All Articles

Prognostic Factors Influencing Outcomes in Young Stroke Patients with Atrial Fibrillation: Evidence from a Hospital-Based Cohort Study in China, Conclusions : This study demonstrates that the mortality and dependency rates among post-stroke patients increase over time, with certain stroke types and high-risk factors significantly elevating health risks. However, arterial blood pressure does not have a significant... Read more

The Treatment of an Atrial Premature by Traditional Chinese Medicine “Yin-Yang” Theory, A 72 year old male has been seeking medical attention for 3 months due to intermittent palpitations and shortness of breath, with no significant changes in the past 3 months. He has taken propafenone and metoprolol tartrate, but his symptoms have not improved. It is clear that there is no correlation with activity, sleep, full... Read more

Stereotactic Arrhythmia Radioablation - A New Hope for Refractory Cardiac Arrhythmia?, Although catheter ablation is safe and effective in treating rapid arrhythmias, such as ventricular tachycardia and atrial fibrillation, there is a high recurrence rate after the first ablation in some patients. However, repeated catheter ablation increases the risk of serious complications. In addition, for patients with intrac... Read more

Managing Conduction Challenges in TAVR: A Comprehensive Review, Approximately 15% of patients undergoing Transcatheter Aortic Valve Replacement (TAVR) experience high-degree atrioventricular block (AVB) necessitating permanent pacemaker (PPM) implantation within the first 30 days post-procedure [1,2]. The frequency and severity of this complication, along with the effectiveness of treating it, underscore the impor... Read more

Managing Conduction Challenges in TAVR: A Comprehensive Review, Approximately 15% of patients undergoing Transcatheter Aortic Valve Replacement (TAVR) experience high-degree atrioventricular block (AVB) necessitating permanent pacemaker (PPM) implantation within the first 30 days post-procedure [1,2]. The frequency and severity of this complication, along with the effectiveness of treating it, underscore the impor... Read more

Post Cardiac Injury Syndrome (PCIS) ina 74-Year-Old Man; a Result of Percutaneous Coronary Intervention (PCI) or a Chordae Tendinae Rupture?, Post-myocardial infarction pericarditis, post-pericardiotomy syndrome and post-traumatic pericarditis are all under the ‘umbrella’ of postcardiac injury syndromes (PCIS). A traumatic event on the myocardium and/or pericardium can cause pericarditis with or without pericardia... Read more

Pericardiodesis in Massive Pericardial Effusions, Tamponade and huge pericardial effusions are life-threatening entities, The goals of treatment may be simply to relieve symptoms (dyspnea), to put a diagnosis, to prevent recurrent effusion for a long-term symptomatic benefit, or to treat the local neoplastic disease with the aim of prolonging survival. We present our experience with pericardiodesis in 51 patients Read more

Eosinophilic Myocarditis: Is Endomyocardial Biopsy Essential for Diagnosis in the Era of Advanced Cardiac Imaging?, A 60-year-old female presented with dyspnea and chest pressure. Clinical presentation, laboratory data, and advanced cardiac imaging confirmed diagnosis of eosinophilic myocarditis, and obviate unnecessary invasive endomyocardial biopsy. She was treated with oral steroid and oral anticoagulation. Fol... Read more

My experience of Constrictive Pericarditis, In April 2010 I noticed that almost overnight I had developed a “beer belly” and as I do not drink much and am normally slim I became concerned. About the same time suddenly I became breathless, easily fatigued and developed swollen ankles caused by fluid retention. I made an appointment to see my GP and was referred to the local hospital for an ultrasound which indicate... Read more

Hypothermic Circulatory Arrest with Antegrade or Retrograde Cerebral Perfusion and Bicaval Retrograde Perfusion during Aortic Surgeries: Concept, Techniques, Results, Concerns and Future Directions, The present perspective is a synthesis of 171 published investigations comparing the outcomes in patients who underwent hemi-arch or total aortic arch surgeries with deep hypothermic circulatory arrest (DHCA) alone or... Read more

Dacron Patch Closure of Ventricular Septal Defect, Subaortic Aneurysm, Ruptured Aneurysm of Sinus of Valsalva and Concomitant Aortic Valve Replacement using a Mechanical Prosthesis: A Video Presentation, Congenital sinus of valsalva aneurysms are thin-walled saccular or tubular out pouchings, often looking like a windsock that are usually located in the right sinus or the anterior aspect of the non-coronary sinus.... Read more

Aneurysmectomy of the Descending Thoracic Aorta and Graft Interposition using Vascutek Woven Double Velour Vascular Graft under Mild Hypothermic Extracorporeal Circulation: A Video Presentation, Most medial-degenerative aneurysms of the descending thoracic aorta and distal aortic arch are fusiform rather than sacciform in nature. Thus, they involve almost the entire circumference of the aorta and excision requires... Read more

A Treatise on the Management of Primary Primitive Neuro ectodermal Tumor, Ewing’s Sarcoma and Askin’s Tumor of Cardiac Origin, The present perspective is a synthesis of 80 published investigations in the setting of different types of primitive neuroectodermal tumor (PNET), extra-skeletal Ewing’s sarcoma and Askin’s tumor of cardiac origin. We identified 80 investigations and reviewed the clinical presentation, dia... Read more

Conversion of Atrial Fibrillation to Sinus Rhythm results in Significant Improvement in Functional Mitral and Tricuspid Regurgitation, Both mitral regurgitation (MR) and tricuspid regurgitation (TR) frequently exist in patients with Atrial Fibrillation (AF). But whether valvular regurgitation causes AF or vice versa is unclear. Read more

Percutaneous Transcatheter Ballon Valvuloplasty for Bioprothetic Tricuspid Valve Stenosis. A Good Temporary option Waiting Valve Replacement, We présent the case of a 62 year old woman who under went a percutaneous ballon valvuloplasty for bioprosthetic tricuspid stenosis. Percutaneous transcatheter ballon valvuloplasty is a developed technique that can be used to treat Tricuspid stenosis (TS), even if surgical tr... Read more

Pulmonary Artery Aneurysm in an Adult with Pulmonary Hypertension and Unrepaired Congenital Heart Disease, Congenital heart disease is the most frequent malformation. It is estimated that 10% are diagnosed in adulthood. In adult population the true prevalence is six cases per 1,000 adults. The main complication in unrepair congenital heart disease is pulmonary arterial hypertension. With serious heart defects pulm... Read more

Circulating Tumor Cells: One Step Ahead of Precision Medicine, 1869 was the year in which Thomas Ashworth identified cells similar to cancer cells in peripheral blood [1]. Since that first observation, the medicine has made steps forward in the last years. Tumor derived cells found in the circulatory or lymphatic system are called circulating tumor cells (CTCs). It is believed that CTCs are disseminated by primary... Read more

Understanding the Current Status of the Egyptian Coronaries; which is More Prone to Lesions? Atherosclerotic coronary artery disease (CAD) has been proved to have an early onset, a long latent period with heterogeneity in its phenotypic and clinical expression. It still represents the main cause of death among all cardiovascular disease. High-probability zones of coronary atherosclerosis may exist along the whole... Read more

MVP-Induced Ventricular Tachycardia: Paradoxical Role of Implantable Cardioverter Defibrillator: A Case Report, ICD is indicated for prevention of sudden cardiac death in patients with cardiomyopathy, given the high risk of ventricular arrhythmia. However, ventricular arrhythmia sometimes caused by the defibrillator itself so that we emphasize to analyze the mechanism of the arrhythmia and deliver an appropriate t... Read more

Transcatheter Aortic Valve Replacement in Preserved Left Ventricular Function: Mapping Paradoxical Changes in Diastolic Function and LV Regression, Aortic stenosis (AS) is a high-afterload state, often leading to compensatory left ventricular (LV) hypertrophy and diastolic dysfunction due to long term microscopic and macroscopic adaptive changes. The impact of surgical aortic valve replacement (SAVR) has tradition... Read more