scholarly journals THE RELATIONSHIP BETWEEN EPICARDIAL FAT TISSUE THICKNESS AND RISK OF FREQUENT PREMATURE VENTRICULAR CONTRACTIONS

2021 ◽  
Vol 54 (3) ◽  
pp. 249-253
Author(s):  
Seyedeh Fatemeh Mirrazeghi ◽  
Shadi Shabahang ◽  
Azin Vakilpour ◽  
Arsalan Salari ◽  
Soheil Hassanipour ◽  
...  
Keyword(s):  
Heart Diseases ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Left Ventricular ◽  
Epicardial Fat ◽  
Fat Tissue ◽  
Cross Sectional ◽  
Premature Ventricular Contractions ◽  
Structural Heart Diseases ◽  
Epicardial Fat Tissue

Objectives: This study aimed to evaluate the relation between epicardial fat tissue (EFT) thickness and frequent premature ventricular contractions. Methodology: In this cross-sectional study, patients with no structural heart diseases diagnosed with PVCs on a 24 holter rhythm monitoring were included. EFT thickness was measured by 2-dimensional transthoracic echocardiography. PVCs of more than 10 per hour were considered as frequent PVCs. To investigate the effect of independent variables, univariate logistic regression was performed. Results: Of total 50 studied patients, 64% were females. The mean age of subjects was 46.8 ± 13.1 years. Twenty-five patients were experiencing frequent PVCs of >10 per hour. In univariate analysis, age (OR= 1.05, 95 % CI; 1.01-1.10, p=0.050), left ventricular end diastolic diameter (LVEDD) (OR= 1.14, 95 % CI; 1.01-1.28, p=0.036) and left atrial (LA) diameter (OR= 1.35, 95 % CI; 1.11-1.62, p=0.002) were significantly associated with developing frequent PVC. EFT thickness was positively correlated with age (r= 0.389, p= 0.005) and inter-ventricular septum thickness in diastole (IVSD) (r= 0.384, p= 0.006).  No significant correlation between EFT and PVCs was found (p=0.669). Conclusion: Patients with frequent PVCs had significantly higher LVEDD and LA diameter. Although patients with higher EFT thickness were more likely to experience frequent PVCs, there was no statistically significant correlation between EFT thickness and frequent PVCs.

4091Mechanical dispersion by speckle tracking echocardiography in fabry disease

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
T F Cianciulli ◽  
M C Saccheri ◽  
A M Risolo ◽  
J A Lax ◽  
R J Mendez ◽  
...  
Keyword(s):  
Fabry Disease ◽  
Speckle Tracking ◽  
Heart Diseases ◽  
Systolic Dysfunction ◽  
Cross Sectional Study ◽  
Left Ventricular ◽  
Peak Strain ◽  
Cross Sectional ◽  
Mechanical Dispersion ◽  
Group I

Abstract Background Fabry disease is a rare X-linked storage disorder caused by a deficiency of the lysosomal enzyme α-galactosidase A and generally causes multi-organ dysfunction. Heart disease is the main cause of death, due to severe left ventricular (LV) systolic dysfunction and sudden death. In several heart diseases, the LV systolic dysfunction and ventricular arrhythmias are associated with mechanical dispersion (MD). The presence of MD in patients with FD has not been studied yet. In this cross-sectional study, we investigated the prevalence of MD in patients with FD. Methods Complete echocardiographic and speckle tracking echocardiographic (STE) data were collected. MD is an index of inter-segmental discoordination of contraction which has been used to quantify LV dyssynchrony and was defined as the standard deviation (SD) of time to peak negative strain in 17 left ventricular segments. Patients were divided into two groups according to whether or not they had left ventricular hypertrophy (LVH). MD was defined as an SD >49 msec. Results We studied 108 patients with FD, 24 patients (22%) were excluded due to inadequate imaging quality or presence of comorbidities, so the final study population consisted of 84 patients (mean age 33.3±14.6 years, 60.7% women). LVH in FD appears at older ages than in patients without LVH (48±12.5 y/o vs 27.8±11.1 y/o, p<0.0001). Patients with FD without LVH (Group I) showed normal global longitudinal peak strain (GLPS) (21.2±2.5%) and no MD (32.7±8.8 msec). In Group II (n=23) patients with FD with LVH, 17 (73.9%) had MD >49 msec prolonged mechanical dispersion (73.3±20.7 msec) and reduced GLPS (13.6±4.0%). MD was more pronounced in Fabry patients with LVH than in patients without LVH (63.4±24.7 msec vs. 32.7±8.8 msec, p<0.0001). GLPS was lower in Fabry patients with LVH than in patients without LVH (15.3±4.7% vs 21.2±2.5%, p<0.0001). Figure 1 Conclusions To our knowledge, this is the first study to demonstrate the prevalence of mechanical dispersion in patients with FD. Mechanical dispersion was seen in 73.9% of patients with FD with LVH. This dyssynchrony should be taken into account in patients who develop heart failure or life-threatening ventricular tachyarrhythmias.

scholarly journals A tertiary care centre profile of heart diseases among diagnosed cases of chronic kidney disease

2020 ◽  
Vol 8 (2) ◽  
pp. 652
Author(s):  
Vijay Bakhtar ◽  
Niyati Bakhtar ◽  
Neha Pandey ◽  
Nikhil Bakhtar
Keyword(s):  
Chronic Kidney Disease ◽  
Cardiovascular Diseases ◽  
Kidney Disease ◽  
Heart Diseases ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Left Ventricular ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Cardiac Evaluation

Background: Chronic Kidney Disease (CKD) is a risk factor for development of cardiovascular diseases. Cardiovascular diseases are the predominant cause of morbidity and mortality in patients with CKD. There is limited data on cardiovascular diseases among CKD patients from developing countries including India. With the present study, the prevalence and patterns of cardiac diseases among patients with CKD were profiled.Methods: This was a cross sectional study in which 217 patients with CKD were studied over a period of two years and six months. Data on demographic characteristics and risk factors for cardiovascular diseases were collected using a standardized questionnaire. Cardiac evaluation was done using resting ECG and echocardiography.Results: One hundred eighteen (54.4%) patients had either eccentric or concentric LVH. Patients with LVH were more likely to be hypertensive (p<0.001) or anemic (p=0.034). Up to 9.2% of study subjects had valvular heart disease (rheumatic or degenerative) and 22% had pericarditis. Patients with pericarditis were more likely to have a serum urea concentration greater than 60mg/dl (p=0.327). Forty-one patients (18.9%) had left ventricular systolic failure (EF<50%). There was a statistically insignificant higher prevalence of systolic failure in patients with LVH (21% vs. 16%), (p=0.346). Thirty-eight participants (17.5%) had diastolic failure while 2% had cardiac rhythm abnormalities.Conclusions: Cardiac abnormalities are common in a relatively young Indian population with CKD. Clinicians should routinely screen and manage cardiovascular disease in CKD patients.

scholarly journals Myonecrosis in Aortic Valvular Heart Diseases

2009 ◽  
Vol 13 (Number 2) ◽  
pp. 9-12
Author(s):  
Md. Khalequzzaman ◽  
M A Islam ◽  
Md. O Hoque ◽  
M Ferdous ◽  
A H K Chowdhury ◽  
...  
Keyword(s):  
Aortic Stenosis ◽  
Heart Diseases ◽  
Cross Sectional Study ◽  
Left Ventricular ◽  
Definitive Treatment ◽  
Control Group ◽  
Cross Sectional ◽  
Valvular Heart Diseases ◽  
Significant Difference ◽  
Venous Sample

This cross sectional study was done among 20 patients with aortic stenosis and 20 healthy controls to evaluate the association of cardiac specific troponin 1 (ant) and sonic valvular heart diseases. The study was conducted in °militant, department in National laminae of Cardiovascular Diseases (N1CVD.)A structured queslionilaire and checklist was used to collect data through face to face interview. Color dapple, echocarchiognsphy was done and 5 ml of venous sample was dmwo from each subjects and laboratory estimation of an, was done. The arid in control group and sonic stenosis patients showed significant difference in mean (<0.001). ant level in aortic stenosis patients increases in the absence of heart failure indicating that it can expose the cardiotnyocnes to injury prior to development of oven left ventricular dysftinction. So. serial monitoring of aid may help clinicians to give definitive treatment (reface development af complications.

Frequency of Cardiac Arrhythmias in Children with Cardiological Consulting and Containing Electrocardiogram

2021 ◽  
Vol 21 ◽  
Author(s):  
Alireza Nezami ◽  
Ghobad Heidari ◽  
Fariba Tarhani ◽  
Fatemeh Oliaee
Keyword(s):  
Heart Diseases ◽  
Demographic Data ◽  
Pulmonary Stenosis ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Infants And Children ◽  
Paroxysmal Supraventricular Tachycardia ◽  
Cross Sectional ◽  
Premature Ventricular Contractions ◽  
Causes Of Mortality

Background: Heart diseases are the leading causes of mortality and congenital heart disease (CHD) is the most common birth defect reported worldwide. Objective: The aim of this study was to evaluate the incidence of arrhythmias and CHD and the association between the two, among infants and children reported to our center. Methods: This cross-sectional study included infants and children who were referred to Shahid Madani Hospital, Khorramabad. Electrocardiogram (ECG) was performed in these children to determine the type of arrhythmia and records were used to obtain demographic data and the data regarding CHD. Results : Of 200 children enrolled in the study, 10 children had arrhythmias, 12 had tachycardia, 5 had bradycardia, and 31 had congenital disease. Among children with arrhythmias, 1 had atrial fibrillation, 4 patients had paroxysmal supraventricular tachycardia, 1 person had right bundle branch block, 1 had ventricular tachycardia, 2 had premature ventricular contractions and 1 had junctional ectopic tachycardia. Of the 31 children with CHD, 9 patients were presented with small ventricular septal defect, 4 children had patent foramen ovale, 2 had pulmonary stenosis and 1 of the children had tetralogy of fallout, arterial and ventricular septal defects and transposition of greater arteries, respectively. Conclusion: We reported a positive correlation between the arrhythmias and CHD. A larger number of studies collecting focusing on different age groups are therefore required to verify our findings.

scholarly journals Epicardial fat tissue can predict subclinical left ventricular dysfunction in patients with erectile dysfunction

2021 ◽  
Vol 24 (1) ◽  
pp. 42-49
Author(s):  
Hayati Eren ◽  
Muhammed Bahadır Omar ◽  
Ülker Kaya ◽  
Ertuğrul Gazi Özbey ◽  
Lütfi Öcal
Keyword(s):  
Erectile Dysfunction ◽  
Left Ventricular Dysfunction ◽  
Ventricular Dysfunction ◽  
Left Ventricular ◽  
Epicardial Fat ◽  
Fat Tissue ◽  
Epicardial Fat Tissue

scholarly journals Relationship between epicardial fat tissue and left ventricular synchronicity: An observational study

2015 ◽  
Vol 15 (12) ◽  
pp. 990-994 ◽  
Author(s):  
Abdulkadir Kiris ◽  
Gulhanim Kiris ◽  
Oguzhan Ekrem Turan ◽  
Mustafa Ozturk ◽  
Mursel Sahin ◽  
...  
Keyword(s):  
Observational Study ◽  
Left Ventricular ◽  
Epicardial Fat ◽  
Fat Tissue ◽  
Epicardial Fat Tissue

scholarly journals Aetiological Pattern of Premature Ventricular and Atrial Complexes and their Consequence on Morbidity and Mortality

2015 ◽  
Vol 16 (2) ◽  
pp. 97-102
Author(s):  
AKM Humayon Kabir ◽  
Mohammad Rafiqul Islam ◽  
Prodip Kumar Biswas ◽  
Muhammed Syedul Alam ◽  
Shekhar Kumar Mondal ◽  
...  
Keyword(s):  
Heart Diseases ◽  
Structural Heart Disease ◽  
Cross Sectional Study ◽  
Morbidity And Mortality ◽  
Junctional Complex ◽  
Cross Sectional ◽  
Study Results ◽  
Ventricular Premature Complexes ◽  
Structural Heart Diseases ◽  
Ectopic Beats

Background: Arrhythmias are often a manifestation of structural heart diseases but may occur in the context of non cardiac diseases even in an otherwise normal heart. It may be supraventricular or ventricular. Among the arrhythmias premature complexes (ventricular & atrial) are most common type of arrhythmia occurs in patients with or without significant heart disease.Objective: In this study, the aim was to find out the aetiological pattern of premature ventricular and atrial complexes and their consequence on morbidity and mortality, demographical pattern of patients with ectopic beats, to find out aetiological factors leading to development of premature complexes, to find out common clinical presentations and to differentiate the PVCs which are more benignMethods: It was a cross sectional study. This study was carried out in the Department of Medicine and Department of Cardiology of Sir Salimullah Medical College and Mitford Hospital, Dhaka from 1st May 2008 to 15th September 2008. A total 50 consecutive patients irrespective of age, sex and occupation having atrial and ventricular premature complexes on ECG attending at OPD and admitted in indoor were included in this study. Results: Among the three types of premature complexes 9 patients with APCs (also includes 2 patients of premature junctional complex) and 41 patients with PVCs were included. The ratio of patients with PVCs and APCs in this study.8.2: 1.8. In this study 41 patients of PVCs were studied. Among them 37 patient that is 90.3% patients had structural heart disease and the commonest cause was IHD (63.4%), 9.7% had HTN with LVH, 7.3% had DCM, 4.87% had HOCM, one patient had myocarditis ( 2.4%) and one had MVP with sick sinus syndrome (2.4%). Among the 9 patients of APC 4 patients that is 44.44% were suffering from COPD with corpulmonale which was the most commonest cause of APCs.Conclusions: Ventricular arrhythmias are more common than atrial arrhythmia and IHD is the single most common cause of arrhythmia. Ectopic beats in patients with otherwise normal hearts are more prominent at rest and disappear with exercise. Treatment is not necessary, unless the patient is highly symptomatic.J MEDICINE July 2015; 16 (2) : 97-102

scholarly journals Electrocardiographic features in males: a cross sectional study in Prayagraj District, Uttar Pradesh

2021 ◽  
Vol 8 (4) ◽  
pp. 1966
Author(s):  
Lal Divakar Singh ◽  
Neetu Singh
Keyword(s):  
Left Ventricular Hypertrophy ◽  
Ventricular Hypertrophy ◽  
Heart Diseases ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Left Ventricular ◽  
Cardiac Risk Factor ◽  
Sectional Study ◽  
Cardiac Damage ◽  
Cross Sectional

Background: The electrocardiogram (ECG) is the graphical display of the various electrical changes of the heart. It plays an important role in the diagnosis of various heart diseases. It is one of the methods of assessing the effects of hypertension on one of its target organ heart. It remains one of the most sensitive methods for establishing left ventricular hypertrophy (LVH) and is often abnormal even when there is no left ventricular heave and chest x-ray shows no classical or obvious left ventricular enlargement. The study was done with objective to asses the Electrocardiographic features of male which were ≥ 30 years in Urban and Rural Prayagraj.Methods: A community based cross-sectional study was carried out in Prayagraj District. Study participants were 620 males, 310 urban and 310 rural of age equal or above 30 years and study sampling technique were two stage random sampling. The data was collected by using predesigned, pretested, semi structured questionnaire and analyzed by using SPSS 23.0 version.Results: LVH is a marker of severity of hypertension. It is an important cardiac risk factor and it has a substantial clinical significance on the course of cardiovascular events in terms of morbidity and mortality.Conclusions: Left ventricular hypertrophy, a cardinal manifestation of hypertensive cardiac damage. 

End Organ Damage in Hypertensive Geriatric Age Group: A Cross Sectional Study

2017 ◽  
Vol 1 (3) ◽  
pp. 10-16
Author(s):  
Prakashkumar Kyada ◽  
Kunal Jadhav ◽  
T. K. Biswas ◽  
Varshil Mehta ◽  
Sojib Bin Zaman
Keyword(s):  
Ventricular Hypertrophy ◽  
Organ Damage ◽  
Cross Sectional Study ◽  
Left Ventricular ◽  
Age Group ◽  
Sectional Study ◽  
Isolated Systolic Hypertension ◽  
Cross Sectional ◽  
End Organ Damage ◽  
Common Risk Factors

Objective: Hypertension is one of the common risk factors for cardiovascular and cerebrovascular diseases/disorders A developing country like India faces the double burden of communicable and non-communicable diseases; of the which, hypertension is the most important treatable cause of mortality and morbidity with loss of functional capacity and decline in the quality of life. Aim: To study the prevalence of end organ damage in the hypertensive geriatric age group. Method: The present study was a cross sectional study, conducted in 150 elderly patients admitted in MGM Hospital, Navi Mumbai, India with the diagnosis of stage I or II hypertension from 2011 to 2013. Results: Data analysis of the present study showed that 68% of elderly population aged between 60 to 69 years were suffering from hypertension. Compared to males, females had a higher rate of target organ damage. This study found that out of all patients with total end organ damage, 54.6 % had CVS complications, 15.7 % had hypertensive retinopathy, 25.9 % and 18.51 had raised creatinine and proteinuria respectively. 19.4 % had cerebrovascular accident (CVA) complications. Among Cardiovascular related complications Coronary artery disease (CAD) was found in 21 patients, out of them 7 had Congestive cardiac Failure (CCF). Left Ventricular Hypertrophy (LVH) was the most common complication and seen in 38 patients. 13.8 % patients had Regional Wall Motion Abnormality (RWMA) Conclusion: The present study concluded that Isolated Systolic Hypertension (ISH) is the commonest type of hypertension in geriatric age group. This study concluded that the most common risk factors of HTN in the elderly are sedentary life style, dyslipidemia and extra salt intake while the most common end organ damage was observed to be Left Ventricular Hypertrophy followed by renal dysfunction. Keywords:  Hypertension,  Isolated Systolic Hypertension, Dyslipidemia.

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