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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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The role of the history of coronary heart disease among second degree relatives for predicting coronary artery disease Alipour Parsa, Saeed; Saemifar, Farzam; Khaheshi, Isa; Naderian, Mohammadreza
International Journal of Cardiovascular Practice Vol 1, No 2 (2016)
Publisher : International Journal of Cardiovascular Practice

Introduction: The history of atherosclerotic disease among second degree family members of patients as a risk factor has not been properly explained. The present study aimed to assess this role in the Iranian population.Methods: This case-control study was performed on 500 consecutive patients, who were candidates for coronary angiography. The presence of Coronary Heart Disease (CHD) history among first and second degree relatives were determined by interviewing the participants.Results: In total, 450 patients were shown to have CHD as the case group and 50 without CHD as the control group. Family history of CHD among first degree relatives was 39.1% for cases and 22.0% for the controls with a significant difference (P = 0.018), however the history of CHD among second degree relatives was not statistically different in the case group and the control group (17.8% vs. 8.0%, P = 0.079). In total, 80 patients had CHD with simultaneous history of disease among their second degree relatives, while 370 with CHD had no history of disease among their second degree relatives. Our study could not find a significant difference between the two CHD groups with and without history of disease among second degree relatives in terms of cardiovascular risk profile.Conclusions: Despite the powerful effect of the presence of family history of CHD in first degree relatives on risk of CHD and its severity, the presence of this history among second degree relatives cannot predict the risk for CHD.

Advanced Technologies in the Quantification of Mitral Valve Karvandi, Mersedeh
International Journal of Cardiovascular Practice Vol 3, No 3 (2018)
Publisher : International Journal of Cardiovascular Practice

The current study aimed at conducting an educational survey on the mitral valve using advanced technologies eSie ValveÂ® and Q-Lab in echocardiography machines and also those mitral valve geometrical parameter measurements that can be easily calculated with MATLAB software offline in a personal computer as an echocardiographic desk for further information and recommendation before mitral valve repairs or other treatments.

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

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 Â± 3, and the non-pregnant woman was 24 Â± 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 Eâ 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.

Assessment of the Left Ventricular Deformable Indices (Strain Components) in Different Echocardiography Systems Karvandi, Mersedeh
International Journal of Cardiovascular Practice Vol 3, No 4 (2018)
Publisher : International Journal of Cardiovascular Practice

This Article provides simplified, easy-to-understand descriptions of the echocardiographic software used in conjunction with different echocardiography machines, such as those from Toshiba, Philips, GE, and Siemens, and explains how these sophisticated systems can best be used to exploit fully their ability to deliver more precise diagnoses and assist in treatment choice and follow-up. A variety of applications are covered, with presentation of algorithms and highlighting of tips and tricks. It will be of value for cardiologists, other interested clinicians, those pursuing fellowships in echocardiography, and sonographers; it will also be highly relevant for biomedical engineers, bio-mathematicians, computer scientists, and researchers in medical physics. There would be enormous clinical benefits of any non-invasive technique to estimate the true level of wall abnormal motions. Strain and strain rate are deformation measures. If different components of an object have different velocities, the object shape may be changed. In this article, we mentioned the left ventricular 2- dimensional strain in normal hearts for each different type of strain methods from 5 echocardiography machines and we have also introduced MATLAB software as an echocardiography desk.

Suspected Short Peripheral Venous Catheter Intravascular Embolization: Identification and Management Rodriguez, Limael Esteban; Rodriguez, Francisco Steven; Rodriguez-Pedrogo, Francisco Javier
International Journal of Cardiovascular Practice Vol 3, No 4 (2018)
Publisher : International Journal of Cardiovascular Practice

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.

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

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 Fadae, Abbas; Heidari, Seyed Mojtaba; Alizadeh Chamkhaleh, Maryam; Abbasi, Mohammad Amin
International Journal of Cardiovascular Practice Vol 3, No 4 (2018)
Publisher : International Journal of Cardiovascular Practice

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.

Predictors of the extent and severity of coronary artery disease for prognosis of patients with non-ST-segment elevation acute coronary syndromes Patel, Chirag; Prajapati, Jayesh; Patel, Iva V; Singhal, Roopesh; Mishra, Ashish; Singh, Gaurav
International Journal of Cardiovascular Practice Vol 3, No 4 (2018)
Publisher : International Journal of Cardiovascular Practice

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

Electrocardiography in Post-heart Transplant Toofaninejad, Neda
International Journal of Cardiovascular Practice Vol 4, No 1 (2019)
Publisher : International Journal of Cardiovascular Practice

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 Saadat, Habibollah; Sadeghi, Roxana; Jannatipour, Maryam; Abadi, Alireza; Saadat, Zahra; Alipour Parsa, Saeed
International Journal of Cardiovascular Practice Vol 4, No 1 (2019)
Publisher : International Journal of Cardiovascular Practice

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.

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