The GuideLiner catheter: A supportive tool in percutaneous coronary intervention of chronic total occlusion
ConclusionsThe GL catheter is an adjunctive interventional device which enhances and amplifies CTO-PCI. Its use is indicated in cases in which back-up force needs to be strengthened to pass a CTO despite advanced calcification. It can be recommended as an important additional tool in advanced interventional cardiology such as antegrade and retrograde CTO-PCI if other techniques like anchor balloon or anchor wire are not possible. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Status of F-18 fluorodeoxyglucose uptake in normal and hibernating myocardium after glucose and insulin loading
ConclusionsIn nearly half of our patients, one or more normal myocardial segments showed absent or significantly reduced FDG uptake. This finding, particularly if it is diffuse, could be from suboptimal study, inadequacy of current glucose and insulin loading protocols, or various other patient-related causes affecting FDG uptake both in the normal and hibernating myocardium. In cases with significantly reduced FDG uptake in normal myocardium, PET images should be interpreted cautiously to prevent false-negative results for viability. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Normal reference ranges for aortic diameters in preterm infants
ConclusionThe ascending aorta, transverse aorta, and aortic isthmus diameters exhibited a significant correlation with the body surface area and body weight. This study provides reference data with Z-scores that can be used as a normal reference tool for the ascending aorta, transverse aorta, and aortic isthmus diameters for preterm infants based on the body surface area. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Bedside ultrasonography screening for congenital renal anomalies in children with congenital heart diseases undergoing cardiac repair
ConclusionRoutine renal US in children with CHD demonstrated prevalence of associated congenital renal anomalies in 6% of children undergoing cardiac surgery. The presence of occult renal anomalies was associated with higher UTI risk. Performing routine renal US as a standard practice in children with CHD is justifiable. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Three-dimensional echocardiography with left ventricular strain analyses helps earlier prediction of right ventricular pacing-induced cardiomyopathy
ConclusionsPiCMP is not uncommon in patients undergoing pacemaker implantation and is associated with RV pacing. PiCMP was associated with a ventricular pacing percentage of ≥20%. 3D echocardiography with LV strain analysis plays a vital role in identifying LV dysfunction at an earlier stage compared to EF. PiCMP, if picked up and intervened upon early, can help impede its progression. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Physicians’ knowledge and attitudes in Saudi Arabia regarding implantable cardiac defibrillators
ConclusionThere is a lack of knowledge of current clinical guidelines regarding ICD implantation for patients with heart failure at general hospitals in Saudi Arabia. This finding highlights the need to improve the dissemination of guidelines to practitioners involved in managing patients with heart failure in an effort to improve ICD utilization. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Management of hyperglycemia during and in the immediate follow-up of acute coronary syndrome
The objective of this article is to suggest a screening and management guide for carbohydrate metabolism disorders during and in the immediate follow-up of ACS in diabetic and nondiabetic patients. Screening must be systematic in any patient admitted for ACS, and based on hemoglobin A1c and oral glucose tolerance testing. Treatment of hyperglycemia in the cardiology intensive care unit is recommended in any patient admitted with hyperglycemia>1.80 g/L or postfeeding blood glucose level>1.40 g/L, and should be based on intravenous insulin with concomitant infusion of glucose solution under strict monitoring. Once ...
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Veno-arterial extracorporeal membrane oxygenation as a bridge for enabling surgery in a patient under cardiogenic shock due to acute mitral prosthesis dysfunction
Publication date: April 2018Source: Journal of the Saudi Heart Association, Volume 30, Issue 2Author(s): María Elena Arnáiz-García, María José Dalmau-Sorlí, José María González-Santos, María Elena Pérez-Losada, José Alfonso Sastre-Rincón, Jesús Hernández-Hernández, Mª Carmen Vargas-Fajardo, Víctor Sagredo-Meneses, Javier López-Rodríguez, Ana María Arnáiz-GarcíaAbstractA 52-year-old male patient, who underwent mitral replacement with a mechanical prosthesis as a child, sustained a cardiac arrest which was successfully resuscitated. Further investigation showed prosthesis malfunction with significant r...
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Table of Contents
Publication date: April 2018Source: Journal of the Saudi Heart Association, Volume 30, Issue 2Author(s): (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Correlation of hyper-homocysteinemia with coronary artery disease in absence of conventional risk factors among young adults
ConclusionHyper-homocysteinemia has positive correlation with coronary artery disease among young adults in the absence of conventional risk factors. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

An unusual etiology of ischemic stroke: Woven coronary artery anomaly
In this report, we present a young man with a woven right coronary artery associated with a silent myocardial infarction, inferobasal segment acinesia, an area of scarring, and cardioembolic stroke thought from the scar area. Although it is reported as a benign coronary anomaly in the literature, we should be careful especially in terms of the complications that it causes. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Evasion maneuver for transseptal approach during cryoballoon pulmonary vein isolation
ConclusionWe report a safe and feasible maneuver to facilitate transseptal access with the CB steerable sheath in cases complicated by excessive interatrial resistance. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Transcatheter therapy of partial anomalous pulmonary venous connection with dual drainage and coarctation of the aorta in a single patient
We describe transcatheter treatment of the coarctation with a stent and occlusion of the partial anomalous pulmonary venous connection with an Amplatzer vascular plug in a single patient without complications. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Transient global amnesia: Minor inconvenience or early warning sign?
Publication date: Available online 12 June 2018Source: Journal of the Saudi Heart AssociationAuthor(s): Erfanul Saker, James Nguyen, Neil Vyas (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

The prognostic impact of hyperglycemia on clinical outcomes of acute heart failure patients: Insights from the heart function assessment registry trial in Saudi Arabia registry
ConclusionHG on admission is independently associated with hospital and short-term mortality in AHF patients. Future research should focus on examining the impact of tight glycemic control on outcomes of AHF patients. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research