Major aortopulmonary collateral arteries (MAPCAs) are congenital vessels that arise from the aorta or its first-order branches and are distally connected to the pulmonary arterial vasculature, thereby providing pulmonary blood flow. MAPCAs are often associated with cyanotic congenital heart disease with decreased pulmonary blood flow. Isolated MAPCAs are rare in patients without congenital heart disease with structurally normal hearts. Sometimes, isolated congenital MAPCAs can occur without any lung disease. Isolated MAPCAs represent the occurrence of collaterals in the absence of underlying heart disease, which commonly presents as heart failure, recurrent respiratory tract infection, and pulmonary artery hypertension. We report a rare case of congestive heart failure in a 6-year-old patient with dual arterial supply to an otherwise normal right lung, with a normal bronchial tree, and a structurally normal heart. The patient was successfully managed by the closure of collaterals by Amplatzer vascular plugs II (AVPII) and Amplatzer Piccolo Occluders.
{"title":"Isolated Major Aortopulmonary Collateral Artery Causing Heart Failure: Transcatheter Occlusion of Mapcas Using Amplatzer Vascular Plugs and Amplatzer Piccolo Occluders","authors":"Vakhtang Khelashvili, Iuri Fkhkadze, Tengiz Shiryaev, Omar Gogia","doi":"10.4236/wjcd.2023.1311062","DOIUrl":"https://doi.org/10.4236/wjcd.2023.1311062","url":null,"abstract":"Major aortopulmonary collateral arteries (MAPCAs) are congenital vessels that arise from the aorta or its first-order branches and are distally connected to the pulmonary arterial vasculature, thereby providing pulmonary blood flow. MAPCAs are often associated with cyanotic congenital heart disease with decreased pulmonary blood flow. Isolated MAPCAs are rare in patients without congenital heart disease with structurally normal hearts. Sometimes, isolated congenital MAPCAs can occur without any lung disease. Isolated MAPCAs represent the occurrence of collaterals in the absence of underlying heart disease, which commonly presents as heart failure, recurrent respiratory tract infection, and pulmonary artery hypertension. We report a rare case of congestive heart failure in a 6-year-old patient with dual arterial supply to an otherwise normal right lung, with a normal bronchial tree, and a structurally normal heart. The patient was successfully managed by the closure of collaterals by Amplatzer vascular plugs II (AVPII) and Amplatzer Piccolo Occluders.","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":"135659495","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}
Introduction: The care pathway for heart failure (HF) patients is poorly documented in sub-Saharan Africa. A multidisciplinary management reduces hospitalizations and mortality. In our context of frequent rehospitalization of heart failure patients, the objective of this study was to analyse the post-hospital follow-up health care. Methods: We conducted a prospective study in the medical department of a Heart Institute from January 1st to December 31, 2015. Patients over 18 years of age, hospitalized for heart failure, consenting and followed up on an outpatient basis for 2 years were included. Results: We collected 396 patients hospitalized for HF. The mean age was 57.4 ± 16 years with a male predominance (59.3%). Retired and unemployed people represented 27% and 16.2% respectively. During the post-hospitalization follow-up, patients who were regularly followed up represented 10.8% of the cases. 74.1% of the cases were regular patients. Patients were not followed up by the usual practitioner (58.2%). Only 94 patients had undergone a cardiovascular rehabilitation programme, of which 21.3% for exercise rehabilitation and 78.7% for therapeutic education. Patients who had attended titration sessions (n = 59) had reached optimal doses of ACE inhibitors, ARB II and beta blockers in 67.8%, 7.3% and 38.5% respectively. The rates of decompensation (73.3%) and rehospitalization (49.5%) were higher. The paraclinic check-up (ECG, X-ray, Cardiac Doppler ultrasonography, Biology) was rarely requested. The probability of survival was higher in patients regularly monitored than in those irregularly monitored. Conclusion: The organisation of care and coordination between professionals should be structured or planned. Therapeutic strategies need to be intensified in order to optimise their long-term benefits.
{"title":"Heart Failure: Organization of Care after Hospitalization at the Abidjan Cardiology Institute","authors":"Djenamba Bamba-Kamagaté, Esaïe Soya, Mbe Dagnogo, Kouassi Florent Koffi, Parfait Kouame, Jean Baptiste Anzouan-Kacou","doi":"10.4236/wjcd.2023.139055","DOIUrl":"https://doi.org/10.4236/wjcd.2023.139055","url":null,"abstract":"Introduction: The care pathway for heart failure (HF) patients is poorly documented in sub-Saharan Africa. A multidisciplinary management reduces hospitalizations and mortality. In our context of frequent rehospitalization of heart failure patients, the objective of this study was to analyse the post-hospital follow-up health care. Methods: We conducted a prospective study in the medical department of a Heart Institute from January 1st to December 31, 2015. Patients over 18 years of age, hospitalized for heart failure, consenting and followed up on an outpatient basis for 2 years were included. Results: We collected 396 patients hospitalized for HF. The mean age was 57.4 ± 16 years with a male predominance (59.3%). Retired and unemployed people represented 27% and 16.2% respectively. During the post-hospitalization follow-up, patients who were regularly followed up represented 10.8% of the cases. 74.1% of the cases were regular patients. Patients were not followed up by the usual practitioner (58.2%). Only 94 patients had undergone a cardiovascular rehabilitation programme, of which 21.3% for exercise rehabilitation and 78.7% for therapeutic education. Patients who had attended titration sessions (n = 59) had reached optimal doses of ACE inhibitors, ARB II and beta blockers in 67.8%, 7.3% and 38.5% respectively. The rates of decompensation (73.3%) and rehospitalization (49.5%) were higher. The paraclinic check-up (ECG, X-ray, Cardiac Doppler ultrasonography, Biology) was rarely requested. The probability of survival was higher in patients regularly monitored than in those irregularly monitored. Conclusion: The organisation of care and coordination between professionals should be structured or planned. Therapeutic strategies need to be intensified in order to optimise their long-term benefits.","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":"135800086","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.2023.131002
A. Adolphe, Shane L. Wilder, Teodor Duro, R. Eaton, D. Schade
{"title":"Improving Cardiovascular Risk Assessment to Optimize Therapy","authors":"A. Adolphe, Shane L. Wilder, Teodor Duro, R. Eaton, D. Schade","doi":"10.4236/wjcd.2023.131002","DOIUrl":"https://doi.org/10.4236/wjcd.2023.131002","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":"70871558","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.2023.131003
F. Kamdem, Grace Eugénie Makota Ndongo, C. Domngang, H. Bâ, Jaff Fenkeu Kweban, Glwadys Ngono Atéba, S. Mouliom, Henri Ngoté, Ladé Viché, C. Kenmegne, Marie Solange Ndom Ebongue, Siddikatou Djibrilla, Elysée Claude Bika Lele, S. Kingue
{"title":"Hygienic and Dietary Measures in Cameroonian Hypertensive Patients Followed at the Douala General Hospital: Knowledge, Compliance and Effect on Blood Pressure Control","authors":"F. Kamdem, Grace Eugénie Makota Ndongo, C. Domngang, H. Bâ, Jaff Fenkeu Kweban, Glwadys Ngono Atéba, S. Mouliom, Henri Ngoté, Ladé Viché, C. Kenmegne, Marie Solange Ndom Ebongue, Siddikatou Djibrilla, Elysée Claude Bika Lele, S. Kingue","doi":"10.4236/wjcd.2023.131003","DOIUrl":"https://doi.org/10.4236/wjcd.2023.131003","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":"70871575","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.2023.133012
H. Skouri, T. Massih, Saiid Chaaban, E. Chammas, Malek A. Mohamad, Samer Nasr, F. Turquieh
{"title":"Management of Heart Failure with Reduced Ejection Fraction Globally and in Lebanon: Where Do SGLT-2is Stand?","authors":"H. Skouri, T. Massih, Saiid Chaaban, E. Chammas, Malek A. Mohamad, Samer Nasr, F. Turquieh","doi":"10.4236/wjcd.2023.133012","DOIUrl":"https://doi.org/10.4236/wjcd.2023.133012","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":"70872219","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.2023.136026
N. Djita, I. Sylla, M. B. Bah, F. Collard, Sana Samoura, M. Balde, S. Diakite, I. Barry, A. Koné, E. Y. Baldé, M. Béavogui, M. Baldé, P. Chevalier
{"title":"Myocardial Perfusion Abnormalities in Patients with Hereditary Hypertrophic Cardiomyopathy: A Study of Three Cases and Review of the Literature","authors":"N. Djita, I. Sylla, M. B. Bah, F. Collard, Sana Samoura, M. Balde, S. Diakite, I. Barry, A. Koné, E. Y. Baldé, M. Béavogui, M. Baldé, P. Chevalier","doi":"10.4236/wjcd.2023.136026","DOIUrl":"https://doi.org/10.4236/wjcd.2023.136026","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":"70872662","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.2023.134019
Vakhtang Khelashvili, Iuri Fkhkadze, Nona Grdzelishvili, Tengiz Shiryaev, O. Gogia
{"title":"Circumflex Coronary Artery Fistulae Draining into Right Atrium: A Case Report","authors":"Vakhtang Khelashvili, Iuri Fkhkadze, Nona Grdzelishvili, Tengiz Shiryaev, O. Gogia","doi":"10.4236/wjcd.2023.134019","DOIUrl":"https://doi.org/10.4236/wjcd.2023.134019","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":"70872726","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.2023.134015
Barry Ibrahima Sory, Diakité Foussény, F. Fatoumata, Baldé El Hadj Yaya, Bah Mamadou Bassirou Mariama, B. Mariam, Soumaoro Morlaye, Camara Abdoulaye, S. Aly, K. Diarra, Koivogui Kokoulo, Diallo Salématou, Baldé Mamadou Dadhi
{"title":"Cardio-Renal Syndrome: Epidemiological, Clinical, Paraclinical, Etiological Aspects and Prognostic Factors in the Cardiology Department of the CHU Ignace Deen in Conakry","authors":"Barry Ibrahima Sory, Diakité Foussény, F. Fatoumata, Baldé El Hadj Yaya, Bah Mamadou Bassirou Mariama, B. Mariam, Soumaoro Morlaye, Camara Abdoulaye, S. Aly, K. Diarra, Koivogui Kokoulo, Diallo Salématou, Baldé Mamadou Dadhi","doi":"10.4236/wjcd.2023.134015","DOIUrl":"https://doi.org/10.4236/wjcd.2023.134015","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":"70872798","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.2023.138040
R. Upadhyay
{"title":"High Cholesterol Disorders, Myocardial Infarction and Its Therapeutics","authors":"R. Upadhyay","doi":"10.4236/wjcd.2023.138040","DOIUrl":"https://doi.org/10.4236/wjcd.2023.138040","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":"70873409","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.2023.137036
Suzanne U. Jao-Sanchez, Ramon T. Caceres, Shayne S. Calleja-Toledano
{"title":"The Prevalence of Heterozygous Familial Hypercholesterolemia among Adult Filipino Patients with Dyslipidemia at Universidad de Santa Isabel Health Services Department: An Observational Descriptive Prospective Study","authors":"Suzanne U. Jao-Sanchez, Ramon T. Caceres, Shayne S. Calleja-Toledano","doi":"10.4236/wjcd.2023.137036","DOIUrl":"https://doi.org/10.4236/wjcd.2023.137036","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":"70873437","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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