Cardiology Commons^™

Coronary Artery Stent Stenosis Assessment In Coronary Ct Angiography, Mohammad Farouk Aggag, Mahmoud El-Shamy, Ahmed Osama Abbas El-Kattan

Al-Azhar International Medical Journal

Background: Coronary artery stenting is the most important minimally invasive treatment for symptomatic coronary artery disease. But because in-stent restenosis occurs at a somewhat high rate, invasive angiography is now commonly utilised to assess stent patency.Objective: The objective of the study is to examine how multidetector CT scans can assist physicians in making decisions regarding the placement of coronary artery stents in patients who have chronic chest pain or who have myocardial ischemia. Method: A total of 40 individuals had multislice CT angiography of the coronary arteries between February 2022 and August 2022 as part of this study. Such patients …

The Prognostic Value Of Serum St2 In Patients With Non-St Segment Elevation Acute Coronary Syndrome, Ahmed Shehata Mohamed, Mohamed Hesham Hassan, Mohamed Abdelhady Abu Ahmed, Yousri Zaki Ali Alzohery

Al-Azhar International Medical Journal

Background: Myocardial necrosis improved while cardiac biomarkers were reduced among individuals with NSTEMI, which was identified as the lack of ST-segment elevation. Myocardial ischemia at rest or during mild activity without cardiac myocyte necrosis characterizes unstable angina. Myocardial ischemia is characterized by an increase in the soluble form of ST2 and the inflammatory cytokine IL-1β in cardiac myocytes. Aim of work: The goal of this study was to asses and determine whether or not serum ST2 levels were predictive of six-month mortality in cases with non-ST segment elevation ACS (by comparing plasma ST2 levels among survivors and non-survivors of NSTE-ACS …

Efficacy And Safety Of Catheter Ablation In Patients With Scar Related Ventricular Tachycardia, Mohamed Ahmed Muharram, Mohammed Sami Abdel Samie, Hatem Abdel Latief Kholief, Ahmed Mohammed Fahmi El-Damaty

Al-Azhar International Medical Journal

Background: In individuals with structural heart disease, catheter ablation of ventricular tachycardia (VT) is an important treatment option.

The study aimed to evaluate the safety and outcomes of scar related VT ablation in Egyptian population.

Patients and methods: this observational study included 22 male patients referred for scar related VT ablation from November 2015 to December 2022, ablation was done under general anesthesia using 3D mapping system in 3 tertiary hospitals in Cairo, Egypt. Clinical, procedural and follow up data were reviewed. Substrate modification in sinus rhythm was the main ablation strategy.

Results: Mean age was 56.2±13.9 yrs., 14 patients …

Impact Of Deferred Stent Insertion On Elevated St Segment Myocardial Infarction Patients With A Big Thrombus Load, Monir Osman, Mostafa Elswasany, Ahmed Yahya Hegab, Amro Abozeid

Al-Azhar International Medical Journal

Background: No clear recommendations as regard deferred stenting in ST-segment elevation myocardial infarction (STEMI) patients with big thrombus load.

Aim of the study: our study might answer the question that deferred stenting might reduce no-reflow and in-hospital major adverse cardiac events (MACE) compared to immediate stenting in primary percutaneous coronary intervention (PCI) for STEMI patients with high thrombus burden.

Patients and Methods: a prospective double blinded control non-randomized study which included fifty Patients presented by STEMI with high thrombus load and undergoing primary PCI, 25 patients (group number 1) managed with deferred stenting, and 25 patients (group number 2) managed …