Journal of the Saudi Heart Association This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

A quality improvement project to reduce door-to-electrocardiogram time: A multicenter study
ConclusionA quality improvement project can successfully increase the percentage of patients receiving EKG within 10 minutes of presentation to ED. Further research is required to demonstrate the clinical significance of improved door-to-EKG times. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 10, 2018 Category: Cardiology Source Type: research

ASD device closure in pediatrics: 3-Dimensional transthoracic echocardiography perspective
ConclusionUse of 3D before and after ASD closure is of value to determine the device relation to the surrounding structures. AV rim by TEE is an important rim to avoid eventual encroachment on the mitral valve and aorta. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 10, 2018 Category: Cardiology Source Type: research

Prognostic value of homocysteine and highly sensitive cardiac troponin T in children with acute heart failure
ConclusionPlasma HCY and serum hs-cTnT levels have a good prognostic value in children with congestive heart failure (CHF) and their levels significantly correlated with clinical and echocardiographic data, severity of HF, and adverse outcome in children with CHF. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 10, 2018 Category: Cardiology Source Type: research

Determining the factors causing delayed referral for fetal echocardiography at a tertiary care hospital
ConclusionOn the basis of the results, it could be concluded that delayed presentation for fetal echocardiography was not associated with the educational status of females. By contrast, referral personnel were found to be responsible for the delayed referral of females. Therefore, we strongly recommend that both pregnant women and gynecologists be educated about the importance of timely diagnosis for identification of congenital heart diseases. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 10, 2018 Category: Cardiology Source Type: research

Value of three-dimensional echocardiography study of left ventricle function correlated to coronary arterial dominance in predicting the outcome of primary percutaneous coronary intervention
ConclusionIn patients with STEMI treated with primary PCI, left coronary artery dominance confers a higher risk of various adverse clinical events after primary PCI, during hospital stay, and at 3 months follow-up compared to right and balanced coronary artery dominance. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 10, 2018 Category: Cardiology Source Type: research

Transcatheter perforation of atretic pulmonary valve by the stiff end of a coronary wire in neonates with pulmonary atresia with intact ventricular septum: A solution in developing countries
ConclusionPerforation of the atretic PV in selected cases with membranous atresia and patent infundibulum using the stiff end of a coronary wire is an effective alternative to using radiofrequency perforation. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 10, 2018 Category: Cardiology Source Type: research

Baseline characteristics, management practices, and long-term outcomes among patients with first presentation acute myocardial infarction in the Second Gulf Registry of Acute Coronary Events (Gulf RACE-II)
ConclusionsFirst presentation AMI patients tend to be older and to have lower rates of risk factors. Adverse clinical outcomes such as congestive heart failure, reinfarction, cardiogenic shock, and stroke were higher among patients with first presentation AMI compared to patients with a history of ACS. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 10, 2018 Category: Cardiology Source Type: research

Correlates of memory loss and depression among myocardial infarction patients in Al-Qassim, Saudi Arabia
ConclusionActivity level and poor health were identified as correlates of depression as well as combined memory loss and depression. Future studies should aim to improve screening for depression among post-MI patients and develop appropriate interventions to raise the level of activity. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 10, 2018 Category: Cardiology Source Type: research

Incidence and causes of prolonged mechanical ventilation in children with Down syndrome undergoing cardiac surgery
ConclusionOverall, 11.7% of DS patients required prolonged ventilation after cardiac surgery. Pulmonary hypertension was seen more frequently in cases requiring PMV, and half of PMV cases required antipulmonary hypertension medication upon discharge. Early recognition of pulmonary hypertension and proper perioperative management are recommended to avoid serious complication and comorbidity after cardiac surgery. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 10, 2018 Category: Cardiology Source Type: research

Endovascular repair of a leaking aortic-arch pseudoaneurysm using graft stent combined with chimney protection to left common carotid artery: Case report and review of literature
We report a rare case of leaking aortic-arch PsA repaired by thoracic endovascular aortic repair using graft stent with the chimney technique to protect the left common carotid artery. Unlike other cases in the literature, our case was unique, having leaking PsA not related to previous cardiac surgery or aortic dissection. The successful management of this patient using thoracic endovascular aortic repair combined with the chimney technique suggests that this approach may be an attractive therapeutic alternative to treat aortic-arch PsA. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 10, 2018 Category: Cardiology Source Type: research

Is baseline cerebral oximetry a better predictor than carotid scan for postoperative delirium in cardiac surgery?
We report a 41-year-old woman who presented with a normal carotid scan and unexpectedly low baseline cerebral oximetry levels. She had delayed postoperative recovery and discharge from hospital following her coronary-artery bypass surgery. This case report reiterates the prognostic significance of cerebral oximetry in the preoperative checkup and the association of low intraoperative values to postoperative cerebral impairment. It can also be identified as a comparatively better tool for preventing cognitive disturbances after cardiac surgery. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 10, 2018 Category: Cardiology Source Type: research

Percutaneous retrieval of a shard of metal from the right ventricular apex after an industrial accident
Publication date: July 2018Source: Journal of the Saudi Heart Association, Volume 30, Issue 3Author(s): Christian Blockhaus, Marcel Keßler, Jan-Erik Gülker, Hans-Peter Waibler, Alexander Bufe, Dong-In Shin, Heinrich KluesAbstractA 29-year-old man suffered from an industrial accident as a piece of metal of a die-cutter burst and shards of metal penetrated his right upper arm. One shard was localized via x-ray and computer tomography within the apex of the right ventricle. Here we report on a successful retrieval of this shard of metal by aspirating it via a 6F multipurpose (MP) catheter. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 10, 2018 Category: Cardiology Source Type: research

Discontinuation of anticoagulant therapy for a month in a patient with HeartMate III continuous-flow left ventricular assist device without thromboembolic events
Publication date: July 2018Source: Journal of the Saudi Heart Association, Volume 30, Issue 3Author(s): Abdelfatah Elasfar, Kafaf Jalali, Mohamed Hussein, Ibraheem AlHarbi, Osama AmoudiAbstractThe recommended anticoagulation regimen for continuous-flow left ventricular assist device (LVAD) systems is warfarin and aspirin with a targeted international normalized ratio (INR) of 2.0–3.0. Our patient is a 58-year-old male who underwent surgical HeartMate III continuous-flow LVAD implantation 3 months ago outside the country. The patient mistakenly stopped taking warfarin for 1 month prior to presenting to our center for ...
Source: Journal of the Saudi Heart Association - July 10, 2018 Category: Cardiology Source Type: research

Endovascular repair of severe aortic coarctation, transcatheter aortic valve replacement for severe aortic stenosis, and percutaneous coronary intervention in an elderly patient with long term follow-up
We report a 70-year-old female, who presented with uncontrolled hypertension and acute decompensated heart failure (ADHF) and was found to have severe CoA, severe bicuspid aortic valve (BAV) stenosis, and significant proximal left anterior descending (LAD) coronary artery disease. In a multidisciplinary heart team meeting, we decided to perform an endovascular repair of both cardiac and vascular pathologies using a two-stage approach due to the significant comorbidities; mainly uncontrolled hypertension, type 2 diabetes mellitus, chronic obstructive pulmonary disease, and severe calcifications of the ascending aorta. The p...
Source: Journal of the Saudi Heart Association - July 10, 2018 Category: Cardiology Source Type: research

Multimodality imaging of a rare type of coronary cameral fistula
Publication date: July 2018Source: Journal of the Saudi Heart Association, Volume 30, Issue 3Author(s): Murat Akcay, Asli Tanrivermis Sayit, Okan Gulel, Cetin CelenkAbstractCoronary artery fistulas are defined as abnormal vascular connections between one or more coronary arteries and the cardiac chamber [coronary cameral fistula (CCF)] or a great thoracic vessel. Here, we present multimodality imaging findings of a rare case with CCF between the sinoatrial nodal artery and the left atrium. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 10, 2018 Category: Cardiology Source Type: research