Pub Date : 2021-01-01DOI: 10.33545/26649020.2021.v3.i1a.17
Y. Tunitsky-Lifshitz, A. Braun, G. Segal
Periprocedural myocardial infarction (MI) remain common despite major technical advances in the field of interventional cardiology and thoracic surgery (1-5). Most of the literature regarding periprocedural MI was written about a decade ago. Attempts to define clinically relevant MI after coronary bypass define a rise of ≥ 10x in cardiac biomarkers as a cutoff in case the preprocedural troponin is known, or ≥70x of normal troponin values (5). Herein, we describe a case report of a woman that came to a rehabilitation center in our hospital after a Coronary Artery Bypass Graft (CABG) was done in another rural hospital, with an elevation of ≥60 x troponin from baseline in the emergency room (ER). The cardiologist that assessed her attributed the rise to remnant myocardial damage and admitted her to an internal ward. Only after another troponin test taken the following day, the diagnosis of type 5 MI was made and an urgent coronary angiography was done, revealing a complete thrombosis of her venous graft.
{"title":"Type 5 myocardial infarction: A case report","authors":"Y. Tunitsky-Lifshitz, A. Braun, G. Segal","doi":"10.33545/26649020.2021.v3.i1a.17","DOIUrl":"https://doi.org/10.33545/26649020.2021.v3.i1a.17","url":null,"abstract":"Periprocedural myocardial infarction (MI) remain common despite major technical advances in the field of interventional cardiology and thoracic surgery (1-5). Most of the literature regarding periprocedural MI was written about a decade ago. Attempts to define clinically relevant MI after coronary bypass define a rise of ≥ 10x in cardiac biomarkers as a cutoff in case the preprocedural troponin is known, or ≥70x of normal troponin values (5). Herein, we describe a case report of a woman that came to a rehabilitation center in our hospital after a Coronary Artery Bypass Graft (CABG) was done in another rural hospital, with an elevation of ≥60 x troponin from baseline in the emergency room (ER). The cardiologist that assessed her attributed the rise to remnant myocardial damage and admitted her to an internal ward. Only after another troponin test taken the following day, the diagnosis of type 5 MI was made and an urgent coronary angiography was done, revealing a complete thrombosis of her venous graft.","PeriodicalId":275107,"journal":{"name":"International Journal of Cardiology Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130758832","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 : 2020-01-01DOI: 10.33545/26649020.2020.v2.i1a.9
Sreekanth Y Bellamkonda, N. Karella, Praveen Nagula, Srinivas Ravi, Krishna Mala Konda Reddy P
{"title":"Aorto pulmonary window manifesting as Eisenmenger syndrome at initial presentation in an adolescent female: A rare case","authors":"Sreekanth Y Bellamkonda, N. Karella, Praveen Nagula, Srinivas Ravi, Krishna Mala Konda Reddy P","doi":"10.33545/26649020.2020.v2.i1a.9","DOIUrl":"https://doi.org/10.33545/26649020.2020.v2.i1a.9","url":null,"abstract":"","PeriodicalId":275107,"journal":{"name":"International Journal of Cardiology Sciences","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130131020","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 : 2020-01-01DOI: 10.33545/26649020.2020.v2.i1a.7
Kodirov Sh S, Omonov Sh, Usmonova Na, Nurmuhamedov Hk
{"title":"Clinical features of gastroduodenal ulcers in patients of elderly and senile age with coronary heart disease","authors":"Kodirov Sh S, Omonov Sh, Usmonova Na, Nurmuhamedov Hk","doi":"10.33545/26649020.2020.v2.i1a.7","DOIUrl":"https://doi.org/10.33545/26649020.2020.v2.i1a.7","url":null,"abstract":"","PeriodicalId":275107,"journal":{"name":"International Journal of Cardiology Sciences","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130820682","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 : 2020-01-01DOI: 10.33545/26649020.2020.v2.i1a.12
H. T. Perla, N. K
{"title":"Evaluation of cardiac, hepatic enzyme levels and haematological profiles in chikungunya patients","authors":"H. T. Perla, N. K","doi":"10.33545/26649020.2020.v2.i1a.12","DOIUrl":"https://doi.org/10.33545/26649020.2020.v2.i1a.12","url":null,"abstract":"","PeriodicalId":275107,"journal":{"name":"International Journal of Cardiology Sciences","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121681738","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 : 2020-01-01DOI: 10.33545/26649020.2020.v2.i1a.10
Usmanova Na, Ðbdullaev Ta, Salimova Nr, Alimova Da, Kodirov Sh S
{"title":"Psychosomatic relationships in patients with chronic heart failure with atrial fibrillation and various indicators of left ventricular ejection fraction","authors":"Usmanova Na, Ðbdullaev Ta, Salimova Nr, Alimova Da, Kodirov Sh S","doi":"10.33545/26649020.2020.v2.i1a.10","DOIUrl":"https://doi.org/10.33545/26649020.2020.v2.i1a.10","url":null,"abstract":"","PeriodicalId":275107,"journal":{"name":"International Journal of Cardiology Sciences","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127142895","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 : 2020-01-01DOI: 10.33545/26649020.2020.v2.i1a.11
Abdullayevа Sya, Nikishin Ag
{"title":"Comparative outcomes in elderly patients with multivessel coronary artery disease against the background of various therapy strategies","authors":"Abdullayevа Sya, Nikishin Ag","doi":"10.33545/26649020.2020.v2.i1a.11","DOIUrl":"https://doi.org/10.33545/26649020.2020.v2.i1a.11","url":null,"abstract":"","PeriodicalId":275107,"journal":{"name":"International Journal of Cardiology Sciences","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115385403","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 : 2019-01-01DOI: 10.33545/26649020.2019.v1.i1a.3
B. Saha, Kofil Uddin, Md Anisul Goni Khan, M. Azad, Lakshman Chandra Barai
Hyponatremia has been shown to be a predictor of cardiovascular mortality among patients with heart failure and the same mechanism of neurohormonal activation is also acting in cases of STEMI 1 Hence we aimed to investigate importance of hyponatremia in acute STEMI regarding prognosis and short term survival. 100 consecutive patients presenting with acute STEMI admitted to Rajendra institute of medical science (RIMS) Ranchi, Jharkhand from October 2016 to September 2017 were studied. Qualifying patients underwent detailed history and clinical examination. Plasma sodium concentrations were obtained on admission and at 24, 48 and 72 hours thereafter along with other relevant investigations. Males made up 81% of patients who presented with hyponatremia on admission and 77% of patients who developed hyponatremia within 72 hours. Patients who presented with or developed hyponatremia more often were smokers(81%) and had diabetes(44%), anterior infarction(72%) and higher killip class, lower ejection fraction(40.36 ±6.14) compared to patients with normal sodium levels. The odd’s ratio for 30-day mortality was found to be high in the hyponatremic groups compared to normal group. We also found a significant linear relationship between severity of hyponatremia and mortality. Multivariate analysis was performed which identified hyponatremia on admission or early development of hyponatremia as a significant independent predictor of 30 day mortality.
{"title":"Study of hyponatremia as prognostic factor in acute ST elevation myocardial infarction (Stemi): A study in national institute of cardiovascular diseases and hospital, Dhaka, Bangladesh","authors":"B. Saha, Kofil Uddin, Md Anisul Goni Khan, M. Azad, Lakshman Chandra Barai","doi":"10.33545/26649020.2019.v1.i1a.3","DOIUrl":"https://doi.org/10.33545/26649020.2019.v1.i1a.3","url":null,"abstract":"Hyponatremia has been shown to be a predictor of cardiovascular mortality among patients with heart failure and the same mechanism of neurohormonal activation is also acting in cases of STEMI 1 Hence we aimed to investigate importance of hyponatremia in acute STEMI regarding prognosis and short term survival. 100 consecutive patients presenting with acute STEMI admitted to Rajendra institute of medical science (RIMS) Ranchi, Jharkhand from October 2016 to September 2017 were studied. Qualifying patients underwent detailed history and clinical examination. Plasma sodium concentrations were obtained on admission and at 24, 48 and 72 hours thereafter along with other relevant investigations. Males made up 81% of patients who presented with hyponatremia on admission and 77% of patients who developed hyponatremia within 72 hours. Patients who presented with or developed hyponatremia more often were smokers(81%) and had diabetes(44%), anterior infarction(72%) and higher killip class, lower ejection fraction(40.36 ±6.14) compared to patients with normal sodium levels. The odd’s ratio for 30-day mortality was found to be high in the hyponatremic groups compared to normal group. We also found a significant linear relationship between severity of hyponatremia and mortality. Multivariate analysis was performed which identified hyponatremia on admission or early development of hyponatremia as a significant independent predictor of 30 day mortality.","PeriodicalId":275107,"journal":{"name":"International Journal of Cardiology Sciences","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122901716","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 : 2019-01-01DOI: 10.33545/26649020.2019.v1.i1a.2
S. Peters, T. Wittlinger
Risk factors of malignant tachyarrythmias should be assessed in cases with early stage arrhythmogenic cardiomyopathy and provocable Brugada ECG. Spontaneous right precordial coved-type ST segment elevation, tall R wave in lead aVR, QRS fragmentation, 1° AV block, inducibility during electrophysiological examination, low amplitude coved-type ST elevation and localised right precordial QRS prolongation should be tested in 20 out of 128 patients. Only QRS fragmentation and localised right precordial QRS prolongation were positive in these patients. QRS fragmentation was positive in two patients, one with aborted sudden cardiac and one patient without any further arrhythmic events. Localised right precordial QRS prolongation was positive in five patients with serious arrhythmic events – four cases with previous ventricular fibrillation and one case with subsequent slow ventricular tachycardia. All other risk factors could be ruled out. In summary, localised right precordial QRS prolongation seems to be the strongest risk marker in cases of developing arrhythmogenic cardiomyopathy and provocable Brugada ECG
{"title":"Risk management in early stage arrhythmogenic cardiomyopathy associated with Provocable Brugada ECG","authors":"S. Peters, T. Wittlinger","doi":"10.33545/26649020.2019.v1.i1a.2","DOIUrl":"https://doi.org/10.33545/26649020.2019.v1.i1a.2","url":null,"abstract":"Risk factors of malignant tachyarrythmias should be assessed in cases with early stage arrhythmogenic cardiomyopathy and provocable Brugada ECG. Spontaneous right precordial coved-type ST segment elevation, tall R wave in lead aVR, QRS fragmentation, 1° AV block, inducibility during electrophysiological examination, low amplitude coved-type ST elevation and localised right precordial QRS prolongation should be tested in 20 out of 128 patients. Only QRS fragmentation and localised right precordial QRS prolongation were positive in these patients. QRS fragmentation was positive in two patients, one with aborted sudden cardiac and one patient without any further arrhythmic events. Localised right precordial QRS prolongation was positive in five patients with serious arrhythmic events – four cases with previous ventricular fibrillation and one case with subsequent slow ventricular tachycardia. All other risk factors could be ruled out. In summary, localised right precordial QRS prolongation seems to be the strongest risk marker in cases of developing arrhythmogenic cardiomyopathy and provocable Brugada ECG","PeriodicalId":275107,"journal":{"name":"International Journal of Cardiology Sciences","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122021772","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 : 2019-01-01DOI: 10.33545/26649020.2019.v1.i1a.1
A. Azad, Lakshman Chandra Barai, S. Kabir
{"title":"Study on risk factors and pattern of coronary artery involvement in young acute coronary syndrome patients: a study in national institute of cardiovascular diseases and hospital, Dhaka, Bangladesh","authors":"A. Azad, Lakshman Chandra Barai, S. Kabir","doi":"10.33545/26649020.2019.v1.i1a.1","DOIUrl":"https://doi.org/10.33545/26649020.2019.v1.i1a.1","url":null,"abstract":"","PeriodicalId":275107,"journal":{"name":"International Journal of Cardiology Sciences","volume":"480 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122744155","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 : 2019-01-01DOI: 10.33545/26649020.2019.v1.i1a.6
Ashikujaman Syed
The WHO NCD (Non-Communicable Disease Alliance) Warns South Asian Countries including Bangladesh about the ‘aggressive’ spread of the diseases such as heart problems and diabetes affecting people mostly in younger age. “They should be earning money for the family but they are impacted by diabetes and cardiovascular diseases.” Cardiovascular disease (CVD) is a class of diseases that involve the heart or blood vessels. Cardiovascular disease includes coronary artery diseases (CAD) such as angina and myocardial infarction (commonly known as a heart attack). Other CVDs include stroke, heart failure, hypertensive heart disease, rheumatic heart disease, cardiomyopathy, heart arrhythmia, congenital heart disease, valvular heart disease, carditis, aortic aneurysms, peripheral artery disease, thromboembolic disease, and venous thrombosis. CVDs are the number 1 cause of death globally: more people die annually from CVDs than from any other cause. An estimated 17.7 million people died from CVDs in 2015, representing 31% of all global deaths. Of these deaths, an estimated 7.4 million were due to coronary heart disease and 6.7 million were due to stroke. Over three-quarters of CVD deaths take place in low-and middle-income countries. Out of the 17 million premature deaths (under the age of 70) due to no communicable diseases in 2015, 82% are in low-and middle-income countries, and 37% are caused by CVDs. Most cardiovascular diseases can be prevented by addressing behavioral risk factors such as tobacco use, unhealthy diet and obesity, physical inactivity and harmful use of alcohol using population-wide strategies. People with cardiovascular disease or who are at high cardiovascular risk (due to the presence of one or more risk factors such as hypertension, diabetes, hyperlipidemia or already established disease) need early detection and management using counselling and medicines, as appropriate. (WHO Media Canter, May 2017). According to the latest WHO data published in May 2014, Coronary Heart Disease Deaths in Bangladesh reached 50,708 or 6.96% of total deaths. The age adjusted Death Rate is 53.53 per 100,000 of population ranks Bangladesh #150 in the world. Cardiovascular Diseases in Bangladesh Statistics on Overall Impact and Specific Effect on Demographic groups. Annual mortality rate (per 100,000 people) = 213.0; annual years of healthy life lost (per 100,000 people 4634.0; change in annual years of healthy life lost (since 1990). The percent change in annual years of healthy life lost per 100,000 people between 1990 and 2013. Years of healthy life lost, also called Disability-Adjusted Life Years (DALYs), is the sum of years of life lost to premature death and years lived with disability (adjusted for the severity of a condition). This accounts for population change and does not standardize on age differences. Cardiovascular Diseases in Bangladesh 100.8%. Range across all Global Disease Burden - Minute - 100%, Average 94.34%, Max 1.62 MILLION, percentag
{"title":"New concepts of segment elevation myocardial infarction","authors":"Ashikujaman Syed","doi":"10.33545/26649020.2019.v1.i1a.6","DOIUrl":"https://doi.org/10.33545/26649020.2019.v1.i1a.6","url":null,"abstract":"The WHO NCD (Non-Communicable Disease Alliance) Warns South Asian Countries including Bangladesh about the ‘aggressive’ spread of the diseases such as heart problems and diabetes affecting people mostly in younger age. “They should be earning money for the family but they are impacted by diabetes and cardiovascular diseases.” Cardiovascular disease (CVD) is a class of diseases that involve the heart or blood vessels. Cardiovascular disease includes coronary artery diseases (CAD) such as angina and myocardial infarction (commonly known as a heart attack). Other CVDs include stroke, heart failure, hypertensive heart disease, rheumatic heart disease, cardiomyopathy, heart arrhythmia, congenital heart disease, valvular heart disease, carditis, aortic aneurysms, peripheral artery disease, thromboembolic disease, and venous thrombosis. CVDs are the number 1 cause of death globally: more people die annually from CVDs than from any other cause. An estimated 17.7 million people died from CVDs in 2015, representing 31% of all global deaths. Of these deaths, an estimated 7.4 million were due to coronary heart disease and 6.7 million were due to stroke. Over three-quarters of CVD deaths take place in low-and middle-income countries. Out of the 17 million premature deaths (under the age of 70) due to no communicable diseases in 2015, 82% are in low-and middle-income countries, and 37% are caused by CVDs. Most cardiovascular diseases can be prevented by addressing behavioral risk factors such as tobacco use, unhealthy diet and obesity, physical inactivity and harmful use of alcohol using population-wide strategies. People with cardiovascular disease or who are at high cardiovascular risk (due to the presence of one or more risk factors such as hypertension, diabetes, hyperlipidemia or already established disease) need early detection and management using counselling and medicines, as appropriate. (WHO Media Canter, May 2017). According to the latest WHO data published in May 2014, Coronary Heart Disease Deaths in Bangladesh reached 50,708 or 6.96% of total deaths. The age adjusted Death Rate is 53.53 per 100,000 of population ranks Bangladesh #150 in the world. Cardiovascular Diseases in Bangladesh Statistics on Overall Impact and Specific Effect on Demographic groups. Annual mortality rate (per 100,000 people) = 213.0; annual years of healthy life lost (per 100,000 people 4634.0; change in annual years of healthy life lost (since 1990). The percent change in annual years of healthy life lost per 100,000 people between 1990 and 2013. Years of healthy life lost, also called Disability-Adjusted Life Years (DALYs), is the sum of years of life lost to premature death and years lived with disability (adjusted for the severity of a condition). This accounts for population change and does not standardize on age differences. Cardiovascular Diseases in Bangladesh 100.8%. Range across all Global Disease Burden - Minute - 100%, Average 94.34%, Max 1.62 MILLION, percentag","PeriodicalId":275107,"journal":{"name":"International Journal of Cardiology Sciences","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128192759","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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