The Impact of Introduction of Code-STEMI Program on the Reduction of Door to Balloon Time in Acute ST-Elevation Myocardial Infarction (STEMI) Patients Undergoing Primary PCI: Single Center Study in Saudi Arabia
Conclusion Implementation of direct ED 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 - December 7, 2017 Category: Cardiology Source Type: research

Residual SYNTAX score II and complex percutaneous coronary interventions
Publication date: Available online 21 November 2017 Source:Journal of the Saudi Heart Association Author(s): Levent Cerit (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - December 7, 2017 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
Conclusion The 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 - December 7, 2017 Category: Cardiology Source Type: research

Residual SYNTAX score II: A combination of the assessment of the revascularization degree and the clinical evaluation after percutaneous coronary intervention
Publication date: Available online 23 November 2017 Source:Journal of the Saudi Heart Association Author(s): Marouane Boukhris, Farouk Abcha, Salvatore D. Tomasello, Simona Giubilato, Salvatore Azzarelli, Alfred R Galassi (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - December 7, 2017 Category: Cardiology Source Type: research

A quality improvement project to reduce door-to-electrocardiogram time: A multicenter study
Conclusion A 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 - December 7, 2017 Category: Cardiology Source Type: research

ASD Device Closure in Pediatrics: 3-Dimensional Transthoracic Echocardiography Perspective.
Conclusion Use 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 - December 7, 2017 Category: Cardiology Source Type: research

Prognostic value of Homocysteine and highly sensitive cardiac Troponin T in Children with Acute Heart Failure
Conclusion Plasma homocysteine and serum hs-cTnT have a good prognostic value in children with CHF and their levels were significantly correlated with clinical, 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 - December 7, 2017 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 - November 7, 2017 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 normal carotid scan and unexpectedly low baseline cerebral oximetry. She had delayed postoperative recovery and discharge from hospital following her coronary artery bypass surgery. This case report reiterates the prognostic significance of the cerebral oximetry in the preoperative check up and 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 - November 5, 2017 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: Available online 16 October 2017 Source:Journal of the Saudi Heart Association Author(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-García A 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 signi...
Source: Journal of the Saudi Heart Association - October 28, 2017 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 (TEVAR) using graft stent with chimney technique to protect left common carotid artery. Unlike other cases in the literature, our case was unique being having leaking PsA not related to previous cardiac surgery or aortic dissection. The successful management of this patient using TEVAR combined with chimney technique suggests that this approach may be an attractive therapeutic alternative to treat aortic arch pseudoaneurysm. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - October 21, 2017 Category: Cardiology Source Type: research

A huge Morgagni hernia with compression of the right ventricle
Publication date: Available online 5 October 2017 Source:Journal of the Saudi Heart Association Author(s): Paolo Ciancarella, Fabio Fazzari, Valentina Montano, Marco Guglielmo, Gianluca Pontone A 21 year old male with no relevant medical history presented to our Institution for further assessments of a right paracardiac mass founded on a chest X-ray. Chest computed tomography revealed a wide median defect of the diaphragm at the level of xiphoid process of the sternum, with the herniation of omental fat tissue in the mediastinum. Cardiac magnetic resonance confirmed the presence of a huge hernia originating from the...
Source: Journal of the Saudi Heart Association - October 16, 2017 Category: Cardiology Source Type: research

Veno-arterial Extracorporeal Membrane Oxygenation as a Bridge for Enable Surgery In a Patient Under Cardiogenic Shock Due to Acute Mitral Prosthesis Dysfunction
Publication date: Available online 16 October 2017 Source:Journal of the Saudi Heart Association Author(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-García A 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 signi...
Source: Journal of the Saudi Heart Association - October 16, 2017 Category: Cardiology Source Type: research

Normal reference ranges for aortic diameters in preterm infants
Conclusion The 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 - October 13, 2017 Category: Cardiology Source Type: research

Normal reference ranges for aortic diameters in preterm infants.
Conclusion The 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 - October 1, 2017 Category: Cardiology Source Type: research