Current Issue

Case Report Open Access

Recurrent Prosthetic Thrombosis: About a Case

Blanca Alcon Duran
Int J Clin Cardiol Volume 5, Issue 2

Abstract: Bioprosthetic valve thrombosis (BPVT) is considered to be a rather unusual complication among this type of prosthesis. However, several recent data show the importance of a careful diagnosis and the adequate discrimination with respect to other possible complications, which may be the cause of an underestimation of its incidence. We present the case of a woman with biological prosthesis thrombosis after a mechanical prosthesis thrombosis.

PDF   Full Text   DOI: 10.23937/2378-2951/1410120

Case Report Open Access

Acute Mechanical Valve Thrombosis in the Setting of Unusual Aetiology

Zain Sharif, Cian O' Carroll-Lolait, David Moore and Bryan Loo
Int J Clin Cardiol Volume 5, Issue 2

Abstract: A 65-year-old caucasian man with a history of aortic valve replacement with a St. Jude bi-leaflet mechanical prosthesis in 1984, mitral valve replacement in 2004 with Edwards Starr Ball and Cage prosthesis, atrial fibrillation and ulcerative colitis presented to our emergency department with central chest pain radiating to his jaw with associated diaphoresis and nausea. Symptom onset was an hour pre-admission.

PDF   Full Text   DOI: 10.23937/2378-2951/1410119

Case Report Open Access

Medically Managed Iatrogenic Aortic Dissection: A Safer Option for a Dangerous Condition?

Evan D Levine, Arber Kodra, Rachel M Bond, Fadi Khoury, Dan Inder S Sraow and Georges Y Nseir
Int J Clin Cardiol Volume 5, Issue 2

Abstract: Iatrogenic aortic dissection is a rare complication of both diagnostic and interventional coronary angiography. In the few case studies that have been reported in current medical literature, surgical management was generally opted for; however, with poor overall outcomes. Given these unfavorable outcomes, a different treatment strategy should be considered. We report a case of iatrogenic aortic dissection successfully treated with intensive medical therapy and utilization of a multi-modality serial imaging approach.

PDF   Full Text   DOI: 10.23937/2378-2951/1410118

Original Article Open Access

Diagnosis and Endovascular Management of Segmental Heel Ischemia

Miguel Montero-Baker, Bernadino Castelo Branco Rocha, David G Armstrong, Kay R Goshima, John Miller and Joseph L Mills Sr
Int J Clin Cardiol Volume 5, Issue 2

Abstract: Diabetic foot ulcers are common, costly, frequently recurrent and chronic. Once infected they all too often are the precursors of major limb amputation. Increased pressure decreased angiogenic response, neuropathy, trauma and deformity all contribute in varying degrees to the pathogenesis of these ulcers. Patients with limited mobility are at higher risk of developing an even more morbid subtype of diabetic foot complication: The heel ulcer.

PDF   Full Text   DOI: 10.23937/2378-2951/1410117

Letter To Editor Open Access

What if the Ventricle was Innocent for Once? The Infrequent Case of a Guilty Atrium

Angelica Abbate, Giulia Teresi, Davide Piraino, Giuseppe Andolina and Pasquale Assennato
Int J Clin Cardiol Volume 5, Issue 2

Abstract: An 82-year-old man with chronic atrial fibrillation was admitted to our department for progressive dyspnea, III NYHA class. Almost 10 years ago, he underwent replacing of mitral valve with a mechanical prosthesis CarboMedics size 31 (Sorin Group - Milan, Italy) due to severe mitral valve insufficiency and plastic of tricuspid valve due to moderate - severe insufficiency.

PDF   Full Text   DOI: 10.23937/2378-2951/1410116

Research Article Open Access

Cardiovascular Risk in Patients with Chronic Kidney Disease is Associated with Decrease of HDL Levels

Cicera Jacqueline da Conceicao Silva, Rafaely Pereira de Alencar, Leticia Miranda Tenorio, Nathanielly Lima da Silva, Amanda Feitosa de Barros, Chiara Rachel Maciel Marinho and Raphael de Souza Pinto
Int J Clin Cardiol Volume 5, Issue 2

Abstract: Cardiovascular diseases are the leading causes of death in patients undergoing hemodialysis. Despite new treatments and advances in dialysis processes, patients with chronic kidney disease (CKD) have 10 to 20 times higher mortality rate from cardiovascular disease compared to geral population.

PDF   Full Text   DOI: 10.23937/2378-2951/1410115

Research Article Open Access

Three-Year Follow-Up of a Single-Center Series of Patients with Device-Aided Left Atrial Appendage Closure and Strict Echocardiographic Control

Jose Ramon Lopez-Minguez, Juan Manuel Nogales-Asensio, Victoria Millan-Nunez, Patricia Marquez-Marquez, Bruno Blenga-Limpo, Carmen Garcia Corrales, Diego Felix Arroyo-Monino, Concepcion Lopez-Fernandez, Eugenia Fuentes-Canamero, Reyes Gonzalez-Fernandez and Antonio Merchan-Herrera
Int J Clin Cardiol Volume 5, Issue 2

Abstract: Non-valvular atrial fibrillation (NVAF) is a significant health problem, particularly in the older population. Since the introduction of novel oral anticoagulants (novel OAC), greater numbers of patients at risk of stroke who previously were not candidates for oral anticoagulation (OAC) with warfarin or acenocumarol due to the risk of bleeding are now being treated. Until then, up to 30%-40% of patients who needed OAC treatment were not treated due to fear of bleeding on the part of the patient or the physician, yet this group includes patients with higher risk of stroke, who often have a greater risk of bleeding complications.

PDF   Full Text   DOI: 10.23937/2378-2951/1410114

Research Article Open Access

Cardiovascular Risk Assessment of Dyslipidemic Middle-Aged Adults without Overt Cardiovascular Disease over the Period of 2009-2016 in Lithuania

Sandra Kutkiene, Zaneta Petrulioniene, Aleksandras Laucevicius, Pranas Serpytis, Justina Staigyte, Akvile Saulyte, Emilija Petrulionyte, Urte Gargalskaite, Egle Skiauteryte, Gabija Matuzeviciene, Milda Kovaite, Egidija Rinkuniene and Vilma Dzenkeviciute
Int J Clin Cardiol Volume 5, Issue 2

Abstract: Cardiovascular mortality in Lithuania is extremely high and abnormal lipid levels are very common among Lithuanian adults. Dyslipidemia is one of the main independent risk factors for cardiovascular diseases (CVD) leading to high absolute CVD risk. The aim of this study was to assess CVD risk in dyslipidemic middle-aged subjects.

PDF   Full Text   DOI: 10.23937/2378-2951/1410113

Case Report Open Access

Less Phosphorus, More Problems: Hypophosphatemia Induced Polymorphic Ventricular Tachycardia in a Young Male

Robin Jacob, Ritesh S. Patel and Francisco Fuentes
Int J Clin Cardiol Volume 5, Issue 2

Abstract: It is well known that electrolyte derangements such as hypokalemia, hypomagnesaemia, and hypocalcaemia can potentially cause dangerous arrhythmias in hospitalized patients. This can be a common concern for acute care physicians, as the occurrence of arrhythmias predisposes patients to higher morbidity, mortality, and longer length of stay. Phosphorus, however, has been less studied.

PDF   Full Text   DOI: 10.23937/2378-2951/1410112

Case Report Open Access

Emergent Repair of Cardiac Rupture and Successful AF Ablation Procedure

Sahin Iscan, Bortecin Eygi and Koksal Donmez
Int J Clin Cardiol Volume 5, Issue 2

Abstract: Today, ablation techniques for atrial fibrillation (AF) are successfully increasing but catheter ablation may have important complication risks. We report the case of a 56-year-old woman with chronic AF who had left atrial rupture during catheter ablation. Echocardiography showed pericardial effusion during procedure and she was operated immediately. Left atrial rupture repaired with sternotomy. After stabilizing the hemodynamic and metabolic parameters, intraoperative bipolar ablation was performed.

PDF   Full Text   DOI: 10.23937/2378-2951/1410111

Research Article Open Access

Mass Regression after Aortic Valve Replacement in Aortic Stenosis: A Comparison between "Appropriate" and "Inappropriate" Left Ventricular Hypertrophy

Giordano Tasca, FrancescoTrinca, Beatrice Riva, Douglas Skouse, Elisabetta Lobiati, Caterina Chiara DeCarlini and Amando Gamba
Int J Clin Cardiol Volume 5, Issue 2

Abstract: Left ventricular (LV) hypertrophy is a form of adaptation to a chronic cardiac overload. In the setting of aortic stenosis (AS), LV hypertrophy develops to limit the increase of LV systolic wall stress. Aortic valve replacement (AVR), is expected to eliminate the LV burden, inducing regression of LV hypertrophy.

PDF   Full Text   DOI: 10.23937/2378-2951/1410110

Volume 5
Issue 2