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International Journal of Cardiovascular Practice
ISSN : 24767174     EISSN : 2476468X     DOI : -
Core Subject : Health,
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
Venous Obstruction Following Pacemaker or Implantable Cardioverter-Defibrillator Implantation, Mini Review Akbarzadeh, Mohammad Ali
International Journal of Cardiovascular Practice Vol 1, No 2 (2016)
Publisher : International Journal of Cardiovascular Practice

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (274.09 KB) | DOI: 10.20286/ijcp-010201

Abstract

Venous obstruction is relatively frequent following permanent pacemaker or implantable cardioverter-defibrillator (ICD) implantation. However, most of them are asymptomatic. Although the exact risk factor for this complication is not known, number of leads, heart failure and infection may prone the patient to this complication. The goal standard for detection of vein stenosis is venography; however, ultrasound sonography has an acceptable accuracy. Anticoagulant therapy may be considered for symptomatic patients. For device upgrading, non-functional leads removal, venoplasty and rarely surgical treatment may be indicated.
How to extract a losing intra-aortic balloon pump guide wire Hekmat, Manouchehr; Ghaderi, Hamid; Mirjafari, Seyedeh Adeleh; Shahzamani, Mehran; Masoumi, Gholamreza
International Journal of Cardiovascular Practice Vol 3, No 1 (2018)
Publisher : International Journal of Cardiovascular Practice

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (147.466 KB) | 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.
Challenging Case of Giant Splenic Artery Aneurysm: A Case Report Malekpour Alamdari, Naser; Shafii, Alireza
International Journal of Cardiovascular Practice Vol 3, No 3 (2018)
Publisher : International Journal of Cardiovascular Practice

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (470.177 KB) | DOI: 10.21859/ijcp-03035

Abstract

Splenic Artery Aneurysms (SAA) are one of the most frequent intraabdominal aneurysms. They are mostly asymptomatic unless they rupture with a mortality rate of 25%. Traditionally, surgery is used to treat SAA. However, non-surgical, endovascular techniques are also suitable alternatives. We present a 51-year-old woman with preumbilical abdominal pain diagnosed as splenic artery aneurysm which was managed by stent graft placement.
Is It Time to Review our Educational Program for the Electrocardiography Operators? Saadat, Habibollah; Tajdini, Hossein; Saadat, Zahra; Eslami, Vahid; Sheibani, Mehdi; Sharifkashani, Babak; Sadeghi, Roxana; Khaheshi, Isa
International Journal of Cardiovascular Practice Vol 2, No 3 (2017)
Publisher : International Journal of Cardiovascular Practice

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (72.658 KB) | DOI: 10.21859/ijcp-020302

Abstract

No abstract available.
Aerobic Exercise and Eucalyptus Globulus: Cardio-affective effects on recovery and stress Teixeira-Araujo, Alfredo Anderson; Almeida, Jackson R.G.S.; Cruz, Loumaíra Carvalho da; Nunes, Xirley P; Moreira, Sérgio Rodrigues
International Journal of Cardiovascular Practice Vol 2, No 1 (2017)
Publisher : International Journal of Cardiovascular Practice

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (822.282 KB) | DOI: 10.21859/ijcp-020101

Abstract

Introduction: It is necessary to investigate the interrelation between physical exercise and aromatherapy, regarding cardiovascular and affective functions of human. Thus, the aim of this study was to evaluate the effects of aerobic exercise (AE) and eucalyptus essential oil (EO) in cardiovascular and affective responses.Methods: Twelve adults (19-39 years) performed in a randomized order in different days: 1. AE session; 2. Inhalation of EO session; 3. AE + EO session and; 4. Control session. In each session remained at rest over 15min plus 5min to inhaling EO or blank air in Control session. The AE was 15 min run/walk at 80-85% of maximum heart rate. After recovery (30 min) the Cold Pressor Test (CPT) was applied. At rest, recovery and during CPT were measured cardiovascular and affective variables.Results: The variation of systolic blood pressure in the CPT was attenuated by AE +EO (12.3 ± 14.9 mmHg) and EO (12.6 ± 6.7 mmHg) compared to Control (17.3 ± 6.5 mmHg; P < 0.05). AE + EO increased pleasure in recovery (1′ = 1.2 ± 1.9 pts and 30′= 0.6 ± 1.1 pts) and reduced displeasure in stress (-3.4 ± 1.7 pts) when compared to Control in recovery (1′= -0.5 ± 1.4 pts and 30′= -0.7 ± 1.5 pts, respectively; P < 0.05) and stress (-4.6 ± 1.8 pts; P < 0.05).Conclusions: We conclude that aerobic exercise and eucalyptus essential oil attenuated cardiovascular responses and modulated the affect on recovery and stress.
Determination of Arterial Compliance Using Thoracic Bioimpedance to Predict the Presence of Heart Diseases Chabchoub, Souhir; Mansouri, Sofienne; Ben Salah, Ridha
International Journal of Cardiovascular Practice Vol 3, No 2 (2018)
Publisher : International Journal of Cardiovascular Practice

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (372.195 KB) | DOI: 10.21859/ijcp-03202

Abstract

Introduction: Thoracic bioimpedance is a simple, cost-effective, and non-invasive tool used generally to determine several hemodynamic parameters. Based on this technique, the cardiac output and the stroke volume are the most common parameters used for diagnosing heart diseases. This study aims to investigate the ability of the arterial compliance parameter to predict or detect the presence of heart diseases.Methods: two groups of young subjects participated in this study: a control group consisted of 10 subjects including 2 athletes and a group of 10 patients with various heart diseases. The thoracic bioimpedance recordings are used to determine the arterial compliance for the 2 groups of subjects. Statistical analyses are performed using the Student’s t-test and the ROC curve analysis.Results: Experimental results show that the arterial compliance is significantly lower in patients with heart diseases compared to control subjects (P < 0.001).Conclusions: The arterial compliance is a potentially useful hemodynamic parameter which could be successfully used to predict or detect the presence of heart diseases.
Validity of Initial Clinical Diagnosis of Unstable Angina Based on the Invasive and Noninvasive Studies Namazi, Mohammad Hasan; Omidi, Fatemeh
International Journal of Cardiovascular Practice Vol 1, No 1 (2016)
Publisher : International Journal of Cardiovascular Practice

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (91.922 KB) | DOI: 10.20286/ijcp-010106

Abstract

Introduction: A few studies have focused on diagnostic performance of residents for controlling the patients with acute chest pain referring to chest pain units. We aimed to assess diagnostic performance of cardiology residents for controlling the patients with acute chest pain, considering invasive and non-invasive diagnostic modalities as the key standards to confirm or refuse diagnosis of unstable angina.Methods: One hundred and twenty nine patients with chest pain or angina referring to chest pain unit of Modarres hospital between 2013 and 2014 were assessed. The patients were categorized into two subgroups. The first group included 23 patients who were discharged by the resident in initial evaluation because of ruling-out diagnosis of unstable angina, but were assessed non-invasively by exercise test or SPECT as key standards. The second group included 106 patients who were hospitalized and admitted to CCU by residents’ order and also were assessed invasively by coronary angiography or noninvasively by exercise test or SPECT.Results: Overall, of 129 patients, 23 were initially diagnosed not to be necessarily hospitalized and thus were discharged by resident’s order. Of those, assessing by SPECT indicated positive result in five of 19 patients and by exercise test indicated positive result in 1 of 4 patients yielding a sensitivity of 83.3%, a specificity of 17.6%, a PPV of 26.3%, a NPV of 75.0%, and an accuracy of 34.8% for assessing disease by resident. The remaining 106 patients were admitted to CCU ward in accordance with the resident’s order. Among those patients, 85 underwent coronary angiography with positive results in 53 patients. Also, SPECT was positive in 10 of 19 patients and exercise test was positive in one of two patients yielding a sensitivity of 95.3%, a specificity of 0.0%, a PPV of 59.2%, a NPV of 0.0%, and an accuracy of 57.5%.Conclusions: For patients with suspicion to unstable angina, the decision of residents in chest pain units for discharging or admitting patients suspected to unstable angina is accompanied with high sensitivity but unacceptable specificity and thus using supplement diagnostic tools such as exercise test or SPECT can be very helpful for diagnosing unstable angina.
Evaluation of the pulse pressure index at the peak of exercise before and after cardiac rehabilitation Yazdi, Amir Hossein; Kazemi, Parnian; Esna-Ashari, Farzaneh; Olfat, Mehrnaz; Najmafshar, Leila
International Journal of Cardiovascular Practice Vol 2, No 3 (2017)
Publisher : International Journal of Cardiovascular Practice

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (107.225 KB) | 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.
The Association between Myocardial Perfusion Scan and Electrocardiographic Findings among Patients with Myocardial Ischemia Farahani, Behzad; Skandari, Ramin; Abbasi, Mohammad Amin; Aghalou, Sepideh; Gohari, Sepehr; Heydari, Amir Hossein; Farahani, Mehrdad
International Journal of Cardiovascular Practice Vol 2, No 1 (2017)
Publisher : International Journal of Cardiovascular Practice

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (119.669 KB) | 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.
Acute Compartment Syndrome of the right lower extremity following Autologous Blood transfusion: A Case report Sabzi, Feridun; Heidari, Aghigh; Ghasemi, Fataneh; Ahmadi, Abbas
International Journal of Cardiovascular Practice Vol 1, No 3 (2016)
Publisher : International Journal of Cardiovascular Practice

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (149.266 KB) | DOI: 10.21859/ijcp-010302

Abstract

Compartment syndrome (CS) is an extremely rare complication during cardiac surgery and rare case reports have been linked to coronary artery bypass surgery.We report one case of right lower extremity compartment syndrome (CS) following inadvertent blood transfusion through a catheter which was inserted into a vein in the related extremity. Forceful pushing of blood through a delicate vein led to rupture of the vein wall and subsequent extravasation of blood into the perivascular tissue as into an intra-compartment portion of the lower extremity.Late detection of this complication led to compartment syndrome. The patient underwent emergency fasciotomy and concomitant removal of intra compartment and subcutaneous blood and fluids. After fasciotomy, the normal color of skin and pulse were recovered.

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