Baseline Admission Serum Creatinine Level in ST Segment Elevated Myocardial Infarction (STEMI) Patient Undergoing Primary PCI: An Important Predictor of in-hospital and 12-month Survival Outcome","authors":"A. Islam, S. Munwar, S. Talukder, A. Reza, A. H. Bhuiyan, T. Ahmed, Kazi Atiqur Rahman, M. A. Ali, Shamsul Alam, M. Hasan, Aparajita Karim","doi":"10.3329/cardio.v12i2.47991","DOIUrl":"https://doi.org/10.3329/cardio.v12i2.47991","url":null,"abstract":"Background: Several studies has shown that impaired renal function might be an important predictor of adverse cardiovascular events in patient with ST elevated myocardial Infarction (STEMI) undergoing primary percutaneous intervention (pPCI). Exact data on clinical impact of baseline or admission serum creatinine level of STEMI patient undergoing pPCI in our patient population not well established. Therefore, we have carried out this non-randomized study to see the effects of S. creatinine level on major adverse cardiovascular outcomes among STEMI patient undergoing pPCI. Methods: Patients were enrolled in this observational non-randomized prospective cohort between November 2017-July 2019, who were presented into our emergency department with acute onset of severe chest pain or angina with ECG evidenced of acute ST elevated myocardial infarction. Total 137 patient (F 12; Male 125) were enrolled in this study. Results: Out of 137 patients, female :12 (8.75%) vs Male: 125 (91.2%). Among, these patient females were more obese (BMI: Female 27.0 ± 2.2 vs male 25.4 ± 4.9) and developed CAD in advance age (Female 59.1 ± 14.5 vs Male 53.4 ± 10.5). Among the 137 patients, 89 (65%) were dyslipidemia, 72 (52.6%) were hypertensive, Diabetic 66(48%), Smoker 70 (51%) and FH positive for CAD were 31 (22.6%). According to the involvement of myocardium infarction, STEMI diagnosis of Anterior MI were 48.9% (n=67) and Inferior MI 51.1% (n=70). An elevated serum creatinine level was defined as creatinine >1.2mg/dl. Based on baseline serum creatinine level, patients were divided into group-A and Group-B. In Group-A. Total 68 patients have S. Creatinine level <1.2 and in Group-B, 69 patients have S. Creatinine level >1.2. Anterior MI were higher in group -B patient than Group-A; Ant MI as 35 (50.4%) vs 31(45.6%), Inf MIL: 34 (49.35) vs 34 (50%), Shock 11 (15.9%) vs 6 (8.8%0, CHB 4 (5.8%) vs 4 (5.9%), Death 12 (17.4%) vs 2 (2.9%) and LVF 5(7.2%) vs 1(1.5%) with 7 days in-hospital stay after primary PCI. Territory wise involvement of vessel in Group-B patient has more involvement of LAD 35 (50.7%) and Group-A has RCA 26(38.2%). Conclusion: In this present study, we found, that in acute STEMI patients, baseline higher serum creatinine level is associated with more AMI related complications and death than in lower serum creatinine level. Thus, we may conclude that baseline admission serum creatinine level may be an important predictor for both in-hospital and 12-month survival outcomes in STEMI patients undergoing pPCI. (Cardiovasc. j. 2020; 12(2): 135-142)","PeriodicalId":9438,"journal":{"name":"Cardiovascular Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90778106","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":"Life sketch of Prof. Emeritus M. Nabi Alam Khan","authors":"N. Ahsan","doi":"10.3329/cardio.v12i2.47992","DOIUrl":"https://doi.org/10.3329/cardio.v12i2.47992","url":null,"abstract":"Abstract not available \u0000Cardiovasc. j. 2020; 12(2): 143","PeriodicalId":9438,"journal":{"name":"Cardiovascular Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84896575","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":"The Challenging Dream of Rene Favaloro and Genesis of Saphenous Venous Grafts","authors":"Anisuzzaman, N. Hosain","doi":"10.3329/cardio.v12i2.47995","DOIUrl":"https://doi.org/10.3329/cardio.v12i2.47995","url":null,"abstract":"Rene Geronimo Favaloro was a noble personality in the history of heart surgery. Though Known mostly in the surgeons’ circles for the Favaloro sternal retractor named after him, his contribution in introducing saphenous venous coronary grafts have saved millions of lives over last six decades. By his admirable integrity, honesty, commitment to the patients, selflessness and compassion, Dr Favaloro has set an example that every surgeon should emulate.1 But this famous and talented surgeon ultimately had a very unfortunate and tragic end of his colorful life. Rene G Favaloro was born in 1923 and raised in La Plata, Argentina. After graduating from high school, he was admitted to the School of Medicine at the National University of La Plata. During his third year, he began his medical residency at the Hospital Policlinico San Martin, a medical centre that received the most complicated cases from much of Buenos Aires province. In that residency program, he attended procedures carried out by Professors Jose Maria Mainetti and Federico E. B. Christmann, from whom he learned simplicity and standardization that he would later apply to his great contributions to cardiovascular operating techniques. Favaloro graduated with a medical degree in 1949.2,3","PeriodicalId":9438,"journal":{"name":"Cardiovascular Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89185789","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":"Study on Seasonal Variation of Acute Myocardial Infarction Hospitalization","authors":"Md Sajjadur Rahman, A. Chowdhury, Khandker Md Nurus Sabah, Md Gaffar Amin, Sudhakar Sarker, Md Shuaib Ahmed, Mohammad Harun Ur Rashid Khan, Md Anisul Goni Khan","doi":"10.3329/cardio.v12i2.47990","DOIUrl":"https://doi.org/10.3329/cardio.v12i2.47990","url":null,"abstract":"Background: Coronary artery disease is an important medical and public health issue as it is common and leading cause of mortality and morbidity in Bangladesh as it is throughout the world. This study was carried out to determine the existence of seasonal rhythms in hospital admissions due to acute myocardial infarction (AMI) in Dhaka Medical College Hospital. Methods: This cross-sectional observational study was conducted during the period of April 2015 to March 2016 among the patients with AMI admitted at the Cardiology Department of DMCH. 882 patients were enrolled. Results: The highest number of patients were admitted during winter (n=285, 32.3%) followed by post monsoon (n=213, 24.1%) and monsoon (n=194, 22.0%). The lowest number of patients were admitted during summer (n=190, 21.5%). The hospital admission was significantly higher in winter compared to other seasons (p-value versus summer, monsoon and post monsoon was 0.008, 0.011 and 0.042 respectively). Conclusion: A seasonal variation in the hospital admission due to AMI with a peak in winter was clearly demonstrated in the study. Persons admitted to hospital with AMI tend to be all age groups and both sexes present a stronger seasonal variation peak admission in winter. (Cardiovasc. j. 2020; 12(2): 126-134)","PeriodicalId":9438,"journal":{"name":"Cardiovascular Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84369539","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":"Cholesterol Granuloma of Chest Wall – A very Rare Benign Tumour","authors":"S. Z. Nine, Z. Haider, Sohail Ahmed, N. Ahmed, Saiful Khan, M. D. Hossain, Nazmus Sakib Khan, Tahera Mehar, Kamrul Hasan","doi":"10.3329/cardio.v12i2.47996","DOIUrl":"https://doi.org/10.3329/cardio.v12i2.47996","url":null,"abstract":"Cholesterol granuloma is a rare benign tumour and is described as inflammatory granulation that occurs in response to the deposition of cholesterol crystals. It is found most commonly in the paranasal sinuses or temporal bones, but there are also rare reports of their occurrence in the peritoneum, parotid gland, lymph nodes, thyroglossal duct, kidney, liver, and spleen. Involvement of the ribs has rarely been described previously. We report a case of cholesterol granuloma involving chest wall in second intercostals space of a 74-year-old male who presented with a slowly growing lesion of the anterior aspect of right side of the chest. (Cardiovasc. j. 2020; 12(2): 158-161)","PeriodicalId":9438,"journal":{"name":"Cardiovascular Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88848225","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":"Life sketch of Prof. Sirajur Rahman Khan","authors":"N. Ahmed","doi":"10.3329/cardio.v12i2.47993","DOIUrl":"https://doi.org/10.3329/cardio.v12i2.47993","url":null,"abstract":"Abstract not available \u0000Cardiovasc. j. 2020; 12(2): 144","PeriodicalId":9438,"journal":{"name":"Cardiovascular Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76487197","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":"Blood Lactate Level as Predictor of Early Outcome after Off-Pump Coronary Artery Bypass Grafting","authors":"N. Aktar, A. Rahim, Aym Shahidullah, A. Hossain, F. Ahmed","doi":"10.3329/cardio.v12i2.47989","DOIUrl":"https://doi.org/10.3329/cardio.v12i2.47989","url":null,"abstract":"Background: Identification of predictors of morbidity and mortality is an important issue for the management of cardiac surgical patients. Elevated lactate concentrations in the immediate postoperative period reflect unmet metabolic demand and may be associated with outcome. Methods: A prospective observational study was carried out in the department of cardiac surgery, at National Heart Foundation Hospital& Research Institute(NHFH&RI), Dhaka. commencing from July 2016 to March 2018. In all Adult patients irrespective of sex undergoing elective off-pump coronary artery bypass grafting (OPCABG). Purposive sampling was applied with patient with blood lactate level < 3 mmol/L 6hours after shifting from OT to ICU in Group-A and blood lactate level ≥3mmol/l, 6hours after shifting to the ICU in Group-B.Postoperative early adverse outcomes were analyzed in both the patient groups. Results: Blood lactate level 6 hours after ICU transfer is an independent predictor for prolonged mechanical ventilation time, (OR 2.540, 95% CI 1.781-3.621, p= <0.001).prolonged ICU stay, .(OR 1.767, 95% CI 1.348-2.315, p=< 0.001) pulmonary complication (OR 1.503, 95% CI 1.104-2.046, p= 0.010).and renal dysfunction(OR 1.460, 95% CI 1.156-1.843, p= 0.001). following off-pump coronary artery bypass grafting. Other risk factors for adverse outcome including, low LVEF, diabetes mellitus, blood transfusion and inotropic support were also found to be predictors of major complications in","PeriodicalId":9438,"journal":{"name":"Cardiovascular Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74619370","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}