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Cardiovascular Journal of Africa

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https://www.readbyqxmd.com/read/27834983/left-ventricular-haematoma-mimicking-lateral-wall-myocardial-infarction-secondary-to-percutaneous-coronary-intervention
#1
Omer Senarslan, Necdet Batuhan Tamci, Umut Hasan Kantarci, Mehmet Eyuboglu, Dilsad Amanvermez Senarslan
Dissecting intra-myocardial haematoma is a rare disease and a potentially fatal complication after cardiac surgery. Patients with previous heart surgery have more risk for dissecting intra-myocardial haematoma after percutaneous coronary intervention. Management of this issue is challenging. We describe a rare case of a 63-year-old woman with a left ventricular wall-dissecting intra-myocardial haematoma, which developed 30 minutes after percutaneous coronary intervention. The patient was treated conservatively, with a successful outcome...
November 10, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27834982/telmisartan-decreases-microalbuminuria-in-patients-with-type-2-diabetes-mellitus-following-coronary-artery-bypass-grafting
#2
Cevdet Furat, Riza Dogan, Gokhan Ilhan, Ekrem Bayar, Berkan Ozpak, Hakan Kara, Şahin Bozok
OBJECTIVE: This prospective study aimed to investigate the effects of the selective angiotensin receptor antagonist, telmisartan, on microalbuminuria after coronary artery bypass surgery in patients with diabetes mellitus. METHODS: Patients were divided into two groups with block randomisation, using the sealed envelope technique: group T (telmisartan group) consisted of patients who received the angiotensin receptor blocking agent telmisartan 80 mg daily for at least six months in the pre-operative period; group N-T (non-telmisartan group) consisted of patients who received no telmisartan treatment...
November 10, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27805239/effects-of-ramadan-intermittent-fasting-on-north-african-children-s-heart-rate-and-oxy-haemoglobin-saturation-at-rest-and-during-sub-maximal-exercise
#3
Mohamed Amine Fenneni, Imed Latiri, Asma Aloui, Sonia Rouatbi, Karim Chamari, Helmi Ben Saad
AIM: To examine the effects of Ramadan intermittent fasting (RIF) on the heart rate (HR) and oxyhaemoglobin saturation levels (oxy-sat) of boys at rest and during a six-minute walking test (6MWT). METHODS: Eighteen boys (age: 11.9 ± 0.8 years, height: 153.00 ± 8.93 cm, body mass: 55.4 ± 18.2 kg), who fasted the entire month of Ramadan in 2012 for the first time in their lives, were included. The experimental protocol comprised four testing phases: two weeks before Ramadan (pre-R), the end of the second week of Ramadan (R-2), the end of the fourth week of Ramadan (R-4), and 10 to 12 days after the end of Ramadan (post-R)...
October 21, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27805238/symptom-to-balloon-time-and-myocardial-blush-grade-are-predictors-of-left-ventricular-remodelling-after-successful-primary-percutaneous-coronary-intervention
#4
El-Sayed M Farag, Mohammad M Al-Daydamony
INTRODUCTION: In patients with ST-segment elevation myocardial infarction (STEMI), successful primary percutaneous coronary intervention (PCI) was found to be useful in earlier restoration of TIMI flow 3. However, the incidence of left ventricular (LV) dilatation and remodelling after successful primary PCI is still high. We aimed to determine the independent predictors of LV remodelling after successful primary PCI for patients with first STEMI. METHODS: We included 232 STEMI patients treated with primary PCI...
October 21, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27805237/the-role-of-genetics-in-coronary-artery-bypass-surgery-patients-under-30-years-of-age
#5
Sabit Sarikaya, Ebuzer Aydin, Yucel Ozen, Tanil Ozer, Kaan Kirali, Murat Bulent Rabus
AIM: We undertook genetic assessment of coronary artery disease (CAD) in 20 patients aged 30 years or less undergoing coronary artery bypass grafting (CABG) surgery, to investigate the prognostic value of pre-defined genes. METHODS: Twenty patients, who underwent CABG surgery between December 2001 and May 2013, were retrospectively analysed to find out the role their genetic make-up played in their disease. We used three genetic diagnostic tests, the plasminogen activator inhibitor (PAI) -1 gene, the A1/A2 polymorphism of glycoprotein IIIa (GpIIIa) gene, and common polymorphisms of the methylenetetrahydrofolate reductase (MTHFR) gene...
October 21, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27701488/xanthine-oxidase-inhibitors-in-ischaemic-heart-disease
#6
Mihnea Zdrenghea, Adela Sitar-Tăut, Gabriel Cismaru, Dumitru Zdrenghea, Dana Pop
Increased uric acid levels are correlated with cardiovascular disease, particularly with ischaemic heart disease. Xanthine oxidase inhibitors, especially allopurinol, lower the risk of ischaemic heart disease due to their effects on reactive oxygen species and endothelial function. In chronic stable angina pectoris, allopurinol increases the median time to ST depression, time to chest pain, and total exercise time. On the other hand, it has been reported that allopurinol has a beneficial effect on ischaemic patients referred for angioplasty, but there are insufficient data regarding its effect on acute myocardial infarction patients...
September 9, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27701485/pre-anesthetic-echocardiographic-findings-in-children-undergoing-non-cardiac-surgery-at-the-university-of-benin-teaching-hospital-nigeria
#7
Wilson E Sadoh, Paul Ikhurionan, Charles Imarengiaye
BACKGROUND: A pre-anaesthestic echocardiogram (echo) is requested for most non-cardiac surgeries to identify possible cardiac structural anomalies. OBJECTIVE: To describe the prevalence and spectrum of structural cardiac abnormalities seen in various non-cardiac conditions. METHODS: We carried out a retrospective review of pre-anaesthetic echos performed over five years on children scheduled for non-cardiac surgery. The requests were categorised according to referring specialities, and the biodata and echo findings were noted...
September 9, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27805245/active-schistosomiasis-severe-hypereosinophilia-and-rapid-progression-of-chronic-endomyocardial-fibrosis
#8
A O Mocumbi, C Goncalves, A Damasceno, C Carrilho
Endomyocardial fibrosis (EMF) is a neglected restrictive cardiomyopathy of unknown aetiology and unclear natural history, which causes premature deaths in endemic areas. We present the case of a 13-year-old boy from a highly endemic area, presenting with concurrent signs of chronic EMF and severe hypereosinophilia associated with active schistosomal cystitis. We discuss the possible role of this parasitic infection in determining the progression of EMF in endemic areas for both conditions.
October 23, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27805244/takotsubo-cardiomyopathy-post-liver-transplantation
#9
Ahmed Vachiat, Keir McCutcheon, Adam Mahomed, Gunter Schleicher, Liezl Brand, Jean Botha, Martin Sussman, Pravin Manga
A patient with end-stage liver disease developed stress-induced Takotsubo cardiomyopathy post liver transplantation, with haemodynamic instability requiring a left ventricular assist device. We discuss the diagnosis and management of this condition.
October 23, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27805243/cardiovascular-risk-factors-in-pre-pubertal-schoolchildren-in-angola
#10
Amílcar B Silva, Daniel P Capingana, Pedro Magalhães, Mauer A Gonçalves, Maria Del Carmen B Molina, Sërgio L Rodrigues, Marcelo P Baldo, Miguel S Mateus, Josë Geraldo Mill
METHODS: The incidence of obesity is increasing worldwide, especially in countries with accelerated economic growth. We determined the prevalence of and associations between overweight/obesity and cardiovascular risk factors in pre-pubertal (seven- to 11-year-old) schoolchildren (both genders, n = 198) in Luanda, Angola. Biochemical (fasting blood) and clinical examinations were obtained in a single visit. Data are reported as prevalence (95% confidence intervals) and association (r, Pearson)...
September 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27805242/relationship-between-site-of-myocardial-infarction-left-ventricular-function-and-cytokine-levels-in-patients-undergoing-coronary-artery-surgery
#11
Ilker Kiris, Sahin Kapan, Cuneyt Narin, Mehmet Ozaydın, Medine Cumhur Cure, Recep Sutcu, Huseyin Okutan
BACKGROUND: The purpose of this study was to examine the relationship between left ventricular (LV) function, cytokine levels and site of myocardial infarction (MI) in patients undergoing coronary artery bypass grafting (CABG). METHODS: Sixty patients undergoing CABG were divided into three groups (n = 20) according to their history of site of myocardial infarction (MI): no previous MI, anterior MI and posterior/inferior MI. In the pre-operative period, detailed analysis of LV function was done by transthoracic echocardiography...
September 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27805241/congenital-heart-disease-and-down-syndrome-various-aspects-of-a-confirmed-association
#12
Sanaa Benhaourech, Abdenasser Drighil, Ayoub El Hammiri
BACKGROUND: Congenital heart disease (CHD) is frequently described in patients with Down syndrome (DS) and is the main cause of death in this population during the first two years of life. The spectrum of CHD patterns in DS varies widely worldwide; this variation could be due to sociodemographic, genetic and geographic factors. METHODS: A six-year retrospective, descriptive study was carried out from December 2008 to October 2014, based on the Paediatric Unit CHD registry of Ibn Rochd University Hospital...
September 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27805240/out-of-hospital-cardiac-arrest
#13
EDITORIAL
P J Commerford
No abstract text is available yet for this article.
September 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27701482/presentation-and-mortality-of-patients-hospitalised-with-acute-heart-failure-in-botswana
#14
Julius Chacha Mwita, Matthew J Dewhurst, Mgaywa G Magafu, Monkgogi Goepamang, Bernard Omech, Koketso Lister Majuta, Marea Gaenamong, Tommy Baboloki Palai, Mosepele Mosepele, Yohana Mashalla
INTRODUCTION: Heart failure is a common cause of hospitalisation and therefore contributes to in-hospital outcomes such as mortality. In this study we describe patient characteristics and outcomes of acute heart failure (AHF) in Botswana. METHODS: Socio-demographic, clinical and laboratory data were collected from 193 consecutive patients admitted with AHF at Princess Marina Hospital in Gaborone between February 2014 and February 2015. The length of hospital stay and 30-, 90- and 180-day in-hospital mortality rates were assessed...
August 24, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27841915/management-of-arterial-hypertension-in-cotonou-city-benin-general-practitioners-knowledge-attitudes-and-practice
#15
Martin Dèdonougbo Houenassi, Léopold Houétondji Codjo, David Dokoui, Serge Hugues Mahougnon Dohou, Armand Wanvoegbe, Anthelme Agbodande, Angelo Cossi Attinsounon, Adebayo Alassani, Séraphin Ahoui, Albert Comlan Dovonou, Thierry Armel Adoukonou
OBJECTIVE: We aimed to assess the management of hypertensive patients by general practitioners in Cotonou city. METHODS: This was a cross-sectional study based on a multicentre survey conducted from 1 May to 31 July 2011. We recruited all consenting general practitioners who worked in public and private centres in Cotonou city. We used the 7th report of the Joint National Committee to assess the management of hypertension by general practitioners. A tested and validated self-questionnaire was used to collect the data on hypertension management by general practitioners...
August 23, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27701489/prevalence-of-selected-cardiometabolic-risk-factors-among-adults-in-urban-and-semi-urban-hospitals-in-four-sub-saharan-african-countries
#16
Samuel Kingue, Solofonirina Rakotoarimanana, Nirina Rabearivony, Francois Lepira Bompera
AIM: Cardiovascular diseases (CVDs) are a global challenge but the burden in sub-Saharan African (SSA) countries is less well documented than elsewhere. We aimed to describe the key cardiometabolic risk factors in four SSA countries. METHODS: A cross-sectional, multi-national, hospital-based study was carried out among adults (> 35 years) across four SSA countries from 12 December 2011 to 7 February 2013. Risk factors were defined using the World Health Organisation and International Diabetes Federation guidelines...
August 22, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27701487/the-effect-of-proximal-anastomosis-on-the-expansion-rate-of-a-dilated-ascending-aorta-in-coronary-artery-bypass-surgery-a-prospective-study
#17
Ahmet Yavuz Balci, Unsal Vural, Rezan Aksoy, M Fatih Özdemir, Seçkin Satilmiş, Mehmet Kizilay, Mutlu Şenocak, Huseyin Şaşkin, Ilyas Kayacioğlu, Ibrahim Yekeler
BACKGROUND: This study was designed to determine the short- and long-term effects of proximal aortic anastomosis, performed during isolated coronary artery bypass grafting (CABG) in patients with dilatation of the ascending aorta who did not require surgical intervention. METHODS: The study was performed on 192 (38 female and 160 male patients; mean age, 62.1 ± 9.2 years; range, 42-80 years) patients with dilatation of the ascending aorta who underwent CABG surgery between 1 June 2006 and 31 May 2014...
August 22, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27805707/assessment-of-indirect-inflammatory-markers-in-patients-with-myocardial-bridging
#18
Levent Cerit
INTRODUCTION: Myocardial bridging (MB) is a congenital variant of the coronary artery in which a portion of the epicardial coronary artery takes an intramuscular course. Although it is considered a benign anomaly, it may lead to such complications as myocardial ischaemia, acute coronary syndrome, coronary spasm, exercise-induced dysrhythmias or even sudden death. MB may be related to increased inflammatory and atherosclerotic processes. This study was conducted with the aim of evaluating the relationship between neutrophil/lymphocyte ratio (NLR) and MB...
August 19, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27701490/audit-of-availability-and-distribution-of-paediatric-cardiology-services-and-facilities-in-nigeria
#19
Ekanem N Ekure, Wilson E Sadoh, Fidelia Bode-Thomas, Adeola A Orogade, Adeola B Animasahun, Oluwatoyin O Ogunkunle, Iretiola Babaniyi, Maxwell U Anah, Barbara E Otaigbe, Adebiyi Olowu, Frances Okpokowuruk, Samuel I Omokhodion, Ogechi C Maduka, Uvie U Onakpoya, Daberechi K Adiele, Usman M Sani, Mustapha Asani, Christopher S Yilgwan, Queennette Daniels, Chinyere C Uzodimma, Chika O Duru, Mohammad B Abdulkadir, Joseph K Afolabi, John A Okeniyi
BACKGROUND: Paediatric cardiac services in Nigeria have been perceived to be inadequate but no formal documentation of availability and distribution of facilities and services has been done. OBJECTIVE: To evaluate and document the currently available paediatric cardiac services in Nigeria. METHODS: In this questionnaire-based, cross-sectional descriptive study, an audit was undertaken from January 2010 to December 2014, of the personnel and infrastructure, with their distributions according to geopolitical zones of Nigeria...
August 2, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27701486/relationship-between-vitamin-d-and-the-development-of-atrial-fibrillation-after-on-pump-coronary-artery-bypass-graft-surgery
#20
Levent Cerit, Hatice Kemal, Kamil Gulsen, Barcin Ozcem, Zeynep Cerit, Hamza Duygu
BACKGROUND: Vitamin D deficiency is associated with many diverse cardiovascular disorders, such as hypertension, heart failure, stroke, coronary artery disease and atrial fibrillation. The relationship between Vitamin D and the development of atrial fibrillation after coronary artery bypass surgery (CABG) has not been studied. Therefore, we assessed the relationship between Vitamin D and the development of postoperative atrial fibrillation (POAF) after CABG. METHODS: Medical records of consecutive patients who underwent CABG surgery were retrospectively reviewed for the development of atrial fibrillation in the postoperative period...
August 2, 2016: Cardiovascular Journal of Africa
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