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Journal of the Saudi Heart Association 19건

  1. [해외논문]   Editorial Board  


    Journal of the Saudi Heart Association v.30 no.2 ,pp. IFC , 2018 , 1016-7315 ,

    초록

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  2. [해외논문]   Table of Contents  


    Journal of the Saudi Heart Association v.30 no.2 ,pp. iii - iv , 2018 , 1016-7315 ,

    초록

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  3. [해외논문]   Editorial Board  


    Journal of the Saudi Heart Association v.30 no.2 ,pp. IFC - IFC , 2018 , 1016-7315 ,

    초록

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [해외논문]   The GuideLiner catheter: A supportive tool in percutaneous coronary intervention of chronic total occlusion  

    Guelker, Jan-Erik (Hertcentre Niederrhein, Department of Cardiology, Helios Clinic Krefeld, Krefeld, GermanyaGermany ) , Blockhaus, Christian (Hertcentre Niederrhein, Department of Cardiology, Helios Clinic Krefeld, Krefeld, GermanyaGermany ) , Kroeger, Knut (Department of Vascular medicine, Helios Clinic Krefeld, Krefeld, GermanycGermany ) , Wehner, Rosemarie (RWI –) , Klues, Heinrich (Leibniz-Institute for Economic Research, Essen, GermanyeGermany ) , Bufe, Alexander (Hertcentre Niederrhein, Department of Cardiology, Helios Clinic Krefeld, Krefeld, GermanyaGermany )
    Journal of the Saudi Heart Association v.30 no.2 ,pp. 69 - 74 , 2018 , 1016-7315 ,

    초록

    Abstract Background Failure of delivering a stent or a balloon across the target lesion during percutaneous coronary intervention (PCI) of chronic total occlusion (CTO), especially in arteries with calcified tortuous anatomy, is often due to insufficient backup support from the guiding catheter. The purpose of this study was to assess the feasibility of the GuideLiner (GL) catheter use. Methods We examined 18 patients and used the GL catheter to overcome poor support and excessive friction in standardized antegrade and retrograde CTO procedures. The GL is a coaxial, monorail guiding catheter extension delivered through a standard guiding catheter and is available in different sizes. Results Almost all lesions were classified as severely calcified (94.4±0.24%). The Japanese CTO score reflecting lesion complexity was 3.56±0.78. All procedures were performed femorally; the retrograde approach was used in 27.8±0.46% of cases. The overall success rate was 88.9±0.32%; there were no relevant complications. Conclusions The GL catheter is an adjunctive interventional device which enhances and amplifies CTO-PCI. Its use is indicated in cases in which back-up force needs to be strengthened to pass a CTO despite advanced calcification. It can be recommended as an important additional tool in advanced interventional cardiology such as antegrade and retrograde CTO-PCI if other techniques like anchor balloon or anchor wire are not possible.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [해외논문]   Status of F-18 fluorodeoxyglucose uptake in normal and hibernating myocardium after glucose and insulin loading  

    Sarikaya, Ismet (Department of Nuclear Medicine, Faculty of Medicine, Kuwait University, Kuwait ) , Elgazzar, A.H. (Department of Nuclear Medicine, Faculty of Medicine, Kuwait University, Kuwait ) , Alfeeli, M.A. (Department of Nuclear Medicine, Mubarak Al-Kabeer Hospital, Ministry of Health, Kuwait ) , Sharma, P.N. (Department of Nuclear Medicine, Faculty of Medicine, Kuwait University, Kuwait ) , Sarikaya, A. (Department of Nuclear Medicine, Faculty of Medicine, Trakya University, Turkey)
    Journal of the Saudi Heart Association v.30 no.2 ,pp. 75 - 85 , 2018 , 1016-7315 ,

    초록

    Abstract Objective F-18 fluorodeoxyglucose (FDG) positron emission tomography (PET) has been increasingly used in myocardial viability imaging. In routine PET viability studies, oral glucose and intravenous insulin loading is commonly utilized. In an optimal study, glucose and insulin loading is expected to cause FDG uptake both in hibernating and normal myocardium. However, in routine studies it is not uncommon to see absent or reduced FDG uptake in normal myocardium. In this retrospective study we further analyzed our PET viability images to evaluate FDG uptake status in myocardium under the oral glucose and intravenous insulin loading protocol that we use in our hospital. Methods Patients who had both myocardial perfusion single photon emission computed tomography (SPECT) and FDG PET cardiac viability studies were selected for analysis. FDG uptake status in normal and abnormal myocardial segments on perfusion SPECT was evaluated. Based on SPECT and PET findings, patients were divided into two main groups and four subgroups. Group 1 included PET viable studies and Group 2 included PET-nonviable studies. Subgroups based on FDG uptake in normal myocardium were 1a and 2a (normal uptake) and 1b and 2b (absent or significantly reduced uptake). Results Seventy-one patients met the inclusion criteria. Forty-two patients were PET-viable and 29 were PET-nonviable. In 33 of 71 patients (46.4%) there was absent or significantly reduced FDG uptake in one or more normal myocardial segments, which was identified more in PET-viable than PET-nonviable patients (59.5% vs. 27.5%, p = 0.008). This finding was also more frequent in diabetic than nondiabetic patients (53% vs. 31.8%), but the difference was not significant ( p = 0.160). Conclusions In nearly half of our patients, one or more normal myocardial segments showed absent or significantly reduced FDG uptake. This finding, particularly if it is diffuse, could be from suboptimal study, inadequacy of current glucose and insulin loading protocols, or various other patient-related causes affecting FDG uptake both in the normal and hibernating myocardium. In cases with significantly reduced FDG uptake in normal myocardium, PET images should be interpreted cautiously to prevent false-negative results for viability.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  6. [해외논문]   Normal reference ranges for aortic diameters in preterm infants  

    Abushaban, Lulu (Chest Diseases Hospital, Ministry of Health, Kuwait City, KuwaitaKuwait ) , Mariappa, Thinakar Vel (Chest Diseases Hospital, Ministry of Health, Kuwait City, KuwaitaKuwait ) , Rathinasamy, Jebaraj (Chest Diseases Hospital, Ministry of Health, Kuwait City, KuwaitaKuwait ) , Sharma, Prem N. (Faculty of Medicine, Health Sciences Center, Kuwait University, Kuwait City, KuwaitcKuwait)
    Journal of the Saudi Heart Association v.30 no.2 ,pp. 86 - 94 , 2018 , 1016-7315 ,

    초록

    Abstract Objective To establish normal reference ranges and Z -scores for aortic diameters in preterm infants according to the body surface area and assess their correlation with body weight, body surface area, and gestational age. Patients and methods In a prospective study, 268 preterm infants who fulfilled the criteria for inclusion were examined. Echocardiograms were performed to measure the ascending aorta, transverse aorta, and aortic isthmus diameters on 0 days to 6 days of life and at weekly intervals until the babies reached 36 weeks. Body surface area was divided into 13 groups from 0.07 m 2 to 0.19 m 2 . Results The mean gestational age was 29.8 [± 2.38 standard deviation (SD)] weeks, ranging from 24 weeks to 35 weeks. The mean body weight was 1479 (± 413 SD) g, ranging from 588 g to 3380 g, and the mean body surface area was 0.13 m 2 , ranging from 0.07 m 2 to 0.19 m 2 . All the aortic diameters correlated well with both body weight and body surface area. Reference ranges with the mean ± SD, range, and Z -scores were calculated for aortic diameters according to the body surface area. A significant gradual increase was observed in ascending aorta, transverse aorta, and aortic isthmus diameters with increasing body surface area. Overall, a progressive and significant increase in ascending aorta, transverse aorta, and aortic isthmus diameters was observed during the first 9 weeks of life. Conclusion The ascending aorta, transverse aorta, and aortic isthmus diameters exhibited a significant correlation with the body surface area and body weight. This study provides reference data with Z -scores that can be used as a normal reference tool for the ascending aorta, transverse aorta, and aortic isthmus diameters for preterm infants based on the body surface area.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  7. [해외논문]   Bedside ultrasonography screening for congenital renal anomalies in children with congenital heart diseases undergoing cardiac repair  

    Hamadah, Hussam K. (Section of Pediatric Cardiac ICU, King Abdulaziz Cardiac Center, King Abdulaziz Medical City, Ministry of National Guard–Health Affairs, Riyadh, Saudi ArabiaaSaudi Arabia ) , Hijazi, Omar (Section of Pediatric Cardiac ICU, King Abdulaziz Cardiac Center, King Abdulaziz Medical City, Ministry of National Guard–Health Affairs, Riyadh, Saudi ArabiaaSaudi Arabia ) , Faraji, Mohammad A. (Section of Pediatric Radiology, King Abdulaziz Medical City, Ministry of National Guard–Health Affairs, Riyadh, Saudi ArabiabSaudi Arabia ) , Kabbani, Mohamed S. (Section of Pediatric Cardiac ICU, King Abdulaziz Cardiac Center, King Abdulaziz Medical City, Ministry of National Guard–Health Affairs, Riyadh, Saudi ArabiaaSaudi Arabia)
    Journal of the Saudi Heart Association v.30 no.2 ,pp. 95 - 101 , 2018 , 1016-7315 ,

    초록

    Abstract Introduction Ultrasound (US) assessment of renal anomalies in children requiring pediatric cardiac surgery is not a standard practice. This study is highlighting the role of bedside US performed by intensivist to detect occult renal anomalies associated with congenital heart disease (CHD). Methods A cross sectional study for 100 consecutive children with CHD admitted to Pediatric Cardiac Intensive Care Unit (PCICU) in 2015. US of kidneys screening was performed by trained pediatric cardiac intensivists to ascertain the presence of both kidneys in renal fossae without gross anomalies and to investigate if early detection of occult kidney anomaly would have any impact on outcome. Results After screening of 100 consecutive children with CHD with renal US, we identified in 94 cases (94%) normal right and left kidney in the standard sonographer shape within the renal fossae. In 6 cases further investigation revealed ectopic kidney in 3 patients (50%), solitary functional kidney in 2 patients (33%) and bilateral grade IV hydronephrosis in one patient (17%). Urinary tract infection developed peri-operatively in 66% of the cases with kidney anomalies with statistical significance compared to patients with normal renal US (P: 0.0011) . No significant renal impairment was noted in these patients post-surgery. We observed no specific association between the type of renal anomaly and specific CHD. Conclusion Routine renal US in children with CHD demonstrated prevalence of associated congenital renal anomalies in 6% of children undergoing cardiac surgery. The presence of occult renal anomalies was associated with higher UTI risk. Performing routine renal US as a standard practice in children with CHD is justifiable.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

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  8. [해외논문]   Three-dimensional echocardiography with left ventricular strain analyses helps earlier prediction of right ventricular pacing-induced cardiomyopathy  

    Babu, N.M. Sharath (Department of Cardiology, Christian Medical College, Vellore 632004, IndiaaIndia ) , Srinath, Sirish C. (Department of Cardiology, Christian Medical College, Vellore 632004, IndiaaIndia ) , Lahiri, Anandaroop (Department of Cardiology, Christian Medical College, Vellore 632004, IndiaaIndia ) , Chase, David (Department of Cardiology, Christian Medical College, Vellore 632004, IndiaaIndia ) , John, Bobby (Department of Cardiology, Christian Medical College, Vellore 632004, IndiaaIndia ) , Roshan, John (Department of Cardiology, Christian Medical College, Vellore 632004, IndiaaIndia)
    Journal of the Saudi Heart Association v.30 no.2 ,pp. 102 - 107 , 2018 , 1016-7315 ,

    초록

    Abstract Background and objectives Right ventricular (RV) pacing can lead to progressive ventricular dysfunction over a certain period. This pacemaker-induced cardiomyopathy (PiCMP) may be more common than previously reported. Speckle tracking imaging is a recent development in echocardiography that can identify left ventricular (LV) dysfunction even before the LV ejection fraction (LVEF) value decreases. Three-dimensional (3D) echocardiography has made more accurate assessment of LVEF possible. The objectives of this study are to study the incidence of RV PiCMP using 3D echocardiography and LV strain analysis over a follow-up of 6months, and to identify its predictors. Methods This is an observational study of consecutive patients without structural heart disease and with a baseline EF of more than 45% who received a permanent pacemaker. They were observed over a 6-month period. PiCMP was defined as a decrease in LVEF by 10 percentage points or a decrease in LV strain by 15% from baseline in the absence of other known causes of cardiomyopathy. PiCMP incidence and its associations were analyzed over a 6-month period. Results The incidence of PiCMP was not only significant over a period of 6months but also at 24hours. Significant drops in 3D EF were noted in one (2.8%) patient at 24hours and in another four (11.1%) patients at 6months. A significant decrease in LV global longitudinal strain was noted in 23 (63.9%) patients by 6months. In seven of these patients, there was significant decrease in global longitudinal strain 24hours after implantation. In analyzing longitudinal strain, the parameter significantly influencing a decrease was a pacing percentage of ≥20% ( p = 0.023). Conclusions PiCMP is not uncommon in patients undergoing pacemaker implantation and is associated with RV pacing. PiCMP was associated with a ventricular pacing percentage of ≥20%. 3D echocardiography with LV strain analysis plays a vital role in identifying LV dysfunction at an earlier stage compared to EF. PiCMP, if picked up and intervened upon early, can help impede its progression.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  9. [해외논문]   Physicians' knowledge and attitudes in Saudi Arabia regarding implantable cardiac defibrillators  

    Alhogbani, Tariq (Cardiology Department, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia ) , Awwad, Fuad A. (Quantitative Analysis Department, Business Administration College, Riyadh, Saudi Arabia ) , Aljasser, Abdullah S. (Department of Medicine, King Fahad Medical City, Riyadh, Saudi Arabia)
    Journal of the Saudi Heart Association v.30 no.2 ,pp. 108 - 112 , 2018 , 1016-7315 ,

    초록

    Abstract Objectives To evaluate knowledge and attitude of physicians involved in the management of patients with heart failure regarding implantable cardioverter-defibrillator (ICD). Methods We conducted personal interviews with physicians involved in treating patients with heart failure. Between October 2015 and February 2016, the study was conducted in hospitals in the Riyadh region where no cardiac electrophysiology service was available. Every participant was met in person and received an oral questionnaire that aimed to assess basic knowledge regarding ICD indications and benefits. Results Sixty-three physicians were met from 13 hospitals (14 consultants and 49 specialists). Forty-one percent of participants use the recommended cut-off level of left ventricular ejection fraction (LVEF) which is ≤35% as the LVEF criterion for ICD referral in patients with cardiomyopathy. Only 50% of the consultants use ≤35% as the LVEF criterion for ICD referral. Seventy percent of the participants thought that ICD may improve heart failure symptoms. Forty-eight percent of physicians have a defined channel to refer patients to higher centers for ICD implant. There was no statistically significant difference between physicians’ knowledge when we categorized them according to three different factors: (1) physician’s specialty (cardiology vs. internal medicine); (2) physician’s degree (consultant vs. specialist); and (3) physician’s location (inside vs. outside Riyadh city). Conclusion There is a lack of knowledge of current clinical guidelines regarding ICD implantation for patients with heart failure at general hospitals in Saudi Arabia. This finding highlights the need to improve the dissemination of guidelines to practitioners involved in managing patients with heart failure in an effort to improve ICD utilization.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  10. [해외논문]   Management of hyperglycemia during and in the immediate follow-up of acute coronary syndrome  

    El Ouazzani, Jamal (Department of Cardiology, Mohammed VI University Hospital Center, BP 4806 Oujda Université, 60049 Oujda, Morocco ) , Ghalem, Amine (Department of Cardiology, Mohammed VI University Hospital Center, BP 4806 Oujda Université, 60049 Oujda, Morocco ) , El Ouazzani, Ghizlane (Department of Cardiology, Mohammed VI University Hospital Center, BP 4806 Oujda Université, 60049 Oujda, Morocco ) , Ismaili, Nabila (Department of Cardiology, Mohammed VI University Hospital Center, BP 4806 Oujda Université, 60049 Oujda, Morocco ) , El Ouafi, Noha (Department of Cardiology, Mohammed VI University Hospital Center, BP 4806 Oujda Université, 60049 Oujda, Morocco)
    Journal of the Saudi Heart Association v.30 no.2 ,pp. 113 - 121 , 2018 , 1016-7315 ,

    초록

    Abstract Diabetes is a serious, frequent, and insidious morbidity and mortality risk factor in patients with coronary artery disease. It has been shown that carbohydrate metabolism disorders are common in acute coronary syndromes (ACSs): 30–40% of patients have diabetes, 25–36% have an intolerance to carbohydrates, and only 30–40% have a normal carbohydrate profile. Hyperglycemia occurring either in diabetic or nondiabetic patients is strongly associated with a poor prognosis. It increases the extent of myocardial necrosis, and the risk of recurrence acute coronary syndrome and hemodynamic complications, particularly heart failure and cardiogenic shock, reflecting the importance of optimal management of glucose metabolism abnormalities. The objective of this article is to suggest a screening and management guide for carbohydrate metabolism disorders during and in the immediate follow-up of ACS in diabetic and nondiabetic patients. Screening must be systematic in any patient admitted for ACS, and based on hemoglobin A1c and oral glucose tolerance testing. Treatment of hyperglycemia in the cardiology intensive care unit is recommended in any patient admitted with hyperglycemia >1.80g/L or postfeeding blood glucose level >1.40g/L, and should be based on intravenous insulin with concomitant infusion of glucose solution under strict monitoring. Once the patient is no longer in intensive care, intravenous insulin therapy is no longer recommended, and the passage to a fixed insulin therapy regimen or to oral antidiabetics should be considered in consultation with diabetologists. During the rehabilitation phase, good glycemic control improves both prognosis and survival.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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