Long-Term Clinical and Echocardiographic Outcome in Patients with CRT and Functional Mitral Regurgitation: MitraClip versus Optimal Medical Therapy
Arianna Cirasa, MD, Antonio Popolo Rubbio, MD, Paolo Zappulla, MD, Angelo Di Grazia, MD, Daniela Dugo, MD, Salvatore Scandura, MD, Sarah Mangiafico, MD, Carmelo Grasso, MD, Corrado Tamburino, MD, PhD, Davide Capodanno, MD, PhD and Valeria Calvi, MD, PhD
Article Type: Research Article | First Published: April 03, 2019
This study sought to evaluate the clinical outcome in cardiac resynchronization therapy (CRT) patients with residual moderate-to-severe functional mitral regurgitation (FMR) who underwent percutaneous treatment with the Mitraclip System or were managed with medical therapy alone. Significant FMR can persist in 20-25% of patients after CRT and its management can be a challenge, due to the advanced heart failure (HF) and a variety of concomitant comorbidities. From a single center, two different g...
Ventricular Fibrillation in Arrhythmogenic Cardiomyopathy: Four Strategies to Effective Risk Management
Article Type: Case Report | First Published: March 25, 2019
The case of a 52-year-old female patient is reported who suffered aborted sudden cardiac arrest, got layman’s resuscitation, and then defibrillation into normal sinus rhythm with temporary right precordial ST segment elevation. The patient was admitted to hospital, the diagnosis of early-stage arrhythmogenic cardiomyopathy by ECG, echocardiography and left ventricular, right ventricular and coronary angiography was made. Echocardiography findings revealed dilatation of the right ventricular ou...
Relation between Heart Failure Patients with Cardio-Renal Syndrome and Serum Levels of Vitamin D
Haitham Galal Mohammed, MD, Mohammed Ahmed Abdelrahman, MD and Tarek Rashid Mohammed, MD
Article Type: ORIGINAL ARTICLE | First Published: March 06, 2019
Worldwide, the prevalence of vitamin D deficiency is as high as almost 50% among the elderly and the association between vitamin D and heart failure is widely debated. To study the relation between serum 25-hydroxy vitamin D levels and echocardiographic parameters of cardiac function in heart failure patients with cardio-renal syndrome. The study included 90 patients of all age groups and both sexes. They were divided into 3 groups of patients: 1: Systolic dysfunction and renal insufficiency (30...
Two Case Reports of Emergency Stenting of Superior Vena Cava Obstruction Following Cardiac Surgery
Putri Yubbu, Ong Yun Jin, Mohd Amin Itam, Hamdan Leman and Koh Ghee Tiong
Article Type: CASE REPORT | First Published: March 04, 2019
Superior vena cava (SVC) obstruction is a recognized complication following cardiac surgery that may result in significant clinical sequelae if not treated early. Transcatheter stenting is rapidly becoming the treatment of choice, considering its reduced post-procedure morbidity and faster recovery time. In early postoperative vascular lesion, primary stenting is preferred over balloon angioplasty to prevent fresh suture line disruption. In paediatric, small patient sizes as well as the need for...