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Cardiovascular Journal of Africa

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https://www.readbyqxmd.com/read/27942694/atrial-myxoma-a-rare-cause-of-hemiplegia-in-children
#1
Uchenna Onubogu, Boma West, Boma Orupabo-Oyan
BACKGROUND: Atrial myxoma is an uncommon cause of hemiplegia in children. However hemiplegia is the commonest manifestation of atrial myxoma in the paediatric age group. CASE REPORT: An 11-year-old girl presented with left hemiplegia and palpitations. Three months later she had a deepvein thrombosis of the right common iliac vein. MRI of the brain showed a subacute right thalamic infarct, and an ECG showed left atrial and left ventricular hypertrophy. Transthoracic echocardiography revealed a left atrial myxoma impinging on the mitral valve...
December 12, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27942693/the-integrated-effect-of-moderate-exercise-on-coronary-heart-disease
#2
REVIEW
Marc J Mathews, Edward H Mathews, George E Mathews
BACKGROUND: Moderate exercise is associated with a lower risk for coronary heart disease (CHD). A suitable integrated model of the CHD pathogenetic pathways relevant to moderate exercise may help to elucidate this association. Such a model is currently not available in the literature. METHODS: An integrated model of CHD was developed and used to investigate pathogenetic pathways of importance between exercise and CHD. Using biomarker relative-risk data, the pathogenetic effects are representable as measurable effects based on changes in biomarkers...
December 12, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27925013/myocardial-dysfunction-in-children-with-intrauterine-growth-restriction-an-echocardiographic-study
#3
Katarzyna Niewiadomska-Jarosik, Justyna Zamojska, Agata Zamecznik, Agnieszka Wosiak, Piotr Jarosik, Jerzy Stańczyk
INTRODUCTION: The prevalence of intrauterine growth restriction (IUGR) is about 3-10% of live-born newborns and can be as high as 20% in developing countries. It may result in the occurrence of cardiovascular diseases later in life. METHODS: The aim of this study was echocardiographic evaluation, with the use of conventional and tissue Doppler parameters, of cardiac function in children born with IUGR, and comparison with healthy peers born as normally grown foetuses...
December 7, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27834983/left-ventricular-haematoma-mimicking-lateral-wall-myocardial-infarction-secondary-to-percutaneous-coronary-intervention
#4
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
#5
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/27965995/a-circumflex-coronary-artery-to-right-atrial-fistula-in-a-10-month-old-child
#6
Emrah Şişli, Mehmet Fatih Ayik, Muhammet Akyüz, Münevver Dereli, Yüksel Atay
A coronary fistula (CF) is a rare congenital cardiac anomaly in which there is a connection between the coronary artery and a cardiac chamber or a great vessel. In the paediatric population, a CF is usually asymptomatic. While the circumflex coronary artery (Cx) is the least common source of a CF, the right heart chambers are the most common location of drainage. Herein, we present a symptomatic 10-month-old boy with an atrial septal defect (ASD) in whom we incidentally detected a CF, which stemmed from the Cx and drained to the right atrium...
December 23, 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27966003/sasci-sctssa-joint-consensus-statement-and-guidelines-on-transcatheter-aortic-valve-implantation-tavi-in-south-africa
#7
Jacques Scherman, Hellmuth Weich
No abstract text is available yet for this article.
November 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27966002/european-society-of-cardiology-congress-update-rome-27-31-august-2016
#8
Anthony J Dalby
No abstract text is available yet for this article.
November 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27966001/cortisol-brain-derived-neurotrophic-factor-ratio-associated-with-silent-ischaemia-in-a-black-male-cohort-the-sa-bpa-study
#9
Christiaan E Schutte, Leoné Malan, Jacobus D Scheepers, Woudri Oosthuizen, Marike Cockeran, Nicolaas T Malan
AIM: Emotional distress has been associated with cardiovascular disease (CVD) in Africans. Cortisol and brain-derived neurotrophic factor (BDNF), as markers of emotional distress, increase cardiometabolic risk. We therefore aimed to investigate associations between cardiometabolic risk markers and the cortisol-to-BDNF ratio (cortisol:BDNF). METHODS: A cross-sectional study included a bi-ethnic gender cohort (n = 406) aged 44.7 ± 9.52 years. Ambulatory blood pressure (ABPM), ECG, fasting serum cortisol and BDNF levels and cardiometabolic risk markers were obtained...
November 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27966000/the-differential-effects-of-fty720-on-functional-recovery-and-infarct-size-following-myocardial-ischaemia-reperfusion
#10
Derick van Vuuren, Erna Marais, Sonia Genade, Amanda Lochner
AIM: The aim of this study was to evaluate the effects of the sphingosine analogue, FTY720 (Fingolimod), on the outcomes of myocardial ischaemia/reperfusion (I/R) injury. METHODS: Two concentrations of FTY720 (1 or 2.5 µM were administered either prior to (PreFTY), or following (PostFTY) 20 minutes' global (GI) or 35 minutes' regional ischaemia (RI) in the isolated, perfused, working rat heart. Functional recovery during reperfusion was assessed following both models of ischaemia, while infarct size (IFS) was determined following RI...
November 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27965999/uncontrolled-hypertension-among-patients-managed-in-primary-healthcare-facilities-in-kinshasa-democratic-republic-of-the-congo
#11
T M Kika, F B Lepira, P K Kayembe, J R Makulo, E K Sumaili, E V Kintoki, J R M'Buyamba-Kabangu
BACKGROUND: Uncontrolled hypertension remains an important issue in daily clinical practice worldwide. Although the majority of patients are treated in primary care, most of the data on blood pressure control originate from population-based studies or secondary healthcare. OBJECTIVE: The aim of this study was to evaluate the frequency of uncontrolled hypertension and associated risk factors among hypertensive patients followed at primary care facilities in Kinshasa, the capital city of Democratic Republic of the Congo...
November 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27965998/a-prospective-investigation-into-the-effect-of-colchicine-on-tuberculous-pericarditis
#12
Jurgens Jacobus Liebenberg, Catherine Jane Dold, Lourens Rasmus Olivier
INTRODUCTION: Tuberculous (TB) pericarditis carries significant mortality and morbidity rates, not only during the primary infection, but also as part of the granulomatous scar-forming fibrocalcific constrictive pericarditis so commonly associated with this disease. Numerous therapies have previously been investigated as adjuvant strategies in the prevention of pericardial constriction. Colchicine is well described in the treatment of various aetiologies of pericarditis. The aim of this research was to investigate the merit for the use of colchicine in the management of tuberculous pericarditis, specifically to prevent constrictive pericarditis...
November 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27965997/the-importance-of-perseverance-pilot-studies-and-the-search-for-effective-adjuvant-therapies-in-the-management-of-tuberculous-pericarditis
#13
EDITORIAL
Arthur Mutyaba, Mpiko Ntsekhe
No abstract text is available yet for this article.
November 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27965996/measuring-publication-impact-and-publishing-and-funding-models
#14
EDITORIAL
Paul Brink
No abstract text is available yet for this article.
November 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27224680/determinants-of-change-in-body-weight-and-body-fat-distribution-over-5-5-years-in-a-sample-of-free-living-black-south-african-women
#15
Sarah Chantler, Kasha Dickie, Lisa K Micklesfield, Julia H Goedecke
OBJECTIVE: To identify socio-demographic and lifestyle determinants of weight gain in a sample of premenopasual black South African (SA) women. METHODS: Changes in body composition (dual-energy X-ray absorptiometry, computerised tomography), socio-economic status (SES) and behavioural/lifestyle factors were measured in 64 black SA women at baseline (27 ± 8 years) and after 5.5 years. RESULTS: A lower body mass index (BMI) and nulliparity, together with access to sanitation, were significant determinants of weight gain and change in body fat distribution over 5...
November 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27171978/epidemiology-and-patterns-of-hypertension-in-semi-urban-communities-south-western-nigeria
#16
M A Olamoyegun, R Oluyombo, S O Iwuala, S O Asaolu
OBJECTIVE: To determine the prevalence and subtypes of hypertension among semi-urban residents in south-western Nigeria. METHODS: All adults aged 18 years or older in 10 semi-urban communities were recruited for the study. The blood pressure (BP) reading taken with a validated electronic BP monitor after at least 10 minutes of rest was used in the analysis. Hypertension was defined as BP ≥ 140/90 mmHg. RESULTS: Seven hundred and fifty subjects with a mean age of 61...
November 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27080247/should-patients-undergo-ascending-aortic-replacement-with-concomitant-cardiac-surgery
#17
Mihriban Yalcin, Kaptan Derya Tayfur, Melih Urkmez
AIM: To determine whether concomitant surgery is a predictor of mortality in patients undergoing surgery for ascending aortic aneursym. METHODS: Ninety-nine patients who underwent ascending aortic aneursym surgery between January 2010 and January 2015 were included in this study. Nineteen patients underwent ascending aortic replacement (RAA) only, 36 underwent aortic valve replacement (AVR) and RAA, 25 underwent coronary artery bypass grafting (CABG) and RAA, 11 underwent the Bentall procedure, and eight underwent AVR, CABG and RAA...
November 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27078224/procedural-and-one-year-clinical-outcomes-of-bioresorbable-vascular-scaffolds-for-the-treatment-of-chronic-total-occlusions-a-single-centre-experience
#18
Erdem Özel, Ahmet Taştan, Ali Öztürk, Emin Evren Özcan, Baris Kilicaslan, Öner Özdogan
INTRODUCTION: The bioresorbable vascular scaffold system (BVS) is the latest fully absorbable vascular therapy system that is used to treat coronary artery disease. The BVS has been used in different coronary lesion subsets, such as acute thrombotic lesions, bifurcation lesions, ostial lesions and lesions originating from bypass grafts. However, data about the use of BVS in chronic total occlusions (CTO) are limited. We report our BVS experience for the treatment of CTOs in terms of procedural features and one-year clinical follow-up results...
November 2016: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/27805245/active-schistosomiasis-severe-hypereosinophilia-and-rapid-progression-of-chronic-endomyocardial-fibrosis
#19
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
#20
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
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