Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Purpose: To describe an unusual case of wide complex tachycardia associated with vagus nerve dysfunction caused by cholecystitis. Case report: 71-year-old female presented to the emergency department with three days of atypical chest pain associated with right sided abdominal pain. Electrocardiogram demonstrated wide complex tachycardia resistant to multiple interventions. Ultrasound revealed cholecystitis. Subsequent to percutaneous cholecystostomy the cardiac rhythm devolved from recalcitrant tachycardia to tachy-brady syndrome. A dual-chamber pacemaker was installed followed by elective cholecystectomy. The patient was discharged home in stable condition. Conclusion:  This case illustrates an unusual cause of cardiac dysfunction via vagus nerve mediated gastrointestinal inflammatory process. Keywords: Tachy-brady syndrome; Atrial fibrillation/flutter; Sick sinus syndrome;...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Pregnancy is associated with a range of haemodynamic and physiological changes including volume expansion, increase in cardiac output, a fall in systemic vascular resistance, increase in heart size and rise in heart rate [ 1 ]. These physiological changes can induce new onset of cardiac arrhythmias in a patient with or without structural heart disease. However, the prevalence of Atrial fibrillation is rare in pregnancy and if present there is likely to be an underlying structural heart disease or metabolic disturbances. The literature on exact data, prognosis and management is limited. It is important for a physician to know how to manage stable and unstable arrhythmias in pregnancy without compromising the outcome of pregnancy. Symptomatic women who fail to respond to medical therapy may need DC cardioversion. Case Report A 32-ye...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract The differential diagnosis of severe abdominal pain after radiofrequency catheter ablation of atrial fibrillation includes many procedure- related complications. We present a case of severe abdominal pain post-ablation caused by propofol-induced pancreatitis diagnosed in a 39-year old male with otherwise unremarkable medical history. Given the high frequency of propofol use during catheter ablation, propofol-induced pancreatitis must be considered in the differential diagnosis of abdominal pain. Keywords: Abdominal pain; Atrial fibrillation; Catheter ablation; Pancreatitis; Propofol Introduction Severe abdominal pain presenting after radiofrequency catheter ablation (RFCA) of atrial fibrillation (AF) can result from the ablation procedure itself. Commonly described causes of severe abdominal pain in this setting ...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Opinion Congenital heart failure (HF) is one of the most popular heart disease, which is often accompanied by arrhythmia especially atrial fibrillation (AF). Both HF and AF share the similar underlying pathogenesis such as structural, neurohormonal, and electrical atrial or ventricular remodeling. Unfortunately, traditional pharmacological therapy may not be as useful for the treatment of HF in patients with AF as it is in patients in normal sinus rhythm. Because imbalanced tone of autonomic nervous system (ANS) plays the key role in the initiation of AF in patient with HF [ 1 ], modulation of ANS became a hotly debated point in the current research and practice. Strong vagal stimulation had long been used to induce AF and high level nerve stimulation is considered to facilitate both AF and HF. Recently, Li et al. [ 2 ] gave a novel idea that low-level electrical stimulation (LL-ES) of ...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract Objective: To perform a review series about percutaneous LAA closure, evaluating the initial case series and their success and safety outcomes. Methods: A systematic review with standard protocols recommended by PRISMA was performed. We reviewed relevant studies and the absolute numbers of events for each outcome of interest in every study were obtained. RevMan statistical software program was used to synthesize the results. Dichotomous outcomes data were measured and reported as the odds ratio (OR) with their 95% confidence intervals. Heterogeneity across studies was examined with the Cochrane's Q statistic (based on pooled OR) and the I 2 statistic test. Results: Seven studies were included in this analysis, culminating to 1215 patients in the device closure group. The primary outcome studied was ischemic stroke incidence.31 ischemic stroke events occurred in the device ...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract Anticoagulation in hyperthyroid patients with atrial fibrillation (AF) remains a controversial issue, especially due to the absence of randomized controlled trials defining the impact of warfarin therapy on vascular complications. The current clinical risk score (CHA 2 DS 2 -VASc) seems to be a useful tool for defining anticoagulation among most AF patients. However, AF related to hyperthyroidism may have distinct characteristics that are not considered by clinical risk scores. Notable examples include the younger age of most patients with Graves disease, factors related to hyperthyroidism (severity, time without treatment, T3 predominant thyrotoxicosis), pro-coagulant status due to higher serum thyroxine levels, and the fact that some of the items of the risk score may be reversible with hyperthytroidism treatment. Recent data has shown an incongruence of the CHA 2 DS 2 -VASc...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Intraventricular conduction abnormalities have been thoroughly described in the setting of post cardiac surgery in particular after valvular surgery. It’s also widely known that several anaesthetic factors are known to cause autonomic disturbances resulting in unmasking of a sinus node dysfunction, significant bradycardia, and cardiovascular collapse during the intraoperative period. However, little is known on asymptomatic episodes in particular prior to CABG. We report a rare occurrence of intraventricular conduction defect that presented in an asymptomatic patient following NSTEMI and prior to urgent coronary artery revascularization. We aim to highlight the measures that were taken to manage this. Keywords:  Conduction defect; Sick-sinus syndrome; Coronary revascularization Abbrevations:  NSTEMI: Non-ST Elevation Myocardial Infarction; ECG: Electrocardiogram...