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Journal of Tehran Heart Center

Saeed Farzanefar, Sanaz Katal, Mehrshad Abbasi
No abstract text is available yet for this article.
January 2018: Journal of Tehran Heart Center
Ali Hosseinsabet, Jamshid Bagheri
No abstract text is available yet for this article.
January 2018: Journal of Tehran Heart Center
Burak Açar, Sefa Ünal, Çağrı Yayla, Ahmet Göktuğ Ertem, Bihter Şentürk, Mustafa Özdemir, Mustafa Mücahit Balcı, Orhan Maden
Coronary artery aneurysms are rare findings in patients referred for coronary angiography. Their prevalence ranges between 0.2% and 6% in different case series. We describe a male patient with a huge left main coronary artery aneurysm causing exertional angina, which was diagnosed with coronary angiography. All of the left coronary system arose from the aneurysm. He underwent coronary angiography again, followed by multislice computed tomography with a three-dimensional reconstruction. Although there is no known standard treatment modality for such aneurysms, we planned medical therapy after consultation with the cardiovascular surgery department...
January 2018: Journal of Tehran Heart Center
Kahraman Coşansu, Mustafa Tarık Ağaç, Harun Kılıç, Ramazan Akdemir, Hüseyin Gündüz
A circumflex artery originating from an ostium apart from the left main artery is one of the most common coronary artery anomalies. However, a dual origin of the circumflex artery is an extremely rare anomaly. We describe a 55-year-old male patient admitted to our clinic with the diagnosis of unstable angina. Angiography revealed twin circumflex arteries: one from the left main artery and the other from the proximal right coronary artery and a stenotic left anterior descending coronary artery (LAD). The patient was treated with percutaneous coronary intervention on the LAD lesion...
January 2018: Journal of Tehran Heart Center
Hassan Kamalzadeh, Shahrooz Yazdani, Mohammad Jalali
In patients with cardiac resynchronization therapy (CRT), loss of left ventricular (LV) stimulation occurs chiefly because of LV lead dislodgement. The occurrence rate of LV lead dislodgement in different reports is between 2% and 12% of patients. LV lead dislodgement precludes clinical improvement. We describe 2 patients with heart failure, fulfilling the criteria for CRT implantation. In both patients, right ventricular and right atrial leads were implanted via the left subclavian vein in the right ventricular apex and the right atrial appendage, respectively...
January 2018: Journal of Tehran Heart Center
Hikmet Sahratov, Adem Guler, Mustafa Kurkluoglu, Bahadır Calişkan, Fahri Gurkan Yesil, Murat Tavlasoglu, Mehmet Ali Sahin
Inflammatory myofibroblastic tumors (IMTs) of the lung are rare solid tumors and usually affect children and young adults. We describe an unusual form of an IMT of the left lower lobe invading the left atrium. A 9-year-old male patient with recurrent cough was referred for an evaluation of left-lung pneumonia. Transthoracic needle biopsy was performed, and the histopathological examination showed mixed inflammatory cells. Accordingly, an IMT was considered. Left lower lobectomy was performed. A portion of the tumor invading the left atrium was resected together with the intact atrial wall...
January 2018: Journal of Tehran Heart Center
Sima Rafieyian, Shahla Roodpeyma, Kourosh Vahidshahi, Alireza Moghadasi
Background: Tissue Doppler imaging yields useful information about regional myocardial function. The purpose of this study was to investigate myocardial function by strain and strain rate in a group of patients with congenital heart disease (CHD) before and after cardiac surgery. Methods: Three consecutive tissue Doppler echocardiographic examinations were performed on 25 patients with CHD, who underwent open-heart surgery. The study was conducted from April 2013 to April 2014 in a university hospital, and the assessments were done 1 day before and 1 week and 1 month after surgery...
January 2018: Journal of Tehran Heart Center
Akram Sardari, Seyed Kianoosh Hosseini, Ali Bozorgi, Masoumeh Lotfi-Tokaldany, Hakimeh Sadeghian, Mostafa Nejatian
Background: Enhanced external counterpulsation (EECP) reduces angina pectoris, extends time to exercise-induced ischemia, and improves quality of life in patients with symptomatic stable angina. We aimed to evaluate the effects of EECP on heart rate recovery in patients with coronary artery disease (CAD). Methods: Between January 2011 and March 2013, a total of 34 consecutive patients (24 male, 70.6%) with symptomatic CAD, who were candidated for EECP, prospectively received 35 sessions of 1-hour EECP therapy per day, 6 days per week...
January 2018: Journal of Tehran Heart Center
Mozhgan Saeidi, Saeid Komasi
Background: Based on the protective health model, one of the most important components of etiological factors leading to protective health behaviors is perceived risk or perceived susceptibility. Accordingly, the present study was conducted to assess the uncontrolled and controlled effects of some factors in predicting perceived susceptibility among coronary artery bypass graft (CABG) patients. Methods: The data for the present cross-sectional study were gathered via assessment of 1052 CABG patients who referred to an outpatient cardiac rehabilitation clinic in a hospital in Iran between 2010 and 2014...
January 2018: Journal of Tehran Heart Center
Maryam Sotoudeh Anvari, Mojgan Tavakoli, Masoumeh Lotfi-Tokaldany, Mohammadali Broumand, Omid Rezahosseini, Elham Hakki-Kazzazi, Arash Jalali
Background: Standard coagulation screening tests are important constituents of basic examinations in clinical laboratories. There is no clear evidence of a relation between the type of clinical presentation and coagulation parameters in patients with suspected coronary artery disease. Methods: This cross-sectional study included 539 patients who underwent coronary angiography in Tehran Heart Center between November 2012 and January 2013. Patients presented with ST-segment-elevation myocardial infarction (STEMI), non-STEMI, unstable angina, or stable angina...
January 2018: Journal of Tehran Heart Center
Prashant Vaijyanath
No abstract text is available yet for this article.
October 2017: Journal of Tehran Heart Center
Muzaffer Kahyaoğlu, Çetin Geçmen, İbrahim Akın İzgi
No abstract text is available yet for this article.
October 2017: Journal of Tehran Heart Center
Reza Ghanavati, Ali Amiri, Nafiseh Ansarinejad, Shokoufeh Hajsadeghi, Hasan Riahi Beni, Seyyed Hashem Sezavar
Superior vena cava (SVC) syndrome is a medical condition resulting from the obstruction of the blood flow through the large central veins. Recently, central venous catheters have been reported as the increasingly common cause of this syndrome. We describe a 56-year-old woman with previous history of metastatic colon cancer, who had recently undergone central venous catheter insertion for her second chemotherapy course. Eight days following port insertion, she presented with signs and symptoms suggestive of acute SVC syndrome, which was successfully managed with catheter-directed thrombolysis...
October 2017: Journal of Tehran Heart Center
Mohammad Rafie Khorgami, Maryam Moradian, Negar Omidi, Mohammad Yousef Aarabi Moghadam
The Noonan syndrome is a rare disorder, one of whose major complications is cardiovascular involvement. A wide spectrum of congenital heart diseases has been observed in this syndrome. The most common cardiac disorder is pulmonary valve stenosis, which has a progressive nature. Hypertrophic cardiomyopathy is less common, but its morbidity and mortality rates are high. We herein introduce a 12-year-old boy with the typical findings of the Noonan syndrome. His symptoms began from infancy, and there was a gradual exacerbation in his respiratory and cardiac manifestations with age...
October 2017: Journal of Tehran Heart Center
Mahdi Neshati, Manizheh Azadeh, Parinaz Neshati, Tyrone Burnett, Ryan Saenz, Bahman Karbasi, Ghader Shahmohammadi, Eskandar Nourizadeh, Mohsen Rostamzadeh
Malignant hyperthermia (MH) can develop after contact with volatile anesthetics (halothane, enflurane, isoflurane, sevoflurane, and desflurane) as well as succinylcholine and cause hypermetabolism during anesthesia, which is associated with high mortality when untreated. Early diagnosis and treatment could be life-saving. During cardiac surgery, hypothermia and cardiopulmonary bypass make the diagnosis of MH extremely challenging compared with other settings such as general surgery. We herein report 2 cases of MH, graded as "very likely" or "almost certain" based on the MH clinical grading scale...
October 2017: Journal of Tehran Heart Center
Hassan Aghajani, Shahrooz Yazdani, Mohammad Ghafaripoor, Zahra Shajari
Thromboembolism occurs commonly in general practice and leads to significant health burden. Apart from cardiac sources, aortic atherosclerotic plaques contribute considerably to thromboembolism. A 63-year-old diabetic hypertensive woman referred to our center due to exertional chest pain unresponsive to optimal medical therapy and underwent coronary angiography. Owing to resistance during guide-wire advancement, an aortography was performed. Aortic arch injection demonstrated a large suspended mass distal to the left subclavian artery with free movement in the descending thoracic aorta...
October 2017: Journal of Tehran Heart Center
Zahra Khajali, Sedigheh Saedi, Alireza Alizadeh Ghavidel, Hamid Reza Pouraliakbar
The aortico-left ventricular tunnel is a rare congenital abnormality resulting in a pathologic connection between the aorta and the left ventricle. It often presents during infancy or early childhood as a cardiac failure symptom or an incidental finding of a cardiac murmur due to severe aortic regurgitation. It is, however, also occasionally found in asymptomatic adults. We describe a 20-year-old female presenting with palpitations in whom clinical evaluations with echocardiography and computed tomography angiography led to the diagnosis of severe aortic regurgitation caused by a tunnel connecting the right sinus of the aorta to the left ventricle...
October 2017: Journal of Tehran Heart Center
Barakat Adeola Animasahun, Akpoembele Deborah Madise-Wobo, Olusola Yejide Kusimo
Background: Most of the recent reports on acquired heart diseases (AHDs) among Nigerian children are either retrospective or cover a short period of time with fewer subjects. The last report on AHDs among children in Lagos was about a decade ago; it was, however, not specific to children with AHDs but was part of a report on structural heart diseases among children in Lagos. The present study was carried out to document the prevalence and profile of different AHDs in children and to compare the findings with those previously reported...
October 2017: Journal of Tehran Heart Center
Shervin Assari, Hassan Zandi, Khodabakhsh Ahmadi, Davoud Kazemi Saleh
Background: The association between coronary angiographic findings and the level of anxiety symptoms among patients who undergo coronary angiography is not known. The aim of this study was to investigate the association between the extent of coronary stenosis and anxiety symptoms in patients who undergo coronary angiography. Methods: In a cross-sectional study, 106 patients who underwent coronary angiography and had varying degrees of coronary artery disease were enrolled. Demographic characteristics (i.e., age and gender), socioeconomic status (i...
October 2017: Journal of Tehran Heart Center
Lukman Zulkifli Amin, Hilman Zulkifli Amin, Sally Aman Nasution, Marulam Panggabean, Hamzah Shatri
Background: Mortality and major adverse cardiac events (MACE) frequently occur after percutaneous coronary intervention (PCI). Therefore, the ability to predict such events through an established risk stratification method is of great importance. The present study was aimed at determining the risk stratification of mortality and MACE in post-PCI patients at the intensive cardiac care unit of Cipto Mangunkusumo Hospital (CMH) using 7 variables of the New Mayo Clinic Risk Score (NMCRS). Method: This cross-sectional study drew upon secondary data gathered from the medical records of 313 patients that underwent PCI at the intensive cardiac care unit (ICCU) of CMH between August 1st, 2013, and August 31st, 2014...
October 2017: Journal of Tehran Heart Center
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