Pub Date : 2023-01-01DOI: 10.4236/wjcd.2023.137038
Madhu Roka, K. Neupane, Rabindra Rabindra Simkhada, Ravi Sahi
{"title":"Prevalence of Diabetes and Dyslipidemia Patterns amongst Hypertensive Patients in a Tertiary Cardiac Centre in Kathmandu, Nepal","authors":"Madhu Roka, K. Neupane, Rabindra Rabindra Simkhada, Ravi Sahi","doi":"10.4236/wjcd.2023.137038","DOIUrl":"https://doi.org/10.4236/wjcd.2023.137038","url":null,"abstract":"","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70873273","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 : 2023-01-01DOI: 10.4236/wjcd.2023.138042
Afassinou Yaovi Mignazonzon, Dola Kossi Edem, Pessinaba Soulemane, A. Borgatia, Pio Machihude, Baragou Soodougoua, Damorou Findibe
{"title":"Mortality in Cardiology in Sub-Saharan Africa: Case of the Cardiology Department of the Teaching Hospital Sylvanus Olympio of Lome","authors":"Afassinou Yaovi Mignazonzon, Dola Kossi Edem, Pessinaba Soulemane, A. Borgatia, Pio Machihude, Baragou Soodougoua, Damorou Findibe","doi":"10.4236/wjcd.2023.138042","DOIUrl":"https://doi.org/10.4236/wjcd.2023.138042","url":null,"abstract":"","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70873887","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 : 2023-01-01DOI: 10.4236/wjcd.2023.139052
Abdalla Mahgoub
In this study, the author will investigate and utilize advanced machine learning models related to two different methodologies to determine the best and most effective way to predict individuals with heart failure and cardiovascular diseases. The first methodology involves a list of classification machine learning algorithms, and the second methodology involves the use of a deep learning algorithm known as MLP or Multilayer Perceptrons. Globally, hospitals are dealing with cases related to cardiovascular diseases and heart failure as they are major causes of death, not only for overweight individuals but also for those who do not adopt a healthy diet and lifestyle. Often, heart failures and cardiovascular diseases can be caused by many factors, including cardiomyopathy, high blood pressure, coronary heart disease, and heart inflammation [1]. Other factors, such as irregular shocks or stress, can also contribute to heart failure or a heart attack. While these events cannot be predicted, continuous data from patients’ health can help doctors predict heart failure. Therefore, this data-driven research utilizes advanced machine learning and deep learning techniques to better analyze and manipulate the data, providing doctors with informative decision-making tools regarding a person’s likelihood of experiencing heart failure. In this paper, the author employed advanced data preprocessing and cleaning techniques. Additionally, the dataset underwent testing using two different methodologies to determine the most effective machine-learning technique for producing optimal predictions. The first methodology involved employing a list of supervised classification machine learning algorithms, including Naïve Bayes (NB), KNN, logistic regression, and the SVM algorithm. The second methodology utilized a deep learning (DL) algorithm known as Multilayer Perceptrons (MLPs). This algorithm provided the author with the flexibility to experiment with different layer sizes and activation functions, such as ReLU, logistic (sigmoid), and Tanh. Both methodologies produced optimal models with high-level accuracy rates. The first methodology involves a list of supervised machine learning algorithms, including KNN, SVM, Adaboost, Logistic Regression, Naive Bayes, and Decision Tree algorithms. They achieved accuracy rates of 86%, 89%, 89%, 81%, 79%, and 99%, respectively. The author clearly explained that Decision Tree algorithm is not suitable for the dataset at hand due to overfitting issues. Therefore, it was discarded as an optimal model to be used. However, the latter methodology (Neural Network) demonstrated the most stable and optimal accuracy, achieving over 87% accuracy while adapting well to real-life situations and requiring low computing power overall. A performance assessment and evaluation were carried out based on a confusion matrix report to demonstrate feasibility and performance. The author concluded that the performance of the model in real-life situations
{"title":"A Novel Approach to Heart Failure Prediction and Classification through Advanced Deep Learning Model","authors":"Abdalla Mahgoub","doi":"10.4236/wjcd.2023.139052","DOIUrl":"https://doi.org/10.4236/wjcd.2023.139052","url":null,"abstract":"In this study, the author will investigate and utilize advanced machine learning models related to two different methodologies to determine the best and most effective way to predict individuals with heart failure and cardiovascular diseases. The first methodology involves a list of classification machine learning algorithms, and the second methodology involves the use of a deep learning algorithm known as MLP or Multilayer Perceptrons. Globally, hospitals are dealing with cases related to cardiovascular diseases and heart failure as they are major causes of death, not only for overweight individuals but also for those who do not adopt a healthy diet and lifestyle. Often, heart failures and cardiovascular diseases can be caused by many factors, including cardiomyopathy, high blood pressure, coronary heart disease, and heart inflammation [1]. Other factors, such as irregular shocks or stress, can also contribute to heart failure or a heart attack. While these events cannot be predicted, continuous data from patients’ health can help doctors predict heart failure. Therefore, this data-driven research utilizes advanced machine learning and deep learning techniques to better analyze and manipulate the data, providing doctors with informative decision-making tools regarding a person’s likelihood of experiencing heart failure. In this paper, the author employed advanced data preprocessing and cleaning techniques. Additionally, the dataset underwent testing using two different methodologies to determine the most effective machine-learning technique for producing optimal predictions. The first methodology involved employing a list of supervised classification machine learning algorithms, including Naïve Bayes (NB), KNN, logistic regression, and the SVM algorithm. The second methodology utilized a deep learning (DL) algorithm known as Multilayer Perceptrons (MLPs). This algorithm provided the author with the flexibility to experiment with different layer sizes and activation functions, such as ReLU, logistic (sigmoid), and Tanh. Both methodologies produced optimal models with high-level accuracy rates. The first methodology involves a list of supervised machine learning algorithms, including KNN, SVM, Adaboost, Logistic Regression, Naive Bayes, and Decision Tree algorithms. They achieved accuracy rates of 86%, 89%, 89%, 81%, 79%, and 99%, respectively. The author clearly explained that Decision Tree algorithm is not suitable for the dataset at hand due to overfitting issues. Therefore, it was discarded as an optimal model to be used. However, the latter methodology (Neural Network) demonstrated the most stable and optimal accuracy, achieving over 87% accuracy while adapting well to real-life situations and requiring low computing power overall. A performance assessment and evaluation were carried out based on a confusion matrix report to demonstrate feasibility and performance. The author concluded that the performance of the model in real-life situations","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135750892","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 : 2023-01-01DOI: 10.4236/wjcd.2023.1310061
Chris Nadège Nganou-Gnindjio, Bâ Hamadou, Melissa Djuidje Djampouop, Marie Ntep Gwet, Félicité Kamdem, Pierre Mintom, Juliette Valerie Ndobo, Siddikatou Djibrilla, Guillaume Ebene Manon, Joel Noutackdie Tochie, Samuel Kingue
Background: Heart failure (HF) is a rising global health problem. Patients with HF tend to use several therapies obtained via different treatment routes to relieve their symptoms. It is rampant in sub-Saharan Africa (SSA), leading to poor health-seeking behaviours and worsened HF health outcomes. We aimed to describe the different therapeutic routes of HF patients from the onset of their first symptom until treatment in a specialised cardiology centre to identify and rebuke harmful therapeutic routes. Materials and Methods: This was a cross-sectional study at the Yaoundé Central Hospital in Cameroon between December 2018 to July 2019. Patients were recruited by consecutive convenient sampling. Adult patients aged above 18 years with confirmed HF were included using the Framingham criteria. Variables relating to socio-demographic and clinical data and the health-seeking behaviours of HF patients were studied. Results: We included 132 patients with a mean age of 62.90 years (62.88% women). Very few patients (0.90%) followed an ideal route; 60.71% of subjects had a pseudo-ideal route, 19.64% accessed a specialised facility directly, and 21.42% used an erratic route. At the arrival time in a cardiology unit, 49.24% and 35.61% of our subjects were in NYHA stage III and IV HF compared to 15.15% for stage II. None of them was in Stage I. Conclusion: Most heart failure patients in Cameroon have resorted to non-specialised care, which worsens their clinical presentation. There is an urgent need for health education of HF patients in our context.
{"title":"Therapeutic Routes of a Group of Heart Failure Patients Followed in a Cameroonian Urban Setting","authors":"Chris Nadège Nganou-Gnindjio, Bâ Hamadou, Melissa Djuidje Djampouop, Marie Ntep Gwet, Félicité Kamdem, Pierre Mintom, Juliette Valerie Ndobo, Siddikatou Djibrilla, Guillaume Ebene Manon, Joel Noutackdie Tochie, Samuel Kingue","doi":"10.4236/wjcd.2023.1310061","DOIUrl":"https://doi.org/10.4236/wjcd.2023.1310061","url":null,"abstract":"Background: Heart failure (HF) is a rising global health problem. Patients with HF tend to use several therapies obtained via different treatment routes to relieve their symptoms. It is rampant in sub-Saharan Africa (SSA), leading to poor health-seeking behaviours and worsened HF health outcomes. We aimed to describe the different therapeutic routes of HF patients from the onset of their first symptom until treatment in a specialised cardiology centre to identify and rebuke harmful therapeutic routes. Materials and Methods: This was a cross-sectional study at the Yaoundé Central Hospital in Cameroon between December 2018 to July 2019. Patients were recruited by consecutive convenient sampling. Adult patients aged above 18 years with confirmed HF were included using the Framingham criteria. Variables relating to socio-demographic and clinical data and the health-seeking behaviours of HF patients were studied. Results: We included 132 patients with a mean age of 62.90 years (62.88% women). Very few patients (0.90%) followed an ideal route; 60.71% of subjects had a pseudo-ideal route, 19.64% accessed a specialised facility directly, and 21.42% used an erratic route. At the arrival time in a cardiology unit, 49.24% and 35.61% of our subjects were in NYHA stage III and IV HF compared to 15.15% for stage II. None of them was in Stage I. Conclusion: Most heart failure patients in Cameroon have resorted to non-specialised care, which worsens their clinical presentation. There is an urgent need for health education of HF patients in our context.","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135261234","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 : 2023-01-01DOI: 10.4236/wjcd.2023.132006
M. Bodian, P. Traore, M. Leye, J. Mingou, Woula Sanou Diallo, F. Aw, S. A. Sarr, K. Diop, A. Ndiaye, A. Mbengué, M. Ndiaye, A. Kane, M. Diao
{"title":"Rare Etiology of Reversible Hypokinetic Dilatated Heart Disease in Infants: Bland-White-Garland Syndrome (ALCAPA)","authors":"M. Bodian, P. Traore, M. Leye, J. Mingou, Woula Sanou Diallo, F. Aw, S. A. Sarr, K. Diop, A. Ndiaye, A. Mbengué, M. Ndiaye, A. Kane, M. Diao","doi":"10.4236/wjcd.2023.132006","DOIUrl":"https://doi.org/10.4236/wjcd.2023.132006","url":null,"abstract":"","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70871833","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 : 2023-01-01DOI: 10.4236/wjcd.2023.1310059
Solange Flore Ngamami Mongo, Kivie Mou-Moue Ngolo Letomo, Arnold Sem Nguia Vel, Christian Kouala Landa, Franck Yannis Kouikani, Rogue Pattern Bakekolo, Bertrand Fikahem Ellenga Mbolla
Objectives: To detect obstructive sleep apnea syndrome (OSAS) in a population of hypertensive patients, using the Berlin questionnaire and to establish the epidemiological and clinical profile of patients. Patients and Method: This was a cross-sectional and analytical study, carried out from March to August 2019 at the CHU Brazzaville. Included are hypertensive patients followed as outpatients. The diagnosis of the OSAS was based on the answers to the Berlin questionnaire. Results: A total of 315 patients were included, including 210 women (64.9%). Prevalence of OSAS was 75.8% (n = 239). The average age of patients with sleep apnea was 58.5 ± 12.4 years with female predominance (64.9%). In the mixed analysis, the factors associated with (OSAS) were: occupation OR (2.56) 95% CI (1.15 - 5.69), obesity OR 7.50 (1.60 - 35.1) and abdominal obesity OR 2.36 CI 95% (1.36 - 4.08). Living standards were high in 59 cases (18.7 per cent). The medical history of previous hospitalization was present in 209 cases (66.3%), diabetes 95 (30.2%), and heart failure 57 cases (18.1%). Lifestyle patterns were: sedentary (n = 181; 57.5%) alcohol consumption (n = 97; 30.8%). On physical examination, overweight was noted in 96 cases (30.5%) and obesity in 91 cases (28.8%). The anomalies in the Berlin questionnaire were: snoring (n = 197; 62.5%), waking fatigue (n = 127; 40.3%), fatigue during the day (n = 97; 30.8%). Conclusion: The prevalence of obstructive sleep apnea syndrome is high during arterial hypertension in our setting. Hence the need for sleep exploration through polysomnography, and prevention through the fight against the associated risk factors.
{"title":"Epidemiological and Clinical Profile of Hypertensive Patients with Obstructive Sleep Apnea at CHU-B","authors":"Solange Flore Ngamami Mongo, Kivie Mou-Moue Ngolo Letomo, Arnold Sem Nguia Vel, Christian Kouala Landa, Franck Yannis Kouikani, Rogue Pattern Bakekolo, Bertrand Fikahem Ellenga Mbolla","doi":"10.4236/wjcd.2023.1310059","DOIUrl":"https://doi.org/10.4236/wjcd.2023.1310059","url":null,"abstract":"Objectives: To detect obstructive sleep apnea syndrome (OSAS) in a population of hypertensive patients, using the Berlin questionnaire and to establish the epidemiological and clinical profile of patients. Patients and Method: This was a cross-sectional and analytical study, carried out from March to August 2019 at the CHU Brazzaville. Included are hypertensive patients followed as outpatients. The diagnosis of the OSAS was based on the answers to the Berlin questionnaire. Results: A total of 315 patients were included, including 210 women (64.9%). Prevalence of OSAS was 75.8% (n = 239). The average age of patients with sleep apnea was 58.5 ± 12.4 years with female predominance (64.9%). In the mixed analysis, the factors associated with (OSAS) were: occupation OR (2.56) 95% CI (1.15 - 5.69), obesity OR 7.50 (1.60 - 35.1) and abdominal obesity OR 2.36 CI 95% (1.36 - 4.08). Living standards were high in 59 cases (18.7 per cent). The medical history of previous hospitalization was present in 209 cases (66.3%), diabetes 95 (30.2%), and heart failure 57 cases (18.1%). Lifestyle patterns were: sedentary (n = 181; 57.5%) alcohol consumption (n = 97; 30.8%). On physical examination, overweight was noted in 96 cases (30.5%) and obesity in 91 cases (28.8%). The anomalies in the Berlin questionnaire were: snoring (n = 197; 62.5%), waking fatigue (n = 127; 40.3%), fatigue during the day (n = 97; 30.8%). Conclusion: The prevalence of obstructive sleep apnea syndrome is high during arterial hypertension in our setting. Hence the need for sleep exploration through polysomnography, and prevention through the fight against the associated risk factors.","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135151891","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: Atrial fibrillation commonly occurs following cardiac surgery, particularly after coronary artery bypass grafting. Magnesium, known for its stabilizing effect on cell membranes, has shown promise in preventing postoperative atrial fibrillation. This study aimed to assess the impact of intravenous magnesium infusion in preventing atrial fibrillation after off-pump coronary artery bypass grafting, where maintaining stable cell membranes is crucial in averting this complication. Methods: A cross-sectional study was conducted at the Department of Cardiac Surgery, Bangabandhu Sheikh Mujib Medical University, from March 2020 to February 2022. Sixty-six patients who underwent off-pump coronary artery bypass grafting were enrolled and divided into two groups. Group A (n = 33) received intravenous magnesium sulfate (10 mmol/2.47gm) for three days after surgery, while Group B (n = 33) did not receive magnesium sulfate. Postoperative atrial fibrillation occurrence in the Intensive Care Unit (ICU) within three days after surgery was evaluated using convenient sampling. Statistical analysis was performed with SPSS version 26.0, utilizing independent Student’s t-test for continuous data and Chi-square and Fisher’s exact test for categorical data. A p-value of ≤0.05 was considered statistically significant. Results: No significant differences in age or gender were observed between the two groups. Group B exhibited significantly lower magnesium levels than Group A on the 0th, 1st, 2nd, and 3rd days post-surgery. Additionally, Group B experienced a higher incidence of postoperative atrial fibrillation, longer ICU stays, and two mortalities. The study did not detect any adverse effects associated with magnesium infusion. Conclusion: It has been demonstrated that administering magnesium intravenously after off-pump coronary artery bypass grafting can lower the chances of developing atrial fibrillation. This demonstrates the potential advantages of using magnesium as a preventative measure for postoperative atrial fibrillation in such cases.
{"title":"Using Magnesium Sulfate to Prevent Atrial Fibrillation after Coronary Artery Bypass Grafting Surgery: A Single Centre Experience in Bangladesh","authors":"Manoj Tiwari, Md. Abir Tazim Chowdhury, Hema Poudel, Munama Magdum, Md. Mostafizur Rahman, Vivek Kumar Jah, Md. Ahaduzzaman, Md. Abul Bashar Maruf","doi":"10.4236/wjcd.2023.139050","DOIUrl":"https://doi.org/10.4236/wjcd.2023.139050","url":null,"abstract":"Background: Atrial fibrillation commonly occurs following cardiac surgery, particularly after coronary artery bypass grafting. Magnesium, known for its stabilizing effect on cell membranes, has shown promise in preventing postoperative atrial fibrillation. This study aimed to assess the impact of intravenous magnesium infusion in preventing atrial fibrillation after off-pump coronary artery bypass grafting, where maintaining stable cell membranes is crucial in averting this complication. Methods: A cross-sectional study was conducted at the Department of Cardiac Surgery, Bangabandhu Sheikh Mujib Medical University, from March 2020 to February 2022. Sixty-six patients who underwent off-pump coronary artery bypass grafting were enrolled and divided into two groups. Group A (n = 33) received intravenous magnesium sulfate (10 mmol/2.47gm) for three days after surgery, while Group B (n = 33) did not receive magnesium sulfate. Postoperative atrial fibrillation occurrence in the Intensive Care Unit (ICU) within three days after surgery was evaluated using convenient sampling. Statistical analysis was performed with SPSS version 26.0, utilizing independent Student’s t-test for continuous data and Chi-square and Fisher’s exact test for categorical data. A p-value of ≤0.05 was considered statistically significant. Results: No significant differences in age or gender were observed between the two groups. Group B exhibited significantly lower magnesium levels than Group A on the 0th, 1st, 2nd, and 3rd days post-surgery. Additionally, Group B experienced a higher incidence of postoperative atrial fibrillation, longer ICU stays, and two mortalities. The study did not detect any adverse effects associated with magnesium infusion. Conclusion: It has been demonstrated that administering magnesium intravenously after off-pump coronary artery bypass grafting can lower the chances of developing atrial fibrillation. This demonstrates the potential advantages of using magnesium as a preventative measure for postoperative atrial fibrillation in such cases.","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135649067","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 : 2023-01-01DOI: 10.4236/wjcd.2023.139047
Zaid Ammouri, Mohammed Mouhaoui
Effective interpretation of electrocardiograms (ECGs) is a critical skill for healthcare professionals, especially in emergency settings. This study assessed the diagnostic abilities of 200 final-year medical students and young doctors in ECG interpretation. Subsequently, based on the study findings, a practical checklist was developed, and a comprehensive book entitled “Critical ECG in Emergencies” was authored by the researchers. The checklist provides cognitive aids and serves as a systematic guide to enhance ECG interpretation in urgent situations. The study revealed a need for improved confidence in interpreting critical ECGs among the participants. The checklist offers promise for reducing diagnostic errors and improving patient outcomes. Further research is required to evaluate its impact on daily practice and patient care, while the book provides valuable resources for healthcare professionals in emergency medicine.
{"title":"Enhancing Emergency ECG Interpretation: A Practical Checklist Developed from a Study Assessing Young Physicians’ Diagnostic Abilities","authors":"Zaid Ammouri, Mohammed Mouhaoui","doi":"10.4236/wjcd.2023.139047","DOIUrl":"https://doi.org/10.4236/wjcd.2023.139047","url":null,"abstract":"Effective interpretation of electrocardiograms (ECGs) is a critical skill for healthcare professionals, especially in emergency settings. This study assessed the diagnostic abilities of 200 final-year medical students and young doctors in ECG interpretation. Subsequently, based on the study findings, a practical checklist was developed, and a comprehensive book entitled “Critical ECG in Emergencies” was authored by the researchers. The checklist provides cognitive aids and serves as a systematic guide to enhance ECG interpretation in urgent situations. The study revealed a need for improved confidence in interpreting critical ECGs among the participants. The checklist offers promise for reducing diagnostic errors and improving patient outcomes. Further research is required to evaluate its impact on daily practice and patient care, while the book provides valuable resources for healthcare professionals in emergency medicine.","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135444803","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 : 2023-01-01DOI: 10.4236/wjcd.2023.137033
K. Dia, W. N. Mboup, D. Ba, S. C. Ndao, M. Ka, R. Yassine, D. Balde, M. C. Mboup
{"title":"Cardiac Resynchronization Therapy in Heart Failure in Sub-Saharan Africa Environment: Experience of the Principal Hospital of Dakar (Senegal)","authors":"K. Dia, W. N. Mboup, D. Ba, S. C. Ndao, M. Ka, R. Yassine, D. Balde, M. C. Mboup","doi":"10.4236/wjcd.2023.137033","DOIUrl":"https://doi.org/10.4236/wjcd.2023.137033","url":null,"abstract":"","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70873363","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 : 2023-01-01DOI: 10.4236/wjcd.2023.1310056
Mohammad Nourizadeh, Seifollah Abdi, Farideh Roshan Ali, Najmeh Assadinia, Mehdi Nourizadeh, Mohammad Emami, Elham Barati, Amir Taha Asarian
Background: The introduction of transcatheter aortic valve implantation (TAVI) for the treatment of severe aortic stenosis (SAS) has expanded the therapeutic possibilities for successfully managing SAS in cases with intermediate and high surgical risks. However, the complications and outcomes of new devices have not been studied enough. Hence, the purpose of this study is to evaluate the midterm results of the Core Valve and Evolute R self-expandable (SE) devices versus the Edwards SAPIEN balloon-expandable (BE) devices. Methods and Material: This was a quasi-experimental study conducted in Tehran, Iran, from May 2012 to June 2017. SAS patients who were not ideal candidates for surgery were randomly assigned to either SE or BE groups. For each patient, a questionnaire, including four sections comprised of Basic characteristics, echocardiographic, angiographic, and Computed Tomography (CT) scan data was filled. TAVI was followed by echocardiography a week later and after three months they were reevaluated by another questionnaire. Results: The total number of patients was 60. The mean ages of patients undergoing the procedure with SE or BE devices were 81.2 ± 8 and 79.8 ± 7, respectively. Mortality occurred in 20% of the patients (5 cases in the SE group and 7 cases in the BE); mortality causes were 66.6 % cardiac and 33% non-cardiac. Moderate to severe Paravalvular leakage in both groups did not differ significantly. The mortality rate was 5 (41.6%) in the SE group versus 7 (58.3%) in the BE group (P > 0.05). Conclusion: In conclusion, the BE group did not experience fewer paravalvular leaks in comparison with the SE. Morbidity and mortality between the BE and the SE groups did not differ significantly.
{"title":"Evaluation of Patients with Severe Aortic Stenosis after TAVI with Self-Expandable vs. Balloon-Expandable Devices","authors":"Mohammad Nourizadeh, Seifollah Abdi, Farideh Roshan Ali, Najmeh Assadinia, Mehdi Nourizadeh, Mohammad Emami, Elham Barati, Amir Taha Asarian","doi":"10.4236/wjcd.2023.1310056","DOIUrl":"https://doi.org/10.4236/wjcd.2023.1310056","url":null,"abstract":"Background: The introduction of transcatheter aortic valve implantation (TAVI) for the treatment of severe aortic stenosis (SAS) has expanded the therapeutic possibilities for successfully managing SAS in cases with intermediate and high surgical risks. However, the complications and outcomes of new devices have not been studied enough. Hence, the purpose of this study is to evaluate the midterm results of the Core Valve and Evolute R self-expandable (SE) devices versus the Edwards SAPIEN balloon-expandable (BE) devices. Methods and Material: This was a quasi-experimental study conducted in Tehran, Iran, from May 2012 to June 2017. SAS patients who were not ideal candidates for surgery were randomly assigned to either SE or BE groups. For each patient, a questionnaire, including four sections comprised of Basic characteristics, echocardiographic, angiographic, and Computed Tomography (CT) scan data was filled. TAVI was followed by echocardiography a week later and after three months they were reevaluated by another questionnaire. Results: The total number of patients was 60. The mean ages of patients undergoing the procedure with SE or BE devices were 81.2 ± 8 and 79.8 ± 7, respectively. Mortality occurred in 20% of the patients (5 cases in the SE group and 7 cases in the BE); mortality causes were 66.6 % cardiac and 33% non-cardiac. Moderate to severe Paravalvular leakage in both groups did not differ significantly. The mortality rate was 5 (41.6%) in the SE group versus 7 (58.3%) in the BE group (P > 0.05). Conclusion: In conclusion, the BE group did not experience fewer paravalvular leaks in comparison with the SE. Morbidity and mortality between the BE and the SE groups did not differ significantly.","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136053211","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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