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Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē

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https://www.readbyqxmd.com/read/28108355/an-unusual-case-of-a-pheochromocytoma-mimicking-both-acute-coronary-syndrome-and-central-nervous-system-infection-case-report-and-literature-review
#1
Andreas Mitsis, Christina Hadjilouka, Maria Skarpari, Michael Myrianthefs
Pheochromocytoma has been called 'the great mimic', capable of presenting itself as many other medical conditions. We present a 58-year-old woman admitted with recurrent episodes of nausea and vomiting and high blood pressure. Elevated cardiac biomarkers and diffuse ST-T abnormalities on electrocardiography suggested myocardial injury. However the biochemical and electrocardiography abnormalities normalized in a few hours. The next day the combination of fever, mental disorientation and confusion associated with elevated levels of C-reactive protein and leukocytosis suggested infection of central neural system...
January 17, 2017: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/28093243/clinical-study-on-efficacy-of-allopurinol-in-patients-with-acute-coronary-syndrome-and-its-functional-mechanism
#2
Ying Huang, Chunya Zhang, Zhiqing Xu, Jinghua Shen, Xiaogang Zhang, Huanhua Du, Kanjian Zhang, Daifu Zhang
OBJECTIVE: To investigate the therapeutic effect of allopurinol treatment on acute coronary syndrome and to elucidate its possible mechanism. METHODS: Patients with acute coronary syndrome (n=100) were recruited as research subjects in our hospital. The patients were randomly divided into two groups (allopurinol group, n = 50) and control group, n= 50). These two groups were treated with conventional antiplatelet, anticoagulation and anti-ischemic therapy, while allopurinol was added to allopurinol group based on conventional treatment...
January 13, 2017: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/28089649/magnetic-resonance-imaging-conditional-devices-luxury-or-real-clinical-need
#3
REVIEW
Sophie I Mavrogeni, George Poulos, Genovefa Kolovou, George Theodorakis
Although the risk of MRI scanning on patients with conventional devices is rather lower than initially thought, the patient's safety can only be assured by using MRI-conditional devices. The most important modifications in MRI-conditional devices include: a) Reduction in ferromagnetic components to reduce magnetic attraction and susceptibility artefacts b) Replacement of reed switch by Hall sensor in order to avoid unpredictable reed switch behaviour c) Lead coil design to minimize lead heating and electrical current induction d) Filter circuitry to prevent damage to internal power supply e) Dedicated pacemaker programming to prevent inappropriate pacemaker inhibition and competing rhythms...
January 9, 2017: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/28089648/diabetes-and-cardiorenal-syndrome-understanding-the-triple-threat
#4
Srikanta Banerjee, Raymond Panas
INTRODUCTION: Diabetes is known to be associated with chronic kidney disease (CKD) and cardiovascular disease (CVD) independently. Type 2 cardiorenal syndrome (CRS), a recently defined syndrome, is characterized by a primary renal failure that progressively leads to cardiac dysfunction. The effect of diabetes on cardiorenal syndrome has not been explored in a multi-ethnic population. In this retrospective secondary analysis the hypothesis was tested if diabetes modifies the effect of CVD on CKD...
January 9, 2017: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/28081978/the-influence-of-genes-on-the-lifespan-of-long-and-short-lived-families
#5
V Kolovou, E Fragopoulou, S Antonopoulou, G Kolovou
No abstract text is available yet for this article.
January 7, 2017: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/28069484/acute-anterior-myocardial-infarction-due-to-stent-thrombosis-after-mushroom-consumption-a-case-of-kounis-type-iii-syndrome
#6
LETTER
George Michas, Pavlos Stougiannos, Thomas Thomopoulos, Konstantinos Grigoriou, George Mplazakis, Ioannis Kaplanis, Gerasimos Gavrielatos, Athanasios Trikas
No abstract text is available yet for this article.
January 6, 2017: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/28065791/the-neuroprotective-strategic-analysis-for-patients-with-acute-myocardial-infarction-combined-with-hypoxic-ischemic-encephalopathy-in-icu
#7
Yali Chao, Weiwei Hu, Xiaojuan Geng
BACKGROUND: We conducted this study to investigate the neuroprotective treatment strategies for patients with acute myocardial infarction (AMI) complicated with hypoxic ischemic encephalopathy (HIE) in the ICU. METHODS: A total of 83 cases that were diagnosed with secondary AMI for the first time were selected and divided into observation group (n=43) and the control group (n=40). All of patients underwent emergency or elective PCI. Patients in the control group were treated with mannitol to reduce intracranial pressure, cinepazide maleate to improve microcirculation in the brain and also given comprehensive treatments of oxygen inhalation, fluid infusion, acid-base imbalance correction, electrolyte disturbance, etc...
January 5, 2017: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/28062247/severe-apical-hypertrophic-cardiomyopathy-with-ser-236-gly-mutation-in-mybpc3-a-three-year-follow-up-investigation
#8
XueJiang Cen, JianLei Zheng, XueLie Hu, BaiMing Qu
Apical hypertrophic cardiomyopathy (AHCM) is a relatively rare form of hypertrophic cardiomyopathy (HCM) and usually involved with genetic variations encoding sarcomeric proteins. In this report, a 68-year-old male presented with exertional angina and giant negative T-waves in the precordial leads V3-V6 was eventually diagnosed with severe AHCM by echocardiography and left ventriculogram. The entire coding Sequences of the most frequent HCM-causing genes were analyzed. A novel mutation of Ser 236 Gly in myosin-binding protein C (MYBPC3) gene was discovered...
January 3, 2017: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/28011332/cardiac-complications-in-cancer-treatment-a-review
#9
REVIEW
Xianchi Li, Min Liu, Rongrong Sun, Yi Zeng, Shuang Chen, Peiying Zhang
Cardiac dysfunction an often seen associated with an effective cancer treatment. A number of targeted therapies against cancer have been observed to cause cardiac dysfunction. In some instances, a patient may outlive his or her cancer but die due to heart failure. Recent research is being focused development of new avenues and technological advancements to keep check over clinical cardio toxicity and cardiac dysfunction due to anticancer treatment. These newer treatment options are also increasingly effective, focused more on the post-cancer life too...
December 20, 2016: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/27988362/appropriate-use-criteria-of-transesophageal-echocardiography-in-greece-a-single-center-experience
#10
G Georgiopoulos, C Aggeli, A Laina, M Deligianni, D Oikonomou, S Lampridou, G Vogiatzi, D Tousoulis
INTRODUCTION: The American College of Cardiology Foundation (A.C.C.F) along with the American Society of Echocardiography (A.S.E.) have enabled an accurate and clinically oriented evaluation of echocardiography indications by introducing Appropriate Use Criteria (AUC). AIM: This study was designed to evaluate the degree of implementation of AUC for transesophageal echo (TEE) in daily clinical practice in a tertiary university hospital of Greece during the era of economic recession...
December 14, 2016: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/27986618/recurrent-episodes-of-life-threatening-vasodilatory-shock-following-unintentional-intoxication-with-amlodipine
#11
Chris J Kapelios, George Karamanakos, Stavros Liatis, Magda Sarafadi, Marios Polizois, Ioannis Papoutsis, Alexander D Kokkinos
Calcium channel blockers (CCBs) have a narrow therapeutic index, and their intake in excess is associated with a critical clinical presentation of sustained hypotension and non-cardiogenic pulmonary edema, which are difficult to treat. Unfortunately, available means of treatment fail to resuscitate a significant number of patients poisoned by CCBs, rendering them the main cardiovascular drugs involved in deaths due to overdose. Importantly, in all cases reported until now in the literature, CCB intoxication was known at the time of the patients' presentation and the medical challenge regarded solely the therapeutic approach...
December 13, 2016: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/27965025/cardiovascular-outcomes-in-patients-with-intraventricular-conduction-blocks-sixteen-year-follow-up-in-a-statewide-database
#12
John S Pantazopoulos, Alice David, William J Kostis, Nora M Cosgrove, John B Kostis
BACKGROUND: To assess the adverse clinical effects of left anterior hemiblock alove or in combination with right bundle branch block and of complete left bundle branch block in comparison with isolated right bundle branch block, and relate these effects to altered mechanoelectric factors resulting in left ventricular dysfunction. METHODS: In a 16-year follow-up of a statewide database, we studied the occurrence of mortal and morbid cardiovascular (CV) events among patients without apparent ischemic heart disease who had left anterior hemiblock (LAHB, n=4273, right bundle branch block (RBBB) with LAHB (BFBB, n=1857) and left bundle branch block (LBBB, n=9484 as compared to isolated RBBB (n=25288)...
December 10, 2016: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/27923685/a-combined-cellular-and-surgical-ventricular-reconstruction-therapeutic-approach-produces-attenuation-of-remodeling-in-infarcted-rats
#13
Michael J Bonios, Maria Anastasiou-Nana, Despina N Perrea, Konstantinos Malliaras
BACKGROUND: Left ventricular reconstruction (LVR) has been shown to provide transient benefits in LV structure and function of infarcted hearts; however long-term results have been disappointing, as LVR-induced benefits are typically not sustained. We hypothesized that administration of cardiosphere-derived cells (CDCs), which promote myocardial repair and regeneration, may result in long-term preservation of the beneficial effects of LVR in ischemic cardiomyopathy. METHODS: Wistar Kyoto rats underwent myocardial infarction (MI) and two weeks later were randomized into 3 groups: in Group 1 (n=9) LVR was performed by plication of the infarcted apex and CDCs were injected in the infarct border zone (IBZ); group 2 animals (n=9) underwent LVR and received vehicle solution in the IBZ...
December 3, 2016: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/27923684/comparison-of-two-biventricular-infarct-patterns-with-respect-to-the-infarct-burden-required-to-induce-cardiogenic-shock-an-experimental-study
#14
LETTER
Dimitrios Koudoumas, John Terrovitis, Panagiotis Glentis, Argyrios Ntalianis, Elias Tsolakis, Anthony S Zannas, Eleni Tseliou, Apostolos Papalois, Stavros Drakos, John N Nanas
Little is known about the effect of different infarct patterns on cardiogenic shock (CS) development. Here we used a large animal model (porcine) to compare two different infarct patterns, interventricular septum infarction [IVSMI] after RV infarction (RVMI) (Group 1) versus left ventricular free wall infarction [LVFWMI] after RVMI (Group 2), with respect to the infarct burden required for CS development. Both infarct patterns resulted in CS induction, manifested as a profound decrease in cardiac output. No differences in hemodynamic parameters were observed between groups during induction of CS or after CS development...
December 3, 2016: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/27916610/early-repolarization-pattern-in-middle-aged-adults-with-chest-pain-resembling-atypical-angina-is-it-associated-with-significant-coronary-artery-disease
#15
LETTER
George Michas, Gerasimos Gavrielatos, Konstantinos Grigoriou, George Papagiannis, Panagiotis Tolios, George Mplazakis, Athanasios Paschalis, Athanasios Trikas
No abstract text is available yet for this article.
December 1, 2016: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/27916609/recent-perspectives-of-stem-cells-use-in-cardiac-disorders
#16
REVIEW
Shuang Chen, Rongrong Sun, Xianchi Li, Min Liu, Yi Zeng, Peiying Zhang
Stem cells and progenitor cells have unique abilities for self-renewal. These cells have differentiation capacity to develop as various types of cells, including cardiac cells. Since atherosclerosis is considered disease of endothelial dysfunction, regenerative cell-based therapy is an effective approach to ameliorate atherosclerotic pathogenesis. Recent studies are now focused on the effective targeting of stem cells at the site of interest. Echogenic liposomes approach has a good potential for efficient delivery of drugs and have ability to reduce atheroma progression...
December 1, 2016: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/27915010/a-large-tumour-of-the-left-atrium-a-10-year-follow-up
#17
Agnieszka M Łebek-Szatańska, L Łebek Zbigniew, Marek J Dąbrowski, Piotr S Kardaszewicz
Benign myxomas are the most common among primary tumours in the left atrium of the heart and they usually require an urgent operative management. However, in times of constant ageing of the population and dealing with patients with severe concomitant diseases, an interesting question appears about the conservative approach. We present a case of 75-year-old woman, once diagnosed and operated on left atrium myxoma, with recurrent tumour in the site of resection found in control echocardiography 1,5 years later...
November 30, 2016: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/27903448/bifurcation-cto-recanalization-with-contemporary-antegrade-and-retrograde-techniques-in-a-patient-with-two-chronically-occluded-coronary-arteries
#18
LETTER
Nikolaos V Konstantinidis, Georgios Sofidis, Vasileios Kolettas, Haralambos Karvounis, Georgios Sianos
No abstract text is available yet for this article.
November 26, 2016: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/27894950/untying-the-gordian-knot-of-pericardial-diseases-a-pragmatic-approach
#19
REVIEW
George Lazaros, Massimo Imazio, Antonio Brucato, Dimitrios Tousoulis
Pericardial disorders constitute a relatively common cause of heart disease. Although acute pericarditis, and especially the idiopathic forms which are the most prevalent, is considered a benign disease overall, it's short and long term complications, namely recurrent pericarditis, cardiac tamponade and constrictive pericarditis constitute a matter of concern in the medical community. In recent years several clinical trials contributed to redefine our traditional approach to pericardial diseases. In this review we provide the most recent evidence concerning diagnosis, treatment modalities and short and long-term prognosis of the most common pericardial disorders...
November 25, 2016: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/27894949/intravascular-hemodynamics-and-coronary-artery-disease-new-insights-and-clinical-implications
#20
REVIEW
Marina Zaromytidou, Gerasimos Siasos, Ahmet U Coskun, Michelle Lucier, Antonios P Antoniadis, Michail I Papafaklis, Konstantinos C Koskinas, Yannis Andreou, Charles L Feldman, Peter H Stone
Understanding of the pathophysiological mechanisms is the cornerstone of preventive and treatment strategies in the battle against coronary artery disease. Hyperlipidemia, arterial hypertension, smoking and diabetes, are established risk factors affecting coronary vasculature. However, the focal formation of atherosclerotic lesions in certain arterial regions underscores that local factors are implicated in the initiation and progression of atherosclerosis. Introduction of novel imaging modalities and technological advances offered new insights and acknowledged intravascular hemodynamics, and particularly flow-derived endothelial shear stress as a critical factor in the natural history of coronary artery disease...
November 25, 2016: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
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