Impact of left ventricular end diastolic pressure guided hydration on prevention of contrast induced nephropathy post cardiac catheterization
Conclusions LVEDP-guided hydration is superior to standard hydration in prevention of CIN. Hydration can be done based on LVFP in patients with pre-procedure normal LVF and in patients with pre-procedure elevated LVFP but not in those patients with inconclusive LVFP in which hydration should be guided by the invasively measured LVEDP. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - January 9, 2015 Category: Cardiology Source Type: research
Increased left atrial stiffness in patients with atrial fibrillation detected by left atrial speckle tracking echocardiography
Conclusions Patients with AF have increased LA stiffness in comparison with that of the control subjects and it is higher in persistent than paroxysmal AF. LA volume and LV filling pressure are independent predictors of LA stiffness. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - January 1, 2015 Category: Cardiology Source Type: research
Impact of high dose versus low dose atorvastatin on contrast induced nephropathy in diabetic patients with acute coronary syndrome undergoing early percutaneous coronary intervention
Conclusion No significant difference between high and low doses of atorvastatin in preventing CIN in diabetic patients with normal or mild renal impairment presenting with acute coronary syndrome who underwent early PCI. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - December 31, 2014 Category: Cardiology Source Type: research
Diabetic patient with three-vessel disease and left main involvement. Surgery yes, but not always
We report the case of a 61-year old active smoker and diabetic man with atypical symptoms and positive treadmill test. The coronary angiography revealed a severe three-vessel disease and distal left main involvement (SYNTAX score=49). As the patient refused to follow heart team indication to undergo coronary bypass grafting, a percutaneous coronary intervention was successfully performed with intra-aortic balloon counterpulsation support and intravascular ultrasound optimization. The mid-term outcome was good. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - December 25, 2014 Category: Cardiology Source Type: research
Protective role of single versus multiple remote ischemic preconditioning in elective percutaneous coronary interventions
Conclusion Single-cycle RIPC can be an alternative to multiple-RIPC for protective effects after elective PCI, however single RIPC requires less time in the busy PCI setting. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - December 24, 2014 Category: Cardiology Source Type: research
