International Journal of Cardiovascular Practice
International Journal of Cardiovascular Practice(IJCP) is an international quarterly journal dedicated to a broad spectrum of topics in cardiology. All manuscripts must be prepared in English, and are subject to a rigorous and fair peer-review process. Accepted papers will immediately appear online followed by printed hard copy.
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CARDIOGENIC SHOCK FOLLOWING ACUTE MYOCARDIAL INFARCTION: A RETROSPECTIVE OBSERVATIONAL STUDY
Sadeghi, Roxana;
Kachoueian, Naser;
Maghsoomi, Zohreh;
Sistanizad, Mohammad;
Soroureddin, Zahra;
Akbarzadeh, Mohammad Ali
International Journal of Cardiovascular Practice Article in Press
Publisher : International Journal of Cardiovascular Practice
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Introduction: Cardiogenic shock is a sudden complication that occurs in 5 to 10% of patients with acute myocardial infarction. According to statistics, mortality and morbidity from this event, despite all hospital care, are approximately 70-80%.Methods: This study was conducted over three years (2012 to 2014) in 28 cases of acute myocardial infarction, which was complicated by cardiovascular shock, before or after admission. We compared the outcomes of patients according to the treatment strategy, thrombolytic therapy, primary percutaneous coronary intervention (PCI), or other medical stabilization. The 30-day follow-up was the first endpoint, and the 3- month follow up was the second endpoint of the study.Results: 28 patients with cardiogenic shock included in this study. The mean (± SD) age of the patients was 62.99 ± 13.99 years. The median time to the onset of shock was 648.75 ± 1393.58 minutes after infarction. Most of the patients who underwent coronary angiography had 3-vessel or left main involvement. Two patients missed in follow up and five (80%) patients who received thrombolytic therapy passed away. Nine (100%) patients in the medical stabilization group and six patients (50%) underwent primary PCI group passed away too. The mortality in the primary PCI group was significantly lower than the other groups (P = 0.04).Conclusion: Although cardiogenic shock is a potential risk of early death, it is important that the thrombolytic in these patients doesn't increase survival and the primary PCI is more effective than thrombolytic agents.
ACUTE MYOCARDITIS MIMICKING AN ACUTE CORONARY SYNDROME: CASE REPORT AND MINI-REVIEW OF THE LITERATURE
Talhi, Fatima Ezzahraa;
Elmourid, Monia;
Maaroufi, Anass;
Qechchar, Zakaria;
Arous, Salim;
Bennouna, El Ghali;
Azzouzi, Leila;
Habbal, Rachida
International Journal of Cardiovascular Practice Article in Press
Publisher : International Journal of Cardiovascular Practice
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DOI: 10.29252/ijcp_27070
Acute myocarditis is often a challenging diagnosis due to a lack of specific clinical or paraclinical signs. It can be presented by a severe chest pain and localized ST elevation on Electrocardiogram, in rare cases, misleading the diagnosis towards acute coronary syndrome. After routine coronary angiography, a cardiac magnetic resonance imaging is imposed to correct the diagnosis towards acute myocarditis. We report the observation of a 19 year-old Moroccan male admitted to the cardiology department of IBN ROCHD University hospital of Casablanca, for acute myocarditis misdiagnosed initially as an acute myocardial infarction ST elevation and confirmed by cardiac magnetic resonance imaging.
RHEUMATIC COMPLETE ATRIOVENTRICULAR BLOCK: A CASE REPORT
Serbout, Saousan;
Choukrallah, Hamza;
Azzouzi, Leila;
Drighil, Abdenasser;
Habbal, Rachida
International Journal of Cardiovascular Practice Article in Press
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DOI: 10.29252/ijcp-28857
Acute rheumatic fever is a well-known disease that is still widely observed in developing countries, including our country Morocco. It is known that the majority of patients diagnosed with acute rheumatic fever display abnormalities of the conduction system; However, there are only a few case reports that describe severe impairment in the electrical conduction system. We describe a 21-year-old man who was diagnosed with acute rheumatic fever with complete atrioventricular block. In our patient, the diagnosis of acute rheumatic fever was established. 24-hour electrocardiography showed a paroxistic complete atrioventricular block. Penicillin prophylaxis was made, and salicylate treatment in an anti-inflammatory dose was initiated. The electrocardiographic abnormalities of the patient disappeared. Although rare, this diagnosis should be considered in patients with complete heart block, particularly when it is associated with other features of acute rheumatic fever. Conduction disorders associated with acute rheumatic fever often resolve following appropriate treatment without the need for permanent pacemaker placement.
LEFT VENTRICULAR HYPERTROPHY IN FABRY'S DISEASE IN AN OLD MALE PATIENT
Firuzi, Mohadese;
Khederlou, Hamid;
Mohammadi, Narges
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DOI: 10.29252/27629
Fabry disease is an X-linked disorder due to deficiency of the lysosomal hydrolasea-galactosidase A and the resultant accumulation of glycosphingolipids throughout the body, such as in the heart. Cardiac manifestations in Fabry disease are due to glycosphingolipid deposition in the myocardium, valves, and conduction system. Fabry cardiomyopathy, characterized by progressive severe concentric left ventricular hypertrophy. We, as a result of this, have reported a case of Fabry disease with left ventricular hypertrophy. He was admitted with dyspnea and also dizziness, general weakness, and acroparesthesias. Physical examination showed Angiokeratoma on the skin. The electrocardiography revealed ST-segment depression in leads V3?V6, and changes related to left ventricular hypertrophy. Echocardiography showed concentric left ventricular hypertrophy.
Left Ventricular Hypertrophy in Fabry's Disease in an Old Male Patient
Mohadese Firuzi;
Hamid Khederlou;
Narges Mohammadi
International Journal of Cardiovascular Practice Article in Press
Publisher : Publisher: Shahid Beheshti University of Medical Sciences
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DOI: 10.29252/ijcp-27629
Fabry disease is an X-linked disorder due to deficiency of the lysosomal hydrolasea-galactosidase A and the resultant accumulation of glycosphingolipids throughout the body, such as in the heart. Cardiac manifestations in Fabry disease are due to glycosphingolipid deposition in the myocardium, valves, and conduction system. Fabry cardiomyopathy, characterized by progressive severe concentric left ventricular hypertrophy. We, as a result of this, have reported a case of Fabry disease with left ventricular hypertrophy. He was admitted with dyspnea and also dizziness, general weakness, and acroparesthesias. Physical examination showed Angiokeratoma on the skin. The electrocardiography revealed ST-segment depression in leads V3–V6, and changes related to left ventricular hypertrophy. Echocardiography showed concentric left ventricular hypertrophy.
Patient with Purulent Pericardial Effusion Revealing Squamous Cell Lung Carcinoma
Karim Badaoui;
Mounia El Mourid;
Hatim Aminezahidi;
Haja Rbendahou;
Fatima Zaha Talhi;
Halima Anniche;
Nacer Drighil;
Rachida Habbal
International Journal of Cardiovascular Practice Article in Press
Publisher : Publisher: Shahid Beheshti University of Medical Sciences
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DOI: 10.29252/ijcp-27842
Bacterial pericarditis is a rapidly progressive infection sown with heavy mortality. It usually occurs as a secondary infection to either a contiguous or hematogenous spread from a distant focus of infection. The primary involvement of the pericardium without evidence of underlying infection disease elsewhere, is sporadic. We present a unique case of a 69 -year-old patient who was diagnosed as having purulent acute bacterial pericarditis caused by Streptococcus pneumonia, revealing an underlying squamous cell lung carcinoma in the cardiology department of IBN ROCHD University hospital of Casablanca.
Scimitar Syndrome Issued from a Consanguineous Marriage: A Rare Congenital Cardiomyopathy
Rihab Machtache;
Soukaina Safir;
Sara Chibane;
Abdenasser Drighil;
Leila Azzouzi;
Rachida Habbal;
Fadoua Kossale;
Pr Salam
International Journal of Cardiovascular Practice Article in Press
Publisher : Publisher: Shahid Beheshti University of Medical Sciences
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DOI: 10.29252/ijcp-28406
We present here a rare case of Scimitar syndrome on a full-term newborn female issued from consanguineous marriage and diagnosed at the age of two months who was suffering from polypnea since the age of two weeks. She was admitted at the age of two months for polypnea, non-dysmorphic facies, healthy systemic arterial tension, regular pulse, but the family history raises that before her birth, two newborns respectively boy and girl died both at an early age with dilated cardiomyopathy. After hospitalization, we realized chest radiography, which has shown opaque right lung and suspicion of scimitar syndrome. After that, an echocardiogram was performed, showing severe hypoplasia of the right pulmonary artery with pulmonary hypertension. The Thoracic computed tomography confirmed the diagnosis by revealing hypoplasia of the right pulmonary artery with pulmonary arterial hypertension, right pulmonary hypoplasia (bilobar), and abnormal partial right pulmonary venous return toward the vena cava under the diaphragm.
Rheumatic Complete Atrioventricular Block: A Case Report
Saousan Serbout;
Hamza Choukrallah;
Leila Azzouzi;
Abdenasser Drighil;
Rachida Habbal
International Journal of Cardiovascular Practice Article in Press
Publisher : Publisher: Shahid Beheshti University of Medical Sciences
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DOI: 10.29252/ijcp-28857
Acute rheumatic fever is a well-known disease that is still widely observed in developing countries, including our country Morocco. It is known that the majority of patients diagnosed with acute rheumatic fever display abnormalities of the conduction system; However, there are only a few case reports that describe severe impairment in the electrical conduction system. We describe a 21-year-old man who was diagnosed with acute rheumatic fever with complete atrioventricular block. In our patient, the diagnosis of acute rheumatic fever was established. 24-hour electrocardiography showed a paroxistic complete atrioventricular block. Penicillin prophylaxis was made, and salicylate treatment in an anti-inflammatory dose was initiated. The electrocardiographic abnormalities of the patient disappeared. Although rare, this diagnosis should be considered in patients with complete heart block, particularly when it is associated with other features of acute rheumatic fever. Conduction disorders associated with acute rheumatic fever often resolve following appropriate treatment without the need for permanent pacemaker placement.
Successful Primary Angioplasty of Anomalous Coronary Artery through Radial Access and Increased Guide Support: A Case Report
Amar Upadhyay;
Barun Kumar
International Journal of Cardiovascular Practice Article in Press
Publisher : Publisher: Shahid Beheshti University of Medical Sciences
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DOI: 10.29252/ijcp-29184
One of the rare abnormalities of coronary artery anatomy is the common origin of all three coronary arteries from the right sinus of Valsalva, which, may associated with myocardial ischemia. Percutaneous coronary intervention of such patients with anomalous coronary arteries is particularly challenging. In such patients femoral route is usually chosen for coronary angioplasty, various studies have proved that the radial access provides better engagement and robust support to the guide catheter. We report a rare case diagnosed with ST-segment elevated myocardial infarction. The patient underwent successful trans-radial primary angioplasty with a buddy wire, parked in the non-culprit artery.
RARE COR TRIATRIUM COMPLICATIONS : CASES REPORTS AND LITERATURE REVIEW
Rihab Machtache;
abdenasser drighil;
sara chibane;
amal moukhliss;
leila azzouzi;
rachida habbal
International Journal of Cardiovascular Practice Article in Press
Publisher : Publisher: Shahid Beheshti University of Medical Sciences
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Cor triatriatum, est une anomalie cardiaque congénitale impliquant une membrane fibromusculaire qui divise même l'oreillette gauche ou la droite en 2 chambres.Cette anomalie n'a été rapportée que chez 0,1% à 0,4% des patients atteints de cardiopathie congénitale. La plupart des patients sont diagnostiqués avec la condition dans la petite enfance ou l'enfance; les cas adultes sont rares.Nous décrivons trois complications rares du cor triatriatum. Le premier cas concerne une embolie pulmonaire compliquant un cor triatrium dextrum chez un homme de 44 ans, ce qui n'a jamais été rapporté, du moins à notre connaissance. Il a subi une résection corrective de la membrane et a été asymptomatique par la suite.Le deuxième cas concerne la mort subite d'un nourrisson de 9 mois cor triatrium sinistrumLe dernier est un patient de 45 ans environ admis pour fibrillation auriculaire révélant un triatrium cornéen.