Annals of Heart

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Original Article 

Challenges in Cardiology: Mixed Valvular Heart Disease

Jamilah Al Rahimi and Ahmed Abuosa

Abstract

Valvular heart disease is either in form of stenosis or regurgitation that result from acquired pathology or related to congenital cardiac lesions. Mixed valvular disease is referred to having more than one valvular lesion together that may challenge the proper estimation of each valve severity.

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Original Article 

Factors Determining Fast-Track Failure Post Cardiac Surgery

YC Tham, Zihui Tan, Jinghui Chen, SY Chia, KC Chua, Kenny Sin and Shah Shitalkumar

Abstract

Fast track protocol has been proven to be cost effective and allows optimal utilization of healthcare services. Careful patient selection is crucial to its success. We aim to identify factors leading to fast track failure in our institution so as to improve patient selection.

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CASE REPORT 

Perioperative Management of a Patient with Factor XI Deficiency Undergoing Cardiac Surgery

Ibrahim Mungan, Serdar Yamanyar, Cetin Murat Songur and Sema Turan

Abstract

Factor XI deficiency (FXID), is a rare disorder of the coagulation system and the incidence of FXID is estimated to be one in a million. It is claimed to be associated with prominent bleeding in case of trauma and surgery irrelevant to the FXI level. The treatment modality of FXID varies from Fresh frozen plasma (FFP) to the plasma-derived FXI concentrate depending on country and medical center.

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LETTER TO EDITOR 

Editorial on Advances in Artificial Heart

Manu Mitra

Abstract

Biological heart is like an engine inside the body that keeps everything running. In a day, heart pumps approximately two thousand gallons of blood. Like any other engine if heart is not taken care; it can break down and pump less efficiently and this condition is called heart failure.

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Original Article 

Prognostic Value of Pre-Procedural Thrombolysis in Myocardial Infarction Flow in ST-Segment Elevation Myocardial Infarction Patients with Primary Percutaneous Coronary Intervention

Kye Taek Ahn, Jin Kyung Oh, Jin-Ok Jeong, Seon Ah Jin, Jae-Hwan Lee, Si-Wan Choi, Myung Ho Jeong, Shung Chull Chae, Myeong Chan Cho, Jang Ho Bae, In-Whan Seong, Other Korea Acute Myocardial Infarction Registry (KAMIR) and Korean Registry of Myocardial Infarction (KorMI) investigators

Abstract

We investigated the prognostic value of pre-procedural Thrombolysis in Myocardial Infarction (TIMI) flow for major adverse cardiac events (MACE) and cardiovascular death (CVD) using Korean registry data in ST-elevation myocardial infarction patients underwent primary percutaneous coronary intervention.

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Original Article 

Phantom Assessment of Unshielded Magnetocardiography Repeatability, Precision and Accuracy in Electric Sources Localization

Gianmarco Lombardi, Anna Rita Sorbo, Riccardo Fenici and Donatella Brisinda

Abstract

Pre-interventional knowledge of arrhythmogenic substrate location may reduce interventional time and arrhythmias ablation risks. Magnetocardiographic Mapping (MCG) is a contactless method for non-invasive localization of intracardiac sources used for Three-Dimensional (3D) Electro-Anatomical Imaging (EAI) of arrhythmogenic substrates.

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Review Article 

Recent Progress in the Diagnosis and Management of Tako-Tsubo Syndrome

Thanh H Nguyen, Gao J Ong, Sven Yuri Surikow, Jeanette Stansborough, Matthew Worthley, Gnanadevan Mahadavan, Dana Dawson DM, Michael P Frenneaux and John D Horowitz

Abstract

Tako-Tsubo Syndrome (TTS), also known as apical ballooning syndrome or "broken heart syndrome", was discovered by Japanese investigators 27 years ago, and was initially assumed to be a rarity.

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Research Article 

Hemolytic Anemia after Mitral Valve Repair: Case Report

Haydar Yasa and Füruzan Aktuğ

Abstract

Mechanical hemolytic anemia, although there is a well-known complication of mechanical valve replacement is reported to be rare after mitral valve repair.

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Review Article 

Role of Non-Invasive Mechanical Ventilation as an Alternative to Tracheostomy in the Weaning of Patients with Acute Respiratory Failure

Rosa Mariela Mirambeaux Villalona, Salvador Díaz-Lobato and John Robert Bach

Abstract

Tracheostomy is a very frequently performed procedure that is associated with significant morbidity and mortality. There are several complications related to tracheostomy, such as bleeding, stomal infection, pneumonia, tracheoesophageal fistula, tracheal stenosis and others.

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Research Article 

The Role of Cardiotrophin-1 in the Evaluation of Myocardial Ischemia in Patients Undergoing Off-Pump and On-Pump Coronary Artery Bypass Surgery

Mehmet Ergun Tecimer, Ahmet Yuksel, Murat Bicer, Irem Iris Kan, Mustafa Tok and Isik Senkaya Signak

Abstract

The purpose of this study was to investigate the availability of cardiotrophin-1 in the evaluation of myocardial ischemia in patients undergoing off-pump and on-pump coronary artery bypass surgery.

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Editorial 

Digital Eyewear in Cardiology-Looking Forward

Stephen J Leslie and Charles Knoery

Abstract

Cardiovascular disease (CVD) remains a major cause of morbidity and mortality worldwide and consumes a large proportion of health care budgets due to acute admissions to hospital, hospital transfers, investigations, treatment and outpatient follow up. Managing CVD in remote areas may be particularly challenging (and expensive) as there are additional geographical barriers to patients gaining specialist care and advice. This has a led to a feeling that the current situation is not sustainable and that we must change or adapt the way we provide healthcare.

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Case Report 

Brugada Type 1 ECG Caused by an RVOT Tumor

Bruno Schnegg, Jens Seiler, Thomas M Suter, Hildegard Tanner and Helge Servatius

Abstract

A 66-year-old female patient without any relevant medical history other than rectal cancer was admitted for biopsy of a peri-myocardial tumor after the incidental finding of a mass in the region of the ventral right ventricle in a follow-up positron emission tomography with computed tomography (PET-CT). Diagnostic investigation revealed a cardiac metastasis of the rectal cancer affecting the anterior right ventricle, obstructing the right ventricular outflow tract, and causing a type 1 Brugada ECG.

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Review Article 

Flow Velocity, Fluid Dynamics and Vascular Pathophysiology

Gundu HR Rao

Abstract

Diseases of blood vessels cause more morbidity and mortality than combined impact of any other major noncommunicable disease (NCD) including cancer. By and large, these diseases are diagnosed by monitoring known risk factors. Th management of the disease is more or less limited to the management of the risk factors. We strongly feel, that development of a therapy system based on the management of disease of the vessel, than management of the risk factors, will yield better results and provide better opportunity for individualized therapy.

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