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Knowledge and quality of life of hypertension among hypertensive patients in Baghdad, Iraq: A cross-sectional study 伊拉克巴格达高血压患者的高血压知识和生活质量:一项横断面研究
Pub Date : 2023-01-01 DOI: 10.33545/26649020.2023.v5.i2a.30
Mohammed Alborisha, Anmar Al-Elayawi, Marwa Attallah, Mustafa W. Yahya, Farah Almerza, Ibrahim Abdulsada, A. Wahhab
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引用次数: 0
Management of hypertension across the cardiovascular-renal continuum 心血管-肾脏连续体高血压的管理
Pub Date : 2023-01-01 DOI: 10.33545/26649020.2023.v5.i1a.25
J. Abdullakutty, Chinmoy Mazumder
A high incidence of cardiovascular risk misclassification and underestimation of high-risk patients prevails among primary care physicians. In addition, it has been observed that treatment goals of hypertension as recommended by guidelines are not followed in the primary healthcare setting. Therefore, there exists a large percentage of the population with uncontrolled hypertension in India. We aimed at developing a framework for the effective management of hypertension and cardiovascular-renal risk in the presence of comorbidities for clinicians/healthcare providers. An online advisory board meeting with eminent cardiologists from across India was conducted to understand their perspectives on the management of hypertension across the cardiovascular-renal continuum. The outcomes of the meeting were summarized following a literature review of cardiorenal disorders, stroke, and heart failure risk in hypertensive patients. Furthermore, optimal treatment of hypertension in patients with a high risk of coronary artery disease, stroke, and chronic kidney disease and the choice of angiotensin receptor blockers in these patients were suggested. The advisory board meeting provided management strategies for patients with hypertension across the cardiovascular-renal continuum considering the increased risk of heart failure and death in the Indian setting.
在初级保健医生中,对高危患者的错误分类和低估发生率很高。此外,据观察,根据指南推荐的高血压治疗目标并没有在初级卫生保健机构中得到遵循。因此,在印度存在很大比例的高血压未得到控制的人口。我们的目的是为临床医生/医疗保健提供者建立一个有效管理高血压和心血管-肾脏风险的框架。与来自印度各地的知名心脏病专家进行了一次在线咨询委员会会议,以了解他们对心血管-肾脏连续体高血压管理的看法。会议的结果是在回顾了高血压患者心肾疾病、中风和心力衰竭风险的文献后得出的。此外,建议对冠心病、中风和慢性肾病高危患者的高血压进行最佳治疗,并在这些患者中选择血管紧张素受体阻滞剂。考虑到印度环境中心力衰竭和死亡风险的增加,咨询委员会会议提供了心血管-肾脏连续体高血压患者的管理策略。
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引用次数: 0
Right ventricular assessment by transthoracic echocardiography in patients with pulmonary hypertension in relation with functional and hemodynamic data 经胸超声心动图评价肺动脉高压患者的右心室功能和血流动力学数据
Pub Date : 2023-01-01 DOI: 10.33545/26649020.2023.v5.i1a.24
Zoubaida Ali Mardan Mohammed, H. Al-Farhan, Salah Yassin Abood
Background: Transthoracic echocardiography is a noninvasive method commonly used to assess the right ventricular function in patients with pulmonary hypertension. Aim of study: To determine the role of transthoracic echocardiography parameters (GLSRV, TAPSE, RVs, FAC & RIMP) to assess the right ventricular function in patients with pulmonary hypertension in correlation with functional capacity (six-min walk distance) and trans-catheter mean PAP. Patients and methods: This is a cross sectional study including patients with pulmonary hypertension aged more than18 years at Baghdad Heart Center and Ibn Al-Baitar Heart Center from May 2019 to May 2020. All patients underwent echocardiography examination with estimation of following parameters (LVEF, FAC, TAPSE, RVs, RIMP, PASP, TR velocity, mean PAP, GLSRV) and all patients underwent six-minute walking distance test and Right heart catheterization to assess the functional capacity and pulmonary artery pressure respectively. Results: 40 patients with varied WHO classifications of pulmonary hypertension (mean age 41.58±15.49 years) and male to female ratio were included in the research (1:1.2). GLSRV had a negative linear connection with TAPSE (P=0.015) and RVs` (P=0.017) but not FAC or RIMP. The 6-MWD correlated positively with GLSRV (P = 0.011). Echo and right heart catheterization mean PAP measurements correlated (P value <0.0001). Right heart catheterization severity of pulmonary hypertension correlated with RV function echo parameters like FAC (p=0.020). Conclusion: Global longitudinal strain of right ventricle showed high ability to detect early stage of RV failure in patients with pulmonary hypertension with high agreement of RV failure detection with 6-MWD& echocardiography parameters like RIMP & FAC.
背景:经胸超声心动图是评估肺动脉高压患者右心室功能的一种无创方法。研究目的:确定经胸超声心动图参数(GLSRV、TAPSE、RVs、FAC和RIMP)在评估肺动脉高压患者右心室功能与功能容量(6分钟步行距离)和经导管平均PAP的相关性中的作用。患者和方法:这是一项横断面研究,包括2019年5月至2020年5月在巴格达心脏中心和Ibn Al-Baitar心脏中心的18岁以上肺动脉高压患者。所有患者均行超声心动图检查,估计以下参数(LVEF、FAC、TAPSE、RVs、RIMP、PASP、TR流速、平均PAP、GLSRV),并行6分钟步行距离试验和右心导管检查,分别评估功能容量和肺动脉压。结果:共纳入40例WHO分级肺动脉高压患者,平均年龄(41.58±15.49岁),男女比例(1:1.2)。GLSRV与TAPSE (P=0.015)和RVs ' (P=0.017)呈负线性相关,但与FAC和RIMP无关。6-MWD与GLSRV呈正相关(P = 0.011)。超声与右心导管平均PAP测量值相关(P值<0.0001)。右心导管肺动脉高压严重程度与右心室功能回声参数FAC等相关(p=0.020)。结论:右心室总纵应变对肺动脉高压患者早期右心室衰竭的检测能力强,6- mwd及RIMP、FAC等超声心动图参数对右心室衰竭的检测一致性高。
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引用次数: 0
Incidence and characteristics of atrial high-rate episodes in patients with implantable cardiac devices 植入心脏装置患者心房高发生率发作的发生率及特点
Pub Date : 2023-01-01 DOI: 10.33545/26649020.2023.v5.i1a.27
Mahmoud Ahmed Shaheen, Mohammed Naseem Hussien, Ekram Sadik Saied, M. Nassar
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引用次数: 0
Relationship between admission random blood glucose, fasting blood glucose, with severity of coronary lesion and hospital outcomes in patients admitted with ST elevation myocardial infarction ST段抬高型心肌梗死患者入院随机血糖、空腹血糖与冠状动脉病变严重程度及医院转归的关系
Pub Date : 2023-01-01 DOI: 10.33545/26649020.2023.v5.i1a.19
Islam Fathi Abu El-Maaty, Dina Mostafa, Hatem Mohammd El-Sokkarry, Mohammed Elsayed El-Setiha
{"title":"Relationship between admission random blood glucose, fasting blood glucose, with severity of coronary lesion and hospital outcomes in patients admitted with ST elevation myocardial infarction","authors":"Islam Fathi Abu El-Maaty, Dina Mostafa, Hatem Mohammd El-Sokkarry, Mohammed Elsayed El-Setiha","doi":"10.33545/26649020.2023.v5.i1a.19","DOIUrl":"https://doi.org/10.33545/26649020.2023.v5.i1a.19","url":null,"abstract":"","PeriodicalId":275107,"journal":{"name":"International Journal of Cardiology Sciences","volume":"134 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132053751","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
J waves in arrhythmogenic cardiomyopathy versus primary electrical disease 心律失常性心肌病与原发性电性疾病的J波
Pub Date : 2021-01-01 DOI: 10.33545/26649020.2021.v3.i1a.15
S. Peters
In case reports early repolarization (ER) is associated with arrhythmogenic cardiomyopathy. In smaller case analyses ER is a discussable risk marker. Furthermore, the association with inversions of right precordial T-waves should be analysed. Method: In a cohort of 360 patients with typical ESC/ISFC criteria of arrhythmogenic cardiomyopathy (176 males, mean age 47.3 +/- 13.7 years) the presentation with ER and the risk assessment for sudden cardiac arrest was analyzed. Results: A total of 113 cases (31%) with inferior (22%), inferolateral (3%), and lateral (6%) notching or slurring was presented as typical signs of early repolarization syndrome. Together with the results of ajmaline challenge it is in close relation with the number of right precodial T-wave inversions. Early repolarization does not identify patients at risk for sudden cardiac arrest. In single cases the risk was increased in cases with ST elevation in early repolarization pattern as primary electrical disease. Conclusions: The number of early repolarization pattern in typical arrhythmogenic cardiomyopathy is increased and relates to the number of right precordial T-wave inversions of 55% in this cohort. Early repolarization is generally not a risk marker, but in single cases overlapping primary electrical disease can be documented.
在病例报告中,早期复极(ER)与心律失常性心肌病有关。在较小的案例分析中,ER是一个可讨论的风险标记。此外,还应分析与右心前t波反转的关系。方法:对360例具有典型ESC/ISFC标准的心律失常性心肌病患者(176例男性,平均年龄47.3±13.7岁)进行ER表现和心脏骤停风险评估分析。结果:113例(31%)伴下切痕或模糊(22%)、内切痕(3%)和外侧切痕(6%)为早期复极综合征的典型征象。与脑电刺激的结果一起,与右前t波反转次数密切相关。早期复极不能确定患者是否有心脏骤停的危险。在单个病例中,早期复极模式ST段抬高作为原发性电疾病的风险增加。结论:典型心律失常性心肌病的早期复极模式数量增加,与该队列中55%的右心前t波反转数量有关。早期复极通常不是一个危险标志,但在单一病例中重叠的原发电性疾病可以被记录下来。
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引用次数: 0
Mycotic cerebral aneurysm: A rare complication of infective endocarditis 真菌性脑动脉瘤:感染性心内膜炎的罕见并发症
Pub Date : 2021-01-01 DOI: 10.33545/26649020.2021.v3.i1a.18
B. Houda, Samih Amina, Louizi Wafaa, Zarzur Jamila, Cherti Mohamed
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引用次数: 0
Role of artificial intelligence in the diagnosis of cardiovascular disorders 人工智能在心血管疾病诊断中的作用
Pub Date : 2021-01-01 DOI: 10.33545/26649020.2021.v3.i1a.13
Sood Mohit, Das Sanjita
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引用次数: 0
The incidence and clinical presentation of coronary artery ectasia in Gaza 加沙地区冠状动脉扩张的发病率和临床表现
Pub Date : 2021-01-01 DOI: 10.33545/26649020.2021.v3.i1a.16
Mohammed Salama, Somaya Alhout, Salama Awadallah, M. Habib
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引用次数: 0
Infective endocarditis-endarteritis complicating asymptomatic aortic coarctation with a pseudocoarctation in an adult: A case report 成人感染性心内膜炎-动脉内膜炎合并无症状主动脉缩窄伴假性主动脉缩窄1例报告
Pub Date : 2021-01-01 DOI: 10.33545/26649020.2021.v3.i1a.14
B. Houda, Louizi Wafaa, Rami Hasnae, Zarzur Jamila, Cherti Mohamed
Coarctation of the aorta is an obstructive aortic lesion that causes secondary hypertension. Diagnosis is sometimes difficult because patients could present no other symptom. Aortic coarctation determines a favorable anatomical condition for the development of endocarditis-endarteritis due to the presence of an alteration in blood flow dynamics that favors the appearance of endothelial damage and the adhesion of microorganisms. We present a case of a patient affected with a previously unknown aortic coarctation with high blood pressure, who developed infective endocarditis-endarteritis. The Physical examination and echocardiography clinical established the diagnosis. This case report underlines the importance of a complete echocardiography that includes the suprasternal view especially in young patients with a history of hypertension.
主动脉缩窄是一种梗阻性主动脉病变,可引起继发性高血压。诊断有时很困难,因为患者可能没有其他症状。主动脉缩窄为心内膜炎-动脉内膜炎的发展提供了有利的解剖学条件,因为血流动力学的改变有利于内皮损伤的出现和微生物的粘附。我们提出一个病例的病人影响了一个以前未知的主动脉缩窄与高血压,谁发展感染性心内膜炎-动脉内膜炎。体格检查和超声心动图临床证实了诊断。本病例报告强调了完整超声心动图的重要性,包括胸骨上视图,特别是对有高血压病史的年轻患者。
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引用次数: 0
期刊
International Journal of Cardiology Sciences
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