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Prevalence of delirium in the postoperative period of cardiac surgery 心脏手术后谵妄的发生率
Pub Date : 2022-02-07 DOI: 10.15406/jccr.2022.15.00544
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引用次数: 2
AL amyloidosis masquerading as cardiac syncope: a case report 伪装成心脏性晕厥的AL淀粉样变1例
Pub Date : 2022-02-01 DOI: 10.15406/jccr.2022.15.00543
Ahmed E. Osman, Maab F Elhaj, Mohammed Al Termanini, Baraa Habib, Omer Ibrahim O Ahmed, A. Ahmed
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引用次数: 0
Etiological profile of acute pericarditis at the Yalgado-Ouedraogo university hospital in Ouagadougou at Burkina Faso 布基纳法索瓦加杜古Yalgado-Ouedraogo大学医院急性心包炎的病因分析
Pub Date : 2022-01-26 DOI: 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
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引用次数: 0
Pilot experience with VV ECLS in a single hospital in a developing nation 在发展中国家的一家医院进行VV ECLS的试点经验
Pub Date : 2022-01-25 DOI: 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
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引用次数: 0
COVID 19 infection requiring ECMO support after Fontan operation Fontan手术后需要ECMO支持的COVID - 19感染
Pub Date : 2022-01-24 DOI: 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
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引用次数: 0
Elements of the fourth universal definition used in the diagnosis of acute myocardial infarction 诊断急性心肌梗死时使用的第四个通用定义的要素
Pub Date : 2021-12-27 DOI: 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.
症状、心电图改变、心脏影像学异常和冠状动脉造影在AMI诊断中的作用。在高灵敏度心肌肌钙蛋白(hs-cTn)检测的时代,高比例的个体来到急诊科(ED)怀疑患有急性心肌梗死(AMI)将产生可报告的肌钙蛋白浓度。与当代肌钙蛋白测定相比,这导致临床背景下对心肌损伤进行更严格的检查,以防止不适当的治疗计划、住院治疗和医疗保健系统的成本。本研究评估了缺血性症状、心电图变化、异常血管造影/成像结果的使用,根据心肌梗死的第四种通用定义,判断医生在确定AMI诊断时使用这些结果。就诊于急诊科并被评估可能存在AMI的患者被纳入本研究。完成患者护理后,由2名心脏科医生和1名急诊医师独立判断AMI的诊断。该判定过程确定患者症状是最普遍的因素,影响了95.2% AMI诊断的判定过程。35.7%的患者心电图支持AMI诊断,在诊断2型AMI方面有更大的实用性。在这4个因素中,冠状动脉造影的检出率较低(10.5%),但其检出率较高,在59.5%的AMI患者中作为确诊因素之一。冠状动脉造影在诊断1型AMI方面有更大的价值。包括超声心动图和核成像在内的成像在所有患者中占30.1%,但在26.2%的AMI患者中是诊断AMI的一个因素。本研究强调症状学仍然是AMI诊断的关键。
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引用次数: 0
Isolated right ventricle acute myocardial infarction - report of two unusual cases 孤立性右心室急性心肌梗死2例报告
Pub Date : 2021-12-27 DOI: 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.
手术当天肌钙蛋白I值为0.10微克/升。左心室造影显示节段性活动正常,左室整体收缩期功能保留。摘要急性冠状动脉综合征期间右室缺血受累通常被认为与左室下壁st段抬高的急性心肌梗死相关。相比之下,孤立性右心室心肌梗死是一种罕见的实体,无论是临床还是心电图表现,都与左心室前心肌梗死相似。我们报告两例孤立性右心室急性心肌梗死,模拟前壁心肌梗死。
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引用次数: 0
Massive pericardial effusion resulted from hypothyroidism: a case report 甲状腺功能减退致大量心包积液1例
Pub Date : 2021-11-25 DOI: 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
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引用次数: 0
An update of the factors showing cigarette smoking as an etiologic factors of the ischemic heart disease 最新的因素显示吸烟作为缺血性心脏病的病因因素
Pub Date : 2021-11-23 DOI: 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.
一氧化碳和尼古丁是吸烟中危害心血管系统的主要化合物。一氧化碳的作用是慢性的,在时间上,心肌和冠状血管病变,经过持续和长时间的暴露,变成不可逆转的改变。相反,无论是主动吸烟者还是被动接触烟草的人,尼古丁对心脏和冠状血管的损害主要是功能性的、可逆的。然而,尼古丁作用的最终结果是不可逆转的伤害。因此,有证据表明,这两种化学物质决定了心血管系统的急性或慢性损伤类型。简要报道的观察结果表明,吸烟暴露引起的一些因素在决定心肌和冠状血管改变方面起着重要作用,而心肌和冠状血管改变显然与缺血性心脏病的发生有关。
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引用次数: 0
Aortic root systolic excursion and its association with exercise tolerance in patients with heart failure with preserved ejection fraction 保留射血分数的心力衰竭患者主动脉根收缩偏移及其与运动耐量的关系
Pub Date : 2021-11-23 DOI: 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.
目的:我们旨在探讨主动脉根收缩偏移(ARSE)作为一个简单的超声心动图参数与保留射血分数(HFpEF)心力衰竭患者运动耐量之间的关系。方法:80例HFpEF患者(平均年龄57.9±10.5岁)与80例年龄、性别匹配的健康人进行比较。经胸超声心动图进行具体评估主动脉根收缩偏移。采用散斑跟踪成像评价左室纵向应变(LVGLS)和周向应变(LVGCS)。此外,所有参与者进行6分钟步行测试(6MWT)。结果:与对照组相比,HFpEF组患者的ass明显降低(p<0.05)。此外,6MWTD<300m的HFpEF患者与6MWTD≥300m的患者和对照组相比,其ARSE明显降低(p<0.001)。6MWTD与ARSE (p<0.001)、LVGLS (p<0.001)、LVGCS (p<0.01)相关。与LVGLS (p<0.001)、LVGCS (p<0.003)有显著相关性。此外,ass与LAVI呈负相关(r =-0.438, p<0.001), E/ E′比呈负相关(r =- 0.349, p<0.01)。多变量分析后,ass仍然是HFpEF患者运动耐量的一个强有力的独立预测因子(p<0.001)。ROC分析显示,髋部≤7.5mm是预测HFpEF患者运动不耐受降低的最佳临界值(AUC=0.91;p < 0.001)。结论:我们发现HFpEF患者的ARSE降低,与6MWTD降低显著相关。降低的ARSE与亚临床左室收缩功能障碍和舒张功能障碍相关。我们认为,作为一个简单的超声心动图参数,为了更好地区分HFpEF患者的风险特征,ARSE可能是有价值的。
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引用次数: 1
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Journal of Cardiology & Current Research
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