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Right ventricular functions in subphenotypes of Sickle cell Disease
ConclusionThis study revealed marked discrepancy in RV functions between HED and VVO subphenotypes of SCD; HED patients are more prone to RV dysfunction. This warrants early screening of such patients in daily practice. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - October 2, 2019 Category: Cardiology Source Type: research

Treatment of severe mitral regurgitation that mimics a para-ring mitral regurgitation after failed annuloplasty ring with MitraClip: A case report
ConclusionImplantation of MitraClip in the presence of MV repair ring is feasible and safe. The para-ring defect can be left if the origin of MR from the MV coaptation line is treated successfully with MitraClip. Symptomatic improvement with no rehospitalization was documented in this case. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - September 22, 2019 Category: Cardiology Source Type: research

Impact of stent of Ductus Arteriosus and Modified Blalock Taussig Shunt on pulmonary arteries growth and second stage surgery in infants with ductus dependent pulmonary circulation
ConclusionIn neonates with ductus-dependent pulmonary circulation PDA stenting can be introduced as safe first possible option to augment pulmonary blood flow with good outcome and suitable preparation for second stage palliation. Unattainable PDA stenting or failure or inadequacy occurred in (30%) of cases where surgical option remains a standard option. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - September 14, 2019 Category: Cardiology Source Type: research

Treatment of Severe Mitral Regurgitation that Mimics a Para-ring MR after Failed Annuloplasty Ring with MitraClip, a Case Report
ConclusionImplantation of MitraClip in the presence of MV repair ring is feasible and safe. The para-ring defect can be left if the origin of MR from the MV coaptation line treated successfully with MitraClip. Symptomatic improvement with no rehospitalization documented in this case. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - September 11, 2019 Category: Cardiology Source Type: research

Statin-induced necrotizing autoimmune myopathy: An uncommon complication of a commonly used medication
We report a case of statin induced necrotizing autoimmune myopathy, a rare variant of statin-induced myopathy. A 64-year-old gentleman on atorvastatin presented with muscle weakness. Initial laboratory results showed elevated liver function tests, a creatine phosphokinase (CPK) of 8200 IU/L, and positive urine myoglobin. Despite discontinuing atorvastatin, his CPK remained persistently elevated. Muscle biopsy was consistent with necrotizing myopathy. Anti-HMG CoA reductase antibody was strongly positive. Steroids followed by intravenous immunoglobulin were given. The patient’s muscle weakness, CPK, and liver functions ...
Source: Journal of the Saudi Heart Association - August 24, 2019 Category: Cardiology Source Type: research

Statin Induced Necrotizing Autoimmune Myopathy: An uncommon complication of a commonly used medication
We report a case of statin induced necrotizing autoimmune myopathy (SINAM), a rare variant of statin-induced myopathy.A 64-year-old gentleman on atorvastatin presented with muscle weakness, initial laboratory results showed elevated liver function tests, a creatine phosphokinase (CPK) of 8200 IU/L and positive urine myoglobin. Despite discontinuing atorvastatin, his CPK remained persistently elevated. Muscle biopsy was consistent with necrotizing myopathy. Anti - HMG CoA reductase antibody was strongly positive. Steroids followed by intravenous immunoglobulin were given. His muscle weakness, CPK, and liver functions gradua...
Source: Journal of the Saudi Heart Association - August 15, 2019 Category: Cardiology Source Type: research

Acute rheumatic fever diagnosis and management: review of the global implications of the new revised diagnostic criteria with a focus on Saudi Arabia
Publication date: Available online 13 August 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Jubran Alqanatish, Abdulmajeed Alfadhel, Areej Albelali, Dhafer AlqahtaniAbstractRheumatic fever (RF) is a common cause of acquired heart disease in children worldwide. It is a delayed, non-suppurative, autoimmune phenomenon following pharyngitis, impetigo, or scarlet fever caused by group A β-hemolytic streptococcal (GAS) infection. Rheumatic fever diagnosis is clinical and based on revised Jones criteria. The first version of the criteria was developed by T. Duckett Jones in 1944, then subsequently revised by the Am...
Source: Journal of the Saudi Heart Association - August 14, 2019 Category: Cardiology Source Type: research

Assessment of Right Ventricular Function After Successful Revascularization for Acute Anterior Myocardial Infarction Without Right Ventricular Infarction by Echocardiography
ConclusionRV Dysfunction according to our definition in first Anterior MI occurred in (55%) of the study population. Independent predictors for Abnormal RV function were; LCX mid or proximal affection, eventful procedure, occurrence of no reflow, Glucose level, LVESD, LVEDD and LV EF. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 18, 2019 Category: Cardiology Source Type: research

Impact of blood transfusion on major infection after isolated coronary artery bypass surgery: Incidence and risk factors
ConclusionsBlood transfusion appears to increase the risk of infection post-CABG. However, increased understanding of the role of other potential clinical confounding variables that may impact the infection rate is required. We recommend management strategies that limit RBC transfusion. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 12, 2019 Category: Cardiology Source Type: research

The Impact of Blood Transfusion on Major Infection after Isolated Coronary Artery Bypass Surgery at King Abdulaziz Cardiac Center, Riyadh, Saudi Arabia
ConclusionsBlood transfusion appears to increase the risk of infection post-CABG. However, increased understanding of the role of other potential clinical confounding variables that may impact the infection rate is required. We recommend management strategies that limit RBC transfusion. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 2, 2019 Category: Cardiology Source Type: research

Cognitive impairment associated with increased mortality rate in patients with heart failure: A systematic review and meta-analysis
ConclusionOur systematic review and meta-analysis showed that the presence of cognitive impairment is strongly associated with an increased mortality risk in the HF population. Further research is needed to explore the pathophysiology of this association. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - June 28, 2019 Category: Cardiology Source Type: research

Impact of body mass index on acute outcome in percutaneous coronary intervention of chronic total occlusion
ConclusionsOur retrospective study suggests that there exists no significant association between overweight and acute outcome in patients undergoing CTO-PCI. It can be performed safe and feasible. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - June 25, 2019 Category: Cardiology Source Type: research

Comparison of Transcatheter Versus Surgical Closure of Perimembranous Ventricular Septal Defect in Pediatric Patients: A Systematic Review
ConclusionTranscatheter closure of pmVSD in children was as effective as surgical closure with a lower residual shunt, need for blood transfusion and shorter hospital stay. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - June 25, 2019 Category: Cardiology Source Type: research

Saudi Heart Association (SHA) Guidelines for the Management of Heart Failure
Publication date: Available online 25 June 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Waleed AlHabeeb, Fakhr Al-Ayoubi, Kamal AIGhalayini, Fahad Al Ghofaili, Yahya Al Hebaishi, Abdulrazaq Al-Jazairi, Mouaz H. Al-Mallah, Ali AlMasood, Maryam Al Qaseer, Shukri Al-Saif, Ammar Chaudhary, Abdelfatah Elasfar, Adel Tash, Mohamed Arafa, Walid HassanAbstractHeart failure (HF) is the leading cause of morbidity and mortality worldwide and negatively impacts quality of life, healthcare costs, and longevity. Although data on HF in the Arab population is scarce, recently developed regional registries are a step forward...
Source: Journal of the Saudi Heart Association - June 25, 2019 Category: Cardiology Source Type: research

Editorial Board
Publication date: July 2019Source: Journal of the Saudi Heart Association, Volume 31, Issue 3Author(s): (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - June 21, 2019 Category: Cardiology Source Type: research