Articles

Cardiovascular disease risk factors among undergraduate medical students in a tertiary care centre of eastern India: a pilot study

Handful studies report the prevalence of cardiovascular disease (CVD) risk factors among medical students from India and none from the eastern part of the country.

Authors: Somnath Mukhopadhay, Anindya Mukherjee, Dibbendhu Khanra, Biaus Samanta, Avik Karak and Santanu Guha

SGLT2 inhibitors in heart failure with reduced ejection fraction

Sodium – glucose co-transporter 2 (SGLT2) inhibitors reduce blood glucose by inhibiting reabsorption of glucose from the proximal renal tubules. Initial studies showed that apart from reducing blood glucose th...

Authors: Uday Sankar Das, Aritra Paul and Suvro Banerjee

Predictors of aortic clamp time duration and intensive care unit length of stay in elective adult cardiac surgery

Aortic cross-clamp utilized during cardiac surgery facilitates motionless and bloodless surgical field. However, the duration of clamp time has an inverse effect on early post-operative recovery period. In thi...

Authors: Ashraf Fadel Moh’d, Hayel Talal Al-Odwan, Salah Altarabsheh, Zeid Mohammad Makahleh and Mohammad Abdallah Khasawneh

Global longitudinal strain detects subtle left ventricular systolic dysfunction in Duchenne muscular dystrophy patients and carriers

With the continuous improvement of the respiratory care of Duchenne muscular dystrophy patients, cardiac manifestations (heart failure and arrhythmias) become the leading causes of morbidity and mortality. Ear...

Authors: Mahmoud Shehta, Mona Mostafa Rayan, Nagia Aly Fahmy, Ahmed Onsy and Islam Bastawy

Multidetector computed tomography for patients with congenital heart disease: a multi-center registry from Africa and Middle East; patients’ characteristics and procedural safety

We aimed to establish a clinical registry for patients with congenital heart disease who referred to multidetector computed tomography in our country, to describe the pattern and clinical profile of such patie...

Authors: Dina Adel Ezzeldin, Mohamed Saber Hafez and Amr Mansour

Multidetector computed tomography study to measure thoracic aorta diameters in Egyptian population

The aorta is the largest and strongest artery in the body that plays an important role in the control of systemic vascular resistance and heart rate. Aortic diseases contribute to the wide spectrum of arterial...

Authors: Ahmed Shehata Mohamed Ismail, Shareefa Ali Mohammad Al-Suraimi, Hossam El Din Ghanem El Hossary, Mohamed Ali Salem and Hossam Ibrahim Hamed Kandil

The association between 24-h blood pressure variability and major adverse cardiac events (MACE) in hospitalized patients with acute myocardial infarction: a retrospective cohort study

Acute myocardial infarction (AMI) is major cardiovascular disease that causes high morbidity and mortality. In AMI, ischemia and necrosis affected some cardiomyocytes leading to a decrease in myocardial contra...

Authors: Harefa, Ika Prasetya Wijaya, Muhadi, Cleopas Martin Rumende, Sally Aman Nasution, Sukamto Koesnoe, Maruhum Bonar Marbun and Hamzah Shatri

Knowledge, attitudes and practices survey of cardiac rehabilitation among cardiologists and cardiac surgeons in Lebanon

Cardiovascular diseases (CVDs) are among the leading causes of morbidity and mortality worldwide. Over three quarters of the cardiovascular deaths take place in low and middle-income countries. Despite the ben...

Authors: Rebecca Farah, Wim Groot and Milena Pavlova

Impact of percutaneous ventricular septal defect closure on left ventricular remodeling and function

Ventricular septal defect (VSD) is the most common congenital heart disease. In patients with large VSD, left side chambers are subjected to volume overload with subsequent chambers dilatation and eccentric le...

Authors: Amr Abdel Aal, Housam M. Hassan, Dina Ezzeldin and Maiy El Sayed

Iron replacement therapy in heart failure: a literature review

Heart failure (HF) is a major global challenge, emphasised by its designation as the leading cause of hospitalisation in those aged 65 and above. Approximately half of all patients with HF have concurrent iron...

Authors: Hassan Ismahel and Nadeen Ismahel

Efficacy and safety of hydro-mechanical defragmentation in intermediate- and high-risk pulmonary embolism

Pulmonary embolism (PE) is the third most common acute cardiovascular syndrome. Percutaneous catheter directed hydro-mechanical defragmentation (HMD) is one of the recommended treatment options for PE in patie...

Authors: Ayman K. M. Hassan, Heba Ahmed, Yousef Ahmed, Abd-Elazim Abo Elfadl and Amany Omar

Outcome of ductus arteriosus stenting including vertical tubular and convoluted tortuous ducts with emphasis on technical considerations

Ductal stenting is the preferred method of securing adequate pulmonary blood flow in patients with duct-dependent pulmonary circulation. The main limitation in most centers is the difficult vertical tubular or...

Authors: Saud Bahaidarah, Jameel Al-Ata, Naif Alkhushi, Ahmad Azhar, Zaher Zaher, Bayan Alnahdi, Mohamed Abdelsalam, Ahmed Elakaby, Ahmed Dohain and Gaser Abdelmohsen

Inhaled prostacyclin analogues in COVID-19 associated acute respiratory distress syndrome: scientific rationale

COVID-19 associated acute respiratory distress syndrome (CARDS) is a severe form of SARS CoV-2 infection and affects about 15–30% of hospitalized patients with a high mortality rate. Growing research and data ...

Authors: Eka Prasetya Budi Mulia and Kevin Luke

Association of COVID-19 infection with large thrombi in left and right atrial appendages

Multiple intra-atrial thrombi are found rarely except in the presence of prosthetic valves, intra-cardiac devices, structural connections like foramen ovale and thrombophilia.

Authors: Saeed Ghodsi, Sara Taghi, Zahra Alizadeh-Sani, Yaser Jenab, Zahra Hosseini and Laura Vaskelyte

Giant descending aortic pseudo-aneurysm in an adult man with uncorrected aortic coarctation

Aortic coarctation (CoAo) accounts for 6 to 8% of all congenital heart diseases and occurs two to five times more often in males. The uncorrected aortic coarctation is complicated by hypertension, ascending an...

Authors: Zahra Jabbary and Mehrnoush Toufan

Pre-procedural predictors for multiple clips in percutaneous edge-to-edge mitral valve repair

Percutaneous mitral valve (MV) clipping for mitral regurgitation (MR) revolutionized MV repair; however, valve anatomies and pathologies vary. Often multiple clips are required, and predicting this pre-procedu...

Authors: Mohammad El Garhy, Bernward Lauer, Björn Göbel, Lisa C. Costello-Boerrigter, Carsten Salomon, Harald Lapp and Marc-Alexander Ohlow

Stenting deferral in primary percutaneous coronary intervention: exploring benefits and suitable interval in heavy thrombus burden

Deferred stenting, despite being successful in early studies, showed no benefit in recent trials. However, these trials were testing routine deferral; not in patients with heavy thrombus burden.

Authors: Ahmed M. Magdy, Salwa R. Demitry, Hosam Hasan-Ali, Mohamed Zaky, Mohamed Abd El-Hady and Mohamed Abdel Ghany

Cardiovascular system and coronavirus disease-2019 (COVID-19): mutual injuries and unexpected outcomes

Cardiovascular system involvement in coronavirus disease-2019 (COVID-19) has gained great interest in the scientific community.

Authors: Eman Sobh, Muhammad Saad Reihan, Tamer M. S. Hifnawy, Khloud Gamal Abdelsalam, Sohaila Sabry Awad, Nehal Mostafa Hamed Mahmoud, Nariman A. Sindi and Hani A. Alhadrami

Contemporary approach to understand and manage COVID-19-related arrhythmia

Arrhythmia, one of the most common complications of COVID-19, was reported in nearly one-third of diagnosed COVID-19 patients, with higher prevalence rate among ICU admitted patients. The underlying etiology f...

Authors: Omnia Azmy Nabeh, Maiada Mohamed Helaly, Rahma Menshawey, Esraa Menshawey, Mohammed Mansoor Matooq Nasser and Ahmed Mohamed Diaa El-deen

Anemia in heart failure: still an unsolved enigma

Anemia affects one-third of heart failure patients and is associated with increased morbidity and mortality. Despite being one of the commonest comorbidities associated with heart failure, there is a significa...

Authors: Yash Paul Sharma, Navjyot Kaur, Ganesh Kasinadhuni, Akash Batta, Pulkit Chhabra, Samman Verma and Prashant Panda

Aortic remodelling and false lumen changes after the frozen elephant trunk technique using the thoraflex hybrid stented graft for aortic dissection

Despite the marked improvement in the aortic dissection repair techniques, residual dissected aorta with a patent false lumen remains an issue. So, the aim of our study is to observe the effect of inserting th...

Authors: Mostafa Mehanna, Moustafa Elhamami, Ahmed Abolkasem, Bassem Ramadan, Abdallah Almaghraby and Jorge Mascaro

Complex and multilevel left ventricular outflow tract obstruction: What can 3D echocardiography add?

Subaortic obstruction by a membrane or systolic anterior motion of the mitral valve leaflets is usually suspected in young patients, especially if the anatomy of the aortic valve is not clearly stenotic and un...

Authors: Hoda Abdelgawad, Mahmoud Shehata, Mahmoud Abdelnabi, Abdallah Almaghraby and Mohamed Ayman Abdel-Hay

The role of NKX2-5 gene polymorphisms in congenital heart disease (CHD): a systematic review and meta-analysis

The gene NKX2-5 is a key transcription factor that plays an essential role in normal cardiac development. Although some recent studies have studied the role of polymorphisms in the NKX2-5 gene in congenital heart...

Authors: Sana Ashiq, Kanwal Ashiq and Muhammad Farooq Sabar

Clinical utility of fetal echocardiography: an Egyptian center experience

The impact of early diagnosis of fetal cardiac abnormalities on the postnatal outcome has been controversial in literature. We aimed to evaluate the role of fetal echocardiography (FE) as a diagnostic tool for...

Authors: Marwa Moustapha Al-Fahham, Nada Ayman Gad, Ahmed Ramy Mohamed Ramy and Nevin Mamdouh Habeeb

Direct comparison of non-vitamin K antagonist oral anticoagulant versus warfarin for stroke prevention in non-valvular atrial fibrillation: a systematic review and meta-analysis of real-world evidences

To overcome the several drawbacks of warfarin, non-vitamin K antagonist oral anticoagulants (NOACs) were developed. Even though randomized controlled trials (RCTs) provided high-quality evidence, the real-worl...

Authors: Yoga Waranugraha, Ardian Rizal, Mokhamad Fahmi Rizki Syaban, Icha Farihah Deniyati Faratisha, Nabila Erina Erwan and Khadijah Cahya Yunita

Acute pulmonary embolism in a patient with hepatitis C virus infection and hepatocellular carcinoma: a case report

Cardiac metastases in hepatocellular carcinoma patients are infrequently encountered and usually associated with a very poor prognosis.

Authors: Mahmoud Abdelnabi, Yehia Saleh, Abdallah Almaghraby, Özge Özden Tok, Hoda Abdelgawad and Sherif Abd ElSamad

Is coronary artery tortuosity a precursor of atherosclerosis and/or left ventricular diastolic dysfunction?

Authors: Zainab Atiyah Dakhil

Early results from an Egyptian transcatheter aortic valve registry (Egy-TVR)

Transcatheter aortic valve implantation (TAVI) is a well-established and standard therapy for patients with symptomatic severe aortic stenosis at moderate or high risk for surgical aortic valve replacement. Re...

Authors: Hesham Bahaa, Yasser Sadek, Ahmad E. Mostafa, Diaa Kamal, Mahmoud Baraka, Mohammad Abdelghani, Ahmed Hassan, Ahmed Shehata, Magdy Abdelhamid and Ahmed Elguindy

Cor triatriatum with supramitral ring: “cor tetratriatum”, associated with Raghib syndrome with Eisenmenger syndrome: multimodality imaging approach in this exceedingly rare case report

Cor triatriatum and supramitral ring are congenital anomalies which result in formation of three chambers of atria. To the best of our knowledge, simultaneous presence of both entities in the same patient resu...

Authors: Barun Kumar, Ashwin Kodliwadmath, Amar Nath Upadhyay, Anupam Singh, Anshuman Darbari and N. Nanda

The treatment dilemma in adult patients with peripheral pulmonary artery stenosis of diverse etiologies

Peripheral pulmonary artery stenosis (PPAS) is a rare and underdiagnosed phenomenon that is reported infrequently in adult patients. Most patients with PPAS have concomitant congenital heart diseases, a histor...

Authors: Zahra Hosseini, Ata Firouzi, Bahram Mohebbi, Ehsan Khalilipur, Mohammadreza Baay, Kiara Rezaei Kalantari, Iman Harirforoosh and Zahra Khajali

A case report: percutaneous management of high-output heart failure from iatrogenic aortocoronary venous grafting to the coronary sinus

Aortocoronary arteriovenous fistula (ACAVF) due to iatrogenic bypass grafting to a cardiac vein is an exceedingly rare complication resulting from coronary artery bypass grafting (CABG) surgery. If not identif...

Authors: Akarsh Parekh, Vivek Sengupta, Ryan Malek and Mark Zainea

Coronary computed tomography versus coronary angiography for preoperative coronary assessment before valve surgery

Conventional coronary angiography (CAG) is currently the gold standard technique for the assessment of coronary arteries prior to cardiac valve surgery. Although CAG is a relatively safe procedure, however, it...

Authors: Abdalla Elagha, Waleed Khaled, Sahar Gamal, Mohamed Helmy and Ayman Kaddah

Strain and strain rate echocardiographic imaging predict occurrence of atrial fibrillation in post-coronary artery bypass grafting patients

Atrial fibrillation (AF) occurs very frequently after coronary artery bypass grafting (CABG); it occurs in about 20–edictors can be used for the dedicatio40% of patients. It is associated with several adverse ...

Authors: Gomaa Abdelrazek, Kareem Mandour, Mohammad Osama and Khaled Elkhashab

Association of Helicobacter pylori infection with coronary artery disease: is it an independent risk factor?

Coronary artery disease (CAD) is a dilemma and a serious cause of morbidity and mortality worldwide. Since CAD has been seen in people without the conventional risk factors like smoking, diabetes, and hyperten...

Authors: Mohamed Riad

Thymic carcinoma with extrinsic occlusion of the left anterior descending artery: a distinctive case of myocardial infarction in a young woman

Thymic epithelial tumour (TET) is the most common tumour affecting the anterior mediastinum in adults. The cardiac extension is often limited to the pericardium, and intracardiac extension is rare. We present ...

Authors: Ahmed Ayuna, Saad Ahmad, Sjirjel Alam and Nik Abidin

A clinical case series of COVID-19-associated acute limb ischemia: real-world situation

COVID-19 was a trending topic all year long in 2020. Currently, it is not only a problem for a pulmonologist since it could cause complications to many other organs, including the cardiovascular system. Recent...

Authors: Steven Philip Surya and Rony Marethianto Santoso

Valvular heart diseases in women

Valvular heart disease is a common health problem affecting both sexes and all age groups. Almost all guidelines are based on studies that mainly involved male patients.

Authors: Ghada Youssef

Transient high-degree AV block in takotsubo syndrome

Authors: John E. Madias

Total versus staged versus functional revascularization in NSTEACS patients with multivessel disease

The optimal strategy for revascularization in patients with NSTEACS who had multivessel coronary artery disease. A lack of evidence exists about the role of complete coronary revascularization by PCI in patien...

Authors: Ahmed O. Elkady, Mohamed Abdelghany, Reda Diab, Ahmed Ezz and Abdalla A. Elagha

Distorted assessment of left atrial size by echocardiography in patients with increased aortic root diameter

Left atrial (LA) size is frequently assessed by posterior-anterior linear measurement of LA (LAD P-A) in the parasternal long axis to expedite examination. Aging, changes in body surface area, and several card...

Authors: Abdullah Kaplan, Raffaele Altara, Marco Manca, Hacı Murat Gunes, Alessandro Cataliotti, George W. Booz and Fouad A. Zouein

Gender differences in patients presenting with non-ST segment elevation myocardial infarction in the STAR registry

In most acute coronary artery (ACS) related literature, the female gender constitutes a smaller proportion. This study is based on gender-specific data in the Saudi Acute Myocardial Infarction Registry Program...

Authors: Abdulhalim Jamal Kinsara and Yasser M. Ismail

Comparison of the early cardiac electromechanical remodeling following transcatheter and surgical secundum atrial septal defect closure in adults

Secundum atrial septal defect (ASD) closure leads to electrical and mechanical remodeling that occurs early after shunt disappearance. The relationship between electromechanical remodeling using electrocardiog...

Authors: Amr Mansour, Noha M. Gamal, M. Alaa Nady, Salwa R. Demitry, H. Shams-Eddin and Khaled M. El-maghraby

An unusual case report of mitral valve apparatus sparing left atrial appendage vegetation presenting as endogenous endophthalmitis

Ocular manifestations of infective endocarditis are nonspecific and rare. Endophthalmitis, retinal artery occlusion, Roth spots and vitreal and retinal infiltrations can all be seen with infective endocarditis...

Authors: Rupesh Kumar, Vidur Bansal, Vikram Halder, Nirupan Sekhar Chakraborty and Krishna Prasad Gourav

Retrieval and repositioning of an embolized atrial septal defect closure device using a gooseneck snare

Closure of all haemodynamically significant atrial septal defects (ASDs) is recommended irrespective of symptoms. Percutaneous device closure offers a favourable alternative to surgery with lower morbidity, sh...

Authors: Akash Batta, Sanjeev Naganur, Ajay Rajan, Kunwer Abhishek Ary, Atit Gawalkar and Parag Barwad

Case report of worsening of preexisting pericardial effusion after ASD device closure: is it calamitous?

Secundum-type atrial septal defects (ASD) constitute 8% to 10% of congenital heart defect. Secundum ASDs can be closed either percutaneously or surgically. However, ASD device closure has proven to be technica...

Authors: Zahra Khajali, Ata Firouzi, Hamidreza Pouraliakbar, Zahra Hosseini and Fateme Jorfi

Myocardial strain analysis as a non-invasive screening test in the diagnosis of stable coronary artery disease

Coronary artery disease (CAD) is one of the most prevalent diseases around the world; however, finding the best noninvasive, low-cost, and more easily accessible test for its screening has been a challenge for...

Authors: Nehzat Akiash, Mohammad Mohammadi, Hoda Mombeini and Akbar Nikpajouh

Comparison between invasive and non-invasive assessment of blood pressure in hypertensive disorders of pregnancy

The management of hypertensive disorders of pregnancy (HDP) during hospitalization requires an accurate blood pressure (BP) measurement, mainly by invasive intra-arterial reading. Nevertheless, little is known...

Authors: Ayman Khairy M. Hassan, Ayman H. Shaamash, Asmaa G. Mohamed, Salwa R. Demitry and Nady A. Razik

Familial dilated cardiomyopathy with RBM20 mutation in an Indian patient: a case report

Dilated cardiomyopathy (DCM) is a disease of the heart muscle characterized by ventricular dilation and a left ventricular ejection fraction of less than 40%. Unlike hypertrophic cardiomyopathy (HCM) and arrhy...

Authors: Soumi Das and Sandeep Seth

Longitudinal stent elongation or shortening after deployment in the coronary arteries: which is dominant?

Stent manufacturers always record stent shortening data while they do not record stent elongation data. The aim of this study is to identify both stent shortening and elongation occurring after deployment in t...

Authors: Magdy Algowhary and Mohammed Aboel-Kassem F. Abdelmegid

Correction to: Spontaneous pulmonary artery thrombus in a neonate

Authors: Y. S. Shrimanth, Krishna Prasad, Adari Appala Karthik, Parag Barwad, C. R. Pruthvi, Atit A. Gawalkar, Krishna Santosh and Sanjeev Naganur