Vol. 45 | No. 2 | July-December 2017

July-December 2017

Open Access
Correlation of Preoperative Neutrophil Lymphocyte Ratio with EuroSCORE as a Predictor of In-Hospital Mortality Following an Isolated Coronary Artery Bypass Graft: A 7-year Retrospective Study

Patients undergoing coronary artery bypass graft (CABG) are risk stratified preoperatively by  computing the EuroSCORE. Studies have shown that neutrophil-to-lymphocyte ratio (NLR) is a specific predictor of increased cardiovascular risk. This study aimed to determine the correlation between NLR and EuroSCORE and postoperative in-hospital mortality following isolated CABG. 

Open Access
Red Cell Distribution Width and Mortality in Patients with Acute Coronary Syndrome: A Meta-Analysis on Prognosis

Red cell distribution width (RDW), a routine component of the CBC, measures variation in the size  of circulating erythrocytes. It has been associated with several clinical outcomes in cardiovascular (CV) disease. We aimed to describe the association between RDW and mortality in patients admitted for acute coronary syndrome (ACS) through pooled analysis. 

Open Access
Weathering an Adenosine-Insensitive Right Ventricular Outflow Tract Ventricular Tachycardia Storm in an Adolescent Female: A Case Report

Majority of ventricular tachycardias (VT) are associated with structural disease. However, 10%  are idiopathic, such as right ventricular outflow tract (RVOT) VT. A vast majority of RVOT VT demonstrates sensitivity to adenosine, consistent with a triggered mechanism.

Open Access
Ivabradine Versus Beta-blockers in Mitral Stenosis in Sinus Rhythm: An Updated Meta-analysis of Randomized Controlled Trials

Symptoms of mitral stenosis (MS) are worsened during tachycardia and exercise. Beta-blockers  (BB) are used in controlling heart rate (HR) in MS to relieve symptoms, but can cause significant side effects. Ivabradine has a selective action on the sinus node and is devoid of the usual side effects of BB. Only small studies have investigated the role of ivabradine in MS in sinus rhythm. 

Open Access
The Efficacy of Oral Trimetazidine in Preventing Contrast-Induced Nephropathy Among Patients Undergoing Elective Coronary Procedures: A Meta-analysis of Randomized Controlled Trials

Contrast-induced nephropathy (CIN) is a serious but preventable complication of coronary  procedures. Trimetazidine has recently been explored for use in preventing post-procedural CIN due to its cellular anti-ischemic and antioxidant properties. The objective of this meta-analysis was to assess the efficacy of oral trimetazidine in the prevention of CIN during elective coronary angiography and percutaneous coronary intervention. 

Open Access
Prediction of Significant Left Main Coronary Artery Disease using ST-segment Elevation in aVR Among Adult Patients with Acute Coronary Syndrome Admitted at a Tertiary Hospital from January 2011 through December 2015

This study aims to determine whether ST-segment elevation in aVR predicts significant left main coronary artery (LMCA) disease among adult patients with acute coronary syndrome (ACS). 

Open Access
Incidence and Clinical Profile of Bleeding Among Adult Acute Coronary Syndrome Patients Admitted in a Tertiary Hospital (BLEED-ACS)

Current guidelines recommend the use of multiple antithrombotic drugs and aggressive invasive  strategies in the management of patients with acute coronary syndromes (ACS). However, these interventions could result in bleeding, both minor and life-threatening. This study aimed to determine the incidence of bleeding among adult patients admitted for ACS treated with antiplatelets, anticoagulants and/or thrombolytics.