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Research Article Open Access

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
Int J Clin Cardiol Volume 3, Issue 2

Abstract: 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 prognostic implications of collateral function, makes it necessary to have a better understanding of the factors promoting collateral development in acute setting of myocardial infarction.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410087

Case Report Open Access

Coronary-Cameral Fistula Presenting as Worsening Refractory Heart Failure

Dhruti Mankodi, Ashish Sharma, Fulvia Banu, Sameer Shaharyar, Pedro Martinez-Clark and Ali Bazzi
Int J Clin Cardiol Volume 3, Issue 2

Abstract: 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.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410086

Case Report Open Access

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

Charles Micallef
Int J Clin Cardiol Volume 3, Issue 2

Abstract: 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 statin and dual antiplatelet therapy and his cholesterol levels remained significantly elevated.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410085

Case Series Open Access

Dilated Cardiomyopathy due to Vitamin D Deficiency

Nalan Karabayir, Kelesoglu E, Helen Bornau, Kazim Oztarhan, Aktas D and Erdem A
Int J Clin Cardiol Volume 3, Issue 2

Abstract: 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.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410084

Case Report Open Access

Successful Surgical Embolectomy for Acute Massive Pulmonary Embolism in Pregnant Woman

Nobuhiko Hiraiwa, Kohei Abe, Kunihiko Yoshino, Manabu Yamasaki and Hiroyasu Misumi
Int J Clin Cardiol Volume 3, Issue 2

Abstract: 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 the embolectomy, the ratio of pulmonary to systemic arterial pressure (Pp/Ps) was decreased from 0.5 to 0.25. There were no complications including maternal or fetal loss and major bleeding complications.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410083

Research Article Open Access

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

Rania Gaber, Wessam Salah Ibrahim and Manal Hamesa
Int J Clin Cardiol Volume 3, Issue 2

Abstract: 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.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410082

Original Article Open Access

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
Int J Clin Cardiol Volume 3, Issue 2

Abstract: 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 performed before, immediately after and 3 months after PVI. Measurements from conventional echocardiography and speckle tracking imaging were analyzed. Radial strain (RS) was calculated for each of the 6 standard segmental LV regions on left midventricular short-axis images.

PDF   | Full Text   DOI: 10.23937/2378-2951/1410081

Volume 3
Issue 2