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Journal of the Saudi Heart Association

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https://www.readbyqxmd.com/read/28652681/recurrent-takotsubo-syndrome-with-long-qtc-and-torsade-de-pointes-can-cellular-phone-based-acquisition-transmission-of-electrocardiogram-be-of-value
#1
John E Madias
No abstract text is available yet for this article.
July 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28652680/giant-aortic-pseudoaneurysm-following-prosthetic-aortic-root-substitution
#2
Tomás Benito-González, Marta Pinedo-Gago, Javier Gualis, Rodrigo Estévez-Loureiro, Mario Castaño, Felipe Fernández-Vázquez
No abstract text is available yet for this article.
July 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28652679/contrast-induced-thrombocytopenia-following-percutaneous-coronary-intervention
#3
Roberto Muniz Ferreira, João Mansur Filho, Paolo Blanco Villela, Juliano Carvalho Gomes de Almeida, Pedro Paulo Nogueres Sampaio, Felipe Neves de Albuquerque, Wolmar Pulcheri, Cláudio Buarque Benchimol
Contrast-induced thrombocytopenia is a rare complication distinguished by acute and severe platelet consumption, with spontaneous recovery within days. We describe a case of acute thrombocytopenia 6 hours after coronary angioplasty in a patient with a negative antiplatelet factor 4 test. The count reached 1 × 10(3)/µL, but improved spontaneously to 210 × 10(3)/µL after 8 days. In conclusion, physicians should be aware of this complication, particularly when dual antiplatelet therapy is being considered...
July 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28652678/pectus-excavatum-right-ventricular-compromise-with-orthostatic-syndrome-and-brugada-phenocopy
#4
Eftychios Siniorakis, Spyridon Arvanitakis, Panagiotis Tzevelekos, Stamatia Panta, Apostolos Balanis, Fotini Aivalioti, Sotiria Limberi
Pectus excavatum (PEXT) consists of an overgrowth of the chondral region with posterior displacement of the inferior part of the sternum, resulting in a concave chest deformity. Characteristic clinical and imaging findings may occur, depending on the compression that right cardiac chambers suffer, when squeezed between the sternum and the column vertebrae.
July 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28652677/anomalous-origin-of-circumflex-coronary-artery-from-right-pulmonary-artery-associated-with-atrial-septal-defect
#5
Mustafa A Al-Muhaya, Aitizaz Syed, Abdul Hameed A Najjar, Mohammad Mofeed, Mansour Al-Mutairi
We describe a 4-year-old girl with anomalous origin of the left circumflex coronary artery from the right pulmonary artery and large atrial septal defect. This is the first reported case of such association. Surgical reimplantation of the anomalous left circumflex coronary artery to the aorta and atrial septal defect surgical closure was performed, with no postoperative complications.
July 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28652676/utility-of-cardiac-magnetic-resonance-in-recurrent-myocarditis
#6
Abdullah M Alotaibi, Ahmed Aljizeeri, Mouaz Al-Mallah, Ahmed Alsaileek
We report a 26-year-old man who presented to the emergency department four times within a 4-year period with recurrent myocarditis. His presentations were characterized by chest pain, elevated troponin I, and normal coronary angiography. Endomyocardial biopsy showed nonspecific inflammatory process. Laboratory workup including viral screening and autoimmune markers were negative. Cardiac magnetic resonance imaging showed evidence of recurrent myocarditis with progressive appearance of new areas of myocardial delayed enhancement seen in each admission...
July 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28652675/eosinophilic-myocarditis-and-hypereosinophilic-syndrome
#7
Hanane Boussir, Amine Ghalem, Nabila Ismaili, Noha El Ouafi
Hypereosinophilic syndrome (HES) is a heterogeneous group of hematological disorders characterized by a chronic, unexplained hypereosinophilia with tissue damage. Cardiac involvement occurs in ∼20% of patients with HES and represents a major turning point. Cardiac injuries related to eosinophilia are divided into three chronological phases: eosinophilic infiltration, thrombosis, and fibrosis. We report a case of a 33-year-old woman diagnosed with HES, with pulmonary and gastrointestinal involvement and eosinophilic myocarditis in cardiogenic shock...
July 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28652674/evolution-of-ventricular-outpouching-through-the-fetal-and-postnatal-periods-unabating-dilemma-of-serial-observation-or-surgical-correction
#8
REVIEW
Niraj Kumar Dipak, Sumitra Venkatesh, Shakuntala Prabhu, Sudha Rao
Ventricular outpouching is a rare finding in prenatal sonography and the main differential diagnoses are diverticulum, aneurysm, and pseudoaneurysm in addition to congenital cysts and clefts. The various modes of fetal presentation of congenital ventricular outpouching include an abnormal four-chamber view on fetal two-dimensional echocardiogram, fetal arrhythmia, fetal hydrops, and pericardial effusion. Left ventricular aneurysm (LVA)/nonapical diverticula are usually isolated defects. Apical diverticula are always associated with midline thoracoabdominal defects (epigastric pulsating diverticulum or large omphalocele) and other structural malformations of the heart...
July 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28652673/cardiovascular-risk-factors-in-middle-eastern-patients-undergoing-percutaneous-coronary-intervention-results-from-the-first-jordanian-percutaneous-coronary-intervention-study
#9
Ayman J Hammoudeh, Imad A Alhaddad, Yousef Khader, Ramzi Tabbalat, Eyas Al-Mousa, Akram Saleh, Mohamad Jarrah, Assem Nammas, Mahmoud Izraiq
Background and aims: Cardiovascular disease (CVD) is the leading cause of death in the Middle East. We sought to study the prevalence and coexistence of 6 cardiovascular risk factors (RFs) among patients who underwent percutaneous coronary intervention (PCI), and to evaluate the impact of age and gender on the presence of multiple RFs. METHODS AND RESULTS: In this prospective, multicenter study, 2426 consecutive patients were enrolled. Mean age was 59.0 ± 10.1 years and 500 (20.6%) were women...
July 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28652672/independent-predictors-of-developing-pulmonary-hypertension-in-heart-failure-with-reduced-versus-preserved-ejection-fraction
#10
Alaa Roushdy, Walaa Adel
OBJECTIVES: To investigate the different clinical and echocardiographic predictors of evolving PH in patients with heart failure with and without reduced ejection fraction. METHODS AND RESULTS: The study included 153 heart failure patients with reduced ejection fraction (HFrEF) (n = 89) and preserved ejection fraction (HFpEF) (n = 64) both of which were subdivided into 2 subgroups according to the presence of PH. All patients were subjected to detailed clinical assessment and full transthoracic echocardiogram...
July 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28652671/aortic-velocity-propagation-a-novel-echocardiographic-method-in-predicting-atherosclerotic-coronary-artery-disease-burden
#11
Pakala Vasudeva Chetty, Durgaprasad Rajasekhar, Velam Vanajakshamma, Kummaraganti P Ranganayakulu, Dommara Kranthi Chaithanya
BACKGROUND: The major burden of cardiovascular disease mortality around the globe is due to atherosclerosis and its complications. Hence its early detection and management with easily accessible and noninvasive methods are valuable. Aortic velocity propagation (AVP) through color M-mode of the proximal descending aorta determines aortic stiffness, reflecting atherosclerosis. The aim of this study was to find the utility of AVP in predicting coronary artery disease (CAD) burden assessed through SYNTAX (SYNergy between percutaneous coronary intervention with TAXus and cardiac surgery) score and compared with carotid intima-media thickness (CIMT), which is an established surrogate marker of atherosclerosis...
July 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28652670/satisfaction-with-and-adherence-to-warfarin-treatment-a-cross-sectional-study-among-sudanese-patients
#12
Tarig Yousif Mohamed Eltayeb, Malik Suliman Mohamed, Abubaker Ibrahim Elbur, Ahmed Sayed Ahmed Elsayed
BACKGROUND: Satisfaction with and adherence to oral anticoagulant treatment are important measures that decrease morbidity and mortality. Higher satisfaction and adherence to warfarin therapy was found to be associated among other factors with good International Normalized Ratio (INR) control. OBJECTIVES: To assess patient satisfaction with and adherence to oral anticoagulant therapy and to identify predictors of the two studied domains. METHODS: A cross-sectional study was conducted at the Cardiothoracic Clinic in Alshaab Teaching Hospital; Khartoum; Sudan during March-April 2015...
July 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28652669/early-postoperative-paravalvular-leak-among-egyptian-population-an-observational-study
#13
Noha Hassanin, Yasser Sharaf, Waleed Ammar, Amr Y H Sayed
OBJECTIVES: Several reports described the incidence of postoperative paravalvular leakage (PVL) early after valve replacement surgery, however, there is a paucity of data regarding the outcomes and complications correlated to the severity of PVL. The aim of the current study was to evaluate the incidence, causes, and short term outcome of early postoperative PVL. METHODS: Data were collected from patients presenting to the cardiovascular department at Cairo University Hospital for aortic and/or mitral valve replacement surgery from May 2014 to May 2015...
July 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28652668/prevalence-and-prognostic-significance-of-anemia-in-patients-presenting-for-st-elevation-myocardial-infarction-in-a-tunisian-center
#14
Walid Jomaa, Imen Ben Ali, Sonia Hamdi, Mohamed A Azaiez, Aymen El Hraïech, Khaldoun Ben Hamda, Faouzi Maatouk
BACKGROUND: Anemia on admission is a powerful predictor of major cardiovascular events in patients presenting for acute coronary syndromes. We sought to determine the prevalence and prognostic impact of anemia in patients presenting for ST-elevation myocardial infarction (STEMI). METHODS: We analyzed data from a Tunisian retrospective single center STEMI registry. Patients were enrolled between January 1998 and October 2014. Anemic and nonanemic patients were compared for clinical and prognostic features and according to four prespecified hemoglobin level subgroups...
July 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28373791/transcatheter-coil-embolization-of-iatrogenic-coronary-artery-left-ventricle-fistula-after-mitral-valve-replacement
#15
Ata Firuzi, Mohammad Javad Alemzadeh-Ansari, Hamid Reza Pouraliakbar
Acquired causes of coronary fistulas are rare disorders and may develop following coronary atherosclerosis, infection, or trauma (iatrogenic). Iatrogenic coronary fistulas may be acquired secondary to surgical or nonsurgical interventions. We describe a case of an iatrogenic coronary artery-left ventricle fistula following mitral valve replacement surgery, presented with ventricular arrhythmia and heart failure. In a unique technique, we implanted three coils with the aid of a Scepter C balloon with inflation at the ostial portion of the left circumflex artery...
April 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28373790/rachitic-hypocalcemic-cardiomyopathy-in-an-infant
#16
Abdelwahab T H Elidrissy, Khalid M Alharbi, Mohammed Mufid, Ibrahim AlMezeni
Cardiomyopathy in infants is characterized by heart failure in apparently normal children without previous organic cardiac lesions. Cardiomyopathy has been found to comprise four types. Rickets is common in Saudi Arabia, that is why I reviewed this subject. Recently this case with classical features of rickets being admitted in a serious state we thought of publishing it. The infant responded well to treatment and full recovery was achieved. Follow up biochemistry, radiology cardiac function completely recovered and bony abnormalities showed evidence of healing...
April 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28373789/arrhythmogenic-right-ventricular-cardiomyopathy-with-biventricular-involvement-and-heart-failure-in-a-9-year-old-girl
#17
Fateh Ali Tipoo Sultan, Mehnaz Atiq Ahmed, Jamie Miller, Joseph B Selvanayagam
Arrhythmogenic right ventricular cardiomyopathy (ARVC) is seldom recognized clinically in infancy or under the age of 10. We report a case of a 9-year-old girl with ARVC, who presented with signs and symptoms of heart failure and palpitations. Holter monitoring showed frequent premature ventricular beats and echocardiogram revealed dilated and dysfunctional right ventricle with normal tricuspid valve and no evidence of intracardiac shunt. Cardiac magnetic resonance showed classical features of ARVC with both ventricular involvements...
April 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28373788/infective-endocarditis-with-atypical-clinical-feature-and-relapse-by-abiotrophia-defectiva
#18
Ilkay Bozkurt, Metin Coksevim, Idris Bugra Cerik, Okan Gulel, Esra Tanyel, Hakan Leblebicioglu
A case of infective endocarditis caused by an uncommon agent Abiotrophia defectiva with atypical manifestations is presented. A 42-year-old woman previously had rheumatic heart disease, presented with the symptoms of fever and chills that resolved within 3 days under antibiotherapy. She was diagnosed with endocarditis due to A. defectiva. Despite culture-directed antibiotics being administered in the first admission, her symptoms and also blood culture growth relapsed 3 weeks later. She was successfully treated with antimicrobial therapy and surgical intervention including aorta and mitral valve replacement...
April 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28373787/multimodality-imaging-evaluation-of-a-primary-cardiac-lymphoma
#19
Paolo Ciancarella, Armando Fusco, Daniele Citraro, Massimiliano Sperandio, Roberto Floris
Primary cardiac lymphoma is a rare form of non-Hodgkin lymphoma that involves the heart with extension to pericardium and great vessels. Prognosis is poor in the absence of a prompt diagnosis and adequate therapy. Differential diagnosis includes malignant neoplasms such as angiosarcoma or metastatic carcinoma and melanoma. Clinical manifestations may be heterogeneous. Multimodality imaging work-up represents the best method for tumor detection and evaluation of its size and extension: echocardiography, computed tomography, magnetic resonance imaging, and nuclear imaging are the best imaging tools...
April 2017: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/28373786/ischemic-preconditioning-interruption-of-various-disorders
#20
REVIEW
Ahsas Goyal, Neetu Agrawal
Ischemic heart diseases are the leading cause of morbidity and mortality worldwide. Reperfusion of an ischemic heart is necessary to regain the normal functioning of the heart. However, abrupt reperfusion of an ischemic heart elicits a cascade of adverse events that leads to injury of the myocardium, i.e., ischemia-reperfusion injury. An endogenous powerful strategy to protect the ischemic heart is ischemic preconditioning, in which the myocardium is subjected to short periods of sublethal ischemia and reperfusion before the prolonged ischemic insult...
April 2017: Journal of the Saudi Heart Association
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