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Journal of Cardiovascular and Thoracic Research

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https://www.readbyqxmd.com/read/29707179/pigtail-saves-a-twisted-redo-successful-management-of-chylopericardium-after-midline-valve-surgery
#1
Aayush Goyal, Rohit Shahapurkar, Balaji Aironi, Ninad Kotkar, Ankur Goel
Pericardial effusion after midline cardiac surgery may be transudative or exudative. The exudative infective or haemorrhagic variety requires early surgical intervention. However there are rare cases of collections like chylomediastinum which should be ruled out. Their low incidence prompts to establish protocol for evaluating postoperative pericardial collections, which includes echocardiography and biochemical analysis of aspirate. The same is important from the perspective of management as chylopericardium may be successfully managed without surgical intervention by aspiration, pig tail insertion, dietary and medical management, which we demonstrate through our rare case which occurred after midline double valve replacement...
2018: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29707178/cha2ds2-vasc-score-predict-no-reflow-phenomenon-in-primary-percutaneous-coronary-intervention-in-primary-percutaneous-coronary-intervention
#2
Fardin Mirbolouk, Mahboobeh Gholipour, Arsalan Salari, Maryam Shakiba, Jalal Kheyrkhah, Vahid Nikseresht, Nozar Sotoudeh, Negar Moghadam, Mohammad Jaafar Mirbolouk, Mani Moayeri Far
Introduction: No-reflow is one of the major complications of primary PCI in patients with acute ST elevation myocardial infarction. This phenomenon is associated with adverse outcomes in these patients. In the current study, we evaluated the effectiveness of CHA2DS2-VASc score in predicting no-reflow phenomenon. CHA2DS2-VASc score is a risk stratification method to estimate the risk of thromboembolism in patients with atrial fibrillation. Methods: In total, 396 patients with ST elevation myocardial infarction who had undergone primary PCI were evaluated in our study...
2018: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29707177/identification-of-a-novel-non-sense-mutation-in-tbx5-gene-in-pediatric-patients-with-congenital-heart-defects
#3
Mehri Khatami, Mohammad Mehdi Heidari, Fatemeh Kazeminasab, Razieh Zare Bidaki
Introduction: Congenital heart diseases (CHDs) are structural cardiovascular malformations that arise from abnormal development of the heart during the prenatal life. Mutations in the TBX5 gene, encoding T-box transcription factor, are a major cause of CHD. To evaluate the TBX5 mutations in hotspot exons in sporadic pediatric patients with CHD phenotypes, analytical case/control study performed in an Iranian cohort of unrelated patients with clinical diagnosis of congenital heart malformations. Methods: We investigated TBX5 coding exons 4, 5, 6 and 7 in 95 sporadic patients with CHD phenotypes and compared to 82 healthy controls using PCR-SSCP and DNA sequencing approaches...
2018: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29707176/predictors-of-short-term-mortality-after-acute-stroke-in-east-azerbaijan-province-2014
#4
Seyed Morteza Shamshirgaran, Hamid Barzkar, Darioush Savadi-Oskouei, Mohammad Yazdchi Marandi, Abdolrasoul Safaiyan, Ehsan Sarbazi, Hossein Novbakht, Saber Gaffari
Introduction: Stroke is one of the important causes of death and disability in Iran. This study aimed to examine the factors influencing the short-term mortality of stroke in Northwest of Iran. Methods: Study population were all patients with confirming the diagnosis of the first-ever stroke who were hospitalized in two referral teaching hospitals from October 2013 to March 2015. They were followed up to 30 days after onset of stroke. A neurology year three resident was responsible for extracting the clinical data and assessment of stroke severity on admission using National Institute of Health Stroke Scale (NIHSS), and information about risk factors and socio-demographic factors were collected using face to face interview...
2018: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29707175/comparative-study-of-short-term-cardiovascular-autonomic-control-in-cardiac-surgery-patients-who-underwent-coronary-artery-bypass-grafting-or-correction-of-valvular-heart-disease
#5
Vladimir A Shvartz, Anton R Kiselev, Anatoly S Karavaev, Kristina A Vulf, Ekaterina I Borovkova, Mikhail D Prokhorov, Andrey D Petrosyan, Olga L Bockeria
Introduction: Our aim was to perform a comparative study of short-term cardiovascular autonomic control in cardiac surgery patients who underwent coronary artery bypass grafting (CABG) or surgical correction of valvular heart disease (SCVHD ). Methods: The synchronous 15 minutes records of heart rate variability (HRV) and finger's photoplethysmographic waveform variability (PPGV) were performed in 42 cardiac surgery patients (12 women) aged 61.8 ± 8.6 years (mean ± standard deviation), who underwent CABG, and 36 patients (16 women) aged 54...
2018: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29707174/development-of-a-self-care-program-satisfaction-questionnaire-for-cardiovascular-patients-in-iran
#6
Mehdi Nosratabadi, Zohreh Halvaiepour
Introduction: Evaluating patient satisfaction with self-care program can increase the likelihood of complying with treatment. There is no valid and reliable tool to be used in measuring Iranian patient's satisfaction with self-care program. So, this study intends to develop the patient satisfaction questionnaire in the context of cardiac rehabilitation and test its validity and reliability in Iranian patients. Methods: A cross-sectional study was conducted to develop and validate the patient satisfaction with self-care program questionnaire using structural modeling...
2018: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29707173/analysis-of-the-mutations-in-exon-10-of-mefv-gene-in-patients-with-premature-coronary-heart-disease-in-west-azerbaijan-province-of-iran
#7
Morteza Bagheri, Kamal Khadem-Vatani, Mir Hossein Seyed Mohammad Zad, Isa Abdi Rad, Behzad Rahimi, Alireza Rostamzadeh, Mojtaba Godarzi, Shabnam Ashena
Introduction: Premature coronary heart disease (PCHD) affects public health and leads to death. PCHD has several genetic and environmental risk factors. The aim of this study was to analysis of the mutations in exon 10 of MEFV gene in patients with PCHD in West Azerbaijan province of Iran. Methods: Totally 41 PCHD patients who were admitted to the cardiology unit of Sayedoshohada hospital (Urmia, Iran) enrolled in the study. Selection of the patients was done based on the strict criteria, that is, who had a minimum of one angiographically documented coronary artery with the stenosis of 50%...
2018: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29707172/knowledge-attitude-and-practice-of-iranian-hypertensive-patients-regarding-hypertension
#8
Yaseen Rashidi, Hesam Manaflouyan, Fatemeh Pournaghi Azar, Zeinab Nikniaz, Leila Nikniaz, Samad Ghaffari
Introduction: This study aimed at evaluating knowledge and awareness of hypertension and the risk factors for hypertension among hypertensive patients. Methods: In this study, 110 hypertensive patients were enrolled and filled out two self-administered questionnaires. The first questionnaire was about the demographic characteristics and the second one was about the knowledge (n = 10), attitude (n = 9) and practice (n = 8). The internal consistency and the stability of the questionnaires were approved. The Mann-Whitney U test and Kruskal-Wallis and Spearman correlation coefficient were used for statistical analysis...
2018: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29707171/study-of-respiratory-chain-dysfunction-in-heart-disease
#9
REVIEW
Seyyed Hossein Hassanpour, Mohammad Amin Dehghani, Seyyedeh Zeinab Karami
The relentlessly beating heart has the greatest oxygen consumption of any organ in the body at rest reflecting its huge metabolic turnover and energetic demands. The vast majority of its energy is produced and cycled in form of ATP which stems mainly from oxidative phosphorylation occurring at the respiratory chain in the mitochondria. A part from energy production, the respiratory chain is also the main source of reactive oxygen species and plays a pivotal role in the regulation of oxidative stress. Dysfunction of the respiratory chain is therefore found in most common heart conditions...
2018: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29391938/variation-of-the-cephalic-and-basilic-veins-a-case-report
#10
Akram Sadeghi, Mohsen Setayesh Mehr, Ebrahim Esfandiari, Shabnam Mohammadi, Hamid Baharmian
Cephalic and basilic veins begin their path from around the wrist and continue towards the area above the forearm. The basilic vein becomes deep around the mid-arm, while the cephalic vein becomes deep around the upper forearm, in deltopectoral groove. The superficial veins are most commonly used for vein puncture, transfusion, bypass graft, and cardiac catheterization. In renal patients, the basilic vein use as an arteriovenous graft or fistula for haemodialysis access. During a routine dissection in the department of anatomy in Isfahan, we observed a variation in the left arm of an infant boy (six months old)...
2017: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29391937/foreign-body-associated-non-st-elevation-myocardial-infarction-a-case-report
#11
Pooyan Dehghani, Mahdi Sajedi Khanian
The incidence of guiding catheter tip fracture, is quite rare during percutaneous coronary interventions (PCI). Retained broken catheter tip in coronary artery and circulation can result in serious complications such as thrombosis, embolism, acute occlusion and myocardial infarction, arrhythmias and sepsis. It is mandatory to remove the fractured catheter as soon as possible to avoid these complications. Transcatheter removal is the treatment of choice. If percutaneous removal is failed, surgical intervention is advised...
2017: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29391936/the-effect-of-intraoperative-lung-protective-ventilation-vs-conventional-ventilation-on-postoperative-pulmonary-complications-after-cardiopulmonary-bypass
#12
Mohammad Mahdi Zamani, Atabak Najafi, Saloomeh Sehat, Zinat Janforooz, Pooya Derakhshan, Faranak Rokhtabnak, Mehrdad Mesbah Kiaee, Alireza Kholdebarin, Masoud Ghorbanlo, Mohammad Hossein Hemadi, Mohammad Reza Ghodraty
Introduction: This study aimed to evaluate the effects of high positive-end expiratory pressure (PEEP) and low tidal volume (TV) and recruitment maneuver, on postoperative pulmonary complications (PPCs) after coronary artery bypass grafting (CABG) surgery. Methods: This study is a randomized double blind clinical trial on 64 patients who were undergoing CABG surgery, and were randomly divided into two groups of conventional ventilation (C-Vent) with TV of 9 mL/kg and PEEP=0 cm H2O, and lung protective ventilation (P-Vent), with 6 mL/kg TV and PEEP=10 cm H2O with recruitment maneuver every 30 minutes...
2017: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29391935/the-frequency-and-importance-of-chest-pain-in-midterm-follow-up-of-transcatheter-closure-of-interatrial-septal-defect
#13
Azin Alizadehasl, Mohsen Neshati Pir Borj, Anita Sadeghpour, Ata Firouzi, Hamidreza Sanati, Masoud Movassaghi
Introduction: We evaluated chest pain alongside other midterm subjective and objective complications of the transcatheter closure of atrial septal defects (ASDs) and patent foramen ovales (PFOs) with various closure devices. Methods: This cross-sectional study, performed from March 2010 to October 2015 in Rajaie Cardiovascular, Medical, and Research Center, evaluated 313 patients (mean age = 29.12 ± 10 years, 32.9% male) for probable complications associated with the transcatheter occlusion of secundum ASDs (n = 289, mean age = 30...
2017: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29391934/fibrinolytic-therapy-in-patients-with-st-segment-elevation-myocardial-infarction-accelerated-versus-standard-streptokinase-infusion-regimen
#14
Ahmed Bendary, Wael Tawfik, Mohamed Mahrous, Mohamed Salem
Introduction: Timely fibrinolysis for acute ST-segment elevation myocardial infarction (STEMI) reduces infarct size and hence preserves LV function and reduces mortality. Optimal regimen of streptokinase (SK) infusion in such patients is a matter of interest. The current study aimed to compare efficacy and safety of accelerated SK infusion regimen in patients with STEMI versus the standard one. Methods: One hundred consecutive STEMI patients were randomly allocated into one of 2 groups: group I (50 patients) who received accelerated SK regimen (1...
2017: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29391933/saffron-and-crocin-improved-appetite-dietary-intakes-and-body-composition-in-patients-with-coronary-artery-disease
#15
Nasim Abedimanesh, S Zahra Bathaie, Saeed Abedimanesh, Behrooz Motlagh, Ahmad Separham, Alireza Ostadrahimi
Introduction: Central obesity is an independent risk factor for coronary artery disease (CAD). It can increase cardio-metabolic risks through hypertension, hyperlipidemia and insulin resistance. Saffron and its bioactive compounds (crocin and crocetin) can modify some of metabolic disorders through multiple mechanisms. The aim of this study was to assess the efficacy of saffron and crocin on lipid profile, appetite, dietary intakes, anthropometric indices and body composition in patients with CAD. Methods: This 8 weeks randomized, double-blind, and placebo-controlled trial was conducted on 84 patients with CAD between the ages of 40 and 65 years old...
2017: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29391932/comparison-of-tracheal-tube-cuff-pressure-with-two-techniques-fixed-volume-versus-pilot-balloon-palpation
#16
Farzad Rahmani, Hassan Soleimanpour, Ali Zeynali, Ata Mahmoodpoor, Kavous Shahsavari Nia, Jafar Rahimi Panahi, Sarvin Sanaei, Maryam Soleimanpour, Robab Mehdizadeh Esfanjani
Introduction: Filling tracheal tube cuff (TTC) after intubation is necessary to provide a safe airway in intubated patients. On the other hand, excessive increase or decrease in the pressure of TTC's balloon leads into the dangerous complications such as necrosis and/or aspiration. Accordingly, in the present study, we tried to evaluate the most two common fixed volume and pilot balloon palpitation methods to control TTC pressure. Methods: In a prospective cross-sectional study that was carried out in the emergency department of Tabriz Imam Reza hospital upon 194 patients who needed intubation and from April 2015 to June 2016...
2017: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29391931/in-vitro-inhibition-of-platelets-aggregation-with-generic-form-of-clopidogrel-versus-branded-in-patients-with-stable-angina-pectoris
#17
Rza Hajizadeh, Samad Ghaffari, Mojtaba Ziaee, Behrooz Shokouhi, Ahmad Separham, Parvin Sarbakhsh
Introduction: Clopidogrel is a potent platelet activation and aggregation inhibitor that prevents thrombosis in coronary artery diseases (CADs). In comparison to locally produced generic one (Osvix®), original brand of clopidogrel (Plavix®) is expensive. This study was designed to evaluate the effectiveness and uniformity of Osvix® versus Plavix® in patients with percutaneous coronary intervention (PCI) by means of platelet aggregation indexes. Methods: This randomized, double blind clinical study was conducted at Shahid Madani heart hospital, Tabriz, Iran, and 129 patients with previous PCI were enrolled in two independent treatment groups...
2017: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29391930/the-effects-of-sodium-butyrate-and-inulin-supplementation-on-angiotensin-signaling-pathway-via-promotion-of-akkermansia-muciniphila-abundance-in-type-2-diabetes-a-randomized-double-blind-placebo-controlled-trial
#18
Neda Roshanravan, Reza Mahdavi, Effat Alizadeh, Abed Ghavami, Yalda Rahbar Saadat, Naimeh Mesri Alamdari, Shahriar Alipour, Mohammad Reza Dastouri, Alireza Ostadrahimi
Introduction: Inflammation has a crucial role in the progression of cardiovascular disease in diabetes. Tumour necrosis factor-α (TNF-α) as an inflammatory marker induces angiotensin II (Ang II) related hypertension pathway in diabetic patients. Gut modulation via prebiotics may ameliorate hypertension caused by inflammation. The aim of this study was to investigate the role of sodium butyrate (NaBut) and inulin supplements on inflammatory and oxidative stress parameters in type 2 diabetic patients. Methods: In this clinical trial, 60 overweight and obese diabetic patients were recruited and randomly allocated into four groups...
2017: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29118953/the-role-of-preoperative-sildenafil-therapy-in-controlling-of-postoperative-pulmonary-hypertension-in-children-with-ventricular-septal-defects
#19
Hamid Bigdelian, Mohsen Sedighi
Introduction: Most of the ventricular septal defects (VSD) are complicated with pulmonary arterial hypertension (PAH) which is the major cause of pulmonary hypertensive crisis and right ventricular failure. Methods: We reviewed clinical outcomes of 63 infants who underwent cardiac surgery and were divided into three groups. Control group (n=20) did not received sildenafil while group A (n = 22) received drug (0.3 mg/kg) before and after surgery. Group B (n=21) received drug at the initiation of surgery. Demographic data, preoperative and postoperative variables were compared among the patients...
2017: Journal of Cardiovascular and Thoracic Research
https://www.readbyqxmd.com/read/29118952/24-hour-survival-after-cardiopulmonary-resuscitation-is-reduced-in-patients-with-diabetes-mellitus
#20
Ali Movahedi, Seyed Reza Mirhafez, Hamidreza Behnam-Voshani, Hamidreza Reihani, Gordon A Ferns, Javad Malekzadeh
Introduction: Diabetes mellitus is a risk factor for cardiovascular disease. Some recent studies have shown an association between diabetes and out-of-hospital cardiac arrest incidence and survival. We aimed to investigate whether there is an association between the presence of diabetes mellitus and survival after cardiopulmonary resuscitation (CPR) in patients with an in-hospital cardiac arrest. Methods: A cross-sectional study was conducted during the period of January to February 2014, among 80 cases of cardiopulmonary arrest in patients at Qaem hospital of Mashhad, Iran...
2017: Journal of Cardiovascular and Thoracic Research
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