Research Article Open Access

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
Int J Clin Cardiol Volume 2, Issue 5

Abstract: 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.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410057

Case Report Open Access

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
Int J Clin Cardiol Volume 2, Issue 5

Abstract: 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.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410056

Case Report Open Access

Mycophenolate Mofetil-Induced Colitis in a Pediatric Heart Transplant Recipient

Lindy Moore, Anita L Sengupta and Bibhuti Das
Int J Clin Cardiol Volume 2, Issue 5

Abstract: 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 challenges in pediatric HT recipients.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410055

Perspective Open Access

Ultrafiltration in Heart Failure: Experience in a French University Hospital

David Boutarin Raphaelle - Ashley Guerbaai and Patricia Armand
Int J Clin Cardiol Volume 2, Issue 5

Abstract: 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.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410054

Case Report Open Access

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

Ramirez-Moreno A and JR. Siles-Rubio
Int J Clin Cardiol Volume 2, Issue 5

Abstract: 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.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410053

Case Report Open Access

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
Int J Clin Cardiol Volume 2, Issue 5

Abstract: 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 questioned.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410052

Review Article Open Access

Preventing Acute Cardiac Events during Marathons with Pre-Race Aspirin

Arthur J. Siegel
Int J Clin Cardiol Volume 2, Issue 5

Abstract: 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 underlying cause.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410051

Case Report Open Access

Transient Isolated Right Ventricular Hypertrophy in A Neonate

Muhittin Celik, Heybet Tuzun, Bedri Aldudak and Osman Akdeniz
Int J Clin Cardiol Volume 2, Issue 5

Abstract: 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.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410050

Research Article Open Access

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

Nguyen Huu Uoc and Pham Tien Quan
Int J Clin Cardiol Volume 2, Issue 5

Abstract: 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 structure. Although the difference in biological parameters between donor and recipient were with in acceptable limits, most of the steps in an otherwise normal transplant proved to be highly challenging.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410049

Case Report Open Access

Arrhythmic Manifestation of Prinzmetal' Sangina Induced by Therapeutic Hypothermia

Abellas-Sequeiros RA, Ocaranza-Sanchez R, Garcia-Acuna JM and Gonzalez-Juanatey JR
Int J Clin Cardiol Volume 2, Issue 5

Abstract: 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.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410048

Volume 2
Issue 5