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Cardiovascular Journal of Africa

Yun-Seok Song, Sang-Hoon Seol, Seung-Hwan Kim, Dong-Kie Kim, Ki-Hun Kim, Doo-Il Kim, Hee-Jae Jun
Left ventricular pseudo-aneurysm is a rare complication that usually occurs after myocardial infarction or cardiac surgery. Sometimes it is related to cardiac rupture. We report on surgical management for a left ventricular pseudo-aneurysm that developed four years after surgery for ventricular septal defect in a patient with acute myocardial infarction.
November 6, 2018: Cardiovascular Journal of Africa
Min-Ho Lee, Duk Won Bang, Byung Won Park, Byung-Ryul Cho, Seung-Woon Rha, Myung Ho Jeong, Junghan Yoon, Jon Suh, Kyoo-Rok Han, Min Su Hyon
INTRODUCTION: Although the implementation of transradial intervention (TRI) has increased over the last few years, there are limited data on the impact of TRI on efficacy and safety in patients with non-ST-segment elevation acute coronary syndrome (NSTE-ACS). We sought to compare one-year clinical outcomes and bleeding complications of TRI with those of transfemoral intervention (TFI) in patients with NSTE-ACS. METHODS: The Korean TRI registry was a cohort of 20 centres from 2012 to 2015...
November 6, 2018: Cardiovascular Journal of Africa
Caroline Tumelo Bayebaye, Palesa Motshabi-Chakane, Michel Kasongo Muteba
BACKGROUND: Cardiac surgery is associated with peri-operative bleeding, which may result in the need for blood transfusion, particularly in paediatric congenital cardiac surgery on cardiopulmonary bypass (CPB). There is a necessity for regular auditing in order to improve practices. METHODS: Retrospective, contextual, descriptive data of 105 patients were collected for the period January to December 2014. RESULTS: The median age of patients was four (1-6) years, weight was 13 (8...
November 6, 2018: Cardiovascular Journal of Africa
R B Sebati, K D Monyeki, M S Monyeki, B Motloutsi, A L Toriola, M J Monyeki
BACKGROUND: Obesity and hypertension are major risk factors for non-communicable diseases in the world today. The relationship between indicators of obesity and blood pressure needs attention in the rural South African population. AIM: This study examined the relationship between anthropometric parameters and blood pressure (BP) among young adults in the Ellisras rural area of South Africa. METHODS: A total of 742 (365 females and 377 males) young adults aged 22 to 30 years, who were part of the Ellisras Longitudinal Study (ELS), participated in the research...
November 5, 2018: Cardiovascular Journal of Africa
O A Kushimo, A C Mbakwem, J N Ajuluchukwu, C E Amadi
BACKGROUND: Pulmonary hypertension (PH) is very prevalent among heart failure (HF) subjects and is now recognised as an independent predictor of poor prognosis. There is a paucity of data in our environment about the frequency and correlates of PH in HF. We aimed to determine the frequency of PH in HF patients in an academic hospital and assess its correlates using echocardiography. METHODS: A total of 219 heart failure patients in NYHA functional class II to IV, and without co-morbidities that could cause PH, were consecutively recruited...
November 5, 2018: Cardiovascular Journal of Africa
Julia T Mashiane, Kotsedi D Monyeki, Andre P Kengne, Nkwana M Rosina, Mafoloa S Monyeki
AIM: To assess the relationship between dietary intake and adiposity in young rural South African adults. METHODS: A total of 728 young adults participated and dietary intake was assessed using the 24-hour recall method. Linear regression models were used to determine the association between dietary intake and body mass index (BMI) before and after adjustment for age and gender. RESULTS: Females showed higher mean BMI values than males in all age groups...
October 24, 2018: Cardiovascular Journal of Africa
Ana Olga Mocumbi, Keila K Jamal, Amam Mbakwem, Maylene Shung-King, Karen Sliwa
This position paper summarises the current knowledge on the epidemiology, diagnosis and management of women of childbearing age with rheumatic heart disease (RHD) in Africa, as well as the available data on their use of reproductive health services. The aim is to provide guidance to health professionals on aspects of sexual and reproductive health in women with RHD. It reviews the diagnosis, management and counselling of women with RHD throughout their reproductive life. Additionally, this publication discusses potential ways of integrating obstetric and cardiovascular care at peripheral levels of the health systems, as a way of improving outcomes and reducing maternal mortality rates related to cardiovascular disease in Africa...
September 18, 2018: Cardiovascular Journal of Africa
Serkan F Çelik, Elif Çelik
OBJECTIVE: The aim of the study was to investigate the association between the severity of acute rheumatic carditis (ARC) and the neutrophil-lymphocyte ratio (NLR) and mean platelet volume (MPV). METHODS: Paediatric patients diagnosed with ARC between 2010 and 2016 and age- and gender-matched controls were retrospectively analysed. At the time of diagnosis, we reviewed the demographic features obtained: echocardiographic data, complete blood count reports, acute-phase reactants, including C-reactive protein, and erythrocyte sedimentation rate values...
September 10, 2018: Cardiovascular Journal of Africa
Mehmet Kucuk, Cem Karadeniz, Rahmi Ozdemir, Timur Meşe
OBJECTIVE: Recent studies have shown that the Tp-e interval, which on an electrocardiogram (ECG) is the interval between the peak and the end of the T wave, can be used as an index of transmural dispersion of ventricular repolarisation (TDR). Both Tp-e/QT and Tp-e/QTc ratios have also been used in that capacity. However, these novel repolarisation indices have not previously been studied in children with acute rheumaticcarditis (ARC). METHODS: A hundred and thirty-nine children who were diagnosed with ARC and 153 age- and gender-matched healthy controls were retrospectively reviewed...
August 30, 2018: Cardiovascular Journal of Africa
Émilie Laflamme, Audrey Vachon, Sylvain Gilbert, Julie Boisvert, Vincent Leclerc, Mathieu Bernier, Pierre Voisine, Mario Sénéchal, Sébastien Bergeron
OBJECTIVE: A reduction in the rate of death and hospitalisations in patients with heart failure (HF) with reduced ejection fraction receiving sacubitril/valsartan compared to enalapril was demonstrated in the PARADIGM-HF study. However, tolerability when initiating and optimising sacubitril/valsartan treatment in real clinical practice is unknown. METHODS: We performed a prospective cohort study of clinical and biochemical parameters of the first 100 patients receiving sacubitril/valsartan in a tertiary HF clinic...
August 28, 2018: Cardiovascular Journal of Africa
S Le Roux, G A Lotter, H S Steyn, L Malan
OBJECTIVE: In past studies, a lack of social support has been associated with cardiovascular disease (CVD) risk, particularly in black Africans. However, whether or not coping strategies have beneficial effects on blood pressure (BP) and emotional well-being is not clear. We therefore assessed the relationship between BP levels, depression and coping strategies. METHODS: A prospective bi-ethnic cohort followed 359 black and white South African school teachers (aged 20-65 years) over a three-year period...
August 22, 2018: Cardiovascular Journal of Africa
Anastase Dzudie, Dike Ojji, Albertino Damasceno, Mahmoud U Sani, Euloge Kramoh, Jean Baptiste Kacou, Benedict Anisiuba, Elijah Ogola, Mohamed Awad, George Nel, Harun Otieno, Ali Ibrahim Toure, Abdoul Kane, Andre Pascal Kengne, Calypse Ngwasiri, Hamadou Ba, Samuel Kingue, Bruno Mipinda, Bertrand Ellenga Mbolla, Amha Weldehana, Fred Bukachi, Bernard Gitura, Brice Kitio, Brian Rayner, Aletta E Shutte, Ana Olga Mocumbi, Bongani Mayosi, Arun Jose, Bhalla Sandeep, Michael Weber, Christian Delles, Francesco Cappuccio, Habib Gamra, Dorairaj Prabhakaran, Neil Poulter, Saad Subhani
BACKGROUND: In response to the call by the World Health Organisation to reduce premature deaths from non-communicable diseases by 25% by the year 2025 (25×25), the Pan-African Society of Cardiology (PASCAR), in partnership with several organisations, including the World Heart Federation, have developed an urgent 10-point action plan to improve detection, treatment and control of hypertension in Africa. Priority six of this action plan is to promote a task-shifting/task-sharing approach in the management of hypertension...
September 2018: Cardiovascular Journal of Africa
Taner Sen, Celal Kilit, Mehmet Ali Astarcioglu, Lale Dinc Asarcikli, Tolga Aksu, Habibe Kafes, Afsin Parspur, Gokhan Gozubuyuk, Basri Amasyali
OBJECTIVE: Since visual estimation of the extent of vessel stenosis may vary between operators, we aimed in this study to investigate both inter-observer variability and consistency between the estimation of an operator and quantitative coronary analysis (QCA) measurements. METHODS: A total of 147 elective percutaneous coronary intervention patients with 155 lesions between them were consecutively enrolled in the study. These patients were evaluated for visual estimation of lesion severity by three operators...
September 2018: Cardiovascular Journal of Africa
Vinod Thomas, Simone Schulein, Robert N Millar, Bongani M Mayosi
INTRODUCTION: Atrial fibrillation (AF) is a relatively common arrhythmia. When AF represents an electrophysiological phenomenon in structurally normal hearts, it is termed lone AF. This study was a retrospective, case-based analysis of patients attending the Cardiac Clinic at Groote Schuur Hospital (GSH) and describes the clinical characteristics and outcomes of patients classified as having lone atrial fibrillation. To the best of our knowledge there are no such studies reported from Africa...
September 2018: Cardiovascular Journal of Africa
Pat Commerford
No abstract text is available yet for this article.
September 2018: Cardiovascular Journal of Africa
I Bhorat, M Pillay, T Reddy
AIM: To determine whether a single elevated myocardial performance index (MPI) value in the third trimester of pregnancy is a marker for later adverse obstetric outcomes in stable placental-mediated disease, defined as well-controlled pre-eclampsia (PE) on a single agent and/or uncompensated intra-uterine growth restriction (IUGR). METHODS: Fifty-five foetuses whose mothers had stable placental-mediated disease, either mild pre-eclampsia controlled on a single agent, and/or uncompensated IUGR in the third trimester, attending the Foetal Unit at Inkosi Albert Luthuli Hospital, Durban, South Africa were prospectively recruited with 55 matched controls...
August 15, 2018: Cardiovascular Journal of Africa
Yongzeng Chen, Xi Wang, Qian Yu, Fan Wang, Haijun Wang, Hongbin Liu
AIM: This study evaluated, using thrombo-elastography (TEG), the efficacy of antiplatelet therapies in retired Chinese officers and explored the factors influencing the efficacy of antiplatelet therapies. METHODS: Nine hundred and fifty-five retired male Chinese officers (≥ 60 years old), who had undergone TEG between June and August 2015 at the Chinese People's Liberation Army General Hospital (PLAGH), were enrolled in this study. The subjects were divided into four groups according to the antiplatelet drug(s) that they were administered: aspirin, clopidogrel, dual drugs (combination of aspirin and clopidogrel) and no antiplatelet drug...
August 10, 2018: Cardiovascular Journal of Africa
Gokhan Ilhan, Sahin Bozok, Berkan Ozpak, Hakan Kara, Serkan Yazman, Serdar Bayrak, Ibrahim Ozsoyler, Ali Gurbuz
OBJECTIVE: To date, there is no consensus on the selection of type and size of prosthetic valve for aortic valve replacement (AVR). The aim of this study was to compare anatomical and functional changes occurring in the left ventricle after AVR with different sizes of mechanical valves. METHODS: A total of 92 patients with serious aortic valve stenosis, who underwent AVR between March 2001 and June 2008 using mechanical valves of different sizes, were retrospectively analysed...
July 17, 2018: Cardiovascular Journal of Africa
Hatice Selcuk, Mehmet Timur Selcuk, Orhan Maden, Kevser Gülcihan Balci, Mustafa Mücahit Balci, Sebahat Tekeli, Elif Hande Çetin, Ahmet Temizhan, Mustafa Balci, Nihal Karabiber
BACKGROUND: Although tremendous advances have been made in preventative and therapeutic approaches in heart failure (HF), the hospitalisation and mortality rates for patients with HF is high. The aim of this study was to investigate the association between cystatin C and N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels and in- and out-of-hospital mortality rates in acute decompensated HF (ADHF). METHODS: Between February 2008 and November 2011, 57 consecutive patients who were admitted with ADHF were included in this prospective study...
July 13, 2018: Cardiovascular Journal of Africa
Judith Namuyonga, Peter Solomon Lwabi, John Omagino, Magdi Yacoub, Ana Olga Mocumbi
No abstract text is available yet for this article.
July 2018: Cardiovascular Journal of Africa
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