Ischemia modified albumin (IMA) in acute coronary syndrome (ACS) and left bundle branch block (LBBB). Does it make the difference?
Conclusion There was a distinct advantage of measuring IMA in patients presenting to the emergency department with acute chest pain and LBBB to rule out a final diagnosis of ACS. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - February 20, 2017 Category: Cardiology Source Type: research

Elevated troponin in patients with acute stroke – Is it a true heart attack?
Publication date: Available online 14 February 2017 Source:The Egyptian Heart Journal Author(s): George V. Dous, Angela C. Grigos, Richard Grodman Although the prognostic value of a positive troponin in an acute stroke patient is still uncertain, it is a commonly encountered clinical situation given that Ischemic Heart Disease (IHD) and cerebrovascular disease (CVD) frequently co-exist in the same patient and share similar risk factors. Our objectives in this review are to (1) identify the biologic relationship between acute cerebrovascular stroke and elevated troponin levels, (2) determine the pathophysiologic differ...
Source: The Egyptian Heart Journal - February 14, 2017 Category: Cardiology Source Type: research

Pre-hospital and hospital delay in patients with non-ST elevation acute coronary syndromes in tertiary care
Conclusion Pre-hospital delay was mainly patient-related. Hospital delay was mainly related to healthcare resources. Governmental measures to promote ambulance emergency services may reduce the pre-hospital delay, while improving the utilization of healthcare resources may reduce hospital delay. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - February 12, 2017 Category: Cardiology Source Type: research

Correlation of corrected QT dispersion with the severity of coronary artery disease detected by SYNTAX score in non-diabetic patients with STEMI
Conclusions Our study concluded that there is a significant positive correlation between corrected QT dispersion and severity of coronary artery disease as assessed by SYNTAX score. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - January 25, 2017 Category: Cardiology Source Type: research

Pattern of vascular remodeling of distal reference segment after recanalization of chronic total occlusion, long-term angiographic follow-up
Publication date: Available online 18 December 2016 Source:The Egyptian Heart Journal Author(s): Wassam El Din Hadad El Shafey Chronic total occlusion (CTO) is probably caused by thrombus and lipid-rich cholesterol esters that are replaced over time by collagen and calcium deposition. Experimental models showed endothelial cell necrosis in response to vessel ligation, whereas more recent models suggest that the endothelium might retain viability guiding the subsequent development of CTO, including CTO neo-revascularization, which occurs within the lumen and in various layers of the vessel wall, by the release of paracri...
Source: The Egyptian Heart Journal - December 18, 2016 Category: Cardiology Source Type: research

The year in cardiology 2015: arrhythmias and device therapy
Publication date: December 2016 Source:The Egyptian Heart Journal, Volume 68, Issue 4 Author(s): Jan Steffel, Pierre Jais, Gerhard Hindricks (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - December 7, 2016 Category: Cardiology Source Type: research

The year in cardiology 2015: imaging
Publication date: December 2016 Source:The Egyptian Heart Journal, Volume 68, Issue 4 Author(s): Oliver Gaemperli, Victoria Delgado, Gilbert Habib, Philipp A. Kaufman, Jeroen J. Bax (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - December 7, 2016 Category: Cardiology Source Type: research

The year in cardiology 2015: prevention
Publication date: December 2016 Source:The Egyptian Heart Journal, Volume 68, Issue 4 Author(s): M. John Chapman, Stefan Blankenberg, Ulf Landmesser (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - December 7, 2016 Category: Cardiology Source Type: research

The year in cardiology 2015: heart failure
Publication date: December 2016 Source:The Egyptian Heart Journal, Volume 68, Issue 4 Author(s): Michel Komajda, Frank Ruschitzka (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - December 7, 2016 Category: Cardiology Source Type: research

Long-term prognostic implication of coronary plaque characterization as detected by 64-multidetector computed tomography in Egyptian population
Conclusion MDCT is a non-invasive imaging modality with a prognostic utility in patients with known or suspected coronary artery disease by applying plaque characterization and it could identify vulnerable plaques by measuring the total amount of NCP in non-obstructive lesions which could be useful for detecting patients at risk of acute coronary syndrome (ACS) and guide further preventive therapeutic strategies. CACS was shown to be an independent predictor of mortality, while total amount of obstructive volume was shown to be an independent predictor of symptoms driven revascularization. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - November 19, 2016 Category: Cardiology Source Type: research

The relation between coronary artery disease severity and fragmented QRS complex in patients with left bundle branch block
Conclusion Seeking for f-wQRS in patients with LBBB and suspected CAD is a simple, easy, available, method that may be helpful in noninvasive prediction of obstructive CAD. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - November 14, 2016 Category: Cardiology Source Type: research

Radiation exposure, the forgotten enemy: Toward implementation of national safety program
Publication date: Available online 15 November 2016 Source:The Egyptian Heart Journal Author(s): Tarek A.N. Ahmed, Salma Taha Radiation safety is an important counterpart in all facilities utilizing ionizing radiations. The concept of radiation safety has always been a hot topic, especially with the late reports pointing to increased hazards with chronic radiation exposure. Adopting a nationwide radiation safety program is considered one of the most urging topics, and is a conjoint responsibility of multiple disciplines within the health facility. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - November 14, 2016 Category: Cardiology Source Type: research

Atherosclerosis in chronic hepatitis C virus patients with and without liver cirrhosis
Conclusion EpFT and CIMT significantly increased in chronic hepatitis C virus patients especially in those with cirrhosis and closely correlated with each other. Their thickness also correlated with the Child-Pugh functional scoring ofcirrhosis as well as with ultrasound and laboratory parameters that define the severity of liver disease. The echocardiographic assessment of EpFT and the carotid Doppler assessment of CIMT may provide appropriate and simple screening markers for subclinical atherosclerosis and cardiovascular risk in chronic HCV patients with and without cirrhosis. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - November 3, 2016 Category: Cardiology Source Type: research

Role of 2D speckle tracking echocardiography in predicting acute coronary occlusion in patients with non ST-segment elevation myocardial infarction
Conclusion Both global and regional peak longitudinal systolic strain can offer accurate, feasible, and non-invasive predictor for acute coronary artery occlusion in patients with non ST elevation myocardial infarction who may benefit from early revascularization. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - November 1, 2016 Category: Cardiology Source Type: research

Influence of collaterals on the left ventricular end-diastolic pressure and serum NT-proBNP levels in patients with coronary chronic total occlusion
Conclusion In patients with coronary chronic total occlusion even well-developed coronary collaterals are not capable of protecting the rise of left ventricular end diastolic pressure and NT-proBNP levels which are reliable markers of the left ventricular dysfunction. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - November 1, 2016 Category: Cardiology Source Type: research