International Journal of Clinical Cardiology is an open access journal which publishes original clinical research in cardiology. This peer review journal publishes original articles, case reports and reviews targeted to cardiologists, cardiology researchers across the globe. The Journal welcomes submission of papers from experts, clinical academics and researchers. The journal publishes the latest findings in cardiovascular medicine, cardiovascular diseases and observational studies. The journal publishes original communications of scientific excellence concerned with clinical research on cardiology, clinical approach to the diagnosis and treatment of cardiovascular disease.

Through open access it expands shared knowledge across doctors; it provides the free, immediate, availability of the published work online. This journal also involved into publishing news with time by time developments and advances in research of various clinical advancements and their treatments. The journal also publishes all types of article like reviews, commentaries, case reports and many more. We mainly strengthen and request the authors to submit the results with the clear and detailed explanation to follow by the rigorous review process.

 
Journal Information

Title: International Journal of Clinical Cardiology

ISSN: 2378-2951

Editor-in-chief: Breijo-Marquez

NLM title abbreviation: Int J Clin Cardiol

ISO abbreviation: Int J Clin Cardiol

Other titles: IJCC

Category: Cardiology

Country of publication: USA

Language: English

DOI: 10.23937/2378-2951

Publication format (s): Electronic and print

Publication policy: Open Access; COPE guide

Peer review: Double blind

Review speed: 3 weeks

Fast-track review: 10 days

Publication type(s): Periodicals

Publisher: ClinMed International Library

Contact email: contact@clinmedjournals.org

 
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 Open Access DOI:10.23937/2378-2951/1410120

Recurrent Prosthetic Thrombosis: About a Case

Blanca Alcon Duran

Article Type: Case Report | First Published: June 25, 2018

Bioprosthetic valve thrombosis (BPVT) is considered to be a rather unusual complication among this type of prosthesis. However, several recent data show the importance of a careful diagnosis and the adequate discrimination with respect to other possible complications, which may be the cause of an underestimation of its incidence. We present the case of a woman with biological prosthesis thrombosis after a mechanical prosthesis thrombosis....
 

 Open Access DOI:10.23937/2378-2951/1410119

Acute Mechanical Valve Thrombosis in the Setting of Unusual Aetiology

Zain Sharif, Cian O' Carroll-Lolait, David Moore and Bryan Loo

Article Type: Case Report | First Published: June 04, 2018

A 65-year-old caucasian man with a history of aortic valve replacement with a St. Jude bi-leaflet mechanical prosthesis in 1984, mitral valve replacement in 2004 with Edwards Starr Ball and Cage prosthesis, atrial fibrillation and ulcerative colitis presented to our emergency department with central chest pain radiating to his jaw with associated diaphoresis and nausea. Symptom onset was an hour pre-admission....
 

 Open Access DOI:10.23937/2378-2951/1410118

Medically Managed Iatrogenic Aortic Dissection: A Safer Option for a Dangerous Condition?

Evan D Levine, Arber Kodra, Rachel M Bond, Fadi Khoury, Dan Inder S Sraow and Georges Y Nseir

Article Type: Case Report | First Published: June 04, 2018

Iatrogenic aortic dissection is a rare complication of both diagnostic and interventional coronary angiography. In the few case studies that have been reported in current medical literature, surgical management was generally opted for; however, with poor overall outcomes. Given these unfavorable outcomes, a different treatment strategy should be considered. We report a case of iatrogenic aortic dissection successfully treated with intensive medic...
 

 Open Access DOI:10.23937/2378-2951/1410117

Diagnosis and Endovascular Management of Segmental Heel Ischemia

Miguel Montero-Baker, Bernadino Castelo Branco Rocha, David G Armstrong, Kay R Goshima, John Miller and Joseph L Mills Sr

Article Type: Original Article | First Published: June 04, 2018

Diabetic foot ulcers are common, costly, frequently recurrent and chronic. Once infected they all too often are the precursors of major limb amputation. Increased pressure decreased angiogenic response, neuropathy, trauma and deformity all contribute in varying degrees to the pathogenesis of these ulcers. Patients with limited mobility are at higher risk of developing an even more morbid subtype of diabetic foot complication: The heel ulcer....
 

 Open Access DOI:10.23937/2378-2951/1410116

What if the Ventricle was Innocent for Once? The Infrequent Case of a Guilty Atrium

Angelica Abbate, Giulia Teresi, Davide Piraino, Giuseppe Andolina and Pasquale Assennato

Article Type: Letter To Editor | First Published: June 04, 2018

An 82-year-old man with chronic atrial fibrillation was admitted to our department for progressive dyspnea, III NYHA class. Almost 10 years ago, he underwent replacing of mitral valve with a mechanical prosthesis CarboMedics size 31 (Sorin Group - Milan, Italy) due to severe mitral valve insufficiency and plastic of tricuspid valve due to moderate - severe insufficiency....
 

 Open Access DOI:10.23937/2378-2951/1410115

Cardiovascular Risk in Patients with Chronic Kidney Disease is Associated with Decrease of HDL Levels

Cicera Jacqueline da Conceicao Silva, Rafaely Pereira de Alencar, Leticia Miranda Tenorio, Nathanielly Lima da Silva, Amanda Feitosa de Barros, Chiara Rachel Maciel Marinho and Raphael de Souza Pinto

Article Type: Research Article | First Published: June 04, 2018

Cardiovascular diseases are the leading causes of death in patients undergoing hemodialysis. Despite new treatments and advances in dialysis processes, patients with chronic kidney disease (CKD) have 10 to 20 times higher mortality rate from cardiovascular disease compared to geral population....
 

 Open Access DOI:10.23937/2378-2951/1410114

Three-Year Follow-Up of a Single-Center Series of Patients with Device-Aided Left Atrial Appendage Closure and Strict Echocardiographic Control

Jose Ramon Lopez-Minguez, Juan Manuel Nogales-Asensio, Victoria Millan-Nunez, Patricia Marquez-Marquez, Bruno Blenga-Limpo, Carmen Garcia Corrales, Diego Felix Arroyo-Monino, Concepcion Lopez-Fernandez, Eugenia Fuentes-Canamero, Reyes Gonzalez-Fernandez and Antonio Merchan-Herrera

Article Type: Research Article | First Published: June 01, 2018

Non-valvular atrial fibrillation (NVAF) is a significant health problem, particularly in the older population. Since the introduction of novel oral anticoagulants (novel OAC), greater numbers of patients at risk of stroke who previously were not candidates for oral anticoagulation (OAC) with warfarin or acenocumarol due to the risk of bleeding are now being treated. Until then, up to 30%-40% of patients who needed OAC treatment were not treated d...
 

 Open Access DOI:10.23937/2378-2951/1410113

Cardiovascular Risk Assessment of Dyslipidemic Middle-Aged Adults without Overt Cardiovascular Disease over the Period of 2009-2016 in Lithuania

Sandra Kutkiene, Zaneta Petrulioniene, Aleksandras Laucevicius, Pranas Serpytis, Justina Staigyte, Akvile Saulyte, Emilija Petrulionyte, Urte Gargalskaite, Egle Skiauteryte, Gabija Matuzeviciene, Milda Kovaite, Egidija Rinkuniene and Vilma Dzenkeviciute

Article Type: Research Article | First Published: May 23, 2018

Cardiovascular mortality in Lithuania is extremely high and abnormal lipid levels are very common among Lithuanian adults. Dyslipidemia is one of the main independent risk factors for cardiovascular diseases (CVD) leading to high absolute CVD risk. The aim of this study was to assess CVD risk in dyslipidemic middle-aged subjects....
 

 Open Access DOI:10.23937/2378-2951/1410112

Less Phosphorus, More Problems: Hypophosphatemia Induced Polymorphic Ventricular Tachycardia in a Young Male

Robin Jacob, Ritesh S. Patel and Francisco Fuentes

Article Type: Case Report | First Published: May 12, 2018

It is well known that electrolyte derangements such as hypokalemia, hypomagnesaemia, and hypocalcaemia can potentially cause dangerous arrhythmias in hospitalized patients. This can be a common concern for acute care physicians, as the occurrence of arrhythmias predisposes patients to higher morbidity, mortality, and longer length of stay. Phosphorus, however, has been less studied....
 

 Open Access DOI:10.23937/2378-2951/1410111

Emergent Repair of Cardiac Rupture and Successful AF Ablation Procedure

Sahin Iscan, Bortecin Eygi and Koksal Donmez

Article Type: Case Report | First Published: May 10, 2018

Today, ablation techniques for atrial fibrillation (AF) are successfully increasing but catheter ablation may have important complication risks. We report the case of a 56-year-old woman with chronic AF who had left atrial rupture during catheter ablation. Echocardiography showed pericardial effusion during procedure and she was operated immediately. Left atrial rupture repaired with sternotomy. After stabilizing the hemodynamic and metabolic parameters, intraoperative bipolar ablation was perfo...
 

 Open Access DOI:10.23937/2378-2951/1410110

Mass Regression after Aortic Valve Replacement in Aortic Stenosis: A Comparison between "Appropriate" and "Inappropriate" Left Ventricular Hypertrophy

Giordano Tasca, FrancescoTrinca, Beatrice Riva, Douglas Skouse, Elisabetta Lobiati, Caterina Chiara DeCarlini and Amando Gamba

Article Type: Research Article | First Published: April 11, 2018

Left ventricular (LV) hypertrophy is a form of adaptation to a chronic cardiac overload. In the setting of aortic stenosis (AS), LV hypertrophy develops to limit the increase of LV systolic wall stress. Aortic valve replacement (AVR), is expected to eliminate the LV burden, inducing regression of LV hypertrophy....
 

 Open Access DOI:10.23937/2378-2951/1410109

Transplant Renal Artery Stenosis Secondary to De Novo Fibromuscular Dysplasia

Gabriel A Hernandez, Abhijt Ghatak, Jorge M Diego and Eduardo De Marchena

Article Type: Case Report | First Published: February 16, 2018

We present a patient who developed post kidney transplant renovascular hypertension due to Fibromuscular dysplasia, which was unseen on donor's renal artery angiography. The temporal relationship to the clinically manifested hypertension and the patient's profound weight loss makes us postulate her intra-abdominal fat redistribution led to nephroptosis of the transplanted kidney, causing stretching of the renal artery, exaggerating the Fibromuscu...
 

 Open Access DOI:10.23937/2378-2951/1410108

Ventricular Tachycardia after Use of Zuclopenthixol Decanoate (Clopixol® Depot) for the Treatment of Psychotic Illnesses: The First Case in the Literature

Emre Ozdemir Farris, Mustafa Karaca and Mehmet Serdar Bayata

Article Type: Case Report | First Published: February 14, 2018

Certain drugs can induce ventricular tachycardia (VT) in a different mechanism. Most knowed mechanisms are creating new reentry, enhancing ventricular after potentials or exaggerating the slope of phase 4. These kind of arrhythmias can or can not be symptomatic, sustained or non-sustained and have variable ECG changes: Monomorphic or polymorphic ventriculer extras, bidirectional or torsades de pointes ventricular tachyarrhythmias. Zuclopenthixol ...
 

 Open Access DOI:10.23937/2378-2951/1410107

Platypnea-Orthodeoxia Syndrome: Positional Reversal of the Interatrial Pressure Gradient Demonstrated by Atrial Septal Motion

Serio Farris and Serio M Kerala

Article Type: Case Report | First Published: January 11, 2018

Platypnea-Orthodeoxia Syndrome (POS) is a rare clinical syndrome characterized by dyspnea and hypoxemia while upright that are relieved when the patient is supine. A right to left shunt in combination with several hypothesized hemodynamic or structural factors are needed to develop the syndrome. It is an important source of dyspnea in a small percentage of often-elderly patients. The exact mechanism for the positional increase in the shunt has re...
 

 Open Access DOI:10.23937/2378-2951/1410106

Adenosine Stress Myocardial Perfusion Scintigraphy and Echocardiography Application with Same Infusion

Zehra Pinar Koc, Necati Dagli, Tansel Ansal Balci, Ilgin Karaca, Ferat Kepenek and Tolga Cakmak

Article Type: Research Article | First Published: December 30, 2017

Stress Echo was performed by an experienced cardiologist and MPS results were interpreted by an experienced nuclear medicine physician who didn't know stress Echo results according to 17 segment models. Sixteen patients underwent coronary angiography. Ischemia territory size in both the adenosine stress Echo and MPS were recorded and compared in segment and in patient basis....
 

 Open Access DOI:10.23937/2378-2951/1410105

The Heart Remembers: Anterior T wave inversions in a Patient with Intermittent Left Bundle Branch Block

Janaki Rami Reddy Manne

Article Type: Case Report | First Published: October 11, 2017

Even though the new onset of T wave inversions on the electrocardiogram is always an alarming finding, but they are not always pathognomonic of myocardial ischemia. Many cardiac and non-cardiac conditions have been described in association with T wave inversions on the electrocardiogram....
 

 Open Access DOI:10.23937/2378-2951/1410104

Giant Right Atrium or Ebstein Anomaly?

Hacer Kamalı, Abdullah Erdem, Cengiz Erol and Atıf Akçevin

Article Type: Case Report | First Published: October 09, 2017

Many acquired and congenital pathologies could cause enlargement of Right Atrium (RA). In rare pathologies we couldn't find an obvious reason for enlargement of RA. Sometimes it leads to misdiagnosis if we try to explain an unknown pathology with well known pathology....
 

 Open Access DOI:10.23937/2378-2951/1410103

Endothelial Function for Cardiovascular Disease Prevention and Management

Minako Yamaoka-Tojo

Article Type: Review Article | First Published: September 27, 2017

Endothelium is a layer of the endothelial cells lining to the lumen of blood vessels, lymphatic vessels, the heart and other organs. Vascular endothelium is considered to be the largest endocrine organ in human body. Its total weight is about 1.5 kg, and it is responsible for maintaining homeostasis of the living body by exerting various functions....
 

 Open Access DOI:10.23937/2378-2951/1410102

A Feasibility Pilot Study to Assess the Efficacy of NavX Guided Detection of Pulmonary Vein Electrograms during Atrial Fibrillation Ablation [NavX Guided Detection of Pulmonary Vein Electrograms]

Yaariv Khaykin, Pouria Alipour, Meysam Pirbaglou, Paul Ritvo, Zahra Azizi, Zaev Wulffhart, Bonnie Whaley, David Giewercer, Kellie Winger and Atul Verma

Article Type: Research Article | First Published: September 25, 2017

Pulmonary Vein Antrum Isolation (PVAI) targeting PV triggers is an established treatment for paroxysmal Atrial Fibrillation (AF). Ablation lesions are typically delivered around the entire circumference of each individual PV. This study tested a strategy where electrical inputs to the PVs were mapped using the NavX system and selectively targeted before ablation....
 

 Open Access DOI:10.23937/2378-2951/1410101

Value of a New QT Interval Correction Formula in Adjusting for Increases in Heart Rate

Simon W Rabkin

Article Type: Research Article | First Published: August 03, 2017

QT interval correction for heart rate (QTc) is essential for clinical usage. A new QTc formula has been developed based on a data agnostic mathematical approach in a large population ECG data base. The formula requires testing on a within individual basis under conditions of intervention to increase heart rate....
 

 Open Access DOI:10.23937/2378-2951/1410100

Why Cardiac Resynchronization Therapy (CRT) is Usually Prescribed along with Automatic Implantable Defibrillation (AID)? Is it a Sensible Decision? Historical Perspective

Max E Valentinuzzi

Article Type: Critical Review | First Published: July 26, 2017

The objective of this paper tries to answer the questions posed in the title, that is, why Cardiac Resynchronization Therapy (CRT) is usually prescribed along with Automatic Implantable Defibrillation (AID)? Is it a sensible decision? For that matter....
 

 Open Access DOI:10.23937/2378-2951/1410099

A Case of Sudden Unexpected Death with the Presence of Multiple Myocardial Bridges

Naoki Nishida and Yukiko Hata

Article Type: Case Report | First Published: June 26, 2017

We present an autopsy case of a 66-year-old man who died during walking. Besides a history of hypertension for 5 years, mild chest oppression appeared to occur shortly before death. A full autopsy and the police examination concluded that the cause of death was sudden cardiac death....
 

 Open Access DOI:10.23937/2378-2951/1410098

Left Atrial Wall Thickness and Pulmonary Vein Size are Increased in Patients with Atrial Fibrillation Compared to Healthy Controls - A Multidetector Computed Tomography Study

Anna F Thomsen J Tobias Kuhl, Klaus F Kofoed, Andreas Fuchs, Patricia M Udholm, Jakob B Norsk, Xu Chen, Steen Pehrson, Borge G Nordestgaard, Lars Kober and Peter K Jacobsen

Article Type: Research Article | First Published: June 26, 2017

Atrial Fibrillation (AF) is the most common cardiac arrhythmia and a cause of increased morbidity and mortality. Left Atrial (LA) tissue characteristics play an important role in the pathogenesis of AF. Catheter ablation of AF has emerged as a popular treatment option, however predictors of treatment success are not clearly defined....
 

 Open Access DOI:10.23937/2378-2951/1410097

Long Term High-Fat Diet-Induced Modification of Vascular Wall and Perivascular Adipose Tissue-Mediated Oxidative Stress: Consequences for Endothelium-Independent Vascular Function in Rats

Caroline Sanchez, Vincent Achard, Michel Grino and Stephane Tanguy

Article Type: Research Article | First Published: June 24, 2017

Visceral obesity, a feature of the metabolic syndrome, is associated with metabolic and cardiovascular diseases. Our aim was to study the influence of increased fat intake, a major determinant of central obesity, on Smooth Muscle Cells (SMC) reactivity and its interaction with Perivascular Adipose Tissue (PVAT), which plays an important role in the local regulation of vascular function, with a special emphasis on oxidative stress....
 

 Open Access DOI:10.23937/2378-2951/1410096

Pulmonary Artery Agenesis in Young Adult - Two Case Reports

Walter Serra Francesco Tafuni, Nicola Sverzellati, Maria Alberta Cattabiani and Angelo Placci

Article Type: Case Report | First Published: June 08, 2017

A 21-year-old woman presented for a history of exertional dyspnoea and atypical chest pain. No history of allergies or tuberculosis. A chest X-ray showed asymmetry of the chest walls from a reduced expansion of the right lung caused by parenchymal loss and right deviation of the mediastinum and ipsilateral elevation of the diaphragm....
 

 Open Access DOI:10.23937/2378-2951/1410095

A Case of Coronary Artery Spasm Associated with Lisdexamfetamine Use

Harmony R Reynolds and Leon H Charney

Article Type: Case Report | First Published: April 13, 2017

Coronary artery spasm is a cause of myocardial infarction with non-obstructive coronary arteries (MINOCA). Coronary spasm may occur spontaneously or in response to prescribed or illicit drugs. Myocardial injury and cardiomyopathies have been reported in association with the use of stimulants in children and adults with attention deficit hyperactivity disorder (ADHD)....
 

 Open Access DOI:10.23937/2378-2951/1410094

Intravenous Immunoglobulins in the Management of Parvovirus B19 Induced Fulminant Myocarditis: Case Report

Maysa Saleh and Samir Sajwany

Article Type: Case Report | First Published: April 01, 2017

One-year-old boy was admitted to a hospital suffering from acute myocarditis, dilated cardiomyopathy and congestive heart failure. He was experiencing vomiting for 2 days, breathing difficulty and poor oral intake. In view of deterioration of his condition that has required ventilator support, inotropes, anti-failure medications and antibiotics, hence, he was transferred to our hospital....
 

 Open Access DOI:10.23937/2378-2951/1410093

Early Therapy with Beta Blockers Plus Ivabradine Versus Beta Blockers Alone in Patients Hospitalised with Heart Failure and Reduced Ejection Fraction (ETHIC-AHF Study): Results at One-Year Follow-Up

Francisco J Hidalgo, Francisco Carrasco, Juan C Castillo, Sara Rodriguez, Laura Pardo, Enrique Duran, Carlos Ferreiro, Jose Sanchez, Monica Delgado, Dolores Mesa, Martin Ruiz and Manuel Anguita

Article Type: Original Article | First Published: March 06, 2017

Heart rate (Hr) has prognostic value in patients with heart failure, depressed ejection fraction (HFrEF) and sinus rhythm. Objective: Is to analyze the effect of the early co-administration of ivabradine added to beta-blockers (intervention group) versus only beta blockers (control group) in patients hospitalized with HFrEF on Hr and clinical and functional outcomes at long term. ...
 

 Open Access DOI:10.23937/2378-2951/1410092

Pattern of Gender Variations in Acute Coronary Syndrome for Patients in Kuwait (Pagacks Study)

Jadan Alsaddah, Mohammad Almutairi, Wael Aboshokka, Saad Alkandari, PRS Remya and Hany Younan

Article Type: Original Article | First Published: February 25, 2017

Acute coronary syndrome (ACS) is a major cause of morbidity and mortality globally. The world has started laying emphasis on risk stratification based on gender differences. Hence, there seemed to be a void to be filled regarding ACS which aimed to identify patient characteristics (especially gender) and clinical management, as well as angiographic, PCI, and hospital outcomes in Kuwait....
 

 Open Access DOI:10.23937/2378-2951/1410091

Screening for Familial Hypercholesterolemia: West and North Zone in Manaus-Amazonas

Marco A Trujillo, Haydee M Carmona and Jorge T Mendoza

Article Type: Perspective | First Published: February 23, 2017

In the city Manaus, Amazonas, with the Dutch Lipid Register Network. Were analyzed 1294 lipid profiles, of the North and West zone of city, neither with DMII, between June 2014 and March 2015, from people aged range 18 to 77 years old. Whose clinical history of familial cardiovascular disease (CVD) was wondered....
 

 Open Access DOI:10.23937/2378-2951/1410090

Gender Effects on Coronary Artery Flow and Left Ventricular Function in Patients with Acute Anterior ST Elevation Myocardial Infarction (STEMI) after Primary Coronary Angioplasty

Dawod Sharif, Saeed Khaleeliah, Amal Sharif-Rasslan and Uri Rosenschein

Article Type: Original Article | First Published: February 21, 2017

Coronary disease is the most frequent disease and cause of mortality in women. The aim of this study was to examine gender effects in acute anterior ST-elevation myocardial infarction (STEMI) and primary percutaneous intervention (PPCI) on coronary artery and myocardial perfusion and left ventricular systolic function....
 

 Open Access DOI:10.23937/2378-2951/1410089

Type A Aortic Dissection in an Asymptomatic 28-Week Pregnant Patient with Marfan Syndrome

Mario Gioia, Reehan Shahzad and Jordan Safirstein

Article Type: Case Report | First Published: January 21, 2017

Acute aortic dissection during pregnancy is a rare and potentially fatal disease. Connective tissues disorders, including Marfan syndrome, in combination with the physiological stress of pregnancy and delivery substantially increase the risk of aortic dissection. It is vital to recognize symptoms early, if present, in order to undergo medical and surgical management to increase the chance of survival....
 

 Open Access DOI:10.23937/2378-2951/1410088

Timing of Catheterization Post Cabg Surgery: (Tic-Postcabg)

Nasser Hayat, Jadan Al Saddah, Mohammad Al Mutairi, Mariam Abdulla Almelahi and PRS Remya

Article Type: Original Article | First Published: January 20, 2017

Post coronary artery bypass graft (CABG) patients were arbitrarily divided into 2 groups at the time of cardiac catheterization. Catheterization was performed because of ischemic manifestations. Group A had their surgery less than 5 years. Group B had their surgery more than 5 years....
 

 Open Access DOI:10.23937/2378-2951/1410087

Validation and Simplification of a Scoring Model Derived for Prediction of Poor Coronary Collateral Circulation in Acute Non-St Elevation Myocardial Infarction

Mehmet İleri, Koray Gursel, Funda Basyigit, Pınar Turker Bayır, Deniz Sahin, Umit Guray, Ozgul Ucar, Burak Acer and Yahya Buyukasık

Article Type: Research Article | First Published: September 20, 2016

Determinants of coronary collateral circulation (CCC) in human heart are still incompletely identified. In acute non-ST elevation myocardial infarction (NSTEMI), abrupt vessel occlusion results in myocardial necrosis in the jeopardized area. Angiographic collaterals to myocardial tissue distal to an acutely occluded coronary vessel can reduce infarct size and risk for post-infarct complications as well as infarct related mortality. These prognost...
 

 Open Access DOI:10.23937/2378-2951/1410086

Coronary-Cameral Fistula Presenting as Worsening Refractory Heart Failure

Dhruti Mankodi, Ashish Sharma, Fulvia Banu, Sameer Shaharyar, Pedro Martinez-Clark and Ali Bazzi

Article Type: Case Report | First Published: August 12, 2016

Coronary-cameral fistula (CCF) is a rare condition most commonly caused by an embryologic developmental anomaly. Fifty-five percent of CCFs originate from the right coronary artery, 35% from the left coronary artery, and 5% from both. More than 90% of them drain into the venous system and low pressure sites such as the right ventricle (41%), right atrium (26%), pulmonary artery (17%) and only 3% drain into the left ventricle or atrium....
 

 Open Access DOI:10.23937/2378-2951/1410085

Progress in an Adult Male Suffering from Coronary Artery Ectasia as Assessed with Exercise Stress Testing: A Nine-Year Case Report

Charles Micallef

Article Type: Case Report | First Published: August 11, 2016

A nine-year history of a young to middle-aged male who was diagnosed with coronary artery ectasia after presenting with impaired vision in one of his eyes is presented. Throughout this period, four exercise stress tests were carried out and improvements were noted: from a positive stress test indicative of myocardial ischemia, the outcome gradually progressed to negative. A distinct feature of this case is that the patient was only on moderate st...
 

 Open Access DOI:10.23937/2378-2951/1410084

Dilated Cardiomyopathy due to Vitamin D Deficiency

Nalan Karabayir, Kelesoglu E, Helen Bornau, Kazim Oztarhan, Aktas D and Erdem A

Article Type: Case Series | First Published: August 06, 2016

Dilated cardiomyopathy, which mostly has an idiopathic etiology or is caused by genetic inheritance or infection, may cause irreversible congestive heart failure. Hypocalcemia is a rare etiology of reversible dilated cardiomyopathy. Cardiogenic shock related to hypocalcemic cardiomyopathy is a rare event. Here we report two cases with congestive heart failure who was diagnosed as having dilated cardiomyopathy secondary to hypocalcemia....
 

 Open Access DOI:10.23937/2378-2951/1410083

Successful Surgical Embolectomy for Acute Massive Pulmonary Embolism in Pregnant Woman

Nobuhiko Hiraiwa, Kohei Abe, Kunihiko Yoshino, Manabu Yamasaki and Hiroyasu Misumi

Article Type: Case Report | First Published: July 30, 2016

A 28-year-old pregnant woman was admitted to our hospital with tonic seizure and dyspnea, and was diagnosed with acute massive pulmonary embolism. An emergency surgical embolectomy was performed under cardiopulmonary bypass (CPB). Several fragments of the thrombi were carefully removed from the right and the main pulmonary arteries, and sufficient back-flow from the pulmonary artery was established. The postoperative course was uneventful. After ...
 

 Open Access DOI:10.23937/2378-2951/1410082

Circulating Endothelial Cells, Flow Mediated Dilatation % as Markers of Endothelial Dysfunction in Paroxysmal Lone Atrial Fibrillation

Rania Gaber, Wessam Salah Ibrahim and Manal Hamesa

Article Type: Research Article | First Published: July 30, 2016

Atrial Fibrillation (AF) is the commonest arrhythmia encountered in clinical practice and is increasingly considered as an emerging health epidemic. Despite rapidly evolving treatment strategies, AF presents a complex management challenge to the physician and is now attracting substantial clinical and academic interest because of a strong association with substantial mortality and morbidity....
 

 Open Access DOI:10.23937/2378-2951/1410081

Evaluation of Left Ventricular Systolic Function Immediately after Pulmonary Vein Isolation in Patients with Chronic Atrial Fibrillation using Speckle Tracking Echocardiography

Hisao Matsuda, Tomoo Harada, Yui Nakayama, Marika Yamada, Yasushi Takagi, Makoto Takano, Ikutarou Nakajima, Emi Nakano, Yukako Takimura, Satoru Nishio, Toshiyuki Furukawa, Hidekazu Miyazaki and Yoshihiro J Akashi

Article Type: Original Article | First Published: July 18, 2016

Background:The effect of pulmonary vein isolation (PVI) on left ventricular (LV) function after restoration of sinus rhythm remains unclear in patients with chronic atrial fibrillation (CAF). This study aimed to evaluate LV systolic function in the early phase after PVI using speckle tracking echocardiography. Methods:Twelve patients with CAF could be restored to sinus rhythm by PVI and maintained sinus rhythm after PVI. Echocardiography was per...
 

 Open Access DOI:10.23937/2378-2951/1410080

Transcatheter Closure of Large Bilateral Coronary Arteriovenous Fistulae using Amplatzer Vascular Plugs

Akika Ando, Adnan Bhopalwala and Christian Spies

Article Type: Case Report | First Published: June 23, 2016

A coronary arteriovenous (AV) fistula is defined as a connection between one or more coronary arteries and a cardiac chamber or great vessel, bypassing the myocardial capillary bed. For symptomatic patients, surgical intervention is the standard treatment plan. Recently, the use of transcatheter vascular plugs for the percutaneous closure of coronary AV fistulae has been reported in a few selected cases. We report the case of a 66-year-old woman ...
 

 Open Access DOI:10.23937/2378-2951/1410079

Myocardial Infarction in Young versus Older Adults: An Analysis of Differences in Proportion, Risk Factors, Clinical Demographics, Angiographic Findings and in-Hospital Outcomes

Nadim Shah, Christopher Wang, Vanessa Lee, Nicholas Cox, Chiew Wong, Anne-Maree Kelly and Kean Soon

Article Type: Original Article | First Published: May 28, 2016

Background: Coronary heart disease (CHD) remains a major cause of death worldwide. This study looked at the proportions, demographics, risk profile, angiographic data and in-hospital outcomes of young versus older myocardial infarction (MI) patients presenting to a community teaching hospital in Melbourne, Australia. Methods: This was a retrospective study of patients presenting prospectively, with acute MI between August 2013 and July 2014, who ...
 

 Open Access DOI:10.23937/2378-2951/1410078

Clinical Characterization of Pharmacologically Induced Takotsubo Syndrome: Implications for Treatment and Mechanisms

Robert W Murdock and David K Murdock

Article Type: Original Article | First Published: May 27, 2016

Takotsubo Syndrome (TS) is characterized by sudden localized left ventricular (LV) dysfunction and clinical features suggesting an acute coronary syndrome. It occurs more in women and is frequently associated with emotional or physical stress. Pharmacologically induced TS (PITS) has been reported but a comprehensive characterization has not been performed. Such a characterization could provide insight into mechanisms and treatment of spontaneous ...
 

 Open Access DOI:10.23937/2378-2951/1410077

Improving Atherosclerotic Cardiovascular Risk Documentation and Consequent Preventive Management in the Electronic Medical Records of Diabetic Patients

Muna aseel, Amal Al-Ali, Zelaikha Alwahedi and Mohamed Salem

Article Type: Research Article | First Published: May 18, 2016

Proper documentation of Atherosclerotic Cardiovascular Disease (ASCVD) risk score and its consequent management in the newly applied electronic medical records (EMR) for diabetic's patients attending non-communicable diseases clinic in West Bay Health Center is less than ideal during Jan 2015 and Feb 2015. Poor documentation of ASCVD risk score and its consequent management will result in improper management for type 2 diabetic patients, and it w...
 

 Open Access DOI:10.23937/2378-2951/1410076

Effect of Exercise Training on Heart Sympathetic Activity and Lung Function in Mexican obese Adolescents

Benigno Linares-Segovia, Estela Nunez Lemus, Manuel Lara Marquez, Rogelio Torres Guzman, Juan Manuel Guizar-Mendoza and Norma Amador-Licona

Article Type: Research Article | First Published: April 28, 2016

Introduction: The aim of this study was to evaluate the short term effect of a moderate-intensity physical activity program on heart sympathetic activity and lung function in Mexican obese adolescents. Materials and methods: We performed a longitudinal study in 38 healthy obese adolescents (24 female and 14 male). Subjects were submitted to aerobic exercise training during 90 minutes for 16 weeks, 5 days per week. Before and after the interventio...
 

 Open Access DOI:10.23937/2378-2951/1410075

Temporal Trends in Insertion of Implantable Cardioverter Defibrillators from an Australian Regional Tertiary Centre's Perspective

Harsh V Thakkar and John V Amerena

Article Type: Original Article | First Published: April 20, 2016

Implantable Cardioverter Defibrillator (ICD) therapy is now standard therapy for prevention of Sudden Cardiac Death (SCD) in high-risk patients. In 2006, the Medical Services Advisory Committee (MSAC) reviewed the role of ICDs and approved them to be used for both primary and secondary prevention. This study reviews the temporal trends in indications for insertion of ICD at Geelong Cardiology Practice (GCP)....
 

 Open Access DOI:10.23937/2378-2951/1410073

Radial-Linear Ablation in Peri-pulmonary Vein Area Prevents Inducible Atrial Fibrillation in Dogs

Xue Zhao, Yinxiang Zhu, Xiang Mei, Jiayou Zhang, Jianqiang Hu, Wenliang Lu, Xingui Guo, Li Dai, Kailei Shi and Zhenguo Liu

Article Type: Research Article | First Published: March 16, 2016

A total of 22 dogs of both sexes (5-7 years old) were divided into two groups: 10 in control and 12 in ablation group. Multiple radial-linear lesions were created from PV orifice to peri-PV area in the dogs with CARTO guidance. The control animals went through the same procedure except ablation. AF inducibility was evaluated before and immediately after the procedure. All animals had inducible AF (100%) by atrial pacing combined with or without i...
 

 Open Access DOI:10.23937/2378-2951/1410072

Increased Corrected QT Interval (QTc) in First Nations Women of Northern British Columbia with Systemic Lupus Erythematosus (SLE)

Fritha A Munday, Sirisha Asuri, Sarah McIntosh, Heather Jackson, Anthony Tang and Laura Arbour

Article Type: Original Article | First Published: January 30, 2016

Long QT Syndrome (LQTS), a genetic predisposition to sudden cardiac death is defined by a prolonged corrected QT interval (QTc) measured on electrocardiogram (ECG). A participatory research project has been underway with the Gitxsan of Northern BC for more than ten years where the condition (LQTS1) is common, due to a founder mutation (V205M) in KCNQ1. It is effectively treated with beta blockers and avoidance of QT prolonging drugs. Some chronic...
 

 Open Access DOI:10.23937/2378-2951/1410071

Effects of Erythropoietin Administration on Cardiomyocytes in Landrace/Large White Pigs after Ventricular Fibrillation

Armando Faa, Gavino Faa, Eliana Di Felice, Pietro Pampaloni, Daniela Fanni, Daniele Scano, Clara Gerosa, Maria Elena Pais, Panagiotis Vasileiou, Dimitrios Barouxis, Pavlos Lelovas, Theodoros Xanthos, Charalampos Pantazopoulos, Apostolos Papalois and Nicoletta Iacovidou

Article Type: Research Article | First Published: January 28, 2016

Ventricular fibrillation was induced via a pacing wire forwarded into the right ventricle in 20 female Landrace/Large-White pigs, allocated into 2 groups; the experimental group treated with a bolus dose of 5,000 U/Kg recombinant human erythropoietin and the control group which was administered saline. Cardiopulmonary resuscitation (CPR) was performed immediately after drug administration....
 

 Open Access DOI:10.23937/2378-2951/1410070

Spontaneous Coronary Artery Dissection: Report of 6 Cases and Literature Review

Adolfo Ferrero Guadagnoli, Miguel A Ballarino, Carlos R Leonardi, Alejandro E Contreras, Eduardo J Brenna and Jonathan Miara

Article Type: Research Article | First Published: January 27, 2016

We present our recent casuistry on such an interesting issue as coronary dissections. Provide data to assist the diagnosis and treatment of this disease. Spontaneous coronary artery dissection is a non-traumatic and non-iatrogenic separation of the coronary artery walls. It is a rare cause of acute coronary syndrome, mainly affecting women with no significant cardiovascular risk factors and has varying presentations from mild chest pains to sudde...
 

 Open Access DOI:10.23937/2378-2951/1410069

Left Ventricular Assist Device Placement through Left Thoracotomy in Difficult Scenarios

Lyndsay M. Mueller, Samuel H. Cho, Timothy Fritz and Asghar Khaghani

Article Type: Case Report | First Published: January 18, 2016

Standard surgical approach to the implantation of a Left Ventricular Assist Device (LVAD) is through a median sternotomy. The inflow cannula is attached to the apex of the left ventricle, while the outflow graft is usually attached to the ascending aorta. We present 2 patients with prohibitive chest wall abnormalities who underwent left thoracotomy for LVAD placement, and the outflow graft alternatively attached to the descending aorta....
 

 Open Access DOI:10.23937/2378-2951/1410068

Electrocardiographic Changes in Primary Hyperparathyroidism

Alexander Alzate, Marcela Munoz Urbano and Kenny Buitrago-Toro

Article Type: Case Report | First Published: December 15, 2015

Electrolytic variability modifies normal structures of segments and intervals on the electrocardiogram (ECG). We present a case that was referred to the Internal Medicine department by the Neurosurgery division for several pathological fractures.The electrocardiogram led us to a diagnostic approach and finally we show how electrocardiographic tracing changed after a treatment implementation. Finally, in this study we highlight the importance of a...
 

 Open Access DOI:10.23937/2378-2951/1410067

Recurrent Thrombus Formation in Left Ventricle with Preserved Systolic Function

Mustafa Yilmaztepe, Fatih Mehmet Ucar, Gokay Taylan, Hanefi Yekta Gurlertop, Volkan Yuksel, Suat Canbaz and Serhat Huseyin

Article Type: Case Report | First Published: December 12, 2015

A 48 years old male patient was referred to our clinic for intraventricular mass, detected incidentally during non-cardiac preoperative evaluation. The medical history of the patient was unremarkable except suspicious history of heart attack four years ago. Physical examination was normal. ECG showed normal sinus rhythm 76 beats per minute. Echocardiographic examination (Figure 1) revealed isodense mobile mass attached to left ventricle apex, mo...
 

 Open Access DOI:10.23937/2378-2951/1410066

Accuracy of Doppler Echocardiographic Estimates of Pulmonary Artery Pressures at the King Faisal Specialist Hospital and Research Center Riyadh

I.Y. Nizami and Saeed Akram

Article Type: Research Article | First Published: December 11, 2015

The accuracy of Doppler echocardiography in estimating pulmonary arterial hypertension has been a center of debate with recent reports suggesting poor correlation between the Doppler echocardiographic estimation of pulmonary pressure with the one measured by right heart catheterization. Our aim is to study the correlation between the Doppler echocardiographic estimates of pulmonary artery pressures with the right heart catheterization measured pu...
 

 Open Access DOI:10.23937/2378-2951/1410065

Effectiveness of Cardiac Rehabilitation in Increased Left Ventricle Ejection Fraction and Cardiovascular Secondary Prevention

Lopez-Aguilera J, Suarez de Lezo J, Mazuelos-Bellido F, Suarez-de-Lezo Jr, Casado-Adam P, Heredia-Torres MA, Mayordomo-Riera FJ and Cano-Lliteras MP

Article Type: Research Article | First Published: December 10, 2015

Prospective observational before-after study in the Cardiac Rehabilitation Unit of Cordoba (Spain) between March 2013 and June 2014 during phase 2 of cardiac rehabilitation program (CRP). Demographic variables, LVEF, functional capacity and biochemical parameters were analyzed. Outcome variables at the beginning and end of the treatment were compared using the paired student t-test. In addition, a multiple linear regression analysis was completed...
 

 Open Access DOI:10.23937/2378-2951/1410064

Ambiguous Left Ventricular Outflow Tract Obstruction: The Key Role of the Cardiac CT-Scan

Marie-Philippe Verge, Geraldine Allain, Luc-Philippe Christiaens and Guillaume Lucas

Article Type: Case Report | First Published: December 09, 2015

Subaortic membranes are uncommon causes of left ventricular outflow tract obstruction. Combined subaortic membrane and aortic valve stenosis is even more rare and can be challenging for echocardiographic diagnosis. A 58 year old woman, known for symptomatic aortic stenosis was referred to our hospital department for dyspnoea. Her most important medical history was aortic coarctation surgery at the age of 13 without any significant event since tha...
 

 Open Access DOI:10.23937/2378-2951/1410063

Diagnosis of Stress-Induced Cardiomyopathy in a Patient with an Abnormal Myocardial SPECT Imaging

Teo Tee Yin Tracy, McNeely Parren, Demetroulis Elaine, Staffey Kimberly and Graham Michael

Article Type: Case Report | First Published: November 30, 2015

We present a case of stress-induced cardiomyopathy in a 66 year old male precipitated by electroconvulsive (ECT) for catatonia related to severe recurrent depression. Patient suffered from decades of bipolar syndrome with severe depression that is refractory from medication therapies. As the frequency of the recent admissions increases, the patient's guardian consented to ECT to treat his depression. During the ECT procedure, he developed non-sus...
 

 Open Access DOI:10.23937/2378-2951/1410062

Early Recurrence of Myocardial Infarction in a Young Female caused by Left Main Coronary Artery Thrombosis

Silvio Nocco, Laura Concas, Daniele Congiu and Rinaldo Aste

Article Type: Case Report | First Published: November 30, 2015

A young female, cardiovascular risk factors free, was admitted to the coronary care unit for a sub-acute myocardial infarction caused by a critical ostial stenosis of the left anterior descending artery, treated with coronary angioplasty and insertion of two drug-eluting stents. Despite the administration of aggressive treatment, just 5 days after discharge, the patient was readmitted for early recurrence of myocardial infarction caused by left m...
 

 Open Access DOI:10.23937/2378-2951/1410061

Serum Omentin-1 Concentrations and Biochemical Markers of Chronic Subclinical Inflammation in Obese Subjects

Eman M Alissa, Maisa'a M Al-Salmi, Nabeela Alama and Gordon A Ferns

Article Type: Original Research Article | First Published: November 21, 2015

Background: Whilst chronic subclinical inflammation is now considered to be a predisposing risk factor of cardiovascular diseases. The extent by which adipokines induce metabolic abnormalities in humans is not fully resolved. The purpose of this study was to examine the relationship between insulin resistance and serum inflammatory markers in obese subjects. Methods: One hundred and five subjects without any clinically evident CVD were classified...
 

 Open Access DOI:10.23937/2378-2951/1410060

Brugada Syndrome; Cause of Syncope during Transcutaneous Electrical Nerve Stimulation Therapy

Abdulmelik Yildiz, Mustafa Budancamanak and Cennet Yildiz

Article Type: Case Report | First Published: November 20, 2015

38 year old male patient with preauricular abcess developed presyncope during high-grade fever and diagnosed as having Brugada syndrome with type 1 ECG pattern. The diagnosis of Brugada syndrome was made in educational and research hospital. His Electroencephalography (EEG) was normal. Coronary angiography showed myocardial bridging of the left anteriyor descending coronary artery after second diagonal branch and no hemodynamically significant co...
 

 Open Access DOI:10.23937/2378-2951/1410059

The Psychological and Compliance Factors can Modulate the Outcome of STEMI Patients Treated by Stem Cell Therapy - A Pilot Study

Miruna Mihaela Micheu, Oana-Maria Udrea, Nicoleta Oprescu, Alina Ioana Scarlatescu, Daniela Pitic, Lucian Calmac and Maria Dorobantu

Article Type: Research Article | First Published: November 13, 2015

In the assessment of stem cell therapy post myocardial infarction, the rapport between the medical intervention and the patient's compliance and psychological factors represent a research and treatment management challenge. Purpose: Identifying the implication of psychological and behavioral factors associated with compliance on therapeutic success in relation to cell therapy in acute myocardial infarction patients....
 

 Open Access DOI:10.23937/2378-2951/1410058

Comparison of Clinical Presentation Related on Risk Factors in Older and Younger Patients with Acute Coronary Syndrome

Hossein Asgar Pour, Reza Norouzzadeh and Mohammad Reza Heidari

Article Type: Original Article | First Published: November 05, 2015

Acute coronary syndromes (ACS) are the leading cause of death in older adults. Early recognition of symptoms suggestive of ACS by the emergency triage nurse can improve patient outcomes. The aim of this study was to determine risk factors associated with typical and atypical symptoms in older and younger patients with ACS....
 

 Open Access DOI:10.23937/2378-2951/1410057

The Effects of Coexistent Psychiatric Disorders in Patients Operated on for Acute Aortic Dissection on Postoperative Mental Health Status and on Mid-Term Time Period

Antonio Pellegrino, Paolo Nardi, Luigi Chiariello, Marco Russo, Guglielmo Saitto, Juxhin Ganellari, Alberto Siracusano, Francesco Bianchi and Piero Caporali

Article Type: Research Article | First Published: October 13, 2015

Although relationships between ischemic heart disease and psychiatric disorders (PD) have been highlighted, a link between PD and acute aortic dissection (AAD) has not been shown. Aim of this study was to define the psychological profile of patients treated for AAD and analyze the impact of PD postoperatively and at 5-year follow-up period....
 

 Open Access DOI:10.23937/2378-2951/1410056

Methyl-Ergonovine Stress Echocardiography in the Study of Kounis Syndrome due to Anisakis Simplex: A Case Report

Jorge A Restrepo, Jorge Salamanca, Guillermo Diego, Fernando Rivero, Fernando Alfonso and Rio Aguilar

Article Type: Case Report | First Published: October 10, 2015

A 51-year-old man, smoker (20 packs-year) with no known allergies and no medical history of previous symptoms or cardiovascular disease. Two hours after eating a raw fish dish of hake and prawn, the patient presented intense oppressive chest pain, dyspnea, diaphoresis, abdominal pain, diarrhea, nausea and vomit....
 

 Open Access DOI:10.23937/2378-2951/1410055

Mycophenolate Mofetil-Induced Colitis in a Pediatric Heart Transplant Recipient

Lindy Moore, Anita L Sengupta and Bibhuti Das

Article Type: Case Report | First Published: October 10, 2015

Mycophenolate Mofetil (MMF) is a frequently used immunosuppressive medication in pediatric heart transplant (HT) patients. Although therapeutic monitoring of MMF has been an integral part of routine practice for many years, there is growing evidence that genetic variation in host can lead to adverse outcomes such as drug toxicities. Maintaining a reasonable balance between efficacy and toxicity in an individual patient remains one of the major ch...
 

 Open Access DOI:10.23937/2378-2951/1410054

Ultrafiltration in Heart Failure: Experience in a French University Hospital

David Boutarin Raphaelle - Ashley Guerbaai and Patricia Armand

Article Type: Perspective | First Published: September 24, 2015

Venovenous ultrafiltration is an alternative therapy used in patients with chronic heart failure (CHF), persistent congestion and failing diuretics. This therapy enables removal of excess water in order to reduce fluid overload. Ultrafiltration has been used for over ten years in the United-States, however was only introduced in France three years ago, in very few hospitals....
 

 Open Access DOI:10.23937/2378-2951/1410053

Symptomatic Main Coronary Artery Fistula with Stress/Rest Myocardial Perfusion SPET Ischemia

Ramirez-Moreno A and JR. Siles-Rubio

Article Type: Case Report | First Published: September 21, 2015

We report a case of 65-year-old woman who presented sporadic exercise chest pain episodes. The rest ECG, cardiac ultrasound were normal, exercise test shows nonspecific repolarization ECG changes, myocardial Stress/Rest Tc-99m MIBI SPET disclosed a reversible defect in the medial and distal portions of the anterior wall and the apex....
 

 Open Access DOI:10.23937/2378-2951/1410052

Variable Phenotypic Expression Including Late Presentation of Hypertrophic Cardiomyopathy in LEOPARD Syndrome with P.Q510E Mutation in PTPN11 Gene

Md. Zahidus Sayeed, Md. Abdus Salam, Muhammad Afsar Siddiqui, Pampa Chandra, Joydeep Bhaduri and Zahurul A. Bhuiyan

Article Type: Case Report | First Published: September 17, 2015

LEOPARD syndrome is a complex dysmorphogenetic disorder of variable penetrance and expressivity. Mutations in the PTPN11 gene are frequently reported in patients with Noonan syndrome (NS) and LEOPARD syndrome (LS). Q510E mutation in PTPN11 has always been associated with lethal or rapidly progressive hypertrophic cardiomyopathy both in NS and LS patients. Besides, deafness is also frequently present in these patients, but reproductive fitness is ...
 

 Open Access DOI:10.23937/2378-2951/1410051

Preventing Acute Cardiac Events during Marathons with Pre-Race Aspirin

Arthur J. Siegel

Article Type: Review Article | First Published: September 15, 2015

Reducing sudden cardiac death during sport is the highest clinical priority in preventive sports cardiology. While the overall cardiovascular risk of long distance running is low, the frequency of cardiac arrest and sudden death in middle-aged males during marathons has increased since the year 2000. An evidence-based strategy for reducing race-related acute cardiac events in this vulnerable subgroup is considered based on identification of the u...
 

 Open Access DOI:10.23937/2378-2951/1410050

Transient Isolated Right Ventricular Hypertrophy in A Neonate

Muhittin Celik, Heybet Tuzun, Bedri Aldudak and Osman Akdeniz

Article Type: Case Report | First Published: September 15, 2015

Transient isolated right ventricular hypertrophy is rarely encountered in neonates. We describe a term neonate in whom right ventricular hypertrophy was detected in the first postnatal day by echocardiography. There are several reasons that cause transient isolated right ventricular hypertrophy such as gestational diabetes, mother's dietary patterns, and certain drugs....
 

 Open Access DOI:10.23937/2378-2951/1410049

Heart Transplant for Dextrocardia Situs Inversus with Very Complex Congenital Lesion: a Challenge of Cardiac Surgery

Nguyen Huu Uoc and Pham Tien Quan

Article Type: Research Article | First Published: September 14, 2015

27 year-old female patient had complex CHD that involved dextrocardia situs inversus, double outlet right ventricle type TGA, pulmonary artery stenosis, total atrio-ventricular canal, and total anomalous pulmonary venous connection type supra-cardia. She was experiencing end-stage heart failure and severely cachexia with risk of death within few months. The transplanted heart was from a multi-organ donor; male, 26 years old, normal heart structur...
 

 Open Access DOI:10.23937/2378-2951/1410048

Arrhythmic Manifestation of Prinzmetal' Sangina Induced by Therapeutic Hypothermia

Abellas-Sequeiros RA, Ocaranza-Sanchez R, Garcia-Acuna JM and Gonzalez-Juanatey JR

Article Type: Case Report | First Published: September 03, 2015

We report the case of a 37-year-old Caucasian man, with prior history of smoking and DM. He had complained about multiple episodes of syncope during last year. However, the day of his hospitalization, he described a sudden and acute episode of chest pain which stopped him from sleeping. He arrived to the emergency department after 45 minutes of successful resuscitation, with VF as first cardiac rhythm detected....
 

 Open Access DOI:10.23937/2378-2951/1410047

Guidewire Fracture during Crossing A Chronic Coronary Total Occlusion: A Troublesome Experience

ErsanTatli, MustafaYilmaztepe, Ali Buturak and Yusuf Can

Article Type: Case Report | First Published: August 30, 2015

Increased interest focusing on coronary chronic total occlusions has emerged since several studies have proven improved cardiovascular outcomes and quality of life after successful chronic total occlusion (CTO) revascularization. CTO of an epicardial coronary artery is one of the leading challenging complex lesion type when percutaneous coronary intervention (PCI) is indicated. Advanced antegrade and retrograde techniques performed with dedicated...
 

 Open Access DOI:10.23937/2378-2951/1410046

Pioglitazone Improves Endothelial Function in Patients with Paroxysmal Atrial Fibrillation and Type 2 Diabetes Mellitus Following Catheter Ablation

Jun Gu, Wei Hu, Xu Liu and Chang-Qian Wang

Article Type: Research Article | First Published: August 30, 2015

Atrial Fibrillation (AF) is the most common type of sustained heart rhythm disorder confronted in clinical practice, which confers a high risk of mortality and morbidity from abnormal hemodynamics and thromboembolism. The beat-to-beat alteration of flow dynamics in AF has disadvantageous effects on cardiac haemodynamics and is associated with endothelial dysfunction. Endothelial dysfunction may contribute to a prothrombotic state in patients with...
 

 Open Access DOI:10.23937/2378-2951/1410045

Prevalence of Pulmonary Hypertension among Chronic Kidney Disease Patients and its Relation to Location and Blood Flow of Vascular Access

Osama A. Khamis, Tarek Abd El-Hamid Elzyat and Abd El-Rahman Ibrahim Mohammed Ali

Article Type: Research Article | First Published: August 29, 2015

Background:Pulmonary hypertension is increasingly being recognized as a factor that can affect outcome in end stage renal disease. This study was carried out to evaluate the prevalence of pulmonary hypertension among CKD patients and it's relation to vascular access blood flow and location. Patient and Methods:30 patients on regular hemodialysis, 30 patients in predialysis and 30 healthy individuals participated in this study. Each patient und...
 

 Open Access DOI:10.23937/2378-2951/1410044

Randomized Trial of a Discharge Planning and Telehealth Intervention for Patients Aged 65 and older after Coronary Artery Bypass Surgery

Ruth M. Kleinpell, Boaz Avitall, Cathy Catrambone, Tricia Johnson, Louis Fogg, Shirley Moore and Nicole T. Thompson

Article Type: Research Article | First Published: August 28, 2015

Despite diagnostic and treatment advances, coronary heart disease (CHD) remains the leading cause of death in Americans over the age of 65. Coronary artery bypass surgery (CABG) is the most frequently performed major surgery for CHD in the United States (U.S.). While the rates of CABG surgeries have declined in recent years due to the increased use of percutaneous coronary procedures, current treatment guidelines from the American Heart Associati...
 

 Open Access DOI:10.23937/2378-2951/1410043

Hemolytic Anemia 19 Years after Mitral Valve Replacement with A Porcine Bioprosthesis

Debora Corsi, Michele Celiento, Stefano Pratali, Alberto Balbarini and Uberto Bortolotti

Article Type: Case Report | First Published: August 27, 2015

A 58-year-old man had undergone mitral valve replacement with a 27 mm Carpentier-Edwards porcine bioprosthesis (Edwards Lifesciences, Irvine, USA) in 1993. Nineteen years later he presented with dark urine, fatigue and moderate dyspnea denying any history of infection. He was in atrial fibrillation with a systolic mitral regurgitant murmur. Hematologic evaluation was consistent with haemolytic anemia; particularly, reduced hemoglobin, hematocrit ...
 

 Open Access DOI:10.23937/2378-2951/1410042

Herpes Simplex Encephalitis, an Unusual Cause of Sinus Node Dysfunction: Case Report and Literature Review

Pierre-Philippe Nicol, Jean-Philippe Talarmin and Thierry Joseph

Article Type: Case Report | First Published: July 25, 2015

Herpes simplex encephalitis is responsible for progressive alteration of behaviour, epilepsy, focal neurological signs, and cognitive problems, but is rarely involved in sinus node dysfunction. We describe this association in a 66-year-old woman with a complete cardiac and neurologic recovery after acyclovir treatment. Consequently, this aetiology of sinoatrial arrest should be recognized in order to systematically assess cardiac monitoring and a...
 

 Open Access DOI:10.23937/2378-2951/1410041

Origin of Right Coronary Artery from the Ascending Aorta: An Extremely Rare Anomaly

Abdulrahman M Abdulbaki and Shivang Shah

Article Type: Case Report | First Published: June 24, 2015

The incidence of coronary anomalies in patients undergoing coronary angiography varies from 0.27% to 1.66%. Many of these anomalies are clinically benign; while, others are associated with serious morbidity. We describe the case of a patient undergoing coronary angiogram to evaluate her cardiomyopathy revealing an anomalous right coronary artery arising from the ascending aorta above the left sintubular junction plane. We discuss the rarity of th...
 

 Open Access DOI:10.23937/2378-2951/1410040

Favorable Plaque Sealing Process after Implantation of Endeavor Zotarolimus-Eluting Stent into Chronic Total Occlusion of Sirolimus Eluting Stent

Minoru Ichikawa and Yoshiyuki Kijima

Article Type: Case Report | First Published: July 23, 2015

We here report a case with in-stent chronic total occlusion (CTO) of sirolimus-eluting stent (SES). The SES-CTO lesion was successfully treated with additional implantation of Endeavorzotarolimus-eluting stent (E-ZES) into the lesion. During the follow up period of 50 months, coronary angioscopy and optical coherence tomography revealed the favorable plaque sealing process after E-ZES implantation into SES-CTO....
 

 Open Access DOI:10.23937/2378-2951/1410039

Ranolazine: Beyond the Treatment of Chronic Stable Angina Pectoris

Nicola Vitulano, Pio Cialdella, Massimo Gustapane, Lorenzo Vitulano, Daniela Pedicino and Gemma Pelargonio

Article Type: Review Article | First Published: July 18, 2015

The aims in the treatment of angina are relief of pain and prevention of disease progression through risk reduction. A number of patients may have contraindications or remain unrelieved from anginal discomfort with conventional drugs. Among newer alternatives, ranolazine indirectly prevents the intracellular calcium overload involved in cardiac ischemia and it is a considered as a valid addition to traditional treatments. Recent findings showed p...
 

 Open Access DOI:10.23937/2378-2951/1410038

Chiari Network: An Embryological Remnant - A Case Report and Review

Shivadeep S, Anandaraja S and Devi Jansirani D

Article Type: Case Report | First Published: June 30, 2015

Chiari network is a fenestrated membranous structure most commonly observed near the valve of inferior vena cava. It is considered as an embryological remnant of right valve of sinus venosus. Inspite of its benignity, its complications have been reported in the literature. This article contributes a detailed review compiling the association of Chiari network with various pathological conditions and its complications. We report a case of Chiari ne...
 

 Open Access DOI:10.23937/2378-2951/1410037

Sad and Worried Hearts: A Psychological Treatment for Clinically Significant Depression, Anxiety, and Post-traumatic Stress in Patients with Cardiac Disease

Paul S. Greenman, Jonathan Jette, Isabelle Green-Demers and Jean Grenier

Article Type: Research Article | First Published: June 25, 2015

People who suffer from depression, post-traumatic stress, or anxiety following cardiac events and treatment are more likely to have further cardiac complications resulting in death than are people who do not. Although there have been advances in psychological techniques to elicit behavior and lifestyle changes in heart patients, there is currently a dearth of information on how to address the psychological sequelae of heart disease effectively......
 

 Open Access DOI:10.23937/2378-2951/1410036

Non-Invasive Assessment of Cardiac Autonomic Functions in Healthy Young Adults in Ile-Ife, South-Western Nigeria

Oluwadare Ogunlade, Abiodun O Ayoka, Anthony Akintomide, Rufus Ojo Akomolafe, Olumide S Akinsomisoye and David Oyewusi Oyebola

Article Type: Research Article | First Published: June 10, 2015

Background: This study assessed the responses of Blood Pressure (BP) and Heart Rate (HR) to change of posture, Sustained Handgrip (SH),deep breathing(DB) and Valsalva manoeuvre (VM) in order to determining the normal limits and pattern of Autonomic Cardiovascular Indices (ACI) among healthy young adults. Methods: Two hundred and four volunteer (98 men and 106 women) aged 18-40 years (mean, 22.45 +/- 4.86 years) participated in the study. After ex...
 

 Open Access DOI:10.23937/2378-2951/1410035

Early Administration of Tirofibanin Mid- to High-risk Patients with Non-ST Elevation Acute Coronary Syndrome Referred for Elective Percutaneous Coronary Intervention (ETN-STEP): A Multi-center Randomized Controlled Clinical Trial in China

Jianping Li, Bo Zheng, Xingang Wang, Tieci Yi, Wei Dong, Zhan Gao, Shaoping Nie, Yawei Luo, Xiaobo Mao, Xi Su, Hui Chen, Ning Tan, Xufen Cao, Jun Zhang and Yong Huo

Article Type: Review Article | First Published: June 08, 2015

The objective of this randomized controlled clinical trial was to evaluate the efficacy and safety of upstream administration of Tirofiban in mid- to high-risk patients with non-ST-segment elevation acute coronary syndrome (NSTE-ACS) undergoing early percutaneous coronary intervention (PCI)....
 

 Open Access DOI:10.23937/2378-2951/1410034

An Update on Peripartum Cardiomyopathy in the 21st Century

Kavita Sharma and Stuart D Russell

Article Type: Review Article | First Published: June 02, 2015

Peripartum cardiomyopathy (PPCM) is a pregnancy-associated idiopathic cardiomyopathy secondary to marked left ventricular systolic dysfunction. The disease presents towards the end of pregnancy through the first 5 months post-delivery, with ethnic and geographic variation in incidence and outcomes. While it is relatively rare, PPCM is associated with significant morbidity and can be fatal....
 

 Open Access DOI:10.23937/2378-2951/1410033

On the Logic of Percutaneous Coronary Interventions

P. Lanzer and P. Wang

Article Type: Logical Study | First Published: May 30, 2015

Performance of percutaneous coronary interventions (PCI) is largely based on empirical experience of individual operators. Due to the perceived mostly intuitive character to date little data concerning formal and reasoning structure of PCI is available. Non-axiomatic logic (NAL) provides consistent format allowing systematic analysis of reasoning applicable to PCI. In this report we introduce the basic principles of NAL and provide relevant intro...
 

 Open Access DOI:10.23937/2378-2951/1410032

Can a Genetic Test Predict the Development of Postoperative Atrial Fibrillation

Gurpreet Sodhi, Jennifer Shea, Farzad Najam and Allen J Solomon

Article Type: Research Article | First Published: May 26, 2015

Atrial fibrillation (AF) is the most common postoperative complication of cardiovascular surgery. In large cohorts, genetic variants in the 4q25 chromosome region have been associated with postoperative AF. However, the role of genetic testing in an individual patient to predict the development of AF has been understudied....
 

 Open Access DOI:10.23937/2378-2951/1410031

Anomalous Right Coronary Artery Arising from the Ascending Aorta Above the Left Sinus of Valsalva in the Setting of Acute Inferior ST-Elevation Myocardial Infarction: Unique Challenges and Literature Review

Nisharahmed Kherada, Sandeep Singla, Saqib Ali Gowani, Francesca Gallarello and Nirat Beohar

Article Type: Case Report | First Published: May 02, 2015

Anomalous origin of the right coronary artery arising from ascending aorta above the left sinus of Valsalva is an extremely rare coronary anomaly. In the setting of an acute myocardial infarction rapid identification, localization and selective cannulation of this 'culprit' anomalous right coronary artery presents a challenging scenario. Here we describe a case with this anomaly presenting as an acute inferior wall myocardial infarction along wit...
 

 Open Access DOI:10.23937/2378-2951/1410030

Influence of MRI-Conditional Cardiac Pacemakers on Quality and Interpretability of Images Acquired in 1.5-T Cardiac MRI

Kenichi Yokoyama, Toshiya Kariyasu, Shigehide Kuhara, Masamichi Imai, Rieko Ishimura and Toshiaki Nitatori

Article Type: Research Article | First Published: April 24, 2015

Purpose: The influence of MRI-conditional cardiac pacemakers on the quality and interpretability of images acquired in cardiac MRI (CMR) examinations was retrospectively investigated. Materials and methods: The subjects in this study were 12 patients (7 men and 5 women, mean age: 68.4 +/- 8.7 years) with MRI-conditional cardiac pacemakers who underwent CMR examinations at our institution between July 2013 and December 2014....
 

 Open Access DOI:10.23937/2378-2951/1410029

An Unlikely Cause of Atrial Fibrillation-Induced Cardiomyopathy: Phentermine, A Diet pill

Sunny-Skye Keppel and Philip Varriale

Article Type: Case Report | First Published: April 19, 2015

We present a case of an unusual cause of atrial fibrillation-induced cardiomyopathy, which is a diet pill, known as phentermine. This medication used for weight loss and can function as a stimulant is intended for short-term use but when taken for an extensive period of time can become a significant risk factor for developing arrhythmias such as atrial fibrillation....
 

 Open Access DOI:10.23937/2378-2951/1410028

Takotsubo Cardiomyopathy Associated with Prolong QT Interval and Ventricular Tachyarrhythmia

Dhavalkumar Patel and Rajendrakumar Patel

Article Type: Case Report | First Published: April 13, 2015

Takotsubo Cardiomyopathy (TCMP), also known as apical ballooning syndrome or stress induced cardiomyopathy, is characterized by left ventricular mid and/or apical wall motion abnormality in the absence of obstructive coronary artery disease. TCMP is a disorder of left ventricular myocardial contractility, and rarely associated with serious cardiac conduction abnormalities....
 

 Open Access DOI:10.23937/2378-2951/1410027

Asymptomatic Left Atrial Appendage Aneurysm

Norliza Othman, Alwi Mohamed Yunus, Raad H. Mohiaddin and Masliza Mahmod

Article Type: Case Report | First Published: April 11, 2015

We report a patient with asymptomatic left atrial appendage aneurysm. Cardiac magnetic resonance was performed to further delineate the aneurysm, and the patient underwent successful surgical resection....
 

 Open Access DOI:10.23937/2378-2951/1410026

Association between Syncope and Myocardial Bridge

Lins TCB, Valente LM, Oliveira KTMN and Brandao SCS

Article Type: Case Report | First Published: April 10, 2015

Myocardial bridge is a cause of sudden death in athletes, but syncope is somewhat related to this disease symptom. This paper reports a case of a young athlete, swimming practitioner with syncopal episodes related to physical exertion....
 

 Open Access DOI:10.23937/2378-2951/1410025

Functional Mitral Regurgitation Tenting Area is Directly Related to Non-Ischemic Cadiomyopathy

Ovidio A. Garcia-Villarreal

Article Type: Letter to the Editor | First Published: March 22, 2015

I have read with great interest the article by Kammoun et al., and I congratulate them for this paper. Functional mitral regurgitation (MR) is a very hard-to-treat illness, because it is not a disease itself but just the final result of an impaired and/or geometrically distorted left ventricle. Agricola et al. have described in a fie way the high impact played by the tethering mechanism of the posterior mitral complex in this kind of patients....
 

 Open Access DOI:10.23937/2378-2951/1410024

Thrombosis and Multiple System Embolization from an on- X Aortic Valve on Clopidogrel- A Review of Pooled Analysis of 2,389 Patient

Kalgi Modi

Article Type: Case Report | First Published: March 21, 2015

Thombosis of a mechanical aortic valve is a rare but life threatening complication and in most cases is caused by inadequate or interrupted anticoagulant treatment. Prosthetic valve thrombosis may cause systemic embolization with clinical manifestation dependent on the organ involved. Multiple systemic embolization resulting from non-infective thrombotic aortic prosthetic valve is a rare occurrence....
 

 Open Access DOI:10.23937/2378-2951/1410023

Erythropoietin Treatment Improves Peak VO2 and Oxygen Uptake Efficiency Slope without Changing VE vs. VCO2 Slope in Anemic Patients

Ayumi Goda, Haruki Itoh, Yoshiko Ebi, Kumiko Kondo, Tomoko Maeda and Toshitsune Shimada

Article Type: Research Article | First Published: March 20, 2015

The aim of this study was to evaluate the improvement in hemodynamic, metabolic, and ventilatory response during exercise along with the improvement of anemia with EPO treatment in anemic hemodialysis patients. Methods: Thirty-seven hemodialysis patients with anemia (48.8 +/- 13.6 years) received EPO (1500 or 3000 unit, 3 times a week). Parameters measured prospectively before and after EPO treatment included hemoglobin, cardiac output by dye dil...
 

 Open Access DOI:10.23937/2378-2951/1410022

Double-Stenting of the Left Main Coronary Artery lesions: Safety, Clinical Outcome and Long Term Follow-up

William Ng and Robert Lundstrom

Article Type: Research Article | First Published: February 28, 2015

This study aimed to assess the safety & medium/long-term outcome of using double-stenting strategy on left main (LM) stem for the treatment of significant suboptimal angiographic result after initial left main coronary artery (LMCA) stent implantation. Between August 2005 & June 2010, patients undergoing PCI with double stenting of LMCA lesions comprised the study cohort....
 

 Open Access DOI:10.23937/2378-2951/1410021

High Prevalence of Atrial Fibrillation in Elderly Patients Hospitalized with Heart Failure

Urrutia A, Cepeda JM, Formiga F, Manzano L, Conde-Martel A, Aramburu-Bodas O, Suarez I, Gonzalez-Franco A, Quiros-Lopez R and Montero Perez-Barquero M

Article Type: Research Article | First Published: February 12, 2015

Background: Atrial Fibrillation (AF) is a common condition in the elderly and often occurs together with Heart Failure (HF). The differences between elderly patients with HF according to the presence or absence of AF were analysed. Material and methods: Patient data were collected from consecutively admitted patients 75 years of age and older with acute decompensated HF from the Spanish National Heart Failure Registry (RICA) with data retrieved f...
 

 Open Access DOI:10.23937/2378-2951/1410020

Relationship between Insulin Levels and Coronary Atherosclerosis in Newly Diagnosed Diabetes Mellitus and Impaired Glucose Tolerance

Naohiko Nemoto, Rintarou Nakajima, Kennji Ymazaki, Makoto Utsunomiya, Masaki Hori, Shingo Ito, Itaru Yokouchi, Masamichi Wada, Masanori Shiba, Hisao Hara, Hidehiko Hara, Takuro Takagi, Kaoru Sugi and Masato Nakamura

Article Type: Review Article | First Published: February 06, 2015

Background: While some therapies implemented for newly diagnosed Diabetes Mellitus (DM) or impaired Glucose Tolerance (IGT) are effective in preventing cardiovascular events, investigations of coronary plaque in patients with newly diagnosed DM or IGT are lacking. Methods: We evaluated 96 patients with acute coronary syndrome. The External Elastic Membrane (EEM), Lumen Cross-Sectional Area (CSA), plaque CSA, and plaque burden in the Left Anterior...
 

 Open Access DOI:10.23937/2378-2951/1410019

Physical Examination of the Cardiovascular System

John P. Higgins

Article Type: Review Article | First Published: January 27, 2015

The physical examination, while frequently not performed well, is critical to the diagnosis and management of cardiovascular disorders. This paper describes a basic cardiovascular physical examination and explains findings, with the goal of improving skills in this area....
 

 Open Access DOI:10.23937/2378-2951/1410018

Cardiovascular Risk Factors, Diet and Lifestyle among a Group of Italian Young Adults Students

Gregoriana Zanini, Elio Gorga, Francesca Del Magro, Bola Okunuga, Federica Pasini and Gian Franco Pasini

Article Type: Research Article | First Published: January 06, 2015

The prevalence of cardiovascular disease has shown a marked increase over the last decade, representing the leading cause of death in the United States of America but also in Italy. Cardiovascular diseases recognize a multifactorial etiology: age, obesity, distribution of body fat, cigarette smoking, sedentary lifestyle, high blood pressure, dyslipidemia. In recent years has been paid particular attention to the cardiovascular risk factors preven...
 

 Open Access DOI:10.23937/2378-2951/1410017

Patients Treated with Catheter Ablation for Atrial Fibrillation have Long-Term Renal Function Similar to Patients without Atrial Fibrillation

David L. Johnson, John D. Day, Brian G. Crandall, J. Peter Weiss, Heidi T. May, Tami L. Bair, Jeffrey S. Osborn, Jeffrey L. Anderson, Joseph B. Muhlestein, Donald L. Lappe and T. Jared Bunch

Article Type: Research Article | First Published: December 29, 2014

Background: Atrial fibrillation (AF) has been reported to worsen renal function over time. Renal dysfunction in the setting of AF decreases response to rhythm control approaches and increases risk of cardiovascular morbidity and mortality. Aggressive rhythm control approaches, such as catheter ablation, may interrupt this cycle and impact renal function favorably over time. Methods: Patients were enrolled from the large ongoing prospective Interm...
 

 Open Access DOI:10.23937/2378-2951/1410016

Use of Statins in an Australian Elderly Population

Svetla Gadzhanova, Elizabeth Roughead and Jenni Ilomaki

Article Type: Research Article | First Published: December 28, 2014

Background: Statins are the fist drug choice for lowering high cholesterol and are one of the most widely used classes of medicines in Australia. Although well tolerated, some adverse effects are dose and potency dependent to which older people are particularly susceptible. Objective: The aim of this study was to examine the use of statins in elderly Australians, and how usage had changed over time with respect to dose and potency of statin presc...
 

 Open Access DOI:10.23937/2378-2951/1410015

Necrotizing Pancreatitis Causing Acute Focal Pericarditis

William F McIntyre, Andres Enriquez, Kevin Michael and Adrian Baranchuk

Article Type: Case Report | First Published: December 15, 2014

We describe the case of a 39-year old man with acute necrotizing pancreatitis. A twelve-lead electrocardiogram (A) showed signs of pericarditis and a computed tomography of the abdomen showed focal pericardial effusion, confirming the diagnosis....
 

 Open Access DOI:10.23937/2378-2951/1410014

A Case Report of Immediate Extubation Post Primary PCI in STEMI

Sharan Rufus Ponniah, Pradeepto Ghosh, Nagapradeep Nagajothi, Srinivasa Satti, Kavitha Nidamanuri and Baskar Rajala

Article Type: Case Report | First Published: December 16, 2014

We report a case of immediate extubation following primary percutaneous intervention (PCI) for ST elevation myocardial infarction (STEMI). The optimal timing of extubation following revascularization in STEMI is unclear. Early extubation in this scenario, if feasible has a mortality benefit. Duration of mechanical ventilation following STEMI is a strong predictor of mortality. In this case, we report a scenario of immediate extubation following r...
 

 Open Access DOI:10.23937/2378-2951/1410013

Beverage Specific Effect of Alcohol on Ishaemic Heart Disease Mortality in Russia

Y. E. Razvodovsky

Article Type: Research Article | First Published: November 26, 2014

Objective: It was repeatedly emphasized that alcohol provides the most plausible explanation for both the high rate and the dramatic fluctuation in Russian Ischemic Heart Disease (IHD) mortality rate during the last decades, while other traditional risk factors identified in epidemiologic studies had little predictive value. The link between IHD mortality and beverage-specific alcohol drinking has been analyzed in a number of aggregate-level stud...
 

 Open Access DOI:10.23937/2378-2951/1410012

Carotid Sinus Syndrome as a Manifestation of Head and Neck Cancer Case Report and Literature Review

Nikhil Mehta, Medhat Abdelmessih, Lachlan Smith, Daniel Jacoby and Mark Marieb

Article Type: Research Article | First Published: November 25, 2014

Head and neck cancers rarely manifest as Carotid Sinus Syndrome (CSS). CSS is a rare complex of symptoms found in 1% of all patients who experience syncope, the pathophysiology of which is yet to be fully understood. Common trigger mechanisms for CSS include neck movement, shaving, constricting neck wear, coughing, sneezing and straining to lift heavy objects. The left carotid sinus mainly causes AV block while the right carotid sinus mainly caus...
 

 Open Access DOI:10.23937/2378-2951/1410011

Cardiac Troponin Assessment Following Atrial Fibrillation Ablation: Implications for Chest Pain Evaluation

Jason C. Rubenstein, Jason Jacobson, Jeffrey J. Goldberger, Rod Passman, Alan Kadish and Michael H. Kim

Article Type: Research Article | First Published: November 25, 2014

Background: The range of elevation of troponin I (tI) that is within expected limits from left atrial radiofrequency ablation for atrial fibrillation (AF) is not well described, though such information may be of clinical value. Objectives: Identify the expected range of tI values post-atrial fibrillation (AF) ablation. Methods: 31 patients undergoing AF ablation had a single tI level drawn the day following the procedure. Clinical variables wer...
 

 Open Access DOI:10.23937/2378-2951/1410010

Discriminant Analysis of Heart Rate Variability after Electrical Cardioversion Predicts Atrial Fibrillation Recurrence

Donatella B, Angela V, Emilia I, Kristian E, Claudia C, Rita SA, Francesco F and Riccardo F

Article Type: Research Article | First Published: November 25, 2014

Aims: Cardiac Autonomic Modulation (CAM) may be pivotal for Atrial Fibrillation (AF) occurrence and affect early recurrence (ER) after Electrical Cardioversion (EC). Previous studies investigating linear (L) Heart Rate Variability (HRV) after EC have given conflicting results about which CAM pattern favours ER. This study aimed at evaluating if non-linear (NL) HRV analysis (HRVa) could provide better accuracy in predicting ER. Methods: 36 patient...
 

 Open Access DOI:10.23937/2378-2951/1410009

Surgical Treatment of Severe Tricuspid Valve Regurgitation Due to Permanent Pacemaker

Wenjian Jiang, Haiyang Li, Dong Guo, Yongqiang Lai and Hongjia Zhang

Article Type: Case Report | First Published: November 24, 2014

A 64-year-old woman, received implantation of a Permanent Pace Maker (PPM) 7 years ago, was referred for severe tricuspid valve regurgitation with a lead impingement of the tricuspid valve leaflets. We fied the lead to the posterior septal commissure, used 28 # Edwards MC3 ring to annulus form the tricuspid valve ring and then sutured the posterior septal commissure by edge to edge. This patient recovered uneventfully, with only mild tricuspid va...
 

 Open Access DOI:10.23937/2378-2951/1410008

Parameters of Mitral Deformability in Patients with Functional Mitral Regurgitation

Kammoun I, Marrakchi S, Zouari F, Fersi I, Ibn Elhaj Z, Mokrani S, Added F and Kachboura S

Article Type: Research Article | First Published: November 21, 2014

Background: Functional mitral regurgitation (FMR) is one of the common and severe complications in patients with dilated cardiomyopathy. Then determinants of degree of FMR must be more defined. Purpose: We sought to determine a cut off value of the tenting area and the coaptation depth which correlate with the severity of the FMR. Methods and results: We enrolled prospectively 96 patients (71 males; age 57 ± 13 years) with left ventricular...
 

 Open Access DOI:10.23937/2378-2951/1410007

Rheumatic Mitral Restenosis with Concomitant Coronary artery Disease

Anupam Dey, Ramesh Aggarwal and Shridhar Dwivedi

Article Type: Letter to Editor | First Published: November 21, 2014

Rheumatic heart disease (RHD) has practically vanished from developed countries; however one often sees complicated rheumatic valvular disease in elderly individuals, in developing countries. It is not very common to see operated cases of mitral stenosis (MS) coexisting with coronary artery disease (CAD). Studies have reported prevalence of CAD coexisting with rheumatic MS ranging from 1.7% to 28%. We recently had a case of rheumatic MS, who was ...
 

 Open Access DOI:10.23937/2378-2951/1410006

Energy Drink Ingredients and their Effect on Endothelial Function: A Review

John P. Higgins and Brandon L. Ortiz

Article Type: Review Article | First Published: October 31, 2014

It is an age-old idea to try to boost one's performance in order to achieve an elusive goal or conquer an obstacle. Many energy products, especially energy drinks (ED) are now marketed to this need, and examples include Red Bulls' 'Gives You Wings', as well as Monster Energy's 'Unleash the Beast' advertising campaigns. In the light of ED consumption recently being associated with high risk behaviors, unhealthy habits, and some deaths in adolesc...
 

 Open Access DOI:10.23937/2378-2951/1410005

A Rare Manifestation of Organophosphorus Poisoning: Hypothermia with Cardiotoxicity

Valliappan Muthu, Sahajal Dhooria and Inderpaul Singh Sehgal

Article Type: Case Report | First Published: October 30, 2014

Organophosphorus pesticides related self-harm is afairly common clinical entity responsible for over two thirds of pesticide related deaths in the rural areas of developing countries. Organophosphates by their action at muscarinic and nicotinic receptors can have a myriad of presenting symptoms. Here we describe a fatal case of phorate (organophosphorus) toxicity manifesting with hypothermia and cardiotoxicity....
 

 Open Access DOI:10.23937/2378-2951/1410004

Allograft Inflammatory Factor-1 Induction during Ischemia Reperfusion Injury: A Rat Model of LAD Occlusion

D. Olga McDaniel, Lance Majors, Taolin Fang, Feng Zhang and Larry S. McDaniel

Article Type: Research Article | First Published: October 29, 2014

The emerging role of the innate immune response in organ transplantation heightens the significance of molecular markers released from the donor organ due to ischemia/reperfusion injury (IRI) during organ procurement. These molecules are prime activators of innate immunity. Allograft inflmmatory factor-1 (AIF- 1) has been implicated in the regulation of inflmmation and organ rejection. To verify expression level of AIF-1 in cardiac tissues, we de...
 

 Open Access DOI:10.23937/2378-2951/1410003

Prevalence of Hypertension and its Relationship with Adiposity among Rural Elderly Population in India

Nimmathota Arlappa, Avula Laxmmaiah, Nagalla Balakrishna, Rachakula Harikumar, Kodavanti Mallikharjuna Rao and GNV Brahmam

Article Type: Research Article | First Published: October 02, 2014

Background: The world has witnessed the demographic transition in which there is increased proportion of elderly (≥ 60 years) population. This increased longevity is associated with the burden of chronic noncommunicable diseases. Objective: To assess the prevalence of hypertension and its relationship with adiposity among the elderly in rural India. Subjects and methods: A community based cross-sectional study was carried out among 3133...
 

 Open Access DOI:10.23937/2378-2951/1410002

Cardiology and the New Decade

Amy Hase

Article Type: Editorial | First Published: September 29, 2014

Greetings to all readers as we move in to the era of science and technology. Let us hope to witness several exciting developments in the field of cardiology that would pave way to the cure of many cardiological disorders in this new era. This year the International Journal of Clinical Cardiology is debuting in field of open access. We hope to bring to you some of scientific excitements. There had been much progress in the field of Heart Transplan...
 

 Open Access DOI:10.23937/2378-2951/1410001

Treatment of Dyslipidemia in Diabetics

Wilbert S. Aronow

Article Type: Editorial | First Published: September 01, 2014

Dyslipidemia in diabetics should be treated with lifestyle measures. Statins are the only lipid-lowering drugs that have been demonstrated to lower the incidence of cardiovascular events and mortality in patients with diabetes mellitus. This review article will discuss the treatment of dyslipidemia in diabetics and the current guidelines supporting the use of statins in the treatment of diabetics....

Editor-in-chief


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