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Recovery of ventricular function following enrolment in a heart failure disease management program
Adherence to medical therapy remains a challenge. In the setting of heart failure, adherence can be a life and death matter. The case presented is a 29 year old male with decompensated heart failure who suffered repeated exacerbations due to lack of adherence. Intensive education and comprehensive follow-up in a cardiovascular disease management program gradually helped him to improve his adherence and self care. The patient's ventricular function and symptoms have dramatically improved allowing him to have a normal family life. (Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Bdeir, B., Farah, I., Conboy, T. Tags: Articles Source Type: research

Managing cardiovascular disease: model of care in Saudi Arabia
As the burden of cardiovascular disease escalates in the developing world there is an increasing need for systematic, evidence based, comprehensive care. Due to the complexity of the disease the traditional physician based clinics and emergency services are unable to cope with this flood of patients. There is a growing body of evidence supporting a multidiscipline approach to care. This brief article describes a model of cardiovascular disease management developed in Saudi Arabia. (Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Bdeir, B., Farah, I., Conboy, T. Tags: Articles Source Type: research

Transcatheter aortic valve implantation (valve in valve) guided by transoesophageal echo in a centenarian
This is the first reported case of transcatheter aortic valve implantation (TAVI) valve in valve in a centenarian. The management of patients with severe aortic calcification using either surgical or TAVI approach is challenging. The case presented discusses a patient who required a second valve implant during a TAVI procedure due to failure of the first valve to completely deploy. The first valve developed Aortic Incompetence (AI) after an attempt to dilate. The second valve was successfully deployed with good result. (Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Mohamed, A. A., Balghith, M., AlGhamdi, A. Tags: Articles Source Type: research

Modern organization of an echocardiographic laboratory: the experience of the King Abdulaziz Cardiac Center (KACC) in Riyadh
We describe the organization of the Adult Echocardiography Laboratory at the King Abdulaziz Cardiac Center (KACC) in Riyadh, one of the greatest centers in Saudi Arabia. (Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Warsame, T. A., Al Ghamdi, M., Omran, A. S. Tags: Articles Source Type: research

Ivabradine maintains sinus rhythm and reverses atrial tachycardia-induced cardiomyopathy
Atrial tachycardia resistant to conventional management may respond to ivabradine. Two cases of resistant tachycardia are presented that responded to ivabradine. Both cases were later successfully ablated and both maintained sinus rhythm and are symptom free 2 years post procedure. The physiological mechanism for this is also briefly discussed. (Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: AlMusaad, A., Shaaban, S., Alshuhri, S., Mukhtar, A. Tags: Articles Source Type: research

Retrograde iatrogenic left main dissection
This report summarizes successful management of retrograde dissection of the LMCA by percutaneous coronary intervention (PCI). (Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Alghamdi, A. M., Salih, A. Tags: Articles Source Type: research

Influence of the length of coronary artery lesions on fractional flow reserve across intermediate coronary obstruction
The aim of the study was to assess the effect of coronary lesion length (LL) on fractional flow reserve (FFR) in coronary arteries with intermediate diameter stenosis (DS; 30–60%). Eighty-three patients (89 lesions) with coronary artery disease underwent FFR measurement using a Radi or Volcano pressure wire. Diameter stenosis and LL were determined by quantitative coronary angiography, and the relationship between DS, LL, and FFR was assessed by regression analysis. Seventy-nine lesions had DS between 30 and 60% and were entered into the retrospective analysis. Mean DS and LL were 41.6 (±6.77%) and 9.2 (&plusm...
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Alghamdi, A., Balgaith, M., Alkhaldi, A. Tags: Articles Source Type: research

Cardiac catheterization laboratory, organization, and metrics
(Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Alghamdi, A., Tamimi, O., Balgaith, M., Bannan, A., Ayoub, K. Tags: Articles Source Type: research

Unusual delayed presentation of life-threatening complete heart block after ventricular septal defect (VSD) closure with Amplatzer Device
In this report, we describe a child who underwent Amplatzer device occlusion of peri-membranous VSD with late development of life-threatening complete heart block presenting many days post-procedure. We discuss the case and summarize our successful surgical management with review of different approaches reported in the literature. (Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Kabbani, M. S., Munshi, F., Alhabshan, F., Al Mutairi, M., Alghamdi, A. A. Tags: Articles Source Type: research

'Critical' ultrasound: the new essential skill in Pediatric Cardiac Intensive Care Unit (PCICU)
This article describes some of the applications of this innovative program over a 6-year period in a PCICU and its impact on patient care. (Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Elbarbary, M., Ismail, S., Shaath, G., Jijeh, A., Kabbani, M. S. Tags: Articles Source Type: research

Pediatric cardiac intensive care at the King Abdulaziz Cardiac Center
Pediatric cardiac intensive care is a subspecialty area that has evolved to address the special need for expert in post-operative care of children requiring heart surgery and interventions. Many hospitals have dedicated units to manage these patients. The ideal model for this care is a subject of debate. This brief paper describes evolution of this program at King AbdulAziz Medical City over the last 12 years. (Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Kabbani, M. S., Hijazi, O., Elbarbary, M., Ismail, S., Shaath, G., Jijeh, A. Tags: Articles Source Type: research

Application of strain to assess myocardial function in septic cardiomyopathy
We present the following case to illustrate the application of strain in septic cardiomyopathy. (Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Hussain, A., Omran, A. S. Tags: Articles Source Type: research

Predicted and observed mortality in adult cardiac surgery in the King Abdulaziz Cardiac Center: application of EuroSCORE I and EuroSCORE II
This paper was designed to review the risk for and the actual mortality rate of patients subjected to cardiac surgery at the King Abdulaziz Cardiac Center (KACC). The European System for Cardiac Operative Risk Evaluation (EuroSCORE I and EuroSCORE II) was used to assess the expected and observed operative risk of all (1176) patients undergoing cardiac surgery at the KACC from 2010 to 2012. The overall predicted mortality was 4.48% (SD 5.29) while the observed mortality was 1.27% (>30 days 0.42% and <30 days 0.85%). For all coronary artery bypass grafting (CABG), the EuroSCORE I over estimated mortality (3.8% predicte...
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Hussain, A., Arifi, A. A., Najm, H. K. Tags: Articles Source Type: research

Adult cardiac critical care at the King Abdulaziz Cardiac Center
Adult Cardiac Critical Cardiac Care division at the King Abdulaziz Cardiac Center – Riyadh, Saudi Arabia, was created in 2011 to address the critical care needs of cardiac surgery and adult cardiology patients that were beyond the scope of their specialties. The division offers its services in two semi-closed intensive care units consisting of 17 beds of Level 3 care. The concept and rationale behind this relatively new subspecialty and its organization in our center are presented in this brief report. (Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Hussain, A., Mustafa, N., Al Ali, R., Almodaimegh, H. Tags: Articles Source Type: research

Incidental finding of cardiac papillary fibroelastoma of the left ventricular outflow tract, associated with rheumatic mitral and tricuspid stenosis
We present the case of a young female scheduled for elective mitral and tricuspid valve replacement and maze procedure for chronic atrial fibrillation. A CPF was incidentally discovered during routine intraoperative transoesophageal echocardiography with an unusual location; at the left ventricular outflow tract. (Source: European Journal of Heart Failure Supplements)
Source: European Journal of Heart Failure Supplements - November 10, 2014 Category: Cardiology Authors: Arifi, A. A., Mohamed, A. A., Najm, H. K. Tags: Articles Source Type: research