Pub Date : 2022-02-07DOI: 10.15406/jccr.2022.15.00544
{"title":"Prevalence of delirium in the postoperative period of cardiac surgery","authors":"","doi":"10.15406/jccr.2022.15.00544","DOIUrl":"https://doi.org/10.15406/jccr.2022.15.00544","url":null,"abstract":"","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89940807","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}
Pub Date : 2022-02-01DOI: 10.15406/jccr.2022.15.00543
Ahmed E. Osman, Maab F Elhaj, Mohammed Al Termanini, Baraa Habib, Omer Ibrahim O Ahmed, A. Ahmed
{"title":"AL amyloidosis masquerading as cardiac syncope: a case report","authors":"Ahmed E. Osman, Maab F Elhaj, Mohammed Al Termanini, Baraa Habib, Omer Ibrahim O Ahmed, A. Ahmed","doi":"10.15406/jccr.2022.15.00543","DOIUrl":"https://doi.org/10.15406/jccr.2022.15.00543","url":null,"abstract":"","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87490795","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}
Pub Date : 2022-01-26DOI: 10.15406/jccr.2022.15.00542
Y. N. Valentin, Kagambèga Larissa Justine, Kuelang Kengni Xavier, Houeto Ariale, S. Apoline, O. Salam, Tall/Thiam Anna, K. Jonas, G. Oumar, Zabsonré Patrice
{"title":"Etiological profile of acute pericarditis at the Yalgado-Ouedraogo university hospital in Ouagadougou at Burkina Faso","authors":"Y. N. Valentin, Kagambèga Larissa Justine, Kuelang Kengni Xavier, Houeto Ariale, S. Apoline, O. Salam, Tall/Thiam Anna, K. Jonas, G. Oumar, Zabsonré Patrice","doi":"10.15406/jccr.2022.15.00542","DOIUrl":"https://doi.org/10.15406/jccr.2022.15.00542","url":null,"abstract":"","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"109 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75647612","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}
Pub Date : 2022-01-25DOI: 10.15406/jccr.2022.15.00541
Tomicic V, Labbé J, Pumarino A, D. V, Valencia C, Contreras R, Urdaneta T, Valdivia V, S. R., Daviu I, Poblete J, G. C, Stavros I, Donoso M, Montilla J, Zepeda H, Drolett N
{"title":"Pilot experience with VV ECLS in a single hospital in a developing nation","authors":"Tomicic V, Labbé J, Pumarino A, D. V, Valencia C, Contreras R, Urdaneta T, Valdivia V, S. R., Daviu I, Poblete J, G. C, Stavros I, Donoso M, Montilla J, Zepeda H, Drolett N","doi":"10.15406/jccr.2022.15.00541","DOIUrl":"https://doi.org/10.15406/jccr.2022.15.00541","url":null,"abstract":"","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90418502","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}
Pub Date : 2022-01-24DOI: 10.15406/jccr.2022.15.00540
Douglas Rossoni, Juliana Torres Pacheco, R. F. Bezerra, R. Castro, A. Gasparoto, A. Margeotto, A. Saldanha, Tania Leme da Rocha Martinez
{"title":"COVID 19 infection requiring ECMO support after Fontan operation","authors":"Douglas Rossoni, Juliana Torres Pacheco, R. F. Bezerra, R. Castro, A. Gasparoto, A. Margeotto, A. Saldanha, Tania Leme da Rocha Martinez","doi":"10.15406/jccr.2022.15.00540","DOIUrl":"https://doi.org/10.15406/jccr.2022.15.00540","url":null,"abstract":"","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87916391","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}
Pub Date : 2021-12-27DOI: 10.15406/jccr.2021.14.00538
Krishna Modi, J. McCord, M. Hudson, M. Moyer, G. Jacobsen, G. Murtagh, R. Nowak
contribution of symptoms, ECG changes, cardiac imaging abnormalities, and coronary angiography in the diagnosis of AMI. Abstract In the era of high-sensitivity cardiac troponin (hs-cTn) assays, a high proportion of individuals coming to the emergency department (ED) suspected of having an acute myocardial infarction (AMI) will generate a reportable troponin concentration. This results in greater scrutiny in clinical context to differentiate from myocardial injury to prevent inappropriate treatment plans, hospitalizations, and cost to the healthcare system compared to contemporary troponin assays. This study evaluates the use of ischemic symptoms, ECG changes, abnormal angiography/imaging results, which adjudicating physicians use in determining the diagnosis of AMI, as per the 4 th universal definition of MI. Patients who presented to the ED and were evaluated for possible AMI were included in this study. After completion of patient care, a diagnosis of AMI was independently adjudicated by 2 cardiologists and 1 emergency medicine physician. This adjudication process determined that patient symptomatology was the most prevalent factor, influencing the adjudication process in 95.2% of AMI diagnoses. Electrocardiography supported AMI diagnosis in 35.7% of patients, with significantly more utility in diagnosing Type 2 AMI. Of the 4 factors, coronary angiography was less performed (10.5%) yet had a high positive rate, being used as one of the confirming factors in 59.5% of all AMI patients. Coronary angiography had greater utility in diagnosing Type 1 AMI. Imaging including echocardiography and nuclear imaging was performed in 30.1% of all patients but was a factor in diagnosing AMI in 26.2% AMI patients. This study emphasizes that symptomology remains critical in diagnosing AMI.
{"title":"Elements of the fourth universal definition used in the diagnosis of acute myocardial infarction","authors":"Krishna Modi, J. McCord, M. Hudson, M. Moyer, G. Jacobsen, G. Murtagh, R. Nowak","doi":"10.15406/jccr.2021.14.00538","DOIUrl":"https://doi.org/10.15406/jccr.2021.14.00538","url":null,"abstract":"contribution of symptoms, ECG changes, cardiac imaging abnormalities, and coronary angiography in the diagnosis of AMI. Abstract In the era of high-sensitivity cardiac troponin (hs-cTn) assays, a high proportion of individuals coming to the emergency department (ED) suspected of having an acute myocardial infarction (AMI) will generate a reportable troponin concentration. This results in greater scrutiny in clinical context to differentiate from myocardial injury to prevent inappropriate treatment plans, hospitalizations, and cost to the healthcare system compared to contemporary troponin assays. This study evaluates the use of ischemic symptoms, ECG changes, abnormal angiography/imaging results, which adjudicating physicians use in determining the diagnosis of AMI, as per the 4 th universal definition of MI. Patients who presented to the ED and were evaluated for possible AMI were included in this study. After completion of patient care, a diagnosis of AMI was independently adjudicated by 2 cardiologists and 1 emergency medicine physician. This adjudication process determined that patient symptomatology was the most prevalent factor, influencing the adjudication process in 95.2% of AMI diagnoses. Electrocardiography supported AMI diagnosis in 35.7% of patients, with significantly more utility in diagnosing Type 2 AMI. Of the 4 factors, coronary angiography was less performed (10.5%) yet had a high positive rate, being used as one of the confirming factors in 59.5% of all AMI patients. Coronary angiography had greater utility in diagnosing Type 1 AMI. Imaging including echocardiography and nuclear imaging was performed in 30.1% of all patients but was a factor in diagnosing AMI in 26.2% AMI patients. This study emphasizes that symptomology remains critical in diagnosing AMI.","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88533586","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}
Pub Date : 2021-12-27DOI: 10.15406/jccr.2021.14.00539
Chierice Jra, Pavaneli Mj, Pavão Rb, Li Mo, Marçal Pc, B. Mf, S. A, Marin-Neto Ja
Troponin I on the day of the procedure with a value of 0.10mcg/L. Left ventriculography demonstrated normal segmental mobility and preserved global systolic LV function. Angiography demonstrated Abstract Right ventricular ischemic involvement during acute coronary syndromes is typically recognized associated with acute myocardial infarction with ST-segment elevation in the inferior left ventricular wall. In contrast, isolated right ventricular myocardial infarction is a rare entity that mimics anterior myocardial infarction of the left ventricle, both clinically and in the electrocardiographic presentation. We report two cases of isolated right ventricle acute myocardial infarction simulating anterior wall myocardial infarction.
{"title":"Isolated right ventricle acute myocardial infarction - report of two unusual cases","authors":"Chierice Jra, Pavaneli Mj, Pavão Rb, Li Mo, Marçal Pc, B. Mf, S. A, Marin-Neto Ja","doi":"10.15406/jccr.2021.14.00539","DOIUrl":"https://doi.org/10.15406/jccr.2021.14.00539","url":null,"abstract":"Troponin I on the day of the procedure with a value of 0.10mcg/L. Left ventriculography demonstrated normal segmental mobility and preserved global systolic LV function. Angiography demonstrated Abstract Right ventricular ischemic involvement during acute coronary syndromes is typically recognized associated with acute myocardial infarction with ST-segment elevation in the inferior left ventricular wall. In contrast, isolated right ventricular myocardial infarction is a rare entity that mimics anterior myocardial infarction of the left ventricle, both clinically and in the electrocardiographic presentation. We report two cases of isolated right ventricle acute myocardial infarction simulating anterior wall myocardial infarction.","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74343213","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}
Pub Date : 2021-11-25DOI: 10.15406/jccr.2021.14.00535
Mosab Nouraldein Mohammed Hamad, S. K. M. Nor, Y. Abdullah, Abubaker Tagelssir Taha Mohammed, M. H. Ahmed, S. Bushara, Samaher Mozamil Mohamed Abdelrahim, Remaz Khalid Hassan Ahmed, Almoatasim Mohamed Aabdelmagid Elnaema, Mohammed Adil Yassen Ali
Almoatasim Mohamed
{"title":"Massive pericardial effusion resulted from hypothyroidism: a case report","authors":"Mosab Nouraldein Mohammed Hamad, S. K. M. Nor, Y. Abdullah, Abubaker Tagelssir Taha Mohammed, M. H. Ahmed, S. Bushara, Samaher Mozamil Mohamed Abdelrahim, Remaz Khalid Hassan Ahmed, Almoatasim Mohamed Aabdelmagid Elnaema, Mohammed Adil Yassen Ali","doi":"10.15406/jccr.2021.14.00535","DOIUrl":"https://doi.org/10.15406/jccr.2021.14.00535","url":null,"abstract":"Almoatasim Mohamed","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77994971","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}
Pub Date : 2021-11-23DOI: 10.15406/jccr.2021.14.00534
A. Leone
Carbon monoxide and nicotine are the main compounds of smoking able to harm cardiovascular system. Carbon monoxide acts chronically causing, in the time, myocardial and coronary vessel lesions, which after continuous and prolonged exposure, become irreversible alterations. On the contrary, nicotine causes primarily a functional and reversible damage to the heart and coronary vessels in both active smokers and individuals passively exposed to tobacco smoking.11,12 However, an irreversible harm is the final result of nicotine effects. Therefore, evidence indicates that both these chemicals determine either acute or chronic type of damage to cardiovascular system. The observations briefly reported permit to identify that some factors due to smoking exposure play a strong role in determining both myocardial and coronary vessel alterations, which are clearly associated with the development of ischemic heart disease.
{"title":"An update of the factors showing cigarette smoking as an etiologic factors of the ischemic heart disease","authors":"A. Leone","doi":"10.15406/jccr.2021.14.00534","DOIUrl":"https://doi.org/10.15406/jccr.2021.14.00534","url":null,"abstract":"Carbon monoxide and nicotine are the main compounds of smoking able to harm cardiovascular system. Carbon monoxide acts chronically causing, in the time, myocardial and coronary vessel lesions, which after continuous and prolonged exposure, become irreversible alterations. On the contrary, nicotine causes primarily a functional and reversible damage to the heart and coronary vessels in both active smokers and individuals passively exposed to tobacco smoking.11,12 However, an irreversible harm is the final result of nicotine effects. Therefore, evidence indicates that both these chemicals determine either acute or chronic type of damage to cardiovascular system. The observations briefly reported permit to identify that some factors due to smoking exposure play a strong role in determining both myocardial and coronary vessel alterations, which are clearly associated with the development of ischemic heart disease.","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75516044","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}
Pub Date : 2021-11-23DOI: 10.15406/jccr.2021.14.00533
R. Mahfouz, M. Gad, M. Arab, Mohei Abulfoutoh
Objective: We aimed to investigate the association between aortic root systolic excursion (ARSE) as a simple echocardiographic parameter and exercise tolerance in patients with heart failure with preserved ejection fraction (HFpEF). Methods: Eighty patients (mean age 57.9±10.5years) with HFpEF were compared with 80 with age and sex matched healthy subjects. Transthorathic echocardiography was performed with specific assessment of aortic root systolic excursion. Left ventricular longitudinal (LVGLS) and circumferential strain (LVGCS) were evaluated with speckle tracking imaging. In addition all participates underwent 6minute walking test (6MWT). Results: ARSE was reduced in subject with HFpEF compared with controls (p<0.05). Furthermore, HFpEF patients with 6MWTD<300m had pronounced decrease in ARSE compared with those with 6MWTD≥300m and control subjects (p<0.001). 6MWTD was correlated with ARSE (p<0.001), LVGLS (p<0.001) and LVGCS (p<0.01). ARSE had significant correlation with LVGLS (p<0.001) and LVGCS (p<0.003). Moreover, ARSE correlated negatively with LAVI (r =-0.438, p<0.001), E/e’ ratio (r =- 0.349, p<0.01). After multivariate analysis ARSE remained a strong independent predictor of exercise tolerance in patients with HFpEF (p<0.001). ROC analysis revealed that ARSE ≤7.5mm was the optimal cut-off value to predict reduced exercise intolerance in HFpEF patients (AUC=0.91; p<0.001). Conclusion: We found that, patients with HFpEF have reduced ARSE, which was significantly associated reduced 6MWTD. Reduced ARSE was correlated with subclinical LV systolic dysfunction and diastolic dysfunction. We suggest that ARSE, as a simple echocardiographic parameter might be of value, in order to better discriminate HFpEF patients risk profile.
{"title":"Aortic root systolic excursion and its association with exercise tolerance in patients with heart failure with preserved ejection fraction","authors":"R. Mahfouz, M. Gad, M. Arab, Mohei Abulfoutoh","doi":"10.15406/jccr.2021.14.00533","DOIUrl":"https://doi.org/10.15406/jccr.2021.14.00533","url":null,"abstract":"Objective: We aimed to investigate the association between aortic root systolic excursion (ARSE) as a simple echocardiographic parameter and exercise tolerance in patients with heart failure with preserved ejection fraction (HFpEF). Methods: Eighty patients (mean age 57.9±10.5years) with HFpEF were compared with 80 with age and sex matched healthy subjects. Transthorathic echocardiography was performed with specific assessment of aortic root systolic excursion. Left ventricular longitudinal (LVGLS) and circumferential strain (LVGCS) were evaluated with speckle tracking imaging. In addition all participates underwent 6minute walking test (6MWT). Results: ARSE was reduced in subject with HFpEF compared with controls (p<0.05). Furthermore, HFpEF patients with 6MWTD<300m had pronounced decrease in ARSE compared with those with 6MWTD≥300m and control subjects (p<0.001). 6MWTD was correlated with ARSE (p<0.001), LVGLS (p<0.001) and LVGCS (p<0.01). ARSE had significant correlation with LVGLS (p<0.001) and LVGCS (p<0.003). Moreover, ARSE correlated negatively with LAVI (r =-0.438, p<0.001), E/e’ ratio (r =- 0.349, p<0.01). After multivariate analysis ARSE remained a strong independent predictor of exercise tolerance in patients with HFpEF (p<0.001). ROC analysis revealed that ARSE ≤7.5mm was the optimal cut-off value to predict reduced exercise intolerance in HFpEF patients (AUC=0.91; p<0.001). Conclusion: We found that, patients with HFpEF have reduced ARSE, which was significantly associated reduced 6MWTD. Reduced ARSE was correlated with subclinical LV systolic dysfunction and diastolic dysfunction. We suggest that ARSE, as a simple echocardiographic parameter might be of value, in order to better discriminate HFpEF patients risk profile.","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82132997","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}