Pub Date : 2022-01-01DOI: 10.4236/wjcd.2022.121007
Mohamed Sanhoury, G. Fassini, Salvatore Pala, M. Moltrasio, F. Tundo, S. Riva, A. Russo, M. Casella, C. Tondo
{"title":"Study of the Impact of the Patient Rhythm during Cryoballoon Ablation on the Acute Biophysical Parameters","authors":"Mohamed Sanhoury, G. Fassini, Salvatore Pala, M. Moltrasio, F. Tundo, S. Riva, A. Russo, M. Casella, C. Tondo","doi":"10.4236/wjcd.2022.121007","DOIUrl":"https://doi.org/10.4236/wjcd.2022.121007","url":null,"abstract":"","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70869117","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 : 2022-01-01DOI: 10.4236/wjcd.2022.1211053
L. Codjo, S. Dohou, Sèdjro Raoul Atadé, F. Atika, H. N. Amegan, C. Biaou, K. M. Hounkponou, D. Sonou, M. P. Adjagba, M. D. Soude, Dominique Sacca, Mèdéssè Rolande Quenum, Aude Sourou Bodjrenou, M. Houénassi
{"title":"Complications of Peripartum Cardiomyopathy at the Departmental University Hospital Teaching of Borgou (Benin) in 2022: About 3 Cases","authors":"L. Codjo, S. Dohou, Sèdjro Raoul Atadé, F. Atika, H. N. Amegan, C. Biaou, K. M. Hounkponou, D. Sonou, M. P. Adjagba, M. D. Soude, Dominique Sacca, Mèdéssè Rolande Quenum, Aude Sourou Bodjrenou, M. Houénassi","doi":"10.4236/wjcd.2022.1211053","DOIUrl":"https://doi.org/10.4236/wjcd.2022.1211053","url":null,"abstract":"","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70869765","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 : 2022-01-01DOI: 10.4236/wjcd.2022.126029
Adrian Espejel-Guzman, Valente Fernandez-Badillo, Javier Serrano-Roman, Enrique Solorzano-Pinot, S. Críales-Vera, María Del Carmen Lopez-Rodríguez, C. Keirns, Daniel Zagal-Cardoso, N. Espinola-Zavaleta
{"title":"An Unusual Presentation of Aortic Dissection and Aneurysmatic Disease in Marfan Syndrome: A Case Report","authors":"Adrian Espejel-Guzman, Valente Fernandez-Badillo, Javier Serrano-Roman, Enrique Solorzano-Pinot, S. Críales-Vera, María Del Carmen Lopez-Rodríguez, C. Keirns, Daniel Zagal-Cardoso, N. Espinola-Zavaleta","doi":"10.4236/wjcd.2022.126029","DOIUrl":"https://doi.org/10.4236/wjcd.2022.126029","url":null,"abstract":"","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70870397","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 : 2022-01-01DOI: 10.4236/wjcd.2022.121006
K. Nakashima, H. Kumakura, R. Funada, Yae Matsuo, Kimimasa Sakata, Akiko Ichikawa, T. Iwasaki, S. Ichikawa
Background: The aim of the current study was to assess fifteen-year life expectancy, cardiovascular events, fate of the limb, and risk factors with or without polyvascular disease in patients with Peripheral Arterial Disease (PAD). Methods: We conducted a prospective cohort study in 1019 PAD patients. The endpoints were Cardiovascular or Cerebrovascular Death (CCVD), All-Cause Death (ACD), Major Adverse Cardiovascular Events (MACE), and Cardiovascular and/or Limb Events (CVLE). Results: The patients who died were 539 (52.9%) during follow-up periods. The rate of CCVD was 50.5% (n = 272). In multiple regression analysis, the number of affected arteries had correlations with estimated Glomerular Filtration Rate (eGFR), HDL-cholesterol, Ankle Brachial Pressure Index (ABI), and diabetes (p < 0.05). In multiple logistic analysis, PAD with Cerebrovascular Disease (CVD) was cor related with older age, ABI, eGFR, and atrial fibrillation (p < 0.05); to CVLE (p < 0.05). Statins improved all outcomes (p < 0.05). Conclusions: Polyvascular disease was independently associated with fifteen-year mortality, cardiovascular events, and the fate of the limb with diverse risk factors in PAD patients.
{"title":"Long-Term Prognosis and Predictive Risk Factors for Polyvascular Disease in Patients with Peripheral Arterial Disease","authors":"K. Nakashima, H. Kumakura, R. Funada, Yae Matsuo, Kimimasa Sakata, Akiko Ichikawa, T. Iwasaki, S. Ichikawa","doi":"10.4236/wjcd.2022.121006","DOIUrl":"https://doi.org/10.4236/wjcd.2022.121006","url":null,"abstract":"Background: The aim of the current study was to assess fifteen-year life expectancy, cardiovascular events, fate of the limb, and risk factors with or without polyvascular disease in patients with Peripheral Arterial Disease (PAD). Methods: We conducted a prospective cohort study in 1019 PAD patients. The endpoints were Cardiovascular or Cerebrovascular Death (CCVD), All-Cause Death (ACD), Major Adverse Cardiovascular Events (MACE), and Cardiovascular and/or Limb Events (CVLE). Results: The patients who died were 539 (52.9%) during follow-up periods. The rate of CCVD was 50.5% (n = 272). In multiple regression analysis, the number of affected arteries had correlations with estimated Glomerular Filtration Rate (eGFR), HDL-cholesterol, Ankle Brachial Pressure Index (ABI), and diabetes (p < 0.05). In multiple logistic analysis, PAD with Cerebrovascular Disease (CVD) was cor related with older age, ABI, eGFR, and atrial fibrillation (p < 0.05); to CVLE (p < 0.05). Statins improved all outcomes (p < 0.05). Conclusions: Polyvascular disease was independently associated with fifteen-year mortality, cardiovascular events, and the fate of the limb with diverse risk factors in PAD patients.","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70869092","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 : 2022-01-01DOI: 10.4236/wjcd.2022.1210048
Solange Flore Ngamami Mongo, B. E. Mbolla, Franck Yannis Kouikani, Kivié Mou-Moué Ngolo Letomo, R. Bakekolo, C. K. Landa
{"title":"Marfan Syndrome Complicated by Aortic Arch Aneurysm and Aortic Dissection: A Case Report from Congo","authors":"Solange Flore Ngamami Mongo, B. E. Mbolla, Franck Yannis Kouikani, Kivié Mou-Moué Ngolo Letomo, R. Bakekolo, C. K. Landa","doi":"10.4236/wjcd.2022.1210048","DOIUrl":"https://doi.org/10.4236/wjcd.2022.1210048","url":null,"abstract":"","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70869373","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 : 2022-01-01DOI: 10.4236/wjcd.2022.122013
B. Traoré, S. Sidibé, Souleymane Mariko, Karamoko Kantako, M. Konaté, Kalifa Diallo, N. Diallo, M. Sako, A. K. Sacko, Y. Kassambara, I. Menta, S. Coulibaly
{"title":"Cardio-Renal Syndrome: Epidemiological Aspect in the Medicine Department of Tombouctou Hospital","authors":"B. Traoré, S. Sidibé, Souleymane Mariko, Karamoko Kantako, M. Konaté, Kalifa Diallo, N. Diallo, M. Sako, A. K. Sacko, Y. Kassambara, I. Menta, S. Coulibaly","doi":"10.4236/wjcd.2022.122013","DOIUrl":"https://doi.org/10.4236/wjcd.2022.122013","url":null,"abstract":"","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70869868","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 : 2022-01-01DOI: 10.4236/wjcd.2022.123015
Mohamed Sanhoury, S. Elsayed, A. Almaghraby, M. Hassanein, A. Alkafafy
{"title":"FACE-HF: Focused Assessment by Chest Sonography and Echocardiography in Acute Heart Failure Patients","authors":"Mohamed Sanhoury, S. Elsayed, A. Almaghraby, M. Hassanein, A. Alkafafy","doi":"10.4236/wjcd.2022.123015","DOIUrl":"https://doi.org/10.4236/wjcd.2022.123015","url":null,"abstract":"","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70869984","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 : 2022-01-01DOI: 10.4236/wjcd.2022.126030
Adymas Perdana, M. A. Nugroho, S. Suhartono, M. A. Sobirin
{"title":"Risk Factors for Mortality of Patients Waiting for Elective Coronary Artery Bypass Graft Surgery","authors":"Adymas Perdana, M. A. Nugroho, S. Suhartono, M. A. Sobirin","doi":"10.4236/wjcd.2022.126030","DOIUrl":"https://doi.org/10.4236/wjcd.2022.126030","url":null,"abstract":"","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70870565","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 : 2022-01-01DOI: 10.4236/wjcd.2022.127035
D. Kumanayaka, Zaid Amin, Ahsan Khan, Addi Suleiman
Percutaneous mitral valve repair has shown to be a less-invasive treatment option for patients with symptomatic severe mitral regurgitation (MR) with multiple comorbidities. We describe a case of improved mitral regurgitation due to improved atrial fibrillation secondary to left atrial pressure relief after the inter-atrial defect created during an unsuccessful mitraclip placement attempt. Transthoracic Echocardiogram that was performed on admission showed severe mitral valve regurgitation. She was not a surgical candidate due to multiple co-morbidities. Patient was then medically optimized and a percutaneous MitraClip placement (PMCP) was attempted but was unsuccessful due to excessive trans-mitral gradient and the procedure was aborted. How-ever, left atrial pressure decreased, likely secondary to inter-atrial septal defect created by the procedure. Transesophageal echocardiogram performed post-op showed moderate and improved mitral regurgitation and sinus rhythm. Attempts to convert atrial fibrillation to sinus rhythm to improve mitral regurgitation had to be made before continuing with a mitral clip placement procedure in our case. In our case, the procedure itself did not help patient’s symptoms, but the resulting acute atrial pressure relief improved mitral regurgitation overall due to left to right shunt from iASD, which also helped the rhythm.
{"title":"A Rare Case of Improved Mitral Regurgitation after the Inter-Atrial Septal Defect Created during an Unsuccessful Percutaneous Mitra-Clip Placement Attempt","authors":"D. Kumanayaka, Zaid Amin, Ahsan Khan, Addi Suleiman","doi":"10.4236/wjcd.2022.127035","DOIUrl":"https://doi.org/10.4236/wjcd.2022.127035","url":null,"abstract":"Percutaneous mitral valve repair has shown to be a less-invasive treatment option for patients with symptomatic severe mitral regurgitation (MR) with multiple comorbidities. We describe a case of improved mitral regurgitation due to improved atrial fibrillation secondary to left atrial pressure relief after the inter-atrial defect created during an unsuccessful mitraclip placement attempt. Transthoracic Echocardiogram that was performed on admission showed severe mitral valve regurgitation. She was not a surgical candidate due to multiple co-morbidities. Patient was then medically optimized and a percutaneous MitraClip placement (PMCP) was attempted but was unsuccessful due to excessive trans-mitral gradient and the procedure was aborted. How-ever, left atrial pressure decreased, likely secondary to inter-atrial septal defect created by the procedure. Transesophageal echocardiogram performed post-op showed moderate and improved mitral regurgitation and sinus rhythm. Attempts to convert atrial fibrillation to sinus rhythm to improve mitral regurgitation had to be made before continuing with a mitral clip placement procedure in our case. In our case, the procedure itself did not help patient’s symptoms, but the resulting acute atrial pressure relief improved mitral regurgitation overall due to left to right shunt from iASD, which also helped the rhythm.","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70870863","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 : 2022-01-01DOI: 10.4236/wjcd.2022.128044
J. Kingma
Objective: Exposure of the heart to repeated, brief episodes of coronary oc-clusion/reperfusion prevents lethal myocyte injury. Necrosis and apoptosis, two seemingly distinct mechanisms of cell death caused by ischemia could contribute independently to progressive loss of myocardium. Studies suggest that ischemic conditioning (IC) lessens myocyte injury by decreasing apoptosis. The goal of this study was to examine cell death in rabbit hearts subject to ischemia-reperfusion injury without (nIC) or with pretreatment by IC. Methods: In the control study, anesthetized, male rabbits (n = 4/group) un-derwent 30-min regional coronary occlusion (CO) and either 3, 6 or 24 h reperfusion (REP). In the IC study, rabbits were pretreated by IC (2 cycles of 5-min CO and 10-min REP) before 30-min CO and subsequent REP. Addi-tional groups were evaluated with 60, or 120-min CO followed by up to 96 h REP. Agarose electrophoresis was used to detect DNA laddering and poly (ADP-ribose) polymerase (PARP; chromatin bound nuclear DNA repair enzyme) was assessed in myocardial biopsies. Results: Genomic DNA from nIC and IC hearts showed no oligonucleosomal fragmentation. In addition, we did not detect any cleavage of PARP; however, myocardial PARP levels decreased when CO and REP durations were prolonged. Conclusion: Absence of genomic DNA fragmentation or PARP cleavage in an in vivo preparation of ischemia-reperfusion injury does not support the view that apoptosis contributes markedly to post-ischemic tissue necrosis.
{"title":"Contribution of Myocyte Apoptosis to Myocardial Injury in an <i>in Vivo</i> Rabbit Preparation of Ischemia-Reperfusion","authors":"J. Kingma","doi":"10.4236/wjcd.2022.128044","DOIUrl":"https://doi.org/10.4236/wjcd.2022.128044","url":null,"abstract":"Objective: Exposure of the heart to repeated, brief episodes of coronary oc-clusion/reperfusion prevents lethal myocyte injury. Necrosis and apoptosis, two seemingly distinct mechanisms of cell death caused by ischemia could contribute independently to progressive loss of myocardium. Studies suggest that ischemic conditioning (IC) lessens myocyte injury by decreasing apoptosis. The goal of this study was to examine cell death in rabbit hearts subject to ischemia-reperfusion injury without (nIC) or with pretreatment by IC. Methods: In the control study, anesthetized, male rabbits (n = 4/group) un-derwent 30-min regional coronary occlusion (CO) and either 3, 6 or 24 h reperfusion (REP). In the IC study, rabbits were pretreated by IC (2 cycles of 5-min CO and 10-min REP) before 30-min CO and subsequent REP. Addi-tional groups were evaluated with 60, or 120-min CO followed by up to 96 h REP. Agarose electrophoresis was used to detect DNA laddering and poly (ADP-ribose) polymerase (PARP; chromatin bound nuclear DNA repair enzyme) was assessed in myocardial biopsies. Results: Genomic DNA from nIC and IC hearts showed no oligonucleosomal fragmentation. In addition, we did not detect any cleavage of PARP; however, myocardial PARP levels decreased when CO and REP durations were prolonged. Conclusion: Absence of genomic DNA fragmentation or PARP cleavage in an in vivo preparation of ischemia-reperfusion injury does not support the view that apoptosis contributes markedly to post-ischemic tissue necrosis.","PeriodicalId":67027,"journal":{"name":"心血管病(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70871220","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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