Surgical placement of left ventricular lead for cardiac resynchronisation therapy after failure of percutaneous attempt.

Abstract:

OBJECTIVE:Cardiac resynchronisation therapy has been shown to be an effective treatment to improve functional status and prolong survival of patients in advanced chronic heart failure. This study assessed the surgical outcomes of left anterior mini-thoracotomy for the implantation of left ventricular epicardial pacing leads in cardiac resynchronisation therapy. METHODS:Our study consisted of 30 consecutive patients who underwent cardiac resynchronisation therapy with a left thoracotomy between November 2010 and April 2012 in our clinic. Postoperative follow up included the assessment of New York Heart Association (NYHA) functional class, electrocardiography and echocardiography. RESULTS:There were 22 male and eight female patients with a mean age of 68 ± 5.04 years. All patients were in NYHA class III or IV. Pre-procedure mean left ventricular ejection fraction was 28.1 ± 4.5% and post-procedural ejection fraction improved to 31.7 ± 5.1%. The pre-operative QRS duration changed from 171.7 ± 10.8 to 156.2 ± 4.4 ms after the operation. Also there was a significant reduction in left ventricular end-diastolic dimension from 6.98 ± 0.8 to 6.72 ± 0.8 mm (p < 0 .05), but no change in left ventricular end-systolic dimension and severity of mitral regurgitation. All patients had successful surgical left ventricular lead placement. There was no procedure-related mortality. The mean follow-up time was 40.4 months. CONCLUSION:Surgical epicardial left ventricular lead placement procedure is a safe and effective technique in patients with a failed percutaneous attempt.

journal_name

Cardiovasc J Afr

authors

Ezelsoy M,Bayram M,Yazici S,Yazicioglu N,Sagbas E

doi

10.5830/CVJA-2016-046

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

19-22

issue

1

eissn

1995-1892

issn

1680-0745

journal_volume

28

pub_type

杂志文章
  • AMP kinase activation and glut4 translocation in isolated cardiomyocytes.

    abstract::Activation of AMP-activated protein kinase (AMPK) results in glucose transporter 4 (GLUT4) translocation from the cytosol to the cell membrane, and glucose uptake in the skeletal muscles. This increased activation of AMPK can be stimulated by a pharmacological agent, AICAR (5' -aminoimidazole-4-carboxamide ribonucleos...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:

    authors: Webster I,Friedrich SO,Lochner A,Huisamen B

    更新日期:2010-03-01 00:00:00

  • Rates and predictors of stroke-associated case fatality in black Central African patients.

    abstract:OBJECTIVE:To identify case fatality rates and predictors of stroke in a private clinic in Kinshasa, Democratic Republic of Congo. METHODS:Two hundred and twelve black Africans were consecutively admitted to a clinic and prospectively assessed during the first 30 days by CT scan-proven stroke types and outcome. Univari...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:

    authors: Longo-Mbenza B,Lelo Tshinkwela M,Mbuilu Pukuta J

    更新日期:2008-03-01 00:00:00

  • The hyperparathyroid heart mimicking acute myocardial infarction.

    abstract::Left ventricular hypertrophy is a common complication of primary hyperparathyroidism. Numerous disturbances of myocardial physiology have been described as a result of excess parathyroid hormone action. In this brief communication, another phenotype of the hyperparathyroid heart is proposed, the 'pseudo-myocardial inf...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:

    authors: Ker J

    更新日期:2009-05-01 00:00:00

  • Coronary stent restenosis and the association with allergy to metal content of 316L stainless steel.

    abstract:BACKGROUND:Most intra-coronary stents in use are made of 316 L stainless steel, which contains nickel, chromate and molybdenum. Whether inflammatory and allergic reactions to metals contribute to in-stent restenosis is still a matter of debate. AIM:The aim of this study was to ascertain the relationship between metal ...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2017-036

    authors: Slodownik D,Danenberg C,Merkin D,Swaid F,Moshe S,Ingber A,Lotan H,Durst R

    更新日期:2018-01-01 00:00:00

  • Short-term warfarin treatment for apical thrombus in a patient with Takotsubo cardiomyopathy.

    abstract::Takotsubo cardiomyopathy (TCMP) is characterised by a temporary aneurysm of the left ventricular apex in individuals without significant stenosis of the coronary arteries. It is extremely rare to see it combined with a thrombus. In this case report, we present a 57-year-old female patient with TCMP in whom apical thro...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2016-011

    authors: Icli A,Akilli H,Kayrak M,Aribas A,Ozdemir K

    更新日期:2016-05-01 00:00:00

  • Atherosclerotic disease is the predominant aetiology of acute coronary syndrome in young adults.

    abstract:OBJECTIVES:Few studies have evaluated young adults in their third and fourth decades with coronary artery disease (CAD). This study evaluated the clinical and angiographic profile of young adults ( < 35 years) with CAD. METHODS:A 10-year (2003-2012) retrospective chart review was performed on patients less than 35 yea...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2017-035

    authors: Pillay AK,Naidoo DP

    更新日期:2018-01-01 00:00:00

  • In memoriam: Mr Donald Nixon Ross 4 October 1922 to 7 July 2014 (91 years).

    abstract::We are deeply saddened by the loss of our great teacher Donald Ross, a truly global mentor in cardiac surgery, a friend, a respectful colleague, an admirer, and custodian of our profession, who passed away on July 7, 2014. ...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:

    authors: Yankah C

    更新日期:2014-07-01 00:00:00

  • Cardiomyopathies and myocardial disorders in Africa: present status and the way forward.

    abstract::A review of heart diseases in Africa shows that the cardiomyopathies continue to be important causes of morbidity and mortality in the population. Hypertension remains the commonest cause of myocardial disease, followed by the cardiomyopathies. Ischaemic heart disease continues to be rare. Of the cardiomyopathies, dil...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章,评审

    doi:10.5830/CVJA-2012-046

    authors: Falase AO,Ogah OS

    更新日期:2012-11-01 00:00:00

  • Left ventricular remodelling in chronic primary mitral regurgitation: implications for medical therapy.

    abstract::Surgical repair or replacement of the mitral valve is currently the only recommended therapy for severe primary mitral regurgitation. The chronic elevation of wall stress caused by the resulting volume overload leads to structural remodelling of the muscular, vascular and extracellular matrix components of the myocard...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章,评审

    doi:10.5830/CVJA-2017-009

    authors: McCutcheon K,Manga P

    更新日期:2018-01-01 00:00:00

  • Presenting features of newly diagnosed rheumatic heart disease patients in Mulago Hospital: a pilot study.

    abstract:INTRODUCTION:Rheumatic heart disease (RHD) continues to cause gross distortions of the heart and the associated complications of heart failure and thromboembolic phenomena in this age of numerous high-efficacy drugs and therapeutic interventions. Due to the lack of contemporary local data, there is no national strategy...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2012-076

    authors: Zhang W,Mondo C,Okello E,Musoke C,Kakande B,Nyakoojo W,Kayima J,Freers J

    更新日期:2013-03-01 00:00:00

  • Maternal imbalance between pro-angiogenic and anti-angiogenic factors in HIV-infected women with pre-eclampsia.

    abstract::Angiogenic imbalance contributes to the development of preeclampsia. We evaluated the protein expression of the proangiogenic placental growth factor (PlGF) and transforming growth factor beta 1 (TGF-β1) compared with the anti-angiogenic soluble fms-like tyrosine kinase receptor (sFlt1) and soluble endoglin (sEng) in ...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2013-029

    authors: Govender N,Naicker T,Moodley J

    更新日期:2013-06-01 00:00:00

  • Primary care in the prevention, treatment and control of cardiovascular disease in sub-Saharan Africa.

    abstract::Cardiovascular disease (CVD) is the frontrunner in the disease spectrum of sub-Saharan Africa, with stroke and ischaemic heart disease ranked seventh and 14th as leading causes of death, respectively, on this sub-continent. Unfortunately, this region is also grappling with many communicable, maternal, neonatal and nut...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章,评审

    doi:10.5830/CVJA-2016-082

    authors: Ojji DB,Lamont K,Ojji OI,Egenti BN,Sliwa K

    更新日期:2017-07-01 00:00:00

  • Rheumatoid arthritis and risk of cardiovascular disease.

    abstract::In developing countries, rheumatoid arthritis (RA) remains a seriously under-prioritised disease, particularly among the underprivileged, often resulting in presentation of patients late in the course of their disease, further complicated by limited therapeutic options and inconsistent follow up. The consequences are ...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章,评审

    doi:10.5830/CVJA-2018-018

    authors: Meyer PW,Anderson R,Ker JA,Ally MT

    更新日期:2018-09-01 00:00:00

  • Electrocardiographic abnormalities in treatment-naïve HIV subjects in south-east Nigeria.

    abstract:BACKGROUND:Cardiac complications of human immunodeficiency virus (HIV) infection are important causes of morbidity and mortality. We set out to determine the electrocardiographic (ECG) abnormalities in treatment-naïve HIV-positive patients in Enugu, south-east Nigeria. METHODS:This was a cross-sectional study involvin...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2017-013

    authors: Okoye IC,Anyabolu EN

    更新日期:2017-09-01 00:00:00

  • Clinical ventricular tachycardia and surgical epicardial ICD implantation in a patient with a Fontan operation for double-inlet left ventricle.

    abstract::The Fontan operation is the primary surgical technique used for palliation of patients with single-ventricle physiology. Arrhythmias are frequently observed and associated with morbidity and mortality in Fontan patients. The frequency of arrhythmias after the Fontan procedure increases over time and it was reported to...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2014-057

    authors: Agir AA,Celikyurt U,Karauzum K,Yilmaz I,Ozbudak E,Bozyel S,Kanko M,Vural A,Ural D

    更新日期:2014-11-23 00:00:00

  • A retrospective analysis of factors influencing re-operation in patients undergoing mechanical valve replacement.

    abstract:BACKGROUND:We aimed to determine the possible factors leading to re-operation in patients undergoing mechanical valve replacement and to investigate the relationship between valvular thrombus formation and mean platelet volume. METHODS:The medical records of 43 patients with mechanical valve implantation, who were adm...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2013-044

    authors: Aydin E,Yapici F

    更新日期:2013-08-01 00:00:00

  • Mortality from cardiovascular diseases in sub-Saharan Africa, 1990-2013: a systematic analysis of data from the Global Burden of Disease Study 2013.

    abstract:BACKGROUND:Cardiovascular disease (CVD) has been the leading cause of death in developed countries for most of the last century. Most CVD deaths, however, occur in low- and middle-income, developing countries (LMICs) and there is great concern that CVD mortality and burden are rapidly increasing in LMICs as a result of...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2015-036

    authors: Mensah GA,Roth GA,Sampson UK,Moran AE,Feigin VL,Forouzanfar MH,Naghavi M,Murray CJ,GBD 2013 Mortality and Causes of Death Collaborators.

    更新日期:2015-03-01 00:00:00

  • Coronavirus disease 2019 (COVID-19) and simultaneous acute anteroseptal and inferior ST-segment elevation myocardial infarction.

    abstract::Coronavirus disease 2019 (COVID-19) is a recently recognised pandemic spreading rapidly from Wuhan, Hubei, to other provinces in China and to many countries around the world. The number of COVID-19-related deaths is steadily increasing. Acute ST-segment elevation myocardial infarction (STEMI) is a disease with high mo...

    journal_title:Cardiovascular journal of Africa

    pub_type:

    doi:10.5830-CVJA-2020-016

    authors: Yolcu M,Gunesdogdu F,Bektas M,Bayirli DT,Serefhanoglu K

    更新日期:2020-11-01 00:00:00

  • [Acute myocardial infarction complicated by acute pulmonary oedema and cardiogenic collapse during dobutamine stress echocardiography].

    abstract::Acute myocardial infarction is a rare complication of dobutamine stress echocardiography. We describe the case of a diabetic patient who presented with an anterior myocardial infarction complicated by an acute pulmonary oedema and cardiogenic collapse during dobutamine stress echocardiography, requiring five days' hos...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2013-021

    authors: Yameogo NV,Mbaye A,Kagambega LJ,Dioum M,Diagne-Sow D,Kane M,Diack B,Kane A

    更新日期:2013-06-23 00:00:00

  • Infliximab, an anti-TNF-alpha agent, improves left atrial abnormalities in patients with rheumatoid arthritis: preliminary results.

    abstract:BACKGROUND:Rheumatoid arthritis (RA) is associated with increased cardiovascular morbidity and mortality. In the current prospective study, we addressed the impact of RA on left atrial (LA) function and electrical remodelling. Further, we tried to demonstrate the effects of infliximab, an anti-TNF-alpha agent, on echoc...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2014-036

    authors: Çetin S,Mustafa G,Keskin G,Yeter E,Doğan M,Öztürk MA

    更新日期:2014-07-01 00:00:00

  • Cardiogenic shock in an elderly man caused by left main coronary artery occlusion with spontaneous dissection of right coronary artery.

    abstract::We present a case of an 85-year-old man with acute myocardial infarction and cardiogenic shock due to left main coronary artery occlusion, with spontaneous dissection of the right coronary artery. ...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:CVJ-21.036

    authors: Karabay CY,Kocabay G,Kalayci A,Zehir R,Mert M,Kirma C

    更新日期:2011-05-01 00:00:00

  • Cardiac surgery for patients with heart failure due to structural heart disease in Uganda: access to surgery and outcomes.

    abstract:OBJECTIVE:Few data are available on heart failure (HF) in sub-Saharan Africa. We aimed to provide a current picture of HF aetiologies in urban Uganda, access to heart surgery, and outcomes. METHODS:We prospectively collected clinical and echocardiographic data from 272 consecutive patients referred for suspected heart...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2014-034

    authors: Grimaldi A,Ammirati E,Karam N,Vermi AC,de Concilio A,Trucco G,Aloi F,Arioli F,Figini F,Ferrarello S,Sacco FM,Grottola R,D'Arbela PG,Alfieri O,Marijon E,Freers J,Mirabel M

    更新日期:2014-09-01 00:00:00

  • Aortic dissection, a complication during successful angioplasty of chronic total occlusion of the right coronary artery, was treated conservatively.

    abstract::Aortic dissection is an uncommon but potentially lethal complication that can occur during the engagement of a guiding catheter. We report a case of a 59-year-old woman with acute aortic dissection due to percutaneous coronary intervention. This resulted in a retrograde extension of the dissection into the proximal p...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2011-050

    authors: Chunlai S,Stella PR,Belkacemi A,Agostoni P

    更新日期:2012-05-12 00:00:00

  • The dangerous fifth chamber: congenital left atrial appendage aneurysm.

    abstract::Aneurysms of the left atrial appendage are extremely rare. Enlargement of the left atrial appendage can be congenital or acquired. Dysplasia of the left atrial muscles leads to congenital left atrial appendage aneurysm and usually presents as atrial tachyarrhythmia or embolic events in the second or third decade of li...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2011-051

    authors: Tigen KM,Dogan C,Guler A,Hatipoglu S,Yanartas M,Kirma C

    更新日期:2012-06-12 00:00:00

  • Reviewing the causes of electrocardiographic pauses.

    abstract::The electrocardiographic term 'pause' refers to the prolonged R-R interval that represents the interruption in ventricular depolarisation. This article presents a case of sinus node dysfunction and provides a diagnostic approach to pauses on the ECG. ...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2017-041

    authors: Viljoen C,Smith R,Chin A

    更新日期:2017-07-01 00:00:00

  • Audit of availability and distribution of paediatric cardiology services and facilities in Nigeria.

    abstract:BACKGROUND:Paediatric cardiac services in Nigeria have been perceived to be inadequate but no formal documentation of availability and distribution of facilities and services has been done. OBJECTIVE:To evaluate and document the currently available paediatric cardiac services in Nigeria. METHODS:In this questionnaire...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章,多中心研究

    doi:10.5830/CVJA-2016-057

    authors: Ekure EN,Sadoh WE,Bode-Thomas F,Orogade AA,Animasahun AB,Ogunkunle OO,Babaniyi I,Anah MU,Otaigbe BE,Olowu A,Okpokowuruk F,Omokhodion SI,Maduka OC,Onakpoya UU,Adiele DK,Sani UM,Asani M,Yilgwan CS,Daniels Q,Uzodimma C

    更新日期:2017-01-01 00:00:00

  • Iatrogenic left main-stem dissection extending to the circumflex artery and retrogradely involving the left and non-coronary sinuses of Valsalva: iatrogenic aortocoronary dissection.

    abstract::We present the case of a 57-year-old female who experienced iatrogenic left main-stem (LMS) dissection during elective coronary angiography. The dissection immediately affected the circumflex artery (Cx), causing its total distal occlusion, and the left anterior descending artery (LAD), in which a metal stent, implant...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2015-060

    authors: Zwoliński R,Marcinkiewicz A,Szymczyk K,Pietruszyński R,Jaszewski R

    更新日期:2015-11-23 00:00:00

  • The prevalence and radiological findings of pulmonary embolism in HIV-positive patients referred for computed tomography pulmonary angiography in the Western Cape of South Africa.

    abstract:AIM:To provide imaging data and report associations between human immunodeficiency virus (HIV), tuberculosis (TB) and pulmonary embolism (PE) in a South African population that underwent computed tomography pulmonary angiography (CTPA) for suspected PE. METHODS:A validated Qanadli severity scoring system for PE was us...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2016-083

    authors: Ramlakhan R,Andronikou S,Rajkumar A

    更新日期:2017-07-01 00:00:00

  • ACCORD LIPID study results strengthen guideline approach of adding fenofibrate to therapy of dyslipidaemic type 2 diabetic patients.

    abstract::Type 2 diabetic patients treated with statins but still experiencing elevated serum levels of triglycerides (2.3 mmol/l or higher) and low HDL cholesterol (0.8 mmol/l or lower), a pre-specified subgroup, benefited from the addition of fenofibrate to their treatment regimen. Risk of cardiovascular events was reduced by...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:

    authors: Aalbers J

    更新日期:2010-03-01 00:00:00

  • The clinical prognostic significance of myocardial performance index (MPI) in stable placental-mediated disease.

    abstract:AIM:To determine whether a single elevated myocardial performance index (MPI) value in the third trimester of pregnancy is a marker for later adverse obstetric outcomes in stable placental-mediated disease, defined as well-controlled pre-eclampsia (PE) on a single agent and/or uncompensated intra-uterine growth restric...

    journal_title:Cardiovascular journal of Africa

    pub_type: 杂志文章

    doi:10.5830/CVJA-2018-036

    authors: Bhorat I,Pillay M,Reddy T

    更新日期:2018-09-01 00:00:00