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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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Intramural Ventricular Septal Defect Sedigheh Saedi; Mozhgan Parsaee
International Journal of Cardiovascular Practice Vol. 2 No. 3 (2017)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-020304

Abstract

Intramural ventricular septal defects (VSDs) are less frequently encountered but clinically significant type of residual interventricular communications seen after complex congenital heart surgeries. Hemodynamically significant intramural VSDs can lead to higher postoperative morbidity and mortality. This case highlights the clinical challenges including the need multiple interventions faced in affected patients.
Evaluation of the pulse pressure index at the peak of exercise before and after cardiac rehabilitation Amir Hossein Yazdi; Parnian Kazemi; Farzaneh Esna-Ashari; Mehrnaz Olfat; Leila Najmafshar
International Journal of Cardiovascular Practice Vol. 2 No. 3 (2017)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-020303

Abstract

Background and Objectives: As a new supplementary therapeutic option, cardiac rehabilitation (CR) is getting more attention each day. Several studies have proved the positive impact on qualitative criteria but few studies have been done on quantitative criteria.The purpose of the survey in this study is to evaluate the impact of CR on non-invasive estimated maximum cardiac output by Pulse Pressure index (PPI) at the  peak of exercise.Methods: This is a nonrandomized prospective cohort study conducted in Hamadan, Iran in 2015.100 eligible patients who underwent coronary artery bypass surgery, based on cardiologist permission and an informed consent, participated in our study. The PPI was measured at the peak of exercise before and after standard CR program.Result: In overall, mean of PPI was not significantly different before and after CR. PPI was noticeably increased in patients younger than 60 years old (p = 0.022). In contrast to hypertensive patients, PPI in non-hypertensive patients increased significantly after CR (p=0.002). PPI considerably increased in non-diabetic patients after CR (p=0.046), but not in diabetic individuals. Other variables had not any significant effect on PPI in response to CR.Conclusion: it is clear that PPI is associated with vascular atherosclerosis, as well as cardiac output; Positive effects of CR diminish in older, diabetic and hypertensive patients with more progressive atherosclerosis.
Impact of Lesion Length on Functional Significance in Intermediate Coronary Lesions Morteza Safi; Isa Khaheshi; Vahid Eslami; Mohammad Mehdi Beheshtian; Mohammadreza Naderian
International Journal of Cardiovascular Practice Vol. 2 No. 3 (2017)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-020301

Abstract

Introduction: The present study aimed at assessing the role of lesion length in predicting Fractional Flow Reserve (FFR) value for physiological evaluation of intermediate coronary lesions.Methods: In the current study, 68 patients with 83 coronary lesions were enrolled. All of the patients in this study underwent routine coronary angiography, according to appropriate indications. To evaluate physiologically significant intermediate coronary stenosis (defined between 40% and 70% on visual estimation), the Fractional Flow Reserve (FFR) study was performed and the Quantitative Coronary Angiography (QCA) data were also assessed for measurement of lesion length. The correlation between QCA data and FFR values was also examined.Results: Eighty-three lesions were evaluated from 68 patients. Stenosis was considered physiologically significant when FFR was lower than 0.75. The FFR was significant in twelve lesions (14.5%). There was a negative correlation between FFR value and lesion length (r = -0.294 and P = 0.013). Moreover, lesion length in physiologically significant FFR group (21.07  ± 6.9) was greater than that of the non-significant FFR group (15.23 ± 6.5) (P value < 0.05). Furthermore, the correlation between QCA data and FFR values was also investigated, yet, there was only a positive correlation between FFR and Minimum Luminal Diameter (MLD) values (r = 0.248 and P value = 0.04). The Receiver Operating Characteristic (ROC) curve analysis for predicting the significant FFR value demonstrated that a lesion length greater than 17.5 mm was the best cut-off point for prediction of the significant FFR value with acceptable sensitivity and specificity of 83.3% and 68.8%, respectively.Conclusions: There is a negative correlation between lesion length and FFR value in intermediate coronary lesions. In addition, a lesion length greater than 17.5 mm is the best cut- off point for prediction of significant FFR values.
Is It Time to Review our Educational Program for the Electrocardiography Operators? Habibollah Saadat; Hossein Tajdini; Zahra Saadat; Vahid Eslami; Mehdi Sheibani; Babak Sharifkashani; Roxana Sadeghi; Isa Khaheshi
International Journal of Cardiovascular Practice Vol. 2 No. 3 (2017)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-020302

Abstract

No abstract available.
Short-term Cost-effectiveness of Reteplase versus Primary Percutaneous Coronary Intervention in Patients with Acute STEMI a Tertiary Hospital in Iran Khalil Alimohammadzadeh; Roxana Sadeghi; Ali Maher; Mohammad Kazem Kazemi
International Journal of Cardiovascular Practice Vol. 2 No. 3 (2017)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-020305

Abstract

  Introduction: This study aimed to compare primary percutaneous coronary intervention (PPCI) versus reteplase in terms of clinical and para-clinical outcomes; as well as cost-effectiveness in patients with ST-segment-elevation myocardial infarction (STEMI).Primary percutaneous coronary intervention is the method of choice in all patients especially those at higher risks. But an on-site professional team in a 24/7 facilitated system is a difficult goal to achieve in many areas and countries, therefore the cost-effectiveness of these two treatment strategies (PPCI and reteplase) needs to be discussed.Methods: This prospective cohort study included 220 patients presented with STEMI who were admitted to a university hospital between January 2014 to July 2016. Patients were divided into two groups of 120, either receiving reteplase or PPCI. Clinical outcomes were considered duration of hospital stay and MACE (Major Advanced Cardiovascular Events) including death, cerebrovascular accident, need for repeat revascularization, and major bleeding. LVEF (Left ventricular ejection fraction) was considered as a para-clinical outcome. The outcomes and total hospital cost were compared between two treatment groups.Results: Demographic characteristics between two groups of PPCI or reteplase didn’t show any significant differences. But in para-clinical outcomes, patients in PPCI group showed higher LVEF, compared with reteplase group (45.9 ± 11.5% versus 42.0 ± 11.8%; P = 0.02). Complication rates were similar in both groups but repeat revascularization or coronary artery bypass surgery was more prevalent in those who received thrombolytic therapy (P < 0.05). Length of hospital stay in both groups was similar in two groups but total cost was higher in patients who have received PPCI. (147769406.9 ± 103929358.9 Tomans vs. 117116656.9 ± 67356122.6 Tomans; respectively, P = 0.01).Conclusions: In STEMI patients who present during off-hours, thrombolytic therapy seems to represent a safe alternative to PPCI. Higher costs for patients with PPCI may be decreased with shorter duration of hospital stays according to guidelines.
Updated Meta-Analysis of Randomized Trials Comparing Safety and Efficacy of Intraoperative Defibrillation Testing with No Defibrillation Testing On Implantable Cardioverter-Defibrillator Implantation Carlo Bonanno; Antonio Rossillo; Mariemma Paccanaro; Angelo Ramondo; Antonio Raviele
International Journal of Cardiovascular Practice Vol. 2 No. 4 (2017)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-030105

Abstract

Introduction: There is an ongoing debate regarding the need to conduct intraoperative defibrillation testing (DFT) at the time of implantable cardioverter-defibrillator (ICD) implantation. To provide sufficiently strong evidence for the feasibility of omitting intraoperative DFT in clinical practice, we conducted a meta-analysis of randomized controlled trials (RCT) comparing patients with DFT and no-DFT.Methods: We systematically searched Medline (via PubMed), ClinicalTrial.gov, the Cochrane Central Register of Controlled Trials, and Embase for studies evaluating DFT vs. no-DFT on ICD implantation with regard to total mortality and arrhythmic death, efficacy of first and any appropriate shock in interrupting ventricular tachycardia (VT)/ventricular fibrillation (VF), and procedural adverse events. Effect estimates [risk ratio (RR) with 95% confidence intervals (CI)] were pooled using the random-effects model.Results: Our meta-analysis included 4 RCTs comprising 3770 patients (1896 with DFT and 1874 without DFT). Total mortality (RR = 1.00, 95% CI 0.86–1.17; P = 0.98) and arrhythmic death (RR = 1.60, 95% CI 0.46-5.59: P = 0.46) were not statistically different. Both first (RR = 0.94, 95% CI 0.89–0.98; P = 0.004) and any appropriate ICD shock (RR = 0.97, 95% CI 0.95–1.00; P = 0.02) significantly increased the rate of VT/VF interruption in the group with no-DFT in comparison with DFT. Finally, the incidence of adverse events was lower in no-DFT patients (RR = 1.23; 95% CI 1.00–1.51; P = 0.05).Conclusions: The practice of DFT (as opposed to no-DFT) did not yield benefits in mortality or the overall rate of conversion of VT/VT. Moreover, a slightly higher incidence of perioperative adverse events was observed in the DFT group.
Effects of Emotional Images on Cardiovascular Responses in Males with Coronary Artery Disease and in Healthy Males: The Role of Sensation Seeking Davoud Ezzati; Touraj Hashemi Nosrat Abad; Jalil Babapour Kheiroddin; Hasan Sabourimoghaddam; Mohammadreza Taban Sadeghi; Hossein Namdar; Babak Sadeghi; Masoumeh Hakimi
International Journal of Cardiovascular Practice Vol. 3 No. 1 (2018)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-03101

Abstract

Introduction: Individuals exposed to certain types of images, based on their personality features, experience different emotional states and physiological responses. The present study addressed the effects of stressful and pleasant stimuli on blood pressure and heart rate in male patients with coronary problems and healthy males based on sensation seeking levels.Methods: One hundred and seventy eight male patients with coronary artery diseases referred to Madani Heart Hospital, Tabriz, Iran; and 185 healthy male subjects completed the Sensation Seeking Scale-form V (SSS-V). After obtaining acceptable scores, 100 patients and 100 healthy males were classified in four groups: high sensation seeker patients, low sensation seeker patients, high sensation seeker healthy subjects, and low sensation seeker healthy subjects (each group with 50 samples aged 30-49). First, blood pressures and heart rates were recorded before stimulus induction. Then, the participants were exposed to stressor pictures. After 15 minutes of relaxation, and a cognitive task, the participants were exposed to pleasant pictures. The blood pressure and heart rate were recorded after presenting the two stimuli.Results: High sensation seeker patients achieved lower scores in diastolic blood pressure in comparison with low sensation seeker patients after presenting the stressful stimulus, and healthy high sensation seekers achieved lower scores in systolic blood pressure in comparison with healthy low sensation seekers presented with pleasant stimulus.Conclusions: Low sensation seeker patients experienced negative emotions more than high sensation seeker patients. Therefore, the role of induced mood states may be important in relation to physical health.
A Gender-Based Study of Sensation Seeking in Patients with Coronary Artery Disease Compared with Healthy Subjects Davoud Ezzati; Touraj Hashemi Nosrat Abad; Jalil Babapour Kheiroddin; Hossein Namdar; Mohammadreza Taban Sadeghi; Masoumeh Hakimi; Babak Sadeghi; Zhila Samani
International Journal of Cardiovascular Practice Vol. 3 No. 1 (2018)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-03102

Abstract

Introduction: The relationship between psychological factors and Coronary Artery Disease (CAD) is one of the topics that has occupied the minds of researchers in the field of health psychology. The present research aimed at studying the levels of sensation seeking in coronary patients and healthy subjects.Methods: Two hundred and twenty-three coronary patients and 255 healthy subjects completed the Sensation Seeking Scale-form V (SSS–V). Next, 100 coronary cases (50 males and 50 females) that had referred to Madani Heart Hospital, Tabriz, Iran, and 100 healthy subjects, were compared in terms of levels of sensation-seeking. All participants were selected by purposeful sampling (aged 25 to 64 years). Data were analyzed by Multivariate Analysis of Variance (MANOVA) through the SPSS 18 software.Results: Coronary male patients scored higher than coronary female patients in thrill and adventure seeking and healthy males scored higher than healthy females in boredom susceptibility. Healthy females scored higher than coronary females in thrill and adventure seeking, and in boredom susceptibility subscale, healthy males scored higher than coronary males.Conclusions: The identification of individuals with sensation seeking features will allow the identification of susceptible coronary patients for preventive procedures.
Biological Pacemakers – A Review Velvizhi Gunasekaran; Raja Selvaraj
International Journal of Cardiovascular Practice Vol. 3 No. 1 (2018)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-03103

Abstract

Slow heart rates, due to sinus node disease or atrioventricular conduction block, are a significant problem for many patients. Currently, these patients are treated with electronic pacemakers, which provide effective therapy, but are also associated with many problems. Use of biological pacemakers is an attractive solution to these problems. Approaches for the creation of such pacemakers include either the injection of cells that have pacemaker activity (cell-based approach) or modification of cells in the heart to induce pacemaker activity by delivering genes (gene-based approach). This article reviews the progress in the development of biological pacemakers.
How to extract a losing intra-aortic balloon pump guide wire Manouchehr Hekmat; Hamid Ghaderi; Seyedeh Adeleh Mirjafari; Mehran Shahzamani; Gholamreza Masoumi
International Journal of Cardiovascular Practice Vol. 3 No. 1 (2018)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-03105

Abstract

Guidewire loss is a serious complication that in case of a complete wire loss could cause death in about 20% of cases. Although it is essential to retrieve an intravenous foreign body as soon as possible, there are only a few recommendations regarding the removal of an intra-arterial foreign body. This study reports on a rare complication of guidewire loss during the insertion of an Intra-Aortic Balloon Pump (IABP), which has not yet been reported in the literature. The approach to this problem has been described, including the extraction time and the technique.

Page 17 of 20 | Total Record : 198

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