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Journal of the Saudi Heart Association

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https://www.readbyqxmd.com/read/28127223/irregular-wide-complex-tachycardia-in-a-young-man
#1
Jamal Kheyi, Ali Chaib
No abstract text is available yet for this article.
January 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28127222/full-disclosure-unraveling-the-mystery-of-a-wide-complex-tachycardia
#2
Mohammed Zahrani, Kevin Wolfe, Colette Seifer
Wide complex tachycardia is not uncommon in patients with underlying structural heart disease and reduced ejection fraction. It is important to make the correct diagnosis as it carries prognostic and clinical implications. We present a case of a challenging wide complex rhythm detected on remote telemetry monitoring. This case outlines the differential diagnosis of a wide complex tachycardia and the clues to making a diagnosis of artifact. It highlights the importance of correct diagnosis as an incorrect diagnosis may lead to inappropriate treatments and unnecessary investigations...
January 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28127221/embolization-of-a-septal-branch-perforation-using-subcutaneous-fat-during-a-percutaneous-coronary-intervention-of-chronic-total-occlusion-by-retrograde-approach
#3
Mohsen Mohandes, Sergio Rojas, Jordi Guarinos, Judit Rodríguez, Francisco Fernández, Cristina Moreno, Alfredo Bardají
We describe a case of septal branch perforation during percutaneous coronary intervention of a right coronary artery chronic total occlusion. The septal branch perforation was treated with administration of autologous fat into the septal branch with significant reduction of extravasation. This treatment was followed by prolonged balloon inflation at the exit point of the septal branch in the donor artery which definitively sealed the perforation.
January 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28127220/three-dimensional-echocardiography-of-a-tricuspid-valve-papillary-fibroelastoma
#4
Atooshe Rohani, Leila Bigdelu, Mohammadhasan Nezafati, Vahid Akbari
Papillary fibroelastomas (PFE) on tricuspid valve (TV) are rare, accounting for fewer than 11% of all PFE. Most often they are asymptomatic, and detect on mitral valve. We report a case of a typical chest pain found to be due to papillary fibroelastoma of the tricuspid valve.
January 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28127219/invasive-pericardial-hydatid-cyst-excision-of-multiple-huge-cysts
#5
Jignesh Kothari, Ketav Lakhia, Parth Solanki, Sahil Bansal, Hiren Boraniya, Himani Pandya, Himanshu Acharya
Cardiac hydatid cyst is rare even in endemic countries, and poses a therapeutic challenge due to varying presentation and unpredictable pre-, peri-, and postoperative complications. We herein present a case of multiple, multifocal, huge pericardial hydatid cyst, with invasion into the left ventricle and main pulmonary artery in a young male patient, presented with atypical chest pain.
January 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28127218/recurrent-takotsubo-with-prolonged-qt-and-torsade-de-pointes-and-left-ventricular-thrombus
#6
REVIEW
Alaa Eldin K Ahmed, Abdulhalim Serafi, Nadia S Sunni, Hussein Younes, Walid Hassan
Takotsubo cardiomyopathy, also known as "takotsubo syndrome," refers to transient apical ballooning syndrome, stress cardiomyopathy, or broken heart syndrome and is a recently recognized syndrome typically characterized by transient and reversible left ventricular dysfunction that develops in the setting of acute severe emotional or physical stress. Increased catecholamine levels have been proposed to play a central role in the pathogenesis of the disease, although the specific pathophysiology of this condition remains to be fully determined...
January 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28127217/extracardiac-manifestations-of-atrial-myxomas
#7
REVIEW
Braghadheeswar Thyagarajan, Monisha Priyadarshini Kumar, Shil Patel, Abhinav Agrawal
Primary cardiac tumors are extremely rare and constitute only about 5% of all cardiac tumors. Cardiac myxomas are noncancerous primary tumors of the heart and constitute about of 50% of all primary heart tumors. Left-sided atrial myxomas are more common than right-sided atrial myxomas. Atrial myxomas can lead to a triad of complications. The most common symptoms are associated with obstruction due to the size and location of the tumor. The next most common symptoms are associated with pulmonary and systemic embolization...
January 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28127216/microalbuminuria-is-a-late-event-in-patients-with-hypertension-do-we-need-a-lower-threshold
#8
Mohamed Abdel Kader Abdel Wahab, Mohamed Mohamed Saad, Khaled Abdel Ghany Baraka
BACKGROUND: Microalbuminuria (MA) is a marker of vascular damage. However, many studies have observed an increased risk at lower levels of albuminuria than are currently used to define MA. AIM: To verify early cardiovascular changes occurring before MA in hypertensive patients. MATERIALS AND METHODS: One hundred and fifty hypertensive patients and 60 normotensive individuals were divided into normotensive individuals with normal left ventricular (LV) geometry (Group I), hypertensive patients with normal LV geometry (Group II), and hypertensive patients with abnormal LV geometry (Group III)...
January 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28127215/use-of-short-term-steroids-in-the-prophylaxis-of-atrial-fibrillation-after-cardiac-surgery
#9
Zeyad Al-Shawabkeh, Khalid Al-Nawaesah, Razi Abu Anzeh, Hael Al-Odwan, Wasfi Azyoud Bashar Al-Rawashdeh, Haetham Altaani
OBJECTIVES: To assess the effectiveness of corticosteroids in the prophylaxis of postoperative atrial fibrillation (AF) in patients undergoing elective coronary artery bypass grafting or valvular heart surgery in terms of reducing its incidence and decreasing the length of hospital stay. METHODS: This prospective double blinded randomized study was conducted at Queen Alia Heart Institute (Amman, Jordan) from June 2014 to June 2015 on 340 patients who underwent their first on-pump elective coronary artery bypass grafting (CABG) alone or combined with valvular surgery...
January 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28127214/impact-of-coronary-artery-calcification-on-percutaneous-coronary-intervention-and-postprocedural-complications
#10
Rami M Abazid, M Obadah Kattea, Osama A Smettei, Yasir Beshir, Haitham Sakr
BACKGROUND: Excessive coronary calcification can lead to adverse outcomes after percutaneous coronary intervention (PCI). We therefore evaluated the impact of coronary calcium score (CCS) measured by multidetector computed tomography (MDCT) on immediate complications of PCI and rate of restenosis. METHODS: We performed a single-center retrospective analysis of 84 patients with coronary stenosis diagnosed by MDCT who underwent PCI. The Agatston method was used to measure total, target-vessel, and segmental (stent deployment site) CCS...
January 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28127213/components-and-determinants-of-therapeutic-delay-in-patients-with-acute-st-elevation-myocardial-infarction-a-tertiary-care-hospital-based-study
#11
Jahangir Rashid Beig, Nisar A Tramboo, Kuldeep Kumar, Irfan Yaqoob, Imran Hafeez, Fayaz A Rather, Tariq R Shah, Hilal A Rather
BACKGROUND: Delayed reperfusion is associated with worse outcomes in ST-segment elevation myocardial infarction (STEMI). This study was conducted to assess the components and determinants of therapeutic delay in STEMI patients of our state. METHODS: This study included consecutive patients of STEMI admitted to the coronary care units of two tertiary care hospitals in Srinagar, between 2012 and 2015. Various components of treatment delay including the patient's decision to delay, referral delay, transportation delay, prehospital delay, and door-to-needle time were calculated...
January 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28127212/the-effects-of-ramadan-fasting-on-patients-with-prosthetic-heart-valve-taking-warfarin-for-anticoagulation
#12
Muhammad O Awiwi, Zeynep Aslan Yagli, Ferruh Elbir, Ahmet Arif Aglar, Erhan Guler, Unsal Vural
INTRODUCTION: Oral anticoagulation with warfarin is indicated for patients with prosthetic heart valves. The effects of religious fasting during Ramadan month (in the Islamic calendar) on anticoagulation aren't clear. OBJECTIVES: To study the impact of Ramadan fasting on international normalized ratio (INR), quality of anticoagulation, dose of warfarin used and blood osmolarity. METHODS: 18 patients were followed-up prospectively for 3 months (pre- Ramadan, Ramadan and post-Ramadan months)...
January 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/27688680/cardiac-resynchronization-therapy-and-challenging-coronary-sinus-angiography
#13
Jamal Kheyi, Abdelilah BenelmekkI, Hicham Bouzelmat, Ali Chaib
No abstract text is available yet for this article.
October 2016: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/27688679/pheochromocytoma-presenting-as-an-acute-coronary-syndrome-complicated-by-acute-heart-failure-the-challenge-of-a-great-mimic
#14
Giuseppe Damiano Sanna, Giuseppe Talanas, Giuseppina Fiore, Antonella Canu, Pierfranco Terrosu
Pheochromocytoma is a rare neuroendocrine tumor with a highly variable clinical presentation. The serious and potentially lethal cardiovascular complications of these tumors are related to the effects of secreted catecholamines. We describe a case of a 50-year-old woman urgently admitted to our hospital because of symptoms and clinical and instrumental findings consistent with an acute coronary syndrome complicated by acute heart failure. Urgent coronary angiography showed normal coronary arteries. During her hospital stay, the recurrence of episodes characterized by a sudden increase in blood pressure, cold sweating, and nausea allowed us to hypothesize a pheochromocytoma...
October 2016: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/27688678/all-that-looks-like-brugada-is-not-brugada-case-series-of-brugada-phenocopy-caused-by-hyponatremia
#15
Yashwant Agrawal, Sourabh Aggarwal, Jagadeesh K Kalavakunta, Vishal Gupta
Brugada syndrome (BS), a life-threatening channelopathy associated with reduced inward sodium current due to dysfunctional sodium channels, is characterized by ST-segment elevation with downsloping "coved type" (type 1) or "saddle back" (type 2) pattern in V1-V3 precordial chest leads (1, 2). Brugada phenocopy, a term describing conditions inducing Brugada-like pattern of electrocardiogram (EKG) manifestations in patients without true BS, is an emerging condition (3). We describe a case series of Brugada phenocopy with hyponatremia...
October 2016: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/27688677/aorto-left-atrial-fistula-rare-cause-of-acute-cardiac-failure-in-a-previously-healthy-individual
#16
Yashwant Agrawal, Monoj Konda, Jagadeesh K Kalavakunta
Complications of valvular infective endocarditis involving the peri-annular region puts the patient at a significantly high risk of adverse outcomes including heart failure and death. The "mitral-aortic intervalvular fibrosa" is relatively avascular and offers little resistance to the spread of abscesses, aneurysm, and fistula formation. Aorto-cavitary fistulous tract formation in the setting of native valve infective endocarditis is associated with higher rates of heart failure, ventricular septal defect, and atrioventricular block than nonruptured abscesses...
October 2016: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/27688676/ortner-s-syndrome-cardiovocal-syndrome-caused-by-aortic-arch-pseudoaneurysm
#17
Adil H Al Kindi, Faiza A Al Kindi, Qasim S Al Abri, Nasser A Al Kemyani
72-year-old hypertensive presented with two weeks history of left sided chest pain and hoarseness. Workup demonstrated a pseudoaneurysm in the lesser curvature of the distal aortic arch opposite the origin of the left subclavian artery from a penetrating atherosclerotic ulcer. Following a left carotid-subclavian bypass, endovascular stenting of the aorta was performed excluding the pseudoaneurysm. Patient had excellent angiographic results post-stenting. Follow up at 12 weeks demonstrated complete resolution of his symptoms and good stent position with no endo-leak...
October 2016: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/27688675/a-continuous-murmur-following-a-nonpenetrating-chest-trauma
#18
Salma Charfeddine, Dorra Abid, Faten Triki, Souad Mallek, Leila Abid, Samir Kammoun, Ayman Dammak, Imed Frikha
We reported a rare case of non-penetrating chest trauma-induced fistula from the right sinus of Valsalva to the right heart chambers. The ruptured sinus of Valsalva aneurysm was diagnosed preoperatively and operated on successfully. The rarity of this case highlights the need for a precise preoperative diagnosis, the role of transthoracic echocardiography, and the importance of a prompt surgical management.
October 2016: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/27688674/single-coronary-artery-from-right-aortic-sinus-in-a-very-elderly-patient
#19
Prashanth Panduranga, Abdulla Amour Riyami
In the absence of other associated cardiac anomalies, single coronary artery (SCA) per se is a rare anomaly detected during coronary angiography or autopsy. Various types of SCA detected during coronary angiography have already been described. We herein report a type of SCA originating from the right sinus of Valsalva, with the right circumflex, left circumflex, and left anterior descending coronary arteries arising from the proximal part of the SCA in a 76-year-old female patient. She developed ventricular fibrillation during coronary angiography, which calls for caution while performing a coronary angiogram in such patients...
October 2016: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/27688673/arterial-stiffness-in-metabolic-syndrome
#20
Mona Adel, Ayman ELSheikh, Sameh Sameer, Waiel Haseeb, Eman ELSheikh, Lamia Kheder
UNLABELLED: Arterial stiffness is increasingly recognized as an important determinant of cardiovascular risk and may be directly involved in the process of atherosclerosis. As atherosclerosis leads to increased arterial resistance and decrease the flow propagation speed within the arterial lumen, a similar decrease in aortic flow propagation with increased downstream resistance is detected, so aortic flow propagation velocity AVP was evaluated in many studies as a new parameter of aortic stiffness...
October 2016: Journal of the Saudi Heart Association
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