New technique for withdrawing broken sheath
We reported a less common type of broken central venous sheath in location and a successful unique technique for retrieving it from subclavian vein by using noncompliant balloon from 40year old female patient. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - April 17, 2015 Category: Cardiology Source Type: research
Correlation between serum vitamin D level and cardiac function: Echocardiographic assessment
Conclusion Vitamin D exerts biphasic effect on cardiac function according to its serum levels. Reduced vitamin D (<20ng/ml) appears to be associated with worse systolic functions in terms of end systolic volume and end systolic dimension. Higher vitamin D levels (⩾20ng/ml), however, seem to be linked to worse LV diastolic functions in terms of lower e′, higher E/e′ and longer IVRT. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - April 4, 2015 Category: Cardiology Source Type: research
Reverse type IV dual left anterior descending coronary artery accompanying with anomalous origin of circumflex artery from right coronary sinus
We reported anomalous origin of circumflex artery (Cx) with reverse Type IV LAD including short LAD arising from right coronary sinus and long LAD originated form LMCA. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - April 3, 2015 Category: Cardiology Source Type: research
The inflammatory response to percutaneous coronary intervention is related to the technique of stenting and not the type of stent
Conclusions Predilation significantly augments the inflammatory response to PCI than DS irrespective of the type of stent (BMS or DES). So, if predilation is required before any type of stent, measures to improve the patient’s inflammatory profile should be carried out in advance. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - March 24, 2015 Category: Cardiology Source Type: research
Catheter ablation of idiopathic ventricular fibrillation using the CARTO 3 mapping system
We present the case of an electrical storm in a 39-year old female patient with no cardiac past medical history, with recurrent episodes of idiopathic ventricular fibrillation, who was referred to our hospital for repeated episodes of syncope. The 12-lead ECG showed the presence of frequent ventricular premature beats (VPB), having a left-bundle branch block morphology and superior axis, with an “R on T” phenomenon, initiating non-sustained episodes of ventricular fibrillation. Using a three-dimensional, non-fluoroscopic mapping system (CARTO 3, Biosense Webster), the origin of the ventricular premature beat responsibl...
Source: The Egyptian Heart Journal - March 21, 2015 Category: Cardiology Source Type: research
The clinical value of anti-cyclic citrullinated peptide (anti-ccp) antibodies and insulin resistance (IR) in detection of early and subclinical atherosclerosis in rheumatoid arthritis (RA)
Conclusion IR and anti-CCP may be helpful in the early detection of subclinical atherosclerosis in RA patients. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - March 20, 2015 Category: Cardiology Source Type: research
Predicting contrast induced nephropathy post coronary intervention: A prospective cohort study
Conclusion Although most of our study population was at low risk, the incidence of CIN was relatively high due to the use of high osmolar CM. Further studies are needed for cost effectiveness in light of negligible clinical impact. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - March 20, 2015 Category: Cardiology Source Type: research
Left ventricular hypertrophy in controlled hypertension: Is blood pressure variability blamed?
Conclusion The adverse cardiovascular consequences of hypertension not only depend on mean BP values but may also depend on BPV, which independently adds to CV risk over elevated mean BP levels. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - March 14, 2015 Category: Cardiology Source Type: research
Successful use of recombinant tissue plasminogen activator (r-TPA) for management of chylothorax associated with central venous thrombosis after neonatal cardiac surgery
In this report we are describing a neonate who developed chylothorax on the 7th post-operative day following open-heart surgery. The chylothorax was linked to venous thrombosis in the cannulated right internal jugular vein with thrombus extending to the right atrium. After using low dose tissue plasminogen activator (r-TPA) infusion, the thrombi disappeared and the chylothorax resolved with no complications. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - March 4, 2015 Category: Cardiology Source Type: research
How accurate can electrocardiogram predict left ventricular diastolic dysfunction?
Conclusion P wave dispersion and hump sign were the most sensitive ECG signs for the prediction of LVDD. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - February 27, 2015 Category: Cardiology Source Type: research
Echocardiographic effect of successful balloon mitral valvuloplasty on right ventricular function
Conclusion The current study showed a significant improvement in both systolic and diastolic functions of RV as observed by different echocardiographic parameters post BMV in patients without organic TV disease. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - February 20, 2015 Category: Cardiology Source Type: research
Correlation between indices of kidney function (estimated Glomerular Filteration Rate and proteinuria) and SYNTAX Score in non diabetic chronic kidney disease patients
Conclusion Estimated glomerular filtration rate and 24-h proteinuria were predictors of higher SYNTAX Scores. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - February 20, 2015 Category: Cardiology Source Type: research
Assessment of diastolic reserve in hypertensive patients by dobutamine stress Doppler tissue imaging
Conclusions Dobutamine stress echocardiography using Doppler tissue imaging is useful in hypertensive patients with exertional dyspnea with normal resting filling pressure. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - February 20, 2015 Category: Cardiology Source Type: research
Association between the Angiotensinogen (AGT) gene (M235T) polymorphism and Essential Hypertension in Egyptian patients
Publication date: March 2015 Source:The Egyptian Heart Journal, Volume 67, Issue 1 Author(s): Marium M. Shamaa , Hosny Fouad , Medhat Haroun , Mahmoud Hassanein , Mohamed Ayman Abdel Hay The pathogenesis of essential hypertension (EH) is affected by genetic and environmental factors. Mutations in hypertension-related genes can affect blood pressure (BP) via alteration of salt and water reabsorption by the nephron. The genes of the renin-angiotensin system (RAS) have been extensively studied because of the well documented role of this system in the control of BP. It has been previously shown that angiotensinogen (A...
Source: The Egyptian Heart Journal - February 20, 2015 Category: Cardiology Source Type: research
The diagnostic utility of High-Sensitivity Cardiac Troponin T in acute coronary syndrome
Conclusion Our study demonstrated highly significant absolute and relative kinetic changes in hs-TnT levels in patients with AMI. The hs-TnT can be used for early rule in patients with MI as it could detect 97% of cases with MI whose Troponin I was negative and could detect 100% of cases of MI after 6–8h compared to Troponin I which could detect only 21.2% of cases. This can be of great importance in the future introduction and use of the new high sensitive assay as a non-invasive reliable diagnostic tool to replace the currently used invasive diagnostic techniques for patients with ACS. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - January 19, 2015 Category: Cardiology Source Type: research
