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Journal of the Saudi Heart Association 24건

  1. [해외논문]   Editorial Board  


    Journal of the Saudi Heart Association v.30 no.3 ,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.3 ,pp. iii - iv , 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.

    이미지

    Fig. 1 이미지
  3. [해외논문]   Editorial Board  


    Journal of the Saudi Heart Association v.30 no.3 ,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]   Ultra-fast, low dose high-pitch (FLASH) versus prospectively-gated coronary computed tomography angiography: Comparison of image quality and patient radiation exposure  

    Smettei, Osama A. (Department of Cardiology, Cardiac Imaging Department, Prince Sultan Cardiac Center, Qassim PSCCQ, Buraydah, Saudi Arabiaa ) , Sayed, Sawsan (Department of Cardiology, Cardiac Imaging Department, Prince Sultan Cardiac Center, Qassim PSCCQ, Buraydah, Saudi Arabiaa ) , M Al Habib, Abdullah (Department of Radiology, King Fahad Specialist Hospital, Qassim, Saudi Arabiab ) , Alharbi, Fahad (Department of Radiology, King Fahad Specialist Hospital, Qassim, Saudi Arabiab ) , Abazid, Rami M. (Department of Cardiology, Cardiac Imaging Department, Prince Sultan Cardiac Center, Qassim PSCCQ, Buraydah, Saudi Arabiaa)
    Journal of the Saudi Heart Association v.30 no.3 ,pp. 165 - 171 , 2018 , 1016-7315 ,

    초록

    Abstract Background Coronary computed tomography angiography (CCTA) is increasingly being used for the evaluation of coronary artery disease; however, radiation exposure remains a major limitation of its use. Objective To compare image quality and radiation exposure in two groups of patients undergoing CCTA using a 256-slice dual-source helical computed tomography scanner with high-pitch (FLASH) or prospective [step-and-shoot (SAS)] gating protocols. Methods A prospective, single-center study was performed in our cardiac center. In total, 162 patients underwent CCTA with either FLASH or SAS scanning protocols. Subjective image quality was graded on the basis of a four-point grading system (1, non-diagnostic; 2, adequate; 3, good; 4, excellent). Objective image quality was assessed using image signal, noise, and signal-to-noise ratio (SNR). The effective radiation dose was also estimated. Results The clinical and demographic characteristics of the patients in both groups were similar. The median age of the patients in both groups was 48.43 years, and males accounted for 63% and 68.7% of the FLASH and SAS groups, respectively. We found that the subjective image quality obtained with the FLASH protocol was superior to that obtained with the SAS protocol (3.35 ± 0.6 mSv vs. 2.82 ± 0.61 mSv; p p = 0.10), whereas the signal and SNR was significantly higher with the FLASH protocol than with the SAS protocol [(469 ± 116 vs. 397 ± 106; p > 0.001) and (21.6 ± 8.7 mSv vs. 16.6 ± 7.7 mSv; p p Conclusion The use of 256-slice CCTA performed with the FLASH protocol has a better objective and subjective image quality as well as lower radiation exposure when compared with the use of prospective electrocardiography gating.

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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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  5. [해외논문]   The impact of introduction of Code-STEMI program on the reduction of door-to-balloon time in acute ST-elevation myocardial infarction patients undergoing primary percutaneous coronary intervention: A single-center study in Saudi Arabia  

    Alyahya, Abdulmalik Abdullah (College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia ) , Alghammass, Mohammed Abdullah (College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia ) , Aldhahri, Fahad Saleh (College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia ) , Alsebti, Abdullah Abdulaziz (College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia ) , Alfulaij, Abdullah Yousef (College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia ) , Alrashed, Saleh Hamad (College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia ) , Faleh, Husam Al (College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia ) , Alshameri, Mostafa (College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia ) , Alhabib, Khalid (College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia ) , Arafah, Mohammed (College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia ) , Moberik, Abduellah (College of) , Almulaik, Abdulaziz , Al-Aseri, Zuhair , Kashour, Tarek Seifaw
    Journal of the Saudi Heart Association v.30 no.3 ,pp. 172 - 179 , 2018 , 1016-7315 ,

    초록

    Abstract Objectives This study was conducted to evaluate the effect of direct emergency department activation of the catheterization lab on door-to-balloon time (D2BT) and outcomes of acute ST-elevation myocardial infarction (STEMI) patients at a major tertiary care hospital in Riyadh, Saudi Arabia. Methods This was a retrospective cohort study that enrolled 100 consecutive patients with acute STEMI who underwent primary percutaneous coronary intervention between June 2010 and January 2015. The patients were divided into two groups of 50 patients each. The first group was treated prior to establishing the Code-STEMI protocol. The other group was treated according to the protocol, which was implemented in June 2013. The Code-STEMI protocol is a comprehensive program implementing direct activation of the catheterization lab team using a single call system, data monitoring and feedback, and standardized order forms. Results The mean age for both groups was 54 ± 12 years. Males represented 86% (43) and 94% (47) of the patients in the two groups, respectively. In both groups, 90% (90) of patients had one or more comorbidities. The Code-STEMI group had a significantly lower D2BT, with 70% of patients treated within the recommended 90 minutes (median, 76.5 minutes; interquartile range, 63–90 minutes). By contrast, only 26% of pre-Code-STEMI patients were treated within this timeframe (median, 107 minutes; interquartile range, 74–149 minutes). In-hospital complications were lower in the Code-STEMI group; however, the only statistically significant reduction was in non-fatal re-infarction (8% vs. 0%, p = 0.043). Conclusion Implementation of direct emergency department catheterization lab activation protocol was associated with a significant reduction in D2BT.

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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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  6. [해외논문]   A quality improvement project to reduce door-to-electrocardiogram time: A multicenter study  

    Keats, Anne (Department of Emergency Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia ) , Moran, Dane (Baylor College of Medicine, Houston, TX, USA ) , Rothwell, Siobhan (Department of Emergency Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia ) , Woodcock, Timothy (Department of Emergency Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia ) , Williams, Tammy (Department of Emergency Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia ) , Rawat, Nishi (Department of Medicine, Johns Hopkins University, Baltimore, MD, USA)
    Journal of the Saudi Heart Association v.30 no.3 ,pp. 180 - 187 , 2018 , 1016-7315 ,

    초록

    Abstract Objective To improve compliance with a target door-to-electrocardiogram (EKG) time of 10 minutes or less in patients presenting with symptoms concerning for acute coronary syndrome. Methods A pre-post study was performed between January 2014 and May 2016 at five emergency departments (EDs) in Saudi Arabia. Patients who presented to ED with symptoms concerning for acute coronary syndrome were included in the study. The primary outcome of interest was whether EKG was completed within 10 minutes after the patient arrival to ED. Quality improvement interventions consisted of human resources adjustments, education, technological improvements, and improved interdepartmental collaboration. Multivariate analysis was used to model the percentage of EKGs that were completed within the targeted time. Results During the study period, 11,518 patients received EKGs. Prior to the intervention, compliance with a door-to-EKG time of 10 minutes or less was found to be 62.6%. Post intervention, compliance improved to 87.7%. On multivariate analysis, male patients were significantly more likely to receive EKG within 10 minutes than female patients (odds ratio = 1.231, 95% confidence interval = 1.113–1.361; p Conclusion A quality improvement project can successfully increase the percentage of patients receiving EKG within 10 minutes of presentation to ED. Further research is required to demonstrate the clinical significance of improved door-to-EKG times.

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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]   ASD device closure in pediatrics: 3-Dimensional transthoracic echocardiography perspective  

    El-Saiedi, Sonia A. (Pediatric Cardiology Division, Department of Pediatrics, Cairo University Children Hospital, Cairo, Egypt ) , Agha, Hala M. (Pediatric Cardiology Division, Department of Pediatrics, Cairo University Children Hospital, Cairo, Egypt ) , Shaltoot, Mohamed F. (Pediatric Cardiology Division, Department of Pediatrics, Cairo University Children Hospital, Cairo, Egypt ) , Nassar, Hayat H. (Pediatric Cardiology Division, Department of Pediatrics, Cairo University Children Hospital, Cairo, Egypt ) , El Sisi, Amal M. (Pediatric Cardiology Division, Department of Pediatrics, Cairo University Children Hospital, Cairo, Egypt ) , Attia, Wael A. (Pediatric Cardiology Division, Department of Pediatrics, Cairo University Children Hospital, Cairo, Egypt ) , Sedky, Yasser M. (Pediatric Cardiology Division, Department of Pediatrics, Cairo University Children Hospital, Cairo, Egypt)
    Journal of the Saudi Heart Association v.30 no.3 ,pp. 188 - 197 , 2018 , 1016-7315 ,

    초록

    Abstract Objective Real-time three-dimensional echocardiography, using both reconstruction methods and RT3D, has been used as an extra helping tool in several forms of congenital heart diseases. Our aim was to understand the relation of the ASD device to all surrounding structures by 3-dimensional echocardiography (3D). Methods This prospective study included 37 patients diagnosed as ASD secundum by transthoracic (TTE) and transesophageal echocardiography (TEE) referred for transcatheter closure from October 2013 to July 2016. Follow-up for 1 year using 2D and 3D-echocardiography was performed to assess the relations of the device to the surrounding structures. Results Transcatheter ASD closure and echocardiographic examinations were successfully performed for all patients. By 3D echocardiography, 16 patients (43.24%) had their ASD device close to the aortico-mitral continuity plane without apparent regurgitation, while the rest of our patients (56.75%) the devices were away from this plane. The following variables were significantly different between the two groups; body surface area, atrioventricular rim (AV), device size, left disc size and ratio of left disc to interatrial septum. A cut-off AV rim length not less than 8 mm was found optimal to avoid device encroachment on the sensitive surrounding structures. New Formula was constructed to aid in device choice. Conclusion Use of 3D before and after ASD closure is of value to determine the device relation to the surrounding structures. AV rim by TEE is an important rim to avoid eventual encroachment on the mitral valve and aorta.

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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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  8. [해외논문]   Prognostic value of homocysteine and highly sensitive cardiac troponin T in children with acute heart failure  

    El-Amrousy, Doaa (Pediatric Department, Tanta University Hospital, Tanta, EgyptaEgypt ) , Hassan, Samir (Pediatric Department, Tanta University Hospital, Tanta, EgyptaEgypt ) , Hodeib, Hossam (Clinical Pathology Department, Tanta University Hospital, Tanta, EgyptbEgypt)
    Journal of the Saudi Heart Association v.30 no.3 ,pp. 198 - 204 , 2018 , 1016-7315 ,

    초록

    Abstract Objective Heart failure (HF) is a progressive disorder in children. Many HF biomarkers have been identified to assess its severity and predict its course. The aim of this study was to evaluate the prognostic value of plasma levels of homocysteine (HCY) and highly sensitive cardiac troponin T (hs-cTnT) in children with HF. Materials and Methods Eighty children with acute HF were enrolled in this study as the patient group and 80 healthy children of matched age and sex served as the control group. HCY and hs-cTnT serum levels were measured before and after HF treatment; additionally, echocardiographic examinations were performed before and after therapy. All patients were followed up for 3 months. Results Plasma levels of HCY and hs-cTnT were significantly higher in children with HF before treatment, compared with their levels in children with HF after treatment and with the control group. This increase in serum levels of both biomarkers was associated with increased severity of HF according to the Ross classification of HF. HCY had higher specificity, positive predictive value, and accuracy than hs-cTnT. Serum levels of both biomarkers had a significant positive correlation with cardiomegaly and a significant negative correlation with left ventricular ejection fraction and fraction shortening. Marked elevation of both serum biomarkers was significantly associated with poor outcome with mortality rate of 10%. Conclusion Plasma HCY and serum hs-cTnT levels have a good prognostic value in children with congestive heart failure (CHF) and their levels significantly correlated with clinical and echocardiographic data, severity of HF, and adverse outcome in children with CHF.

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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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  9. [해외논문]   Determining the factors causing delayed referral for fetal echocardiography at a tertiary care hospital  

    Kanwal, Asma (Department of Pediatric Cardiology, Rawalpindi Institute of Cardiology, Rawalpindi, PakistanaPakistan ) , Sheikh, Abdul Malik (Department of Pediatric Cardiology, Rawalpindi Institute of Cardiology, Rawalpindi, PakistanaPakistan ) , Saher, Tayyaba (Department of Pediatric Cardiology, Rawalpindi Institute of Cardiology, Rawalpindi, PakistanaPakistan)
    Journal of the Saudi Heart Association v.30 no.3 ,pp. 205 - 210 , 2018 , 1016-7315 ,

    초록

    Abstract Objective To determine the factors causing delayed referral for fetal echocardiography at a tertiary care hospital. Background Timely referral for fetal echocardiogram is considered essential for identification of congenital heart diseases, interventions, and counseling of parents. The present study highlights the factors associated with delayed referral for fetal echocardiography. Material and methods This prospective study includes a total of 200 pregnant females who were referred for fetal echocardiography. The data collected included referral indications, gestational age, maternal age, educational status, referral personale, and final diagnosis on echocardiography. Results The mean gestational age of presentation was found to be 33 weeks [standard deviation (SD), 4.8 weeks]. Among 200 females, 24% were referred at second trimester, 69% presented at third trimester, and 6% of the females presented at term. No female presented before 18 weeks of gestation. Our results showed that most of the females (94%) were referred by their gynecologist. Eighty-nine percent of the females were booked since the first trimester. The most common indication for referral was unexplained death of children (60%). Of 200 pregnant women, 40% were found to be illiterate and 60% were educated. However, the mean gestational age of presentation of illiterate females was 32.9 weeks (SD, 4.2 weeks), and for educated women it was 33 weeks (SD, 5 weeks). Congenital heart disease was diagnosed in 12% of the cases. Conclusion On the basis of the results, it could be concluded that delayed presentation for fetal echocardiography was not associated with the educational status of females. By contrast, referral personnel were found to be responsible for the delayed referral of females. Therefore, we strongly recommend that both pregnant women and gynecologists be educated about the importance of timely diagnosis for identification of congenital heart diseases.

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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]   Value of three-dimensional echocardiography study of left ventricle function correlated to coronary arterial dominance in predicting the outcome of primary percutaneous coronary intervention  

    Hanboly, Noha Hassanin (Cardiovascular Department , Cairo University, Cairo, Egypt ) , Baghdady, Yasser Mohamed (Cardiovascular Department , Cairo University, Cairo, Egypt ) , Diab, Reda Huissen (Cardiovascular Department , Cairo University, Cairo, Egypt ) , Lawend, Sameeh Ramadan (Cardiovascular Medicine King Saud University, Riyadh, Saudi Arabia ) , Kenawy, Ahmed Abdelazim (Cardiovascular Department , Cairo University, Cairo, Egypt)
    Journal of the Saudi Heart Association v.30 no.3 ,pp. 211 - 221 , 2018 , 1016-7315 ,

    초록

    Abstract Background Limited information is available regarding the relationship between coronary vessel dominance and outcome after ST-segment elevation myocardial infarction (STEMI). Objectives The study was designed to evaluate the prognostic value of coronary arterial dominance after primary percutaneous coronary intervention (PCI) during hospital stay and at 3 months follow-up regarding cardiac mortality, heart failure, nonfatal myocardial infarction, revascularization, and stroke. Patients and methods The study population consisted of 300 consecutive patients (mean age, 57.35 ± 13.41 years; 91% men) with STEMI who were admitted to Dallah Hospital (Riyadh, Saudi Arabia) from January 2015 to December 2016. These patients underwent successful primary PCI with thrombolysis in myocardial infarction (TIMI) III flow. They were divided into three groups according to angiographic coronary dominance: 227 (75.7%) in the right coronary dominant group, 40 (13.3%) in the left coronary dominant group, and 33 (11%) in the balanced coronary dominant group. They were evaluated with two- (2D) and three-dimensional (3D) echocardiography within 48 hours of admission and at 3 months follow-up after STEMI. Results Right dominance was present in 75.6%, left dominance in 13.3%, and balanced dominance was present in 11% of patients. The main finding of this study was that a left dominant system was associated with increased risk of cardiac mortality, heart failure, nonfatal myocardial infarction, revascularization, and stroke shortly after primary PCI, during hospital stay, and at 3 months follow-up after STEMI. Moreover, a significantly lower left ventricular ejection fraction at admission was observed by both 2D and 3D echocardiography in patients with a left dominant system. Conclusion In patients with STEMI treated with primary PCI, left coronary artery dominance confers a higher risk of various adverse clinical events after primary PCI, during hospital stay, and at 3 months follow-up compared to right and balanced coronary artery dominance.

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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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