Case Report Open Access

Electrocardiographic Changes in Primary Hyperparathyroidism

Alexander Alzate, Marcela Munoz Urbano and Kenny Buitrago-Toro
Int J Clin Cardiol Volume 2, Issue 6

Abstract: 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 an electrocardiogram on a patient's approach.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410068

Case Report Open Access

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
Int J Clin Cardiol Volume 2, Issue 6

Abstract: 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, moving in every systole towards the left ventricle outflow tract. Left ventricular segmental wall motion abnormalities weren't detected by echocardiography.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410067

Research Article Open Access

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
Int J Clin Cardiol Volume 2, Issue 6

Abstract: 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 pulmonary artery pressures at our center.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410066

Research Article Open Access

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
Int J Clin Cardiol Volume 2, Issue 6

Abstract: 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 to identify the variables related to the increased LVEF.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410065

Case Report Open Access

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
Int J Clin Cardiol Volume 2, Issue 6

Abstract: 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 that time. The trans-thoracic echocardiography showed an anatomic obstruction across the left ventricular outflow tract with a maximal gradient of 90 mmHg, combining an aortic valve stenosis and a subaortic membrane. However, the accurate location of the main obstruction remained uncertain after this echocardiography in spite of the optimal use of pulse Doppler.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410064

Case Report Open Access

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
Int J Clin Cardiol Volume 2, Issue 6

Abstract: 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-sustained ventricular tachycardia (NSVT). The onset of the clinical symptoms coincide with a stressful event and findings of the single-photon emission computed tomography (SPECT) stress myocardial perfusion imaging (MPI) with Tc-99m tetrofosmin are compatible with stress-induced cardiomyopathy after an unsuccessful attempt to treat depression with ECT.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410063

Case Report Open Access

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
Int J Clin Cardiol Volume 2, Issue 6

Abstract: 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 main coronary artery thrombosis treated with emergency angioplasty and insertion of three drug-eluting stents.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410062

Original Research Article Open Access

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
Int J Clin Cardiol Volume 2, Issue 6

Abstract: 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 into 3 coronary risk levels according to Framingham risk score. Demographic and anthropometric variables were estimated. Serum levels of lipid profile, blood glucose, insulin, omentin-1 and high sensitivity-Reactive Protein (hs-CRP) were measured in fasting blood samples. Insulin resistance indices were also calculated.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410061

Case Report Open Access

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

Abdulmelik Yildiz, Mustafa Budancamanak and Cennet Yildiz
Int J Clin Cardiol Volume 2, Issue 6

Abstract: 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 coronary artery disease. Technesium (TC99 MIBI) Myocardial Perfusion SPECT and Cardiac Magnetic Resonance imaging results were normal. Ajmaline test confirmed the diagnosis, and ventricular fibrillation (VF) induced during electrophysiological study (EPS).

PDF   | Full Text   DOI: 10.23937/2378-2951/1410060

Research Article Open Access

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
Int J Clin Cardiol Volume 2, Issue 6

Abstract: 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.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410059

Original Article Open Access

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
Int J Clin Cardiol Volume 2, Issue 6

Abstract: 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.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410058

Volume 2
Issue 6