Exercise-based cardiac rehabilitation for postcoronary artery bypass grafting and its effect on hemodynamics response and functional capacity evaluated using the Incremental Shuttle Walking Test: A retrospective pilot analysis
Publication date: Available online 17 December 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Ahmad Osailan, Walid Kamal AbdelbassetAbstractBackgroundCoronary artery bypass grafting (CABG) is a common surgical procedure for the restoration of blood flow into stenotic or blocked coronary arteries. Cardiac rehabilitation has been implemented to some extent worldwide for the management of postoperative CABG. However, studies about the effect of exercise training on hemodynamic responses of the heart using the Incremental Shuttle Walking (ISWT) test are limited in Saudi Arabia.ObjectivesTo investigate the effect ...
Source: Journal of the Saudi Heart Association - January 7, 2020 Category: Cardiology Source Type: research

Thrombus in transit through a patent foramen ovale: An unusual cause of cardiac embolism
Publication date: Available online 13 December 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Carlos Minguito-Carazo, Tomás Benito-González, Julio Cesar Echarte-Morales, Mario Castaño-Ruiz, Felipe Fernández-VázquezAbstractA 78-year-old woman with a history of transient ischemic attack was admitted for sudden aphasia. In order to assess the potential cardioembolic source an echocardiogram was performed, which revealed a large mass consistent with a thrombus in transit through a patent foramen ovale. Because of the high risk of systemic embolism, emergent surgical thrombectomy...
Source: Journal of the Saudi Heart Association - December 28, 2019 Category: Cardiology Source Type: research

N-terminal pro-brain natriuretic peptide as a biomarker for differentiating cardiac and pulmonary disease in term neonates with respiratory distress
ConclusionTerm neonates with RD have increased plasma levels of NT-pro BNP. NT-pro BNP is a very good test for identification of CHD in neonates with RD, in comparison with PD. Therefore, plasma NT-pro BNP can be used to differentiate between cardiac and pulmonary cause of RD. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - December 28, 2019 Category: Cardiology Source Type: research

Left and right ventricular speckle tracking study before and after percutaneous atrial septal defect closure in children
Publication date: Available online 16 December 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Hala M. Agha, Islam S. Mohammed, Hassan A. Hassan, Hassan S. Abu Seif, Ibrahim M. Abu FaragAbstractObjectivesTo analyze the acute and short-term deformation changes of both right (RV) and left (LV) ventricular wall before and after transcatheter closure of atrial septal defect (ASD) secundum in children.Outcome measuresTo determine the feasibility of tissue Doppler and myocardial deformation imaging for evaluating RV and LV functions in children undergoing transcatheter ASD closure.Patients and methodsA prospective s...
Source: Journal of the Saudi Heart Association - December 24, 2019 Category: Cardiology Source Type: research

Iatrogenic Pulmonary Artery Dissection in Patient With Ostium Secundum Interatrial Septum Defect
We describe a case of iatrogenic pulmonary artery dissection in an old patient with ostium secundum defect. Especially, we describe the role of cardiac magnetic resonance in performing this diagnosis and guiding future therapeutic decisions. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - December 24, 2019 Category: Cardiology Source Type: research

Acute Pulmonary Embolism as an Initial Presentation of Klinefelter Syndrome: A Case Report
Publication date: Available online 18 December 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Ghizlane El Ouazzani, Chaimae Toutai, Ikbal Alla, Nbila Ismaili, Noha El Ouafi (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - December 19, 2019 Category: Cardiology Source Type: research

Preoperative Blood Urea Nitrogen-to-Left Ventricular Ejection Fraction Ratio is an Independent Predictor of Long-Term Major Adverse Cardiovascular Events in Patients Undergoing CABG Surgery: 10-Years of Follow-up Results
Publication date: Available online 17 December 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Turan Erdoğan, Mustafa Çetin, Göksel Çinier, Savaş Özer, Ahmet Seyda Yilmaz, Ozan Karakişi, Tuncay KırışAbstractBackgroundLong-term mortality rate following coronary artery bypass grafting (CABG) procedure is still considered to be high despite advances in surgical techniques and perioperative management. Identifying high-risk patients by using cost-effective and clinically useful parameters is needed.MethodsPatients that were admitted to our cardiology clinic with the diagnosis of coron...
Source: Journal of the Saudi Heart Association - December 18, 2019 Category: Cardiology Source Type: research

Exercise-based cardiac rehabilitation for post coronary artery bypass grafting: its effect on hemodynamics response and functional capacity using Incremental Shuttle walking test: a retrospective pilot analysis
Publication date: Available online 17 December 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Ahmad Osailan, Walid Kamal AbdelbassetAbstractBackgroundCoronary artery bypass grafting (CABG) is a common surgical procedure for the restoration of blood flow into stenotic or blocked coronary arteries. Cardiac rehabilitation has been implemented to some extent worldwide as management of post-operative CABG. However, studies about the effect of exercise training on hemodynamic responses of the heart using Incremental shuttle walking (ISWT) test are limited in Saudi Arabia.ObjectivesTo investigate the outcomes of exe...
Source: Journal of the Saudi Heart Association - December 18, 2019 Category: Cardiology Source Type: research

Left and right ventricular speckle tracking study before and after Percutaneous ASD closure in children
Publication date: Available online 16 December 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Hala M. Agha, Islam S. Mohammed, Hassan A. Hassan, Hassan S. Abu Seif, Ibrahim M. Abu FaragAbstractObjectivesTo analyze the acute and the short term deformation of both RV & LV before & after transcatheter closure of atrial septal defect (ASD) secundum in children. Outcome measuresTo determine the feasibility of tissue Doppler and myocardial deformation imaging for evaluating left and right ventricular functions in children undergoing transcatheter ASD closurePatients and MethodsProspective study was done for...
Source: Journal of the Saudi Heart Association - December 18, 2019 Category: Cardiology Source Type: research

Left ventricular aneurysmectomy in a young female with pseudoaneurysm of unknown etiology
We report a young 22-year-old female with unknown etiology of a pseudoaneurysm, who was previously managed as a psychiatric case and for musculoskeletal pain. On subsequent investigation and confirmation with cardiac magnetic resonance imaging, aneurysmectomy was done. This is a rare case in a young 22-year-old woman with a ventricular pseudoaneurysm of unknown etiology. Considering the high risk for rupture of a ventricular pseudoaneurysm, surgical resection was mandatory with no complications intra- and postprocedure. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - December 13, 2019 Category: Cardiology Source Type: research

Thrombus in transit through a patent foramen ovale, an unusual cause of cardiac embolism
Publication date: Available online 13 December 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Carlos Minguito-Carazo, Tomás Benito-González, Julio Cesar Echarte-Morales, Mario Castaño-Ruiz, Felipe Fernández-VázquezAbstractA 78-year-old woman with history of transient ischemic attack was admitted for sudden aphasia. In order to assess a potential cardioembolic source an echocardiogram was performed revealing a large mass consistent with a thrombus in transit through a patent foramen ovale. Due to the high risk of systemic embolism emergent surgical thrombectomy was performed,...
Source: Journal of the Saudi Heart Association - December 13, 2019 Category: Cardiology Source Type: research

N Terminal- pro Brain Natriuretic Peptide as a Biomarker for differentiating Cardiac and Pulmonary Disease in Term Neonates with Respiratory Distress
Conclusion: The term neonates with RD have an increase in plasma NT-pro BNP. NT-pro BNP is a very good useful test for identification of CHD in neonates with RD, in comparison to PD. Therefore, plasma NT- pro BNP can be used to differentiate between cardiac and pulmonary cause of RD. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - December 13, 2019 Category: Cardiology Source Type: research

An Observational Comparison of Distal Radial and Traditional Radial Approaches for Coronary Angiography
Conclusions: ASB approach for CAG lowers success rate and prolongs AT and TPT. The RA at ASB is smaller, has a curved course and more anatomical variations compared to the RA at wrist. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - December 3, 2019 Category: Cardiology Source Type: research

Left Ventricular Aneurysmectomy in a Young Female of Unknown Etiology with Pseudoaneurysm: A Case Report
Publication date: Available online 2 December 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Tariq Ashraf, Rashid Aziz, Amin Muhammad Khuwaja, Syed Muhammad Afaque, Musa KarimAbstractLeft ventricular pseudoaneurysm is formed when there is free wall rupture of myocardial wall with discontinuity and roof covered by pericardium mural thrombus or fibrous tissue without any myocardium. Left ventricular pseudoaneurysm is a rare and life threatening event.We are reporting a young 22 years old female with unknown etiology of pseudoaneurysm, who was previously been managed as a psychiatric case and musculoskeletal pai...
Source: Journal of the Saudi Heart Association - December 3, 2019 Category: Cardiology Source Type: research

Perioperative management of Wilms’ tumor with intracardiac extension: Report of two cases with review of literature
In this report, we discuss the surgical management and perioperative treatment of two unusual cases of WT with IVC and intracardiac extension. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - November 29, 2019 Category: Cardiology Source Type: research

Occurence of left main occlusion on Tuesday: Chronobiology of acute myocardial infarction due to left main disease
Publication date: Available online 4 November 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Gianluca Rigatelli, Marco ZuinAbstractObjectivesThe existence of a “weekend effect” for onset of acute myocardial infarction (AMI) has been suggested in the past, but the relation with the culprit vessel has not been investigated. MI due to left main coronary artery lesion represents a particularly serious life-threatening condition. Our study was aimed to assess the chronobiology of admission to the emergency department for AMI considered to be induced by a left main culprit lesion.MethodsWe retrospective...
Source: Journal of the Saudi Heart Association - November 23, 2019 Category: Cardiology Source Type: research

Comparison between two protocols for deflation of the TR band following coronary procedures via the radial route
In this study we compared two protocols (early deflation with increased intervals vs. late deflation with smaller intervals) in terms of total time to band removal and complications, and patient and staff satisfaction.MethodsAll patients who underwent a trans radial coronary procedure and had a TR band fitted were enrolled into the study. TR band was applied by the patent haemostasis method (2ml air pushed in after the radial pulse appears on pulse oximetry after full occlusion with 16 ml air). Patients were randomly assigned to either protocol. Protocol 1 involved removal of 2ml of air starting 1 hour after the sheath rem...
Source: Journal of the Saudi Heart Association - November 20, 2019 Category: Cardiology Source Type: research

Systemic Immune-Inflammation index Predicts Mortality in Infective Endocarditis
ConclusionWe demonstrated that high SII levels are independently associated with in-hospital mortality. The SII may be a promising prognostic predictor for patients with infective endocarditis. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - November 20, 2019 Category: Cardiology Source Type: research

Perioperative management of Wilms’ Tumor with intra-cardiac extension. Report of two cases with review of literature
In this report, we discuss the surgical management and perioperative treatment of two unusual cases of WT with inferior vena caval and intra-cardiac extension. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - November 14, 2019 Category: Cardiology Source Type: research

Tuesday Left Main: Chronobiology of Acute Myocardial Infarction Due to Left Main Disease
Publication date: Available online 4 November 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Gianluca Rigatelli, Marco ZuinAbstractObjectivesThe existence of a “weekend effect” for onset of acute myocardial infarction has been suggested in the past, but the relation with the culprit vessel has not been investigated. Myocardial infarction due to left main coronary artery lesion represents a particularly serious life-threatening condition. Our study was aimed to assess the chronobiology of admission to the emergency department for acute myocardial infarction considered to be induced by a left main c...
Source: Journal of the Saudi Heart Association - November 5, 2019 Category: Cardiology Source Type: research

Mitral valve replacement in dilated cardiomyopathy: A valid option?
ConclusionsMitral valve surgery might be indicated in selected patients with dilated cardiomyopathy. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - October 30, 2019 Category: Cardiology Source Type: research

A real-life correlation between clinical syntax score II and carotid intima-media thickness in patients with stable coronary artery disease
ConclusionThe study showed a strong positive correlation between SSII and CIMT in stable CAD patients undergoing elective CA. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - October 26, 2019 Category: Cardiology Source Type: research

Safety of Returning Patients Immediately to Their Originating Hospitals After Primary Percutaneous Coronary Intervention
The objective of this study was to evaluate the safety and feasibility of the immediate return of patients with ST-elevation myocardial infarction (STEMI) to their originating hospitals after Primary percutaneous coronary intervention (PPCI).MethodsThis was a prospective study, conducted between January 2014 to December 2017. All patients with STEMI who were transferred for PPCI and returned back to their referring hospitals (RB group) were included and compared to the onsite STEMI population (OS group). Patient’s demographics, PPCI data, bleeding and adverse cardiovascular events (ACEs) occurring during transfer, ho...
Source: Journal of the Saudi Heart Association - October 24, 2019 Category: Cardiology Source Type: research

Cardiac amyloidosis—an underdiagnosed cause of heart failure in the elderly
We present the case of an 84-year-old man with chest tightness, dyspnoea, and ascites. He had a history of dyslipidaemia and ischaemic heart disease. Initial investigations showed severe diastolic dysfunction and elevated pulmonary artery systolic pressure on echocardiogram along with elevated serum natriuretic peptides. Further evaluation by a magnetic resonance imaging scan of the heart and endomyocardial biopsy confirmed the diagnosis of senile systemic amyloidosis. He made good progress after treatment with conventional heart failure drugs and is currently under consideration to start on specific medications to slow do...
Source: Journal of the Saudi Heart Association - October 12, 2019 Category: Cardiology Source Type: research

The Use of Antidepressants in Patients with Heart Failure
Publication date: Available online 11 October 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Norah Alsumih, Rahaf Alqahtani, Faisal Almutairi, Rakan Faraj, Turki Alsubeai, Ahmed Alghanim, Shmylan Alharbi, Hind AlmodaimeghAbstractHeart failure (HF) is a chronic disease affecting patients’ quality of life (QOL) and may cause depression. Recent studies showed that the prevalence of depression in patients with HF is 21.5%. Antidepressants, mainly Selective Serotonin Reuptake Inhibitors, are usually prescribed for HF patients diagnosed with depression. Some evidence supports antidepressant’s role in im...
Source: Journal of the Saudi Heart Association - October 12, 2019 Category: Cardiology Source Type: research

Editorial Board
Publication date: October 2019Source: Journal of the Saudi Heart Association, Volume 31, Issue 4Author(s): (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - October 11, 2019 Category: Cardiology Source Type: research

Table of Contents
Publication date: October 2019Source: Journal of the Saudi Heart Association, Volume 31, Issue 4Author(s): (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - October 11, 2019 Category: Cardiology Source Type: research

Cardiac Amyloidosis- an under-diagnosed cause of heart failure in the elderly
We present the case of an 84-years old man with chest tightness, dyspnoea and ascites. He had a history of dyslipidaemia and ischaemic heart disease. Initial investigations showed severe diastolic dysfunction and elevated PASP on echocardiogram along with elevated serum natriuretic peptides. Further evaluation by MRI scan of heart and endomyocardial biopsy confirmed the diagnosis of senile systemic amyloidosis. He made good progress after treatment with conventional heart failure drugs and is currently under consideration to start on specific medications to slow down the progression of amyloidosis. This case aims to increa...
Source: Journal of the Saudi Heart Association - October 9, 2019 Category: Cardiology Source Type: research

Effects of cardiopulmonary bypass perfusion temperature on perioperative renal function in adult patients undergoing cardiac surgery
Publication date: Available online 8 October 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Jayavelan Ramkumar, Girish Gopinathan, Karthick Kavin, Ramkumar Shanmugasundaram, George Miller Stephen, Annie Caroline Pragasam, Periyasamy ThangavelAbstractAims and objectiveThe primary objective was to study the effects of cardiopulmonary bypass (CPB) perfusion temperature on renal function parameters (Serum creatinine, Creatinine clearance, Urine Albumin, Urine Protein and Urine Albumin Creatinine Ratio).The secondary objective was to detect renal complications of CPB.Materials and MethodsIt is a prospective longit...
Source: Journal of the Saudi Heart Association - October 9, 2019 Category: Cardiology Source Type: research

Impact of stent of ductus arteriosus and modified Blalock–Taussig shunt on pulmonary arteries growth and second-stage surgery in infants with ductus-dependent pulmonary circulation
ConclusionsIn neonates with ductus-dependent pulmonary circulation, PDA stenting can be introduced as a safe first possible option to augment pulmonary blood flow with good outcome and prepare them for second-stage palliation. Unattainable PDA stenting or failure or inadequacy occurred in 30% of cases where surgical option remains a standard option. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - October 2, 2019 Category: Cardiology Source Type: research

Right ventricular functions in subphenotypes of Sickle cell Disease
ConclusionThis study revealed marked discrepancy in RV functions between HED and VVO subphenotypes of SCD; HED patients are more prone to RV dysfunction. This warrants early screening of such patients in daily practice. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - October 2, 2019 Category: Cardiology Source Type: research

Treatment of severe mitral regurgitation that mimics a para-ring mitral regurgitation after failed annuloplasty ring with MitraClip: A case report
ConclusionImplantation of MitraClip in the presence of MV repair ring is feasible and safe. The para-ring defect can be left if the origin of MR from the MV coaptation line is treated successfully with MitraClip. Symptomatic improvement with no rehospitalization was documented in this case. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - September 22, 2019 Category: Cardiology Source Type: research

Impact of stent of Ductus Arteriosus and Modified Blalock Taussig Shunt on pulmonary arteries growth and second stage surgery in infants with ductus dependent pulmonary circulation
ConclusionIn neonates with ductus-dependent pulmonary circulation PDA stenting can be introduced as safe first possible option to augment pulmonary blood flow with good outcome and suitable preparation for second stage palliation. Unattainable PDA stenting or failure or inadequacy occurred in (30%) of cases where surgical option remains a standard option. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - September 14, 2019 Category: Cardiology Source Type: research

Treatment of Severe Mitral Regurgitation that Mimics a Para-ring MR after Failed Annuloplasty Ring with MitraClip, a Case Report
ConclusionImplantation of MitraClip in the presence of MV repair ring is feasible and safe. The para-ring defect can be left if the origin of MR from the MV coaptation line treated successfully with MitraClip. Symptomatic improvement with no rehospitalization documented in this case. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - September 11, 2019 Category: Cardiology Source Type: research

Statin-induced necrotizing autoimmune myopathy: An uncommon complication of a commonly used medication
We report a case of statin induced necrotizing autoimmune myopathy, a rare variant of statin-induced myopathy. A 64-year-old gentleman on atorvastatin presented with muscle weakness. Initial laboratory results showed elevated liver function tests, a creatine phosphokinase (CPK) of 8200 IU/L, and positive urine myoglobin. Despite discontinuing atorvastatin, his CPK remained persistently elevated. Muscle biopsy was consistent with necrotizing myopathy. Anti-HMG CoA reductase antibody was strongly positive. Steroids followed by intravenous immunoglobulin were given. The patient’s muscle weakness, CPK, and liver functi...
Source: Journal of the Saudi Heart Association - August 24, 2019 Category: Cardiology Source Type: research

Statin Induced Necrotizing Autoimmune Myopathy: An uncommon complication of a commonly used medication
We report a case of statin induced necrotizing autoimmune myopathy (SINAM), a rare variant of statin-induced myopathy.A 64-year-old gentleman on atorvastatin presented with muscle weakness, initial laboratory results showed elevated liver function tests, a creatine phosphokinase (CPK) of 8200 IU/L and positive urine myoglobin. Despite discontinuing atorvastatin, his CPK remained persistently elevated. Muscle biopsy was consistent with necrotizing myopathy. Anti - HMG CoA reductase antibody was strongly positive. Steroids followed by intravenous immunoglobulin were given. His muscle weakness, CPK, and liver functions gradua...
Source: Journal of the Saudi Heart Association - August 15, 2019 Category: Cardiology Source Type: research

Acute rheumatic fever diagnosis and management: review of the global implications of the new revised diagnostic criteria with a focus on Saudi Arabia
Publication date: Available online 13 August 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Jubran Alqanatish, Abdulmajeed Alfadhel, Areej Albelali, Dhafer AlqahtaniAbstractRheumatic fever (RF) is a common cause of acquired heart disease in children worldwide. It is a delayed, non-suppurative, autoimmune phenomenon following pharyngitis, impetigo, or scarlet fever caused by group A β-hemolytic streptococcal (GAS) infection. Rheumatic fever diagnosis is clinical and based on revised Jones criteria. The first version of the criteria was developed by T. Duckett Jones in 1944, then subsequently revised by th...
Source: Journal of the Saudi Heart Association - August 14, 2019 Category: Cardiology Source Type: research

Assessment of Right Ventricular Function After Successful Revascularization for Acute Anterior Myocardial Infarction Without Right Ventricular Infarction by Echocardiography
ConclusionRV Dysfunction according to our definition in first Anterior MI occurred in (55%) of the study population. Independent predictors for Abnormal RV function were; LCX mid or proximal affection, eventful procedure, occurrence of no reflow, Glucose level, LVESD, LVEDD and LV EF. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - July 18, 2019 Category: Cardiology Source Type: research

Impact of blood transfusion on major infection after isolated coronary artery bypass surgery: Incidence and risk factors
Publication date: Available online 2 July 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Shaikhah Awadh Al-Harbi, Noura Alkhayyal, Afrah Alsehali, Shatha Alshaya, Wesam bin Obaid, Alaa Althubaiti, R.E. van Onselen, Mohamed Hussain, Mohmed Al Annany, Ahmed A. ArifiAbstractBackground/aimCardiac surgery is considered one of the conditions that require a transfusion of blood and blood products in large amount. Infections are one of the most common complications after cardiac surgery. The aim of this study is to assess the impact of blood transfusion on major infections after isolated coronary artery bypass surger...
Source: Journal of the Saudi Heart Association - July 13, 2019 Category: Cardiology Source Type: research

The Impact of Blood Transfusion on Major Infection after Isolated Coronary Artery Bypass Surgery at King Abdulaziz Cardiac Center, Riyadh, Saudi Arabia
Publication date: Available online 2 July 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Shaikhah Awadh Al-Harbi, Noura Alkhayyal, Afrah Alsehali, Shatha Alshaya, Wesam bin Obaid, Alaa Althubaiti, van Onselen, Mohamed Hussain, Mohmed Al Annany, Ahmed A ArifiAbstractBackground/AimCardiac surgery is considered one of the conditions that requires a transfusion of blood and blood products in large amount. Infections are one of the most common complications following cardiac surgery. The aim of this study is to assess the impact of blood transfusion on major infections after Isolated Coronary Artery Bypass Surgery...
Source: Journal of the Saudi Heart Association - July 2, 2019 Category: Cardiology Source Type: research

Cognitive impairment associated with increased mortality rate in patients with heart failure: A systematic review and meta-analysis
Publication date: Available online 18 June 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Jakrin Kewcharoen, Narut Prasitlumkum, Chanavuth Kanitsoraphan, Nattawat Charoenpoonsiri, Natthapon Angsubhakorn, Prapaipan Putthapiban, Pattara RattanawongAbstractBackgroundRecent systematic review and meta-analysis showed that the prevalence of cognitive impairment was significantly increased in patients with heart failure (HF) when compared to the general population. However, the effect of cognitive impairment on cardiovascular outcome in this population is still unclear. We performed a systematic review and meta-anal...
Source: Journal of the Saudi Heart Association - June 28, 2019 Category: Cardiology Source Type: research

Impact of body mass index on acute outcome in percutaneous coronary intervention of chronic total occlusion
Publication date: Available online 24 June 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Jan-Erik Guelker, Alexander Bufe, Christian Blockhaus, Jan Gesenberg, Julian Kuervers, Knut Kroeger, Marcus Katoh, Wilfried DinhAbstractBackgroundPercutaneous coronary intervention (PCI) of total chronic total occlusion (CTO) still remains a major challenge in interventional cardiology. There is only insignificant knowledge reported in the literature about the influence of body mass index (BMI) on acute outcome, including sucess rates and complications in CTO-PCI.MethodsBetween 2012-2017 we included 508 patients. They un...
Source: Journal of the Saudi Heart Association - June 25, 2019 Category: Cardiology Source Type: research

Comparison of Transcatheter Versus Surgical Closure of Perimembranous Ventricular Septal Defect in Pediatric Patients: A Systematic Review
Publication date: Available online 25 June 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Sahar El-Kadeem, Shaymaa Elnemr, Doaa El Amrousy, Amr ZoairAbstractObjectivePerimembranous ventricular septal defect (pmVSD) is a common congenital heart disease (CHD) usually treated with either catheter or surgical closure. Superiority of one procedure over the other in children is still a matter of debate. We performed this meta-analysis to compare the clinical outcomes and cost of transcatheter and surgical closure of pmVSD in children.Materials and MethodsWe searched seven databases including MEDLINE, PubMed, EMBASE...
Source: Journal of the Saudi Heart Association - June 25, 2019 Category: Cardiology Source Type: research

Saudi Heart Association (SHA) Guidelines for the Management of Heart Failure
Publication date: Available online 25 June 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Waleed AlHabeeb, Fakhr Al-Ayoubi, Kamal AIGhalayini, Fahad Al Ghofaili, Yahya Al Hebaishi, Abdulrazaq Al-Jazairi, Mouaz H. Al-Mallah, Ali AlMasood, Maryam Al Qaseer, Shukri Al-Saif, Ammar Chaudhary, Abdelfatah Elasfar, Adel Tash, Mohamed Arafa, Walid HassanAbstractHeart failure (HF) is the leading cause of morbidity and mortality worldwide and negatively impacts quality of life, healthcare costs, and longevity. Although data on HF in the Arab population is scarce, recently developed regional registries are a step forward...
Source: Journal of the Saudi Heart Association - June 25, 2019 Category: Cardiology Source Type: research

Editorial Board
Publication date: July 2019Source: Journal of the Saudi Heart Association, Volume 31, Issue 3Author(s): (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - June 22, 2019 Category: Cardiology Source Type: research

Table of Contents
Publication date: July 2019Source: Journal of the Saudi Heart Association, Volume 31, Issue 3Author(s): (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - June 22, 2019 Category: Cardiology Source Type: research

Five-year survival, performance, and neurodevelopmental outcome following cardiopulmonary resuscitation after pediatric cardiac surgery, preliminary investigation in a single-center experience
ConclusionTwo-thirds of children requiring CPR post cardiac surgery survived after 5 years. Their neurodevelopmental and functional evaluation demonstrated worse outcome in comparison with their matching cases. CPR duration, number of CPA events, and late CPA were risk factors for poor outcome. Rehabilitation and special education programs might be needed for these groups of children with special needs. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - June 20, 2019 Category: Cardiology Source Type: research

Real-world use of ticagrelor versus clopidogrel in percutaneous coronary intervention-treated ST-elevation myocardial infarction patients: A single-center registry study
Publication date: Available online 31 May 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Leia Hee, Oliver J. Gibbs, Joseph G. Assad, Lokesh D. Sharma, Andrew Hopkins, Craig P. Juergens, Sidney Lo, Christian J. MussapAbstractObjectivesThe primary aim was to investigate the efficacy and safety of dual antiplatelet therapy (DAPT) using ticagrelor (T-DAPT) versus clopidogrel (C-DAPT) in a real-world ST-elevation myocardial infarction (STEMI) population.MethodsWe retrospectively analyzed 655 consecutive patients having primary percutaneous coronary intervention (PCI) for STEMI at Liverpool Hospital, Sydney, Austra...
Source: Journal of the Saudi Heart Association - June 19, 2019 Category: Cardiology Source Type: research

Cognitive Impairment Associated with Increased Mortality Rate in Heart Failure Patients: a Systematic Review and Meta-analysis
Publication date: Available online 18 June 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Jakrin Kewcharoen, Narut Prasitlumkum, Chanavuth Kanitsoraphan, Nattawat Charoenpoonsiri, Natthapon Angsubhakorn, Prapaipan Putthapiban, Pattara Rattanawong (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - June 19, 2019 Category: Cardiology Source Type: research

Safety and Efficacy of Off-label use of Ivabradine in Patients with Acute Heart Failure
ConclusionThe results of this pilot study demonstrated the safety of the early use of ivabradine alone versus beta-blockers when tolerated, in patients admitted with acute HF (both acutely decompensated as well as de novo). Patients in both groups achieved comparable reduction in heart rate with improvement in functional capacity and exercise tolerance. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - June 13, 2019 Category: Cardiology Source Type: research