International Journal of

Clinical CardiologyISSN: 2378-2951


 Open Access DOI:10.23937/2378-2951/1410219

Large Spontaneous Coronary Artery Dissection Presenting as Acute STEMI - Is Intervention the Only Answer?

Santosh Kumar Sinha, FACC, FAESC, FSCAI, Awadesh Kumar Sharma, Mahmodullah Razi and Umeshwar Pandey

Article Type: Case Report | First Published: February 27, 2021

Spontaneous coronary artery dissection (SCAD) is a rare but an important cause of ST elevation myocardial infarction (STEMI) in young patients. Here, we report case of a 32-year-old male presenting as acute anterior wall STEMI for which was thrombolysed. Coronary angiogram revealed spiral luminal filling defects with extensive contrast staining of proximal left anterior descending artery involving diagonal branch representing Type D dissection. As patient refused any intervention, he was managed...

 Open Access DOI:10.23937/2378-2951/1410218

Determinants of Spatial Dispersion of P-Wave, QRS Complex, and QT-Interval on 12-Lead Electrocardiogram in Apparently Healthy Adults

Nelson I Oguanobi, Charles U Odenigbo, Ogonna C Oguejiofor, Uchenna C Okonkwo, Ukamaka M Odenigbo3 and Tobenna Agogbua

Article Type: Original Research | First Published: February 19, 2021

The spatial dispersion of P-wave, QRS complex, and QT interval on 12-lead electrocardiogram are related to the electrical instability in cardiac conducting tissues and elevated parameters are associated with increased risk of cardiovascular morbidity and mortality. We sought to evaluate the dispersion of P-wave, QRS complex, and QT interval in healthy adult Nigerians and assess their relationship to age, gender, anthropometric and some physiologic parameters. A total of 128 subjects were recruit...

 Open Access DOI:10.23937/2378-2951/1410217

Utility of Global Longitudinal Strain to Predict Post-Operative Outcomes in Non-Cardiac Surgeries

Chang Joon Park, Liy Si Tan, Pei Huang, Puay Joo Tan, Jason Jia Hao See, MBBS, MRCP

Article Type: Brief Report | First Published: February 13, 2021

Pre-operative echocardiography is performed in select groups of patients for cardiac risk stratification. Many parameters, including Left Ventricular Ejection Fraction (LVEF), are assessed during echocardiography. While many studies have cited association between low LVEF and poor operative outcomes, patients with preserved LVEF might have subtle LV dysfunction that may result in adverse outcome. Studies have described the routine use of global longitudinal strain (GLS) as an alternative measure...

 Open Access DOI:10.23937/2378-2951/1410216

Coronary Risk Factors and its Reduction by Plant-Based Diet with Emphasis on Diabetes: A Preliminary Report

Gunadhar Panigrahi, MD, FACC, FACP, DipABLM

Article Type: Research Article | First Published: February 13, 2021

Heart disease has been the leading cause of death since 1933 in the US according to the mortality records from CDC. In 2009 coronary heart disease accounted for 64% of the cardiac deaths. This is due to diet high in processed foods, high in meat, saturated fat, added sugars and other high glycemic index carbohydrate, along with sedentary lifestyle. A comprehensive survey of cardiovascular disease of the New Guinea highlanders indicated rare incidence of ischemic heart disease, and no diabetes or...

 Open Access DOI:10.23937/2378-2951/1410215

Left Ventricular Assist Devices and Their Role in Cardiogenic Shock: Literature Review and Contemporary Data

S Tzikas, AP Evangeliou, A Boulmpou, G Loufopoulos, CE Papadopoulos and V Vassilikos

Article Type: Review Article | First Published: January 30, 2021

Despite tremendous progress in the therapeutic algorithms of hemodynamically unstable patients, cardiogenic shock remains a clinical challenge with high mortality rate. Conservative management with inotropic agents remains the first-choice treatment, though it has been associated with serious adverse events and is not always adequate. Circulatory support with mechanical devices has been widely implemented in patients with cardiogenic shock during high- risk percutaneous coronary interventions or...

 Open Access DOI:10.23937/2378-2951/1410214

Maximising the Diagnostic Utility of the Exercise Treadmill Test

Kofi Tekyi Asamoah

Article Type: Case Report | First Published: January 16, 2021

Ischaemic heart disease was the leading cause of mortality according to the World Health Organisation in the year 2018 and disease burden keeps increasing steadily across the globe. Early diagnosis and intervention are therefore key in mitigating its effect on society. The exercise treadmill test is an important, cost-effective investigation employed in the evaluation of coronary artery disease, allowing for early diagnosis and a decision on revascularization to be made. Reliable interpretation ...

 Open Access DOI:10.23937/2378-2951/1410213

A Rare Case of Vagococcus fluvialis Prosthetic Valve Endocarditis and Aortic Root Abscess

Liam M Back, Joseph Magdy, Liam Guiney, Roger Luo, Akram Hussein and David Wong

Article Type: Case Report | First Published: January 16, 2021

We describe a case of Vagococcus fluvialis infective endocarditis with associated aortic root abscess in a 50-year-old male on his second bioprosthetic aortic valve replacement. Only two cases of Vagococcus endocarditis have been recorded to our knowledge, and this case reinforces the fulminant nature of a rare organism. A 50-year-old male presented to our emergency department with 4 weeks of a traumatic back and neck pain with associated night sweats and anorexia. He had a history of intravenou...

 Open Access DOI:10.23937/2378-2951/1410212

Spontaneous Coronary Artery Dissection with Predisposing Fibromuscular Dysplasia: Diagnosed during a Single Catheterisation Procedure

AGW de Lepper, MD, W Aarnoudse, MD, PhD, A Algin, MD, M Winkens, MD and M Magro, MD, PhD

Article Type: Case Report | First Published: January 13, 2021

A middle-aged woman presented with a non-ST-segment elevation myocardial infarction which was due to a spontaneous coronary artery dissection of the distal right coronary artery. Angiography of the femoral artery prior to placement of a closure device revealed tortuosity consistent with multifocal fibromuscular dysplasia....

Volume 8
Issue 1