Pub Date : 2025-02-01DOI: 10.1016/j.ancard.2024.101860
Yassine Rabab, Ndao Serigne Cheikh Tidiane, Ka Mame Madjiguene, Mboup Waly Niang, Fall Aissatou, Dia Khadidiatou, Mboup Mouhamed Chérif
Introduction
Heart failure is a major public health problem because of the number and duration of hospitalizations. Patients with heart failure may have mixed etiologies that are not mutually exclusive, and etiologies vary between high-income and developing countries. The aim of our work was to study the contribution of coronary angiography in the etiological investigation of heart failure with impaired LVEF in the cardiology department of HPD.
Methodology
This was a descriptive and analytical cross-sectional study with retrospective data collection on 103 patients hospitalized in the cardiology department of DAKAR's Hospital Principal presenting with heart failure with impaired LVEF and who underwent coronary angiography from January 2019 to December 2022.
Results
Our study included 103 patients with a clear male predominance 79.6% and a sex ratio of 3.7. Their mean age was 64±13.5 years. Diabetes was prevalent at 24.3% (p=0.033). All patients had impaired segmental and/or global left ventricular kinetics. Mean ejection fraction was 28.1±6.8. The right radial route was predominantly used 83.7% of the time, and there were no procedural incidents or accidents. Diabetes was significantly associated with coronary involvement (p=0.033). Coronary angiography was normal in 37.8% of patients and showed tri-truncular lesions in 19.4% of patients and bi-truncular lesions in 17.4%.
We found 91 significant lesion and 67 non-significant lesion. A total of 41 patients had ischemic heart disease, equivalent to 39.8%.
Conclusion
Our study shows that ischemic heart disease plays an important role in the etiology of heart failure with impaired LVEF, and that coronary angiography should be performed routinely.
{"title":"Coronarographie et étiologies de l'insuffisance cardiaque à fraction d’éjection ventriculaire gauche altérée au Sénégal","authors":"Yassine Rabab, Ndao Serigne Cheikh Tidiane, Ka Mame Madjiguene, Mboup Waly Niang, Fall Aissatou, Dia Khadidiatou, Mboup Mouhamed Chérif","doi":"10.1016/j.ancard.2024.101860","DOIUrl":"10.1016/j.ancard.2024.101860","url":null,"abstract":"<div><h3>Introduction</h3><div>Heart failure is a major public health problem because of the number and duration of hospitalizations. Patients with heart failure may have mixed etiologies that are not mutually exclusive, and etiologies vary between high-income and developing countries. The aim of our work was to study the contribution of coronary angiography in the etiological investigation of heart failure with impaired LVEF in the cardiology department of HPD.</div></div><div><h3>Methodology</h3><div>This was a descriptive and analytical cross-sectional study with retrospective data collection on 103 patients hospitalized in the cardiology department of DAKAR's Hospital Principal presenting with heart failure with impaired LVEF and who underwent coronary angiography from January 2019 to December 2022.</div></div><div><h3>Results</h3><div>Our study included 103 patients with a clear male predominance 79.6% and a sex ratio of 3.7. Their mean age was 64±13.5 years. Diabetes was prevalent at 24.3% (<em>p</em>=0.033). All patients had impaired segmental and/or global left ventricular kinetics. Mean ejection fraction was 28.1±6.8. The right radial route was predominantly used 83.7% of the time, and there were no procedural incidents or accidents. Diabetes was significantly associated with coronary involvement (<em>p</em>=0.033). Coronary angiography was normal in 37.8% of patients and showed tri-truncular lesions in 19.4% of patients and bi-truncular lesions in 17.4%.</div><div>We found 91 significant lesion and 67 non-significant lesion. A total of 41 patients had ischemic heart disease, equivalent to 39.8%.</div></div><div><h3>Conclusion</h3><div>Our study shows that ischemic heart disease plays an important role in the etiology of heart failure with impaired LVEF, and that coronary angiography should be performed routinely.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 1","pages":"Article 101860"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142963558","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 : 2025-02-01DOI: 10.1016/S0003-3928(25)00010-1
{"title":"Sommaire","authors":"","doi":"10.1016/S0003-3928(25)00010-1","DOIUrl":"10.1016/S0003-3928(25)00010-1","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 1","pages":"Article 101871"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143180454","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 : 2025-02-01DOI: 10.1016/j.ancard.2024.101855
I. Atlas, M. Khaldi, S. Hayar, M. Haboub, S. Arous, E.M. Benouna, A. Drighil, R. Habbal
Introduction
Mature teratomas, a diverse group of germ cell tumors, rarely present with complications such as rupture.
Case presentation
We present a case of a 27-year-old male who was admitted to our hospital with acute dyspnea. A tamponade was diagnosed and the patient underwent a pericardial puncture. Further radiological investigations revealed a large mediastinal teratoma with evidence of rupture, leading to pericardial effusion. Surgical intervention was performed, which involved pericardial drainage and complete resection of the teratoma. Histopathological examination confirmed the diagnosis of a mature teratoma. The patient made a full recovery postoperatively.
Discussion
This rare case underscores the importance of early recognition and prompt surgical management in patients with ruptured mediastinal teratomas to prevent complications. We discuss the clinical presentation, diagnostic workup, and surgical approach to aid in the understanding and management of similar cases.
Conclusion
Mature teratomas are relatively rare benign tumors that rarely present with complications such as tamponade. Management of tamponade remains the same, and complete surgical removal of the teratoma is essential. In general, the outcome is favorable after surgical treatment.
{"title":"Tamponnade due à la rupture d'un tératome mature : un cas rare","authors":"I. Atlas, M. Khaldi, S. Hayar, M. Haboub, S. Arous, E.M. Benouna, A. Drighil, R. Habbal","doi":"10.1016/j.ancard.2024.101855","DOIUrl":"10.1016/j.ancard.2024.101855","url":null,"abstract":"<div><h3>Introduction</h3><div>Mature teratomas, a diverse group of germ cell tumors, rarely present with complications such as rupture.</div></div><div><h3>Case presentation</h3><div>We present a case of a 27-year-old male who was admitted to our hospital with acute dyspnea. A tamponade was diagnosed and the patient underwent a pericardial puncture. Further radiological investigations revealed a large mediastinal teratoma with evidence of rupture, leading to pericardial effusion. Surgical intervention was performed, which involved pericardial drainage and complete resection of the teratoma. Histopathological examination confirmed the diagnosis of a mature teratoma. The patient made a full recovery postoperatively.</div></div><div><h3>Discussion</h3><div>This rare case underscores the importance of early recognition and prompt surgical management in patients with ruptured mediastinal teratomas to prevent complications. We discuss the clinical presentation, diagnostic workup, and surgical approach to aid in the understanding and management of similar cases.</div></div><div><h3>Conclusion</h3><div>Mature teratomas are relatively rare benign tumors that rarely present with complications such as tamponade. Management of tamponade remains the same, and complete surgical removal of the teratoma is essential. In general, the outcome is favorable after surgical treatment.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 1","pages":"Article 101855"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969446","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 : 2025-02-01DOI: 10.1016/j.ancard.2024.101858
Kaoutar Chafiq , Kaoutar Dib , Ahmed Zahidi , Mohamed Cherti , Anass Doukkali , Kaoutar El Menzhi
<div><h3>Introduction</h3><div>Nous vivons dans l’ère des innovations technologiques de l'information (TI) dans le secteur de la santé, cela a induit à l'appropriation de nouveaux modèles d'organisation qui modifient en profondeur la pratique de la médecine.</div><div>Notre étude vise à déterminer les enjeux des nouvelles technologies numériques sur le système de santé marocain, cas du service de cardiologie - B - du centre Hospitalier Universitaire Ibn Sina.</div></div><div><h3>Matériels et méthodes</h3><div>Il s'agit d'une étude monocentrique observationnelle descriptive analytique menée au niveau du service de cardiologie- B- durant 6 mois, à partir du 1<sup>er</sup> septembre 2022. Des questionnaires ont été distribués en support papier au personnel médical affilié ou effectuant leurs stages, utilisant un dispositif numérique au sein du service.</div></div><div><h3>Résultats</h3><div>Trente-et-un (31) réponses ont été collectées, soit un taux de participation de 78 %; l’âge des enquêtés varie entre 21 et 55 ans avec une moyenne de 30,3 ± 8,71 ans et une prédominance féminine de (67,7 %). Près de la moitié des professionnels de santé de notre échantillon 42 % étaient des résidents. Le dispositif numérique le plus déployé est le Système Informatique Hospitalier (SIH) dans 80,6 %; 93,5 % des répondants constataient le gain du temps est un des avantages de la télémédecine et 71 % des répondants qui affirmaient que le meilleur suivi des patients situés dans des zones enclavées afin d’éviter un renoncement aux soins. 74,2 % des enquêtés considéraient que les problèmes techniques constituaient un frein face au déploiement des actes à distance contre 22,2 % pour un diagnostic faible ; 64,5 % des sondés constataient que la formation serait un levier majeur pour intégrer plus d'acte à distance dans leurs pratiques et 54,5 % des enquêtés sont pour des créneaux d'horaire adaptés.</div></div><div><h3>Conclusion</h3><div>Les avantages perçus par les répondants de ces outils numériques sont nombreux bien qu'il y ait des freins empêchant la transformation digitale d'atteindre son plein potentiel. Le recours aux nouvelles technologies numériques dans ce secteur de santé répond à des enjeux positifs en termes d'efficience d'ordre organisationnel et éducationnel, cela implique la coordination de tous les acteurs. Le service de cardiologie – B - est un espace propice à la mise en place de nouvelles technologies numériques.</div></div><div><h3>Introduction</h3><div>We live in the era of information technology (IT) innovations in the health sector, this has led to the appropriation of new organizational models which are profoundly changing the practice of medicine.</div><div>Our study aims to determine the challenges of new digital technologies in the Moroccan health system, the case of the cardiology department - B - of the Ibn Sina University Hospital Center.</div></div><div><h3>Materials and methods</h3><div>This is a single-center observational descriptive-ana
导读：我们生活在卫生部门信息技术（IT）创新的时代，这导致了新的组织模式的挪用，这正在深刻地改变医学实践。我们的研究旨在确定新数字技术在摩洛哥卫生系统中的挑战，以Ibn Sina大学医院中心的心脏病科- B为例。材料与方法：本研究是一项单中心观察性描述性分析研究，于2022年9月1日起在心内科B级开展，为期6个月。使用服务内部的数字设备，以纸质形式向工作人员所属的医生或正在进行实习的医生分发调查表。结果：共收集问卷31份，参与率78%；被调查者的年龄在21 - 55岁之间，平均年龄为30.3±8.71岁，女性占67.7%，我们样本中几乎一半的卫生专业人员（42%）是居民。部署最多的数字设备是医院信息系统（HIS），占80.6%；93.5%的受访者指出，节省时间是远程医疗的优势之一，71%的受访者肯定，可以更好地监测位于偏远地区的患者，以避免放弃护理。74.2%的受访者认为技术问题是部署远程程序的障碍；相比之下，诊断不明确的比例为22.2%；64.5%的受访者指出，培训将是将更多远程活动纳入其实践的主要杠杆，54.5%的受访者赞成调整时间段。结论：尽管存在阻碍数字化转型充分发挥其潜力的障碍，但受访者认为这些数字化工具的好处很多。在这一卫生部门使用新的数字技术应对了组织和教育效率方面的积极挑战；这需要所有利益攸关方的协调。心内科- b -是一个有利于实施新型数字技术的空间。
{"title":"Les enjeux des nouvelles technologies numériques sur le système de santé marocain : cas du service de cardiologie -B- du Centre Hospitalier Universitaire Ibn Sina (CHUIS) Rabat","authors":"Kaoutar Chafiq , Kaoutar Dib , Ahmed Zahidi , Mohamed Cherti , Anass Doukkali , Kaoutar El Menzhi","doi":"10.1016/j.ancard.2024.101858","DOIUrl":"10.1016/j.ancard.2024.101858","url":null,"abstract":"<div><h3>Introduction</h3><div>Nous vivons dans l’ère des innovations technologiques de l'information (TI) dans le secteur de la santé, cela a induit à l'appropriation de nouveaux modèles d'organisation qui modifient en profondeur la pratique de la médecine.</div><div>Notre étude vise à déterminer les enjeux des nouvelles technologies numériques sur le système de santé marocain, cas du service de cardiologie - B - du centre Hospitalier Universitaire Ibn Sina.</div></div><div><h3>Matériels et méthodes</h3><div>Il s'agit d'une étude monocentrique observationnelle descriptive analytique menée au niveau du service de cardiologie- B- durant 6 mois, à partir du 1<sup>er</sup> septembre 2022. Des questionnaires ont été distribués en support papier au personnel médical affilié ou effectuant leurs stages, utilisant un dispositif numérique au sein du service.</div></div><div><h3>Résultats</h3><div>Trente-et-un (31) réponses ont été collectées, soit un taux de participation de 78 %; l’âge des enquêtés varie entre 21 et 55 ans avec une moyenne de 30,3 ± 8,71 ans et une prédominance féminine de (67,7 %). Près de la moitié des professionnels de santé de notre échantillon 42 % étaient des résidents. Le dispositif numérique le plus déployé est le Système Informatique Hospitalier (SIH) dans 80,6 %; 93,5 % des répondants constataient le gain du temps est un des avantages de la télémédecine et 71 % des répondants qui affirmaient que le meilleur suivi des patients situés dans des zones enclavées afin d’éviter un renoncement aux soins. 74,2 % des enquêtés considéraient que les problèmes techniques constituaient un frein face au déploiement des actes à distance contre 22,2 % pour un diagnostic faible ; 64,5 % des sondés constataient que la formation serait un levier majeur pour intégrer plus d'acte à distance dans leurs pratiques et 54,5 % des enquêtés sont pour des créneaux d'horaire adaptés.</div></div><div><h3>Conclusion</h3><div>Les avantages perçus par les répondants de ces outils numériques sont nombreux bien qu'il y ait des freins empêchant la transformation digitale d'atteindre son plein potentiel. Le recours aux nouvelles technologies numériques dans ce secteur de santé répond à des enjeux positifs en termes d'efficience d'ordre organisationnel et éducationnel, cela implique la coordination de tous les acteurs. Le service de cardiologie – B - est un espace propice à la mise en place de nouvelles technologies numériques.</div></div><div><h3>Introduction</h3><div>We live in the era of information technology (IT) innovations in the health sector, this has led to the appropriation of new organizational models which are profoundly changing the practice of medicine.</div><div>Our study aims to determine the challenges of new digital technologies in the Moroccan health system, the case of the cardiology department - B - of the Ibn Sina University Hospital Center.</div></div><div><h3>Materials and methods</h3><div>This is a single-center observational descriptive-ana","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 1","pages":"Article 101858"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969448","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 : 2025-02-01DOI: 10.1016/j.ancard.2024.101861
X. Humbert , E. Touze , J. Le Bas , L. Schonbrodt , P.-A. Couette , S. De Jaegher , A. Pithon , J. Alexandre , P.-E. Puddu
{"title":"Corrigendum to “Office white-coat effect tail: A useful tool in family practice?” [Annales de cardiologie et d'angéiologie 73/2 (2024) 101733]","authors":"X. Humbert , E. Touze , J. Le Bas , L. Schonbrodt , P.-A. Couette , S. De Jaegher , A. Pithon , J. Alexandre , P.-E. Puddu","doi":"10.1016/j.ancard.2024.101861","DOIUrl":"10.1016/j.ancard.2024.101861","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 1","pages":"Article 101861"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142963564","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 : 2024-11-20DOI: 10.1016/S0003-3928(24)00124-0
{"title":"Sommaire","authors":"","doi":"10.1016/S0003-3928(24)00124-0","DOIUrl":"10.1016/S0003-3928(24)00124-0","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"73 6","pages":"Article 101846"},"PeriodicalIF":0.3,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706658","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 : 2024-11-09DOI: 10.1016/j.ancard.2024.101841
Fatma Saïd, Ines Naceur, Mériem Jebri, Tayssir Ben Achour, Monia Smiti, Mohamed Habib Houman
Introduction
Therapeutic education of the patient (TPE) treated with AVK has improved the safety and efficiency of this treatment by establishing a new doctor-patient relationship. The objective of our study was to assess the impact of a TPE program on adherence in patients treated with AVK.
Methods
We conducted a prospective interventional study between January and September 2020, including two groups of patients hospitalized for a first thromboembolic: a G1 group with conventional service support and a G2 group with an ETP program created during this work. Each patient was assessed after three months of adherence to VKA.
Results
The two groups had comparable epidemiological and clinical characteristics. After three months, we found a level of adherence in the G2 group.
Conclusion
The implementation of an ETP practice in patients treated with AVK allowed a better patient compliance with a better involvement in the management. This practice should be codified through the development of a national FTE repository.
{"title":"Impact de l’éducation thérapeutique des patients sur l'observance thérapeutique chez des patients traités par des anti-vitamines K","authors":"Fatma Saïd, Ines Naceur, Mériem Jebri, Tayssir Ben Achour, Monia Smiti, Mohamed Habib Houman","doi":"10.1016/j.ancard.2024.101841","DOIUrl":"10.1016/j.ancard.2024.101841","url":null,"abstract":"<div><h3>Introduction</h3><div>Therapeutic education of the patient (TPE) treated with AVK has improved the safety and efficiency of this treatment by establishing a new doctor-patient relationship. The objective of our study was to assess the impact of a TPE program on adherence in patients treated with AVK.</div></div><div><h3>Methods</h3><div>We conducted a prospective interventional study between January and September 2020, including two groups of patients hospitalized for a first thromboembolic: a G1 group with conventional service support and a G2 group with an ETP program created during this work. Each patient was assessed after three months of adherence to VKA.</div></div><div><h3>Results</h3><div>The two groups had comparable epidemiological and clinical characteristics. After three months, we found a level of adherence in the G2 group.</div></div><div><h3>Conclusion</h3><div>The implementation of an ETP practice in patients treated with AVK allowed a better patient compliance with a better involvement in the management. This practice should be codified through the development of a national FTE repository.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"73 6","pages":"Article 101841"},"PeriodicalIF":0.3,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142612470","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 : 2024-11-09DOI: 10.1016/j.ancard.2024.101840
Ahmed Bendary , Ali Abdallah , Metwally Elemary , Yasser Hosny
Background
Patients with anterior ST elevation myocardial infarction (STEMI) are vulnerable to life-threatening ventricular arrhythmia and arrhythmic death. This study aimed to investigate the predictive value of Tpeak-to-Tend (TpTe) and TpTe/QT ratio in patients with anterior STEMI on admission for the occurrence of in-hospital life-threatening ventricular arrhythmias and arrhythmic death.
Methods
This observational cross-sectional research was performed on patients with anterior STEMI who showed up within 12 hours of the beginning of symptoms and received the initial percutaneous coronary intervention (pPCI). The primary study endpoints included the assessment of sustained ventricular arrhythmias and all-cause/arrhythmic deaths throughout the hospitalization. Data collection involved clinical history, vital signs monitoring, ECG measurements, LVEF evaluation, and performance of pPCI procedures.
Results
The studied patients had a mean age of 53 ± 11 years. Patients with arrhythmic events displayed a significant rise in QT dispersion, TpTe, TpTe/QT, and arrhythmic death rates (P < 0.05). A multivariate logistic regression examination revealed that HR (with an OR of 1.037 and a 95% CI of 1.004 to 1.071, P = 0.027), TpTe (with an OR of 1.025 and a 95% CI of 1.004 to 1.047, P = 0.022), and TpTe/QT (with an OR of 5.464 and a 95% CI of 2.027 to 14.726, P = 0.001) were found to be significant predictors of arrhythmic events or mortality.
Conclusion
In patients with anterior STEMI, TpTe and TpTe/QT ratio are significant predictors of in-hospital VA and arrhythmic death. Higher TpTe and TpTe/QT values are linked to a higher risk of these occurrences.
{"title":"Predictive Value of Tpeak-to-Tend/QT for Early Ventricular Arrhythmias and Arrhythmogenic Death in Patients with Anterior ST Elevation Myocardial Infarction","authors":"Ahmed Bendary , Ali Abdallah , Metwally Elemary , Yasser Hosny","doi":"10.1016/j.ancard.2024.101840","DOIUrl":"10.1016/j.ancard.2024.101840","url":null,"abstract":"<div><h3>Background</h3><div>Patients with anterior ST elevation myocardial infarction (STEMI) are vulnerable to life-threatening ventricular arrhythmia and arrhythmic death. This study aimed to investigate the predictive value of Tpeak-to-Tend (TpTe) and TpTe/QT ratio in patients with anterior STEMI on admission for the occurrence of in-hospital life-threatening ventricular arrhythmias and arrhythmic death.</div></div><div><h3>Methods</h3><div>This observational cross-sectional research was performed on patients with anterior STEMI who showed up within 12 hours of the beginning of symptoms and received the initial percutaneous coronary intervention (pPCI). The primary study endpoints included the assessment of sustained ventricular arrhythmias and all-cause/arrhythmic deaths throughout the hospitalization. Data collection involved clinical history, vital signs monitoring, ECG measurements, LVEF evaluation, and performance of pPCI procedures.</div></div><div><h3>Results</h3><div>The studied patients had a mean age of 53 ± 11 years. Patients with arrhythmic events displayed a significant rise in QT dispersion, TpTe, TpTe/QT, and arrhythmic death rates (<em>P</em> < 0.05). A multivariate logistic regression examination revealed that HR (with an OR of 1.037 and a 95% CI of 1.004 to 1.071, <em>P</em> = 0.027), TpTe (with an OR of 1.025 and a 95% CI of 1.004 to 1.047, <em>P</em> = 0.022), and TpTe/QT (with an OR of 5.464 and a 95% CI of 2.027 to 14.726, <em>P</em> = 0.001) were found to be significant predictors of arrhythmic events or mortality.</div></div><div><h3>Conclusion</h3><div>In patients with anterior STEMI, TpTe and TpTe/QT ratio are significant predictors of in-hospital VA and arrhythmic death. Higher TpTe and TpTe/QT values are linked to a higher risk of these occurrences.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"73 6","pages":"Article 101840"},"PeriodicalIF":0.3,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142612475","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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