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Prevalence and impact of carotid disease in adult Saudi patients undergoing isolated coronary artery bypass surgery on early postoperative outcome
The aim of the study is to assess the prevalence of carotid disease in our Saudi population undergoing coronary artery bypass surgery and to determine its impact on stroke and early postoperative outcome. A total of 3197 consecutive adult patients underwent major cardiac surgery in our center between January 2002 and December 2012. Of these, 3150 had preoperative duplex scanning, and out of these, 210 patients (6.6%) had significant carotid artery disease defined as ≥75% stenosis (Group A), whereas 2940 (94.4%) were free from carotid artery disease (Group B). Both groups were compared for the presence of preoperative ri...
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Arifi, A. A., Ahmad, M., Van Onselen, R., Najm, H. K. Tags: Articles Source Type: research

Scimitar syndrome: restoration of native pulmonary venous connection
We report a case of a 10-year-old girl with a typical scimitar syndrome. As the patient had dilated inferior vena cava along with an associated atrial septal defect, the surgical management consisted of intra-caval/intra-atrial baffle to direct the scimitar vein blood flow into the left atrium through the atrial septal defect. What is atypical is that at the 6-month follow-up, the echocardiography showed mild gradient in the baffle of 3 mmHg with normal right ventricular systolic pressure and at 1 year no flow in the baffle with normal native right-sided pulmonary venous flow, which was never detected before. The cardiac c...
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Alghamdi, A. A., Al-Mutairi, M., Alhabshan, F. Tags: Articles Source Type: research

Multiple aortic aneurysms in a 6-week-old baby post-arterial switch operation
We present what may be the first report of multiple aortic aneurysms in a 6-week-old baby boy 4 weeks post-ASO. Initial diagnosis was made by transthoracic echocardiography, which was confirmed by computed tomographic angiography and surgical inspection. The aneurysms were repaired surgically with two aortic homograft patches without complications. (Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Al Bahanta, A., Alhabshan, F., Abu-Sulaiman, R. M., Alghamdi, M. H., Yelbuz, T. M., Najm, H. K. Tags: Articles Source Type: research

Evaluation of cardiovascular anomalies in conjoined twins: a single-center experience from King Abdulaziz Cardiac Center
The aim of the study is to describe varieties of congenital heart disease (CHD) in different types of conjoined twins (ConTw). This is a retrospective (from 1997 to 2014) analysis of 42 sets of ConTw with different levels of body and/or organ fusion, referred to our center for cardiac evaluation prior to separation. Conjoined twins were classified into Classes 1, 2, and 3 according to heart abnormalities and further subclasses of a, b, and c according to minor or major heart disease. Of the 42 sets, there were 35 sets of twins (83.3%) who were symmetrical including 3 craniopagus, 3 pygopagus, 14 thoracopagus, 11 omphalopag...
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Alsayad, A., AlKhatabi, A., Alghamdi, M. H., Al Rabeeah, A., Alhabshan, F., Abu-Sulaiman, R. M. Tags: Articles Source Type: research

Pediatric cardiology division, metrics, and organization
The pediatric cardiology division at the King Abdulaziz Cardiac center is a unit that provides a tertiary level of care for children with complex congenital and acquired heart diseases from all around Saudi Arabia. Further, we are also involved in training and research programs, both at national and international levels. This paper describes the organization and metrics of our section as well as our teaching and research activities. Besides our Pediatric Cardiology Fellowship Program, the following additional topics are outlined in detail: outpatient services, echocardiography, advanced cardiac imaging, cardiac catheteriza...
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Alhabshan, F., Al Tamimi, O., Almutairi, M., Yelbuz, T. M., Alkhatabi, A., Alghamdi, M. H., Seller, N., Alghamdi, S., Abu-Sulaiman, R. M. Tags: Articles Source Type: research

The role of delayed contrast-enhanced cardiac magnetic resonance in differentiating myocarditis from myocardial infarction
A number of different conditions can present with symptoms that mimics acute coronary syndrome (ACS). Even after performing coronary angiography, diagnosis can still be challenging. The aim of this study was to evaluate the utility of contrast-enhanced cardiac magnetic resonance (CMR) to differentiate between myocarditis and myocardial infarction (MI) in patients presenting with acute chest pain syndrome, elevated cardiac markers, and unobstructed coronary arteries. We studied 26 consecutive patients (mean age 32.4 ± 11.3 years, 80.1% males) presenting with acute symptoms, elevated cardiac markers, unobstructed coro...
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Alsaileek, A., Nasim, M., Aljizeeri, A., Alharthi, M., Al-Mallah, M. H. Tags: Articles Source Type: research

Positive vasodilator stress electrocardiogram does not always indicate obstructive coronary artery disease, the role of non-invasive myocardial flow reserve
The presence of transient ischemic dilatation (TID) and positive vasodilator stress electrocardiographic (ECG) changes on SPECT is often associated with multi-vessel coronary artery disease. PET allows for evaluation of myocardial blood flow and myocardial flow reserve both of which have incremental diagnostic and prognostic perspective. We are reporting a case with significant vasodilator stress ECG abnormalities and TID with normal myocardial blood flow and flow reserve that had normal coronary arteries on invasive angiography. This case suggests that normal myocardial blood flow and flow reserve in conjunction with norm...
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Aljizeeri, A., Suliman, I., Al-Mallah, M. H. Tags: Articles Source Type: research

Acute coronary syndrome or myocarditis? The role of multimodality imaging
The presentation of acute myocarditis varies. In some cases it mimics acute coronary syndrome. In this case we demonstrated the potential role of multi-modality cardiac imaging to quickly exclude coronary artery disease and confirm the diagnosis of myocarditis. (Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Alsaileek, A., Nasim, M., Aljizeeri, A., Alharthi, M., Al-Mallah, M. H. Tags: Articles Source Type: research

Routine low-radiation-dose coronary computed tomography angiography
Recent advances in coronary computed tomography angiography (CCTA) increased its utilization as a tool for non-invasive detection of coronary artery disease (CAD). The aim of this analysis is to determine the impact of adopting new radiation dose-reducing techniques on the radiation exposure in consecutive patients undergoing CCTA. We included 1341 consecutive patients who underwent CCTA to rule out CAD between January 2007 and December 2013. New dose-reducing techniques were adopted in July 2010 in 1034 patients. These included high pitch scanning, 100 KVP (Kilovoltage Peak) imaging, and iterative reconstruction. The tota...
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Al-Mallah, M. H., Aljizeeri, A., Alharthi, M., Alsaileek, A. Tags: Articles Source Type: research

Organization and metrics of the Division of Advanced Cardiac Imaging, King Abdulaziz Cardiac Center
Non-invasive cardiac imaging (including nuclear cardiology, cardiac computed tomography, and cardiac magnetic resonance imaging) developed rapidly over the past few years. The leadership of King Abdulaziz Cardiac Center (KACC) adopted the concept of multimodality imaging cardiologist and developed in the year 2000 a strategic plan to invest in this new branch of cardiology. A new cardiac imaging center is currently under construction with the aim to be the hub for large enterprise of clinical, research, and educational activities. Awaiting the completion of the new imaging center, the division has been active in supporting...
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Al-Mallah, M. H., Aljizeeri, A., Suliman, I., Alharthi, M., Alhabshan, F., Alsaileek, A. Tags: Articles Source Type: research

King Abdulaziz cardiac informatics program: an overview
Unified informations systems that can support clinical care, quality improvement, operations and research are very challenging to develop. This brief paper is a report on the progress King Abulaziz Cardiac Center is making towards achieving this important goal. (Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Al Zaibag, M., Franke, J. G. Tags: Articles Source Type: research

Introduction
(Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Al Zaibag, M., Najm, H. Tags: Introduction Source Type: research

European Heart Journal Supplement - the Heart of the Matter
(Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Ferrari, R. Tags: Preface Source Type: research

Acute coronary syndrome in octogenarian patients: results from the international registry of acute coronary syndromes in transitional countries (ISACS-TC) registry
In conclusion, age is relevant in the prognosis of ACS, but its importance should be considered not secondary to other clinical factors. (Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - January 10, 2014 Category: Cardiology Authors: Manfrini, O., Dorobantu, M., Vasiljevic, Z., Kedev, S., Knezevic, B., Milicic, D., Dilic, M., Trninic, D., Daullxhiu, I., Gustiene, O., Ricci, B., Martelli, I., Cenko, E., Koller, A., Badimon, L., Bugiardini, R., on the behalf of the Working Group on Coro Tags: Articles Source Type: research

Perspectives: Preventive measures for public health in Russian Federation
Non-communicable diseases (NCDs), cardiovascular diseases (CVDs), cancer, pulmonary disease, and diabetes are the main causes (more than 75%) of death in Russia. Cardiovascular diseases are a leading cause of a premature death both in men and in women. In 2010, the mortality rate of Russian men aged between 25 and 64 years was two times higher than that of European men in the same age, mainly due to CVD mortality. In Russia, as well as in the other European countries, the leading causes of death and disability are directly associated with main risk factors: elevated blood pressure, hypercholesterolaemia, smoking, poor nutr...
Source: European Journal of Heart Failure Supplements - January 10, 2014 Category: Cardiology Authors: Boytsov, S., Potemkina, R. A. Tags: Articles Source Type: research