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Mini Review
Ahmed N Ghanem View abstract
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The answer to the heading question is an affirmative yes! Not only persistence to elevate the central venous pressure (CVP) but also pulmonary capillary wedge pressure (PCWP) is among the fundamental commonly practiced but most misleading reasons for overzealous fluid infusion in managing haemodynamic shock of poly-trauma victims and inducing volumetric overload shock (VOS)...... -
Mini Review
G Morani, E Zimelli* View abstract
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Leadless pacemakers: a brand new technology with a low rate of lead and pocket complications compared to traditional transvenous pacing. What it is known until now, current issues and future perspectives......
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Review Article
Maciej Pawlikowski* View abstract
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Plenty has been written about the impact of arteriosclerosis, i.e. arterial biomineralization, on the functioning of human body. A little less information is available concerning the dissolution and prevention of such mineralization (calcium channel blockers etc.) [1,2]. The significance of even a small progress in “cleaning” the arteries cannot be overstated. By renewing the proper functioning of the cardiovascular system, it will restore proper functioning of tissue, organs, and other elements of the body, and in effect support removal or reduction of many diseases. It will lead to lasting rejuvenation of the body......
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Review Article
Edwin Tulloch Reid, Felix Nunura*, Daniel Nepaul, Mikael Tulloch Reid, Dania Baugh, Lloyd Einsiedel and Ernest Madu View abstract
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Background: Viruses have been implicated in the aetiology/pathogensis of unexplained dilated cardiomyopathy. 6% of adult Jamaicans are HTLV-1 seropositive. We therefore explored the relationship between HTLV-1 infectious cases and unexplained dilated cardiomyopathy in Jamaica. Methods: Thirteen patients were recruited from Kingston Public Hospital Cardiology clinic, to study HTLV-1 seroprevalence in patients with unexplained dilated cardiomyopathy (WHO criteria: LVEF< 45 %, LVIDd>117% of upper limit for age and BSA without evidence of coronary disease, severe hypertension, excess alcohol intake, valvular heart disease and HIV infection). The HTLV-1 seroprevalence in a group of patients without dilated cardiomyopathy registered in the cardiology clinic was then compared. HTLV- 1 antibodies were detected by ELISA and confirmed where posi.....
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Case Report
Joshua Newman, David Park and Frank Manetta* View abstract
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Pulmonary embolism may cause cardiac arrest secondary to obstruction of blood flow. Traditional treatment strategies include anticoagulation, thrombolysis, and mechanical extraction. Some advocate for support with extra corporeal membrane oxygenation (ECMO); however, surgical therapies are contraindicated following thrombolytics. We describe the emergent use of peripheral ECMO following thrombolytic therapy for a saddle pulmonary embolism associated with multiple episodes of cardiac arrest. The patient was stabilized with peripheral ECMO, anticoagulated and subsequently weaned from ECMO without any major bleeding complications. The administration of thrombolytics should not be a contraindication for ECMO in patients with massive pulmonary embolism associated with hemodynamic instability......
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Research Article
Volkov VP* View abstract
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Introduction: A neuroleptic cardiomyopathy NCMP belongs to secondary specific metabolic dilated cardiomyopathies. It is caused by side cardiotoxic effect of antipsychotic preparations. In its development NCMP passes three clinical stages: 1) latent, 2) developed and 3) terminal. Aim: A morphometric study of the macroscopic heart condition in each clinical stage of NCMP. Material and methods: The autopsy protocols of 80 dead persons with NCMP in various stages and of 100 persons who did not have any accompanying cardiac pathology were studied. For analysis of the received data the original author’s method that we had developed for such studies was used. Results: All macroscopic cardiac parameters in the case of NCMP statistically significantly differ from normal one, but no significant differences in various clinica.....
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Review Article
Mamotabo R Matshela* View abstract
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Although, an accurate initial diagnosis of acute myocarditis can be challenging to make, all patients with suspected acute myocarditis need a thorough diagnostic work-up and undergo a full imaging evaluation from the very outset to rule out other condition with a similar clinical picture. An acute myocarditis and acute myocardial infarction may musgarate each other, as a result a thorough evaluation is warranted to be certain of the diagnosis, and these patients should be managed in a high cardiac care setting. The diagnosis of an acute myocarditis is based on symptoms, elevated markers of myocardial necrosis, electrocardiographic and imaging modalities including echocardiographic changes. A broad range of diagnostic tools are warranted during the initia.....
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Research Article
VP Volkov* View abstract
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Aim: It is to summarize and in a new way to interpret the data, which have been earlier received, in order to prove the development of the hibernation of myocardium (HM) in cases of the neuroleptic cardiomyopathy (NCMP). Methods and results: Morphometric methods of research were used which meet modern requirements of the evidence-based medicine. The studied micro morphometric parameters describe the condition of three structural components of myocardium (vasculature, intercellular matrix, and parenchyma). Such parameters as zone of pericapillary diffusion (ZPD), Kernogan index (KI), SPR, RIE were calculated. Karyometry and cytometry of cardiomyocytes (CMCs) were performed, the specific volumes of hypertrophied CMCs (SVHC), of atrophied ones (SVAC), and – by the method of polarization microscopy – the specific volume of dystrophic o.....
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Research Article
Rodríguez Javier Eliecer*, Quintero Gómez Juan Camilo, Bravo Acevedo Sandra, Flores Posadas Uriel Eduardo, Flores Rodríguez Julio, Marin Herrera Luis and Santamaría Pérez Karla Noelly View abstract
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Introduction and objective: The 20 Meter Shuttle Run Test (20mSRT) is a cardiorespiratory fitness test that measures maximal aerobic power and indirectly maximum oxygen consumption; which, the larger it is, the greater the capacity of that organism to produce energy through aerobic metabolism. The objective was to compare the aerobic capacity and cardiopulmonary response of university students in Puebla, Mexico against university students in Cúcuta, Colombia. Materials and methods: Observational, descriptive and cross-sectional study with 2 groups of 100 participants of average age of 20.5±3 and 21±2 years for Mexicans and Colombians respectively. Anthropometry, vital signs, climatic conditions and the 20mSRT test were obtained. In addition, it was analyzed by means of the non-parametric Mann-Whitney test and then ANOVA with post ho.....
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Research Article
Furkalo SN* View abstract
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Chronic coronary occlusion (CTO) is fixed at 1 in 5 patients who underwent cardiac catheterization. Recanalization of chronic coronary occlusions is one of the most difficult for the technical performance of interventional procedures. Successful recanalization CTO associated with better survival compared to patients where the procedure of recanalization of occlusion was not successful. Thus, potential candidates for retrograde recanalization of chronic occlusions of coronary arteries may be: patients after a failed attempt of recanalization with clear indications and motivated to implement PCI; refractory angina with CTO of native coronary arteries after CABG; single-vessel coronary artery disease - RCA or the LAD with preserved left ventricular function and preserved kidney; patients with multivessel disease.....
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Research Article
Volkov VP* View abstract
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The study of various clinic aspects of Neuroleptic Cardiomyopathy (NCMP) associated with the side cardiotoxic effect of Antipsychotics (AP) is actual. With the purpose to track dynamics of the Blood Pressure (BP) in the process of development of NCMP data about 78 died patients with schizophrenia (men - 53, women - 25) in whom NCMP is found on autopsy were retrospectively analyzed. At the age of 50 years were 43 persons, 44 died in the first stage of the disease, 12 - in the second one, 22 - in the third one. The conducted research allows to draw the following conclusions: a) Frequency of this or that option the AP in all stages of NCMP doesn’t depend on the age of patients. b) In a latent stage significantly prevail hypo and a normotony. c) In the developed stage steadily normal and labile BP .....
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Research Article
Trainini Jorge*, Elencwajg Benjamín, López Cabanillas Néstor, Herreros Jesús, Lago Noemí, Lowenstein Jorge, Bustamante Munguira Juan and Trainini Alejandro View abstract
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Introduction and objectives: The ventricular myocardium consists of a continuous muscular band. This anatomy would provide the interpretation for two fundamental aspects of left ventricular dynamics: the mechanism of left ventricular twist and rapid diastolic filling due to the suction effect. The aim of this study was to investigate the electrical activation of the endocardial and epicardial bands to understand ventricular twist and the mechanism of active suction during the diastolic isovolumic phase. Methods: Five patients underwent three-dimensional endoepicardial electro anatomic mapping during ablation of lone atrial fibrilation or concealed epicardial accessory pathways. Results: Three-dimensional endo-epicardial mapping demonstrates an electrical activation sequence in the area of the a.....
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Review Article
Abhinav Aggarwal* View abstract
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Cardio-vascular disease (CVD) is one of the major causes of morbidity and mortality in Europe and world. It accounts for majority of spend on healthcare in European Union countries and is the second on the list. Non-calcific plaques form the majority of plaques and non-calcific & mixed plaques are responsible for majority cases of severe stenosis. Since non-calcific and mixed plaques are resolvable by intensive statin therapy and are responsible for majority of severe acute coronary related events (vulnerable plaques), coronary artery disease is preventable if proper screening is done which should lead to significant decrease in economic burden of cardio-vascular & cerebro-vascular diseases. These findings warrant a discussion on systemic screening program for the same through CT coronary angiography......
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Mini Review
Tarun Saxena* Azeema Ozefa Ali and Manjari Saxena View abstract
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Obesity is a worldwide increasing problem. It is observed in the medical outdoor that certain people who by definition of obesity (BMI) are obese but do not have any obesity related medical diseases. Is there any discrepancy in the obesity of these people from the others? This review article has tried to answer such questions......
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Research Article
Kenan Abdurrahman Kara, Zafer Erk, Aytuğ Koçyiğit, Şenol Gülmen and Hüseyin Okutan View abstract
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Introduction: Recovery failures such as sternal dehiscence, sternal pain, sternal wound infections, osteomyelit and mediastinit can be seen after median sternotomy in coroner bypass surgery. In this study, two sternum band closure methods which we find more effective and secure than conventional sternal closure method are compared. Method: In this prospective study that compares two sternal band closure techniques, 114 patients are divided in two groups as Group A (n=54) and Group B (n=60). This research compares the results for sternal dehiscence, sternal wound infections, sternal pain and mediastinit in these patient groups between December 2011 and July 2012. Results: Out of the two, a meaningful recovery is achieved in Group A compared to Group B (p<0.05). No superficial woud infection, sternal dehiscence and mediastinit are.....
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Research Article
Felix Nunura* View abstract
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Heart Failure is a worldwide burden. The prevalence, incidence, mortality and morbidity rates reported show geographic variations, depending on the different aetiologies and clinical characteristics observed among patients with this complex syndrome. In this review we focus on the Afro Caribbean population with Heart Failure providing data review about the Heart Failure etiology based in previous Clinical Trials In addition we provide suggestions based in these Trials and our recent observational clinical studies that might be useful to improve our current Heart Failure Guideline-Directed Medical Therapy . Finally we highlight the need for more regional research.....
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Case Report
Guglielmo Saitto* and Zeitani J View abstract
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Thoracic endovascular aortic repair (TEVAR) is considered a safe and feasible technique especially in complex cases. One of the most catastrophic complications during follow up is modular disconnection. When modular disconnection occurs, end leak is massive and risk of mortality is dramatically increased. We report our findings during follow up of a 49 years male underwent ascending aorta replacement for acute Type A aortic dissection and subsequently surgical replacement of aortic arch and TEVAR due to huge enlargement of the thoraco-abdominal false lumen. Our analysis suggest us more attention on topographic changes of the prostheses to prevent this fatal complications......
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Review Article
Carlos Alberto Paterno Marchioli* View abstract
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The first identification about gout as clinical entity was made by the Egyptians in the year 2640 b.C. (Schwartz 2006). For many centuries it was not unveil the mystery of the origin of the illness. Gout is the unique pathology that belongs to the human race. When uric acid is deposited in the articulate tissue produce an intense inflammation, basic element in the development of gout. Interesting is the evidence of ultra sonographic signs of monosodium urate crystalline articulate deposits in 25% of clinically asymptomatic hyperuricaemic subjects (more than 8mg/ dL) [1], and approximately 9% of the joints without clinical signs of flogosis [2]. Large epidemiological studies have now demonstrated that gout is an independent risk factor for incident coronary heart disease, [3-6] heart failure, [7] stroke [8] peripheral artery disease [9] an.....
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Research Article
Ram Shran Mehta* and Erina Shrestha View abstract
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Hypertension is a global public health issue that affects approximately 1 billion people worldwide in both developed and developing countries. It is also considered as an ‘Iceberg’ disease’ because unknown morbidity far exceeds the known morbidity. High blood pressure (BP) is ranked as the third most important risk factor for at attributable burden of disease in South Asia. With an aim to determine the profile of the hypertensive patients a retrospective cross-sectional study design was used to analyze the medical record of 1311 patients admitted with the primary diagnosis of hypertension at BPKIHS January 2005 to May 2016. The study revealed that majority (82.4%) of the patients was above 40 years of age with the mean age of 57.14 ±17.5. More than half (53.5%) of the patients were male. Almost half (49.4%) of the patients were fro.....
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Case Report
Ranjan Modi*, Prabhu Halkati and Suresh Patted View abstract
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Coronary artery fistulae are communication between coronary arteries and other structures like cardiac chamber (coronary cameral fistula) or a vein (coronary arteriovenous fistula). Coronary fistulae account for 0.2 to 0.4% of the congenital cardiac abnormalities. We present a 20 day old baby with coronary cameral fistula of the right coronary ostium which was draining into the right ventricle then right atrium and into the pulmonary artery......
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