Medicine and Health Sciences Commons^™

Conference Proceedings: Select Abstracts Presented At 2023 Advocate Aurora Scientific Day

Journal of Patient-Centered Research and Reviews

This abstract supplement includes findings presented at the 49th annual Advocate Aurora Scientific Day on May 24, 2023. The Scientific Day symposium provides a virtual forum for the sharing of preliminary results from research and case studies conducted by faculty, fellows, residents, and other health professionals associated with Illinois-based Advocate Health Care and Wisconsin-based Aurora Health Care.

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 …

Highlights Of The 2022 Brano Heart Failure Forum: Part Two, Ugolino Livi, Rajko Radovancevic, Bojan Vrtovec, Igor D. Gregoric

The VAD Journal

Since 2007, the Branislav “Brano” Radovancevic Heart Failure Forum (BHFF) has been held annually to provide a venue for experts to present and discuss “Innovations and New Treatment Strategies in Heart Failure.” Clinicians and researchers gather yearly in a different Eastern European city to discuss the latest in heart failure diagnostics and therapeutics. The 2022 BHFF forum was held on the 6^th thru 8^th of September 2022 in Trieste, Italy. It was attended by over 94 faculty from 14 countries. In addition, participation through online streaming was available. Throughout the forum, 17 sessions focused on challenges and solutions …

Highlights Of The 2022 Brano Heart Failure Forum: Part One, Ugo Livi, Rajko Radovancevic, Bojan Vrtovec, Igor D. Gregoric

The VAD Journal

Since 2007, the Branislav “Brano” Radovancevic Heart Failure Forum (BHFF) has been held annually to provide a venue for experts to present and discuss “Innovations and New Treatment Strategies in Heart Failure.” Clinicians and researchers gather yearly in a different Eastern European city to discuss the latest in heart failure diagnostics and therapeutics. The 2022 BHHF forum was held on the 6^th thru 8^th of September 2022 in Trieste, Italy. It was attended by over 94 faculty from 14 countries. In addition, participation through online streaming was available. Throughout the forum, 17 sessions focused on challenges and solutions …

Correlation Of Tei Index Assessed By Different Echocardiographic Methods In Patient With Acute Myocardial Infarction Receiving Different Reperfusion Treatment In Comparison With Ef And Diastolic Function, Mahmoud Elsayed Nofal, Abdelhamid Esmail Abdelhamid, Mohamed Hesham Hassan Ezzat

Al-Azhar International Medical Journal

Background: Acute myocardial infarction (AMI) is a common cardiac condition with high morbidity and mortality worldwide. A common complication of AMI is heart failure (HF). HF is the most significant predictor of mortality among AMI patients. So, a significant echocardiographic measurement for post-AMI patient is to assess the left ventricular systolic function via left ventricular ejection fraction (LVEF). As such, Tei index, which simultaneously measures relaxation and contraction velocities, may be of a prognostic importance in those presenting with AMI that may go unmissed with the isolated evaluation of LVEF. Objectives: this work was done to correlate MPI evaluated by …

Association Of Coronary Artery Disease Assessed By Ct-Calcium Score With Left Ventricular Diastolic Dysfunction, Mohamed Sayed Abd Allah Ateya, Islam Shawky Abdel-Aziz Saif-Alyazal, Mohammad Abdelghani Abdelzaher

Al-Azhar International Medical Journal

Background: Early onset and quiet progression are characteristics of atherosclerotic vascular disease, due to the release of vasoactive mediators and the reduced generation of nitric oxide by an endothelium that is dysfunctional, non-obstructive atherosclerotic plaques encourage functional changes in vascular tone, such as diastolic dysfunction.

Aim of the work: Explore the relationship between sub clinical coronary atherosclerosis presenting by abnormal calcium score and left ventricular diastolic function.

Patients and Methods: This study was an observational control study and conducted on 100 consecutive patients who presented mild symptomatic or asymptomatic for checkup at New Cairo Police Hospital during the study period, …

Incidence And Severity Of Pulmonary Hypertension Among Patients With Chronic Kidney Disease, Mamdouh Maher

Journal of Medicine in Scientific Research

Chronic kidney disease (CKD) is a major health problem and is closely linked with cardiovascular disease. Pulmonary hypertension (PH) is considered a common comorbidity in CKD patients. In all, 100 patients were included in our study. Transthoracic echo Doppler study was performed to measure pulmonary artery systolic pressure based on tricuspid jet. The prevalence of PH in CKD patients in our study was 60%; prevalence and severity had significant association.

The hemodialyzed group showed a higher prevalence of PH with a more severe PH.

Our study had provided evidence that PH is a common comorbidity in CKD patients and is …

Comparison Of Rcha2ds2-Vasc Score And Cha2ds2-Vasc Score For Prediction Of No-Reflow Phenomenon In Patients With St-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention, Ahmed Ibrahim Yousef Elsherif, Mamdouh Helmy Eltahan, Alhussien Mustafa Zahran

Al-Azhar International Medical Journal

Background: During primary PCI, about 95% of blocked coronary vessels are reopened. Therefore, it is the best applicable reperfusion strategy for acute STEMI.

Study aim: The objective was to investigate the significance of the RCHA2DS2-VASc score and CHA2DS2-VASc score in predicting the no-reflow phenomenon in STEMI patients undergoing Primary PCI.

Patients and Methods: In this cohort study, 80 patients with acute STEMI who undergone Primary PCI (40 patients had no-reflow and 40 patients without no-reflow) who were admitted to the coronary care units of October 6 University Hospital and Al-Azhar University Hospitals between September 2021 and March 2022 were included …

The Impact Of Sars-Cov-2 Virus On Acute Coronary Syndrome Patients Correlated With Clinical, Echocardiographic And Coronary Angiographic Outcome, Mohamed Nagdy Wadid, Monir Osman Amein, Wael Mohamed Attia, Khaled Mohammed Ibrahim Halima, Ibrahim Metwaly Bauomy

Al-Azhar International Medical Journal

Background; COVID-19 pandemic has led to many negative problems for all aspects of society. While respiratory symptoms are typically most severe manifestations of COVID-19 infection, SARS-CoV-2 infection may be responsible for diversity of potentially severe cardiovascular manifestations, mainly in studied cases with pre-existing cardiovascular conditions, Aim and objectives; to evaluate impact of SARS-CoV-2 virus on acute coronary syndrome patients and correlate it with clinical presentation, Echocardiography and coronary angiography outcome, Subjects & techniques: This was case control research, has been happened in Department of cardiology Al-Azhar University on 300 patients divided on three groups presented with acute coronary syndrome, STEMI …

Cha2ds2-Vasc-Hs Score As A Predictor Of No-Reflow In Patients With St-Segment Elevation Myocardial Infarction Who Underwent Primary Percutaneous Intervention, Sameh Refaat Hassan Allam, Alhussein Mostafa Zahran, Mohamed Ahmed Mohamed Elagami

Al-Azhar International Medical Journal

Background: Current guidelines for acute ST-segment elevation myocardial infarction (STEMI) patients declared primary percutaneous coronary intervention (PPCI) as the mainstay reperfusion strategy. However, the no-reflow phenomenon(NRP) is a major drawback. The longer ischemia lasts, the more likely NRP is to occur causing more myocardial cells damage.

Aim of the Work: to correlate between the CHA2DS2VAScHS score and NPR in patient presented with STEMI and treated with PPCI.

Methods: Case-control study that included one hundred patients presented with STEMI and treated with PPCI. Patients were further divided into group(A) in which patients developed no-reflow (NR) after PPCI and group(B) in which …

Association Of Vitamin D Status With Severity Of Acute Coronary Syndrome, Sherif Hussein Nasr Ghander, Ahmed Abo Zaid, Essam Ahmed Khalil, Mohamed Abdelhady Abo Ahmed, Yasser Radwan Mohamed

Al-Azhar International Medical Journal

Background: Due to the existence of its receptor in cardiomyocytes, vitamin D deficiency influences alterations in these cells. People who have low levels of 25OHD in their blood are more likely to get an acute myocardial infarction (MI).

Aim of the work: to assess the level of vitamin D (concentrations of 25-OHD in serum) in people having acute coronary syndrome (ACS) and its relationship to the extent of the condition.

Methods: This Cross-sectional work was performed on 50 individuals. Age ranged from 32 to 82 diagnosed with ACS. All patients were subjected to left ventricular function (estimated ejection fraction (EF) …

Assessment Of The Right Ventricular Function Before And After Coronary Artery Bypass Surgery By Conventional And Tissue Doppler Echocardiography, Emmanuel L. Aziz, Mohamed Abbas, Ashraf Abd-Elaziz, Wayel S. Bebawy

Journal of Medicine in Scientific Research

Aim of the work To study the extent of right ventricular (RV) dysfunction in ischemic patients after coronary artery bypass grafting (CABG). Patients and methods RV function was studied preoperatively and followed for 1 month postoperatively in 40 patients who were scheduled for elective coronary artery bypass surgery and in other 40 controls. We evaluated RV function by tissue Doppler study of the tricuspid annulus and the basal septum, tricuspid annular plane systolic excursion, and RV dimensions. Both LV dimensions, left atrium dimensions, and aortic root dimensions were also measured before and after surgery. Results RV function was significantly reduced …

Role Of Intravascular Ultrasound In Minimizing The Use Of Contrast In Percutaneous Coronary Intervention In Patients With Chronic Stable Angina And Chronic Kidney Disease Stageiii, Mahmoud Rady Abd Elzaher, Mohammad Ahmed Mosaad, Mohamed Saad Elgammal, Ayman Abdelaziz Abdelraman

Al-Azhar International Medical Journal

Background: Percutaneous coronary procedures (PCIs) are frequently guided by intravascular ultrasonography (IVUS) (PCIs). because it can precisely measure the size of the lumen, plaque, and vessel. The aim of this work was to evaluate role of intravascular ultrasound in minimizing the use of contrast in PCI in patients with chronic stable angina and chronic kidney disease stage III and incidence of acute kidney injury after IVUS based PCI and angiographic based PCI in chronic kidney disease stage III patients. Methods: 50 patients with stage III chronic renal disease and chronic stable angina, both diabetic and non-diabetic, were enrolled in this …

Value Of Intravascular Ultrasound Guidance In Patients Undergoing Unprotected Left Main Coronary Artery Stenting, Abduallah Abdelzaher Elbohy, Mansour Mohamed Mostafa, Khaled M Y El Nady, Ibrahim Abdelfattah Yasin

Al-Azhar International Medical Journal

Background: Intravascular ultrasound (IVUS)is a new imaging technique that facilitate the process of coronary intervention. The angiographic evaluation of left main lesions significance is always questionable, IVUS detect the significance, guide the procedure and some studies proves a benefit in mortality.

Aim of the Work: We aimed to determine if intravascular ultrasonography (IVUS) guided Left Main coronary intervention may enhance clinical results compared with angiographic-guided Left main coronary PCI.

Patients and Methods: 60 patients who were eligible for Left Main Coronary Intervention were split into two groups for this controlled trial between 2021 and 2022 at the Maadi Military Hospital …

Evaluation Of Successful Percutaneous Coronary Intervention For Right Coronary Artery Chronic Total Occlusion On Improvement Of Right Ventricular Systolic Function And Reverse Remodeling, Mostafa Attia Al Sawasany, Ahmad Mohammad Hassaan, Hazem Khaled Mustafa Abd El Hameed

Al-Azhar International Medical Journal

Background: Lesions with TIMI grade 0 flow for over three months are chronic total occlusions. Chronic coronary occlusions cause ventricular arrhythmias and poor outcomes. CTO difficulties and failure rates were increased even among seasoned PCI operators. 38–50% of CTO patients had RCAs. Right ventricular echocardiography was disregarded in the past. After depending largely on qualitative assessment in past, American Society of Echocardiography & European Association of cardiovascular imaging now offer many quantitative methods for assessing the RV. Aim: To correlate the relationship between Successful percutaneous coronary intervention for right coronary artery chronic total occlusion & improvement of Right ventricular functions. …

Predictors Of Improvement After Device Closure Of Atrial Septal Defect In Patients Above 30 Years, Abdullah Hamed Abd Elsamea, Abd Elmohsen Mustafa Abdu, Ibrahim Faragallah Said, Mohmmed Osama Taha

Al-Azhar International Medical Journal

Background: Atrial septal defects constitute around 25-30% of recent diagnoses of congenital heart defects in adults & the most common a cyanotic shunt lesion in adult as well. Aim of work: Assessment of enhancement of heart performance after device closure Assessment of symptomatic improvement after device closure. Patients and Methods: This study was involved 30 cases with atrial septal defect (ASD) who underwent closure of ASD with device closure. Results: Comparison among pre & post ASD device closure regarding echocardiogram data. There were significant statistical alterations in comparison amongst the pre & post ASD device closure regarding LVESV (P

The Relation Between Heart Rate Response During Exercise And Angiographic Severity In Patients With Chronic Coronary Syndrome, Emmanuel Louka

Journal of Medicine in Scientific Research

Introduction Ellestad and colleagues, in 1975, reached to the conclusion that impaired heart rate response to exercise carries a similar risk for future coronary events such as ischemic ‘ST’ segment changes. Mc Neer and colleagues went beyond these observations to include a survival benefit in patients who achieve a higher peak heart rate (PHR), a more advanced level of exercise, and have a normal exercise electrocardiogram. Aim The aim of this work is to clarify the relation between the chronotropic response to exercise and the severity of coronary artery disease in patients with chronic coronary syndrome. Patients and methods The …

Value Of Optical Coherence Tomography (Oct) In The Management Of Borderline Culprit Lesions In Patients With St-Segment Elevation Myocardial Infarction (Stemi), Hamada Alsheikh, Mohamed Abdelghani, Mansour Mostafa, Monier Osthman, Hassan Khalaf, Moataz Elsanan

Al-Azhar International Medical Journal

No abstract provided.

Added Value Of Three-Dimensional Transesophageal Echocardiography In Assessment Of Prosthetic Mitral Paravalvular Leaks., Ahmed Abd El-Gelil Abogazia, Mohyeldin Mansour Elabady, Ahmed Meawad Elemam, Attia Morsy Shokr

Al-Azhar International Medical Journal

Background; A well-known, crucial consequence of prosthetic valves that have been surgically or percutaneously inserted is prosthetic paravalvular leak. It usually occurs as a result of insufficient sealing of the prosthetic ring to the native heart tissue, either immediately after surgery or much later as a consequence of infective endocarditis.

Aim and Objectives: The main aim of this study was to compare 3D TEE with 2d TEE regarding Initial diagnosis and localization of PVLs, assessment of size, shape and severity of PVLs and assessment of the feasibility for percutaneous closure.

Subjects and methods: This cross-sectional study was carried out on …

Assessment Of Left Atrial Remodeling And Fibrillation After Transcatheter Vs. Surgical Aortic Valve Replacement, Abdallah Elsayed Abdelwahed, Yasser Ahmed Sadek, Kamal Ahmed Marghany

Al-Azhar International Medical Journal

Background: Atrial fibrillation (AF) is common following the surgical aortic valve replacement (SAVR). Aim of the research: To evaluate left atrial (LA) remodelling and fibrillation following transcatheter aortic valve implantation (TAVI) versus SAVR. Methodology: This prospective cohort observational research was carried out on 60 cases with severe aortic stenosis (AS) diagnosed by conventional echocardiography and have sinus rhythm, 30 cases who are eligible for TAVI and 30 cases are eligible for SAVR. Results: P wave max, P wave min and P dispersion were significantly reduced in week 4 compared to the baseline in TAVI (P-value

Holter Study For Post Covid Syndrome Patients Presented By Palpitation, Ahmed Mohamed Abd El Gawad El Fakharany, Mohammed Ossama Taha, Ahmed Mohammed Abd El Rahman Allam, Hatem Abd El Lateif Kholeif

Al-Azhar International Medical Journal

Background: Post covid syndrome is described as persistent symptoms for several weeks after recovery from acute infection.

Aim of the study was to correlate the palpitation with Holter monitoring findings.

Subject & Techniques: This research was happened at National Heart Institute in the period between February 2022 and August 2022. The study included 50 post covid syndrome patients and 48 symptomatic patients who have not infected by Covid 19 virus (control group).

Results: Supra-ventricular ectopic burden was abnormal in 2(4%) patients in post Covid group and in 1(2.1%) patient in control group and was normal in 48(96%) patients in post …

Instantaneous Wave–Free Ratio (Ifr) Vs Myocardial Perfusion Imaging By Single Photon Emission Tomography (Mpi-Spect) In Assessment Of Significance Of Moderate Coronary Artery Disease, Sameh Refat Allam, Mohamed Abdel Hady Abdel Rehiem, Ayman Al Saied Sadek, Essam Gaber Mohamed Nosier

Al-Azhar International Medical Journal

Background: The noninvasive technique known as myocardial perfusion imaging is used to assess the functional relevance of borderline coronary artery abnormalities. Additionally, well-validated intrusive technique known as instantaneous wave-free ratio is employed for same objective, Aim and objectives; to compare perfusion imaging SPECT as a one of the commonly used noninvasive test in assessment of myocardial ischemia &instantaneous wave free ratio as one of the new invasive tools in evaluation of significance of moderate coronary artery disease lesion, Subjects & techniques; This is prospective research, conducted on 50 studied cases who were diagnosed as ischemic heart disease and admitted to …