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The RIFLE Classification: A Stratification Scheme for Patients of Acute Renal Failure after Coronary Artery Bypass Surgery 冠状动脉搭桥术后急性肾功能衰竭患者的RIFLE分级:分层方案
Pub Date : 2022-04-06 DOI: 10.3329/cardio.v14i2.58780
Background: Acute renal failure is linked to an increased risk of death and morbidity after cardiac surgery. Because there are no standard criteria for acute renal damage, there is a wide variation in the reports that have been published. The Acute Dialysis Quality Initiative Workgroup has developed new RIFLE criteria for acute renal dysfunction. The goal of current study was to appraise whether this definition of postoperative renal dysfunction after coronary artery bypass surgery (CABG) was accurate.Methods: Fifty patients with critical coronary artery disease & undergoing CABG were enrolled in the study. Out of 50 patients, 25 patients had CABG with cardiopulmonary bypass (CPB) and remaining 25 underwent off pump CABG (OPCAB). Patients were distributed into various groups (based on the severity of renal impairment) using the RIFLE classification: Risk, Injury, Failure, Loss, End-stage kidney disease) depending on either serum creatinine level/ estimated glomerular filtration rate (eGFR) or urine output. The variation with 30 days-mortality, ICU stay and renal replacement therapy after CABG were identified.Results: After CABG, 10% of patients experienced renal impairment, as per definitions of RIFLE classification. In this study, there is no significant difference in ARF (RIFLE classification-normal and risk) with or without use of CPB. However, incidence of RIFLE- injury and failure is higher in CPB group than no CPB group. The postoperative proportions of death and renal failure necessitating renal replacement therapy (RRT) were 2% (number of patients, 1 of 50) and 2% (1 of 50), respectively in RIFLE-failure. For the whole study cohort, the median duration of postoperative ICU stay was 4.0 days, with interquartile ranges of 3.0 to 7.0 days. All the patients of Rifle classification-injury and failure had prolonged ICU stay (5 or more days).Conclusions: The RIFLE criteria are a useful tool for determining renal impairment after CABG. Increased renal replacement treatment, longer ICU stays, and a higher death rate are all linked to the severity of RIFLE classification.Cardiovasc j 2022; 14(2): 150-156
背景:急性肾衰竭与心脏手术后死亡和发病风险增加有关。由于没有急性肾损害的标准,在已发表的报告中有很大的差异。急性透析质量倡议工作组制定了急性肾功能不全的新步枪标准。本研究的目的是评估冠状动脉搭桥手术(CABG)后肾功能不全的定义是否准确。方法:选取50例危重冠状动脉病变行冠脉搭桥的患者作为研究对象。在50例患者中,25例患者行CABG合并体外循环(CPB),其余25例患者行体外循环CABG (OPCAB)。根据血清肌酐水平/估计肾小球滤过率(eGFR)或尿量,使用RIFLE分类(风险、损伤、衰竭、丧失、终末期肾病)将患者分为不同的组(基于肾功能损害的严重程度)。确定CABG后30天死亡率、ICU住院时间和肾脏替代治疗的变化。结果:CABG后,10%的患者出现肾功能损害,符合RIFLE分类定义。在本研究中,使用CPB或不使用CPB的ARF(步枪分类-正常和危险)无显著差异。然而,CPB组的RIFLE-损伤和失败发生率高于未CPB组。术后死亡和肾衰竭需要肾替代治疗(RRT)的比例分别为2%(50例患者中有1例)和2%(50例患者中有1例)。在整个研究队列中,术后ICU住院时间中位数为4.0天,四分位数间范围为3.0 ~ 7.0天。所有Rifle分类-损伤和失败的患者都延长了ICU的住院时间(5天及以上)。结论:RIFLE标准是判断冠脉搭桥术后肾功能损害的有效工具。增加的肾脏替代治疗、更长的ICU住院时间和更高的死亡率都与RIFLE分类的严重程度有关。心血管病杂志[j] 2022;14 (2): 150 - 156
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引用次数: 0
Bilateral Pulmonary Thromboendarterectomy for a Patient with Chronic Pulmonary Thromboembolism Developing Severe Pulmonary Hypertension – A Case Report 双侧肺血栓动脉内膜切除术治疗慢性肺血栓栓塞并发严重肺动脉高压1例
Pub Date : 2022-04-06 DOI: 10.3329/cardio.v14i2.58783
Chronic thromboembolic pulmonary hypertension (CTEPH) is a disease with high mortality and few treatment options. Pulmonary thromboendarterectomy (PTE) is the treatment of choice to relieve pulmonary artery obstruction in patients with chronic thromboembolic pulmonary hypertension (CTEPH). This is a challenging procedure in our perspective because of number of regions such as, late diagnosis, scarcity of appropriate instruments, lack of skilled surgeon as it is not familiar to them. Here we are presenting such a case that was also diagnosed incidentally. We successfully operated the patient with chronic pulmonary thromboembolism with severe pulmonary hypertension.Cardiovasc j 2022; 14(2): 176-179
慢性血栓栓塞性肺动脉高压(CTEPH)是一种死亡率高且治疗选择少的疾病。肺血栓动脉内膜切除术(PTE)是缓解慢性血栓栓塞性肺动脉高压(CTEPH)患者肺动脉阻塞的治疗选择。在我们看来,这是一个具有挑战性的过程,因为许多地区,如诊断晚,缺乏适当的仪器,缺乏熟练的外科医生,因为他们不熟悉。在这里,我们提出这样一个病例,也是偶然诊断的。我们成功地手术了一例慢性肺血栓栓塞合并严重肺动脉高压的患者。心血管病杂志[j] 2022;14 (2): 176 - 179
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引用次数: 0
In-hospital Outcome of Acute Anterior Myocardial Infarction with Right Ventricular Dysfunction 急性前壁心肌梗死合并右室功能障碍的住院疗效
Pub Date : 2022-04-06 DOI: 10.3329/cardio.v14i2.58777
Background: In anterior ST-segment elevation myocardial infarction (STEMI), attention paid mainly to the left ventricle. The predictive significance of right ventricular (RV) dysfunction in patients with anterior STEMI has been frequently neglected. In this study, we evaluated the prognostic effect of RV dysfunction on in-hospital outcomes in patients with first anterior STEMI.Methods: Present study is based on the analysis of 77 patients admitted to Coronary care unit of the Sir Salimullah Medical College & Mitford Hospital, Dhaka during April, 2019 to March, 2020, with acute anterior wall myocardial infarction. 12 lead ECG with thorough physical examination was done along with echocardiographic assessment of RV and LV function within index hospitalization, preferably within 24 hours of admission. Patients were divided into two groups depending on right ventricular function assessment. Group I included anterior MI with right ventricular dysfunction and group II included anterior MI without right ventricular dysfunction. In hospital outcomes were observed and compared between two groups.Results: Patients with RV dysfunction had statistically significant higher incidence of cardiogenic shock (22.2 % vs. 2.4%, p < 0.05), acute heart failure (69.4% vs. 24.4%, p < 0.05), arrhythmia (11.1% vs. 0.0%, p < 0.05), increase length of hospital stay in patients of RV dysfunction group. In-hospital mortality was non significantly higher in RV dysfunction group (8.3% vs. 2.4%, p > 0.305).Conclusion: In this study, we observed that in-hospital outcomes were worse in patients with anterior STEMI with RV dysfunction and demands more intense invasive management. Thus, special care should be given for the assessment function of right ventricle in anterior STEMI.Cardiovasc j 2022; 14(2): 128-134
背景:在st段抬高型心肌梗死(STEMI)中,人们主要关注左心室。右心室功能障碍在STEMI前路患者中的预测意义经常被忽视。在这项研究中,我们评估了右心室功能障碍对首次前路STEMI患者住院预后的影响。方法:本研究基于2019年4月至2020年3月在达卡Sir Salimullah医学院& Mitford医院冠状动脉监护室收治的77例急性前壁心肌梗死患者的分析。12导联心电图伴全面体格检查,超声心动图评估左室和左室功能,最好在入院24小时内完成。根据右心室功能评分将患者分为两组。I组为前路心肌梗死伴右室功能不全组,II组为前路心肌梗死伴右室功能不全组。观察两组的住院情况并进行比较。结果:右心室功能障碍组心源性休克发生率(22.2% vs. 2.4%, p < 0.05)、急性心力衰竭发生率(69.4% vs. 24.4%, p < 0.05)、心律失常发生率(11.1% vs. 0.0%, p < 0.05)、住院时间延长均有统计学意义。右心室功能障碍组住院死亡率无显著性增高(8.3% vs. 2.4%, p < 0.05)。结论:在本研究中,我们观察到伴有左心室功能障碍的STEMI前路患者的住院预后更差,需要更强的侵入性治疗。因此,在评估STEMI前路右心室功能时应特别注意。心血管病杂志[j] 2022;14 (2): 128 - 134
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引用次数: 0
Adult Congenital Heart Disease and Percutaneous Interventions : Analysis of Cases over five years in a Bangladeshi Center 成人先天性心脏病和经皮介入治疗:孟加拉国中心五年来的病例分析
Pub Date : 2022-04-06 DOI: 10.3329/cardio.v14i2.58776
Background: In recent year ‘s considerable progress has been made in the early diagnosis and treatment of congenital heart disease (CHD) and a significant number of children are expected to survive into adulthood after completion of treatment. This has created a scope of a substantial population of patients with adult congenital heart disease. In Bangladesh, milder or simple from of congenital heart diseases are prevalent among populations but palliated and treated cases of CHD are gradually increasing the load of work for adult congenital heart disease (ACHD) professionals. Many of these cases can be treated by transcatheter intervention with excellent outcome.Methods: This is a retrospective study conducted in a tertiary level cardiac hospitals of Bangladesh from January 2015 to December 2020. All cases aging 18 years and above were included who had undergone cardiac catheterization or percutaneous interventions. Data were collected from Echocardiography department, Catheterization Laboratory and indoor department. Follow up data were collected from echocardiography and outpatient department.Results: Total Two hundred Ninety-four cases were enrolled for cardiac catheterization. Two hundred eighteen cases had various types of intervention. Most of the cases were in 18-25 years age group. Among shunt lesions, 165 cases (56.12%) had atrial septal defect (ASD), 48(22.02%) had ventricular septal defect (VSD), 32 (14.67%) had patent ductus arteriosus (PDA), and 4(1.83%) had patent foramen ovale (PFO). Device closure was performed in 120(55.04%) cases of ASD, 13(5.96%) cases of VSD, 30 (13.76%) cases of PDA and in 4(1.83%) cases of PFO. Nineteen (8.72%) had valvuloplasty for pulmonary stenosis (PS), 2 (0.68%) had valvuloplasty for aortic stenosis (AS), 2(0.068%) had coarctoplasty for coarctation of the aorta (CoA), 4 (1.83%) had percutaneous pulmonary valve implantation (PPVI). Seventeen (7.79%) cases had double intervention of ASD device closure and pulmonary stenosis, 5 (2,29%) cases had ASD and PDA device closure and 2 (0.92%) cases had PDA device closure and balloon coarctoplasty. ASD device was embolized in 4 cases. There were no other complications.Conclusion: Outcome of intervention in ACHD was found safe and effective and no significant short or long-term complications were noticed.Cardiovasc j 2022; 14(2): 121-127
背景:近年来,在先天性心脏病(CHD)的早期诊断和治疗方面取得了相当大的进展,相当多的儿童在完成治疗后有望存活到成年。这为成人先天性心脏病患者创造了一个相当大的人群范围。在孟加拉国,较轻或单纯的先天性心脏病在人群中很普遍,但冠心病得到缓解和治疗的病例正逐渐增加成人先天性心脏病专业人员的工作量。许多此类病例可经导管介入治疗,效果良好。方法:回顾性研究于2015年1月至2020年12月在孟加拉国一家三级心脏医院进行。所有年龄在18岁及以上的患者均接受过心导管插入术或经皮介入治疗。数据来自超声心动图科、导管室和室内科。随访资料收集自超声心动图和门诊。结果:共纳入294例心导管插入术。218个病例进行了不同类型的干预。病例以18 ~ 25岁年龄组居多。分流病变中,房间隔缺损165例(56.12%),室间隔缺损48例(22.02%),动脉导管未闭32例(14.67%),卵圆孔未闭4例(1.83%)。ASD 120例(55.04%),VSD 13例(5.96%),PDA 30例(13.76%),PFO 4例(1.83%)。肺动脉狭窄瓣膜成形术19例(8.72%),主动脉狭窄瓣膜成形术2例(0.68%),主动脉缩窄瓣膜成形术2例(0.068%),经皮肺动脉瓣植入术4例(1.83%)。ASD闭锁合并肺动脉狭窄双介入17例(7.79%),ASD闭锁合并PDA 5例(2.29%),PDA闭锁合并气囊成形术2例(0.92%)。ASD装置栓塞4例。没有其他并发症。结论:ACHD的干预结局安全有效,无明显的短期或长期并发症。心血管病杂志[j] 2022;14 (2): 121 - 127
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引用次数: 0
Role of Sex on the Clinical Outcomes of Coronary Artery Diseases Treated with Drug-Eluting Stents 性别对药物洗脱支架治疗冠状动脉疾病临床疗效的影响
Pub Date : 2022-04-06 DOI: 10.3329/cardio.v14i2.58781
Background: With consideration of differing cardiac characteristics between women and men, such as coronary vessel sizes, this study was constructed to investigate if sex-based differences are present following drug-eluting stent implantation.Methods: Using PubMed and MeSH search tags, published data analyzing the potential sex differences in clinical outcomes following drug-eluting stent implantation was collected.Results: As compared to male patients, women had similar incidences of major adverse cardiac events and stent thrombosis at long-term follow-up despite being found to consistently have smaller vessels, higher incidences of advanced age, diabetes mellitus, and hypertension at hospital admission. At short-term follow-up, however, women had an increase of major adverse cardiac events as compared to men with complex lesions. Furthermore, height may play a role in clinical outcomes following treatment with a drug-eluting stent. Additionally, women may have superior healing responses with lower neointimal obstruction and lower maximum cross-sectional narrowing following drugeluting stent implantation.Conclusions: When differing baseline characteristics were corrected for with multivariate analysis, drug-eluting stents demonstrate similar clinical outcomes in women and men at long-term follow-up.Cardiovasc j 2022; 14(2): 157-167
背景:考虑到女性和男性心脏特征的不同,如冠状血管大小,本研究旨在调查药物洗脱支架植入后是否存在性别差异。方法:使用PubMed和MeSH检索标签,收集已发表的分析药物洗脱支架植入术后临床结果的潜在性别差异的数据。结果:与男性患者相比,在长期随访中,女性的主要心脏不良事件和支架血栓的发生率相似,尽管在入院时发现女性的血管始终较小,高龄、糖尿病和高血压的发生率较高。然而,在短期随访中,与患有复杂病变的男性相比,女性的主要不良心脏事件增加。此外,身高可能在药物洗脱支架治疗后的临床结果中起作用。此外,女性在药物凝胶支架植入后,新生内膜梗阻和最大横断面狭窄程度较低,可能有更好的愈合反应。结论:当不同的基线特征被多变量分析校正后,药物洗脱支架在长期随访中在女性和男性中显示出相似的临床结果。心血管病杂志[j] 2022;14 (2): 157 - 167
{"title":"Role of Sex on the Clinical Outcomes of Coronary Artery Diseases Treated with Drug-Eluting Stents","authors":"Prabjot K. Batth, Mohammed Alsabri","doi":"10.3329/cardio.v14i2.58781","DOIUrl":"https://doi.org/10.3329/cardio.v14i2.58781","url":null,"abstract":"Background: With consideration of differing cardiac characteristics between women and men, such as coronary vessel sizes, this study was constructed to investigate if sex-based differences are present following drug-eluting stent implantation.\u0000Methods: Using PubMed and MeSH search tags, published data analyzing the potential sex differences in clinical outcomes following drug-eluting stent implantation was collected.\u0000Results: As compared to male patients, women had similar incidences of major adverse cardiac events and stent thrombosis at long-term follow-up despite being found to consistently have smaller vessels, higher incidences of advanced age, diabetes mellitus, and hypertension at hospital admission. At short-term follow-up, however, women had an increase of major adverse cardiac events as compared to men with complex lesions. Furthermore, height may play a role in clinical outcomes following treatment with a drug-eluting stent. Additionally, women may have superior healing responses with lower neointimal obstruction and lower maximum cross-sectional narrowing following drugeluting stent implantation.\u0000Conclusions: When differing baseline characteristics were corrected for with multivariate analysis, drug-eluting stents demonstrate similar clinical outcomes in women and men at long-term follow-up.\u0000Cardiovasc j 2022; 14(2): 157-167","PeriodicalId":9438,"journal":{"name":"Cardiovascular Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88905291","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}
引用次数: 0
Superiority of Admission Blood Urea Nitrogen over Serum Creatinine in Predicting In-Hospital Outcome of Patients with Acute Coronary Syndrome 入院时尿素氮比血清肌酐在预测急性冠脉综合征患者住院预后中的优势
Pub Date : 2022-04-06 DOI: 10.3329/cardio.v14i2.58778
Background: Serum creatinine and blood urea nitrogen (BUN) are the common markers of renal function and also one of the known predictors of adverse outcomes of acute coronary syndrome (ACS). The aim of this study is to assess the impact of elevated BUN on in-hospital outcome of ACS patients and superiority of BUN over creatinine for the assessment of in-hospital outcome in our setting. Methods: This prospective observational study with purposive sampling of a total of 184 patients was conducted from October, 2009 to September, 2010. Based on normal cut off values (BUN and serum creatinine was <20 mg/dl and <1.4 mg/dl respectively) all the patients were divided into four groups; group I- both BUN and serum creatinine are normal, group-II- normal BUN and high serum creatinine, group-III- high BUN and normal serum creatinine, group-IV- - both BUN and serum creatinine are high. In-hospital data like hemodynamic conditions, heart failure, arrhythmias, conduction abnormalities, death etc. were noted. Assessment of in-hospital outcome of ACS patients and comparison to elevated serum creatinine and elevated BUN was done. Results: ACS patients with only raised BUN level had more occurrence of cardiogenic shock (p=0.008), left ventricular failure (p=0.020), ventricular Tachycardia (p=0.022), ventricular fibrillation (P=0.037) and complete AV block (p=0.022) than those with only raised serum creatinine. In hospital mortality and hospital stay was also increased in ACS patients with elevated BUN than elevated serum creatinine (p value is 0.022 and 0.007 respectively). Conclusion: Incidence of in-hospital death, cardiogenic shock, left ventricular failure, arrhythmia and duration of hospital stay were significantly (p<0.05) higher in patients who had raised BUN than raised serum creatinine. It is observed that elevated BUN is a better predictor of in-hospital outcome of ACS patients than elevated creatinine. Cardiovasc j 2022; 14(2): 135-142
背景:血清肌酐和血尿素氮(BUN)是肾功能的常见指标,也是已知的急性冠脉综合征(ACS)不良结局的预测指标之一。本研究的目的是评估BUN升高对ACS患者住院结果的影响,以及在我们的环境中BUN优于肌酐评估住院结果。方法:本研究于2009年10月至2010年9月对184例患者进行前瞻性观察性研究。根据正常临界值(BUN <20 mg/dl,血清肌酐<1.4 mg/dl)将患者分为4组;组- BUN和血清肌酐均正常,组- BUN正常且血清肌酐偏高,组- BUN高且血清肌酐正常,组- BUN高且血清肌酐正常,组- BUN和血清肌酐均高。记录了血流动力学状况、心力衰竭、心律失常、传导异常、死亡等住院数据。评估ACS患者的住院结果,并比较血清肌酐升高和BUN升高。结果:单纯BUN升高的ACS患者发生心源性休克(p=0.008)、左心衰(p=0.020)、室性心动过速(p=0.022)、心室颤动(p= 0.037)和完全性房室传导阻滞(p=0.022)的比例高于单纯血清肌酐升高的ACS患者。与血清肌酐升高相比,BUN升高的ACS患者住院死亡率和住院时间明显增加(p值分别为0.022和0.007)。结论:BUN升高患者的院内死亡、心源性休克、左心衰、心律失常发生率及住院时间均显著高于血清肌酐升高患者(p<0.05)。观察到BUN升高比肌酐升高更能预测ACS患者的住院预后。心血管病杂志[j] 2022;14 (2): 135 - 142
{"title":"Superiority of Admission Blood Urea Nitrogen over Serum Creatinine in Predicting In-Hospital Outcome of Patients with Acute Coronary Syndrome","authors":"Md Saiful Islam, Mst. Ismot Ara, Md HN Ashiqur Rahman, M. Ullah, Md. Mostafizur Rahman, Md Sarwar Alam, Mamunur Rashid Shikder, Mohammad Abrar Kaiser, Md Aks Zahid Mahmud Khan, Md. Mojibur Rahman","doi":"10.3329/cardio.v14i2.58778","DOIUrl":"https://doi.org/10.3329/cardio.v14i2.58778","url":null,"abstract":"Background: Serum creatinine and blood urea nitrogen (BUN) are the common markers of renal function and also one of the known predictors of adverse outcomes of acute coronary syndrome (ACS). The aim of this study is to assess the impact of elevated BUN on in-hospital outcome of ACS patients and superiority of BUN over creatinine for the assessment of in-hospital outcome in our setting. Methods: This prospective observational study with purposive sampling of a total of 184 patients was conducted from October, 2009 to September, 2010. Based on normal cut off values (BUN and serum creatinine was <20 mg/dl and <1.4 mg/dl respectively) all the patients were divided into four groups; group I- both BUN and serum creatinine are normal, group-II- normal BUN and high serum creatinine, group-III- high BUN and normal serum creatinine, group-IV- - both BUN and serum creatinine are high. In-hospital data like hemodynamic conditions, heart failure, arrhythmias, conduction abnormalities, death etc. were noted. Assessment of in-hospital outcome of ACS patients and comparison to elevated serum creatinine and elevated BUN was done. Results: ACS patients with only raised BUN level had more occurrence of cardiogenic shock (p=0.008), left ventricular failure (p=0.020), ventricular Tachycardia (p=0.022), ventricular fibrillation (P=0.037) and complete AV block (p=0.022) than those with only raised serum creatinine. In hospital mortality and hospital stay was also increased in ACS patients with elevated BUN than elevated serum creatinine (p value is 0.022 and 0.007 respectively). Conclusion: Incidence of in-hospital death, cardiogenic shock, left ventricular failure, arrhythmia and duration of hospital stay were significantly (p<0.05) higher in patients who had raised BUN than raised serum creatinine. It is observed that elevated BUN is a better predictor of in-hospital outcome of ACS patients than elevated creatinine. Cardiovasc j 2022; 14(2): 135-142","PeriodicalId":9438,"journal":{"name":"Cardiovascular Journal","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84847826","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}
引用次数: 0
Hypertension in Geriatric Population 老年人群的高血压
Pub Date : 2022-04-06 DOI: 10.3329/cardio.v14i2.58773
Abstract not availableCardiovasc j 2022; 14(2): 101-102
[摘要]心内科杂志[j] 2022;14 (2): 101 - 102
{"title":"Hypertension in Geriatric Population","authors":"A. Majumder","doi":"10.3329/cardio.v14i2.58773","DOIUrl":"https://doi.org/10.3329/cardio.v14i2.58773","url":null,"abstract":"Abstract not available\u0000Cardiovasc j 2022; 14(2): 101-102","PeriodicalId":9438,"journal":{"name":"Cardiovascular Journal","volume":"304 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75384698","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}
引用次数: 0
Relationship between QRS duration on Admission ECG and Angiographic Severity of Coronary Artery Disease in Patients with Acute Anterior Myocardial Infarction 急性前壁心肌梗死患者入院心电图QRS时间与冠脉造影严重程度的关系
Pub Date : 2022-04-06 DOI: 10.3329/cardio.v14i2.58779
Background: Early risk stratification of patients with myocardial infarction is critical to determine optimum treatment strategies and improve outcomes. This study was designed to determine the relation between QRS duration on admission ECG and severity of coronary artery disease (CAD) in patients with acute anterior myocardial infarction (AMI).Methods: This observational study was carried out from November 2019 to October 2020 with total of 100 patients with first attack of anterior MI who were treated with thrombolytic therapy. Based on the cut-off value of QRS duration 100, the patients were divided into two groups – one group with QRS duration £100 msec (normal QRS) and another group with QRS duration > 100 msec (prolonged QRS). Severity of CAD was assessed using Gensini score derived from coronary angiographic data. Gensini score < 36 points was regarded as mild coronary artery disease and Gensini score ³36 points as moderate to severe coronary artery disease. Then patients with prolonged and normal QRS durations were compared with severity of CAD to find their association.Results: Acute AMI patients with prolonged QRS duration (> 100 msec) more often tend to be associated with severe CAD. Risk of having severe CAD in patients with prolonged QRS duration were almost 8 (95% of CI = 3.2– 19.3) times higher than those with normal QRS duration (£100 msec) (p < 0.001).Conclusion: The study concluded that three out of four patients of acute anterior MI with prolonged QRS duration are likely to have severe CAD. QRS duration more than 100 msec can be used as a cheap, easily available prognostic factor in patients with acute anterior MI.Cardiovasc j 2022; 14(2): 143-149
背景:心肌梗死患者的早期风险分层对于确定最佳治疗策略和改善预后至关重要。本研究旨在确定急性前壁心肌梗死(AMI)患者入院心电图QRS时间与冠状动脉疾病(CAD)严重程度的关系。方法:本观察性研究于2019年11月至2020年10月对100例首次发作的前路心肌梗死患者进行溶栓治疗。根据QRS持续时间的临界值100,将患者分为QRS持续时间£100 msec组(正常QRS组)和QRS持续时间> 100 msec组(延长QRS组)。采用冠状动脉造影数据得出的Gensini评分来评估冠心病的严重程度。Gensini评分< 36分为轻度冠状动脉病变,Gensini评分³36分为中重度冠状动脉病变。然后比较QRS持续时间延长和正常的患者的CAD严重程度,以发现它们之间的关联。结果:QRS持续时间延长(> 100 msec)的急性AMI患者往往伴有严重的CAD。QRS持续时间延长的患者发生严重CAD的风险几乎是QRS持续时间正常(100毫秒)患者的8倍(95% CI = 3.2 - 19.3) (p < 0.001)。结论:本研究认为,QRS持续时间延长的急性前路心肌梗死患者中有3 / 4可能存在严重的CAD。QRS持续时间超过100毫秒可作为一种廉价、容易获得的急性前路心肌梗死患者预后因素。14 (2): 143 - 149
{"title":"Relationship between QRS duration on Admission ECG and Angiographic Severity of Coronary Artery Disease in Patients with Acute Anterior Myocardial Infarction","authors":"M. Rahman, M. Ullah, Md. Iqbal Hossain, Md Bonday Ali, Md Abdul Kader Akanda","doi":"10.3329/cardio.v14i2.58779","DOIUrl":"https://doi.org/10.3329/cardio.v14i2.58779","url":null,"abstract":"Background: Early risk stratification of patients with myocardial infarction is critical to determine optimum treatment strategies and improve outcomes. This study was designed to determine the relation between QRS duration on admission ECG and severity of coronary artery disease (CAD) in patients with acute anterior myocardial infarction (AMI).\u0000Methods: This observational study was carried out from November 2019 to October 2020 with total of 100 patients with first attack of anterior MI who were treated with thrombolytic therapy. Based on the cut-off value of QRS duration 100, the patients were divided into two groups – one group with QRS duration £100 msec (normal QRS) and another group with QRS duration > 100 msec (prolonged QRS). Severity of CAD was assessed using Gensini score derived from coronary angiographic data. Gensini score < 36 points was regarded as mild coronary artery disease and Gensini score ³36 points as moderate to severe coronary artery disease. Then patients with prolonged and normal QRS durations were compared with severity of CAD to find their association.\u0000Results: Acute AMI patients with prolonged QRS duration (> 100 msec) more often tend to be associated with severe CAD. Risk of having severe CAD in patients with prolonged QRS duration were almost 8 (95% of CI = 3.2– 19.3) times higher than those with normal QRS duration (£100 msec) (p < 0.001).\u0000Conclusion: The study concluded that three out of four patients of acute anterior MI with prolonged QRS duration are likely to have severe CAD. QRS duration more than 100 msec can be used as a cheap, easily available prognostic factor in patients with acute anterior MI.\u0000Cardiovasc j 2022; 14(2): 143-149","PeriodicalId":9438,"journal":{"name":"Cardiovascular Journal","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85761815","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}
引用次数: 0
Patent Foramen Ovale and Cryptogenic Stroke : A Case Report 卵圆孔未闭与隐源性脑卒中1例
Pub Date : 2022-04-06 DOI: 10.3329/cardio.v14i2.58784
A 22 years old lady presented to emergency department of a private hospital with weakness and inability to move right side of the body along with aphasia, dizziness and headache since early morning. During process of evaluation and investigation she recovered spontaneously within few hours after conservative management. Magnetic resonance imaging of brain pre and post contrast along with MR angiography showed acute left parietal infarct. ECG excludes atrial fibrillation. Echocardiography later revealed tunnel shaped patent foramen ovale (PFO) with atrial septal aneurysm(ASA). Percutaneous closure of PFO was planned to prevent recurrence of stroke in this young lady.Cardiovasc j 2022; 14(2): 180-184
女,22岁,因右侧身体无力、不能活动,自清晨起出现失语、头晕、头痛等症状,到私立医院急诊科就诊。在评估和调查过程中,她在保守治疗后几小时内自行恢复。脑磁共振造影前后及磁共振血管造影显示急性左顶叶梗死。心电图排除房颤。超声心动图显示隧道状卵圆孔未闭伴房间隔动脉瘤(ASA)。经皮PFO关闭计划,以防止中风的复发,这位年轻的女士。心血管病杂志[j] 2022;14 (2): 180 - 184
{"title":"Patent Foramen Ovale and Cryptogenic Stroke : A Case Report","authors":"N. Fatema, A. Khan","doi":"10.3329/cardio.v14i2.58784","DOIUrl":"https://doi.org/10.3329/cardio.v14i2.58784","url":null,"abstract":"A 22 years old lady presented to emergency department of a private hospital with weakness and inability to move right side of the body along with aphasia, dizziness and headache since early morning. During process of evaluation and investigation she recovered spontaneously within few hours after conservative management. Magnetic resonance imaging of brain pre and post contrast along with MR angiography showed acute left parietal infarct. ECG excludes atrial fibrillation. Echocardiography later revealed tunnel shaped patent foramen ovale (PFO) with atrial septal aneurysm(ASA). Percutaneous closure of PFO was planned to prevent recurrence of stroke in this young lady.\u0000Cardiovasc j 2022; 14(2): 180-184","PeriodicalId":9438,"journal":{"name":"Cardiovascular Journal","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88199334","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}
引用次数: 0
David Procedure for Valve-Sparing Aortic Root Replacement in a Marfan Syndrome Patient 保留瓣膜的主动脉根置换术治疗马凡氏综合征患者
Pub Date : 2022-04-06 DOI: 10.3329/cardio.v14i2.58785
Valve-sparing aortic root replacement (VSRR) is an established treatment method for aortic root dilatation and aortic valve insufficiency (AI). It was developed to restore the aortic valve functions in patients of aortic root aneurysms with morphologically normal aortic valve. We hereby present a case of 67 years, male, with aortic root aneurysm and severe aortic regurgitation who was treated successfully by David’s procedure for valve sparing aortic root replacement technique.Cardiovasc j 2022; 14(2): 185-190
保留瓣膜的主动脉根部置换术(VSRR)是一种成熟的治疗主动脉根部扩张和主动脉瓣功能不全(AI)的方法。它是用于恢复主动脉瓣形态正常的主动脉根部动脉瘤患者的主动脉瓣功能。我们在此报告一例67岁的男性,患有主动脉根部动脉瘤和严重的主动脉反流,通过David的保留瓣膜的主动脉根部置换技术成功治疗。心血管病杂志[j] 2022;14 (2): 185 - 190
{"title":"David Procedure for Valve-Sparing Aortic Root Replacement in a Marfan Syndrome Patient","authors":"S. Gupta, Sharif Hasan, Sarmistha Biswas, Tanvir Ahmed, Mozibul Haque, P. Chanda","doi":"10.3329/cardio.v14i2.58785","DOIUrl":"https://doi.org/10.3329/cardio.v14i2.58785","url":null,"abstract":"Valve-sparing aortic root replacement (VSRR) is an established treatment method for aortic root dilatation and aortic valve insufficiency (AI). It was developed to restore the aortic valve functions in patients of aortic root aneurysms with morphologically normal aortic valve. We hereby present a case of 67 years, male, with aortic root aneurysm and severe aortic regurgitation who was treated successfully by David’s procedure for valve sparing aortic root replacement technique.\u0000Cardiovasc j 2022; 14(2): 185-190","PeriodicalId":9438,"journal":{"name":"Cardiovascular Journal","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86379340","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}
引用次数: 0
期刊
Cardiovascular Journal
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