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Heart Asia

Siddharthan Deepti, Raghav Bansal, Sandeep Singh
Case presentation: A middle-aged patient presented to the emergency department with intermittent chest pain of 4-hour duration. The patient had been recently diagnosed with metastatic adenocarcinoma of the colon and was receiving 5-fluorouracil (5-FU)-based chemotherapy at the time of presentation. The ECG at presentation showed 1 mm ST segment elevation in leads II, III and aVF, with reciprocal changes in leads aVL, V1 and V2 (figure 1A). Serum cardiac troponin I level was elevated at 0...
2018: Heart Asia
S'fisosikayise Madi, Feroza Motara, Callistus Enyuma, Abdullah Ebrahim Laher
Introduction: Life-threatening emergencies are not limited to the emergency department. Any delay in intervention during an emergency often culminates into a poor outcome. Early electrical defibrillation is one of the most important interventions in patients with cardiac arrest. This study aimed to conduct a clinical audit of defibrillator devices at an urban public sector hospital in Johannesburg. Methods: All defibrillator devices within various areas of the hospital were assessed...
2018: Heart Asia
Akshyaya Pradhan, Nirdesh Jain, Salvatore Cassese, Pravesh Vishwakarma, Rishi Sethi, Sharad Chandra, Gaurav Chaudhary, Sudhanshu Kumar Dwivedi, Varun Shankar Narain
Objective: We sought to investigate the incidence and predictors of 30-day mortality associated with ventricular septal rupture (VSR) complicating acute myocardial infarction (AMI) in a cohort of patients admitted to a single centre in India. Methods: From October 2013 to February 2016, a total of 6560 patients with a diagnosis of AMI were admitted to our institution. Among these patients, those with a diagnosis of VSR were retrospectively included in this registry...
2018: Heart Asia
Jayaprasad Narayanapillai, Suresh Madhavan, B Hosgoudru Shankaragouda
Case presentation: A 32-year-old woman with no other medical history presented with 1-month history of fever, weight loss and dyspnoea. On examination she had elevated jugular venous pressure and tachycardia. Her chest X-ray posterioranterior view (figure 1A) showed a rounded mass in the right cardiophrenic angle obscuring the right atrial margin, producing a 'silhouette' sign. Echocardiography showed a large cystic mass with thickened pericardium, lateral to the right atrium, causing right atrial compression (figure 1B)...
2018: Heart Asia
Hideaki Matsuura, Akira Yamada, Kunihiko Sugimoto, Keiko Sugimoto, Masatsugu Iwase, Takashi Ishikawa, Junichi Ishii, Yukio Ozaki
Purpose: The ratio of the left atrial volume index (LAVI) and late diastolic mitral annular velocity (A') is a useful echocardiographic index for identifying advanced left ventricular (LV) diastolic dysfunction in patients with dyspnoea. We investigated the clinical implications and prognostic value of the aforementioned ratio (LAVI/A') in patients with ST elevation (STE) or non-STE (NSTE) acute coronary syndrome (ACS). Methods: We studied 212 patients with ACS...
2018: Heart Asia
Thiruvelselvan Ponnusamy, Srikanth K Venkatachala, Manjunatha Ramanjappa, Vijay V Kakkar, Lakshmi A Mundkur
Objective: Atherosclerosis is an autoimmune condition and the underlying cause of coronary artery disease (CAD). Circulating antibodies to self-antigens can have a pathogenic or protective function in atherosclerosis. The objective of the study was to understand the association of autoantibody levels with CAD and its correlation with circulating immune cells. Methods: We assessed antigen concentration and antibodies to apolipoprotein B (ApoB) and heat shock protein (HSP)60 by ELISA in 252 acute coronary syndromes (ACS), 112 patients with stable angina (SA) and 203 healthy controls from Indian population...
2018: Heart Asia
Alireza Emami-Ardekani, Sara Harsini, Mohammad Eftekhari
No abstract text is available yet for this article.
2018: Heart Asia
Nithin Ramesh Iyer, Adrianus W G J Oomen, Raymond W Sy
A 53-year-old man presented with chest pain, palpitations and presyncope, without history of overt cardiac disease. The patient was alert. His heart rate was 206 beats per minute, and his blood pressure was 100/50 mm Hg. An intravenous bolus of amiodarone 150 mg was administered in the emergency department. His ECGs preamiodarone and postamiodarone are shown in figure 1. Echocardiography showed low-normal left ventricular systolic function.Figure 1(A) ECG of index arrhythmia. (B) ECG following amiodarone...
2018: Heart Asia
Weiting Huang, Gary Kuan Wee Teo, Jack Wei-Chieh Tan, Nur Shahidah Ahmad, Hwee Hong Koh, Marcus Eng Hock Ong
Background: Survival with good neurological function post out-of-hospital cardiac arrest (OHCA), defined as cerebral performance category (CPC) 1-2, ranges from 1.6% to 3% in Asia. We aim to study the influence of comorbidities and peri-OHCA event factors on neurological recovery and develop a model that can help clinicians predict neurological function among patients with post-OHCA admitted to the hospital. Methods: This was a retrospective cohort study. All patients admitted post-OHCA from 1 January 2011 to 31 December 2015 to a tertiary centre were identified through the hospital OHCA registry...
2018: Heart Asia
Syed Saleem Mujtaba, Stephen C Clark
Objective: The mitral valve may be accessed directly through the left atrium but visualisation can sometimes be challenging. A trans-septal interatrial approach provides better exposure and easy access for concomitant tricuspid procedures especially in difficult cases. This retrospective study evaluates the safety and effectiveness of the extended vertical trans-septal approach (EVTSA) for routine mitral valve exposure. Method: 1017 consecutive patients undergoing an isolated primary mitral valve procedure (repair/replacement) through a median sternotomy were retrospectively studied between 2000 and 2015...
2018: Heart Asia
Hashir Kareem, Prasad Narayana Shetty, Tom Devasia, Yeshwanth Rao Karkala, Ganesh Paramasivam, Vasudev Guddattu, Ajit Singh, Sheetal Chauhan
Background: Socioeconomic status (SES) has been associated with adverse cardiovascular events in coronary atherosclerotic disease. However, it is unclear how SES impacts adverse cardiac events in patients treated with percutaneous coronary intervention (PCI). Methods: We determined SES based on educational, economic and occupational parameters for 630 consecutive patients who underwent PCI at our centre between 01 June 2015 and 01 June 2016. The patients were divided into low and high SES groups, and they were followed up for 12 months...
2018: Heart Asia
Christian Abrahim, Satish Maharaj
Case presentation: A 47-year-old Caucasian woman with type 1 diabetes presented with epigastric pain and vomiting. She had not been adherent with her diet and insulin therapy for the past 3 weeks. She never had a personal or family history of arrhythmia-related symptoms, ventricular tachycardia or fibrillation (VT/VF) or premature sudden cardiac death (SCD). Examination revealed dry mucosa, tachycardia and epigastric tenderness to palpation. Her ECG showed ST elevations (V1-V3) with associated T wave inversions (figure 1A)...
2018: Heart Asia
Arun Gopalakrishnan, Krishna Kumar Mohanan Nair, Sanjay Ganapathi
No abstract text is available yet for this article.
2018: Heart Asia
Ma Krizia Camille Yap, Kevin Francis Ang, Lea Arceli Gonzales-Porciuncula, Evelyn Esposo
Objective: Various risk prediction models are available to stratify patients before non-cardiac surgery and pave the way for anticipative and preventive measures. The American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) Surgical Risk Calculator is an extensive tool that predicts the risk for major adverse cardiovascular events (MACE) and other perioperative outcomes. This study validated the calculator in a Filipino population and compared its predictive ability with the more widely used Revised Cardiac Risk Index (RCRI)...
2018: Heart Asia
Giselle G Gervacio, Jaime Alfonso Manalo Aherrera, Rody G Sy, Lauro L Abrahan Iv, Michael Joseph Agbayani, Felix Eduardo Punzalan, Elmer Jasper B Llanes, Paul Ferdinand M Reganit, Olivia T Sison, E Shyong Tai, Felicidad V Velandria, Allan Gumatay, Nina T Castillo-Carandang
Background: Brugada syndrome is the mechanism for sudden unexplained death. The Brugada ECG pattern is found in 2% of Filipinos. There is a knowledge gap on the clinical outcome of these individuals. The clinical profile and 5-year cardiac event rate of individuals with the Brugada ECG pattern were determined in this cohort. Methods: This is a sub-study of LIFECARE (Life Course Study in Cardiovascular Disease Epidemiology), a community based cohort enrolling healthy individuals 20 to 50 years old conducted in 2009-2010...
2018: Heart Asia
Kenichiro Sawada, Osami Kawarada, Satoshi Yasuda
No abstract text is available yet for this article.
2018: Heart Asia
Brent J Klinkhammer, Cornelius M Dyke, Thomas A Haldis
Objectives: In patients with symptomatic aortic valve disease who are at intermediate to high risk for open surgical aortic valve replacement, transcatheter aortic valve replacement (TAVR) decreases overall mortality and improves quality of life. Hypertension (HTN) after TAVR has been associated with improved cardiac function and short-term survival but its effect on survival over 1 year is unclear. Our study aims to evaluate the effect of HTN following TAVR on short-term and long-term clinical and echocardiographic outcomes...
2018: Heart Asia
Jacob Y Cao, Seung Yeon Lee, Kevin Phan, David S Celermajer, Sean Lal
The benefits of inhibiting the renin-angiotensin-aldosterone system (RAAS) are well established for left ventricular dysfunction, but remain unknown for right ventricular (RV) dysfunction. The aim of the current meta-analysis is to investigate the role of RAAS inhibition on RV function in those with or at risk of RV dysfunction. Medline, PubMed, EMBASE and Cochrane Libraries were systematically searched and 12 studies were included for statistical synthesis, comprising 265 RAAS inhibition treatment patients and 265 placebo control patients...
2018: Heart Asia
Gary S H Cheung, Kevin K H Kam, Yat-Yin Lam, Alex P W Lee
No abstract text is available yet for this article.
2018: Heart Asia
Milind Hote
No abstract text is available yet for this article.
2018: Heart Asia
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