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International Journal of Cardiovascular Practice
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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Sustained ventricular fusion simulating a biventricular pacing VINCENZO CARBONE; VINCENZO MARAFIOTI; MARIA PIA CALABRO'; GIUSEPPE ORETO
International Journal of Cardiovascular Practice Vol. 2 No. 1 (2017)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-020104

Abstract

An electrocardiogram from a patient implanted with a dual-chamber DDD pacemaker showed paced QRS complexes whose morphology and frontal-plane axis were consistent with biventricular stimulation with right ventricular lead located at the apex. However, some electrocardiographic findings were suggestive, rather, of univentricular right apical pacing and sustained ventricular fusion with competing native atrioventricular conduction in the presence of patient’s spontaneous QRS showing right bundle branch block plus left anterior hemiblock. Shortening atrioventricular delay with magnet application advanced right ventricle stimulation and prevented the supraventricular impulse to contribute to ventricular depolarization, thereby making clear the mechanism of right ventricular apical pacing. 
Evaluation of a Clinical Decision Support System for Dyslipidemia Treatment (HTE-DLPR) by QoE questionnaire Alberto Zamora; Carme Carrion; Marta Aymerich; Xavier Castells; Lidia Blanco; Anabel Martin-Urda; Guillen Paluzie; Dolors Capellá; Roberto Elosua
International Journal of Cardiovascular Practice Vol. 2 No. 1 (2017)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-020105

Abstract

Introduction: Clinical decision support systems (CDSS) are computer systems designed to assist clinicians with patient-related decision making, such as diagnosis and treatment. CDSS have shown to improve both patient outcomes and cost of care.Methods: A multi-center observational prospective study was conducted. Ten physicians agreed to participate. Seventy-seven patients with high or very high cardiovascular risk were included. After using CDSS for dyslipidemia (HTE-DLPR) for a 3 months period, participants were asked to evaluate their experience with HTE-DLPR using a quality of experience questionnaire (QoE) tool for mHealth applications.Results: Total score on the QoE was 3.89 out of 5. The highest scores were received for precision, ease of use and content quality. The lowest scores were given to security, appearance and performance. Physicians were in strong agreement with the 1st HTEDLPR recommendation in 86.1% and the system’s use was described as comfortablein 85% of cases. Users positively evaluated the development of a new version of HTEDLPR in the future receiving a total score of 4.25 out of 5.Conclusions: A CDSS for dyslipidemia (HTE-DLP) has been positively evaluated by physicians using QoE questionnaire.
Edwards Intuity Elite In a Patient With Bicuspid Aortic Stenosis and Ventricular Septal Defect Attilio Cotroneo; Gian Luca Martinelli; Gabriele Musica; Mario Bobbio; Marco Diena
International Journal of Cardiovascular Practice Vol. 2 No. 2 (2017)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-020202

Abstract

This study reports on 65-year-old male with a bicuspid Aortic Stenosis (AS) low flow, low gradient and a congenital Ventricular Septal Defect (VSD) of pars membranosa. A ministernotomy and Cardiopulmonary Bypass (CPB) by aorto-femoral cannulation was performed. The VSD was below the commissure between right and non coronary sinus. It was decided to correct it by a stitch with a pericardial patch and a further safer coverage by the stent of an Intuity Elite aortic valve. To the best of our knowledge this was the first time that a VSD could be covered with a suturless valve for two reasons: International Journal of e and conformable configuration of the valve.
Double Orifice Fissured Subaortic Membrane in the Adult Giordano Zampi; Marzia Cottini; Amedeo Pergolini; Vincenzo Polizzi; Francesco Musumeci
International Journal of Cardiovascular Practice Vol. 2 No. 1 (2017)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-020107

Abstract

Left ventricle outflow tract obstruction is a relatively common form of congenital heart disease, occurring in 2.8 out of 10,000 live births and accounts for 3-6% of congenital heart diseases. Subvalvular aortic stenosis can be either a fixed stenosis resulting from subaortic membrane or a dynamic stenosis because of hypertrophic cardiomyopathy. We described an original and rare image of double orifice fissured subaortic membrane in the adult.
Evaluating the Effect of Cardiac Rehabilitation Care Plan on Quality of Life of Patients Undergoing Coronary Artery Bypass Graft Surgery Seyedeh Zahra Masoumi; farideh kazemi; Somayeh Khani; Hazhir Seifpanahi-Shabani; Maryam Garousian; Mehran Ghabeshi; Fatemeh Razmara; Ghodratollah Roshanaei
International Journal of Cardiovascular Practice Vol. 2 No. 2 (2017)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-020204

Abstract

Introduction: Cardiovascular surgeries are among the conventional surgeries aimed at increasing the survival rate and improving the quality of life of patients. This study aimed to evaluate the effect of cardiac rehabilitation on quality of life of patients undergoing Coronary artery bypass graft (CABG) surgery.Methods: This was a semi-experimental study performed on 160 patients undergoing CABG surgery. The rehabilitation program was carried out for 13 weeks (three sessions per week) in 40 sessions, six weeks after the CABG surgery. The MacNew standard questionnaire and the general health questionnaire (S-f 36) were completed before the beginning of rehabilitation sessions as well as after completion of these sessions by patients.Results: According to the results, the quality of life of patients significantly increased in the physical and emotional areas after the rehabilitation program. The results also indicated that there was a significant difference between various levels of research in the physical functioning variables, dysfunction due to physical health, dysfunction due to emotional health, energy/fatigue of individuals, emotional well-being, social functioning, pain, and general health.Conclusions: The present results indicated the improved quality of life of patients in all the areas after cardiac rehabilitation intervention, compared to before that. Therefore, paying more attention to cardiac rehabilitation is necessary due to its positive effects on increasing the quality of life of patients.
Frequency of HLA-B27 in Patients With Conductive System Disturbance and Implanted Permanent Pacemaker in Iran Sima Sayah; Morteza Ebrahimi; Poorya Piroozmand
International Journal of Cardiovascular Practice Vol. 2 No. 1 (2017)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-020103

Abstract

Introduction: HLA-B27 is considered as one of the causes of heart conductive disorders. We studied the frequency of HLA-B27 among Iranian patients who had undergone permanent pacemaker implantation.Methods: This descriptive and analytical study was performed among patients who underwent permanent pacemaker implantation. The questionnaire contains demographic data, underling diseases, and history of heart disease or heart surgery. The type of conductive heart disorder was mentioned there, too. We determined the regurgitation of aorta valve and its severity. Finally, HLA-B27 was accessed. All the data was entered in SPSS software and analyzed.Results: From a total of 103 patients entered in this study, only 6 (5.8%) were HLAB-27 positive. The disturbance of conductive heart disorders based on the HLA-B27 positive or negative patients was not statistically different. Patients with HLA-B27 mostly had regurgitation of the aorta valve.Conclusions: We concluded that the frequency of positive HLA-B27 genotype in patients with permanent pacemakers did not have any significant difference with the ones with negative HLA-B27 genotype. However; this genotype was associated with regurgitation of the aorta valve.
Thrombotic and Thromboembolic Complications in Patients with Adult Congenital Heart Disease Behnood Bikdeli; Phillip Green; Matthew J. Lewis; Marlon S. Rosenbaum
International Journal of Cardiovascular Practice Vol. 2 No. 2 (2017)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-020201

Abstract

Improved medical and surgical interventions have increased the longevity of patients with congenital heart defects and most such patients live into adulthood. Thrombotic and thromboembolic complications constitute a major cause of mortality and morbidity in patients with adult congenital heart disease (ACHD). Such events include acute coronary syndromes, ischemic stroke (cardioembolic due to thrombus formation in the systemic ventricle, secondary to atrial arrhythmias, or due to paradoxical embolism), and venous thromboembolism. Some thrombotic phenomena are also specific to patients with ACHD, such as those related to Fontan circulation. We provide a succinct overview of thrombotic and thromboembolic complications in patients with ACHD, focusing on stroke and venous thromboembolic events.
The Association between Myocardial Perfusion Scan and Electrocardiographic Findings among Patients with Myocardial Ischemia Behzad Farahani; Ramin Skandari; Mohammad Amin Abbasi; Sepideh Aghalou; Sepehr Gohari; Amir Hossein Heydari; Mehrdad Farahani
International Journal of Cardiovascular Practice Vol. 2 No. 1 (2017)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-020108

Abstract

Introduction: The aim of this study was to determine the consistency of Electrocardiography (ECG) and myocardial perfusion scan findings of patients with myocardial ischemia at Firoozgar and Hazrat-Rasool hospitals.Methods: Electrocardiogram of 80 patients undergoing myocardial perfusion scans was analyzed. All patients had a stable angina. All patients with bundle branch blocks and history of MI and coronary bypass or angiography were excluded. Overall, 120 patients were evaluated with single photon emission tomography/myocardial perfusion imaging for ischemia and 80 patients had a positive test.Results: Forty-five percent of patients were female and 55% were male. The average age of patients was 61.48 years. Sixty-one patients (76.25%) had normal ECG and 19 patients (23.75) had pathological changes in their ECG. Eleven patients had ST segment depression and 6 patients had T wave inversion. Furthermore, 21 patients (26.25%) had lateral wall ischemia in their myocardial perfusion scan and 13 (16.25%) patients had septal wall ischemia. The ECG changes in male patients and hypertensive cases were more prominent.Conclusions: This study showed that ST-T changes (ST depression and T inversion) in the ECG are more suggestive of accuracy of myocardial ischemia and ECG.
Role of Imaging in Left Atrial Appendage Occlusion Mathieu Lempereur; Adel Aminian; Raluca Dulgheru; Tom De Potter; Cécile Oury; Patrizio Lancellotti
International Journal of Cardiovascular Practice Vol. 2 No. 2 (2017)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-020203

Abstract

Percutaneous left atrial appendage (LAA) occlusion is now a valid alternative to long-term oral anticoagulation in patients with non-valvular atrial fibrillation at high thrombo-embolism risk, especially for patients who are considered ineligible for anticoagulation. The most frequently used occluders worldwide include the WATCHAMN (Boston Scientific, Natick, MA, USA) and the Amplatzer Cardiac Plug or Amulet (St. Jude Medical/Abbott, St Paul, MN, USA) devices. Multimodality imaging is key in the understanding of 3D aspects of the LAA and surrounding structures anatomy. Imaging is essential for procedural planning, during each step of the procedure and for device surveillance after implantation. Multimodality imaging, including 2D/3D echocardiography, fluoroscopy, and cardiac computed tomography can increase the safety and efficacy of the procedure.
Strategy to manage T-Wave Oversensing in a Biventricular ICD Mohammad Ali Akbarzadeh; Mohammad Hassan Namazi; Morteza Safi; Mehdi Sheibani
International Journal of Cardiovascular Practice Vol. 2 No. 2 (2017)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-020205

Abstract

T-wave oversensing is a relatively prevalent cause of intracardiac signals oversensing in patients with Implantable Cardioverter Defibrillator (ICD). Some of these oversensings are typically corrected with device reprogramming. If reprogramming fails to resolve the issue, invasive options such as repositioning the implanted lead may be necessary. We present a patient with dilated cardiomyopathy and intermittent T wave oversensing by a cardiac resynchronization therapy (CRT) that was managed by altering V-V timing.

Page 16 of 20 | Total Record : 198

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