eng
Iranian Heart Association
Iranian Heart Journal
2004-03-01
5
1.2
12
19
84160
NICORANDIL VERSUS CONVENTIONAL ANTI-ANGINAL THERAPY IN PATIENTS WITH MULTIVESSEL CORONARY ARTERY DISEASE
Fariborz Farsad
1
M. MALEKI
2
F. NOUHI
3
KH.A. GHOLAMI
4
M. MOSHKANI FARAHANI
5
Faculty of Pharmacy, Tehran University of Medical Sciences
Background- Nicorandil, a novel anti-anginal agent, has been characterized as having potent coronary vasodilator properties. It belongs to the group of potassium channel-opening vasodilators. Nicorandil possesses a dual mechanism of action: a nitrate-like effect, as well as potassium channel-opening properties.This study was designed and performed to evaluate and compare the clinical efficacy and safety of nicorandil versus conventional anti-anginal therapy in Iranian patients with established multivessel coronary artery disease.Patients and methods- A double-blind, randomized placebo-controlled clinical trial recruited and randomly assigned 50 patients with established multivessel coronary artery disease into two groups (N=25): the first group receiving 10mg nicorandil twice daily plus conventional anti-anginal therapy and the second group taking conventional anti-anginal therapy plus placebo. The total duration of the study for each patient was 12 weeks. A symptom - limited exercise test was performed to evaluate ischemic variables at baseline and then at two consecutive 6-week intervals. Major coronary events as well as adverse drug reactions were recorded initially and in the middle as well as the termination of the study to assess the safety and tolerability of nicorandil.Results- Both groups had comparable baseline values for exercise tests. During treatment, time to the onset of ST-segment depression increased in both groups; however, the difference compared to baseline was only statistically significant in the ; nicorandil group. Exercise time was increased during treatment and follow-up period. Patients improvement in the nicorandil group was obviously much more considerable compared with that in the placebo - conventional therapy group. No patient experienced exacerbation of angina during nicorandil treatment. As for safety and tolerability, the distribution and frequency of adverse events were not significantly different between the groups.Conclusion- Our data suggest that nicorandil improves exercise capacity and can be considered an effective and safe anti-anginal agent as an add-on to conventional therapy in patients with multivessel coronary artery disease.
http://journal.iha.org.ir/article_84160_2f8fe00035a2e0f714148981ec414ed7.pdf
NICORANDIL. POTASSIUM CHANNEL OPENERS. ANGINA PECTORIS. CLINICALTRIAL
eng
Iranian Heart Association
Iranian Heart Journal
2004-03-01
5
1.2
20
25
84161
SERUM IGE LEVELS IN PATIENTS WITH ISCHEMIC HEART DISEASE
A. Jafarzadeh
1
A. Esmaely Nadimi
2
H. Tajeek
3
Medical School, Rafsanjan University of Medical Scienceas and Health Services, Rafsanjan,Iran.
Assistant Professor of Cardiology, Department of Internal Medicine
General Physician, Medical School, Rafsanjan University of Medical Sciences and Health Services, Rafsanjan, Iran.
Background- Recently, mast cells have been found to participate in the inflammatory process of atherosclerosis.Mast cells can be activated by IgE-mediated mechanisms to release potent mediators which also affect coronary blood flow. The aim of this study was to determine serum IgE levels in patients with acute ischemic syndromes.Methods- Serum samples were collected from 3 groups consisting of 30 patients with acute myocardial infarction (AMI), 30 patients with unstable angina pectoris and 30 subjects without any ischemic heart diseases, as a control group. The serum IgE levels were measured by sandwich ELISA technique.Results- The mean serum IgE concentrations in AMI, unstable angina and control groups were 367.1, 286.2 and 136 IU/ml, respectively. There was a significant difference between the IgE levels in patients with AMI and those in the control group (p<0.01). Moreover, there was a significant association between IgE levels and acute ischemic syndromes in men as compared to women.Conclusion- Elevated levels of serum IgE were observed in patients with ischemic heart diseases.These results suggested that IgE might play an important role in the immunopathogenesis of AMI and unstable angina or that it could only be a marker formed during pathological mechanism
http://journal.iha.org.ir/article_84161_12c87d7f6efb702151c4c514b5d1616d.pdf
IGE. ACUTE MYOCARDIAL INFARCTION. UNSTABLE ANGINA. RAFSANJAN
eng
Iranian Heart Association
Iranian Heart Journal
2004-03-01
5
1.2
26
28
84162
EARLY EXPERIENCE AND MID - TERM RESULTS WITH HOMOGRAFT AORTIC ROOT REPLACEMENT
M. OMRANI
1
NADER GIVTAJ
2
M.A. YOUSEFNIA
3
A. SADEGHPOUR TABAEI
4
H. BASIRI
5
A.A. PANAHIPOUR
6
Shaheed Rajaie Cardiovascular Medical Center, Iran Univ of Medical Sciences, Vali Asr Blvd Mellat park,Tehran,Iran
Background- An obvious substitute for the diseased aortic valve is a healthy duplicate. Despite increasing experience in a half century, the search for an ideal valve replacement for a diseased aortic valve continues.Homograft (allograft) aortic valve is a good choice in endocarditis and complex aortic valve and ascending aorta pathology.Methods- Between March 1996 and Oct. 2000, ten patients (3 females, 7 males), aged 16 - 58 years (mean 32.6) underwent aortic root replacement using cryopreserved aortic homograft, due to native or prosthetic aortic valve endocarditis and aneurysm of ascending aorta.Results- The length of hospital stay was 10 to 85 days (mean 32.6) with one in-hospital death (%10). The patients were followed up for 1 to 90 months (mean 35.2) with no incidence of thromboemboli, endocarditis, or reoperation and are now in good functional class.Conclusion- Aortic root replacement is the procedure of choice in endocarditis. It could be done even in high-risk and redo patients with acceptable mortality.
http://journal.iha.org.ir/article_84162_1c68f70f0a479da59e36eb3f3afc6b57.pdf
AORTIC ROOT REPLACEMENT (ARR.). AORTIC HOMOGRAFT .ASCENDING AORTA
eng
Iranian Heart Association
Iranian Heart Journal
2004-03-01
5
1.2
29
32
84163
APPLICATION OF BASNEF HEALTH BELIEF MODEL IN PREVENTING THE OCCURRENCE OF RISK FACTORS CONTRIBUTING TO MYOCARDIAL INFARCTION IN PATIENTS WITH CORONARY ARTERY DISEASE
F. MOHAMAEI
1
M. NOURI TAJER
2
F. NOUHI
3
M. MALEKI
4
Faculty of Nursing and Midwifery, Iran University of Medical Sciences and Health Services, Tehran, Iran.
Objective- This research ,was performed to determine the application of BASNEF health belief model in the prevention of the risk factors contributing to the occurrence of myocardial infarction among patients with coronary artery disease.Method- This is a quasi-experimental study, with a self-control group, which was conducted for six consecutive months in 100 patients With coronary artery disease, .attending the cardiac clinic Patients records and a questionnaire based on BASNEF health belief model served as the instruments for data collection.The health belief model was applied initially ,and after the intervention for patients education, attempts aimed at encouraging the patients to reduce or quit cigarette smoking, readings of the blood pressure, and laboratory assessments of serum glucose, cholesterol and triglyceride levels, further preand post-intervention results were compared.Results- Intervention for BASNEF health belief model application produced a significant difference in serum cholesterol (p=0.009)and triglyceride (p=0.000) levels, the systolic blood pressure readings (p=0.000), the diastolic blood pressure readings (p=0.008) and the number of cigarettes smoked (p=0.000) The results also indicated a significant change in knowledge, attitude and performance (KAP) of the subjects, enabling them to apply the appropriate behavior for preventing the occurrence of risk factors leading to myocardial infarction(confidence interval 95%). Conclusion- Intervention for health education based on BASNEF health belief model improves the knowledge, attitude and behavior of patients with coronary artery disease in preventing the occurrence of risk factors leading to myocardial infarction
http://journal.iha.org.ir/article_84163_038da8045d64875e937075250914f20a.pdf
BEHAVIORAL BELIEFS. KNOWLEDGE. ATTITUDE. ENABLING FACTORS. HEALTH EDUCATION. CORONARY ARTERY DISEASE. INTERVENTION
eng
Iranian Heart Association
Iranian Heart Journal
2004-03-01
5
1.2
33
38
84164
TRENDS IN BLOOD PRESSURE LEVEL, PREVALENCE AND CONTROL OF HYPERTENSION IN ISFAHAN, IRAN
M. POUR MOGHADAS
1
A. KHOSRAVI
2
R. KELISHADI
3
NAZILA SARAFZADEGAN
4
SH. SHIRANI
5
R. ANSARI
6
B. SABET
7
Isfahan University of Medical Sciences Isfahan, Iran.
Objectives- This study aimed at evaluating the trends in hypertension prevalence and control during the last decade.Methods-We drew upon four independent cross-sectional population surveys conducted in 1992, 1996, 1999 and 2001 in Isfahan, Iran.Results-The prevalence of hypertension had a downward trend from 31.8% in 1992 to 17.5% in 2001.the,mean systolic (SBP)and diastolic blood pressure (DBP) decreased in both. sexes.the mean SBP decreased from 142.24 to 116.8 mmHg in men and from 143.07 to113.7 mmHg in women.Regarding DBP, this decrease was from 92.5 to 73.8mmHg in men and from 92.2 to 72.8 mmHg in women (P<0.05). The proportion of , hypertensives who were aware of their condition increased from 46.2% to 50.1%. (P<0.05), and the proportion of hypertensive subjects with adequately controlled blood pressure increased from 2.8% to 12% (P<0.05).Conclusion- Hypertension care has improved significantly during the last decade, which is probably the result of the implementation of different population-based national plans
http://journal.iha.org.ir/article_84164_a0da0796e7eccffca06d6071ed1decff.pdf
HYPERTENSION. BLOOD PRESSURE. AWARENESS. CONTROLLED HYPERTENSION
eng
Iranian Heart Association
Iranian Heart Journal
2004-03-01
5
1.2
39
42
84165
TETRALOGY OF FALLOT AND ASSOCIATED CORONARY ANOMALIES
M. HEKMAT
1
M. FOROUGHI
2
M.M. MAJIDITEHRANI
3
M. BEHESJTI MONFARED
4
M.K. ARABNIA
5
S.A. HASANTASH
6
A.M. HALAJZADEH
7
M. REZVAN NOBAHAR
8
H.R. TAGHIPOUR
9
N. KACHOUEIAN
10
N. REZAEI
11
Shahid Modarres Hospital, Saadat Abad, Tehran , Iran
Background- Anomalous coronary artery disease is more common among patients with Tetralogy of Fallot (ToF).Methods- In order to determirie the coronary anomalies in patients with ToF, 135 patients (80 males) with ToF, 9 months to 40 years of age vere studied over 7 years (1995-2002) at Modarres Hospitalin Tehran, Iran.Results-Eight out of the 135 patients (4 males) with Tof were associated with a surgically- relevant coronary artery anomaly (5.9%). The anomalous coronary arteries consisted of single ostium of the coronary artery (n =5), the left anterior descending coronary artery originating from the right coronary artery (n= 2) or single righf coronary artery (n = 2) and the right coronary artery arising from the left coronary artery (n = 1). Surgical technique employed in three ToF patients was transverse incision on the right ventricle, and commissurotomy via the pulmonary artery was the technique used for three other patients. In another patient, a composite graft between the right ventricle outflow tract and main pulmonary artery was inserted. In the remaining four patients with single ostium coronaries, routine repairs were done.Conclusions-Anomalous coronary artery disease is more common among patients with ToF. Bearing these anomalies in mind during primary repair could decrease the risk of surgery in patients with ToF
http://journal.iha.org.ir/article_84165_fdeca8628a0d7495a4c01ab46cc0db75.pdf
TETRALOGY OF FALLOT
Coronary Artery
Anomaly
eng
Iranian Heart Association
Iranian Heart Journal
2004-03-01
5
1.2
43
45
84168
EARLY RESULTS OF PERCUTANEOUS CORONARY INTERVENTIONS ON CHRONIC TOTAL OCCLUSION
S.A. ABDOLRAHIMI
1
S.A. ABDI
2
Iran University of Medical Sciences,Tehran, Iran
Background- PTCA has been perfomed for more than 25 years as a treatment for coronary artery disease and now exceeds the annual volume of CABG. The first reported PTCA of a total occlusion was in 1982. Procedural success and restenosis rates have gradually improved since then. Methods-We studied 150 patients who underwent PTCA for recanalization of total occluded coronary artery from 2000 to 2003. The mean age of the subjects was 25-67 years. The locations of total occlusions were 50% in LAD, 38% in RCA and 12% in LCX. 65% of the patients had single vessel disease.Results:The success rate Was 65%, and stenting was done for 85% of the patients.Conclusion- It is now recognized that opening the chronic total occlusions of coronary arteries has proven benefits for patients,including an improvement in global and regional LV function, exercise capacity and reduced need for late CABG (by 50%). Angioplasty of total occlusions seems to be a safe and effective procedure in selected patients
http://journal.iha.org.ir/article_84168_cd348083bada550228020c589f0e4876.pdf
eng
Iranian Heart Association
Iranian Heart Journal
2004-03-01
5
1.2
46
50
84169
MYOCARDITIS IN BRONCHIOLITIS CAUSED BY RESPIRATORY SYNCYTIAL VIRUS
Kazem Sakha
1
Hasan Sultani
2
Bahman Rastgar
3
Sheshgelan Avenue, Tabriz, Iran
Assistant Professor f Pediatrics, Department of Pediatrics, Tabriz Pediatrics Medical Center
Assistant Professor of Pediatric Cardiology, Disease Research Center, Shaheed Madani Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
Background- Bronchiolitis is one of the common respiratory infections of infancy and is most commonly caused by respiratory syncytial virus (RSV). This study was conducted to find the incidence of myocarditis and cardiac dysrrhythmia in RSV bronchiolitis.Methods- During the winter and spring of 1999-2001, infants admitted with bronchiolitis to our department were studied. ECG was taken at time of admission and discharge. After RSV was determined as the etiologic agent by IFA, 50 infants were chosen for the study.Results- There were ECG changes in 19 cases, but persistent changes fitting criteria of myocarditis were present in three cases. Statistically and in comparison with the control group, the incidence of myocarditis in RSV bronchiolitis was not significant (p= 0.0546).Conclusion- The findings of this study show that while ECG is beneficial in bronchiolitis, persistent specific changes can be helpful in the diagnosis of clinical and subclinical myocarditis
http://journal.iha.org.ir/article_84169_275e18fd313571e8f7e88454c2672d3c.pdf
BRONCHIOLITIS. RSV. MYOCARDITIS
eng
Iranian Heart Association
Iranian Heart Journal
2004-03-01
5
1.2
51
54
84170
BALLOON ANGIOPLASTY FOR AORTIC COARCTATION IN ADULT PATIENTS
H.A. BASIRI
1
S.A. ABDI
2
IRAN UNIVERSITY OF MEDICAL SCIENCES, TEHRAN, IRAN
Objective- The aim of this study was to evaluate the use of endovascular intervention in managing native and recurrent aortic coarctation in adult patients. Methods-Balloon angioplasty was undertaken transfemorally in 16 patients (mean age 18.3 ± 4 years old) with arterial hypertension in 12 native and 4 recurrent aortic coarctations. Systolic pressure gradient measurements were taken peri-interventionally and in the course of follow-up during conventional angiography and transesophageal echocardiography. The average diameters of the balloon catheters used ranged from 15 to 20 mm.Result-lmmiediately after aortic angioplasty, the peak systolic pressure gradient decreased from 61 mmHg ± 5.4 to 7.6 mmHg ± 2.2 across the coarctation (P < 0.001). One patient With recoarctation had an unsuccessful immediate result. Restenosis occurred in two patients, who subsequently underWent repeat dilation with successful results. Transesophageal echocardiography was repeated post-procedure and at 6 months post-intervention. One patient developed a small aneurysm at the site of dilation. In the course of follow-up, no other major or minor complications were observed.Conclusion- Endovascular intervention appears to be a safe and effective alternative to surgery for the treatment of native and recurrent aortic coarctation in most adult patients with a low rate of complications
http://journal.iha.org.ir/article_84170_c3259a9924b449c00e22863ce5d500b7.pdf
AORTIC ANGIOPLASTY
Hypertension
Aortic Coarctation
eng
Iranian Heart Association
Iranian Heart Journal
2004-03-01
5
1.2
55
63
84171
CLINICAL AND ELECTROPHYSIOLOGIC CHARACTERISTICS OF PATIENTS WITH BRUGADA SYNDROME:MID-TERM FOLLOW-UP
M. HAGHJOU
1
ARASH. ARIA
2
Z. EMKANJOU
3
ALESLAMI F. SHEYKH
4
R. BAKHSHIAN KELARIJANI
5
M.R. SAMEEI NASAB
6
Z. SHAMSALI
7
M.A. SADR AMELI
8
Shaheed Rajaie Cardiovascular Medical Center,Mellat Park,Vali-AsrAvenue,Tehran,Iran
Background-The Brugada syndrome is a distinct form of idiopathic ventricular fibrillation that consists of ECG abnormalities at baseline or after provocation in the absence of documented structural heart disease.In this article,we present the clinical and electrophysiological data and follow-up of our patients with Brugada syndrome,which is the largest ever reported series in Iran.Methods-We retrospectively studied the clinical, electrocardiographic and electrophysiologic characteristics of twenty consecutive patients with definitive diagnosis of Brugada syndrome that have been evaluated at our center from September 2001 to December 2003.We also searched for possible discriminate variable(s) between patients with vs. without inducible ventricular arrhythmia during programmed electrical stimulation.Results-We studied 15 men and 5 women with mean age of 42±9 years.The typical ECG abnormality was recognized in five (25%) patients either after resuscitated cardiac arrest (2 patients) or syncopal episodes (3 patients).Fifteen patients (75%)were asymptomatic.The abnormal ECG was identified spontaneously in 6 (30%) patients and after pharmacological challenge with class IA or IC antiarrhythmic drugs in 14 (70%) patients. The mean values of PR interval, QT interval, and ST-segment elevation were similar in symptomatic and asymptomatic individuals (P=0.75,P=0.18,P=0.26,respectively)The PR intervalwas mildly longer in males compared to females (0.042) but the magnitude of ST-segment elevation was similarin both sexes (P=0.057). Electrophysiologic study was performed in 15 (75%) patients for further risk stratification.The HV interval was longer in males than females (P=0.047).Sustained ventricular arrhythmias were induced in 40% of asymptomatic patients. There was no statistically significant difference in mean age, sex, PR interval, ST elevation, and HV interval of inducible and non-inducible patients. An implantable cardioverter-defibrillator was implanted in 8 (40%) patients with aborted SCD,history of syncope or inducible sustained ventricular arrhythmiasin programmed electrical stimulation. During 16±2 months follow-up, one patient had appropriate device therapy.None of the asymptomatic and non-inducible patients experienced any event.Conclusions-The asymptomatic and non-inducible individuals with Brugada syndrome have a low risk of cardiac events. The baseline demographic (age, sex), and electrophysiologic (PR, ST elevation,HV) data have no role in predicting inducibility in programmed electrical stimulation.
http://journal.iha.org.ir/article_84171_00386fb165bd96d9d6081914e3a34881.pdf
BRUGADA SYNDROME- FIBRILLATION
VENTRICULAR-ELECTROCARDIOGRAPHY- DEATH
SUDDEN
eng
Iranian Heart Association
Iranian Heart Journal
2004-03-01
5
1.2
64
70
84172
ASSOCIATION OF LEFT VENTRICULAR HYPERTROPHY AND GEOMETRY TO ASYMPTOMATIC CEREBROVASCULAR DAMAGE IN ESSENTIAL HYPERTENSION
A. FAZLINEZHAD
1
M. RADPOOR
2
A.A. TAHERI
3
M. FOROUGHIPOUR
4
Mashad , Iran.
Objectives- The level of arterial pressure is one of the most important determinants of cardiac adaptation to hypertension and also one of the most important predictors of cardiovascular and cerebrovascular morbidity, including strokes. Multiple studies were performed on the association between left ventricular hypertrophy and preclinical brain damage in essential hypertensive patients.Methods- In order to identify the relation between hypertension level, duration, age, sex and left ventricular geometry to asymptomatic brain damage, we categorized 50 essential hypertensive patients (M/20-%40; F/30-60%) using M-mode echocardiography. All the patients had been admitted in the cardiac emergency room for hypertension control According to the value of end diastolic relative wall thickness (RWT) and left ventricular mass index (LVMI), the patients were categorized into four groups: 5 patients had normal LVMI and normal RWT (normal geometry) (group 1); 7 patients had increased (RWT) and normal LVMI (concentric remodeling) (group 2); 12 patients had increased LVMI and normal RWT (eccentric hypertrophy) (group3); and 26 patients had increased LVMI and RWT (concentric hypertrophy) (group 4). Afterwards, brain MRI was performed, followed by an evaluation of lacunar lesions and leukoaraiosis in the four groups.Results- The severity of leukoaraiosis was significantly greater in patients with concentric hypertrophy than in patients with normal left ventricular geometry (Chi-square 24.5, P=0.002). The number of lacunae was also significantly higher in patients with concentric left ventricular hypertrophy than in patients with normal left ventricular, geometry.(Chi -Square 17.25 P=0.000).Conclusion-Stepwise regression analysis confirmed that LVMI and RWT in addition to age and sytolic blood pressure were independent predictors for asymptomatic cerebrovascular damage.
http://journal.iha.org.ir/article_84172_86b776bed64f591e082fe46f7ac1c98b.pdf
HYPERTENSION. LEFT VENTRICULAR HYPERTROPHY. LEUKOARAIOSIS.LACUNAE
eng
Iranian Heart Association
Iranian Heart Journal
2004-03-01
5
1.2
71
80
84173
PRESENTATION OF A NON-INVASIVE METHOD FOR DETECTION OF INITIAL SYMPTOMS OF ATHEROSCLEROSIS USING ESTIMATION OF LOCAL STATIC PRESSURE BY ULTRASOUND
N. NIKANJAM
1
M. MOKHTARI DIZAJI
2
H. SABERI
3
University of Tarbiat Modarres,Tehran, Iran.
Background-Non-invasive evalualion of vessel wall properties in humans is hampered by the absence of methods to directly assess local elasticity. Contemporary ultrasound methods are capable of assessing end diastolic artery diameter, the local change in artery diameter as a function of time and local wall thickness.However,to assess vessel wall properties of the carotid artery, for example, the pulse pressure.in the brachial artery still must be used as a suitable example for local pulse pressure. The assessment of local static pressure as described in the present study provides a direct estimate of local vessel wall properties.Methods- In 30 men, we estimated the static pressure-strain elastic modulus in the right common carotid artery (RCCA) under normal and atherosclerotic conditions. The detailed variation of the static pressure of RCCA throughout the carotid cycle was estimated by using the energy conservation law. The flow velocities during systole and diastole were measured using multi-frame image processing method of color Doppler ultrasonography. The static pressure-strain elastic modulus was defined as stress to strain.Results- The results showed that: 1) the variation of the static pressure during the cardiac cycle was higher in the severe atherosclerotic group than that in both the mild atherosclerotic group and the normal artery group, respectively, 2) the relative increase in the vessel diameter during the cardiac cycle was lower in the atherosclerotic group than that in the normal, group and 3) the static pressure-strain elastic modulus in the atherosclerotic group was significantly different from that in normal individuals.Conclusion- We concluded that by applying this method, we can detect the initial symptoms and disease process in atherosclerosis. This is an accurate and safe method suited to the screening of large populations of young and symptom-free individuals
http://journal.iha.org.ir/article_84173_8bf7c6eb1455981239d631565ca29402.pdf
ULTRASONIC TISSUE CHARACTERIZATION
Static Pressure
Elastic modulus
Carotid artery
Atherosclerosis
eng
Iranian Heart Association
Iranian Heart Journal
2004-03-01
5
1.2
81
85
84174
EVALUATION OF PLASMA LEVELS OF C-REACTIVE PROTEIN AS A PREDICTOR OF RESTENOSIS AFTER PERCUTANEOUS CORONARY INTERVENTION
E. NEMATIPOUR
1
M. GHAEMI
2
R. AGHANOURI
3
Imam Khomeini Medical Center; Tehran University of Medical Sciences, Tehran, Iran
Background- Restenosis after percutaneous revascularization is a troublesome endpoint, and the role of inflammation is well-accepted in the restenosis process. To predict this untoward result, an investigation of acute phase reactants has been applied. In this study, we tried to find the predictive role of pre- and post-intervention C-reactive protein (CRP) levels for clinical restenosis rates in a 6 month follow-up.Methods-Having been selected in a non-ranhaomized double-blind clinical trial,seventy-four patients underwent percutaneous coronary intervention (PCI) for a single non-occlusive coronary stenosis.The plasma CRP level was measured just before the procedur and 24 hours afterwards.Patients with acute MI, multi-vessel PCI, previous PCI or CABG and some other situations that could affect acute phase reactants were excluded. Results- There was no significant relation between the pre-intervention CRP level and the restenosis rate or the clinical signs of restenosis (MI, angina pectoris and ECG changes). It was the same for 24 hours post-PCI CRP level; however, the restenosis rate was significantly related to the ratio of CRP levels at pre- and post-PCI (P: 0.004).Conclusion- The ratio of pre- and post-PCI CRP levels could have a predictive role for restenosis after PCI
http://journal.iha.org.ir/article_84174_2e0539f7d60f3dbf62ac2f5e906c4874.pdf
C-REACTIVE PROTEIN (CRP) . CORONARY RESTENOSIS. PERCUTANEOUS CORONARY INTERVENTION (PCI)
eng
Iranian Heart Association
Iranian Heart Journal
2004-03-01
5
1.2
86
88
84175
MULTICENTRIC FAMILIAL CARDIAC MYXOMA
M. ESMAEILZADEH
1
Z. AKBARZADEH
2
A. YOUSEFI
3
A. SAFAIE
4
K. RAISI
5
F.A.S. SHARIFI
6
Shaheed Rajaee Cardiovascular Medical Center, Mellat Park, Vali Asr Avenue, Tehran, Iran.
Familial cardiac myxoma is a rare syndrome which constitutes approximately 10% or less of all myxomas. We describe a rare case of a simultaneous left atrial and left ventricular mass in a 35- year-old female who presented to our hospital for the evaluation of recurrent cardiac myxoma. Echocardiography revealed a concurrent left atrial and left ventricular mass. Histological findings after surgery confirmed the diagnosis of myxoma
http://journal.iha.org.ir/article_84175_f35f2ada1f0a3b38a5554e975ab91d3a.pdf
MYXOMA. CARDIAC. ECHO CARDIOGRAPHY. CARNEY"S SYNDROME
eng
Iranian Heart Association
Iranian Heart Journal
2004-03-01
5
1.2
89
91
84176
INTRACARDIAC SUCTION TIP INADVERTENTLY LEFT BEHIND FOLLOWING CARDIAC SURGERY
F. SABZI
1
S.M.B. TABATABAEI
2
GH.A. MOLA SADEGHI ROKABADI
3
Imam Ali Heart Center University of Medical Sciences , Kermanshah, Iran
The incidence of a foreign body left behind inside the heart following surgery is exceedingly rare, as one would suspect. This accident seems to occur more frequently in other body organs at the time of general and gynecologic surgery; however, the actual incidence is difficult to estimate. There have been few papers in the literature regarding the subject of foreign bodies left behind after cardiac surgical procedures. In this paper, a case of a suction tip left behind inside the heart following cardiac surgery is presented.
http://journal.iha.org.ir/article_84176_4cc579542ca6b99ecef8dadae364f2d7.pdf
FOREIGN BODY RETENION. CARDIAC SURGERY