Cardiology Commons^™

Application Of The American College Of Cardiology(Acc/Aha) 2017 Guideline For The Management Ofhypertension In Adults And Comparison With The2014 Eighth Joint National Committee Guideline, Mohammad Alahmad, Salah Aburuz, Rami Beiram

Journal of the Saudi Heart Association

Objectives: This study aims to compare the 2017-ACC/AHA hypertension guideline with 2014-JNC-8 guideline in regard to the number of patients who are eligible for treatment and to determine the physicians’ adherence and the financial impact of implementing the new guideline. Methods: A cross-sectional observational study was conducted on adult patients who attended the hospital outpatient setting in UAE during January 1, 2018 till February 28, 2018. Adults who are diagnosed with hypertension and those with blood pressure (BP) levels based on two or more readings obtained on two or more different occasions were screened for inclusion into this study and …

Impact Of Cardiac Computed Tomographic Angiographyon Diagnostic And Therapeutic Decisions In Patientswith Suspected Prosthetic Heart Valve Dysfunction, Amr Youssef Hassan, Hussien Heshmat Kassem, Hossam Ibrahim Kandil, Marwa Sayed Meshaal, Mohamed Ali Salem, Ahmed Shehata Mohamed

Journal of the Saudi Heart Association

Introduction: Computed Tomography (CT) scan is a helpful tool to assess the coronary arteries and the great vessels. However, its routine use in the assessment of patients with suspected prosthetic valve dysfunction (PVD) has not been studied thoroughly. Objective: To determine the impact of routine cardiac computed tomography angiography (CCTA) on diagnostic and therapeutic decisions in patients with suspected PVD. Methods and results: This was a prospective cohort study that was conducted on 50 consecutive patients with suspected PVD who underwent both 64-slice ECG-gated CT and transesophageal echocardiography (TEE). The gold standard was the intraoperative findings. Surgery was performed in …

Safety And Feasibility Of 48 H Discharge After Successful Primary Percutaneous Coronary Intervention, Nooraldaem Yousif, Tarique S. Chachar, Suddharsan Subbramaniyam, Vinayak Vadgaonkar, Husam A. Noor

Journal of the Saudi Heart Association

Background: The aim of the current study is to determine the safety of early discharge (ED) within 48 hours (h) for STelevation myocardial infarction (STEMI) patients who underwent primary percutaneous coronary intervention (PPCI) and to define the criteria of low-risk patients that can be considered for ED. Methods: This is a single-center retrospective study that took place at Mohammed bin Khalifa Cardiac Centre in the Kingdom of Bahrain. 301 patients who underwent PPCI between January 2018 and March 2019 were included. Endpoints at 30 days follow-up comprised cardiac re-admission, cardiovascular death, non-fatal myocardial infarction, stroke, and major adverse cardiovascular and …

Cardiac Tamponade, Sever Hypothyroidism And Ards In Down Syndrome With Covid-19 Infection, Fahmi Alkaf, Turki A. Al Garni, Nahes Al-Harbi, Hassan Sandokji, Sondos Samargandy

Journal of the Saudi Heart Association

A 21-years-old with Down syndrome presented with respiratory distress. Initial investigations revealed a cardiac tamponade. On further evaluation, he had positive coronavirus disease-2019 (COVID-19), severe chest infection and severe hypothyroidism. He responded well to urgent pericardiocentesis, levothyroxine, hydrocortisone and tocilizumab.

Outcomes Of Pacing In Egyptian Pediatric Population, Ahmed Nabil Ali, Samir S. Wafa, Hosni Hosni Arafa, Rania Samir

Journal of the Saudi Heart Association

No abstract provided.

Predictors Of Persistent Functional Tricuspid Regurgitation After Transcatheter Closure Of Atrial Septal Defect And Its Relationship To Tricuspid Valve Remodeling, Marwa Desoky Abohamar, Medhat Mohamed Ashmawy, Hanan Kamel Kasem, Ehab Abdelwahab Hamdy, Raghda Ghonimy El Sheikh

Journal of the Saudi Heart Association

No abstract provided.

Ecg Localization In St-Elevation Myocardial Infarction: Spotting The Zebra Among The Horses, Jaskaran Singh Gujral, Abhinav Shrivastava

Journal of the Saudi Heart Association

No abstract provided.

Value Of Pathological Q Waves And Angiographic Collateral Grade In Patients Undergoing Coronary Chronic Total Occlusion Recanalization: Cardiac Magnetic Resonance Study, Khaled Abdel-Azim Shokry, El-Sayed Mohamed Farag, Ahmed Mohamed Salem, Ismail Mohamed Ibrahim, Mahmoud Abel-Aziz, Ahmed El Zayat

Journal of the Saudi Heart Association

No abstract provided.

Clinical Overview Of Myocardial Infarction Withoutobstructive Coronary Artey Disease (Minoca), Fahad Shamsi, Khwaja Y. Hasan, Shahrukh Hashmani, Syed F. Jamal, Samer Ellaham

Journal of the Saudi Heart Association

No abstract provided.

Surgical Site Infections Following Pediatric Cardiac Surgery In A Tertiary Care Hospital: Rate And Risk Factors, Milad A. Alshaya, Nouf S. Almutairi, Ghassan A. Shaath, Rahmah A. Aldosari, Sadeem K. Alnami, Alaa Althubaiti, Riyadh M. Abu-Sulaiman

Journal of the Saudi Heart Association

No abstract provided.

Predictive Value Of Blood N-Terminal Pro-Brain Natriuretic Peptide Concentrations For Early Patent Ductus Closure In Very Preterm Infants, Solomiia Potsiurko, Dmytro Dobryanskyy, Lesya Sekretar

Journal of the Saudi Heart Association

Objectives. It has been shown that blood concentrations of NT-proBNP may be useful in identifying preterm infants at risk of hemodynamically significant patent ductus arteriosus and its complications. The aim of the study was to assess predictive value of serum NT-proBNP levels for early ductus arteriosus (DA) closure in very preterm newborns.
Methods. Fifty-two infants weeks’ gestation aged (PDA) diameter >1.5 mm were involved in a randomized study. Twenty-seven (52%) of them were treated with ibuprofen or paracetamol starting within the first 3 days of life. Expectant management was applied to 25 (48%) infants. All patients underwent planned echocardiographic (daily) …

Right Atrial Volume Index As A Predictor Of Persistent Right Ventricular Dysfunction In Patients With Acute Inferior Myocardial Infarction And Proximal Right Coronary Artery Occlusion Treated With Primary Percutaneous Coronary Intervention, Mohamed Naseem, Sameh Samir

Journal of the Saudi Heart Association

Objectives: Patients with right ventricular (RV) infarctions associated with inferior infarctions have higher rates of adverse events than isolated inferior infarctions. Right atrial volume index (RAVI) has recently been described as a predictor of clinical outcome in patients with chronic systolic heart failure and pulmonary hypertension. The aim of this study is to assess the ability of RAVI to predict the persistent RV dysfunction after acute inferior STEMI due to occlusion of proximal RCA. To the best of our knowledge, this is the first study to investigate the relation between RAVI and persistent RV dysfunction in such group of patients. …

Unusual Cardiac Presentation Of Covid-19 With Significant Sinus Pauses, Tarique S. Chachar, Salman K. Slais, Abdulrahman Almadani, Adel K. Hamad

Journal of the Saudi Heart Association

There is growing evidence of cardiac complications due to corona virus disease 2019 (COVID 19). Our case is a case of a young patient with COVID-19 and symptomatic sinus pauses.

A Multiloculated Left Ventricular Thrombus, Dinkar Bhasin, Gaurav K. Arora, Anunay Gupta, Hermohander S. Isser, Sandeep Bansal

Journal of the Saudi Heart Association

No abstract provided.

Entrapment Of A Partially Degloved Stent In The Radial Artery: Is There Any Way Out?, Nooraldaem Yousif, Husam A. Noor

Journal of the Saudi Heart Association

Stent loss during percutaneous coronary intervention (PCI) is uncommon but may lead to serious adverse events. Here we describe a challenging case of stent loss in the radial artery during primary PCI. There, a long stent failed to cross the culprit lesion, and an attempt to pull back the undeployed stent into the guiding catheter resulted in eversion of the stent, partially stripping it off the stent balloon and rendering the stent irretrievable. Retrieval of the stent at all costs might have led to major complications; hence stent deployment in the radial artery bailed us out of this precarious situation.

The Association Of Diurnal Blood Glucose Variability With Subclinical Cardiac Disease In Patients With Type 2 Diabetes Mellitus, Walid Shehab-Eldin, Ahmed Al-Ashmawy, Mahmoud Kamel, Nesrin Elhelbawy, Alaaeldin Dawood, Mostafa Elnajjar

Journal of the Saudi Heart Association

Background: The relationship between glycemic control and the risk of cardiac disease in patients with Type 2 Diabetes Mellitus (T2DM) is controversial. 1,5-Anhydroglucitol (1,5-AG) is a biomarker of Glucose Variability (GV) and has been associated with clinical cardiovascular disease. However, its association with Subclinical Cardiac Disease (SCD) is unknown. Aim of the work: Study the association between GV and SCD. Subjects and methods: A cross-sectional study was conducted on 46 asymptomatic patients with T2DM as T2DM individuals group. Another 46 non-diabetic age and sex matched subjects were included as the healthy group. 1,5-AG was measured for all subjects. M-mode echocardiography …

An Apical Mass Of The Left Ventricle After A Myocardial Infarction: Imaging Contribution, Selma Charfeddine, Wiem Feki, Imen Maaloul, Rania Hammami, Emna Daoud

Journal of the Saudi Heart Association

Intramyocardial dissecting hematoma (IDH) is a rare complication of myocardial infarction (MI). It can affect the left ventricular free wall, the right ventricle, or the interventricular septum.
We report a case of a 58-year-old man with an IDH following an acute anterior wall myocardial infarction detected by echocardiography and confirmed by Cardiac magnetic resonance (CMR).

Internal Medicine Point Of Care Ultrasound In The 21st Century: A ‘Focus’ On The Middle East, Arif Hussain, Irene W.Y. Ma

Journal of the Saudi Heart Association

No abstract provided.

Low-Grade Primary Leiomyosarcoma Of The Right Atrium: Promising Survival With Complete Surgical Resection, Meshaal S. Alotaibi, Shabir H. Shah, Mohammad S. Khan, Salman T. Almalki, Salman A. Faifi

Journal of the Saudi Heart Association

Primary cardiac leiomyosarcoma has an extremely low incidence with overall median survival of approximately 6 months. Here, We report the case of a 60-year-old man who underwent complete surgical excision of right atrial mass. Histologic examination revealed leiomyosarcoma. The patient made a full recovery with no evidence of recurrence at 24 months. To the best of our knowledge, this is the first reported case or primary cardiac leiomyosarcoma in the Middle East.

Percutaneous Tricuspid Valve In Failed Annuloplasty Ring And Paravalvular Leak Closure For Mechanical Aortic Valve- A Case Report, Hesham A. Naeim, Reda Abuelatta, Rifaat Alharach, Abderrahman Elhaj, Abdulaziz Alsuwayh, Mohamed Azmi

Journal of the Saudi Heart Association

Transcatheter valvular interventions are established as an alternative for surgery in selected patients in symptomatic high surgical risk patients. Tricuspid valve replacement after failed repair ring had limited experience to date. We report this case to highlight the procedure details and results.

Focused Cardiac Ultrasound Is Applicable To Internal Medicine And Critical Care But Skill Gaps Currently Limit Use, Naveed Mahmood, Mamdouh Souleymane, Rajkumar Rajendram, Amro Mt Ghazi, Mubashar Kharal, Mohammad Alqahtani

Journal of the Saudi Heart Association

Context: Coronavirus Disease 2019 (COVID-19) put a spotlight on focused cardiac ultrasound (FoCUS). However, the spectra of cardiac disease, and the resources available for investigation vary internationally. The applicability of FoCUS to internal (IM) and critical care medicine (CCM) practice in Saudi Arabia and their current use of FoCUS are unknown.

Aims: To determine the applicability of FoCUS to IM and CCM practice in Saudi Arabia and quantify the residents’ current proficiency, accreditation and use of FoCUS.

Methods: A questionnaire was distributed to the residents in IM and CCM at our institution to determine their proficiency, use of FoCUS, and …

The Role Of Microbiologic Agents In The Progression Of The Atherosclerosis: A Comprehensive Review, Ahmet Karabulut

Journal of the Saudi Heart Association

Atherosclerosis is a leading cause of disability, morbidity and mortality in the world. Atherosclerosis is accepted as a chronic progressive inflammatory disease. The inflammatory cascade in the vascular wall is well-defined. However, the predictors and contributors of the inflammatory response in atherosclerosis are not completely understood. Systemic and local inflammation, which enhance the burden of inflammation in the vascular wall, have been proposed as risk factors for the progression of atherosclerosis. Infectious micro-organisms are one of the major triggering factors for local and systemic inflammation. In this review, we aimed to emphasize the linkage between micro-organisms and the progression of …

Impact Of A Social Support Program Supervised By A Multidisciplinary Team On Psychosocial Distress And Knowledge About Heart Failure Among Heart Failure Patients, Muhammad Adil Soofi, Zainab Jafery, Faisal Alsamadi

Journal of the Saudi Heart Association

ABSTRACT:

Background: Heart failure drains significant financial resources with morbidity and mortality higher than cancer. Social support is defined as the care provided by the family members, friends and health care workers to the patients. Absence of social support and poor perceived social support will create stress, anxiety, depression and anger which further deteriorate the underlying disease and worsen quality of life. Discussion in group creates better understanding of the disease which helps the patients improving their skills in managing their condition.

Objective: To evaluate the impact of multidisciplinary team supervised social support program on components of psychosocial distress and …

Comparing Trimetazidine With Allopurinol In Prevention Of Contrast Induced Nephropathy After Coronary Angiography, Haitham Galal, Mahmoud Shehta, Sameh Attia, Islam Bastawy

Journal of the Saudi Heart Association

Objectives: Contrast-induced nephropathy is considered a serious complication following coronary angiography increasing morbidity and mortality. Various drugs have been assessed to reduce the incidence of contrast-induced nephropathy. In this study, we compared trimetazidine and allopurinol as a pharmacological measure to reduce the incidence of contrast-induced nephropathy.

Methods: One hundred and twenty patients undergoing coronary angiography with baseline creatinine clearance more than 30 ml/minute were divided into three groups, 40 patients each. Group 1 received standard parenteral intravenous hydration in the form of isotonic saline at a rate of 1 ml/kg body weight per hour started 12 hours before angiography and …

Transcatheter Aortic Valve Implantation: Bahrain Experience, Nooraldaem Yousif, Suddharsan Subbramaniyam, Babu Thevan, Mohammad Amin, Leena Sulaibikh, Nazar Bukamal, Habib Tareif, Sadananda Shivappa, Haitham Amin, Husam A. Noor

Journal of the Saudi Heart Association

STRUCTURED ABSTRACT

BACKGROUND: Transcatheter aortic valve implantation (TAVI) is a minimally invasive procedure that is considered a good alternative to surgical aortic valve replacement (sAVR) in selected patients. Our aim is to determine the baseline, procedural characteristics and one-year clinical outcomes of our TAVI registry.

METHODS: This study is a retrospective observational analysis of a prospectively designed cohort comprising 81 consecutive patients treated at Mohammed bin Khalifa Cardiac Centre (MKCC) who were enrolled in Bahrain TAVI registry from February 2014 to February 2019. The clinical endpoints were defined according to the updated Valve Academic Research Consortium-2 (VARC-2) consensus document.

RESULTS: …

Covid 19 Myocarditis: Myth Or Reality?, Lamyae Sasbou Md

Journal of the Saudi Heart Association

COVID 19 so far is not a known cardiotropic virus, and the term “myocarditis” should be exclusively used after EMB or autopsy proven diagnosis.

We report a case of 26-year-old man admitted for COVID 19 infection and symptoms leading to a myocarditis. We describe the workup that led to the potential diagnosis.

Diagnostic Accuracy Of Global Longitudinal Strain For Detecting Significant Coronary Artery Disease In Diabetic Patients Without Regional Wall Motion Abnormality, Oumaima Alaika, Souad Jamai, Nawal Doghmi, Mohamed Cherti

Journal of the Saudi Heart Association

Objectives:

Speckle-tracking imaging is a novel method for assessing left ventricular (LV) function and ischemic changes. The aim of this prospective study was to assess the diagnostic accuracy of global longitudinal strain (GLS) and regional longitudinal strain (RLS) parameters at rest in comparison to stress echocardiography findings for detecting significant coronary artery disease (CAD) in patients with diabetes mellitus (DM).

Methods:

We prospectively studied echocardiographic characteristics at rest with Speckle tracking echocardiography (2D STE) measures ; then stress echocardiography and coronary angiography data in 34 diabetic patients without regional wall motion abnormality (RWMA) at rest. Patients were grouped according to …

Increased Epicardial Adipose Tissue Is Associated With The Extent Of Aortic Dissection, Ahmet S. Yõlmaz

Journal of the Saudi Heart Association

Background: Epicardial adipose tissue (EAT) is a biologically active organ that has endocrine and paracrine functions. Endothelial dysfunction, systemic, and local inflammatory response, due to bio-active molecules produced by EAT, may affect aortic dissection propagation and extent. We investigated the association between EAT thickness and the extent of aortic dissection.

Methods: We retrospectively enrolled 78 patients with aortic dissection diagnosed by thoracoabdominal Computerized Tomography (CT). EAT was measured from the thickest part of the perpendicular plane between the pericardium and free wall of the right ventricle using CT. Aortic dissection length was measured from the beginning to the end of …

Subaortic Membrane And Patent Ductus Arteriosus In Rare Association-Case Series, Hussain Moafa, Mohammed Alnasef, Obayda M. Diraneyya, Fahad Alhabshan

Journal of the Saudi Heart Association

Background: The combination of subaortic membrane (SAM) and patent ductus arteriosus is very rare. Subaortic stenosis is the second most common form of left ventricular outflow tract (LVOT) obstruction after valvular aortic stenosis. We are reporting the largest case series of SAM and PDA. Methods: We included all patients that were diagnosed with the combination of SAM and PDA at our cardiac center. We have reviewed patients echocardiographic studies, cardiac catheterizations, surgical notes and all the outpatients notes. Results: We have a total of 7 patients. The age at presentation was in the early childhood with 3 patients diagnosed in …

Ultra Long Stent In An Aberrant Right Coronary Artery, Desabandhu Vinayakumar, Jomy Vadasseril Jose

Journal of the Saudi Heart Association

The prevalence of anomalous origin of right coronary artery from the left sinus is about 0.92%. A percutaneous coronary intervention (PCI) in such a vessel is challenging especially when maneuvering long stents. We report a case of 75- year old female patient with recent acute coronary syndrome. The angiogram showed significant lesions in the left anterior descending coronary artery and the left circumflex coronary artery with an aberrant RCA originating from the left sinus close to the origin of LMCA with multiple tight lesions. The aberrant RCA was stented with a 50 mm long stent. To the best of our …