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INDONESIA
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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Comparison of Biventricular Function between Pregnant and Non-Pregnant Women by Conventional and Newer Echocardiographic Indices Abdul Razak; Antony Priyanka; R. Padmakumar; Krishnananda Nayak
International Journal of Cardiovascular Practice Vol. 3 No. 3 (2018)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-03034

Abstract

Introduction: Pregnancy is a physiological process associated with increased cardiac output, blood volume, decreased systemic vascular resistance and other metabolic changes. The purpose of this study was to evaluate biventricular function between pregnant and non-pregnant women by conventional and newer echocardiographic indices.Methods: Echocardiography was done at the beginning of the second and third trimester for 51 (18-24 GW) pregnant women and age-matched 50 non-pregnant women were included in this study. Patients were assesses based on their sex, age, detailed history, and anthropometric values. Moreover, cardiac investigations including echocardiography and tissue Doppler imaging were performed.Results: The mean age of pregnant women was 27 ± 3, and the non-pregnant woman was 24 ± 4 years. When compared with control during pregnancy left ventricular (LV) end-diastolic volume was increased, and LV ejection fraction was decreased for women in second to third trimester. Right ventricular (RV) function increased significantly (P < 0.05) in the third trimester when compared with control. RV tissue Doppler early diastolic filling wave E’ gradually decreased during pregnancy.Conclusions: During pregnancy, left ventricular ejection fraction & contractility is reduced. The myocardial peak velocity changes occurred throughout pregnancy. Echocardiographic indices of ventricular function were used to detect the changes in cardiac function during both normal and high-risk pregnancy.
Suspected Short Peripheral Venous Catheter Intravascular Embolization: Identification and Management Limael Esteban Rodriguez; Francisco Steven Rodriguez; Francisco Javier Rodriguez-Pedrogo
International Journal of Cardiovascular Practice Vol. 3 No. 4 (2018)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-03044

Abstract

Embolization of a standard short peripheral venous catheters (S-PVC) related to catheter fracture is an extremely rare complication. Early identification and management is essential to avoid potential complications (i.e. central embolization, arrhythmias, cardiorespiratory failure, etc.). In this report, we describe a case of suspected short-PVC fracture in a pediatric patient. The goal is to review available literature and provide insight on what to do in the setting of suspected PVC fracture.
Predictors of the extent and severity of coronary artery disease for prognosis of patients with non-ST-segment elevation acute coronary syndromes Chirag Patel; Jayesh Prajapati; Iva V Patel; Roopesh Singhal; Ashish Mishra; Gaurav Singh
International Journal of Cardiovascular Practice Vol. 3 No. 4 (2018)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-03043

Abstract

Introduction: The proportion of patients visiting emergency department with chest pain indicative of non‐ST‐segment elevation acute coronary syndrome (NSTE-ACS) is increasing. The current risk assessment of patients with NSTE-ACS may calculate patients risk for recurrent events but may fail to identify patients with severe coronary artery disease (CAD). The present study aimed to identify predictors of the extent and severity of CAD for prognosis of NSTE-ACS patients undergoing early angiography.Methods: A total of 215 patients with NSTE-ACS were enrolled randomly and followed up between April-2015 and February-2017 at a tertiary healthcare center. The coronary angiography was performed. Patients were divided into two groups: high-risk coronary anatomy (HRCA) and low-risk coronary anatomy (LRCA). Patients were analyzed for baseline, demographic, clinical characteristics, and cardiovascular risk factors, during hospitalization and 30 days post discharge.Results: Among 215 enrolled patients, 90 (mean age: 52.22 ± 10.24 year) and 125 (mean age: 57.78 ± 8.83 year) patients were in the LRCA and HRCA group, respectively. The presence of previous heart failure [Odds Ratio (OR): 3.95, 95% confidence interval (CI): 1.11-14.10; P = 0.03], chronic renal failure [OR: 5.11, 95% CI: 1.12-23.22; P = 0.03] and peripheral vascular disease [OR: 3.38, 95% CI: 1.09-10.42; P = 0.03] were significant independent predictors of HRCA. Additionally, Grace score >140 was the significant predictor of 30 days mortality [OR: 5.85; P = 0.02] and major adverse cardiac and cerebral events [MACCE; OR: 6.23, 95% CI: 2.22-17.50; P = 0.001].Conclusions: The extent and severity of CAD in NSTE-ACS patients can be predicted by assessing HRCA through clinical parameters. However, the correlation of HRCA with 30 days MACCE and mortality was modest
Cardiac Resynchronization Therapy With or Without Defibrillation Mohammad Ali Akbarzadeh; Ayoub Salehi
International Journal of Cardiovascular Practice Vol. 3 No. 3 (2018)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-03031

Abstract

No abstract available.
Bradycardia-Induced Recurrent Torsade de Pointes: When Serenity Turns into Chaosity Laksmi Senja Agusta; Harnanik P. Riswati; Rizal R. Akbar; Ardian Rizal
International Journal of Cardiovascular Practice Vol. 3 No. 4 (2018)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-03045

Abstract

Torsade De Pointes is typical form of polymorphic ventricular tachycardia. It was in the setting of bradycardia when first described. We present a case of patient coming to emergency room with torsade de pointes development who was found to have bradycardia on basal electrocardiography record. In fact, bradycardia has been shown as a cause of acquired long QT syndrome that can lead to torsade de pointes. The inverse relationship between heart rate and repolarization time primarily accounts for QT prolongation. Finally, proper treatment considering electrophysiology mechanism is essential to prevent mortality.
Thrombocytopenia as a Marker of Patient Outcome in Medical Intensive Care Unit Abbas Fadae; Seyed Mojtaba Heidari; Maryam Alizadeh Chamkhaleh; Mohammad Amin Abbasi
International Journal of Cardiovascular Practice Vol. 3 No. 4 (2018)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-03042

Abstract

Introduction: Thrombocytopenia is a common hematologic disorder observed in many pathological conditions in critically ill patients. The current study aimed at investigating the prevalence of thrombocytopenia and its relationship with the length of stay and mortality among intensive care unit (ICU) patients.Methods: The current prospective cohort study enrolled 150 patients consecutively admitted to the medical ICU during a nine-month period. Patients’ baseline characteristics and underlying diseases were recorded. Laboratory findings and admission mean platelets and platelet counts on the 3rd day of admission were obtained. Patients were divided into thrombocytopenic (platelet count of less than 150×109/L or decrease of platelet to more than 50%) and non-thrombocytopenic groups according to the 3rd day platelet count.Results: Thrombocytopenia was detected in 53(35%) patients while 13 patients (8.6%) had severe thrombocytopenia (platelets count < 50 × 109/L). ICU stay and mortality were significantly higher in patients with thrombocytopenia compared with non-thrombocytopenic patients (16 ± 2.7 vs 12 ± 2.4 days, P = 0.01) and (45.5% vs 37.3%, P = 00.1) respectively.Conclusions: Platelet might be considered as a prognosis monitor in ICU settings. Severe thrombocytopenia could be mentioned as a poor prognostic factor for increased mortality and prolonged hospitalization period in ICU patients.
Assessment of Strain and Strain Rate in Patients with Coronary Artery Disease Before and After Percutaneous Intervention on Left Anterior Descending Coronary Artery Ali Heidari Sarvestani; Ahmad Separham; Naser Khezerloo
International Journal of Cardiovascular Practice Vol. 4 No. 2 (2019)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29252/ijcp-24016

Abstract

Introduction: Strain (S) and Strain Rate (SR) as echocardiography parameters are important in assessing changes in myocardial tissue and global and regional evaluation of systolic and diastolic functions and in detection of myocardial disorders as they change in early stages of myocardial ischemia. Therefore, the aim of this study was to compare changes of S and SR indices in systolic phase in patients with a significant stenosis of left anterior descending (LAD) before and after percutaneous coronary intervention (PCI).Methods: 48 patients candidate for PCI with significant lesion in LAD were enrolled in this study. Echocardiographic images taken one day before and a week after PCI. Echocardiographic scope of the LAD was defined as mid, basal, anteroseptal and mid-septal and apical segments then, S and SR parameters in all segments measured separately during systolic phase before and after PCI and compared together.Results: there was a significant increase after PCI only in two segments and SR values showed significant increase after PCI in four segments. In the analysis of sum of mean parameters, a significant increase was observed in SR values (10.12 to 11.30; P = 0.001), but not in S values (149.54 to 143.36; P = 0.1)Conclusions: The remedial effect of PCI on deformation values was observed in the first week. In early reperfusion period, S/SR indices have potential to be used as determinants of favorable response to revascularization therapy.
A Prospective Study of Prevalence of Carotid Artery Disease in Patients with Coronary Artery Disease and its Correlation with Traditional Atherosclerotic Risk Factors in Central India Umesh Kumar Chandra; Yashwant Panwar; Anil Bharani
International Journal of Cardiovascular Practice Vol. 4 No. 2 (2019)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29252/ijcp-24576

Abstract

Introduction: Early atherosclerosis mainly involves carotid artery, which leads to increased carotid artery intima media thickness (CIMT).The potential value of CIMT improving the predictive capacity of traditional risk factors of CAD is an understudied and underutilized issue. Because of increasing availability of highly sensitive ultrasonography probes and for a noninvasive procedures, we can predict coronary artery disease (CAD) more precisely in patients having multiple traditional risk factors so it may reduce morbidity and mortality due to CAD and elevated CIMT can be used as surrogate marker of underlying CAD.Methods: This study enrolled 250 admitted patients as a case of CAD. The patients were assessed by detailed history taking, thorough clinical examination, measurement of CIMT, blood sugar and lipid level.Results: Carotid artery disease was present in 88 (35%) of 250 CAD patients. All modifiable cardiovascular risk factors were statistically significantly high in patients of CAD with carotid artery disease. In obese, diabetic, hypertensive, dyslipidemia and smoker patients, carotid artery disease was present in 55% (P = 0.00), 41% (P = 0.00), 43% (P = 0.007), 47% (P = 0.002) and 43% (P = 0.003) respectively. CAD patients who had 1 risk factor, 29% were associated with carotid artery disease. Comparison of single risk factor with patients who had no risk factor, there was non-significant correlation for carotid artery disease. CAD patients who had 2, 3, 4 and 5 risk factors, carotid artery disease was present 24 (32%) (p = 0.02), 15 (55%) (P = 0.0003), 17 (61%) (P = 0.00006) and 6 (67%) (P = 0.0008).Conclusion: elevated CIMT can be used as one of the important risk factor for early diagnosis of CAD and to reduce morbidity and mortality due to CAD.
Electrocardiography in Post-heart Transplant Neda Toofaninejad
International Journal of Cardiovascular Practice Vol. 4 No. 1 (2019)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-405

Abstract

The current study described the electrocardiography case of a 22-year-old male, a few months after heart transplantation that demonstrated two sets of QRS leading to understand the technique of the transplantation.
Comparison of Face to Face vs. Group Training on Self-pulse Rate taking Ability of Patients Habibollah Saadat; Roxana Sadeghi; Maryam Jannatipour; Alireza Abadi; Zahra Saadat; Saeed Alipour Parsa
International Journal of Cardiovascular Practice Vol. 4 No. 1 (2019)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21859/ijcp-401

Abstract

Introduction: Determining the rate and regularity of peripheral arterial pulses has a major role in assessing the clinical status of patients with cardiovascular disorders. We compared two training methods on the ability of patients to take their radial pulse rate accurately.Methods: Three-hundred patients were randomly divided into two arms. One arm received individual face-to-face training and the other arm received group training via displaying an animation movie. Immediately after the training and then after 48 hours, the patients were tested by a nurse to find out whether they have learned the correct technique of taking radial pulse rate or not.Results: Immediately after the intervention, 84.9% in face-to-face arm and 81.8% in group training arm were able to correctly count their radial pulse rate (P = 0.536). After 48 hours, 71.7% in face-to-face and 60.8% in group training arm were able to correctly count their radial pulse rate (P = 0.051).Conclusions: Both methods were effective to improve the ability of the patients to count their radial pulse rate correctly though face-to-face method was marginally superior to group training.

Page 19 of 20 | Total Record : 198

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