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- 1Department of Cardiac Surgery, Saud Al-Babtain Cardiac Center, Ministry of Health, Dammam, Saudi Arabia [1]
- 1Weill Cornell Medical College, New York, New York, USA [1]
- 2Department of Cardiac Anesthesia and Intensive Care, Saud Al-Babtain Cardiac Center, Dammam, Saudi Arabia [1]
- 2Weill Cornell Medical College in Qatar, Doha, Qatar [1]
- 3Department of Cardiology, Saud Al-Babtain Cardiac Center, Dammam, Saudi Arabia [1]
- 3Hamad Medical Corporation, Doha, Qatar [1]
- College of Pharmacy, University of Babylon, Babylon, Iraq. Email: [email protected]; [email protected] [1]
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- Faculty of Medicine, Mutah University, Al Karak, Jordan Email: [email protected] [1]
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RENASICA II: A Mexican acute myocardial infarction registry that highlights the importance of regional registries
Cardiovascular diseases are the leading cause of death worldwide with disproportionate representation in low- and middle-income countries (LMICs). The Registro Nacional de los Síndromes Coronarios Agudos II (RENASICA II) investigators reported smoking hypertension and diabetes were the main risk factors among Mexican patients presenting with ST-elevation myocardial infarction (STEMI). Fibrinolytic therapy was administered to 37%. Primary percutaneous coronary intervention (PPCI) was performed in only 15% of patients. 30-day mortality was 10%. This study highlights the importance of conducting regional registries for quality improvement.
Prevention during the epidemiologic shift to chronic illness: a case control study of risk factors associated with cardiovascular disease in Qatar
Background: Cardiovascular diseases (CVD) continue to be the leading cause of death worldwide. Countries in the Arabian Gulf region are prime examples of major shifts in demographic and epidemiologic profiles leading to an increased burden of chronic illness. This study estimated the association between five preventable conditions and risk factors and the development of myocardial infarction (MI) and cerebrovascular accidents (CVA) in the population of Qatar. Methods: We conducted a case control study among patients admitted to Hamad Medical Corporation with acute MI (n = 512) or CVA (n = 262) from June 2006–June 2008. Controls (n = 382) were randomly selected from unrelated inpatient and outpatient departments. Data collected included socio-demographic information medical/family history lifestyle characteristics and depression assessments. Results: Over two thirds of MI and half of CVA cases were younger than 55 years with 12% and 7% respectively being under age 40. Cases were predominantly males and Qatari nationals constituted 13% of MI and 25% of CVA cases. Approximately 40% of participants were overweight and an additional 30% were obese. Diabetes was the strongest preventable risk factor for MI (adjusted odds ratio [OR] = 3.31 95% CI 1.97–5.57) and CVA (adjusted OR = 3.67 95% CI 2.00–6.74). Hypertension was the second major preventable risk factor for CVA (adjusted OR = 2.73 95% CI 1.59–4.68) and an important factor for MI (adjusted OR = 1.69 95% CI 1.05–2.72). Minimal physical activity (defined as lack of vigorous or moderate activity for at least 10 minutes in the past month) increased the risk of MI and CVA by approximately 80% while smoking increased the risk of MI two-fold. Exploratory analyses of the determinants of CVD among Qatari nationals identified diabetes hypertension high cholesterol and smoking as potential preventable risk factors but with higher odds ratios than other groups. Conclusions: Public health strategies to prevent MI and CVA should be based on alteration of risk factors found elsewhere in the world. However the magnitude of these factors in Qatar suggests that the effectiveness of altering these risk factors is even more likely to have a significant impact. Designing population-level prevention interventions with awareness campaigns and supporting a culture of preventive health are critical for both Qatari nationals and the expatriate population.
E-CPR as a bridge for decision in the cath lab
Aim: Refractory cardiogenic shock (CS) complicates 5–7% of cases with ST-elevation myocardial infarction (STEMI) and is a leading cause of hospital death after myocardial infarction.1
CS complicating acute myocardial infarction (AMI) continues to have a high mortality of 40–50% despite early revascularization and adjunctive therapies.2 Extracorporeal membrane oxygenation (ECMO) technology has advanced significantly and is readily available at the bedside. This is a viable option for short-term support in the setting of acute cardiac ischemia. According to the 2003 USA National Registry of cardiopulmonary resuscitation (CPR) in-hospital cardiac arrest has a poor prognosis with an overall survival to hospital discharge rate of 17% with conventional CPR.3 One of the most common causes of cardiac arrest is ventricular fibrillation (VF) secondary to ischemia which carries an improved prognosis if successfully defibrillated with the rate of survival to hospital discharge being 34%.3 In cases with refractory ischemic VF definitive therapy with percutaneous coronary intervention (PCI) may not be possible without anoxic brain injury secondary to hemodynamic collapse. CPR was introduced in the 1960s as a lifesaving method in patients with cardiac arrest.3 To supplement CPR in select patients ECMO is used successfully for witnessed in-hospital cardiac arrest.3 In the setting of an AMI bridging to a revascularization procedure is important in improving neurological outcome and overall survival. We report the profile and the outcome of patients in refractory VF resistant to defibrillation on ECMO support. Subsequent to revascularization the patient's cardiac rhythm converted back to sinus rhythm with a single defibrillation shock with excellent neurological recovery. Methods: Since January 2014 we have been reviewing patients who had suffered from progressive severe refractory CS post STEMI undergoing emergency PCI on percutaneous veno-arterial (VA)-ECMO support. Results: For 11 male patients (mean age 50 ± 18 years) the mean duration of support was 7 ± 4 days. Of these patients 9 (81%) were weaned successfully from ECMO. However two patients on ECMO support died: one due to massive gastrointestinal bleeding and the other due to septic shock. Three other patients also died; one due to occluded stent on third day post-ECMO removal one due to intracranial hemorrhage on second day post-ECMO removal and one due to septic shock on fourth day post-ECMO removal. The 30-day survival was 54% (6/11 patients) without any neurological deficit. Conclusion: VA-ECMO has shown to be an option to bridge patients in CS and/or refractory VF to allow for a successful revascularization procedure and ultimately good neurological and survival outcome.
Association of dental caries in the era of COVID-19 with the number of occluded coronary vessels: A non-traditional risk factor in patients with acute coronary syndrome
Background: Dental caries and acute coronary syndrome (ACS) are prevalent chronic multifactorial disorders with several etiopathological risk factors. This study aims to assess the association between carious teeth and the number of coronary arteries identified by angiography among ACS patients.
Material and Methods: 118 patients with ACS were evaluated clinically by cardiologists. Participants’ dental hygiene was assessed using the DMFT index. Before having their coronary angiography evaluated all individuals had their urea creatinine and troponin serum levels checked. Echocardiography was also done. The relationship between the DMFT scoring index and echocardiographic and angiographic data was examined.
Results: All subjects studied had poor dental health overall (13.7±9.8) and their mean ages were 57.2±10.2 years. There were 118 participants in this study and males made up 77.1% of the group. The majority of ACS (60.7%) had a high DMFT score (DMFT > 9) which in most cases indicated a significant number of missing teeth (10.9±8.9). Around half of the patients had poor carious status (DMFT > 10). The DMFT index and LVEF% measurements had non-significant positive relationships. According to the ROC curve DMFT and its components lacked the diagnostic capacity to distinguish participants with one occluded coronary artery from ACS patients affected by multiple coronary arteries.
Conclusion: Although it cannot be used to predict the severity of the ACS oral hygiene regarding dental status is related to the number of stenosed coronary arteries (but not LVEF%).
Struggling hearts: Cardiovascular health in a war-torn Gaza
The Gaza Strip a small territory home to 2.2 million faces an escalating healthcare crisis amidst the ongoing conflict and severe socio-economic challenges previously. This review sheds light on the current cardiovascular health situation in Gaza emphasizing the impact of stress hypertension myocardial infarction and cardiomyopathy. The dire state of healthcare infrastructure limited access to medical care and disruption of essential services particularly in the northern region exacerbate the crisis. Stress hormones which are elevated by chronic conflict further contribute to cardiovascular risks. The prevalence of hypertension and cardiovascular disease is alarming with inadequate access to medications and healthcare resources. Urgent international intervention is crucial to address immediate healthcare needs provide medication and ensure the well-being of the population of Gaza.