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 5, 2018 Category: Cardiology Source Type: research

Samter–Beer triad presenting as Kounis type I variant of syndrome
Publication date: July 2018Source: Journal of the Saudi Heart Association, Volume 30, Issue 3Author(s): Imen Hamdi, Chadia Chourabi, Taha Yassine Jabloun, Mehdi Ghommidh, Dhaker Lahidheb, Wafa Fehri, Habib Haouala (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Editorial Board
Publication date: July 2018Source: Journal of the Saudi Heart Association, Volume 30, Issue 3Author(s): (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Table of Contents
Publication date: July 2018Source: Journal of the Saudi Heart Association, Volume 30, Issue 3Author(s): (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

Ultra-fast, low dose high-pitch (FLASH) versus prospectively-gated coronary computed tomography angiography: Comparison of image quality and patient radiation exposure
ConclusionThe use of 256-slice CCTA performed with the FLASH protocol has a better objective and subjective image quality as well as lower radiation exposure when compared with the use of prospective electrocardiography gating. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

The impact of introduction of Code-STEMI program on the reduction of door-to-balloon time in acute ST-elevation myocardial infarction patients undergoing primary percutaneous coronary intervention: A single-center study in Saudi Arabia
ConclusionImplementation of direct emergency department catheterization lab activation protocol was associated with a significant reduction in D2BT. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 5, 2018 Category: Cardiology Source Type: research

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 5, 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 5, 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 5, 2018 Category: Cardiology Source Type: research

Hyper-dominant left anterior descending coronary artery with continuation as a posterior descending artery—An extended empire
Publication date: July 2018Source: Journal of the Saudi Heart Association, Volume 30, Issue 3Author(s): Pankaj Jariwala, Edla Arjun Padma KumarAbstractHyper-dominant left anterior descending artery (LAD) is a rare coronary anomaly where LAD continues as a posterior descending artery. It is a rare coronary anomaly and there are only 19 cases reported so far in 17 case reports in the literature. Its involvement during acute coronary syndrome can be fatal as it leads to ischemia/infarction of a larger area of left and/or right ventricular myocardium. Its early recognition and management is essential with a high index of clini...
Source: Journal of the Saudi Heart Association - July 5, 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 5, 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 5, 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 5, 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 5, 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 5, 2018 Category: Cardiology Source Type: research