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(Implantation of leadless pacemaker (LP) Micra - single center experience) (植入无铅起搏器(LP) Micra -单中心体验)
IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-06-20 DOI: 10.33678/cor.2022.104
Jan Boček, M. Segeťová, J. Beneš, Hanka Wünschová, K. Sedláček, Věra Lánská, J. Kautzner
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引用次数: 0
(Current methods for measurement of arterial stiffness) (目前测量动脉硬度的方法)
IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-06-20 DOI: 10.33678/cor.2022.112
Mirela Rajčinova, D. Zemánek, Lukas Matera, V. Fabián
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引用次数: 0
Sino-atrial block due to Guillan-Barré syndrome: a rare case guillan - barr<s:1>综合征并发窦房传导阻滞1例
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-06-20 DOI: 10.33678/cor.2021.100
Lorenzo Pistelli, Francesca Parisi, Alessio Currò, Elisabetta Demurtas, Rosalba De Sarro, Lorenzo Gurioli, Walter Grosso Marra
Kontext: Vznik trombĂłzy po zavedenĂ­ transvenĂłznĂ­ elektrody představuje podceňovanĂ˝ problĂŠm. Přes jejĂ­ vysokou incidenci zĹŻstĂĄvĂĄ větĹĄina případĹŻ nediagnostikovanĂ˝ch, protoĹže je klinicky němĂĄ. Byla popsĂĄna řada rizikovĂ˝ch faktorĹŻ predisponujĂ­cĂ­ch k tvorbě sraĹženin na elektrodĂĄch přístroje. ProtoĹže nejsou k dispozici ŞådnĂŠ doporučenĂŠ postupy (guidelines) ani dĹŻkazy ohledně optimĂĄlnĂ­ léčby, zĂĄleŞí zpĹŻsob odstraňovĂĄnĂ­ endokavitĂĄrnĂ­ch sraĹženin z elektrod kardiostimulĂĄtoru na individuĂĄlnĂ­ volbě mezi chirurgickou extrakcĂ­ katĂŠtrem, trombolĂ˝zou nebo antikoagulačnĂ­ léčbou. U některĂ˝ch pacientĹŻ mĹŻĹže léčbu dĂĄle komplikovat křehkĂĄ rovnovĂĄha mezi krvĂĄcivĂ˝mi a trombotickĂ˝mi příhodami. Popis případu: Popisujeme případ 86letĂŠho muĹže se srdečnĂ­m selhĂĄnĂ­m a silně snĂ­Ĺženou ejekčnĂ­ frakcĂ­ v dĹŻsledku chronickĂŠ ischemickĂŠ kardiomyopatie. Bylo u něj zjiĹĄtěno několik komorbidit a v anamnĂŠze měl hlubokou ĹžilnĂ­ trombĂłzu i zĂĄvaĹžnĂŠ krvĂĄcenĂ­. U pacienta doĹĄlo k rozvoji plicnĂ­ embolie: v mĂ­stě vzniku tromboembolie visela na elektrodě kardiostimulĂĄtoru sraĹženina. ZĂĄvěr: Antikoagulace s antagonisty vitaminu K umoĹžnila poměrně bezpečnĂŠ řeĹĄenĂ­ problĂŠmu s trombĂłzou (nebo tromboemboliĂ­) a krvĂĄcenĂ­m. © 2022, ČKS.
背景:经静脉电极插入后形成血栓是一个被低估的问题。尽管其发病率很高,但由于临床上并不常见,大多数病例都未被诊断出来。有许多风险因素导致装置电极上容易形成血栓。由于没有关于最佳治疗方法的指南或证据,因此从起搏器电极上清除腔内血凝块的方法可根据个人情况在手术导管抽取、溶栓或抗凝固之间进行选择。有些患者的治疗可能会因出血和血栓事件之间的微妙平衡而变得复杂。病例描述:我们描述了一名 86 岁男性患者的病例,他因慢性缺血性心肌病导致心力衰竭和射血分数严重下降。她患有多种合并症,并有深静脉血栓和严重出血病史。患者出现了肺栓塞:血栓栓塞部位的起搏器电极上挂有血块。结论:使用维生素 K 拮抗剂进行抗凝可以相对安全地解决血栓(或血栓栓塞)和出血问题。© 2022, äks.
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引用次数: 0
The Drugs Used in the Treatment of Supraventricular Tachycardia in Pediatrics: A Systematic Review and Meta-Analysis 儿科治疗室上性心动过速的药物:系统评价和荟萃分析
IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-06-20 DOI: 10.33678/cor.2022.097
H. T. Hashim, Jaffer Shah, Ali Talib Hashim, Omar Abdelnasser Abdelmonem Ismail Mohamed, Mahmoud Shaban Abdeljalil, J. Varney
Background: Supraventricular tachycardia (SVT) is an abnormally rapid heart rhythm that results from improper electrical activity in the upper part of the heart. Acute management of children presenting with SVT may be a challenge, as the exact tachycardia mechanism is often unknown. The strategy for treatment depends on the presentation and clinical status of the patient. Methodology: A systematic literature review was conducted to identify and select original research reports on supraventricular tachycardia management drugs in children and infants with no structural heart disease (all children from 1 hour to 17 years of age) in accordance with the PRISMA guidelines. Data were analyzed with Review manager version 5.4. P -value and I 2 were used to test the signifi cance difference. Results: 26 studies out of 65 total studies assessed for eligibility were included in the review by fulfi lling the inclusion criteria. There were 8103 patients from 13 countries with SVT who were treated with different antiarrhythmic drugs including (Adenosine, Dexmedetomidine) as acute management and (Amiodarone, Beta-Blockers, Flecainide, Digoxin and Ivabradine) as chronic control. There was a signifi cant difference between the patients who took the drugs and the patients who responded to the drugs, with P -value <0.005 and I 2 = 72%.
背景:室上性心动过速(SVT)是一种异常快速的心律,由心脏上部不适当的电活动引起。急性处理出现室上性心动过速的儿童可能是一个挑战,因为确切的心动过速机制通常是未知的。治疗策略取决于患者的表现和临床状况。方法:根据PRISMA指南,对无结构性心脏病的儿童和婴儿(所有1小时至17岁的儿童)的室上性心动过速治疗药物进行了系统的文献综述,以确定和选择原始研究报告。使用Review manager 5.4版对数据进行分析。P值和I2用于检验显著性差异。结果:在评估合格性的65项研究中,有26项研究通过填写纳入标准纳入审查。来自13个国家的8103名SVT患者接受了不同的抗心律失常药物治疗,包括作为急性治疗的(腺苷、右美托咪定)和作为慢性对照的(胺碘酮、β-阻滞剂、Flecainide、地高辛和Ivabradine)。服用药物的患者和对药物有反应的患者之间存在显著差异,P值<0.005,I2=72%。
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引用次数: 1
The relationship between the level of soluble CD40 ligand and angiographic extent and severity of coronary artery disease 可溶性CD40配体水平与冠状动脉病变程度及严重程度的关系
IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-06-20 DOI: 10.33678/cor.2022.132
B. C. Elçioğlu, Şükrü Taylan Şahin, E. Bozcali, S. Himmetoglu, H. Yüksel
Objectives: Previous studies have suggested that atherosclerosis is a chronic infl ammatory disease and impli-cate components of the immune system in atherogenesis. The CD40 and CD40 ligand system regulates mul-tiple phases of the humoral and cellular immune response. Soluble CD40 (sCD40) ligand especially releases from activated platelets. Platelets are involved not only in thrombosis, but also in atherosclerotic lesion formation and restenosis processes. The aim of our study is to evaluate whether there is a relationship between the level of sCD40 ligand and angiographic extent and severity of coronary artery disease (CAD) and to compare other cardiovascular risk factors. Methods: 102 participants were included in our study. Among them, 37 patients constituted acute coronary syndrome (ACS) group, 41 patients were diagnosed as stable angina pectoris group (SAP), while 24 subjects served as control group. Peripheral venous blood samples were drawn at the Coronary Care Unit admission of ACS group patients. From SAP group patients and controls who have normal coronary arteries, blood samples collected after coronary angiography. The Gensini score was computed for each patient by assigning the severity score to each coronary stenosis in accordance with the degree
目的:先前的研究表明,动脉粥样硬化是一种慢性炎症性疾病,并在动脉粥样硬化的形成中涉及免疫系统的组成部分。CD40和CD40配体系统调节体液和细胞免疫反应的多个阶段。可溶性CD40(sCD40)配体特别是从活化的血小板中释放。血小板不仅参与血栓形成,还参与动脉粥样硬化病变的形成和再狭窄过程。我们研究的目的是评估sCD40配体水平与冠状动脉疾病(CAD)的血管造影范围和严重程度之间是否存在关系,并比较其他心血管风险因素。方法:102名参与者被纳入我们的研究。其中急性冠状动脉综合征组37例,稳定型心绞痛组41例,对照组24例。ACS组患者在冠状动脉监护室入院时采集外周静脉血样。来自SAP组患者和冠状动脉正常的对照组,冠状动脉造影后采集的血液样本。通过根据冠状动脉狭窄程度将严重程度评分分配给每个患者,计算每个患者的Gensini评分
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引用次数: 0
Humanin and Cardiovascular Diseases 人类与心血管疾病
IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-06-20 DOI: 10.33678/cor.2022.057
Lutfu Askin, Okan Tanriverdi
Mitochondrial-derived peptides ( MDPs) are encoded by mitochondrial DNA. MDPs include humanin, ribosomal ribonucleic acid type c (MOTS-c), and small humanin-like peptides 1–6 (SHLP1–6). In times of stress, they support mitochondrial activity and cell survival. MDPs infl uence cell survival, metabolism, stress response, and infl ammation in vivo and in vitro . Recent research shows MDPs play a signifi cant role in cardiovascular disease (CVD) development. In addition, possible pathogenic pathways include ischemia, reperfusion da- mage, fi brosis
线粒体衍生肽(MDPs)由线粒体DNA编码。MDP包括人蛋白、c型核糖体核糖核酸(MOTS-c)和小的人蛋白样肽1-6(SHLP1-6)。在压力时期,它们支持线粒体活动和细胞存活。MDPs在体内外影响细胞存活、代谢、应激反应和炎症。最近的研究表明,MDPs在心血管疾病(CVD)的发展中发挥着重要作用。此外,可能的致病途径包括缺血、再灌注损伤、纤维化
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引用次数: 0
A multimodality imaging approach to multifocal intracardiac masses 多灶性心内肿块的多模态成像方法
IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-06-20 DOI: 10.33678/cor.2022.053
V. Devesa Neto, J. M. Santos, Luís Santos, José Miguel Correia
The authors expose a case report of a 75-year-old woman admitted due to syncope and history of endometrial sarcoma. Echocardiography at hospital admission revealed two cardiac masses (in the right atrium [32×38 mm] and the other in the left ventricle [42×32 mm]), both with mobility and causing dynamic obstruction of the tricuspid valve and left ventricular outfl ow tract. Metastatic lesions were promptly suspected, considering the previous history, and an approach based on multimodality cardiovascular imaging was performed for differential diagnosis. Endometrial stromal sarcomas are rare tumors of the uterus corresponding to 0.2–1% of all uterine malignancies. Intracardiac metastasis from endometrial stromal sarcoma is a rare fi nding. The majority of reported metastasis is to the right side of the heart, being this case report a rare case of left chamber involvement. Klíčová
作者报道了一例75岁女性因晕厥和子宫内膜肉瘤病史入院的病例报告。入院时的超声心动图显示有两个心脏肿块(在右心房[32×38毫米],另一个在左心室[42×32毫米]),这两个肿块都具有移动性,并导致三尖瓣和左心室流出道的动态阻塞。考虑到既往病史,及时怀疑转移性病变,并采用基于多模态心血管成像的方法进行鉴别诊断。子宫内膜间质肉瘤是一种罕见的子宫肿瘤,占所有子宫恶性肿瘤的0.2-1%。子宫内膜间质肉瘤的心内转移是一种罕见的发现。大多数报告的转移是在心脏右侧,这是一个罕见的左室受累病例。Klíčová
{"title":"A multimodality imaging approach to multifocal intracardiac masses","authors":"V. Devesa Neto, J. M. Santos, Luís Santos, José Miguel Correia","doi":"10.33678/cor.2022.053","DOIUrl":"https://doi.org/10.33678/cor.2022.053","url":null,"abstract":"The authors expose a case report of a 75-year-old woman admitted due to syncope and history of endometrial sarcoma. Echocardiography at hospital admission revealed two cardiac masses (in the right atrium [32×38 mm] and the other in the left ventricle [42×32 mm]), both with mobility and causing dynamic obstruction of the tricuspid valve and left ventricular outfl ow tract. Metastatic lesions were promptly suspected, considering the previous history, and an approach based on multimodality cardiovascular imaging was performed for differential diagnosis. Endometrial stromal sarcomas are rare tumors of the uterus corresponding to 0.2–1% of all uterine malignancies. Intracardiac metastasis from endometrial stromal sarcoma is a rare fi nding. The majority of reported metastasis is to the right side of the heart, being this case report a rare case of left chamber involvement. Klíčová","PeriodicalId":10787,"journal":{"name":"Cor et vasa","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49631752","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
The clinical and angiographic impact of intravascular ultrasound guided stenting of unprotected left main and proximal left anterior descending coronary artery. A prospective randomized controlled study in Egypt 超声引导下无保护左主干及近端左前降支植入术的临床及血管造影影响。埃及的一项前瞻性随机对照研究
IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-06-20 DOI: 10.33678/cor.2022.101
Noha Hassanin Hanboly, Y. Baghdady, Mostafa Mokhtar Mostafa, Assem Abdelaziz Fahmy Hashad, Yasser A. Sadek
Background: Coronary angiography has some limitations in the proper assessment of coronary artery lesions. Intravascular ultrasound (IVUS) before percutaneous coronary intervention (PCI) can identify signifi - cant stenosis, select the appropriate stent and detect complications. The study aimed to evaluate the impact of intravascular ultrasound on clinical and angiographic outcomes after revascularization by stenting for patients with unprotected left main (ULM) or proximal left anterior descending (LAD) coronary artery disease (CAD). Materials and methods: A prospective randomized controlled study that was carried on sixty patients presented with stable angina or non-ST elevation acute coronary syndrome. Coronary angiography that was carried out at cardiac catheterization laboratory at the National Heart Institute in Egypt revealed signifi cant left main or proximal LAD coronary artery disease. Patients were scheduled for revascularization
背景:冠状动脉造影在正确评估冠状动脉病变方面有一定的局限性。经皮冠状动脉介入治疗(PCI)前血管内超声(IVUS)可以识别明显的狭窄,选择合适的支架和发现并发症。本研究旨在评估血管内超声对无保护的左主干(ULM)或左前降支(LAD)冠状动脉疾病(CAD)患者行支架重建术后的临床和血管造影结果的影响。材料和方法:一项前瞻性随机对照研究,对60例表现为稳定型心绞痛或非st段抬高急性冠状动脉综合征的患者进行研究。在埃及国家心脏研究所心导管实验室进行的冠状动脉造影显示明显的左主干或近端LAD冠状动脉疾病。患者被安排进行血运重建
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引用次数: 0
Cardiac surgery and the coronavirus disease 2019 pandemic 心脏外科与2019冠状病毒病大流行
IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-06-20 DOI: 10.33678/cor.2022.098
Morad Yaser Al Mostafa, H. T. Hashim, Yazeed Fawwaz Abu Ruman, Irfan Ullah, Ali Talib Hashim
COVID-19 is having an impact on both infected and non-infected patients. During the outbreak period, a smaller number of patients underwent cardiac surgery. These patients experienced more symptoms, had longer procedures
新冠肺炎对感染者和非感染者都有影响。在疫情爆发期间,接受心脏手术的患者人数较少。这些患者出现的症状更多,手术时间更长
{"title":"Cardiac surgery and the coronavirus disease 2019 pandemic","authors":"Morad Yaser Al Mostafa, H. T. Hashim, Yazeed Fawwaz Abu Ruman, Irfan Ullah, Ali Talib Hashim","doi":"10.33678/cor.2022.098","DOIUrl":"https://doi.org/10.33678/cor.2022.098","url":null,"abstract":"COVID-19 is having an impact on both infected and non-infected patients. During the outbreak period, a smaller number of patients underwent cardiac surgery. These patients experienced more symptoms, had longer procedures","PeriodicalId":10787,"journal":{"name":"Cor et vasa","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47797767","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
Anomalous origin of the left main coronary artery from the right coronary sinus of Valsalva 左冠状动脉主动脉与右冠状动脉窦的异常起源
IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-06-20 DOI: 10.33678/cor.2022.076
R. Caminiti, G. Vetta, A. Parlavecchio, G. Dattilo, M. Magnocavallo, D. D. Della Rocca, Massimo Siviglia, F. Benedetto
A 73-year-old man underwent coronary angiography before aortic valve replacement due to severe aortic stenosis showing an abnormal origin of the left main coronary artery (LMCA). The LMCA arises from the right coronary sinus of Valsalva and passes anteriorly to the pulmonary trunk. Klíčová slova: Anomální odstup kmene levé věnčité tepny Aortální stenóza Koronární anomálie
一名73岁的男性在主动脉瓣置换术前接受了冠状动脉造影,原因是严重的主动脉狭窄显示左冠状动脉主干(LMCA)起源异常。LMCA从瓦尔萨尔瓦的右冠状窦上升,并在肺干之前通过。关键词:左冠状动脉主干异常距离主动脉狭窄冠状动脉异常
{"title":"Anomalous origin of the left main coronary artery from the right coronary sinus of Valsalva","authors":"R. Caminiti, G. Vetta, A. Parlavecchio, G. Dattilo, M. Magnocavallo, D. D. Della Rocca, Massimo Siviglia, F. Benedetto","doi":"10.33678/cor.2022.076","DOIUrl":"https://doi.org/10.33678/cor.2022.076","url":null,"abstract":"A 73-year-old man underwent coronary angiography before aortic valve replacement due to severe aortic stenosis showing an abnormal origin of the left main coronary artery (LMCA). The LMCA arises from the right coronary sinus of Valsalva and passes anteriorly to the pulmonary trunk. Klíčová slova: Anomální odstup kmene levé věnčité tepny Aortální stenóza Koronární anomálie","PeriodicalId":10787,"journal":{"name":"Cor et vasa","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45235242","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
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Cor et vasa
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