14. Hajj pilgrims versus Makkah residents with acute myocardial infarction (AMI)
Publication date: Available online 6 June 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Walaa Eldeen Ahmed, Mohammad Salih Almalki, Fayaz Khan, Asaad Soomro, Fatima Aboul Enein, Najeeb Jaha, Abdullah Gabashi, Javaid Iqbal (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - June 7, 2019 Category: Cardiology Source Type: research

Awareness of fitness to drive among cardiologists in Saudi Arabia
Publication date: Available online 6 June 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Abdullah A. Altorbag, Rami M. Abazid, Ahmad Almeman, Haitham Sakr, Akram F. Eldesoky, Hisham M. Eissa, Tawfeeq H. Alharbi, Osama A. Smettei (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - June 7, 2019 Category: Cardiology Source Type: research

Real-world Use of Ticagrelor versus Clopidogrel in PCI-treated STEMI Patients: A Single-Center Registry Study
ConclusionTicagrelor was preferred in low bleeding risk patients, which may have contributed to less BARC3-5 bleeding and lower mortality for T-DAPT. Thus bleeding mitigation is a clinical priority when selecting DAPT for PCI-treated STEMI patients. Continuation of initial DAPT regimen was typical, but early switching from clopidogrel to ticagrelor shows willingness to optimise DAPT. Patients with very low CRUSADE scores (<21.5) may be appropriate for switching to a potent P2Y12 inhibitor. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - June 1, 2019 Category: Cardiology Source Type: research

Appropriateness of dabigatran dosing in patients with nonvalvular atrial fibrillation (NVAF): A retrospective study conducted in a tertiary care university hospital in the eastern province of Saudi Arabia
ConclusionThis study revealed inappropriate prescription of reduced doses of dabigatran in a large number of patients. Age was identified as the main driving factor for underdosing. Physicians’ and pharmacists’ awareness regarding this type of high-risk medication should be improved to ensure appropriate and safe use of this commonly used drug. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - May 29, 2019 Category: Cardiology Source Type: research

Saudi Heart Association (SHA) Guidelines for the Management of Heart Failure
Publication date: Available online 21 May 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 TashAbstractHeart 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 to evaluating the quality of ...
Source: Journal of the Saudi Heart Association - May 21, 2019 Category: Cardiology Source Type: research

Outcome of Cardiac Surgery in Adults with Congenital Heart Disease: A Single Center Experience
ConclusionAdult patients with congenital heart disease are prone to immediate postoperative multisystem complications, yet the majority of them are reversible. Their 1 and 5-year survival rate is excellent. Further follow up studies are required. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - May 18, 2019 Category: Cardiology Source Type: research

Appropriateness of dabigatran dosing in patients with non-valvular atrial fibrillation (NVAF): A retrospective study conducted in a tertiary care university hospital in the Eastern Province of Saudi Arabia
ConclusionThis study revealed inappropriate prescription of reduced doses of dabigatran in a large number of patients. Age was identified as the main driving factor for underdosing. Physicians’ and pharmacists’ awareness regarding this type of high-risk medication should be improved to ensure appropriate and safe use of this commonly used drug. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - May 17, 2019 Category: Cardiology Source Type: research

Management of Monomorphic Ventricular Tachycardia Electrical Storm in Structural Heart Disease
Publication date: Available online 11 May 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Ahmed Said AL-Kalbani, Najib AlRawahiAbstractElectrical storm (ES) is life threatening condition that is defined by ≥3 episodes of sustained ventricular tachycardia (VT), ventricular fibrillation (VF), or appropriate shocks from an implantable cardioverter defibrillator (ICD) within 24 hours. The most common form of ES is monomorphic VT. It carries poor outcome despite all available intervention therapies. The therapies include rapid recognition of the condition, treatment of the reversible causes, ICD-reprogramming, an...
Source: Journal of the Saudi Heart Association - May 11, 2019 Category: Cardiology Source Type: research

The First Fetal Echocardiography Experience for Prenatal diagnosis of congenital heart disease in Lebanon: Successes and Challenges
ConclusionHigh rates of detection are mainly due to low rates of referral when indicated and possibly parental anxiety about a CHD diagnosis. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - April 12, 2019 Category: Cardiology Source Type: research

Thyrocervical Trunk Perforation: A Rare Vascular Complication During Cardiac Intervention Through Right Radial Approach: A Case Report and Literature Review
Publication date: Available online 28 March 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Masood Ayyub Ghori, Abdulmajeed Al Zubaidi, Asim KhwajaAbstractTrans Radial artery Access (TRA) is considered relatively safe approach for percutaneous coronary intervention (PCI), by virtue of its fewer access related peripheral vascular complications. Central arterial complications are rare. We are presenting a case report wherein Thyrocervical Trunk (TT), a branch of first part of Right Subclavian Artery (RSA) was perforated during intervention through right Radial approach, resulting in deep neck hematoma, compressi...
Source: Journal of the Saudi Heart Association - March 29, 2019 Category: Cardiology Source Type: research

Table of Contents
Publication date: April 2019Source: Journal of the Saudi Heart Association, Volume 31, Issue 2Author(s): (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - March 29, 2019 Category: Cardiology Source Type: research

Editorial Board
Publication date: April 2019Source: Journal of the Saudi Heart Association, Volume 31, Issue 2Author(s): (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - March 29, 2019 Category: Cardiology Source Type: research

Vasoconstrictor component of atherothrombotic culprit lesions in ST-segment elevation myocardial infarction
ConclusionThis study showed the presence of a vasoconstrictor component in atherothrombotic culprit lesions in STEMI patients receiving primary PCI. Vasodilating effort by NTG may decrease stent length used for culprit lesions. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - March 25, 2019 Category: Cardiology Source Type: research

Thyrotoxicosis presenting as syncope and rapid wide QRS tachycardia: A case report
We report regarding a young lady who presented with recurrent syncopal episodes associated with palpitations, documented to be due to rapid wide QRS tachycardia, subsequently detected to have thyrotoxicosis and who responded promptly to appropriate medication to become free from arrhythmia. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - March 14, 2019 Category: Cardiology Source Type: research

Thyrotoxicosis Presenting as Syncope and Rapid Wide-QRS Tachyarrhythmia: a Case Report
We report a young lady who presented with recurrent syncopal episodes associated with palpitations, documented to be due to rapid wide-QRS tachycardia, subsequently detected to have thyrotoxicosis and who responded promptly to appropriate medication to become free from arrhythmia. (Source: Journal of the Saudi Heart Association)
Source: Journal of the Saudi Heart Association - March 9, 2019 Category: Cardiology Source Type: research