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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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Altered Pulmonary Venous Flow Pattern in Young Adults with Atrial Septal Defect Parsaee, Mozhgan; Saedi, Sedigheh; Salehi, Nahid; Saedi, Tahereh
International Journal of Cardiovascular Practice Vol 1, No 2 (2016)
Publisher : International Journal of Cardiovascular Practice

Introduction: Atrial septal defect (ASD) is a common congenital heart disease and causes left-to-right shunting and significant right ventricular (RV) volume overload. The goal of this study was to evaluate the influence of these hemodynamic changes on pulmonary venous flow pattern in young adults.Methods: Complete echocardiographic examination was performed in a group of 40 young adults (aged < 40 years) who had secundum type ASD and was compared to 40 age-matched individuals in control group who had no cardiac abnormality. Systolic and diastolic flow velocities in pulmonary veins (PV), superior vena cava (SVC), inferior vena cava (IVC) and RV functional parameters were recorded and evaluated.Results: As opposed to healthy young individuals who showed distinct S and D waves with diastolic predominance in pulmonary vein Doppler, in patients with ASD a continuous flow with increased systolic peak that began in systole and continued to the late diastole was observed. The RV systolic function increased compared to the control group.Conclusions: In patients with ASD, the pattern of pulmonary veins flow transforms into a single continuous antegrade wave with systolic dominance due to persistent shunting of left atrial blood in to right heart chambers as well as increased RV pump function on pulmonary vein (by means of ASD), SVC and IVC, and could be used as a screening method for the presence of secundum type ASDs in young adults.

Effects of Emotional Images on Cardiovascular Responses in Males with Coronary Artery Disease and in Healthy Males: The Role of Sensation Seeking Ezzati, Davoud; Hashemi Nosrat Abad, Touraj; Babapour Kheiroddin, Jalil; Sabourimoghaddam, Hasan; Taban Sadeghi, Mohammadreza; Namdar, Hossein; Sadeghi, Babak; Hakimi, Masoumeh
International Journal of Cardiovascular Practice Vol 3, No 1 (2018)
Publisher : International Journal of Cardiovascular Practice

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.

Sustained ventricular fusion simulating a biventricular pacing CARBONE, VINCENZO; MARAFIOTI, VINCENZO; ORETO, GIUSEPPE
International Journal of Cardiovascular Practice Vol 2, No 1 (2017)
Publisher : International Journal of Cardiovascular Practice

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 patientâs 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.Â

Edwards Intuity Elite In a Patient With Bicuspid Aortic Stenosis and Ventricular Septal Defect Cotroneo, Attilio; Martinelli, Gian Luca; Musica, Gabriele; Bobbio, Mario; Diena, Marco
International Journal of Cardiovascular Practice Vol 2, No 2 (2017)
Publisher : International Journal of Cardiovascular Practice

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.

Left Ventricular Torsion Deformation in Atrial Septal Defect Patients Undergoing Transcatheter Device Closure Razak, Abdul; Mohd. Al Hajri, Maryam Said; Shetty, K Ranjan; Nayak, Krishnananda
International Journal of Cardiovascular Practice In Press
Publisher : International Journal of Cardiovascular Practice

Introduction: Atrial septal defects (ASD) considered being one of the known congenital heart diseases. ASD causes increased volume overload of the right heart. The purpose of this study was to evaluate left ventricular (LV) torsion deformation in ASD patients undergoing transcatheter device closure.Methods: All adult patients who underwent transcatheter device closure with ostium secundum ASD were included in the study. We assessed LV torsion in ostium secundum ASD patientâs pre and post device closure by using speckle tracking echocardiography.Results: A total of 37 patients (22 females and 15 males) were included in this study. The average age was 28 Â± 19 years. LV peak basal rotation improved significantly (P = 0.028) in post transcatheter closure. LV torsion (2.88 Â± 0.99Ë/cm before vs. 3.40 Â± 1.41Ë/cm after closure, P = 0.009) and twisting (15.12 Â± 4.69Ë before vs. 17.95 Â± 6.21Ë after closure, P = 0.005) were statistically significant in post transcatheter closure. Volumetric assessment of LV including end-diastolic volume and systolic volume showed significant improvement (P = 0.02, P < 0.01) post device closure.Conclusions: The increased peak LV twisting and torsion was mainly attributed to the improved peak systolic clockwise rotation after ASD device closure. The LV twisting at a younger age was improved after the closure of ASD.

Cardiac Resynchronization Therapy With or Without Defibrillation Akbarzadeh, Mohammad Ali; Salehi, Ayoub
International Journal of Cardiovascular Practice Vol 3, No 3 (2018)
Publisher : International Journal of Cardiovascular Practice

No abstract available.

In-hospital and late outcome of rescue versus primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction vakili, hossein; Sadeghi, Roxana; Borjian, Solmaz; Kachoueian, Naser
International Journal of Cardiovascular Practice Vol 1, No 2 (2016)
Publisher : International Journal of Cardiovascular Practice

Introduction: Despite high technical success of rescue Percutaneous Coronary Intervention (PCI) and also its significant impact on left ventricular function, the therapeutic outcome of this PCI technique in comparison with primary PCI for coronary reperfusion has remained uncertain. The present study aimed to conduct a comparative analysis of early and long-term results of patients with ST-Elevation Myocardial Infarction (STEMI), who had undergone primary or rescue PCI.Methods: One hundred and twenty-nine consecutive patients with the diagnosis of STEMI, who underwent primary PCI (n = 107) or rescue PCI (n = 22) from April 2012 to September 2013 were retrospectively included. In addition to early assessment of procedural consequences, the patients were followed-up to assess and compare long-term mortality and major adverse cardiovascular events.Results: Comparing in-hospital consequences of the two rescue PCI and primary PCI procedures showed no significant differences in in-hospital mortality (9.5% vs. 3.7%, P = 0.255), total hospital stay (6.32 Â± 2.24 days vs. 6.61 Â± 3.43 days, P = 0.720) and also in early procedural complications. Long-term death was found only in 1.9% of patients in the primary group and none of the patients in the rescue group (P = 0.999). There was also no difference in the prevalence of late stent thrombosis between the two groups. However, the in-hospital Left Ventricular Ejection Fraction (LVEF) was lower in the rescue PCI group vs. primary PCI group (36.82 Â± 11.19 vs. 43.48 Â± 9.14, P = 0.014), but after six months, LVEF was similar between the two groups (41.05 Â± 9.57 vs. 44.29 Â± 10.35, P = 0.082).Conclusions: Our study showed no difference in early and late procedural outcome between the primary and rescue PCI techniques in STEMI patients, but LVEF had better improvement in the rescue PCI group.

Drug-related Atrioventricular Block: Is It a Benign Condition? Sayah, Sima; Akbarzadeh, Mohammad Ali; Emkanjoo, Zahra; Mollazadeh, Reza; Shahrzad, Shahab; Bahrololoumi Bafruee, Negar
International Journal of Cardiovascular Practice Vol 1, No 1 (2016)
Publisher : International Journal of Cardiovascular Practice

Introduction: Prognosis of the patients with beta blocker or calcium channel blocker induced AV block is not well known to date.Methods: All patients with symptomatic second-degree or third-degree atrioventricular block (AV) referred to our institution during one year were recuited prospectively and classified in two groups based on drug consumption (beta blocker/calcium channel blocker versus none). They were followed for six months and then collected data was analyzed.Results: The study included 49 patients, 28 patients (age 60.1 Â± 20, 19 male) did not use any beta blocker or calcium channel blocker (No- DU group) and other 21 patients (age 73.5 Â± 10.4, 7 male) receivd beta blocker, calcium channel blocker or both at the time of AV block (DU group). No-DU group was significantly younger than DU group. The most common atrial rhythm in both groups was sinus. There was no significant difference in QRS wideness or ventricular rate. AV block regressed in 43% of the DU group after discontinuation of drug for five half-life, but, Mobitz type 2 or complete AV block occurred again during six months in 50% of them without Â consumption of the culprit drug.Conclusions: More than two third of the patients who developed AV block on beta blocker and/or calcium channel blocker needed permanent pacemaker in six months of follow- up, so we concluded that the development of AV block was not as benign as it seems in these patients.

Value of Admission HbA1c Level in Non-diabetic Patients With Unstable Angina Alipour Parsa, Saeed; Khaheshi, Isa; Parsa Mahjoob, Mohammad; Akbarzadeh, Mohammad Ali; Esmaeeli, Shooka
International Journal of Cardiovascular Practice Vol 1, No 1 (2016)
Publisher : International Journal of Cardiovascular Practice

Introduction: There have been incompatible evidences about the prognostic value of HbA1c on the adverse outcomes in acute coronary syndrome. Also, these data are so limited in nondiabetic patients with unstable angina.Methods: In this cross-sectional study, HbA1c level of 231 nondiabetic patients admitted with unstable angina, was measured using high performance liquid affinity chromatography (HPLC) at admission. Then transthoracic echocardiography (TTE) was performed for evaluation of ejection fraction (EF) using Simpson method.Results: Our data revealed that HbA1c was significantly higher in patients with EFâ¤ 50% in comparison with EF>50% group (P value=0.01).Conclusions: HbA1c may be a helpful prognostic marker in nondiabetic patients admitted in emergency department with diagnosis of unstable angina.

Updates on Advanced Therapies for Acute Pulmonary Embolism Bikdeli, Bavand; Bikdeli, Behnood
International Journal of Cardiovascular Practice Vol 1, No 3 (2016)
Publisher : International Journal of Cardiovascular Practice

Venous thromboembolism is the third common vascular disease after acute myocardial infarction and stroke, and acute pulmonary embolism (PE) remains as the most common preventable cause of in-hospital mortality. In addition to routine anticoagulant therapy, several advanced treatment options have been introduced over the past three decades. We provide a succinct and contemporary summary of the evidence base and important indications for inferior vena caval filter placement, systemic and catheter-based thrombolytic therapy, as well as percutaneous and surgical thrombectomy. Appropriate case selection for advance therapies for PE could minimize the adverse effects and costs, while optimizing the outcomes.

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