scholarly journals Identifying a Previous Myocardial Infarction in Patients With Hypertensive Heart Disease: Lights and Shadows

2007 ◽  
Vol 20 (7) ◽  
pp. 711-712
Author(s):  
G SCHILLACI ◽  
G PUCCI
Keyword(s):  
Myocardial Infarction ◽  
Heart Disease ◽  
Hypertensive Heart Disease ◽  
Previous Myocardial Infarction

scholarly journals Changes in the prevalence of metabolic syndrome and smoking habits during a 10-year period and relation between these risk factors and ischemic heart disease among men aged 45–64 years

Medicina ◽  
2008 ◽  
Vol 44 (5) ◽  
pp. 400 ◽  
Author(s):  
Dalia Lukšienė ◽  
Liucija Černiauskienė ◽  
Lilija Margevičienė ◽  
Abdonas Tamošiūnas
Keyword(s):  
Myocardial Infarction ◽  
Metabolic Syndrome ◽  
Heart Disease ◽  
Angina Pectoris ◽  
Ischemic Heart Disease ◽  
Density Lipoprotein ◽  
Epidemiological Studies ◽  
Ischemic Heart ◽  
Smoking Habits ◽  
Previous Myocardial Infarction

The aim of this work was to compare the prevalence of metabolic syndrome and smoking habits smokingduring a 10-year period and to evaluate the association between metabolic syndrome and smoking habits, and ischemic heart disease among Kaunas men aged 45–64 years. Material and methods. In this study, we have used data from two epidemiological studies, which had been carried out according to the MONICA study protocol (359 men aged 45–64 years were enrolled in 1992–1993 and 408 men aged 45–64 years – in 2001–2002). The association between metabolic syndrome and smoking habits, and ischemic heart disease was established according to the data of 2001–2002 years. Ischemic heart disease was diagnosed based on the following criteria: previous myocardial infarction, angina pectoris, or ischemic changes in electrocardiogram. Metabolic syndrome was defined by Adult Treatment Panel III (ATP III) criteria. Results. The prevalence of ischemic heart disease did not change among men aged 45–64 years during a 10-year period. During this period, the decreased prevalence of metabolic syndrome was observed; decreased rate of hyperglycemia, decreased high-density lipoprotein cholesterol level, increased rate of hypertriglyceridemia, and increased waist circumference were noted. During this period, the proportion of regular male smokers increased significantly. After the evaluation of association between and metabolic syndrome and smoking habits, and ischemic heart disease (according to the data of 2001–2002 years), it was determined that the highest rate of ischemic heart disease was among regular smokers with metabolic syndrome (32.3%), and the lowest rate of ischemic heart disease was noted among men who had never smoked and were without metabolic syndrome (11.6%) (OR=3.63; P=0.013). The highest rate of previous myocardial infarction and/or angina pectoris was determined among regular smokers with metabolic syndrome (19.4%), and the lowest rate of ischemic heart disease was determined among men who had never smoked and were without metabolic syndrome (3.6%) (OR=6.43; P=0.008). Conclusion. Combination of metabolic syndrome and smoking is significantly associated with ischemic heart disease among men aged 45–64 years.

scholarly journals GAMBARAN AKTIVITAS LISTRIK JANTUNG PASIEN RAWAT INAP DENGAN CONGESTIVE HEART FAILURE (CHF) DI IRINA F-JANTUNG RSUP PROF DR. R. D. KANDOU MANADO

2015 ◽  
Vol 3 (3) ◽  
Author(s):  
I Made S. K. Raka ◽  
Vennetia R. Danes ◽  
Wenny Supit
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Congestive Heart Failure ◽  
Heart Disease ◽  
Electrical Activity ◽  
Hypertensive Heart Disease ◽  
Heart Rhythm ◽  
The Body ◽  
St Segment Elevation ◽  
Old Myocardial Infarction

Abstract: Congestive Heart Failure (CHF) occurs when the heart is unable to pump the blood to fulfill body's need of blood related to tissue metabolism. Electrical activity of the heart is the state in which the heart has to pump the blood and to contract, triggered by an action potential that spreads through the membrane of muscle cells. Electrocardiogram (ECG) is generated by the electrical activity of the heart muscle. It is a recording of a heart condition obtained by placing electrodes on the body. This study aimed to describe the heart electrical activity of patients with congestive heart failure. This was a retrospective descriptive study. The population was all patients hospitalized in Irina F Cardiac Department of Prof. Dr. R. D. Kandou Hospital Manado. Samples were ECG recordings of all patients with CHF hospitalized at Irina F Cardiac Department of Prof. Dr. R. D. Kandou Hospital Manado during Desember 2012-January 2013. The results showed that hypertensive heart disease (HHD) was the most frequent cause of CHF (45.5%). Meanwhile, CHF due to old myocardial infarction (OMI) was rare (18.2%). Conclusion: The most common cause of CHF among hospitalized patients at Irina F Cardiac Department of Prof. Dr. R. D. Kandou Manado was HHD. ECG of patients with CHF et causa HHD showed an overview of normal heart rhythm and tachycardia, PR interval and a normal QRS complex, left axis deviation, ST segment elevation, depression on different leads, and pathological Q.Keywords: congestive heart failure, electrical activity, electroCardiogramAbstrak: Gagal jantung kongestif atau congestive heart failure (CHF) terjadi bila jantung tidak dapat memompakan darah untuk memenuhi kebutuhan darah dalam tubuh untuk metabolisme jaringan. Aktivitas listrik jantung yaitu keadaan dimana jantung dapat memompa darah, jantung harus berkontraksi yang dicetuskan oleh potensial aksi yang menyebar melalui membran sel-sel otot. Elektrokardiogram (EKG) adalah suatu sinyal yang dihasilkan oleh aktifitas listrik otot jantung. EKG ini merupakan rekaman informasi kondisi jantung yang diambil dengan memasang elektroda pada badan seseorang. Penelitian ini bertujuan untuk mengetahui gambaran aktivitas listrik jantung pada pasien gagal jantung kongestif. Penelitian ini menggunakan metode deskriptif retrospektif. Populasi ialah semua pasien rawat inap di Irina F Jantung RSUP Prof. Dr. R. D. Kandou Manado. Sampel ialah rekaman EKG semua pasien dengan diagnosis gagal jantung kongestif di Irina F Jantung RSUP Prof. Dr. R. D. Kandou Manado selama bulan Desember 2012- Januari 2013. Hasil penelitian memperlihatkan bahwa penyebab gagal jantung kongestif yang terbanyak ialah hypertensive heart disease (HHD) (45,5%), dan yang paling sedikit ialah old myocardial infarction (OMI) (18,2%). Simpulan: Penyebab terbanyak gagal jantung kongestif pada pasien rawat inap di Irina F-Jantung RSUP Prof. Kandou Manadoialah HHD. EKG pada pasien CHF et causa HHD memberikan gambaran irama jantung yang normal dan juga takikardi, interval PR dan kompleks QRS normal, aksis deviasi kekiri, elevasi dan depresi segmen ST pada sadapan yang berbeda, dan Q patologik.Kata kunci:gagal jantung kongestif, aktivitas listrik jantung, elektrokradiogram

Abstract 14713: Renal Denervation: Impact on Non-ST Segment Elevation Myocardial Infarction Rates in Patients With Hypertensive Heart Disease

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Siyolise S Sibeko ◽  
Marshall J Heradien ◽  
Pieter Van Der Bijl ◽  
Rene Janse van Rensburg ◽  
Warren Stilwaney ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Atrial Fibrillation ◽  
Heart Disease ◽  
Renal Denervation ◽  
Hypertensive Heart Disease ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment ◽  
The Impact

Introduction: Catheter-based renal denervation (RDN) is an emerging therapy for hypertension, with potential ancillary benefits, e.g. a decrease in atrial fibrillation. Little is known about its effects on coronary artery disease (CAD) and acute coronary syndromes (ACS), e.g. non-ST segment elevation myocardial infarction (NSTEMI). Hypothesis: RDN reduces the incidence of NSTEMI in patients with hypertension and CAD. Methods: Data were retrospectively analyzed from the Renal Sympathetic Denervation Prevents Atrial Fibrillation in Patients with Hypertensive Heart Disease (RDPAF) trial (NCT01990911), which prospectively randomized individuals with uncontrolled hypertension and hypertensive heart disease to RDN or sham procedure groups in a 1:1 fashion. All patients required an indication for invasive coronary angiography. The impact of RDN on incident NSTEMI was evaluated with a log-rank test. Results: A total of 80 patients (mean age 65±8 years, 73% male) were analyzed: 42 (53%) patients underwent RDN, while 38 (47%) received sham-RDN. Baseline characteristics did not differ between groups: 54% of the total study population had diabetes mellitus, 88% took statins, 13% were current smokers and 68% had established CAD. After a mean follow-up of 38±23 months, 9 (11%) patients experienced a NSTEMI: 1 RDN (2.38%) vs 8 sham patients (21%) (OR: 0.092; 95% CI: 0.01 to 0.77; p=0.009; figure). Office systolic blood pressures decrease after six months’ follow-up did not differ between groups (-12.88mmHg in RDN vs. -9.13 mmHg in sham group; p= 0.49). Conclusions: Hypertensive patients who underwent RDN experienced a lower rate of NSTEMI during long term follow-up, compared to a sham-RDN control group. This may signal a novel benefit of RDN, i.e. a reduction in the incidence of ACS. Larger, prospective studies are needed to test this hypothesis and unravel potential protective mechanisms of RDN.

scholarly journals Prevalence and Aetiology of Left Ventricular Thrombus in Patients Undergoing Transthoracic Echocardiography at the University of Maiduguri Teaching Hospital

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Mohammed Abdullahi Talle ◽  
Faruk Buba ◽  
Charles Oladele Anjorin
Keyword(s):  
Myocardial Infarction ◽  
Heart Disease ◽  
Dilated Cardiomyopathy ◽  
Transthoracic Echocardiography ◽  
Hypertensive Heart Disease ◽  
Left Ventricular ◽  
Peripartum Cardiomyopathy ◽  
Left Ventricular Thrombus ◽  
Continuous Variables ◽  
Ventricular Thrombus

Objectives. We sought to determine the prevalence and aetiology of LVT among patients undergoing echocardiography.Methods. We reviewed case notes and echocardiographic data of patient diagnosed with LVT using noncontrast transthoracic echocardiography. Definition of various conditions was made using standard guidelines. Mean ± SD were derived for continuous variables and comparison was made using Student’st-test.Results. Total of 1302 transthoracic echocardiograms were performed out of which 949 adult echocardiograms were considered eligible. Mean age of all subjects with abnormal echocardiograms was 44.73 (16.73) years. Abnormalities associated with LVT were observed in 782/949 (82.40%) subjects among whom 84/782 (8.85%) had LVT. The highest prevalence of 39.29% (33/84) was observed in patients with dilated cardiomyopathy, followed by myocardial infarction with a prevalence of 29.76% (25/84). Peripartum cardiomyopathy accounted for 18/84 (21.43%) cases with some having multiple thrombi, whereas hypertensive heart disease was responsible for 6/84 (7.14%) cases. The lowest prevalence of 2.38% (2/84) was observed in those with rheumatic heart disease. Left ventricular EF of <35% was recorded in 55/84 (65.48%).Conclusions. Left ventricular thrombus is common among patients undergoing echo, with dilated cardiomyopathy being the most common underlying aetiology followed by myocardial infarction. Multiple LVTs were documented in peripartum cardiomyopathy.

scholarly journals Diagnostic and prognostic value of left bundle branch block and its correlation with left ventricular functions: a prospective observational study

2017 ◽  
Vol 4 (3) ◽  
pp. 713
Author(s):  
Bharath M. S. ◽  
Sunayana N. S. ◽  
Channakeshava S. P.
Keyword(s):  
Myocardial Infarction ◽  
Heart Disease ◽  
Chest Pain ◽  
Left Bundle Branch Block ◽  
Systolic Dysfunction ◽  
Hypertensive Heart Disease ◽  
Left Ventricular ◽  
Outpatient Basis ◽  
Bundle Branch Block ◽  
2D Echocardiography

Background: Left bundle branch block (LBBB) indicates organic heart disease. It is commonly associated with ischemic heart disease (IHD), cardiomyopathies, intrinsic disease of conduction system, hypertensive heart disease and acute myocardial infarction can present as new onset LBBB. Purpose of the study was to find out the etiology, outcome in patients having LBBB with respect to left ventricular function coming to our hospital.Methods: All patients coming to our hospital as inpatient or outpatient basis with ECG suggestive of LBBB were studied. Their detailed history was taken and examination was done. 2D-Echocardiography (2D ECHO) was done in all patients and coronary angiogram (CAG) when indicated.Results: Total of 116 patients who had LBBB were studied. Mean age was 62.25±13.75 years. 62 of them were male (53.45%) and 54 were female (46.55%). On presentation 41 patients had dyspnea (35.34%) and 37 had chest pain (31.89%). 24 patients were asymptomatic (20.68%). 59 patients had hypertension (50.86%) and 35 patients had diabetes (30.17%). On 2D ECHO, 39 patients (33.6%) had left ventricular hypertrophy (LVH), with 29 having diastolic and 10 systolic dysfunctions. 26 patients (22.41%) had dilated cardiomyopathy (DCM) and 30 patients had evidence of myocardial infarction (25.86%). 17 patients had normal echocardiography (14.05%). In total 62 patients had systolic dysfunction (53.44%).Conclusions: Commonest clinical presentation was dyspnoea followed by chest pain in patients with LBBB. Most of them had hypertension. LVH was the commonest 2D ECHO finding followed by global hypokinesia and regional wall motion abnormality. Ventricular systolic dysfunction was present in more than 50% patients. CAG revealed coronary artery diseases in majority of cases in whom CAG was indicated.

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