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- Volume 2013, Issue 2
Global Cardiology Science and Practice - Volume 2013, Issue 2
Volume 2013, Issue 2
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Peripheral arterial disease in the Middle East: Underestimated predictor of worse outcome
Authors: Ayman El-Menyar, Jassim Al Suwaidi and Hassan Al-ThaniPeripheral arterial disease (PAD) is a common manifestation of systemic atherosclerosis and is associated with significant morbidity and mortality. The prevalence of PAD in the developed world is approximately 12% among adult population, which is age-dependent and with men being affected slightly more than women. Despite the strikingly high prevalence of PAD, the disease is underdiagnosed. Surprisingly, more than 70% of primary heal Read More
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The Boy from Fez: A tale of five charities, and the global community, joining hands
Authors: Layla Zniber, Maria Rogers, Akhlaque Nabi Bhat, Ahmad Sallehuddin and Lisa YacoubA case study in global cooperation between multiple charities and cardiac centers helped to save a 8-year-old Moroccan boy suffering a case of Laubry-Pezzi syndrome with severe aortic regurgitation and ventricular septal defect. His recuperation was aided by the support of communities in both Morocco and Qatar.
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Advanced ablation strategies
for management of post-surgical
atrial arrhythmiasAuthors: Lilian Mantziari, Irina Suman-Horduna, Sonya V Babu-Narayan and Sabine ErnstPost-surgical arrhythmias include a wide range of arrhythmias occurring late after cardiac surgery and represent a complex substrate for catheter ablation either because of extended scar and remodeling or because of limited access to the area of interest. Novel image integration and ablation tools have made the catheter ablation in this population both feasible and successful. We review a structured approach to catheter ablation of pos Read More
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Apical ballooning with
mid-ventricular obstruction:
the many faces of Takotsubo cardiomyopathyTakotsubo cardiomyopathy (TTC) is a transient left ventricular dysfunction due to akinesia of the left-ventricular (LV) mid-apical segments (apical ballooning), which can cause severe reduction in LV systolic function. The typical clinical picture of TTC include chest pain, electrocardiographic changes consisting of mild ST-segment elevation followed by diffuse deep T-wave inversion, QTc interval prolongation and mild troponin release in the Read More
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Near-fatal cardiac arrest due
to cardiac tamponade during percutaneous mitral valvuloplastyAuthors: Osama Rifaie and Wail NammasThe incidence of hemopericardium following percutaneous mitral valvuloplasty is reported at 1–3%, being related to either trans-septal puncture, or left ventricular perforation with guide wires or balloons. We report a case of percutaneous mitral valvuloplasty for a middle-aged man with moderately severe rheumatic mitral stenosis. The procedure was performed through a right femoral vein approach, employing the multitrack technique, Read More
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Managing atrial fibrillation in the global community: The European perspective
Authors: Riyaz A Kaba, A John Camm, Timothy M Williams and Rajan SharmaAtrial fibrillation is a common, global problem, with great personal, economic and social burdens. As populations age it increases in prevalence and becomes another condition that requires careful chronic management to ensure its effects are minimised. Assessment of the risk of stroke using well established risk prediction models is being aided by modern computerised databases and the choice of drugs to prevent strokes is ever expa Read More
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Right ventricular mechanics in hypertrophic cardiomyopathy using feature tracking
Authors: Hala Mahfouz Badran, Mahmood Soliman, Hesham Hassan, Raed Abdelfatah, Haythem Saadan and Magdi YacoubObjectives: Right ventricular (RV) mechanics in hypertrophic cardiomyopathy (HCM) are poorly understood. We investigate global and regional deformation of the RV in HCM and its relationship to LV phenotype, using 2D strain vector velocity imaging (VVI). Methods: 100 HCM patients (42% females, 41 ± 19 years) and 30 control patients were studied using VVI. Longitudinal peak systolic strain (ϵsys), strain rate (SR), time to peak Read More
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