eng
Iranian Heart Association
Iranian Heart Journal
2018-03-01
19
1
6
14
82798
Effects of Metacognitive Training and Mindfulness-Based Cognitive Therapy on Couple Communication Patterns With the Mediation of Perceived Stress, Perceived Social Support, and Emotion Regulation in Patients With Coronary Heart Disease
Mohammad-ebrahim Maddahi
1
Akbar Nikpajouh
2
Javad Khalatbari
3
Saied Malihia Zakerini
4
Sara Hashemi
5
Department of Clinical Psychology, Shahed University, TMohammad-ebrahim Maddahiehran, IR, Iran
Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR, Iran
Department of Psychology, Azad University, Tonekabon Branch, Mazandaran, IR, Iran
Department of Psychology, Azad University, Karaj Branch, Alborz, IR, Iran
Department of Psychology, Azad University, Karaj Branch, Alborz, IR, Iran
Background: Psychosocial risk factors have been associated with coronary heart disease (CHD). Socialsupport within couples’ relationships has been shown to be important to health outcomes andadjustment to psychological and physical conditions in patients with CHD. Constructiveinteractions with the family—especially within couples— can reduce the level of perceivedstress, increase perceived social support, and affect experienced emotions.Method: This research had a pretest-posttest experimental design with 2 experimental groups and 1control group. A sample of 45 subjects was chosen through random sampling from amongCHD patients at Rajaie Cardiovascular, Medical, and Research Center. The study populationwas then divided into 2 experimental groups and 1 control group. The measurement tools of thestudy were Cohen’s Perceived Stress Scale, Multidimensional Scale of Perceived SocialSupport, Emotion Regulation Questionnaire (Gross & John), and Communication PatternQuestionnaire. The data were analyzed through multivariate analysis of covariance and stepwiseregression analysis.Results: The findings of the study indicated that metacognitive therapy and mindfulness-basedcognitive therapy had an effect on the reduction of perceived stress, increase of perceived socialsupport, and improvement of emotion regulation and couple communication patterns among theCHD patients.Conclusions: The results of the present study can help achieve the objective of reducing stress,augmenting social support, enhancing emotion regulation and couple communication patterns,and—in general—improving mental condition.
http://journal.iha.org.ir/article_82798_dad9be7f51d3f24575c22f92a5c32073.pdf
Metacognitive therapy
Mindfulness
Couple communication pattern
Perceived stress
perceived social support
emotion regulation
Coronary heart disease
eng
Iranian Heart Association
Iranian Heart Journal
2018-03-01
19
1
15
20
82800
Correlation Between CMR T2* and Advanced Echocardiographic Right Ventricular Function Criteria in Patients With Major Thalassemia
Mostafa Rouzitalab
1
Zahra Alizadeh Sani
2
Mozhgan Parsaee
3
Mehdi Farzaneh
4
Ehsan Khalilipur
5
Shahin Rahimi
6
Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
Echocardiography Research Center, Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.
Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.
Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
Background: Tissue iron deposition is an important adverse effect in patients with major thalassemia,leading to right-sided heart failure. This study was performed to determine the associationbetween cardiovascular magnetic resonance using T2-weighted sequences (CMR T2*) andadvanced echocardiographic right ventricular (RV) function criteria in patients with majorthalassemia at Rajaie Cardiovascular, Medical, and Research Center in 2014 and 2015.Method: This comparative study assessed the association between CMR T2* and advancedechocardiographic RV function criteria in 38 patients with major thalassemia at RajaieCardiovascular, Medical, and Research Center in 2014 and 2015.Results: CMR T2* was correlated with the RV E/E’ (echo) (P = 0.0001, r = -0.681), TAPSE (echo)(P = 0.001, r = 0.504), RVEDV (CMR) (P = 0.008, r = 0.425), and RVEDV/BSA (CMR)(P = 0.005, r = 0.443) according to the Spearman test. Additionally, CMR T2* was associatedwith the basal RV Sm (echo) (P = 0.0001, r = 0.626), RV strain (echo) (P = 0.034, r = 0.382),RVEDV/H (CMR) (P = 0.002, r = 0.483), LVEDV (CMR) (P = 0.022, r = 0.372), andLVEDV/H (CMR) (P = 0.017, r = 0.385) according to the Pearson test.Conclusions: Totally, according to the obtained results, it may be concluded that the RV E/E’, TAPSE,basal RV Sm, and RV strain from echocardiography and the RVEDV, RVEDV/BSA,RVEDV/H, LVEDV, and LVEDV/H from CMR may be indicators of myocardial iron overloadin patients with major thalassemia.
http://journal.iha.org.ir/article_82800_bdd1ca6994c9d441b4ca7ed589f7cae3.pdf
CMR T2*
Advanced right ventricular function
Major thalassemia
eng
Iranian Heart Association
Iranian Heart Journal
2018-03-01
19
1
21
29
82801
Relationship Between the Serum Levels of Nonfasting Triglyceride and the Severity of Coronary Artery Disease
Mostafa Ariafar
1
Fatemeh Dashti
2
Shahla Assadi Hovyzian
3
Ahvaz Atherosclerosis Research Center , Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
Ahvaz Atherosclerosis Research Center , Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
Atherosclerosis Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
Background: Cardiovascular diseases are a major cause of death in both men and women around theworld. Studies have shown that hypertriglyceridemia is an important risk factor for suchdiseases. While triglyceride levels after a meal increase, the relationship between postprandialtriglyceride levels and the severity of coronary artery disease is still unproven.This study aimed to determine the plasma levels of triglyceride after a meal in patients withdifferent types of coronary heart disease.Method: In this epidemiological study, 416 patients from among those referred to Golestan Hospital inAhvaz were selected based on the results of angiography and were classified to type 1 to 4groups comprising 69, 99, 83, and 165 individuals respectively, and their age and sex wererecorded. From all the individuals, a blood sample was taken 2 hours after a meal. The datawere analyzed using the Tukey test.Results: The mean age of the patients was 58.4 years. There was only a significant difference betweenthe patients with type 1 (normal patients) and those with type 4 (with severe coronary arterydisease) (142 ± 67.1 mg/dL vs 188 ± 99.3 mg/dL; P < 0.001). Furthermore, no significantdifference in the mean triglyceride level was observed in both sexes between the different types(P > 0.05).Conclusions: The results showed that the mean triglyceride serum level after a meal in our patientswith severe coronary artery disease (type 4) was higher than that in the other groups.Hypertriglyceridemia after a meal may be a major factor in coronary heart disease.
http://journal.iha.org.ir/article_82801_eee08811a90768e8a5ca6c11228ab74f.pdf
Triglyceride
Nonfasting
Coronary Artery Disease
Angiography
eng
Iranian Heart Association
Iranian Heart Journal
2018-03-01
19
1
30
36
82802
Comparison of Diagnostic Accuracy between Coronary CT Angiography and Conventional Coronary Angiography
Hanieh Nejadbahram
1
Majid Kiavar
2
Shabnam Madadi
3
Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
Cardiovascular Intervention Research Center, Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
Cardiovascular Intervention Research Center, Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
Background: Coronary computed tomography angiography (CCTA) is a noninvasive imaging methodwith a high diagnostic value and minimal complications for evaluating coronary arteries.Therefore, in cases with low and moderate probabilities of coronary artery disease, CCTA canbe a good alternative to conventional coronary angiography (CCA). Previous studies with 64-slice CTA have tried to determine its diagnostic accuracy compared with CCA as the goldstandard. In this survey, we compared the results of 256-slice CCTA with CTA.Method: The present cross-sectional descriptive study evaluated 53 patients (36 men) undergoingCCTA and then CCA (except for 4 patients with pervious CCAs). Our primary goal was tocompare the 2 imaging methods for the evaluation of coronary lesions and their runoff.Results: In the coronary artery bypass graft group, the diagnostic accuracy of CCTA for the arterialgraft lesions (left internal mammary artery to left anterior descending) had 72.73% sensitivity,100% specificity, 100% positive predictive value, and 84.2% negative predictive value and itsdiagnostic accuracy for the venous graft lesions had 100% sensitivity, 80% to 100% specificity,80% to 100% positive predictive value, and 66.4% to 100% negative predictive value. Aproposrunoff (adequacy of perfusion), CCTA had 100% sensitivity, 63.64% specificity, 80% positivepredictive value, and 100% negative predictive value in the arterial grafts and 54% to 100%sensitivity and 100% specificity in the venous grafts. In the percutaneous coronary interventiongroup, CCTA had 90% specificity, and 75% positive predictive value, and 0% negativepredictive value in the differentiation of significant from nonsignificant in-stent restenoses.Conclusions: The diagnostic accuracy of CCTA in determining the severity of arterial graft stenosesand their runoff was similar to that reported in previous studies with 64-slice CTA. Strikingly,CCTA had low sensitivity for significant in-stent restenosis.
http://journal.iha.org.ir/article_82802_ce049571481632dae9f24dd0e17805cf.pdf
Coronary CT angiography
Conventional Coronary Angiography
eng
Iranian Heart Association
Iranian Heart Journal
2018-03-01
19
1
37
43
82804
Comparing the Efficacy of 6% Hydroxyethyl Starch 130/0.4 and Human Albumin for Intravenous Fluid Replacement in Pediatric Open-Heart Surgery
Mojgan Rahimi
1
Saida Eshraqi
2
Behrang Nooralishahi
3
Department of Anesthesiology. Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, IR Iran
Tehran University of Medical Sciences, Tehran, IR Iran
Department of Anesthesiology. Children's Medical Center, Tehran University of Medical Sciences, Tehran, IR Iran
Background: Providing and maintaining normovolemic condition during major surgeries is a majorchallenge, especially in children. In this respect, third-generation hydroxyethyl starches seem tobe more cost-effective than human albumin. However, the efficacy of 6% hydroxyethyl starch(HES) 130/0.4 compared to other alternatives such as human albumin 5% remains uncertain inchildren.The present study aimed to assess the efficacy and safety of replacing human albumin 5% with6% HES 130/0.4 for volume replacement therapy in children undergoing selective open cardiacsurgery.Method: This randomized double-blinded clinical trial was performed on 59 children aged less than 2years and ASA I-III who were candidated for selective open-heart surgery and referred to achildren medical center in 2014. The patients were randomly assigned via the blockrandomization method to the case group (n = 30) receiving a solution of 6% HES 130/0.4 andthe control group (n = 29) receiving 5% human albumin.There were no between-group differences in hemodynamic parameters—including pulse rate,systolic and diastolic blood pressures, and mean blood pressure—at the time points of beforeanesthesia induction, before and after pump insertion, and 24 hours after surgery.Results: Comparisons of the laboratory indices indicated no differences between the 2 groups at thedifferent time points. The volume of packed cell and colloid fluids infused in the case andcontrol group was also similar.Conclusions: Compared to human albumin 5%, 6% HES 130/0.4 is a safe alternative to fluid supplyduring cardiac surgery among children.
http://journal.iha.org.ir/article_82804_d155dd2df3e5b4e697f87a8e0004ac40.pdf
Hydroxyethyl
Human albumin
Pediatric open-heart surgery
eng
Iranian Heart Association
Iranian Heart Journal
2018-03-01
19
1
44
51
82805
Evaluation of Dysrhythmias Following Transfusion After Coronary Artery Bypasses Grafting
Mohsen Ziyaeifard
1
Ziae Totonchi
2
Rasoul Azarfarin
3
Mohamadreza Adeli
4
Seyed Hamid Reza Faiz
5
Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
Echocardiography Research Center, Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
Rasoul Akarm Hospital, Iran University of Medical Sciences, Tehran, IR Iran
Rasoul Akarm Hospital, Iran University of Medical Sciences, Tehran, IR Iran
Background: Coronary artery bypass graft surgery (CABG) is a common surgical operation usuallyperformed under cardiopulmonary bypass. Although the relationship between the transfusion ofblood products during and after surgery with the incidence of arrhythmia has been studied,contradictory results have been achieved. In the current study, we investigated the correlationbetween blood products transfusion during and after surgery with the incidence of postoperativearrhythmia.Method: Patients candidated for CABG were entered into the present cross-sectional study. Theincidence of arrhythmia (supraventricular and ventricular, transient or permanent), history ofmedications and renal diseases, and transfusion of blood products during or after the operationwere recorded and analyzed.Results: Twenty-two (8.2%) patients experienced atrial fibrillation and 50 (18.7%) experiencedpremature ventricular contractions. The use of packed red blood cells in the operating room wasinversely correlated with the odds of the incidence of at least one of the arrhythmias (OR = 0.5,95% CI: 0.28 to 0.87; P = 0.015). The number of grafts, high blood pressure, duration ofmechanical ventilation in the ICU, and the potassium level upon admission to the ICU weredirectly correlated with the incidence of arrhythmia. Moreover, the transfusion of platelets inthe ICU and the use of cryoprecipitate in the operating room were inversely correlated with theincidence of atrial fibrillation (not all arrhythmias).Conclusions: According to the findings of the present study, conditionings to maintain the normalhematocrit level and platelet count is associated with decreased odds of arrhythmia incidenceduring and after CABG.
http://journal.iha.org.ir/article_82805_182a684dfb459636689ea825163bbdce.pdf
Blood transfusion
Coronary artery bypass grafting
Postoperative arrhythmia
transfusion
eng
Iranian Heart Association
Iranian Heart Journal
2018-03-01
19
1
52
60
82806
Effects of Changes in Myocardial Dysfunction on Quality of Life in Patients Undergoing Coronary Angioplasty After Cardiac Rehabilitation
Alireza Parsa
1
Masoumeh Sadeghi
2
Farshad Roghahi
3
Jafar Golshahi
4
Azam Khani
5
Safoura Yazdekhasti
6
Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Science, Isfahan, IR Iran
Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Science, Isfahan, IR Iran
Department of Cardiology, School of Medicine, Isfahan University of Medical Science, Isfahan, IR Iran
Hypertension research Center, Cardiovascular Research Institute, Isfahan University of Medical Science, Isfahan, IR. Iran.
Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Science, Isfahan, IR Iran
Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Science, Isfahan, IR Iran
Background: Comprehensive cardiac rehabilitation programs constitute a treatment method in patientswith coronary artery disease and can prolong patients’ lifespan and reduce the frequency ofreadmission. The present study aimed to determine the effects of changes in myocardialdysfunction on quality of life after cardiac rehabilitation.Method: The present interventional case-control study randomly assigned patients with coronary arterydisease undergoing percutaneous coronary intervention to a case group (n = 40) and a controlgroup (n = 40). A demographic questionnaire, the Beck Depression Inventory (BDI), theBaecke Physical Activity Inventory, and the MacNew Quality of Life Questionnaire werecompleted for all the patients before and after the study. Echocardiography and laboratory testswere also conducted. The case group underwent the cardiac rehabilitation program. The datacollected were analyzed in SPSS 21 using measures of the independent and paired t-test, as wellas the χ2 test.Results: The mean age of the study patients was 57.71 years. Moreover, 92.5% of the patients weremale in both groups. The 2 groups were matched in terms of demographic characteristics.Cholesterol, fasting blood sugar, and smoking status were found to show statistically significantdifferences in the case and control groups after the intervention compared to before theintervention, whereas the difference in the mean scores of myocardial dysfunction wasstatistically insignificant at both time points. The intervention also improved the quality of lifeof the participants in the emotional, physical, and social dimensions (P < 0.01).Conclusions: Cardiac rehabilitation programs are recommended with a view to improving quality oflife in patients undergoing coronary angioplasty.
http://journal.iha.org.ir/article_82806_44b3271821eca06798e37cb0ea43cd16.pdf
Cardiac Rehabilitation
Quality of Life
Myocardial dysfunction
Coronary Angioplasty
eng
Iranian Heart Association
Iranian Heart Journal
2018-03-01
19
1
61
67
82807
Effects of Myocardial Phosphodiesterase 5 Inhibitors on the Left Ventricular Function in Patients With Heart Failure: A Randomized Clinical Trial
Mohammad Garakyaraghi
1
Mohsen Samadi
2
Masoumeh Sadeghi
3
Mahshid Givi
4
Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IR Iran
Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IR Iran
Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IR Iran
Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IR Iran
Backgrounds: Myocardial phosphodiesterase 5 (PDE5) inhibitors are documented for use in variousdisease states. The efficacy of PDE5 inhibitors is less determined in heart failure patientswithout pulmonary hypertension. The aim of the present study was to evaluate the efficacy ofPDE5 inhibitors in heart failure patients without pulmonary hypertension.Method: Seventy-six cases with heart failure were participated in this study. The selection criteria weresystolic heart failure according to the New York Heart Association (NYHA) functionalclassifications I and IV, echocardiographically determined left ventricular ejection fraction lessthan 50%, and stability for at least 3 months. The participants were randomly divided into caseand control groups. Both case and control groups received 50 mg of sildenafil and a placebo for3 months, respectively. Transthoracic echocardiography (TTE) was performed using theVingmed 800 CSF. All the ejection fraction measurements were done using the Simpsonmethod. Before the initiation of the trial and then 3 months afterward, TTE was obtained fromthe participants. Changes in the functional class and the left ventricular ejection fraction beforeand after the trial were assessed and the data were analyzed using SPSS, version 16.Results: In the case group, the ejection fraction after the trial with an average of 41.53 ± 7.53 wasconsiderably more significant than that before the trial with an average of 37.92 ± 6.92(P < 0.001). The findings also showed that sildenafil inhibited PDE5 and the development ofthe NYHA IV when given for 90 days. As a result, sildenafil significantly improved the leftventricular ejection fraction.Conclusions: PDE5 inhibitors are effective in the treatment of heart failure patients without pulmonaryhypertension.
http://journal.iha.org.ir/article_82807_94daef9240988280c8a5d482ec3b50b8.pdf
Heart failure
Left ventricular ejection fraction
PDE5I