https://www.journalca.com/index.php/CA/issue/feed Cardiology and Angiology: An International Journal 2020-09-22T03:52:53+00:00 Cardiology and Angiology: An International Journal contact@journalca.com Open Journal Systems <p style="text-align: justify;"><strong>Cardiology and Angiology: An International Journal (ISSN:&nbsp;2347-520X)</strong>&nbsp;aims to publish high quality papers (<a href="/index.php/CA/general-guideline-for-authors">Click here for Types of paper</a>) in all areas of ‘Cardiology and Angiology research’. The journal also encourages the submission of useful reports of negative results. This is a quality controlled,&nbsp;OPEN&nbsp;peer reviewed, open access INTERNATIONAL journal.</p> https://www.journalca.com/index.php/CA/article/view/30139 Left Main and Right Coronary Artery Arising from Single Coronary Trunk: A Very Rare Cardiac Anomaly 2020-09-22T03:52:53+00:00 Aditya Gupta Rohit Rai tummu888@gmail.com Shakil Shaikh Kalyan Munde Narendra O. Bansal <p><strong>Aim: </strong>Single coronary artery is a rare anomaly. Patients may present with syncope, angina or rarely sudden cardiac death.</p> <p><strong>Presentation of Case:</strong> Patient presented with dyspnea on exertion for one year. On 2D Echo patient had small restrictive VSD. On coronary angiography single coronary artery from right cusp was seen. On CT angiography anomalous origin was confirmed. There was no malignant course of coronary artery.</p> <p><strong>Discussion: </strong>Anomalous origin of coronary arteries are rare cardiac anomalies. It can present as syncope, angina, or sudden cardiac death especially in patients with malignant course of coronary artery passing between aorta and pulmonary artery. Hence CT coronary angiography is useful to rule out the malignant course. In our patient, there was no malignant course hence managed conservatively.</p> <p><strong>Conclusion:</strong> Anomalous origin of coronary artery is a rare anomaly and requires tailored treatment according to type and course of artery.</p> 2020-08-10T00:00:00+00:00 ##submission.copyrightStatement## https://www.journalca.com/index.php/CA/article/view/30141 Cardiac, Renal and Gastrointestinal Anomalies in a Neonate: Could this be VACTERL Association? A Case Report 2020-09-22T03:52:51+00:00 Urire Idholo Chika O. Duru chikamerenu@yahoo.com Ofure Okosun Imaculata I. Tunde- Oremodu Stanley Ogoinja <p><strong>Introduction:</strong> VACTERL association is a rare congenital defect. It is a constellation of the involvement of six systems which comprise of vertebral defects, anal atresia, cardiac defects, trachea-oesophageal fistula, renal anomalies and limb abnormalities.&nbsp; At least three systems should be involved before VACTERL is suspected and in many cases, it is difficult to differentiate it from other multiple congenital anomalies.</p> <p><strong>Case Report:</strong> We present a day old preterm neonate who presented with respiratory distress and abdominal distension at birth. Late pregnancy ultrasound done at 34 weeks gestation showed a singleton fetus with gross ascites, dilated urinary bladder and bilateral calyceal dilatation. On examination, he had hyper-plantar flexion of the left ankle joint, ascites and a loud systolic murmur. Abdominal scan showed bilateral renal stones with medullary sponge kidneys, gaseous distension of the bowels and massive ascites. Transthoracic echocardiography showed a 10 mm ostium secundum atrial septal defect, 6 mm perimembranous ventricular septal defect and a 3 mm patent ductus arteriosus. Micturating cystourography showed a dilated posterior urethra with an appearance of a ring lucent filling defect at the membranous urethra and an irregular and beading distal urethra which was suggestive of posterior urethral valves (diaphragmatic type).</p> <p><strong>Conclusion: </strong>VACTERL association occurs sporadically in most cases and presentation is varied depending on the degree of systemic affectation. Our patient presented with a constellation of congenital defects which could all fit into the criteria for VACTERL association, however because of the lack of genetic testing, it is difficult to determine if this is just a chance occurrence of multiple congenital anomalies.</p> 2020-08-20T00:00:00+00:00 ##submission.copyrightStatement## https://www.journalca.com/index.php/CA/article/view/30144 Master Program in Physical Cardiochemistry 2020-09-22T03:52:37+00:00 Anaclet B. Kunyima anaclet.kunyima@unikin.ac.cd Séraphin N. Lusamba Papy K. Kunyima <p><strong>Background:</strong> The heart acting analysis leads to necessity of total energy quantization needful for its life from the cellular metabolism (Keith Flack node).</p> <p>This energy is mainly distributed to make possible the cardiac muscle acting (Electrocardiogram) and to circulate the blood in aorta to be ultimately poured out the small circulation in upstream of general circulation, distribution obeying Lusamba diagram. A model has been elaborated to choose a thermodynamic system (KUNYIMA Chart) on which the needful energy of blood flow has been assessed. It stays to quantify the vital energy for the electrification of cardiac muscle (ECG) in order to have a definitive idea on total energy from Keith Flack node. Each heart failure demands energetic knowledge of Keith Flack node and the energetic repartition of ventricles shrinkages.</p> <p><strong>Aim and Objective:</strong> Presentation master program in cardiochemistry (new discipline) and Lusamba diagram to scientific world.</p> <p><strong>Methodology: </strong>Observation, documentary research and calculations have been used.</p> <p><strong>Results: </strong>Physico-chemical and thermoexergetic grounds of heart acting have been published elsewhere and allowed thus to conceive this program.</p> <p><strong>Conclusion: </strong>Physical Cardiochemistry (PCC) is therefore a set of physico-chemical and thermoexergetic grounds of heart acting. It backs up the bio-medical sciences and helps in one sense to the comprehension of certain energetic phenomena occurring in the cardiac system. Therefore, this large knowledge will help physicians to efficient prescriptions for an effective energetic and appropriate supplying. It is supposed evidently that future cardiac healing will essentially be energetic.</p> 2020-09-12T00:00:00+00:00 ##submission.copyrightStatement## https://www.journalca.com/index.php/CA/article/view/30143 Predictors of Heart Failure in Nigerian Children with Ostium Secundum Atrial Septal Defects and Associated Structural Defects 2020-09-22T03:52:45+00:00 Chika O. Duru chikamerenu@yahoo.com Josephat M. Chinawa <p><strong>Background: </strong>Atrial septal defects are common congenital heart defects which could be discovered incidentally during cardiac screening of a child in heart failure. The aim of this study was to determine the predictors of heart failure in children with ostium secundum Atrial Septal Defects (os-sec ASD) and other associated structural lesions.</p> <p><strong>Methods: </strong>Seventy-five children with os-sec ASD seen in two tertiary centres in Southern Nigeria were recruited prospectively. Details of age, gender, anthropometric parameters and echocardiographic findings were entered into a proforma. The sizes of the ASDs were categorized into 3 groups; small size=&lt;5 mm, moderate size=5-9mm and large size=≥10 mm. The modified Ross Classification was used to determine the presence of heart failure. Data were analyzed using SPSS v 25.0 software.</p> <p><strong>Results: </strong>The ages of the children ranged from 0.25 months to 242 months with a mean age of 3.2±1.7 months and a male: female ratio of 1.5:1. Forty (53.3%) children had isolated os-sec ASD while 35 (46.7%) children had os-sec ASD with other structural defects. Thirty-eight (50.7%) of the children had features of heart failure at presentation out of which 50% were infants and 88.0% were mildly wasted. There was no significant association between the presence of heart failure in the study subjects and age, gender or nutritional status (p&gt; 0.05). There was however a significant association between the presence of heart failure and other structural defects co-existing with ASD (p = 0.038) and Large sized os-sec ASD of greater than 10mm (p = 0.0001) in those with isolated os-sec ASD.</p> <p><strong>Conclusion: </strong>Children with ostium secundum Atrial septal defects could present with heart failure, which is more likely if the defect is &gt;10mm or associated with other structural heart lesions.</p> 2020-09-04T00:00:00+00:00 ##submission.copyrightStatement## https://www.journalca.com/index.php/CA/article/view/30140 Patent Ductus Arteriosus: Update Review 2020-09-22T03:52:52+00:00 Lucilla do Espírito Santo Brandão Rose Mary Ferreira Lisboa da Silva Roberto Max Lopes Cristiane Nunes Martins <p>The Ductus Arteriosus (DA) is a vascular structure of the fetal heart that communicates the isthmus of the aorta (at the junction of the aortic root with the descending aorta) to the roof of the bifurcation of the pulmonary trunk. It is an essential structure of the fetal heart that connects the pulmonary circulation to de systemic circulation bypassing the lungs. The DA is usually patent at birth. It undergoes through muscle contraction between 10 and 15 hours of life and closes due to fibrous proliferation of the intimal layer by the third week of life. The change in the natural history of DA, with consequent permeability beyond the predicted period, promotes the Patent Ductus Arteriosus (PDA) a congenital acyanotic heart disease. The most important risk factor for PDA is prematurity. Other risk factors are the congenital rubella, chromosomal abnormalities, genetic factors, low birth weight, perinatal asphyxia and birth in high altitude places. The clinical manifestations of a PDA are determined by the degree of left-to-right shunting, which is dependent upon age, the size and length of the PDA and the difference between pulmonary and systemic vascular resistances. The diagnosis of PDA is usually based on its characteristic clinical findings and confirmation by echocardiography. The proper management of PDA depend on age, hemodynamic impact and resource available and may include conservative management, pharmacologic treatment, surgical approach and percutaneous closure. The complication rates for percutaneous and surgical closure are rare.</p> 2020-08-17T00:00:00+00:00 ##submission.copyrightStatement##