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International Journal of Cardiovascular Practice

ijcp
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Published by Shahid Beheshti University of Medical Sciences

ISSN : 24767174 EISSN : 2476468X DOI : -

Core Subject : Health,

Medicine & Pharmacology

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.

Arjuna Subject : -

Articles 198 Documents

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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

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.

The Relationship between Sleep Quality and Happiness in Men with Coronary Artery Disease Davoud Ezzati; Naimeh Mashinchi Abbasi; Hossein Namdar; Naser Khezerlou Aghdam; Touraj Hashemi Nosrat-abad; Ali Shiri; Babak Sadeghi; Marzie Salehi
International Journal of Cardiovascular Practice Vol. 4 No. 4 (2019)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Background and Aim: Good sleep quality has beneficial effects on happiness and being unhappy is significantly associated with negative cardiac outcomes. The present research aimed at studying the relationships between sleep quality and happiness in male coronary patients. Methods: One hundred male coronary patients that having been referred to Madani Heart Hospital, Tabriz, Iran, completed the Pittsburgh Sleep Quality Index (PSQI) and Oxford Happiness Questionnaire (OHQ). All participants were selected by purposive sampling (aged 37 to 67 years). Data were analyzed by multiple regression (simultaneous method) through the SPSS 18 software.Results: There was a significant negative difference between happiness with sleep disturbances and use of sleeping medication in coronary patients. Conclusion: This study showed that poor sleep quality in coronary patients has negative effects on their happiness. Therefore, the quality of sleep in these patients should be given more consideration by community health care providers.Keywords: Sleep Quality, Happiness, Coronary Artery Disease.

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

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

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.

Lipid Profile Parameters and Coronary Artery Disease in Young Patients Undergoing Diagnostic Angiography Ashwal Adamane Jayaram; Krishnanada Nayak; Sudhakar Rao; Jyothi Samanth; Sneha T Kvellur; Adamya Saleel; Yasir Almalki; Nirlip Gajiwala
International Journal of Cardiovascular Practice Vol. 4 No. 3 (2019)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Introduction: It is vital to understand the association between lipid profile and the severity of coronary artery disease (CAD) in young patients with suspected CAD. The clinical presentation, lipid profile and severity of CAD may differ in patients who develop CAD at young age and those at older age. Friesinger (FR) index is an important tool to assess the extent and severity of coronary artery lesions.Methods: This study was a single center retrospective study involving patients below 40 years who underwent diagnostic coronary angiography. Demographic variables, lipid profile and FR index were estimated. Patients were divided into four groups based on the FR index scores of 0, 1–4, 5–10 and 11-15, respectively.Results: A total of 158 patients (Mean ± SD of age; 35.65 ± 3.81 years) were included in the study. Among demographic variables, gender (P = 0.03) and body mass index (BMI) (P < 0.001) were found to be associated with FR index. In addition, total cholesterol (P < 0.001), low density cholesterol (LDL) cholesterol (P < 0.001), non-high density cholesterol (non-HDL) (P < 0.001) and ratio of triglycerides (TG) /non-HDL cholesterol (P = 0.004) showed significant differences between the FR groups. Logistic regression analysis showed that only diabetes (P = 0.02) and BMI (P = 0.004) were significant predictors of the extent and severity of coronary artery lesions in terms of FR index.Conclusions: A strong direct relationship was observed between total cholesterol, LDL and non HDL cholesterol while a negative correlation with the TG/non HDL ratio. Diabetes and BMI also play a very significant role.

Idiopathic Chylopericardium: A case Report and Breif Review of Literature Majda Haraka; Monia El Mourid; Amine Mamoun Boutaleb; Khadija Khay; Leila Azzouzi; Rachida Habbal
International Journal of Cardiovascular Practice Vol. 4 No. 3 (2019)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Chylopericardium is the accumulation of chylous fluid in the pericardial space. Many etiologies can be found and the treatment depends on the etiology and remains unclear. This rare entity needs some tests to determine its causes. Diagnosis is based on many tools; the pericardial biopsy puncture and lymphoscintigraphy are the most important ones. The treatment requires low fat diet, lipid lowering therapy and surgery in some cases. We here report the first case in the IBN ROCHD university hospital’s Cardiology department of Casablanca, Morocco. It deals with a 32-year-old patient who consulted for dyspnea exacerbation for 18 months, becoming at rest. Chest X-ray and echocardiography were performed discovering pericardial effusion. Pericardiocentesis was performed to confirm the nature of liquid and lymphoscintigraphy showed no abnormal communication between the thoracic duct and pericardium.

Impact of Cardiopulmonary Resuscitation on Cardiac Transplantation outcome Meysam Mojtabaee; Farah Naghashzadeh; Fariba Ghorbani; Shahrzad Ghafarian; Shagin Shahryari; Farahnaz Sadegh Beigee
International Journal of Cardiovascular Practice Vol. 4 No. 3 (2019)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Introduction: Donor heart shortage limits heart transplantations programs while the number of patients waiting for cardiac transplant continues to increase. Optimizing the use of all available donor hearts is a vital key to reduce waiting list mortality. Among different extended criteria, prolong cardiopulmonary resuscitation (CPR), i.e. more than 20 min, has been considered under doubt to be a selection criterion in donor selection. The aim of this study was to compare the outcomes of heart transplantation from cardiopulmonary-resuscitated donors to those who received hearts from donors who did not require cardiopulmonary resuscitation.Methods: This study was a retrospective analysis of adult heart transplantation program in Masih Daneshvari Hospital in Tehran, Iran from 2010 to 2019. Donors and recipients’ demographics, cause of end-stage heart disease and brain death, duration of hospitalization for both donors and recipients and also the duration of cardiopulmonary resuscitation and other factors related to it were investigated. Qualitative variables were compared using Chi-square test. Quantitative variables were compared using T-test. Patient and graft survival rates were calculated using the actuarial method and compared using Wilcoxon's test.Results: Among 92 recipients, 39 were transplanted with cardiac grafts from CPR-suffering donors. There were no significant differences regarding sex, age, donor and recipient hospitalization periods, early rejection and 1-year-survival rate considering CPR and non-CPR grafts. However, we detected a strong negative correlation between the duration of CPR and 3-year-survival rate (P = 0.02 and R-value = -0.62) and also its association with post-transplant arrhythmias (P = 0.04).Conclusion: There is a negative possible influence of long-lasting CPRs (especially more than 20 minutes) in midterm survival and post-transplant complications.

Dislodged Interatrial Septum Occluder was Found in an Incredible Place: A Case Report Mehrdad Jafari Fesharaki; Azin Alizadehasl; Zahra Khajali; Melodi Farashi
International Journal of Cardiovascular Practice Vol. 4 No. 3 (2019)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Secundum type atrial septal defect (ASD) is the most common type of interatrial septum defects. Transcatheter closure of secundum ASD has replaced traditional surgical ASD closure in most cases. Embolization of device is relatively uncommon (0.3%), but it can be a life-threatening situation that needs emergency open heart surgery. We presented a 44-year-old woman who underwent a successful ASD device closure, but the day after procedure, she presented with dyspnea and frequent paroxysmal supraventricular tachycardia with absence of device in interatrial septum (IAS) position. Further investigation by transesophageal revealed atrial septal occluder in the right pulmonary artery that extracted by surgery successfully.

Correlation of platelet indices with TIMI frame count in patients undergoing primary PCI due to ST-segment elevation myocardial infarction Ayoub Salehi; Mohammad Hasan Namazi; Morteza Safi; Hossein Vakili; Habibollah Saadat; Saeed Alipour Parsa; Mohammad Ali Akbarzadeh; Ameneh Moshtaghi; Isa Khaheshi
International Journal of Cardiovascular Practice Vol. 4 No. 3 (2019)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29252/ijcp-26632

Introduction: Given the fundamental role of platelet indices in the development of atherosclerotic plaque, these indices may play a predictive role for the occurrence of disturbed coronary reperfusion. The present study evaluated the relationship between platelet indices and coronary reperfusion status based on TIMI frame count.Methods: This cross-sectional study was conducted on 98 consecutive patients with STEMI who were candidate for primary PCI at Modarres Hospital in Tehran between January 2016 and January 2018. Venous samples were extracted from all patients before primary PCI. To assess the condition of coronary reperfusion after primary PCI, TIMI frame count related to culprit artery in acute myocardial infarction was determined.Results: The TIMI frame count was positively associated with platelet count (r = 0.320, p = 0.001) and more strongly with platelet to lymphocyte ratio (r = 0.375, p < 0.001), but not with other platelet indices such as PDW, MPV, or PLCR. According to the ROC curve analysis, platelet to lymphocyte ratio was introduced as a valuable parameter for differentiating complete from disturbed reperfusion (AUC = 0.735, 95%CI: 0.613 – 0.858, P = 0.001). The best cutoff value for platelet to lymphocyte ratio in predicting disturbed reperfusion was 146.5 yielding a sensitivity of 81.8% and a specificity of 60.5%. However, other platelet indices could not present this predictive role. Conclusion: From different platelet indices, the platelet to lymphocyte ratio with predictive accuracy and sensitivity predict coronary perfusion impairment based on the increase in TIMI frame count.

The acute effects of Water-pipe smoking on Ankle Brachial Index: A cross-sectional Study Zahra Hesami; Hooman Sharifi; Neda Behzadnia; Farah Naghashzadeh; Gholam Reza Heydari; Babak Sharif-kashani; Payam Abbasi
International Journal of Cardiovascular Practice Vol. 4 No. 3 (2019)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Introduction: Numerous studies have shown that waterpipe smokers as well as cigarette smokers are at increased risk of cardiovascular diseases. In this study we sought to evaluate the acute effects of waterpipe smoking (WPS) on ankle brachial index (ABI), an indicator of atherosclerosis and an independent predictor of mortality.Methods: This prospective cross-sectional study was conducted in October 2017. Twenty nine healthy male volunteers who had a history of WPS were enrolled. Demographic data and cigarette and WPS status were recorded via self-reporting questionnaire. Resting heart rate and brachial systolic and diastolic blood pressures of participants were recorded first and ABI measurements were done. Then subjects smoked waterpipe for about 20 minutes and ABI was measured immediately after WPS.Results: A total of 29 male adults with a mean age of 32 ± 9 years were included. The right-sided ABI was 1.05 ± 0.11 before WPS and significantly decreased to 0.98 ± 0.13 after WPS (P value = 0.006). The left-sided ABI before and after WPS were 1.09 ± 0.20 and 0.95 ± 0.18 respectively and the decrease was statistically significant (P value = 0.037). Vital signs before and after one session of WPS showed significant changes in heart rate (P < 0.001) and no significant changes in systolic and diastolic blood pressures (P = 0.09, and P = 0.14, respectively).Conclusion: WPS has an acute effect on ABI as well as heart rate so it should be considered as a potential risk factor for cardiovascular diseases.

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