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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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A Gender-Based Study of Sensation Seeking in Patients with Coronary Artery Disease Compared with Healthy Subjects Ezzati, Davoud; Hashemi Nosrat Abad, Touraj; Babapour Kheiroddin, Jalil; Namdar, Hossein; Taban Sadeghi, Mohammadreza; Hakimi, Masoumeh; Sadeghi, Babak; Samani, Zhila
International Journal of Cardiovascular Practice Vol 3, No 1 (2018)
Publisher : International Journal of Cardiovascular Practice

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.

Prevalence of Coronary Artery Disease and Its Risk Factors in Patients Undergoing Permanent Pacemaker Implantation Jayaram, Ashwal Adamane; Iype, Jerry; Karkera, Deeksha; Rao, Sudhakar M; Devasiya, Tom; Ramachandran, Padmakumar; Pai, Umesh; Samanth, Jyothi; Paramasivam, Ganesh
International Journal of Cardiovascular Practice Vol 4, No 2 (2019)
Publisher : International Journal of Cardiovascular Practice

Introduction: Some pacemaker implanted patients have an atherosclerotic disease which promotes conduction system ischemia and conduction disturbances. The aim of this study was to determine prevalence of coronary artery disease (CAD) and its risk factors in patients undergoing permanent pacemaker implantation (PPI).Methods: This prospective, single-center hospital based study examined patients older than 40 years who required PPI. Presence of atherosclerotic risk factors and CAD was examined.Results: Of 258 patients undergoing PPI, CAD was present in 50 (19.37 %) patients. CAD was more common among middle age and elderly patients (P = 0.03). Patients older than or equal 76.5 years had specificity of 78.8% for an association with CAD. Multivariate analysis showed that age (odds ratio: 1.042; 95% confidence interval: 1.009?1.075; P = 0.01) and diabetes (odds ratio: 3.437; 95% confidence interval: 1.618?7.303; P = 0.001) had a statistically significant association with CAD. Of 169 patients with involvement of the atrioventricular (AV) node, 28 (16.6 %) had associated left anterior descending artery (LAD) involvement with P = 0.01, suggesting an association between LAD disease and chronic degenerative changes in the AV node.Conclusion: CAD was present in 19.4% of patients undergoing PPI. Age and diabetes had a strong association with CAD. LAD stenosis was significantly more prevalent in AV nodal/ infra-hisian disease compared with sinus nodal disease.

Dislodged Interatrial Septum Occluder was Found in an Incredible Place: A Case Report Jafari Fesharaki, Mehrdad; Alizadehasl, Azin; Khajali, Zahra; Farashi, Melodi
International Journal of Cardiovascular Practice Vol 4, No 3 (2019)
Publisher : International Journal of Cardiovascular Practice

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Secundum type atrial septal defect (ASD) is the most common type of interatrial septum defects. Transcatheter closure of secundum ASD has replaced traditional surgical ASD closure in most cases. Embolization of device is relatively uncommon (0.3%), but it can be a life-threatening situation that needs emergency open heart surgery. We presented a 44-year-old woman who underwent a successful ASD device closure, but the day after procedure, she presented with dyspnea and frequent paroxysmal supraventricular tachycardia with absence of device in interatrial septum (IAS) position. Further investigation by transesophageal revealed atrial septal occluder in the right pulmonary artery that extracted by surgery successfully.

endovascular repair of an isolated iliac artery aneurysm in a patient with liver cirrhosis Tahooni, Azadeh; Vahedinezhad, Milad
International Journal of Cardiovascular Practice Article in Press
Publisher : International Journal of Cardiovascular Practice

Endovascular repair is increasingly becoming the main strategy for management of aortic and peripheral aneurysms. Several methods have been chosen to treat aneurysms based on the anatomy, coexisting nearby aneurysms and available tools. We present a 60 years old man with an isolated large iliac artery aneurysm which discovered incidentally and was treated using an endovascular approach and obliterating internal iliac artery without early and late complications at 3 years long follow up.

Pulmonary thromboemboli in smokers and nonsmokers; Risk factors and anatomic disturbution of emboli in CT angiographies Pishgahi, Mehdi; Zarei, Leila; Mohaghegh, Pegah; Bozorgmehr, Rama
International Journal of Cardiovascular Practice Vol 4, No 2 (2019)
Publisher : International Journal of Cardiovascular Practice

Introduction: Recognition of risk factors in different high-risk groups such as smokers in comparison with non-high risk groups would help to develop good preventive strategies for pulmonary thromboemboli (PTE). The purpose of this study was to investigate and compare clinical findings and risk factors in smoker and nonsmoker patients with pulmonary thromboembolism and assessing anatomical variant in pulmonary computerized tomography angiographies.Methods: In this descriptive study 260 consecutive patients suspected to have PTE underwent pulmonary computerized tomography angiographies in a training hospital since 2015 to 2018. Patient with documented PTE were enrolled. Clinical finding and risk factors were determined and compared between them.Results: From 260 patients 172 subjects (66.15%) had PTE and enrolled in the study. Fifty-six (32%) were smoker and 116 (68%) non-smoker. The smoker group was younger and male gender was more predominant. Oxygen saturation and inspired oxygen partial pressure differed between smokers and non-smokers (P < 0.05). The predisposing factors of thromboembolism and anatomic distribution of emboli were the same in smokers and non-smokers.Conclusion: Regarding different factors responsible for PTE in smokers and non-smokers, clinical presentation and anatomic distribution of PTE are comparable.

Imaging for Diagnosis and Monitoring of Cardiac Sarcoidosis Mehdipoor, Ghazaleh; Bokhari, Sabahat; Prince, Martin R.
International Journal of Cardiovascular Practice Vol 3, No 2 (2018)
Publisher : International Journal of Cardiovascular Practice

Sarcoidosis is a granulomatous condition, primarily affecting the lungs and thoracic lymph nodes. Clinical cardiac involvement might occur in 2 to 5% of patients with sarcoidosis, and can be associated with serious complications including heart block, cardiomyopathy, ventricular arrhythmias, and potentially death. Timely diagnosis helps initiate treatment before cardiac damage becomes irreversible. In this brief review, we discuss imaging updates for diagnosis and monitoring of cardiac sarcoidosis.

Lipid Profile Parameters and Coronary Artery Disease in Young Patients Undergoing Diagnostic Angiography Jayaram, Ashwal Adamane; Nayak, Krishnanada; Rao, Sudhakar; Samanth, Jyothi; Kvellur, Sneha T; Saleel, Adamya; Almalki, Yasir; Gajiwala, Nirlip
International Journal of Cardiovascular Practice Vol 4, No 3 (2019)
Publisher : International Journal of Cardiovascular Practice

Introduction: It is vital to understand the association between lipid profile and the severity of coronary artery disease (CAD) in young patients with suspected CAD. The clinical presentation, lipid profile and severity of CAD may differ in patients who develop CAD at young age and those at older age. Friesinger (FR) index is an important tool to assess the extent and severity of coronary artery lesions.Methods: This study was a single center retrospective study involving patients below 40 years who underwent diagnostic coronary angiography. Demographic variables, lipid profile and FR index were estimated. Patients were divided into four groups based on the FR index scores of 0, 1?4, 5?10 and 11-15, respectively.Results: A total of 158 patients (Mean ± SD of age; 35.65 ± 3.81 years) were included in the study. Among demographic variables, gender (P = 0.03) and body mass index (BMI) (P < 0.001) were found to be associated with FR index. In addition, total cholesterol (P < 0.001), low density cholesterol (LDL) cholesterol (P < 0.001), non-high density cholesterol (non-HDL) (P < 0.001) and ratio of triglycerides (TG) /non-HDL cholesterol (P = 0.004) showed significant differences between the FR groups. Logistic regression analysis showed that only diabetes (P = 0.02) and BMI (P = 0.004) were significant predictors of the extent and severity of coronary artery lesions in terms of FR index.Conclusions: A strong direct relationship was observed between total cholesterol, LDL and non HDL cholesterol while a negative correlation with the TG/non HDL ratio. Diabetes and BMI also play a very significant role.

Coronary Vasospasm after Giving Adenosine for Supraventricular Tachycardia Naredi, Mohit; Bharani, Anil
International Journal of Cardiovascular Practice Vol 4, No 2 (2019)
Publisher : International Journal of Cardiovascular Practice

Palpitations due to supra-ventricular tachycardia are a common mode of presentation to the emergency department. A 12 lead electrocardiography usually leads to immediate diagnosis and prompt management of this condition. Adenosine injection is the treatment of choice for rapid termination of supra-ventricular tachycardia which is widely used. It is generally considered safe and serious side effects are rare. We presented a rare case of a post-menopausal female admitted with supra-ventricular tachycardia and after injection of Adenosine, chest pain with a transient elevation of ST segment occurred. The ST segment changes reverted back to normal after a few minutes spontaneously without any therapy. This phenomenon could be explained due to coronary vasospasm produced by Adenosine. A review of literature revealed anecdotal cases of adenosine induced possible coronary vasospasm.

Impact of Lesion Length on Functional Significance in Intermediate Coronary Lesions Safi, Morteza; Khaheshi, Isa; Eslami, Vahid; Beheshtian, Mohammad Mehdi; Naderian, Mohammadreza
International Journal of Cardiovascular Practice Vol 2, No 3 (2017)
Publisher : International Journal of Cardiovascular Practice

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.

The acute effects of Water-pipe smoking on Ankle Brachial Index: A cross-sectional Study Hesami, Zahra; Sharifi, Hooman; Behzadnia, Neda; Naghashzadeh, Farah; Heydari, Gholam Reza; Sharif-kashani, Babak; Abbasi, Payam
International Journal of Cardiovascular Practice Vol 4, No 3 (2019)
Publisher : International Journal of Cardiovascular Practice

Introduction: Numerous studies have shown that waterpipe smokers as well as cigarette smokers are at increased risk of cardiovascular diseases. In this study we sought to evaluate the acute effects of waterpipe smoking (WPS) on ankle brachial index (ABI), an indicator of atherosclerosis and an independent predictor of mortality.Methods: This prospective cross-sectional study was conducted in October 2017. Twenty nine healthy male volunteers who had a history of WPS were enrolled. Demographic data and cigarette and WPS status were recorded via self-reporting questionnaire. Resting heart rate and brachial systolic and diastolic blood pressures of participants were recorded first and ABI measurements were done. Then subjects smoked waterpipe for about 20 minutes and ABI was measured immediately after WPS.Results: A total of 29 male adults with a mean age of 32 ± 9 years were included. The right-sided ABI was 1.05 ± 0.11 before WPS and significantly decreased to 0.98 ± 0.13 after WPS (P value = 0.006). The left-sided ABI before and after WPS were 1.09 ± 0.20 and 0.95 ± 0.18 respectively and the decrease was statistically significant (P value = 0.037). Vital signs before and after one session of WPS showed significant changes in heart rate (P < 0.001) and no significant changes in systolic and diastolic blood pressures (P = 0.09, and P = 0.14, respectively).Conclusion: WPS has an acute effect on ABI as well as heart rate so it should be considered as a potential risk factor for cardiovascular diseases.

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