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Journal of the Saudi Heart Association

Sharada Kalavakolanu Sivaram, Wasim Raja Qasim
We report regarding a young lady who presented with recurrent syncopal episodes associated with palpitations, documented to be due to rapid wide QRS tachycardia, subsequently detected to have thyrotoxicosis and who responded promptly to appropriate medication to become free from arrhythmia.
July 2019: Journal of the Saudi Heart Association
Roberto Zecchel, Paolo Buja, Carlo Rettore, Luigi Pedon
No abstract text is available yet for this article.
April 2019: Journal of the Saudi Heart Association
Gökhan Erol, Emre Kubat, Hüseyin Sicim, Murat Kadan, Cengiz Bolcal
Pneumomediastinum is a rare entity that is defined as free air in the mediastinal space. A 26-year-old male patient was admitted with pneumomediastinum as an unexpected complication of robotic surgery. Diffuse subcutanous emphysema was observed suddenly on Postoperative Day 3 without respiratory distress. Air trapping into the mediastinum was seen on chest X-ray and computed tomography. The patient was followed in the intensive care unit for 7 days and managed conservatively. Subcutaneous emphysema reduced gradually...
April 2019: Journal of the Saudi Heart Association
Hasanain Ali Hameed Bshiebish, Ali Hussein Al-Musawi, Safaa Ali Khudeir
Objectives: To detect systolic dysfunction in heart failure with preserved ejection fraction (HFpEF) patients by using global longitudinal strain (GLS). Methods: This study included 46 heart failure patients: 24 with heart failure with reduced ejection fraction (HFrEF) and 22 with heart failure with preserved ejection fraction (HFpEF), and 20 patients with similar risk factor but no symptoms or signs of heart failure, matched for age and sex, as controls. All patients were screened by echocardiography...
April 2019: Journal of the Saudi Heart Association
Aysha Husain, Aly Alsanei, Mohammed Tahir, Ziad Dahdouh, Zohair AlHalees, Ali AlMasood
The left circumflex (LCX) artery is located close to the mitral valve (MV), making it susceptible to injury during MV surgery. We are reporting our experience in the diagnosis and management of this complication. We retrospectively reviewed our surgical and coronary angiography databases for patients with documented LCX artery injury during MV surgery between January 2000 and December 2016. The complication was associated with MV replacement (9/1313, 0.7%) but not MV repair (0/393, 0.0%). Eight patients (88...
April 2019: Journal of the Saudi Heart Association
Abdullah Nasser Alhuzaimi, Abdulrahman Mohamed Bahkley, Ahmed Mohammed Aljadeed, Abdullah Abdlatif Alghaiheb
Objectives: To assess the physicians' knowledge and practice attitudes toward the infective endocarditis antibiotics prophylaxis guidelines in Saudi Arabia. Moreover, to determine whether there is knowledge-to-practice discrepancy. Methods: A cross-sectional study was performed using a self-administered questionnaire. A questionnaire was distributed among physicians dealing with congenital heart disease patients in Saudi Arabia, from January 7, 2016 to August 30, 2016...
April 2019: Journal of the Saudi Heart Association
Sahar El Shedoudy, Eman El-Doklah
Objectives: To assess safety, efficacy and follow-up results of transcatheter closure of ventricular septal defect (VSD) using Nit-Occlud_ Lê VSD Coil (pfm medical, KÖln, Germany). Background: Transcatheter VSD closure has achieved encouraging results but more follow-up studies are needed. Patients and methods: Between January 2012 and December 2013 in the cardiology department, Tanta University Hospital, Tanta, Egypt, 80 patients underwent percutaneous VSD closure using Nit-Occlud_ Lê VSD Coil...
April 2019: Journal of the Saudi Heart Association
Saptarshi Paul, Suraj Wasudeo Nagre
Rupture of an abdominal aortic aneurysm is readily diagnosed when the triad of abdominal or back pain, shock and a pulsatile abdominal mass are present. However in a few cases, a chronic contained ruptured abdominal aortic aneurysm can present in a multitude of manners rather than as life threatening haemorrhage. In our case we are reporting a 41 year old hypertensive female who developed claudication pain in both her lower limbs. Imaging later revealed that she had a contained ruptured abdominal aortic aneurysm, a thing she was previously unaware of, with collaterals from the bilateral subclavian arteries supplying her femorals...
April 2019: Journal of the Saudi Heart Association
Sonia El-Saiedi, Antoine Fakhry AbdelMassih, Yasser Sedky, Amr Malash, Nouran Hussain, Monica Alfons, Rana Essam
Background: Hemodynamically significant (HS) patent ductus arteriosus (PDA) is a significant cause of mortality in preterm neonates. Early detection of HS PDA and pre-symptomatic closure may help in avoiding complications. For this to happen, easily performed predictors must be available; the aim of this paper is to test the reliability and repeatability of tissue Doppler-derived parameters for prediction of HS PDA. Methods: Preterm neonates <32 weeks were screened with echocardiography at Day 3 of life; 80 neonates with PDA were classified into HS group and hemodynamically insignificant (HIS) group based on benchmark parameter namely left ventricular outflow to superior vena caval flow ratio (LVO/SVC), and a ratio ≥4 was considered predictive of HS PDA...
April 2019: Journal of the Saudi Heart Association
Mustafa A Al-Muhaya, Abdul Hameed A Najjar, Ali A Jelly, Alassal A Alkodami, Mohammad Mofeed, Mansour Al-Mutairi
Obstructed "total anomalous pulmonary venous connection" mostly presents with respiratory distress secondary to pulmonary congestion. We report two very sick patients who were referred to our cardiac center for intervention to relieve vertical vein (VV) obstruction. Due to hemodynamic instability and associated morbidity, the decision in our combined meeting was to go for interventional cardiac catheterization.
April 2019: Journal of the Saudi Heart Association
Asmaa Saleh, Ahmed Shabana, Doaa El Amrousy, Amr Zoair
Objectives: To evaluate P-wave dispersion (PWD) and QT dispersion (QTd) in children with congenital heart disease and pulmonary arterial hypertension (PAH-CHD) and to investigate the predictive value of both PWD and QTd for prediction of arrhythmias in such children. Materials and methods: We included 40 children with PAH-CHD as Group I. Forty other children with CHD and no PAH were included as Group II. Forty healthy children of matched age and sex served as a Control group...
April 2019: Journal of the Saudi Heart Association
Bana Agha Nasser, Abdullah Al Qwaee, Abdul Rahman Almesned, Ali Akhfash, Tagelden Mohamad, Farah Chaikhouni, Fahad Alhabshan, Mohamed S Kabbani
Although infective endocarditis is an uncommon condition, it can be fatal if not treated. The new era of infective endocarditis in children with structurally normal heart has become apparent entity. Duke criteria has been established for a long time and gives clear guidelines for diagnosis; however, surgical indication in pediatric population needs to be tailored to individual patients.
April 2019: Journal of the Saudi Heart Association
Mohamed Naseem, Sameh Samir, Ibtsam Khairat Ibrahim, Lamiaa Khedr, Abeer Abd Elmonem Shahba
Objectives: Disease activity has been considered as independent cardiovascular risk factor in rheumatoid arthritis (RA) patients. We aimed to evaluate the effect of RA disease activity on left ventricular (LV) and right ventricular (RV) functions by speckle tracking echocardiography (STE). Methods: 120 patients with RA without evidence of cardiovascular disease and 40 healthy control subjects were included. Disease activity was evaluated according to Simplified Disease Activity Index (SDAI) score and Disease Activity Score 28 (DAS28)...
January 2019: Journal of the Saudi Heart Association
Rami M Abazid, Osama A Smettei, Ahmad Almeman, Sawsan Sayed, Hanaa Alsaqqa, Salma M Abdelmageed, Fahad J Alharbi, Abdullah M Alhabib, Mouaz H Al-Mallah
Introduction: Image noise can negatively affect the overall quality of coronary computed tomography angiography (CCTA). Objectives: The purpose of this study was to evaluate the relationship between image noise and fat volumes in the chest wall. We also aimed to compare these with other patient-specific predictors of image noise, such as body weight (BW) and body mass index (BMI). Methods: We undertook a cross-sectional, single-center study...
January 2019: Journal of the Saudi Heart Association
Hazem M El-Ashmawy, Hisham S Roshdy, Zizi Saad, Azza M Ahmed
Objective: To assess the relationship between serum endostatin (ES) and coronary artery calcification (CAC) in type 2 diabetic (T2DM) patients. Methods: The study included 110 participants with coronary artery disease (CAD); 55 with T2DM, for serum ES levels by enzyme-linked immunosorbent assay and CAC by contrast-enhanced spiral computed tomography (CT). Results: Mean serum ES value was 66.54 ng/mL [95% confidence interval (CI), 61.77-71...
January 2019: Journal of the Saudi Heart Association
Ajith Ananthakrishna Pillai, Shabnasri Sinouvassalou, Kabilan S Jagadessan, Hemachandren Munuswamy
Background: Transcatheter closure (TCC) has emerged as the first line treatment option for secundum type of atrial septal defects (ASD). Outcomes of TCC depend upon proper delineation of defect anatomy by transesophageal echocardiography (TEE). Stability and proper placement of the device mandates adequate rims and proper alignment to the septum. Failed or unfavorable morphology for TCC requires referral for surgical repair. Methods: We prospectively analyzed the ASD patients who were referred for treatment...
January 2019: Journal of the Saudi Heart Association
Omer A Algonaid, Abdulrahman S Almoukirish, Yahya H Almashham
Kawasaki disease (KD) is a potentially decapacitating multisystemic vasculitis with unknown etiology that acquired worldwide attention due to associated coronary aneurysms leading to life-threatening complications in very young babies including thrombosis, ischemia, and rupture. High levels of suspicion for early diagnosis and prompt treatment are crucial in preventing serious complications. We report here one of the patients who developed a giant coronary aneurysm but fortunately not a life-threatening complication after 5 years of follow-up...
January 2019: Journal of the Saudi Heart Association
Masroor H Sharfi, Jameel Al-Ata, Amjad Al-Kouatli, Haysam Baho, Lamees Al-Ghamdi, Mohammed O Galal
Background: Transcatheter closure of secundum atrial septal defect is routinely performed under general anesthesia and transesophageal echocardiography guidance. If patients have good echo windows, the procedure could be performed under transthoracic echo guidance. Aim of study: To evaluate safety and efficacy of the intervention using fluoroscopy and echo guidance. Methods: In a case control study design, 180 patients underwent atrial septal defect closure between January 2010 and December 2016...
January 2019: Journal of the Saudi Heart Association
Mahmood D Al-Mendalawi
No abstract text is available yet for this article.
January 2019: Journal of the Saudi Heart Association
Salahdein Aburuz, Abdulkareem Al-Bekairy, Abdul-Aziz Alqahtani, Khalid Harbi, Mohammed Al Nuhait, Abdullah Khoja, Adel Sadeq, Mohammed Al Rashed
Background: One of the major risk factors for cardiovascular diseases is hyperlipidemia. The primary aim of this study was to estimate the proportion of individuals between 40-75 years old that would be eligible for statin therapy based on ACC/AHA guideline as compared to ATP-III guideline in a population of patients in Saudi Arabia. We also intended to extrapolate the results to the entire Saudi population, and estimate the cost implications of the ACC/AHA treatment guideline. Methods: This study was a retrospective, observational study involving adult patients aged between 40-75 years old...
October 2018: Journal of the Saudi Heart Association
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