Pub Date : 2020-10-02DOI: 10.15406/jccr.2020.13.00488
J. Aldrighi, A. Saldanha, A. Gasparoto, Tania Leme da Rocha Martinez
Worldwide, each year the quantity of stroke death equal to 5.5million people. In SouthEast Asia, the proposed value is equal to 500 thousand people. In Vietnam the situation of ischemic strokes is critical. It has leads to recently appeared and uncontrolled risk factors. The current work is devoted to the main risk factors of ischemic cerebrovascular accident. Investigating most important risk factors in ischemic stroke patients presented in Phu Tho Provincial General Hospital. A prospectively observational study. Under proposed research the application (Software SPSS 18.0 and STATA 10.0) had been initiated. TIA was seen at 13.0% of all cases and risk of progressing to severe or death in OR=5.2; 63.5% of all patients appeared with hypertension had the risk of being severe or death with OR 3.2. Pre-exist of heart diseases was available in 28.1% cases with OR=2.6 in the risk of getting worse or death. Hyperlipidemia rate was high, risk of deterioration with OR=2.6. Alcohol and tobacco addiction was found in 72.6% patients and risk of becoming death or worse 2.4 times higher than alcohol and smoke – free patients. Some risk factors had good predictive prognosis value in ischemic stroke. The hypertension, cigarettes and alcohol abuse had been detected as one of the riskiest of the progress cerebrovascular accident. Most of the patients had pre-history addiction and diseases that can be one the cause of the Ischemic Cerebrovascular Accident (ICA). The ICA is the most health problems in Vietnam that need more attention.ICA, ischemic cerebrovascular accident, AIS, acute ischemic, AHS, acute hemorrhagic, ICU, intensive care unit, WHO, world health organization, HTN, hypertension, TIA, transient ischemic attack, AF, atrial fibrillation, MI, myocardial infarction, DMC, dilated Myocardiopathy, MVP, mitral valve prolapse, MVS, mitral valve, HF, stenosis heart failure, risk factors analysis, ischemic stroke, haemorrhagic stroke, ischemic cerebrovascular accident, stroke risk factors, Phu Tho hospital
{"title":"Coronary heart disease and lipids in women","authors":"J. Aldrighi, A. Saldanha, A. Gasparoto, Tania Leme da Rocha Martinez","doi":"10.15406/jccr.2020.13.00488","DOIUrl":"https://doi.org/10.15406/jccr.2020.13.00488","url":null,"abstract":"Worldwide, each year the quantity of stroke death equal to 5.5million people. In SouthEast Asia, the proposed value is equal to 500 thousand people. In Vietnam the situation of ischemic strokes is critical. It has leads to recently appeared and uncontrolled risk factors. The current work is devoted to the main risk factors of ischemic cerebrovascular accident. Investigating most important risk factors in ischemic stroke patients presented in Phu Tho Provincial General Hospital. A prospectively observational study. Under proposed research the application (Software SPSS 18.0 and STATA 10.0) had been initiated. TIA was seen at 13.0% of all cases and risk of progressing to severe or death in OR=5.2; 63.5% of all patients appeared with hypertension had the risk of being severe or death with OR 3.2. Pre-exist of heart diseases was available in 28.1% cases with OR=2.6 in the risk of getting worse or death. Hyperlipidemia rate was high, risk of deterioration with OR=2.6. Alcohol and tobacco addiction was found in 72.6% patients and risk of becoming death or worse 2.4 times higher than alcohol and smoke – free patients. Some risk factors had good predictive prognosis value in ischemic stroke. The hypertension, cigarettes and alcohol abuse had been detected as one of the riskiest of the progress cerebrovascular accident. Most of the patients had pre-history addiction and diseases that can be one the cause of the Ischemic Cerebrovascular Accident (ICA). The ICA is the most health problems in Vietnam that need more attention.ICA, ischemic cerebrovascular accident, AIS, acute ischemic, AHS, acute hemorrhagic, ICU, intensive care unit, WHO, world health organization, HTN, hypertension, TIA, transient ischemic attack, AF, atrial fibrillation, MI, myocardial infarction, DMC, dilated Myocardiopathy, MVP, mitral valve prolapse, MVS, mitral valve, HF, stenosis heart failure, risk factors analysis, ischemic stroke, haemorrhagic stroke, ischemic cerebrovascular accident, stroke risk factors, Phu Tho hospital","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78502083","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 : 2020-08-31DOI: 10.15406/JCCR.2020.13.00487
Cázares-Díazleal Ac, R. Kiamco-Castillo, G. Payró-Ramírez, Betuel Ivey, Arce González
Since the 1940s, various methods for creating vascular access have been described. In 1929 Werner Forssman who at the time was a surgical resident performs the first catheterization using a urinary catheter.1 In 1941 Fariñas described the passage of a urinary catheter through a trocar placed in the femoral artery to perform an aortography.2 In1947 Radner through a dissecting artery exposed the radial artery and performed a vertebral angiography. In 1949 Jönsson performed an aortography performing a puncture at the common carotid artery using a blunt cannula with a needle the cannula was inserted through a silver wire. In 1953 Dr. Sven Ivar Seldinger described a technique which consisted of performing a puncture using a stylet, subsequently a 3cm flexible guidewire was inserted, the needle was withdrawn and the vessel was compressed, at the meantime a catheter was passed through the flexible guide wire through the puncture site and finally the guidewire was withdrawn guide.3 Dotter and Judkins (who described femoral access for coronary angiography) in 1964 performed the first transluminal angioplasty in an 83-year-old patient, showing a decrease in temperature and pain of a pelvic limb and who refused to be amputated, they used a teflon-coated catheter to dilate the stenotic area.4,5 In 1977 Dr. Andreas Gruetzing performed the first successful coronary angioplasty in a human being, a ballon was mounted at his catheter.
自20世纪40年代以来，已经描述了各种创建血管通路的方法。1929年，当时的外科住院医师Werner Forssman首次使用导尿管进行导尿术1941年Fariñas描述了通过放置在股动脉中的套管针进行主动脉造影术的导尿管1947年，Radner通过剥离动脉暴露桡动脉并进行椎动脉造影。1949年Jönsson进行了主动脉造影术，在颈总动脉穿刺使用钝管和一根针，套管通过银丝插入。1953年，Sven Ivar Seldinger博士描述了一种技术，该技术包括使用针针进行穿刺，随后插入一根3cm的柔性导丝，取出针并压缩血管，同时导管穿过柔性导丝穿过穿刺部位，最后导丝被取出引导Dotter和Judkins(他们描述了冠状动脉造影的股骨通道)在1964年对一位83岁的患者进行了第一次腔内血管成形术，患者表现出骨盆肢体的温度下降和疼痛，并且拒绝截肢，他们使用了一种特氟龙涂层的导管来扩张狭窄区域。1977年，Andreas Gruetzing医生在人类身上进行了第一次成功的冠状动脉成形术，在他的导管上安装了一个气球。
{"title":"Comparison between the right and left radial approach in coronariography","authors":"Cázares-Díazleal Ac, R. Kiamco-Castillo, G. Payró-Ramírez, Betuel Ivey, Arce González","doi":"10.15406/JCCR.2020.13.00487","DOIUrl":"https://doi.org/10.15406/JCCR.2020.13.00487","url":null,"abstract":"Since the 1940s, various methods for creating vascular access have been described. In 1929 Werner Forssman who at the time was a surgical resident performs the first catheterization using a urinary catheter.1 In 1941 Fariñas described the passage of a urinary catheter through a trocar placed in the femoral artery to perform an aortography.2 In1947 Radner through a dissecting artery exposed the radial artery and performed a vertebral angiography. In 1949 Jönsson performed an aortography performing a puncture at the common carotid artery using a blunt cannula with a needle the cannula was inserted through a silver wire. In 1953 Dr. Sven Ivar Seldinger described a technique which consisted of performing a puncture using a stylet, subsequently a 3cm flexible guidewire was inserted, the needle was withdrawn and the vessel was compressed, at the meantime a catheter was passed through the flexible guide wire through the puncture site and finally the guidewire was withdrawn guide.3 Dotter and Judkins (who described femoral access for coronary angiography) in 1964 performed the first transluminal angioplasty in an 83-year-old patient, showing a decrease in temperature and pain of a pelvic limb and who refused to be amputated, they used a teflon-coated catheter to dilate the stenotic area.4,5 In 1977 Dr. Andreas Gruetzing performed the first successful coronary angioplasty in a human being, a ballon was mounted at his catheter.","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83916550","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 : 2020-08-28DOI: 10.15406/JCCR.2020.13.00486
Diego Abreo, Giovanny Moncayo, Tatiana Arroyave, G. Caicedo
We present the clinical case of an 80-year-old woman admitted to the emergency department with jaw pain and acute neurovascular impairment with right arm monoparesis, pulse deficit and pallor of the limb, without chest pain as a cardinal symptom. The history of arterial hypertension, aortic stenosis, and clinical manifestation suggested an acute vascular compromise, for which acute aortic syndrome (AAS) was suspected. Chest x- rays revealed mediastinal widening; angio-CT scan confirmed type-A aortic dissection affecting the right subclavian artery (thrombosis). The patient passed away after expectant non-surgical management.
{"title":"Atypical presentation of acute aortic dissection: a case report","authors":"Diego Abreo, Giovanny Moncayo, Tatiana Arroyave, G. Caicedo","doi":"10.15406/JCCR.2020.13.00486","DOIUrl":"https://doi.org/10.15406/JCCR.2020.13.00486","url":null,"abstract":"We present the clinical case of an 80-year-old woman admitted to the emergency department with jaw pain and acute neurovascular impairment with right arm monoparesis, pulse deficit and pallor of the limb, without chest pain as a cardinal symptom. The history of arterial hypertension, aortic stenosis, and clinical manifestation suggested an acute vascular compromise, for which acute aortic syndrome (AAS) was suspected. Chest x- rays revealed mediastinal widening; angio-CT scan confirmed type-A aortic dissection affecting the right subclavian artery (thrombosis). The patient passed away after expectant non-surgical management.","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84761704","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}
Background: What is the nature and duration of changes to admissions for different types of acute coronary syndrome (ACS), among patients during coronavirus disease 2019 (COVID-19) pandemic in Gaza? Methods: The investigators analyzed data on hospital admissions in Gaza for types of ACS from August 25-2020, to October 1, 2020, that were recorded in the Alshifa Hospital Cardiology Department Service Admitted Patient Care database. Admissions were classified as ST-elevation myocardial infarction (STEMI) and non-STEACS and we calculate the diagnostic and percutaneous coronary intervention (PCI) rate. Results: Hospital admissions for ACS declined from rate of 99 admissions to 40 admission in 2020in this time, a reduction of 60%. During the period of declining admissions, there were reductions in the number of admissions for all types of ACS, including both STEMI and NON-STEACS, but relative and absolute reductions were larger for NSTEMI, (from 73 patients in 2019 to 26 patients in 2020) with a percent reduction of 64% In parallel, reductions were recorded in the STEMI ( from 26 patients in 2019 to 14 patients in 2020) percent reduction 46 %, the mortality rate for STEMI patient was 4% in 2019 and 21% in 2020, for non-STEMI patient was 0% in 2019 and 4% in 2020. The diagnostic coronary angiography decrease from 130 to 31 cases (76%) and PCI decrease from 35 to 18 cases (49%) during this period Conclusions: We found that significant reduction in the number of patients with ACS who were admitted to the hospital during the pandemic, but increase in mortality rate by 17% in STEMI and 4% in NON-STEACS in Gaza strip
{"title":"Acute Coronary Syndrome Admissions and Mortality Rate During COVID-19 Pandemic in Gaza","authors":"M. Habib","doi":"10.36879/jcr.20.000137","DOIUrl":"https://doi.org/10.36879/jcr.20.000137","url":null,"abstract":"Background: What is the nature and duration of changes to admissions for different types of acute coronary syndrome (ACS), among\u0000patients during coronavirus disease 2019 (COVID-19) pandemic in Gaza?\u0000Methods: The investigators analyzed data on hospital admissions in Gaza for types of ACS from August 25-2020, to October 1,\u00002020, that were recorded in the Alshifa Hospital Cardiology Department Service Admitted Patient Care database. Admissions were\u0000classified as ST-elevation myocardial infarction (STEMI) and non-STEACS and we calculate the diagnostic and percutaneous coronary\u0000intervention (PCI) rate.\u0000Results: Hospital admissions for ACS declined from rate of 99 admissions to 40 admission in 2020in this time, a reduction of 60%.\u0000During the period of declining admissions, there were reductions in the number of admissions for all types of ACS, including both\u0000STEMI and NON-STEACS, but relative and absolute reductions were larger for NSTEMI, (from 73 patients in 2019 to 26 patients in\u00002020) with a percent reduction of 64% In parallel, reductions were recorded in the STEMI ( from 26 patients in 2019 to 14 patients\u0000in 2020) percent reduction 46 %, the mortality rate for STEMI patient was 4% in 2019 and 21% in 2020, for non-STEMI patient was\u00000% in 2019 and 4% in 2020.\u0000The diagnostic coronary angiography decrease from 130 to 31 cases (76%) and PCI decrease from 35 to 18 cases (49%) during this\u0000period\u0000Conclusions: We found that significant reduction in the number of patients with ACS who were admitted to the hospital during the\u0000pandemic, but increase in mortality rate by 17% in STEMI and 4% in NON-STEACS in Gaza strip","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"295 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75892500","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 : 2020-08-14DOI: 10.15406/JCCR.2020.13.00485
M. Mazumder, R. Basak, N. Hossain, N. Zahangir
Background: Post-PCI coronary pseudoaneurysm is a rare but critical scenario in cardiovascular field. Proper and prompt decision with skilled surgical team is needed for good result. Methods and materials: A 47 years old man with the history of percutaneous coronary intervention (PCI) in LAD and RCA in July 2018 came to our hospital on 09/12/18 with chest pain, palpitation, respiratory distress on exertion. On Echocardiogram Mild Regional Wall Motion Abnormality (RWMA) seen with LVEF 42%, other parameters were in normal range. On CAG Pseudoanurysm was seen in RCA (Previously stented). Surgical intervention was done with cardiopulmonary bypass (CPB). After Sternotomy, severe pericardial adhesion had been seen, adhesion was very carefully dissected, pseudoaneurysm was opened, palpated the stent on RCA, RCA stent had been removed, endarterectomy was done in RCA distal to pseudoaneurysm, 2 small perforation in RCA was repaired by 6-0 polypropylene, RCA proximally and distally ligated with 4-0 polypropylene. Pseudoaneurysm had been removed and marsupialization was done. Venous graft was given to distal RCA after long endarterectomy. Result: Post- operative period was uneventful. The patient was discharged on 8 th post operative day in good general condition and he is doing well in our regular follow up. Conclusion: Post-PCI coronary pseudoaneurysm occurs rarely. Surgical repair gives good outcome.
{"title":"Surgical treatment of pseudoaneurysm of right coronary artery with CABG in Dr Sirajul Islam medical college hospital","authors":"M. Mazumder, R. Basak, N. Hossain, N. Zahangir","doi":"10.15406/JCCR.2020.13.00485","DOIUrl":"https://doi.org/10.15406/JCCR.2020.13.00485","url":null,"abstract":"Background: Post-PCI coronary pseudoaneurysm is a rare but critical scenario in cardiovascular field. Proper and prompt decision with skilled surgical team is needed for good result. Methods and materials: A 47 years old man with the history of percutaneous coronary intervention (PCI) in LAD and RCA in July 2018 came to our hospital on 09/12/18 with chest pain, palpitation, respiratory distress on exertion. On Echocardiogram Mild Regional Wall Motion Abnormality (RWMA) seen with LVEF 42%, other parameters were in normal range. On CAG Pseudoanurysm was seen in RCA (Previously stented). Surgical intervention was done with cardiopulmonary bypass (CPB). After Sternotomy, severe pericardial adhesion had been seen, adhesion was very carefully dissected, pseudoaneurysm was opened, palpated the stent on RCA, RCA stent had been removed, endarterectomy was done in RCA distal to pseudoaneurysm, 2 small perforation in RCA was repaired by 6-0 polypropylene, RCA proximally and distally ligated with 4-0 polypropylene. Pseudoaneurysm had been removed and marsupialization was done. Venous graft was given to distal RCA after long endarterectomy. Result: Post- operative period was uneventful. The patient was discharged on 8 th post operative day in good general condition and he is doing well in our regular follow up. Conclusion: Post-PCI coronary pseudoaneurysm occurs rarely. Surgical repair gives good outcome.","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"94 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83907928","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 : 2020-07-21DOI: 10.15406/JCCR.2020.13.00484
G. Greenberg, A. Samara, R. Kornowski
Our first goal was to prepare the cath–lab infrastructure to deal with an infected scenario. We first organized a meeting with the center’s engineer and infectious control experts in order to plan and decide about the steps needed to approach this endeavor. We decided that only the cath–lab room itself will be potentially contaminated and the rest of the unit will remain clean and sterile. For airborne precautions, we had to alter the cath–lab ventilation system to work as a “negative pressure room” i.e. the exhaust flow rate should be greater than the air supplied with all doors and openings closed, and air should be exhausted outside the building via a chimney above the roof, so that it is unlikely to re–enter the building or its ventilation system.
{"title":"Preparedness of a catheterization laboratory for the corona virus (COVID–19) outbreak","authors":"G. Greenberg, A. Samara, R. Kornowski","doi":"10.15406/JCCR.2020.13.00484","DOIUrl":"https://doi.org/10.15406/JCCR.2020.13.00484","url":null,"abstract":"Our first goal was to prepare the cath–lab infrastructure to deal with an infected scenario. We first organized a meeting with the center’s engineer and infectious control experts in order to plan and decide about the steps needed to approach this endeavor. We decided that only the cath–lab room itself will be potentially contaminated and the rest of the unit will remain clean and sterile. For airborne precautions, we had to alter the cath–lab ventilation system to work as a “negative pressure room” i.e. the exhaust flow rate should be greater than the air supplied with all doors and openings closed, and air should be exhausted outside the building via a chimney above the roof, so that it is unlikely to re–enter the building or its ventilation system.","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89139763","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 : 2020-07-10DOI: 10.15406/JCCR.2020.13.00483
T. A. Garni, S. Samargandy, A. Almoghairi
This report presents a rare complication of gastric surgery. The patient presented to emergency department with shortness of breath
本文报告一例罕见的胃手术并发症。病人因呼吸短促而被送到急诊科
{"title":"Delayed pneumopericardium after total gastrectomy","authors":"T. A. Garni, S. Samargandy, A. Almoghairi","doi":"10.15406/JCCR.2020.13.00483","DOIUrl":"https://doi.org/10.15406/JCCR.2020.13.00483","url":null,"abstract":"This report presents a rare complication of gastric surgery. The patient presented to emergency department with shortness of breath","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81621094","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}
Heart failure is a frequent and highly debilitating pathology. Angiotensin‐converting enzyme inhibitors and angiotensin receptor blockers, β‐ blockers, mineralocorticoid receptor antagonists, and valsartan/sacubitril have been shown to reduce mortality in chronic heart failure with reduced ejection fraction. Recently, glifozines (SGLT‐2 inhibitors) have become another effective therapeutic option for heart failure with reduced ejection fraction, in patients with and without diabetes mellitus. The review presents the effects of SGLT‐2 inhibitors on the cardiovascular system and heart failure.
{"title":"SGLT-2-Inhibitors in Heart Failure","authors":"","doi":"10.36879/jcr.20.000135","DOIUrl":"https://doi.org/10.36879/jcr.20.000135","url":null,"abstract":"Heart failure is a frequent and highly debilitating pathology. Angiotensin‐converting enzyme inhibitors and angiotensin receptor blockers, β‐\u0000blockers, mineralocorticoid receptor antagonists, and valsartan/sacubitril have been shown to reduce mortality in chronic heart failure with\u0000reduced ejection fraction. Recently, glifozines (SGLT‐2 inhibitors) have become another effective therapeutic option for heart failure with\u0000reduced ejection fraction, in patients with and without diabetes mellitus. The review presents the effects of SGLT‐2 inhibitors on the\u0000cardiovascular system and heart failure.","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"85 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74138593","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}
M. Balghith, Ibrahim Alharbi, Abdurrahman S. Al Anezi
Background: The percutaneous coronary intervention of chronic total occlusions (CTOs) is considered the most challenging technical procedure in the current interventional cardiology. Japanese Multicenter CTO Registry (J-CTO Score) was established to predict the probability of successful guidewire crossing through a half-hour. Aim: To assess the correlation of J score with percutaneous revascularization success in chronic coronary total occlusion patients. Method: This is a retrospective study that was included CTO patients who underwent coronary angiography at Cardiac Catheterization Laboratory at King Abdul-Aziz Cardiac Center between January 2010 - December 2017 will be extracted from an electronic database ( Apollo Lx, Best Care, Xcelera, Muse). Data collected from patients included demographics, cardiovascular risk factors, comorbidities, angiographic parameters, Haemodynamic Measurements, and laboratory tests. SPSS was used to analyze data. Results: There were 173 patients included in the study, the mean±SD of CTOs number was1.4±0.8, the mean±SD of J-CTO score was1.8±0.9, the mean ±SD of fluro time was 29.3±14. There was no significant association between J-CTO score and outcome of patients (P=0.6), the amount of contrast used also had no significant association with patients‘outcome (P=0.4), whereas the mean of fluro time was significantly associated with outcome of patients (P=0.01). Conclusion: J score showed no association with the success rate, however lower fluro time was a predictor of success
背景:经皮冠状动脉介入治疗慢性全闭塞(CTOs)被认为是目前介入心脏病学中最具挑战性的技术手段。建立了日本多中心CTO登记处(J-CTO评分)，以预测半小时内导丝成功穿过的概率。目的:探讨慢性冠脉全闭塞患者J评分与经皮血管重建术成功率的相关性。方法:这是一项回顾性研究，纳入了2010年1月至2017年12月在阿卜杜勒-阿齐兹国王心脏中心心导管实验室接受冠状动脉造影的CTO患者，并从电子数据库(Apollo Lx, Best Care, Xcelera, Muse)中提取。从患者收集的数据包括人口统计学、心血管危险因素、合并症、血管造影参数、血流动力学测量和实验室检查。采用SPSS软件对数据进行分析。结果:纳入研究的173例患者，CTOs数的平均±SD为1.4±0.8,J-CTO评分的平均±SD为1.8±0.9，氟化时间的平均±SD为29.3±14。J-CTO评分与患者转归无显著相关性(P=0.6)，对比剂用量与患者转归无显著相关性(P=0.4)，而平均氟化时间与患者转归有显著相关性(P=0.01)。结论:J评分与手术成功率无相关性，但较低的冲洗时间是手术成功率的预测因子
{"title":"Correlation of angiographic scoring system with percutaneous revascularization success in chronic coronary total occlusion patients","authors":"M. Balghith, Ibrahim Alharbi, Abdurrahman S. Al Anezi","doi":"10.26502/fccm.92920121","DOIUrl":"https://doi.org/10.26502/fccm.92920121","url":null,"abstract":"Background: The percutaneous coronary intervention of chronic total occlusions (CTOs) is considered the most challenging technical procedure in the current interventional cardiology. Japanese Multicenter CTO Registry (J-CTO Score) was established to predict the probability of successful guidewire crossing through a half-hour. \u0000 \u0000Aim: To assess the correlation of J score with percutaneous revascularization success in chronic coronary total occlusion patients. Method: This is a retrospective study that was included CTO patients who underwent coronary angiography at Cardiac Catheterization Laboratory at King Abdul-Aziz Cardiac Center between January 2010 - December 2017 will be extracted from an electronic database ( Apollo Lx, Best Care, Xcelera, Muse). Data collected from patients included demographics, cardiovascular risk factors, comorbidities, angiographic parameters, Haemodynamic Measurements, and laboratory tests. SPSS was used to analyze data. \u0000 \u0000Results: There were 173 patients included in the study, the mean±SD of CTOs number was1.4±0.8, the mean±SD of J-CTO score was1.8±0.9, the mean ±SD of fluro time was 29.3±14. There was no significant association between J-CTO score and outcome of patients (P=0.6), the amount of contrast used also had no significant association with patients‘outcome (P=0.4), whereas the mean of fluro time was significantly associated with outcome of patients (P=0.01). \u0000 \u0000Conclusion: J score showed no association with the success rate, however lower fluro time was a predictor of success","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74606648","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}
Thanks to the modern imaging techniques used in medical technology, it is now possible to scan a patient's chest without any problems. This should definitely be taken into account when designing a modern total artificial heart. With today's 3D construction programs, it is possible to easily, and to the most part automatically, vary the construction of blood pumps. It is thus optimally adapted to the geometric circumstances of a patient.
{"title":"Theoretical Considerations on Possibilities to Develop Adaptable Centrifugal Pumps as Total Artificial Heart for Individual Body Sizes","authors":"","doi":"10.36879/jcr.20.000134","DOIUrl":"https://doi.org/10.36879/jcr.20.000134","url":null,"abstract":"Thanks to the modern imaging techniques used in medical technology, it is now possible to scan a patient's chest without any problems. This\u0000should definitely be taken into account when designing a modern total artificial heart. With today's 3D construction programs, it is possible to\u0000easily, and to the most part automatically, vary the construction of blood pumps. It is thus optimally adapted to the geometric circumstances of a\u0000patient.","PeriodicalId":15200,"journal":{"name":"Journal of Cardiology & Current Research","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76017990","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}
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