Current Issue

SHJ VOL 5, NO 2

 

 

CONTENTS

 

Table of Content

 

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 1

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EDITORIAL

 

Status of Cardiac Care in Sudan: available venues, alternative routes and financial burden.

 

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185-191

Siddiq Ibrahim Khalil

Khalil, cardiac, care, Sudan, venues, alternative, financial, burden

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REVIEW ARTICLES

 

Prognosis in heart failure with preserved ejection fraction.

 

Abstract: 

Heart Failure with preserved Ejection Fraction (HFpEF), like other heart failure syndromes, is heterogeneous in etiology and pathophysiology, rather than a single disease. HFpEF may account for about half of all patients with heart failure. Patients have symptoms and signs of HF with normal or near normal left ventricular EF (LV EF>50 %). The classical risk factors for developing HFpEF include advanced age and co-morbidities, notably hypertension, atrial fibrillation, and the metabolic syndrome. When complicated by increasing congestion requiring hospital admission, the prognosis is poor; 30% or more of such patients will die within 1 year (nearly two-thirds die from cardiovascular causes). Patients with chronic stable symptoms have a better prognosis. Patients with HFpEF represent an important group of patients presenting in clinical practice with HF. Overall, it appears that patients with HFpEF are at lower risk of death than patients with HFrEF, although mortality remains high in both groups. Application of the same therapeutic hypotheses that have been successfully utilized among patients with HFrEF have not been demonstrated to result in improved survival.  

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192-199

Dr Mohamed Elbur

Prognosis, heart, failure, ejection, fraction

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ORIGINAL ARTICLE

 

Thromboembolic events in Sudanese patients with rheumatic mitral stenosis

 

Abstract:

Background:

Rheumatic mitral stenosis (MS) is a common problem in the Sudanese community, usually affecting the younger population. It can be a crippling condition with many complications, thromboembolism being one of the most serious.

Objective:

The aim of this study is to quantify the prevalence of thromboembolism and to identify its risk factors in Sudanese patients with MS at Ahmed Gasim Cardiac Centre.

Methodology:

Records of patients admitted from Jan 1999-Jan 2003, were retrospectively reviewed and data from various clinical and echocardiographic variables were recorded.

Results:

A total of 412 patients were studied, 142 (34.5%) were males, 270 (65.5%) were females. There were no significant differences in the gender (P = 0.606) or severity of symptoms between patients with and without thromboembolism. Patients with thromboembolism were older (P < 0.016), had more frequent atrial fibrillation (P = 0.017), smaller mitral valve area (P = 0.021) and higher pulmonary artery pressure (P = 0.012) compared to patients without thromboembolism. Dilated left atrial (LA) size was significantly associated with thromboembolism (P = 0.034), spontaneous echo contrast (P = 0.048) and the presence of LA or left atrial appendage (LAA) thrombus (P = 0.029). The presence of LA/LAA thrombus was significantly associated with both thromboembolism (P = 0.05) and spontaneous echo contrast (P < 0.0001). Transoesophageal echocardiography was more sensitive in detecting both spontaneous echo contrast (P < 0.0001) and LA/LAA thrombus (P < 0.0001) than transthoracic echocardiography.

Conclusion:

These results highlight the clinical and echocardiographic risk factors for thromboembolism, the sensitivity of transoesophageal echo for assessment of those patients, and the need for early referral for percutaneous transvenous mitral commisurotomy (PTMC)

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200-208

Suliman ,Taifour, Abdoalraheem

Thromboembolism, Mitral Stenosis, Transoesophageal Echo, Spontaneous Echo Contrast, Left Atrial Appendage

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CASE REPORT

 

Dextrocardia and Situs inversus as part of Situs inversus totalis with Pulmonary and Sub-Pulmonary Stenosis, in a patient with Sinus Node Dysfunction

 

Abstract:

Dextrocardia with a normal abdominal situs (situs solitus) is a rare condition. Dextrocardia with situs inversus, also known as Situs Inversus Totalis, is even rarer. It has a high incidence of associated congenital cardiac anomalies including: transposition of the great arteries, atrial septal defects (ASDs), and ventricular septal defects (VSDs) in 90 to 95% of cases. We report a case of dextrocardia as part of situs inversus totalis with severe pulmonary and subpulmonary stenosis associated with severe bradycardia due to sinus node dysfunction and junctional bradycardia, and describe our approach in management.

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209-212

Abdalla Osman Eltayeb, Safa M.H. Eltayeb, Sahar Mohammed, Fatima F. A. Ahmed

Dextrocardia, Situs inversus totalis, Pulmonary Stenosis, Atrioventricular block, Permanent pacemaker

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CARDIOLOGY IMAGES

 

Primary aortic thrombus causing recurrent acute stroke

 

No abstract available for this article.   

  6

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213-214

Ali Raza Rajani, Anas Mahmoud Abbas, Juwairia Yousif Mohamed

Primary aortic, thrombus, causing, recurrent, acute, stroke

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 SHJ NEWS

 

Sudan Heart Society, Pan African Society of Cardiology, World Heart Federation African Summit and World Society of Hypertension Joint Conference, January 2018

 

No abstract available for this article.   

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215-216

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