Successful Kidney Transplantation Alone With Severe Left Ventricular Systolic Dysfunction of Ejection Fraction 14%: A Case Report

2020 ◽  
Vol 52 (6) ◽  
pp. 1919-1923
Author(s):  
Yasutoshi Yamada ◽  
Hideki Enokida ◽  
Hiroki Harada ◽  
Saiki Saito ◽  
Taichi Miyauchi ◽  
...  
Keyword(s):  
Kidney Transplantation ◽  
Case Report ◽  
Ejection Fraction ◽  
Left Ventricular Systolic Dysfunction ◽  
Systolic Dysfunction ◽  
Left Ventricular ◽  
Ventricular Systolic Dysfunction

scholarly journals Systolic left ventricular dysfunction in patients with clinically suspected myocarditis

2020 ◽  
Vol 17 (4) ◽  
pp. 452-460
Author(s):  
N. P. Mitkovskaya ◽  
E. M. Balysh ◽  
T. V. Statkevich ◽  
N. A. Ladygina ◽  
E. B. Petrova ◽  
...  
Keyword(s):  
Heart Rate ◽  
Left Ventricular Ejection Fraction ◽  
Ejection Fraction ◽  
Left Ventricular Systolic Dysfunction ◽  
Systolic Dysfunction ◽  
Left Ventricular ◽  
Ventricular Ejection ◽  
Left Ventricular Ejection ◽  
Ventricular Systolic Dysfunction ◽  
Ventricular Ejection Fraction

The aim of the study was to investigate the features of clinically suspected myocarditis complicated by the left ventricular systolic dysfunction development. 93 patients with clinically suspected myocarditis were examined. The average age was 36.63 ± 1.15 years. In 43.01 % of patients the disease was accompanied by a decrease in left ventricular systolic function. In the group of patients with left ventricular systolic dysfunction in comparison with those with preserved left ventricular ejection fraction, a significantly lower proportion of men (75 % versus 81 %, respectively, χ2 = 9.3, p < 0,01) and a higher average group age (40.7 ± 1.87 versus 33.6 ± 1.3 years, respectively, p <  0,01) were revealed. The course of the disease in patients with left ventricular systolic dysfunction was characterized by a more frequent development of rhythm disturbances (65 % versus 43.3 %, respectively, χ2  = 4.3, p  < 0,05) and a higher heart rate at admission (94.5 (75‒100) and 85 (70‒89) beats per minute, respectively, p = 0.006). The structural and functional state of the heart according to echocardiography in patients with a reduced left ventricular ejection fraction versus comparison group was characterized by larger heart chambers sizes, more pronounced violations of local left ventricular contractility, more frequent involvement of the right ventricle in the pathological process (56.3  % versus 22.2  %, respectively, χ2   =  6.4, p  < 0,05). The relationships between the left ventricular ejection fraction Весці Нацыянальнай акадэміі навук Беларусі. Серыя медыцынскіх навук. 2020. Т. 17, № 4. C. 452–460 453 and the patient’s age (r = ‒0.36), the value of the heart rate at admission (r = ‒0.32), the severity of heart failure at admission, the degree of impaired local contractility of the left ventricle, the degree of right ventricular function (TAPSE, r  =  0.58), the severity of myocardial fibrosis according to cardiovascular magnetic resonance imaging (r = ‒0.32) were revealed.

scholarly journals Ross procedure in patients with severe left ventricular systolic dysfunction

2015 ◽  
Vol 17 (1) ◽  
pp. 5
Author(s):  
A. M. Karaskov ◽  
I. I. Demin ◽  
S. I. Zheleznev ◽  
A. V. Bogachev-prokofev ◽  
R. M. Sharifulin ◽  
...  
Keyword(s):  
Aortic Stenosis ◽  
Ejection Fraction ◽  
Left Ventricular Dysfunction ◽  
Ventricular Dysfunction ◽  
Left Ventricular Systolic Dysfunction ◽  
Systolic Dysfunction ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Ross Procedure ◽  
Ventricular Systolic Dysfunction

The Ross procedure outcomes in patients with left ventricular dysfunction are presented. 20 Ross procedures were performed in patients with aortic disease complicated by severe left ventricular dysfunction. The average left ventricular ejection fraction before surgery was 31,56,57%. Aortic stenosis was found in 60% of cases. Hospital mortality rate was 5%. Heart failure prevailed among complications. It was already in the early postoperative period that significant left ventricular remodeling was observed. The patients with aortic stenosis demonstrated a 56,9 % increase in ejection fraction, while their end-systolic diameter and end-systolic volume decreased by 34,5% and 13,3% respectively. In the group with aortic insufficiency there was a statistically significant reduction in the left ventricular volume indices: left ventricular end-diastolic diameter by 20%, left ventricular end-diastolic volume by 36,5%. No reoperation due to dysfunction of the autograft and conduits in the pulmonary artery area was required. At 12 months after surgery the processes of left ventricular cavity remodeling and normalization of contractility in both groups continued. The results of this study show that the Ross procedure can be used successfully in patients with severe left ventricular systolic dysfunction.

scholarly journals Fragmented QRS as an early predictor of left ventricular systolic dysfunction in healthy individuals: A nested case-control study in the era of speckle tracking echocardiography

2020 ◽  
Author(s):  
Mohammad Hossein Nikoo ◽  
Zahra Jamali ◽  
Iman Razeghian-Jahromi ◽  
Mehrab Sayadi ◽  
Firoozeh Abtahi
Keyword(s):  
Ejection Fraction ◽  
Speckle Tracking ◽  
Speckle Tracking Echocardiography ◽  
Left Ventricular Systolic Dysfunction ◽  
Systolic Dysfunction ◽  
Left Ventricular ◽  
Diagnostic Methods ◽  
Ventricular Systolic Dysfunction ◽  
Control Groups ◽  
Fragmented Qrs

Abstract Background: The burden of cardiovascular diseases have been become a concerning health challenge throughout the world. Stopping this condition needs applying early, yet inexpensive diagnostic methods. The aim of this study is to evaluate the capacity of fragmented QRS (fQRS) on 12-lead EKG for detecting left ventricular dysfunction in healthy individuals.Methods: Out of 500 healthy participants without detected cardiovascular disorders from Shiraz Heart Study cohort, 20 subjects diagnosed with fQRS (case) and 20 peers without fQRS (control) were participated. Global longitudinal strain was measured by speckle tracking echocardiography for two groups. Comparison was made between case and control groups by using chi-square or independent sample t-test or ANOVA. P value of less than 5% considered statistical significance. Results: There was no difference between the case and the control groups in terms of age, gender, ejection fraction, left ventricular volume and dimensions. Out of 40 subjects, 14 had reduced GLS (≤20%) with 10 of them had fQRS. GLS in the case group was significantly lower than in the control group.Conclusions: Apparent healthy subjects with fQRS diagnosed with left ventricular systolic dysfunction with respect to GLS despite normal ejection fraction. It seems that EKG, as one of the simplest way toward assessing heart function, could be a prominent informative clue to detect high-risk individuals among healthy population in advance.

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