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Improving healthcare quality by unifying the American electronic medical report system: time for change Egypt. Heart J. Pub Date : 2024-03-15 Roopa Kumari, Subhash Chander
In recent years, innovation in healthcare technology has significantly improved the efficiency of the healthcare system. Advancements have led to better patient care and more cost-effective services. The electronic medical record (EMR) system, in particular, has enhanced interoperability and collaboration across healthcare departments by facilitating the exchange and utilization of patient data. The
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New insight of the efficacy trimetazidine in patients with peripheral arterial disease: a meta-analysis Egypt. Heart J. Pub Date : 2024-03-06 Ketut Angga Aditya Putra Pramana, Ni Gusti Ayu Made Sintya Dwi Cahyani, Yusra Pintaningrum, Basuki Rahmat
This review aims to examine the impact of trimetazidine on skeletal muscle function in patients suffering from peripheral artery disease (PAD). We searched for studies, both experimental and observational research, concerning the comparison of trimetazidine administration to placebo/standard of care in patients with PAD in PubMed, ScienceDirect, and Cochrane. Meta-analyses of the included studies were
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Value of different CTO scoring systems in predicting procedural success in coronary chronic total occlusion intervention in Egyptian patients Egypt. Heart J. Pub Date : 2024-03-05 Ahmed Mohammed Ali AlAshry, Muhammed Nagy Nagiub, Magdy Farouk Ahmed Ismael, Wesam Alghonaimy
Chronic total occlusion (CTO) lesions in coronary arteries pose a significant challenge for coronary interventionists, often leading to referrals for coronary artery bypass graft surgery (CABG). Successful percutaneous coronary intervention (PCI) for CTOs requires accurate assessment of procedural potential. This study, comprising 100 Egyptian patients aged 37–81, compares the predictive efficacy of
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Association between homocysteine and coronary artery disease—trend over time and across the regions: a systematic review and meta-analysis Egypt. Heart J. Pub Date : 2024-02-27 Sumit V. Unadkat, Bijaya K. Padhi, Aparna Varma Bhongir, Aravind P. Gandhi, Muhammad Aaqib Shamim, Neelam Dahiya, Prakasini Satapathy, Sarvesh Rustagi, Mahalaqua Nazli Khatib, Abhay Gaidhane, Quazi Syed Zahiruddin, Ranjit Sah, Hashem Abu Serhan
The association of homocysteine with coronary artery disease (CAD) has been explored previously with mixed findings. The present Systematic Review and Meta-Analysis (SRMA) has assessed the pooled estimate of association between homocysteine (Hcy) and CAD, and its variation over the period and geography. Systematic literature search was done in PubMed, Scopus and Cochrane to identify the observational
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Intra-pericardial thrombin injection in iatrogenic cardiac tamponade: a case report Egypt. Heart J. Pub Date : 2024-02-26 Juana Perez Morales, Ana Spaccavento, Santiago Ordoñez, Rocío Baro, Diego Conde, Juan Pablo Costabel
Nowadays, percutaneous procedures are expanding in use, and this comes with complications associated with the procedure itself. Cardiac tamponade is rare but may be life threatening since it can involve hemodynamic instability. It is known that after pleural effusion during a percutaneous procedure, pericardiocentesis should be used as drainage of the cavity. However, that does not achieve hemostasis
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Genetic and clinical study of myeloperoxidase's association with coronary artery disease Egypt. Heart J. Pub Date : 2024-02-21 Lina N. Adam, Omar A. M. Al-Habib, Ashur Y. Oraha, Mudhir S. Shekha
Unraveling myeloperoxidase’s (MPO) correlation with coronary artery disease (CAD) and genetic variations, this study seeks to enhance diagnostic precision and therapeutic strategies. CAD patients were found to be older and more male than controls. Several clinical parameters, including glucose, total bilirubin, alkaline phosphatase, creatinine, and troponin levels, showed significant variations. Moreover
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Takotsubo cardiomyopathy in India and its electrocardiography (ECG) comparison to myocardial infarction Egypt. Heart J. Pub Date : 2024-02-21 Tanisha Mishra, Rijushree Saha, Ganesh Paramasivam
Owing to the limited research on Takotsubo Cardiomyopathy (TCM) in Asia, we aim to evaluate in detail the clinical profiles, lab parameters, investigations, and major adverse cardiovascular events (MACE) seen in patients with TCM in the Indian subcontinent. Additionally, we have compared the electrocardiographic findings of patients with TCM to those of patients with myocardial infarction (MI). The
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Correlation between echocardiographic estimation of right atrial pressure and invasive measurement of central venous pressure in postoperative pediatric patients with congenital heart disease: a prospective observational study Egypt. Heart J. Pub Date : 2024-02-21 Elaheh Malakan Rad, Nazli Parizadeh, Hassan Radmehr, Toktam Sheykhian, Behdad Gharib, Aliakbar Zeinaloo
Right atrial pressure plays a critical role as a hemodynamic parameter in diagnosing pulmonary hypertension and other cardiac diseases, as well as guiding the treatment and prognosis of various cardiac disorders. If there is no obstruction between the inferior or superior vena cava (SVC) as central veins and the right atrium, the pressures in these veins could be considered equal to the right atrial
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A large type I right pulmonary artery to left atrium fistula: underwent successful percutaneous device closure with duct occluder—a rare case report Egypt. Heart J. Pub Date : 2024-02-21 S. P. Vinothkumar, Satya Sahitya Mandava, Abhishek Mallick, Manphool Singhal, Manoj Kumar Rohit
Pulmonary artery to left atrium fistula is an unusual structural cause of silent cyanosis. Only less than 100 cases have been reported so far. A high index of clinical suspicion and proper evaluation with bubble contrast echocardiography and cardiac computed tomography (CT) will help to detect this treatable anomaly. The advent of safer percutaneous closure methods has replaced the need for more invasive
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Tetralogy of Fallot with vertebral defect and left aberrant subclavian artery: a rare occurrence Egypt. Heart J. Pub Date : 2024-02-20 Marya Hameed, Muhammad Fazal Hussain Qureshi
The most prevalent cyanotic congenital heart disease is Tetralogy of Fallot (TOF). It has a variety of presentations and is made up of four anatomic abnormalities. Documented literature shows an incidence of 13–20% of a right aortic arch with an anomalous left subclavian artery among individuals diagnosed with TOF. This is the first case that discusses the rare occurrence of overriding of the aortic
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Role of epinephrine in attenuating cytokine storm, decreasing ferritin, and inhibiting ferroptosis in SARS-CoV-2 Egypt. Heart J. Pub Date : 2024-02-20 Ashraf EL-Molla, Fawzia Aboul Fetouh, Samir Bawazir, Yasser Ali, Yehya Alwahby, Muhammad Bahadeg, Yousef Gotah, Fatima Ahmed Badahdah, Abdullatif H. Alsaeed, Abdullah Basseet
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the virus responsible for coronavirus disease 2019. It presents one of the most threatening pandemics in the history of humanity. The mortality and morbidity represent an unprecedented challenge to the modern medical era. SARS-CoV-2 results in acute respiratory distress syndrome, high concentrations of proinflammatory mediators, cytokine
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PET-scan in diagnosis of non-bacterial thrombotic endocarditis: a case report Egypt. Heart J. Pub Date : 2024-02-13 Konstantinos Papakonstantinou, Filippos-Paschalis Rorris, Nikoleta Stanitsa, John Kokotsakis
Non-bacterial thrombotic endocarditis (NBTE), also known as marantic endocarditis or Libman–Sacks endocarditis, is a rare non-infectious condition affecting mostly the left-sided heart valves of patients who, most often, suffer from malignancies and connective tissue disorders. Herein, we present a case of a male patient with marantic endocarditis due to occult lung adenocarcinoma. The patient fulfilled
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Impact of prosthesis oversizing on clinical outcomes of transcatheter aortic valve implantation using a self-expandable Evolut R valve Egypt. Heart J. Pub Date : 2024-02-12 Mohammed Moustafa Elnwagy, Mahmoud Mohamed Ali Baraka, Mohamed Saber Hafez, Diaa Kamal, Maiy Hamdy El-Sayed, Ahmad E. Mostafa
Transcatheter Aortic Valve Implantation (TAVI) has a growing target population after being indicated even in low-surgical-risk patients with severe symptomatic aortic stenosis. However, postoperative outcomes can be compromised due to para-valvular leakage (PVL). A lot of procedural steps have been investigated to decrease this partially avoidable operational hazard. Oversizing is a main technique
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An infective endocarditis complicated by multiple septic emboli: case report Egypt. Heart J. Pub Date : 2024-02-10 Meriam Amri, El Mehdi Tamir, Abdenasser Drighil, Rachida Habbal
Owing to challenges associated with heart failure and cardiac embolism, infectious endocarditis emerges as a critical pathology characterized by elevated mortality and morbidity rates. Our case stands out as a rare instance of endocarditis involving multisystem embolization, with a successful outcome. We present the case of an 81-year-old man whose admission was further complicated by various septic
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Differing radiation exposure in scrub technicians and rotating staff in Cardiac catheterization laboratory: occupation matters Egypt. Heart J. Pub Date : 2024-02-09 Muhammad Nasir Rahman, Maleeha Javed, Ghufran Adnan, Maria Khan, Zeenat Nizar, Izat Shah
Radiation exposure is a significant hazard associated with invasive Cardiology, with most studies based on primary operator exposure. This prospective, observational study aimed to find out over lead radiation exposure as effective dose acquired by non-physician staff comprising scrub technicians and rotating staff in the cath laboratory. Effective dose (ED) measured per procedure via Raysafe i2®dosimeter
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Assessing and improving radiation safety in cardiac catheterization: a study from Cairo University Hospital Egypt. Heart J. Pub Date : 2024-02-09 Muhammad Ghallab, Magdy Abdelhamid, Mahmoud Nassar, Karim S. Mostafa, Dina H. Salama, Wael Elnaggar, Shaban Alramlawy, Zakaria Alagha, Salma Abdelmoteleb, Assem Hashad
Catheter laboratories are high-radiation exposure environments, especially during X-ray procedures like percutaneous transluminal coronary angioplasty and electrophysiological studies. Radiation exposure poses risks of stochastic (e.g., cancer) and deterministic (e.g., skin changes) effects. This study assessed radiation safety and health practices in a cardiac catheterization unit to optimize radiation
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Commentary: raised c-troponin levels as a sign of myocardial injury after COVID-19 vaccination in healthy individuals are worrying Egypt. Heart J. Pub Date : 2024-02-01 Rainer Johannes Klement, Harald Walach
Recently, Buergin et al. (Eur J Heart Fail 25(10):1871–1881, 2023 doi:10.1002/ejhf.2978) thoroughly measured a frequency of 2.8% elevated high-sensitivity cardiac troponin T levels, a sign of myocardial damage, after mRNA-1273 (Moderna) booster vaccinations. In their discussion, they claim that before vaccinations were available, the incidence and extent of myocardial damage associated with COVID-19
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Correction: Outcomes after stenting of renal artery stenosis in patients with high-risk clinical features Egypt. Heart J. Pub Date : 2024-02-01 Calin Homorodean, Mihai Claudiu Ober, Mihail Spinu, Maria Olinic, Dan-Alexandru Tataru, Horea Laurentiu Onea, Alexandru Achim, Leontin Florin Lazar, Romana Homorodean, Balasz Deak, Dan Mircea Olinic
Correction: The Egyptian Heart Journal (2024) 76:4 https://doi.org/10.1186/s43044-024-00435-z Following publication of the original article [1], the authors identified an error in the author name of Horea Laurentiu Onea. The incorrect author name is: Horea Lauretiu Onea. The correct author name is: Horea Laurentiu Onea. The author group has been updated above and the original article [1] has been corrected
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Risk of atrial fibrillation in patients with multiple myeloma: what is known and directions for future study Egypt. Heart J. Pub Date : 2024-02-01 Ting Fu, Yuxiao Chen, Lian Lou, Zhihang Li, Wen Shi, Xuan Zhang, Jian Yang
Multiple myeloma (MM) is a prevalent hematological tumor, and recent clinical data have highlighted the significance of atrial fibrillation (AF) as a crucial complication affecting the prognosis of MM. This review aims to consolidate findings from published clinical studies, focusing on the epidemiological characteristics of AF in MM patients and the associated risks arising from MM treatments such
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Successful healing of aneurysmal false lumen using a second-generation drug-eluting stent in spontaneous coronary artery dissection: a case report Egypt. Heart J. Pub Date : 2024-02-01 Tomiharu Niida, Kikuo Isoda, Miho Tada, Satoshi Kitahara, Yusuke Fujino
According to 2023 ESC Guideline, conservative medical management is generally recommended for the treatment of spontaneous coronary artery dissection (SCAD) except for patients with signs of ongoing myocardial ischemia. However, in some cases, invasive treatment (coronary artery bypass graft surgery or percutaneous coronary intervention (PCI)) is performed because of the progression of aneurysm in
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Echocardiographic estimation of left ventricular filling pressures in heart transplant recipients Egypt. Heart J. Pub Date : 2024-01-30 Zohreh Rahbar, Anahita Tavoosi, Alireza Bakhshandeh, Maryam Mehrpooya, Akram Sardari, Farnoosh Larti, Roya Sattarzadeh Badkoubeh
Echocardiographic estimation of left ventricular filling pressure in heart transplant (HTx) recipients is challenging. The ability of echocardiography to detect elevated left ventricular end-diastolic pressure (LVEDP) in HTx patients was assessed in this study. This descriptive cross-sectional study included 39 HTx recipients who were candidates for endomyocardial biopsy as a part of their routine
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Preoperative management using Impella support for acute aortic dissection with left coronary malperfusion: a case report Egypt. Heart J. Pub Date : 2024-01-29 Takahiro Shojima, Kazuyoshi Takagi, Kosuke Saku, Tomofumi Fukuda, Eiki Tayama
Acute aortic dissection (AAD) with impaired perfusion of the left coronary artery has a poor prognosis, even after urgent radical aortic surgery, due to extensive myocardial damage. Although Impella, a microaxial-flow catheter pump, is useful in managing acute myocardial infarction, it is generally contraindicated in patients with AAD because it is an intra-aortic device and the aortic structure is
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Three cases of diagnostic delay of type A acute aortic dissection Egypt. Heart J. Pub Date : 2024-01-29 Takeshi Shimamoto, Sanae Tomotsuka, Makoto Takehara, Shinichi Tsumaru
Diagnostic delay (DD) can be lethal when patients with type A acute aortic dissection (TAAAD). We report 3 cases of DD associated with TAAAD. Case 1 is a female in her sixties presenting with severe back pain. A CT scan was taken, and TAAAD with a thrombosed false lumen was suspected by the radiology technician. He did not successfully transfer his concern to the physicians and the patient was sent
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Cardiovascular biomarkers: exploring troponin and BNP applications in conditions related to carbon monoxide exposure Egypt. Heart J. Pub Date : 2024-01-29 Andia Taghdiri
The diagnosis and prognosis of cardiovascular disorders are greatly aided by cardiovascular biomarkers. The uses of troponin and B-type natriuretic peptide in situations involving carbon monoxide exposure are examined in this narrative review. These biomarkers are important because they help predict outcomes in cardiovascular disorders, track the effectiveness of therapy, and influence therapeutic
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A case report of left circumflex stent infection and mycotic aneurysm: a rare but life-threatening complication of percutaneous coronary intervention Egypt. Heart J. Pub Date : 2024-01-27 Swasthi S. Kumar, Sumanyu Suresh, Mohamed Iliyas, Jyothi Vijay, Vivek Pillai
Coronary stent infections are an uncommon but deadly complication of percutaneous coronary intervention. Mortality remains as high as 40–60% even with adequate treatment. We report such an interesting case of left circumflex stent (LCX) infection and mycotic aneurysm that was successfully managed with antibiotics and surgery. A middle-aged man who underwent percutaneous coronary intervention (PCI)
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Targeting the Filipino gut microbiota in the management of hypertension Egypt. Heart J. Pub Date : 2024-01-25 Abraham C. Sianoya, Nemencio A. Nicodemus Jr., Leslie Michelle M. Dalmacio
Hypertension is a major health problem in the Philippines, being the second leading disease and the second leading factor driving the most death and disability in the country. Despite efforts made toward increasing awareness, improving availability of medications, and strengthening patient adherence, more than 7 in every 10 hypertensive Filipinos still have uncontrolled hypertension. In the recent
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Soluble guanylate cyclase stimulators for heart failure: a network meta-analysis and subgroup analyses of reduced and preserved ejection fraction Egypt. Heart J. Pub Date : 2024-01-24 Mohamed T. Abuelazm, Abdelrahman Attia, Mohamed Abdelnabi, Uzair Jafar, Omar Almaadawy, Mohamed A. Elzeftawy, Abdelrahman Mahmoud, Khaled Albakri, Basel Abdelazeem
Soluble guanylate cyclase (sGC) stimulators have been investigated for heart failure (HF) in several randomized controlled trials (RCTs). However, its place in the management guidelines of either HFrEF or HfpEF is still inconclusive. We conducted a network meta-analysis synthesizing RCTs investigating sGC for HF management, which were retrieved by systematically searching five databases until January
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Predictors of mortality in heart failure patients with reduced or mildly reduced Ejection Fraction: The CASABLANCA HF Study Egypt. Heart J. Pub Date : 2024-01-22 Abdessamad Couissi, Meryem Haboub, Siyam Hamady, Taha Ettachfini, Rachida Habbal
Heart failure (HF) poses a significant public health challenge throughout the world and Morocco. Our objective was to delineate the epidemiological characteristics of Moroccan patients living with chronic heart failure and to identify prognostic factors correlated with CHF mortality. A total of 1344 patients participated in this study, with survival rates at 3, 6, and 10 years recorded at 75.2%, 60%
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Outcomes after stenting of renal artery stenosis in patients with high-risk clinical features Egypt. Heart J. Pub Date : 2024-01-18 Calin Homorodean, Mihai Claudiu Ober, Mihail Spinu, Maria Olinic, Dan-Alexandru Tataru, Horea Lauretiu Onea, Alexandru Achim, Leontin Florin Lazar, Romana Homorodean, Balasz Deak, Dan Mircea Olinic
In patients with renal artery stenosis, revascularization was seen as a mean to improve outcomes, but large studies failed to show significant benefit in general population. However, data on benefits of renal artery stenting in patients with high-risk features, such as rapidly declining renal function and cardiac destabilization syndromes, are limited, as they were excluded from trials. In this descriptive
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Transcatheter aortic valve replacement in patients with a pre-existing prosthetic mitral valve: a single center experience with two cases Egypt. Heart J. Pub Date : 2024-01-08 Oyewole A. Kushimo, Mitendra S. Yadav, Purneshwar Pandey, Santosh Singh, Viveka Kumar
The performance of transcatheter aortic valve replacement (TAVR) in patients with pre-existing prosthetic mitral valves is technically challenging due to the potential interference between both prosthetic devices. At present, there are no clear recommendations for this patient subset due to their exclusion from clinical trials. We report our experience of two cases with pre-existing prosthetic mechanical
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Prognostic significance of right ventricular dysfunction in patients presenting with acute left-sided heart failure Egypt. Heart J. Pub Date : 2024-01-02 Mirna M. Shaker, Hesham S. Taha, Hossam I. Kandil, Heba M. Kamal, Hossam A. Mahrous, Ahmed A. Elamragy
The prognostic value of right ventricular (RV) function in chronic heart failure (HF) has lately been well established. However, research on its role in acute heart failure (AHF) is sparse. This study comprised 195 patients, aged between 18 and 80 years, with acute left-sided heart failure (HF) and a left ventricular ejection fraction (LVEF) < 50%. Patients with LVEF ≥ 50%, mechanical ventilatory or
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LDL-receptor gene polymorphism as a predictor of coronary artery disease: an Egyptian pilot study: relation to lipid profile and angiographic findings Egypt. Heart J. Pub Date : 2024-01-02 Kefaya El-Sayed, Amany R. Youssef, Nehal M. Abdel Hay, Adel M. Osman
Coronary artery disease (CAD) is the main cause of death in Egypt. Many LDL-R gene locus single nucleotide polymorphisms (SNP) are found to be associated with the risk of CAD. This research aimed to assess the allelic and genotypic frequencies of rs1122608 SNP and their association with the extent of vessel affection and lipid profile in a population of Egyptians.100 CAD patients and 100 healthy controls
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Systemic-to-pulmonary artery shunt treated with transcatheter arterial embolization and subsequent lung segmentectomy Egypt. Heart J. Pub Date : 2023-12-21 Hirotsugu Notsuda, Fumiko Tomiyama, Ken Onodera, Tatsuaki Watanabe, Yui Watanabe, Hisashi Oishi, Hiromichi Niikawa, Chihiro Inoue, Hideki Ota, Masafumi Noda, Yoshinori Okada
Systemic-to-pulmonary artery shunt (SPAS) is a rare condition that can occur as a result of congenital heart disease or chronic pulmonary inflammation, occasionally leading to life-threatening hemoptysis. Computed tomography (CT) imaging is crucial in the diagnosis of SPAS, and the optimal management approach for SPAS remains uncertain. This case report presents a novel approach to the treatment of
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Impact of diastolic pulmonary gradient and pulmonary vascular remodeling on survival after left ventricular assist device implantation and heart transplantation Egypt. Heart J. Pub Date : 2023-12-20 Mohamed Laimoud, Emad Hakami, Mary Jane Maghirang, Tahir Mohamed
The left ventricular assist devices (LVADs) are increasingly used for advanced heart failure as a bridge to heart transplantation or as a destination therapy. The aim of this study was to investigate the changes of diastolic pulmonary gradient (DPG), pulmonary vascular resistance (PVR) and transpulmonary gradient (TPG) after LVAD implantation and their impact on survival after LVAD and heart transplantation
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A monster into the heart: an unusual presentation of cardiac leiomyosarcoma Egypt. Heart J. Pub Date : 2023-12-19 Raul Cruz Palomera, Jose Dario Valencia Gonzalez, Juan Guzmán Olea, Rosa Elena Gutiérrez Castañeda, Juan Francisco Rodríguez Alvarado, Juan Camacho Huembes, Jorge Guillermo Arenas Fonseca, Alejandro Carcaño Cuevas, Gabriel Guzman Olea
Malignant primary cardiac tumors are infrequent and can lead to an unfavorable prognosis if not identified and treated promptly. Early detection and prompt treatment of malignant primary cardiac tumors are crucial for a better prognosis. This article presents a case of primary cardiac leiomyosarcoma and reviews the literature on this topic. Female patient that developed recurrent pericardial effusion
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Multi-slice CT coronary angiography versus invasive coronary angiography in the assessment of graft patency after coronary artery bypasses graft surgery Egypt. Heart J. Pub Date : 2023-12-06 Khaled M. Elmaghraby, Salwa R. Demitry, Eman A. Hasaballah, Nady A. Razik
The long-term patency of arterial and venous grafts is crucial for the success of CABG. This study was designed to investigate graft patency using 128-slice coronary computed tomography angiography (CCTA) and compared the results with those obtained using invasive coronary angiography (ICA). In this observational cross-sectional study, we included 40 symptomatic post-CABG patients underwent CCTA and
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Analyzing safety and effectiveness of Mavacamten in comparison with placebo for managing hypertrophic cardiomyopathy: a systemic review and meta-analysis Egypt. Heart J. Pub Date : 2023-12-02 Hussain Sohail Rangwala, Hareer Fatima, Mirha Ali, Syed Taha Ahmed, Burhanuddin Sohail Rangwala, Syed Raza Abbas
Hypertrophic cardiomyopathy (HCM) is a hereditary myocardial disorder, often due to sarcomere gene mutations, characterized by the left ventricular hypertrophy. Current treatments offer symptomatic relief but lack specificity. Mavacamten, an allosteric inhibitor, has shown significant improvements in HCM patients in trials, reducing the requirement for invasive treatments. This meta-analysis assesses
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Immediate, short-term, and long-term effects of balloon mitral valvuloplasty on the left atrial global longitudinal strain and its correlation to the outcomes in patients with severe rheumatic mitral stenosis Egypt. Heart J. Pub Date : 2023-12-01 Amr Setouhi, Hesham Boshra, Hany Askalany, Hazem M. A. Farrag
Left atrial global longitudinal strain (LA GLS) has been used as a new assessment tool for left atrial function. This article aims to investigate the effect of balloon mitral valvuloplasty (BMV) in patients with severe rheumatic mitral stenosis on LA GLS and its relation to the mitral valve area achieved after the procedure. The study included 95 patients with severe mitral stenosis who fulfilled the
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Association between e-cigarette use and myocardial infarction: a systematic review and meta-analysis Egypt. Heart J. Pub Date : 2023-11-30 Muhammad Talal Ashraf, Asim Shaikh, Muhammad Khuzzaim Shakeel Khan, Naseer Uddin, Muhammad Arham bin Kashif, Syed Hassan Ahmed Rizvi, Hammad Khalid, Stafford Jude Sam, Affan Sohail
The popularity of e-cigarettes has risen dramatically over the last few years, particularly among the younger population. Although the use of combustible cigarettes has established evidence to be associated with the development of several adverse cardiopulmonary diseases, the investigations regarding the prospective long-term effects of e-cigarette use on the cardiovascular system have just begun.
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Native pulmonary valve massive endocarditis in a drug-addicted patients with Covid-19 pneumonia: a case report Egypt. Heart J. Pub Date : 2023-11-30 Andrea Garatti, Andrea Daprati, Lorenzo Lora Ronco, Carlo Gaetano Sassi, Carlo De Vincentiis
Pulmonary valve (PV) infective endocarditis is a rare pathology. Association between acute endocarditis and Covid pneumonia is equally poorly investigated. We present the case of a 50-year-old male active drug-abuser admitted for native PV endocarditis with huge and mobile vegetations and a concomitant interstitial SARS-Cov2 pneumonia. Surgical timing was carefully evaluated, and the patient was first
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The Nakata index and McGoon ratio: correlation with the severity of pulmonary regurgitation after the repair of paediatric tetralogy of Fallot Egypt. Heart J. Pub Date : 2023-11-29 Reza Abbaszadeh, Raheleh Askari-Moghadam, Maryam Moradian, Hojat Mortazaeian, Mohammad Reza Safaei Qomi, Negar Omidi, Yasaman Khalili, Tahmineh Tahouri
Pulmonary regurgitation is the most common complication after the complete repair of tetralogy of Fallot, and severe pulmonary regurgitation after surgery requires pulmonary valve replacement. In this retrospective observational, cross-sectional study, we included a total of 56 children aged 6 years or younger who underwent complete repair of TOF at Shahid Rajaei Cardiovascular Medical and Research
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Atrial fibrillation, electroconvulsive therapy, stroke risk, and anticoagulation Egypt. Heart J. Pub Date : 2023-11-27 Meera Kapadia, Pooja S. Jagadish, Marcus Hutchinson, Hong Lee
Electroconvulsive therapy (ECT) is a therapy used to treat refractory mental health conditions, ranging from depression to catatonia, and it has gained renewed prominence in practice and the literature of late. Given that ECT involves the application of direct current to the body, there exists a risk of a change in cardiac rhythm during therapy. When atrial fibrillation is induced, ECT carries a potential
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Pulmonary tumor embolism secondary to urothelial carcinoma of urinary bladder: case report and literature review Egypt. Heart J. Pub Date : 2023-11-27 Abderrahmane Bouchaala, Ihssane Khalek, Oualid Kerrouani, Najat Mouine, Zouhair Lakhal, Aatif Benyass
Tumor embolism is the least well-described cause of pulmonary embolism, taking into account the non-specificity of radiographic and nuclear imaging results, the necessity of anatomopathological evidence and the frequency of deep venous thrombosis in the course of solid tumors, suggesting thus thromboembolism. We report a rare case of urothelial carcinoma of the urinary bladder associated with persistent
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Relationship between vitamin D and coronary artery disease in Egyptian patients Egypt. Heart J. Pub Date : 2023-11-09 Magdy Algowhary, Ahmed Farouk, Heba E. M. El-Deek, Ghada Hosny, Ahmed Ahmed, Lobna A. Abdelzaher, Tahia H. Saleem
Previous studies have reported conflicting results about the association of vitamin D (VD) level with coronary artery disease (CAD). We aimed to study the association of VD with atherosclerotic CAD in Egyptian individuals. We prospectively enrolled 188 consecutive CAD patients with a median age of 55(50–62) years; 151(80.3%) were male. All patients were diagnosed by cardiac catheterization and were
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New onset heart failure with reduced ejection fraction management: single center, real-life Tunisian experience Egypt. Heart J. Pub Date : 2023-11-07 Meriem Drissa, Marouan Krid, Fares Azaiez, Essia Mousli, Soumaya Yahyaoui, Cyrine Aouji, Habiba Drissa
Heart failure (HF) is a serious and frequent pathology. It represents a major public health problem. We have few data about this pathology in our country. The aim of our study is to determine the epidemiological, clinical, therapeutic, and prognostic characteristics of new-onset HF with reduced left ventricular ejection fraction (HFrEF) and to study the degree of conformity of the management of HF
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Ruptured sinus of Valsalva aneurysm coexisted with congenital ventricular septal defect: a case series Egypt. Heart J. Pub Date : 2023-11-06 Ni Made Ayu Wulan Sari, Made Satria Yudha Dewangga, Ida Bagus Rangga Wibhuti, Luh Oliva Saraswati Suastika, I Dewa Gede Surya Mahardika Badung, Bryan Gervais de Liyis, Anastasya Maria Kosasih, Gusti Ngurah Prana Jagannatha
Ruptured sinus of Valsalva aneurysm (RSoVA) is an uncommon cardiac anomaly that may occasionally coexist with additional congenital heart disease (CHD). The presence of such congenital cardiac anomalies, frequently involving a ventricular septal defect (VSD), is of significant clinical importance and warrants vigilant detection during echocardiographic assessments to prevent oversight. Three cases
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Hypereosinophilic vasculitis with Raynaud phenomenon presentation: a case report Egypt. Heart J. Pub Date : 2023-10-18 Duy Le Cao Phuong, Hoa Bui The, Quan Vo Duy
Previous case series have reported idiopathic eosinophilic vasculitis as a potential manifestation of hypereosinophilic syndrome (HES). This condition is characterized by digital necrotizing, systemic vasculitis that affects varying-sized blood vessels. This report presents our experience in treating a patient with eosinophilic vasculitis. We describe the case of a 23-year-old man who presented with
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The effects of statin therapy on aneurysm size, growth rate, and matrix metalloproteinases-9 levels in patients with aortic aneurysm: a systematic review and meta-analysis Egypt. Heart J. Pub Date : 2023-10-13 Ketut Angga Aditya Putra Pramana, Yusra Pintaningrum, Basuki Rahmat
Aortic aneurysm enlargement over time causes rupture, which frequently results in death. The family of proteases known as matrix metalloproteinases (MMP) is assumed to be proteolytic activity involved in the growth of aortic aneurysms. Statins are pleiotropic lipid-lowering medications with anti-inflammatory action. Statins can lower aneurysmal enlargement and MMP secretion, according to a number of
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Ablation targets of scar-related ventricular tachycardia identified by dynamic functional substrate mapping Egypt. Heart J. Pub Date : 2023-10-13 Mohammad Gamal Elewa, Sherif Altoukhy, Haitham Abdelfattah Badran, Hayam El Damanhoury, John Kamel Zarif
Dynamic functional substrate mapping of scar-related ventricular tachycardia offers better identification of ablation targets with limited ablation lesions. Several functional substrate mapping approaches have been proposed, including decrement-evoked potential (DEEP) mapping. The aim of our study was to compare the short- and long-term efficacy of a DEEP-guided versus a fixed-substrate-guided strategy
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Validation of EuroSCORE II Scoring System on Isolated CABG Patient in Indonesia Egypt. Heart J. Pub Date : 2023-10-13 Rita Zahara, Daondy Friarsa Soeharto, Bambang Widyantoro, Sugisman, Bagus Herlambang
Coronary Artery Bypass Graft (CABG) is one solution to overcome cardiovascular problems. EuroSCORE II is a scoring system to predict mortality risk in patients undergoing cardiac surgery including CABG. Unfortunately, there’s still much debate about the benefits of EuroSCORE II in Asia, including Indonesia. This study aims to validates EuroSCORE II in predicting the outcomes in patients underwent CABG
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A nightmare of clopidogrel resistance in a resource-limited setting: case report of subacute stent thrombosis Egypt. Heart J. Pub Date : 2023-10-12 Pedro Pallangyo, Smita V. Bhalia, Makrina Komba, Zabella S. Mkojera, Henry A. Mayala, Engerasiya Kifai, Peter R. Kisenge
Stent thrombosis, a life-threatening complication of percutaneous coronary intervention (PCI) continues to occur despite effective antiplatelet regimens and improved stenting methods. Noncompliance with dual antiplatelet therapy is the most common etiology; however, in spite of timely and their optimum administration the rates of recurrent myocardial infarction (MI) and stent thrombosis remain high
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Coexistent spontaneous coronary artery dissection and takotsubo syndrome: does one cause the other? Egypt. Heart J. Pub Date : 2023-10-11 John E. Madias
To the Editor, I read with interest the paper by Saleemi et al., reporting on two women, 80- and 65-year old, who suffered both spontaneous coronary artery dissection (SCAD) and takotsubo syndrome (TTS) [1]. Although their gender and the emotional stress precipitants are in keeping with what is typical for both SCAD and TTS, their ages were atypical for SCAD, which usually is encountered in younger
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Fatal pulmonary embolism following injectable gluteal filler usage: a case report Egypt. Heart J. Pub Date : 2023-10-10 Sameh Shaheen, Ahmed Al-Habbaa, Mohamed Saeid Riad, Ahmed Saied Mandour, Mahmoud Ali Elzeny, Khaled Alnady
Despite the fact that injectable filler usage in the gluteal region has not been recommended in formal medical institutions, illegal procedures are performed in many clinics and beauty centers across Egypt. This case report illustrates the illegal practice culminating in a fatal complication. A 26-year-old female with no relevant medical history presented to the ER with acute onset shortness of breath
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Isolated pulmonary artery involvement in Takayasu arteritis: case report and review of the literature Egypt. Heart J. Pub Date : 2023-10-10 Jie Li, Jun Xu, Ping Bao, Hongmei Li
Takayasu arteritis (TAK) is a chronic inflammatory arteritis. It most often affects non-specific large vessel progressively, such as the aorta and its branches. The diagnosis in TAK is typically delayed. Isolated pulmonary artery involvement in Takayasu arteritis is uncommon. Owing to its rarity, the diagnosis is challenging and requires an integrated approach comprising clinical and imaging findings
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Partial arch replacement of type A aortic dissection after thoracic endovascular aortic repair for type B dissection Egypt. Heart J. Pub Date : 2023-10-06 Tomohiro Nakajima, Yutaka Iba, Keishi Ogura, Nobuyoshi Kawaharada
Stent graft-induced new entry (SINE), defined as the stent graft-induced formation of a new entry point for blood to enter an area, is increasingly being observed after thoracic endovascular aortic repair (TEVAR) for Stanford type B aortic dissection worldwide. We herein describe a case of Stanford type A aortic dissection due to proximal SINE after TEVAR for Stanford type B dissection. This case involved
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A case of multiple median sternotomy for infection and expanding hematoma in 10 years Egypt. Heart J. Pub Date : 2023-10-06 Tomohiro Nakajima, Yutaka Iba, Tsuyoshi Shibata, Nobuyoshi Kawaharada
After a median sternotomy, mediastinitis may develop, necessitating reopening of the chest. Rarely, reoperation due to hematoma after cardiovascular surgery is experienced. In the present case, we experienced a patient who initially had mediastinitis, but later developed a chronic hematoma and underwent multiple surgeries. The patient was a 40-year-old man who underwent aortic valve replacement for
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Pericardial agenesis - the wandering heart Egypt. Heart J. Pub Date : 2023-09-19 Tushar Kalekar, Latha P. Reddy, Deepak Koganti, Nikhith Soman
Congenital pericardial absence is an uncommon cardiac anomaly that is typically asymptomatic and commonly misdiagnosed due to a lack of symptoms or atypical symptoms. Pericardial agenesis (PA) should be considered one of the differential diagnoses when the patient presents with chest pain. This case shows how the diagnosis of pericardial agenesis is made exclusively using multi-modality imaging, starting
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The prognostic role of urea-to-creatinine ratio in patients with acute heart failure syndrome: a case–control study Egypt. Heart J. Pub Date : 2023-09-05 Ahmed Refaat Mohamed Sakr, Gamal Fahim Elsayed Gomaa, Salwa Mahmoud El Wasif, Ahmed Hassan Hosny Eladawy
Recent research has shown that the blood urea/creatinine ratio (BUN/Cr) rather than BUN or Cr alone can predict the prognosis of individuals with acute heart failure (AHF). The objective of this study was to estimate the urea-to creatinine serum ratio (BUN/Cr) in patients with acute decompensated heart failure (ADHF) and correlate the results with patient outcome, length of hospitalization, and mortality
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Acute lymphocytic myocarditis presenting as complete heart block in an adult: a case report Egypt. Heart J. Pub Date : 2023-08-30 Thomas Camilleri, Neil Grech, Maryanne Caruana, Mark Sammut
Complete heart block (CHB) as a first presentation of acute viral myocarditis is a rare occurrence associated with increased morbidity and mortality. In such cases, an endomyocardial biopsy is recommended to make a clear histological diagnosis aiding to differentiate from other possible conditions such as sarcoiditic myocarditis, giant cell myocarditis, and eosinophilic myocarditis. Insertion of a
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Role of micro-RNAs 21, 124 and other novel biomarkers in distinguishing between group 1 WHO pulmonary hypertension and group 2, 3 WHO pulmonary hypertension Egypt. Heart J. Pub Date : 2023-08-30 Mark O. Dimitry, Youssef M. A. Soliman, Reem I. ElKorashy, Hala M. Raslan, Solaf A. Kamel, Eman M. Hassan, Fatma Elzahraa Ahmed, Rasha N. Yousef, Eman A. Awadallah
Pulmonary hypertension “PH” is considered a serious cardiovascular disease. World Health Organization divided PH into groups depending on many factors like pathological, hemodynamic, and clinical pictures. Lately, various micro-RNAs “miRNAs” and other novel biomarkers like endoglin and asymmetric dimethylarginine “ADMA” might have a role in diagnosis of PH and may differentiate between pulmonary arterial