On sweet undeniable feeling of power of international intellectual feudalism, bias, discrimination, censoring and theft
This is a first piece we open for debate and discussion. As every editor can comprehend from the title of this short introduction, this is about may be some journal editors have experienced or it may only be intrinsic for our journal.
This is to notify that we prolong the time for review and revision for manuscripts we receive for consideration for publication for authors, reviewers and editors involved in the fight against COVID -19.
The Heart, Vessels and Transplantation journal, Center for Scientific Research and Development of Education, Bishkek, Kyrgyzstan and British Council office invite you to take part in online Academic English Writing Course that starts on January 2023 (Every Monday and Wednesday 5-6 pm Bishkek time ).
Center for Scientific Research and Development of Education organizes course online echocardiography for beginners for physicians, residents and interns. The course starts in October 29, 2024, 2 times per week
Center for Scientific Research and Development of Education organizes online course on biomedical statistics that will help you understand and use statistics for your scientific work, thesis and dissertations and manuscripts. The course starts on April , 2023, 8-9.30 pm Bishkek, Kyrgyzstan time, every Tuesday and Thursday for 5 weeks.
International Research School organized by Heart, Vessrls and Transplantation journal and CSRDE will be held in November 2022 online, semi-virtual format is also on agenda if global pandemics sitiation will allow to make semi-virtual. We invite young researchers, residents, PhD students and junior faculty members of universities, research institutons, teaching hospitals who would like to acquire research skills in preparation of scientific project.
In this article we highlighted the blood pressure management in elderly patients with orthostatic hypotension.
Intra-aortic balloon pump (IABP) is widely used as a mechanical support device. Current evidence after the IABP-SHOCK II trial is ambiguous. We evaluated the impact of IABP on hemodynamic parameters (Cardiac Output (CO), Cardiac Power Output (CPO) and Systemic Vascular Resistance (SVR)) measured at 6 and 24 hours in patients presenting with cardiogenic shock (CS) with Acute Coronary Syndrome (ACS) amongst Asian Indians.
On the stage of left atrial percutaneous procedures a number of acute complications and their management have been described. In the current brief report, coronary air embolism, its acute manifestations, differential diagnosis and outcomes were presented in three patients who underwent cryoballoon ablation of atrial fibrillation and left appendage closure.
We present the case of a pregnant woman with Wolf-Parkinson-White syndrome with recurrent episodes of tachycardia, refractory to antiarrhythmic drug therapy, who underwent catheter ablation of a left lateral accessory pathway without the use of fluoroscopy.
We are committed to evaluate by means of independent peer-review your manuscripts and produce evidence-based science and medical knowledge, as well as bring to your attention comprehensive knowledge aimed at improving your clinical practice and provide continued medical education.
Sepsis is the result of the hosts’ response to an infectious agent, leading to organ dysfunction (1). It is a very common syndrome, estimated to have occurred in 48.9 million people in 2017, which represented an incidence of 677.5 (535.7–876.1) cases per 100,000 in the same year
Aorto-iliac occlusive disease (AIOD) is a common atherosclerotic disease causing significant morbidity. Transatlantic intersociety consensus for the management of peripheral arterial disease (TASC II) recommends endovascular therapy (ET) for better management of patients with lesions type A and B. With the advent of endovascular therapy, type C and D lesions management is becoming more feasible with endovascular therapy than open surgery for aorto-iliac occlusive disease. We aimed to evaluate patients with AIOD and to describe short-term outcome of endovascular treatment for such lesions.
As a result of reviewing and studying the studies, it can be concluded that the replacement of the aortic valve with minimally invasive methods is more effective.
Primary percutaneous coronary intervention (PCI) is the preferred reperfusion therapy for ST elevation myocardial infarction (STEMI) patients in the first 12 hours after symptom onset, provided it can be performed quickly (120 minutes from STEMI diagnosis) by an experienced team
During the last two years, our professional as well as personal lives have been considerably influenced by the COVID 19 pandemics. This situation has required fundamental changes how to approach and maintain our activities. However, in spite of the pandemic situation we continue organizing the International Research Interdisciplinary School (IRIS) courses annually for already 16 years.
The updated ESC guidelines for the prevention of cardiovascular diseases (CVD)
Preoperative CPET before elective CABG was feasible and safe. However, a large proportion of patients did not achieve the anaerobic threshold. Therefore, VE/VCO2 slope, OUES and HRR may be the most useful CPET variables in the preoperative period.
This study showed that normotensive non-dipper patients had inflammation as much as dipper hypertensive patients according to measurement of MPV, RDW systemic inflammation index, PLR, NLR levels.
The purpose of this article was to highlight the points to be considered in blunt traumatic aortic injury due to high-energy motor vehicle accident.
We present a case of a large patent ductus arteriosus closure with Amplatzer ductal occluder in a 14-month-old girl with low birth weight.
We demonstrated that in cases when the antergrade access to CTO is not possible, femoral vein retrograde access with transseptal puncture with coronary intervention and stenting can be used successfully.
New sections have appeared concerning patient workout before implantation, but also concerning the new modalities of conduction system pacing, and a new section on perioperative management. We summarize here the key points from these International guidelines.
Heart failure (HF) is a major health problem affecting millions of people worldwide. The report about heart disease and stroke statistics claimed that almost 6.0 million Americans ≥20 years of age had HF based on the results of 2015-2018 The National Health and Nutrition Examination Survey (NHANES) (1)
The current guidelines are a breakthrough in the approach to heart failure not only because of new therapies, but mainly because of the approach to treatment. The newest recommendations mark the beginning of an era in which personalization of implemented therapies comes to the fore
The cTnT/CK-MB ratio was superior to its components in predicting changes in LV function after STEMI. The cTnT/CK-MB ratio can be used in clinical practice for risk stratification and treatment optimization.
Percutaneous coronary diagnostic and therapeutic procedures are very frequent worldwide and therefore bring to discussion the best vascular access for each patient. The vascular access for coronary angiography or coronary interventions must be chosen according to the patient's clinical and anatomical characteristics, as well as the experience of the interventional cardiologist. Several studies have shown the superiority of radial access compared to femoral access, reducing local complications, major cardiovascular events, death and hospital costs. The ulnar approach is a feasible and safe option in the absence of radial access.
Bradycardia during the early period following heart transplantation frequently occurs with an incidence of 14 to 44% and it is usually self-limited. The incidence of late bradycardia (from 30 days to more than 5 or 6 months after transplantation) has been reported to be 1.5%. A 33-year-old male patient with a history of orthotopic heart transplantation in 2013 presented with complaints of dizziness and near syncope. A DDDR permanent pacemaker was implanted for sinus pauses exceeding 3 seconds recorded on Holter examination. Shortly after the procedure, he developed sudden cardiovascular collapse. Cardiopulmonary resuscitation was performed and a pulse steroid treatment (2 grams of methylprednisolone) was given. After 2 days, the patient was extubated. While making preparations for re-transplantation, cardiopulmonary arrest developed again and he died. Sinus pause may be a clue for rejection and is an important finding in predicting clinical course.
We report a case of a 55-year-old gentleman who had undergone thoracic EVAR. Thirty months after the given procedure he presented with RTAD and underwent supracoronary aortic replacement. The article is intended to remind the clinicians of the importance of early detection of the possible complications when performing EVAR, and the significance of a rapid response.
We present a case of a 78-year-old female patient who was admitted to our hospital with progressive dyspnea and chest pain. Echocardiography revealed multiple masses of different shape and size in the left atrium, the left and right ventricles. Cardiac magnetic resonance confirmed multiple cardiac masses with signs of invasion in the myocardium and heterogeneous late gadolinium enhancement in all these masses. A biopsy of the abdominal mass revealed an undifferentiated pleomorphic sarcoma.
Nina Starr Braunwald - first female heart surgeon, a pioneer in cardio-thoracic surgery, certified by the American Board of Thoracic Surgery and the first elected to the American Thoracic Surgery Association, a wonderful wife and mother of three daughters, teacher and mentor of several generations of doctors. We will tell everyone about this in more detail in our historical note
For a long time, medicine was the prerogative of men, and women were not allowed to this area. And despite the prohibitions and moral values of those times, women left a mark in the history of medicine.
His-bundle pacing (HBP) appears to be a viable stand-alone or adjunctive physiological pacing therapy in pacemaker dependent patients. It could also serve as an effective adjunct or alternative pacing therapy for heart failure patients who require cardiac resynchronization therapy or pacemaker upgrade. His-bundle pacing has demonstrated improvement of His-Purkinje conduction, left ventricular electrical / mechanical synchronization, and left ventricular ejection fraction (LVEF) compared with right ventricle pacing.
In this review article we summarized the differential diagnosis of radiological signs of pneumonia associated with COVID-19 infection and emphasized learning points.
The case of a patient with repetitive syncope episodes with a history of using loperamide at high doses for recreational purposes in search of an effect similar to heroin, is reported. In the diagnostic approach with Holter monitoring, ventricular tachycardia and ventricular fibrillation were evidenced. We also present the treatment of our case and review the literature.
This article discusses the easy way and steps to interpret an electrocardiogram (ECG). ECG is one of the hardest topics for medical students, young medical doctors, cardiac nurses and other health professionals, that is why this topic has been chosen in order to help them to understand how to interpret ECG easily.
We would like to open a discussion on this topic - how to teach young researcher the soft skills required for doing research, as well as how to combine the on-line and in-person formats in an optimal way.
The 4th Annual Scientific-Practical Conference on Mini-invasive and Innovative Cardiac Surgery devoted to the memory of Isa K. Akhunbaev was held between 19-22 June 2021, in Bishkek and Baet, Issyk-Kul, Kyrgyzstan.
In this issue March 2021 issue of the Heart, Vessels and Transplantation journal you may find editorial on what is new in 2020 atrial fibrillation (AF) guideline, research article on pericardial involvement after cardiac surgery and reviews on syncope evaluation and biomarkers in congenital heart disease, case reports on infectious endocarditis in acute coronary syndrome, Texidor`s twinge as a cause of chest pain, quizzes on electrocardiography and interventional cardiology, and interesting commentary on literature and medicine.
The main purpose of this review is to highlight the indications for HUTT and indicate situations in which it should be avoided due to the lack of added value of the applied therapy.
In this review, we aimed to analyze recent studies concerning the role of the NT-pro-BNP in pediatric cardiac patients with pulmonary hypertension.
Presentation of an acute coronary syndrome related to infective endocarditis is rare but potentially lethal. For young people, acute myocardial infarction and an infection syndrome should lead us to suspect IE.
Various maneuvers like lying down or sitting upright and attempting deep inspiration tends to help in such conditions. This case report is reporting an unusual presentation of this syndrome due to its long duration of episode than the duration described in the previous reports.
A-60-year-old male, attended to cardiology outpatient clinic with a numbness for 1 week without chest pain. In his medical history, no hypertension or diabetes mellitus was present.
The following piece is a reflection concerning the interplay between the art of writing and the art of medicine. We are exploring the similarities and disparities of the field with a focus on doctors – medical students and fiction authors/poets.
An analysis of the current situation in the Kyrgyz Republic demonstrates that the areas of concern in care system for patients with cardiovascular diseases (CVD) are the insufficient and untimely identification of cardiovascular risk factors, as well as their ineffective management due to the incomplete implementation of existing risk stratification guidelines and decision-making. This study assesses distribution of total cardiovascular risk among the population of the Kyrgyz Republic using the WHO/ISH risk scale. In addition, the distribution of the main risk factors separately is calculated, as well as the frequency of some additional CVD risk factors that are not included into the WHO/ISH evaluation scale is estimated.
Our observational study demonstrated significant improvement in oxygen saturation, reduction in inflammatory markers – leukocytosis, CRP and D-dimers and 83% recovery without need for mechanical ventilation and no mortality in patients with COVID-19 with severe multilobar bilateral pneumonia and CT score 3-4 receiving tocilizumab in addition to standard treatment.
New techniques and special bifurcation stents may possibly overcome some limitations of the using two stents and revolutionize the management of PCI of bifurcation lesions of the coronary arteries in the future.
A 68-year-old patient with history of recent coronary artery bypass surgery (CABG) was admitted to our hospital with incessant monomorphic ventricular tachycardia (VT) and was treated successfully with radiofrequency catheter ablation (RFA).
Cystic adventitial disease (CAD) is a very rare vascular disorder with prevalence as low as 1:1000 of all vascular pathologies (1). This disease most frequently occurs in young or middle-aged male patients with male/female ratio of 5/1
A 55 years old male patient with severe coronary artery disease was sent to our echocardiography lab for preoperative evaluation.
A 25-year-old male, without cardiovascular risk factors or cardiovascular history, was referred to our hospital for recurrent angina. Thirty days before he presented the signs of a clinical myocardial infarction without receiving medical assistance.
The IRIS Kyrgyzstan 2020 represents further important step in moving IRIS into the virtual space (1, 2). The first full on-line course Kyrgyzstan 2020 digital was held on October 23-27, 2020, organized by the Center for Scientific Research and Development of Education, SRI of Heart Surgery and Organ Transplantation, National Center of Cardiology and Internal Medicine, and International School of Medicine, Bishkek, Kyrgyzstan, under the under patronage of Heart Vessels and Transplantation journal, under the leadership of Gulmira Kudaiberdieva.
T wave peak-to-end interval is a measure of transmural dispersion of repolarization and accepted as a surrogate for increased ventricular arrhythmogenesis risk. Our findings show that ASD patients whose shunt ratio are ≥2.0 show increased risk for arrhythmias.
We aimed to define the relationship of preoperative N-terminal-pro-brain type natriuretic peptide (NT-pro-BNP) testing in routine practice of cardiac surgery with clinical, perioperative variables, surgical outcomes and complications in pediatric and adult cardiac surgery patients. In addition, we assessed relationship of NT-pro-BNP with EuroSCORE II in adult patients undergoing cardiac surgery.
The use of the laboratory criterion NT-proBNP makes it possible to objectively diagnose myocardial dysfunction with high analytical sensitivity and specificity; nevertheless, it is always necessary to compare complaints and Echo-CG data with NT-proBNP data.
Worldwide spread of coronavirus disease (COVID-19) caused overwhelming mortality rate during preceding half of the year 2020. Although coronavirus infection was known for mostly respiratory tract involvement, novel COVID-19 pandemic showed excessive cardiac mortality and arrhythmic complications. We aimed to summarize current literature and emphasize on underlying pathological mechanisms and global point of view to coronavirus and arrhythmia relationship.
We present here the case of acute coronary syndrome (ST elevation myocardial infarction) with total occlusion of right coronary artery successfully treated with PCI and stenting during COVID-19 pandemics.
International Research Interdisciplinary School 2020 in Slovakia will be held on September 12-15, 2020.
International Research Interdisciplinary School 2020 will be held in virtual online format (due to pandemics restrictions) on October 23-27, 2020.
We would like to welcome our new editors: on cardiovascular diseases, pulmonary disease and pulmonary hypertension – Dr Baktybek Kojonazarov from Gessen, Germany; on cardiovascular surgery - Dr Jeffrey Shuhaiber from Boston MA, USA; on cardiology and high-altitude medicine - Prof. Akpay Sarybaev, Bishkek, Kyrgyzstan and on nuclear cardiology and cardiology - Dr Andrea Rocha de Lorenzo from Rio de Janeiro, Brazil. Our team of editors’ feels enriched with invaluable expertise of our new members.
The maximum number of cases of coronavirus infection was 79 (tested positive cases, including asymptomatic and cases with clinical manifestations) as of April 12, 2020. According to the forecast by the WHO methodology, the peak incidence of COVID-19 should be at the eighth week of the development of the epidemic process, amounting to 92 cases. Starting from the fifth week, the number of cases of COVID-19 tends to decrease gradually and the mathematical model for predicting the incidence of COVID-19 in the Kyrgyz Republic shows that by the end of May 2020, 97% of the total number of infected with coronavirus will be detected.
The understanding of the pathophysiology of cardiovascular complications in COVID-19 is a key to the implementation of therapeutic measures, which may offer additional benefits, mainly for patients with severe disease, such as anticoagulants.
This study shows the possibility of implanting the right size of the artificial heart valve, with rheumatic lesions of the mitral valve with the complete preservation of subvalvular structures.
The aim of this investigation is to study clinical, laboratory, neurosonography and electroencephalography characteristics of preterm infants with VLBW and ELBW with hypoxic of CNS on complex comprehensive nutritional support, diagnostic criteria of which were infants body weight gain, increase in growth and head circumference
In this review, we aimed to represent recent physiological and clinical standpoints regarding to athletic heart syndrome as well as its difference from sedentary heart changes and pathological hypertrophy, its association with sudden cardiac death.
Thus, our case demonstrated reduction of left atrium early in postoperative period and its slow reduction after surgery during 1 year. It is also showed human reserve capacity and possibility of left atrial dilatation to such sizes. Late diagnosis of such changes in heart is possibly related to the fact that patient was afraid to see doctors and undergo surgery. The left atrial cavity size determination can be done intraoperatively using method of surgical glove we suggested.
This case highlights it is necessary to investigate balance between efficacy and safety of lopinavir/ritonavir for COVID-19 therapy. Off –label prescribing lopinavir/ritonavir outside of a clinical trial setting should be avoided until the data have proven that treatment benefit over placebo.
The prognosis of the indigenous people of the high-altitudes of Kyrgyzstan regarding the risk of developing T2DM depends on phenotypic factors and living conditions in the high altitudes, with hypoxia playing the leading role. Among the highlanders of Kyrgyzstan, metabolic factors are dominated by abdominal obesity, and it is likely that regular intake of fruits and vegetables is effective to reduce the risks of developing diabetes, along with the fight against other negative factors.
Occurrence of complications and conversion to conventional surgical cholecystectomy reduced over time, depending on surgical experience of operating team and practice of operator.
This review is devoted to comprehensive echocardiographic analysis of right ventricular function - right ventricular strain rate analysis.
The following 12-lead electrocardiogram (ECG) tracing is provided from a 72 years old male patient implanted with a dual-chamber pacemaker (Medtronic Astra DR), when applying a magnet. He underwent three previous persistent atrial fibrillation and atrial tachycardia radiofrequency ablations, and an additional atrioventricular node ablation procedure (left ventricular ejection fraction 45%). The patient does not report any cardiovascular symptom.
International Research Interdisciplinary School 2020 will be held on June 7-12 at the shore of the pearl of Kyrgyzstan – Bayet, Issyk-Kul lake.
International Research Interdisciplinary School 2020 in Slovakia will be held on September 12-15, 2020.
To define epidemiological and nosological structure of patients with chronic heart failure (CHF) according to hospitals of tertiary level of the Kyrgyz Republic (National Center of Cardiology and Therapy and Scientific Research Institute of Heart Surgery and Organs Transplantation).
Left ventricular ejection fraction (LVEF) is the most frequently used echocardiographic parameter. LVEF based heart failure classification, timely intervention in a patient with valvular disease (e.g. aortic stenosis, mitral regurgitation), deterioration of myocardial function in a patient treated with chemotherapy; all need a simple LVEF value for decision-making process.
A 39-year-old female patient who had aortic and mitral valve replacement due to rheumatic heart disease was also found to have cystic mass in the right ventricle on echocardiography during late routine control. The cystic mass identified on echocardiography was shown to be a pseudoaneurysm that develops from the membranous section of the interventricular septum and grows toward the right heart by ECG-triggered cardiac computed tomography performed for differential diagnosis. Because the patient did not accept the surgery, regular follow-ups were recommended.
According to results of our study, combined surgical interventions especially those performed from a single surgical approach, slightly increase the severity of the operation compared to isolated interventions performed for the same underlying diseases. Evidence reveals that simultaneous operations are not followed by severe operational complications, which could be an expected feature of solely this type of operation.
On October 25-26, 2019 the annual international scientific-practical conference "School of Arrhythmology" was organized by the main cardiac surgical medical institution of Kyrgyzstan - "Scientific Research Institute of Heart Surgery and Organ Transplantation" under the Ministry of Health of Kyrgyz Republic.
In this review, the recent developments about the accesses for pacemakers and ICD will be described: the axillary and the femoral vein. The His bundle pacing and the advantages of the entirely subcutaneous defibrillator will also be presented.
Foods have a wider role besides simply satisfying hunger, and the gut may be the source of several diseases. The human gut is populated by 100 trillion microorganisms and the most abundant phyla are the Firmicutes ( 60 a 80%), such as the lactobacilli, and the Bacteroidetes ( 20 a 40%), such as the gender Bacteroides.The obesity epidemics may be related to the constant availability of food, less physical exercise, and influences on the gut microbiota such as type of food ingested (low fiber, high calorie, and high fat).
A 66 years old woman with known dilated cardiomyopathy and severely reduced ejection fraction presented with bundle branch reentrant tachycardia. Bundle branch reentrant tachycardia is an uncommon form of ventricular tachycardia incorporating both bundle branches into the reentry circuit. The diagnosis is based on electrophysiological findings and pacing maneuvres that prove participation of the His- Purkinje system in the tachycardia mechanism.
We describe a case of Streptococcus alactolyticus infective endocarditis complicated by bacteriemia. A 64-year-old male with a previous history of coronary artery bypass grafting applied to our cardiology outpatient clinic with complaints of dyspnea, fever, confusion and an apical holosystolic murmur.
In the year 2019, two IRIS courses were held, one in Ukraine and one in Slovakia, completing the total number of 25 courses since the year 2006.
Between 14-18 May 2019 in Bishkek, Kyrgyz Republic at SRI of Heart Surgery and Organs Transplantation of Ministry of Health of Kyrgyz Republic master- classes on transcatheter aortic valve replacement, combined valvular heart diseases surgery and coronary bypass surgery, congenital heart diseases surgery: mini-invasive surgery of complex congenital heart diseases and thoracoscopic correction of congenital heart diseases, combined surgery of aortic root and coronary artery diseases, on interventional arrhythmology and cardiology, interventional closure of congenital heart diseases, on intraoperative transesophageal echocardiography took place.
In this June 2019 issue of the journal you can find article on management of deep venous thrombosis in general surgery, review article on strategy of preservation subvalvular structures in mitral valve replacement surgery and quizzes on electrophysiology and pacemaker.