Current Issue

SHJ VOL 5, NO 1

 

 

CONTENTS

 

Table of Content

 

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EDITORIAL

 

The State of the Journal

 

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138-140

Salaheldin Abusin

State of the Journal

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REVIEW ARTICLES

 

The revolution in cholesterol management: putting PCSK9 into practice

 

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 3

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141-150

Mohamed I S Ibrahim

Which way We Go

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Hypertension Control: Which way We Go?

 

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  4

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151-156

Mohamed E K Ahmed

thrombus in transit, across patent, foramen ovale, heart

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CASE REPORTS

 

Successful Primary Percutaneous Coronary Intervention during Cardiac Arrest utilizing an automated chest compression device

 

Abstract: The overall prognosis of Out-of-Hospital cardiac arrest is poor; when combined with ventricular fibrillation and ST Elevation Myocardial Infarction (STEMI) the overall prognosis is extremely poor. Effective Cardiopulmonary Resuscitation (CPR) is essential in achieving Return of Spontaneous Circulation (ROSC). However, manual chest compression remains a drawback due to variability in compression quality. It, also, acts as an obstacle to performing primary percutaneous coronary intervention (PPCI) in patients with STEMI. This report presents a case of Ventricular Fibrillation (VF) & Pulseless Electrical Activity (PEA) treated with PPCI facilitated by the use of an automated chest compression device.  

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157-161

Sahar Mohammed

Primary Percutaneous Coronary Intervention, Out-of-Hospital Cardiac Arrest (OHCA), Automatic Chest Compression Device

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Use of Impella 2.5 device for hemodynamic support during a High Risk Unprotected Left main PCI

 

Abstract: The role of percutaneous interventions in complex coronary disease and complex patients has been steadily expanding over the recent years. Left main and multi-vessel coronary artery interventions post a unique set of challenges to interventional cardiologists; especially in elderly patients, patients with left ventricular dysfunction or renal insufficiency. This resulted in an ongoing need for a safe and effective circulatory device that is easy to insert and manage in order to reduce the risk of morbidity and mortality associated with these interventions. Here, we describe a case of multi-vessel intervention including the left main coronary artery in a patient with reduced ejection fraction and multiple occluded bypass grafts. 

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162-166

Ahmed S Ahmed

Impella, hemodynamic support, high risk PCI, assist device

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Anomalous Single Coronary Artery and Wolff Parkinson White Syndrome

 

Abstract: The coronary anomalies are very uncommon to be seen in clinical practice. These anomalies include; a right coronary artery arising from the left coronary cusp; a left coronary artery originating from the right coronary cusp; a circumflex artery having a separate origin from either the left or right coronary cusp or from right coronary artery and the presence of a single coronary artery either originating from the left or right coronary cusp. The presence of a single coronary system is rare.The presence of a single coronary system originating from right coronary cusp is extremely rare .The association of a single coronary system origination from right coronary cusp and Wolff- Parkinson-White is strikingly rare and may not be reported before. We are reporting a case of a 38-year-old female patient who presented to the hospital with recurrent typical chest pain and palpitations. Coronary angiography revealed a single coronary circulation arising from the right coronary cusp with co-existing Wolff -Parkinson -White Syndrome (WPW). The patient’s electrocardiography, computed tomography and coronary angiography results are discussed. We would like to highlight the rarity of this unique coexistence as well as highlighting the risk of sudden death in Wolf- Parkinson-White might not be only due to the fatal arrhythmia but also secondary to an associated adverse consequence of the anomalous coronary artery.  

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167-173

Sahar Mohammed

Anomalous coronaries, Single coronary trunk, Preexcitation syndromes, Wolff-Parkinson- White Syndrome, Sudden death

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CARDIOLOGY IMAGE

 

Constrictive pericarditis, an impressive calcification

 

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174-175

Khadija Tyfour

constrictive pericarditis

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An incidental case of Idiopathic Pulmonary Artery Aneurysm

 

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9

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176-177

Anas Mahmoud

Incidental case of Idiopathic

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CARDIOLOGY RELATED COMPLAINTS

 

A case of dyspnea and faintness

 

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  10

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178-184

Telal Mudawi

a case of dyspnea and fainting

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