
January-June 2015
January to June 2015 Issue

Clinical Profile of Patients with Chronic Venous Insufficiency in a Community-Based Population in the Philippines: National Nutrition and Health Survey
There is a scarcity of data on the prevalence and presentations of chronic venous disease (CVD) and chronic venous insufficiency (CVI) among Asians. Our study population comprised 7,212 subjects surveyed during the last National Nutrition and Health Survey (NNHeS) in 2008.

Fatal Eosinophilic Myocarditis from Intestinal Parasitism and Bronchial Asthma Mimicking Acute Coronary Syndrome in a 39-Year-Old Filipino Female
Eosinophilic myocarditis (EM) is a rare and often underrecognized disease (0.5% of unselected autopsy series) leading to progressive myocardial damage, heart failure and death. Although parasitism is a common cause of eosinophilia in developing countries, marked eosinophilia causing myocardial infiltration and progressive heart failure is rare. The incidence of bronchial asthma (BA) leading to EM is not known either. In this paper, we report a case of EM in a 39-year-old female with a history of BA and ascariasis.

Persistent Diffuse Deep T-Wave Inversion an ECG Manifestation of Myasthenia Gravis in Crisis: A Case Series
Myasthenia gravis (MG) is a disorder with specific autoantibodies directed against the nicotinic acetylcholine receptor (AChR) in the neuromuscular junction. Despite the absence of AChR in the cardiac myocytes, cardiac involvement in MG, ranging from asymptomatic electrocardiogram (ECG) changes to fatal tachyarrhythmias, myocarditis, conduction blocks, heart failure and sudden cardiac death, has been documented in a few case reports. In this case series, we report two cases of MG in crisis presenting with deep diffuse persistent T-wave inversions as markers for possible MG-related cardiac disease.

A Retrospective Cohort Study to Evaluate the Use of Paracetamol Compared to Ibuprofen in the Medical Closure of Patent Ductus Arteriosus Among Preterm Infants in a Private Tertiary Hospital
The objective of this is to determine the effectiveness and safety of oral and intravenous paracetamol compared to oral ibuprofen in the closure of a patent ductus arteriosus (PDA) in preterm and/or low birth weight infants.

Prevalence of Elevated Heart Rate Among the Philippine Lifecare Cohort (LIFT-LIFECARE Study)
The study aimed to describe the resting heart rate of the LIFECARE Philippine Cohort and its relation to socio-demographic factors and traditional cardiovascular risk factors.

Chronic Constrictive Pericarditis: The Experience in the Philippine Heart Center and the Philippine General Hospital
Chronic constrictive pericarditis (CCP) in developing countries is usually due to tuberculous pericarditis. This study aims to determine the patient profile, clinical presentations, different diagnostic tests, procedures and outcomes of CCP at the Philippine Heart Center (PHC) and the Philippine General Hospital (PGH).

Comparison of the Clinical Outcomes and Costs Between Transcatheter Device Occlusion and Surgical Closure for the Treatment of Isolated Ventricular Septal Defect
The most common congenital heart disease (CHD) in childhood is ventricular septal defect (VSD), and the standard mode of treatment for defects that need correction is surgical closure under cardiopulmonary bypass. Advancements in technology are leading us into the era of percutaneous closure of VSDs. The current trend in the correction of CHD is to use techniques that would allow early hospital discharge and come with the least morbidity risk. The objective of this study was to compare the costs and the clinical outcomes of transcatheter device occlusion and surgical closure as modes of treatment for isolated VSD among pediatric patients of the Philippine Heart Center (PHC).

Comparison of Body Mass Index, Waist-to-hip Ratio and Waist-to- height Ratio as Predictor of the Severity of Coronary Artery Disease Based on Gensini Scoring System on Coronary Angiography
This study aimed to determine the correlation of body mass index (BMI), waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR) with the severity of coronary artery disease (CAD) based on the Gensini scoring system on coronary angiography among Filipinos.

Complete Percutaneous Coronary Intervention versus Culprit Only Percutaneous Coronary Intervention for Acute ST Elevation Myocardial Infarction with Multivessel Coronary Artery Disease: A Meta-analysis
Current guidelines recommend that primary percutaneous coronary intervention (PCI) in hemodynamically stable acute ST-elevation myocardial infarction (STEMI) patients should be limited to the culprit vessel despite significant stenosis in nonculprit coronary arteries. Recent studies and meta-analyses provide conflicting data.