ORIGINAL_ARTICLE
Preventive pediatric cardiology
HISTORICAL
https://arya.mui.ac.ir/article_10158_815663e20e4c9f2470ae67e2927dff11.pdf
2010-12-18
Roya
Kelishadi
kelishadi@med.mui.ac.ir
1
MD. Associate Professor.
LEAD_AUTHOR
ORIGINAL_ARTICLE
A STUDY OF THE EFFECT OF LIPOSUCTION ON CORONARY DISEASE RISK FACTORS, INFLAMMATORY MARKERS, AND LEFT VENTRICULAR MASS IN NON-DIABETIC OBESE WOMEN
AbstractINTRODUCTION: Liposuction is a surgical procedure effective in reducing body fat, withgrowing application in conjunction with diet and exercise therapy in the treatment of obesity.In view of the positive effect of weight reduction on cardiovascular disease (CVD) riskfactors, such as body mass index (BMI), waist circumference (WC), waist-to-hip ratio(WHR), systolic and diastolic pressure, lipid profile, fasting blood sugar, insulin resistance,inflammatory markers (e.g. chronic reactive protein: CRP), antioxidant capacity, fibrinogenand lipoprotein A (Lpa), this study was conducted to assess the effect of liposuction as atherapeutic procedure in the treatment of obesity.METHODS: A total of 24 non-diabetic obese women (BMI>30) with a mean age of48.7±7.3 years were studied. Before liposuction, the subjects filled out questionnairesobtaining demographic information. Complete physical examination, measurement of waistand hip circumference, height, weight and calculation of WHR and BMI were performed.Fasting blood samples were taken to measure fasting blood glucose, total cholesterol, highdensitylipoprotein (HDL), low-density lipoprotein (LDL), triglyceride (TG), fibrinogen,antioxidant capacity, CRP, lipoprotein A, serum insulin, and insulin resistance. Allmeasurements and physical examinations were repeated 12-14 weeks after liposuction.Data were analyzed with SPSS11 software using paired t-test and repeated measureANOVA.RESULTS: WHR, BMI and LDL decreased significantly following liposuction (P<0.05).Other parameters, however, did not change significantly, although there were signs ofpositive changes.DISCUSSION: Liposuction decreases BMI, WHR and LDL within 12-14 weeks ofliposuction. Providing these reductions are maintained, liposuction may prove valuable inreducing CVD risk factors, besides offering a means for obesity control.Keywords • Liposuction • Obesity
https://arya.mui.ac.ir/article_10159_aef969d70648363f929042700c3670a6.pdf
2010-12-18
Masoumeh
Sadeghi
m_sadeghi@med.mui.ac.ir
1
Assistant Professor, CVD in Women
Research Unit, Isfahan Cardiovascular Research Center.
LEAD_AUTHOR
Ahmad Reza
Khayam Nekooyi
2
MD,
AUTHOR
Hamid
Sanei
3
MD
AUTHOR
Gholamali
Naderi
4
MD,
AUTHOR
Ahmad
Bahonar
5
MD,
AUTHOR
Mozhgan
Soghrati
6
MD,
AUTHOR
Mehrdad
Yazdani
7
MD
AUTHOR
ORIGINAL_ARTICLE
IMPACT OF HELICOBACTER PYLORI ON PROGNOSIS OF PATIENTS WITH ACUTE CORONARY SYNDROME
AbstractINTRODUCTION: Coronary artery disease (CAD) is the main cause of mortality inindustrial and developing countries. New risk factors including infections are underinvestigation as potential factors. One of these infectious agents is Helicobacter pylori,which has been investigated in numerous studies. This study was designed in view of thecontroversies surrounding the impact of Helicobacter pylori on the prognosis of patients withacute coronary syndrome (ACS).METHODS: All patients with ACS including unstable angina and myocardial infarction whowere referred to Fatemieh Hospital between 20 February 2003 and 19 February 2004 andwere admitted to the CCU ward were enrolled in this cohort study. A total of 411 patientswith ACS were evaluated for Helicobacter pylori serologically, and the occurrence of cardiacevents needing angioplasty or coronary surgery was assessed.RESULTS: Mean age of patients was 59.97±38.12 years and 56% of them were male. Theserology test for Helicobacter pylori infection was positive in 45.6±12.38%, negative in43.8%, and borderline in 10.6% of patients. 191 patients had unstable angina and 220patients had myocardial infarction. In a one-month follow-up, 10% of the patients developedcardiac events and PCI or CABG was performed in 6.1% (16.1% totally). One-monthoccurrence of cardiac events in the group with Helicobacter pylori infection was 11.9% vs.19.3% in the group without infection (χ2 =3.078, P=0.079).DISCUSSION: This prospective study showed that Helicobacter pylori infection has noeffect on short term prognosis of patients with ACS.ARYA Journal, 2005, 1(3): 164-169Keywords • Helicobacter pylori • Acute coronary syndrome • Prognosis
https://arya.mui.ac.ir/article_10160_8d26d98fefe69f544297e288a3d9fd60.pdf
2010-12-18
Rahime
Eskandarian
rheskandarian@yahoo.com
1
, Internal Medicine Research Center,
Fatemieh Hospital, 17th Shahrivar Blvd, Semnan.
LEAD_AUTHOR
Shahrokh
Moosavi
2
MD,
AUTHOR
Mehdi
Babai
3
MD,
AUTHOR
Jafar
Toussy
4
MD
AUTHOR
Raheb
Ghorbani
5
MD,
AUTHOR
Mojtaba
Malek
6
MD,
AUTHOR
Mohsen
Shiasi
7
MD,
AUTHOR
Behroz
Momeni
8
MD
AUTHOR
Ali
Ghasemi
9
MD,
AUTHOR
Azade
Vatani
10
MD,
AUTHOR
Mehrdad
Zahmatkesh
11
BS
AUTHOR
ORIGINAL_ARTICLE
ASSOCIATION OF ANXIETY DISORDER AND CAROTID ATHEROSCLEROSIS
AbstractINTRODUCTION: Anxiety is associated with a higher risk of cardiovascular disease. Thepresent study aims to assess the extent of carotid artery atherosclerosis in patients with andwithout anxiety disorder.METHODS: In a cross-sectional study, two groups of participants with and without anxietydisorder (40 and 80 subjects, respectively) according to DSM-IV were selected from thePsychiatry Clinic of Noor Hospital and Mental Health Unit of Isfahan CardiovascularResearch Center by simple sampling method. Evaluation of major risk factors wasperformed after recording demographic characteristics. Zung questionnaire was used toassess severity of anxiety. Carotid ultrasonography was performed in three portions ofcarotid arteries, bilaterally, and Intima-Media Thickness (IMT) ≥8 mm was considered asatherosclerosis. Statistical analysis included t-test, χ2 and logistic regression.RESULTS: Mean age of participants with and without anxiety disorder was 49.07±12.08and 48.68±11.02 years, respectively. Major atherosclerosis risk factors did not differsignificantly between the two groups. IMT values in all portions were significantly higher inthe anxiety group. The presence of anxiety was positively associated with the presence ofatherosclerosis in all branches, except for the left common carotid artery.DISCUSSION: Anxiety increases the risk of cardiovascular disease, hence measures mustbe adopted to control anxiety with pharmacologic and nonpharmacologic interventions toreduce atherosclerosis.ASSOCIATION OF ANXIETY DISORDER AND CAROTIDATHEROSCLEROSISARYA Journal, 2005, 1(3): 170-174Keywords . Anxiety . Intima-Media thickness . Atherosclerosis
https://arya.mui.ac.ir/article_10161_e4b822f8b3d06e7b123d452dbe7b92a5.pdf
2010-12-18
Hamidreza
Roohafza
hroohafza@gmail.com
1
Psychiatrist, Mental Health Department,
Isfahan Cardiovascular Research Center.
LEAD_AUTHOR
Masoumeh
Sadeghi
2
MD,
AUTHOR
Hamid
Afshar
shafsharz@gmail.com
3
MD,
AUTHOR
Ghafor
Mousavi
4
MD,
AUTHOR
Abbas
Attari
5
MD,
AUTHOR
Nafiseh
Toghianifar
6
MD,
AUTHOR
Mohammad
Talaei
7
MD,
AUTHOR
Mehrdad
Yazdani
8
MD
AUTHOR
ORIGINAL_ARTICLE
A STUDY OF THE RELATIONSHIP BETWEEN MYOCARDIAL PERFORMANCE INDEX AND LEFT VENTRICULAR END-DIASTOLIC PRESSURE IN PATIENTS WITH LEFT VENTRICULAR SYSTOLIC DYSFUNCTION
AbstractINTRODUCTION: Doppler echocardiography is used to evaluate global myocardialperformance. An index of myocardial performance (Tei Index) can be of great prognosticvalue in heart failure. This study was performed to assess the correlation between Tei Index(TI) and left ventricular end diastolic pressure (LVEDP).METHODS: The study group consisted of 38 patients. Each patient underwentventriculographic evaluation (all had EF≤45). Eighteen patients had LVEDP<15 (14 males,4 females, 57±6 years old) and 20 subjects (15 males, 5 females, 56±7 years old) hadLVEDP≥15. Using Doppler echocardiography, TI was determined for all patients andcompared.RESULTS: Mean TI value was significantly different between subjects with LVEDP<15 andthose with LVEDP<15 (0.55±0.18 vs. 0.76±0.19, P<0.001, T=4.1).DISCUSSION: In patients with systolic heart failure (EF≤45), TI was significantly lower insubjects with LVEDP<15 compared to those with LVEDP≥15. Thus, TI may be useful fornoninvasive assessment of LVEDP in heart failure.Keywords • Tei index • Ventricular performance • Heart failure
https://arya.mui.ac.ir/article_10162_caa986e1719d3c0f9cc578838f78dd20.pdf
2010-12-18
Mohammad Reza
Khaledian
f.radandish@gmail.com
1
MD.
School of Medicine, Shahid Beheshti University. Tehran.
LEAD_AUTHOR
Jamshid
Najafian
jamshid_najafian@yahoo.com
2
MD
AUTHOR
ORIGINAL_ARTICLE
A STUDY OF THE EFFECT OF RELAXATION AND BIOFEEDBACKASSISTED RELAXATION ON PATIENTS WITH MILD HYPERTENSION
AbstractINTRODUCTION: Hypertension is one of the most prevalent chronic diseases worldwide.Because of its chronicity, hypertension requires life-long therapy. Many patients tend todiscontinue therapy and seek alternative treatments. In this study, we evaluated the efficacyof two behavioral therapeutic techniques, namely relaxation and biofeedback-assistedrelaxation in reducing blood pressure.METHODS: Fifty-six mildly hypertensive men (aged between 30 and 60 years) who did notuse any pharmacological treatment, took part in this study. The participants were randomlydivided into three groups, relaxation (group one), biofeedback-assisted relaxation (grouptwo) and control (group three). The treatment course consisted of ten sessions (every otherday). Relaxation was performed in groups one and two for 15 minutes during each session.In group 2, for another 15 minutes at the end of each relaxation session, blood pressure wasmeasured at 2- to 3-minute intervals and declared to the patient. Heart rate and bloodpressure were measured and recorded before and after each session. In the control group,only blood pressure was measured at each session. Stress was measured using Malekpoorquestionnaire with 67% validity. Anxiety was measured by Ketel's questionnaire. Thepatients filled stress and anxiety questionnaires before and after the study period (20 days).RESULTS: Mean systolic and diastolic blood pressures decreased after the study period ingroups one and two. There was a significant difference between groups one and three(P<0.05) and between groups two and three (P<0.05).DISCUSSION: Relaxation and biofeedback-assisted relaxation techniques can reducesystolic and diastolic blood pressure, hence their benefits in the treatment of hypertensioncan be used in appropriate settings.A STUDY OF THE EFFECT OF RELAXATION AND BIOFEEDBACKASSISTEDRELAXATION ON PATIENTS WITH MILD HYPERTENSIONKeywords • Relaxation • Biofeedback-assisted relaxation • Anxiety • Stress • Hypertension
https://arya.mui.ac.ir/article_10163_41b480357d05c598ad0aa29791fa5d29.pdf
2010-12-18
Jamshid
Najafian
jamshid_najafian@yahoo.com
1
Isfahan Cardiovascular Research Center
LEAD_AUTHOR
Seyed Mehdi
Gholestan Hashemi
2
MSc
AUTHOR
ORIGINAL_ARTICLE
FRUIT AND VEGETABLE INTAKE IN POSTMENOPAUSAL WOMEN WITH OSTEOPENIA
AbstractINTRODUCTION: Adequate intake of fruits and vegetables as part of the daily diet couldhelp prevent major non-communicable diseases including osteoporosis. Some nutrientsabundant in fruits and vegetables have been shown to affect bone health. In the presentstudy we evaluated fruit and vegetable intake in postmenopausal women with osteopeniawho had referred to bone mineral densitometry center of Shariati hospital in Tehran.METHODS: The present cross-sectional study was carried out on 51 healthypostmenopausal women aged 45-60 years. Bone mineral density was measured by DualEnergy X-ray Absorptiometry at lumbar spine and total hip. All women were osteopenicaccording to WHO criteria. Food groups’ intake was assessed by 2 days 24 hour recall.Bone resorption was calculated by measuring carboxy-terminal telopeptide of type Ι collagen(crosslaps) and bone formation by measuring serum osteocalcin.RESULTS: No significant correlation was found for current food groups’ intake and bonemineral density at either lumbar spine or total hip. Fruit and vegetable intake wassignificantly negatively correlated with osteocalcin level (r = -0.4, P< 0.001). Serumosteocalcin level in those who consumed more than 400 grams of fruit and vegetable dailywas significantly lower than in the others (18±6.5 compared with 30±13.7, P<0.05).DISCUSSION: Increasing fruit and vegetable intake up to WHO recommendations forprevention of many chronic diseases can also be effective in prevention of osteoporosis andreducing fracture risk in postmenopausal osteopenic women. Intake of at least 400 grams offruits and vegetables daily can complement what is currently recommended for osteoporosisprevention.Keywords • Fruit and vegetable intake • Osteoporosis • Non-communicable diseases
https://arya.mui.ac.ir/article_10164_f78bf886f18876c1a10fe8a64df0ff49.pdf
2010-12-18
Samira
Ebrahimof
1
AUTHOR
Anahita
Hoshyarrad
2
AUTHOR
Arash
Hossein-Nezhad
3
AUTHOR
Nahid
Zandi
4
AUTHOR
Bagher
Larijani
5
AUTHOR
Masoud
Kimiagar
smkimiagar@yahoo.com
6
Shahid Beheshti University of Medical
Sciences, School of Nutrition & Food Technology,
Department of Human Nutrition.
LEAD_AUTHOR
ORIGINAL_ARTICLE
PREVALENCE OF METABOLIC SYNDROME IN AN IRANIAN ADULT POPULATION
AbstractINTRODUCTION: The clustering of several cardiovascular disease risk factors such asabdominal obesity, hypertension, dyslipidemia and disturbances in glucose metabolism hasbeen termed the Metabolic Syndrome (MS). The MS has been shown to predictcardiovascular disease (CVD) and diabetes. Epidemiological studies have demonstratedthat CVD is the main cause of worldwide mortality; they have also linked diabetes to anincreased risk of mortality due to CVD.METHODS: According to the ATP III (Adult Treatment Panel) reports, individuals havingthree or more of the following criteria are defined as having the MS: abdominal obesity(waist circumference > 102 cm in men and >88 cm in woman), hypertriglyceridemia(triglyceride ≥ 150 mg/dl), low high-density lipoprotein (HDL) cholesterol (HDL<40 mg/dl inmen and <50 mg/dl in women), high fasting blood sugar (FBS) (FBS≥110 mg/dl) and highblood pressure (BP) (BP≥130/85 mmHg). The SPSS package (SPSS Chicago IL) was usedand the significance level was set at P<0.05.RESULTS: Overall, the age-adjusted prevalence of the MS was 25.4% and 21.7% in theurban and rural areas of Isfahan, respectively. It was the highest among 50-59-year-old ruralIsfahani women (68.9%) and the lowest among rural Araki men (5.6%).DISCUSSION: We found approximately 21.9% of Iranian adults living in Central Iran tohave the MS. In summary, this study showed an increasing risk of the MS among middleagedwoman in urban areas owing to their physical quality of life. The results indicate thatprimary prevention should not only consider biological risk factors, but also take account ofsociodemographic variables to identify individuals at high risk for diabetes andcardiovascular disease.Keywords • Metabolic syndrome • ATPIII • Prevalence • Iran
https://arya.mui.ac.ir/article_10165_78c7812f342e474c7891ac2843e5f6fa.pdf
2010-12-18
Mojgan
Gharipour
mojgharipour@yahoo.com
1
Research Management Department,
Isfahan Cardiovascular Research Center
LEAD_AUTHOR
Roya
kelishadi
2
MD,
AUTHOR
Abdol Mehdi
Baghaie
3
MD,
AUTHOR
Maryam
Boshtam
maryamboshtam@gmail.com
4
AUTHOR
Katayoun
Rabeie
5
MD
AUTHOR
ORIGINAL_ARTICLE
DOES FRUIT AND VEGETABLE INTAKE DIFFER IN ADULT FEMALES AND MALES IN ISFAHAN?
AbstractINTRODUCTION: Adequate intake of fruits and vegetables (at least five servings a day) isrecommended as a nutritional behavior of great importance in prevention of chronicdiseases. This study aimed to compare the intake of fruits and vegetables in adult malesand females of Isfahan and to assess its association with personal and demographic factors,as well as seasons.METHODS: This cross-sectional study was performed on 123 healthy adults (64 malesand 59 females) during the cold season (fall and winter) and warm seasons (spring andsummer). Study samples were aged 30 to 60 years and were residents of Isfahan. Fruit andvegetable consumption was assessed using a 110-item semi-quantitative food frequencyquestionnaire on fruits and vegetables. Validity of the questionnaire was evaluated in a pilotstudy through comparison with two 24-hour food recalls and four food diaries. Meanconsumption of fruits and vegetables was analyzed in males and females, as well as in ageand educational groups. The relationship between the amount of fruit and vegetableconsumption and different factors including age, sex, level of education and occupation wasdetermined through stepwise linear regression.RESULTS: Mean fruit consumption in men and women in cold seasons was 275.3±100.8and 234.5±116.5 grams per day, respectively (P<0.05), and in warm seasons 217.6±95.5and 185.3±77.1 grams per day, respectively (P<0.05). Vegetable consumption in men andwomen in cold seasons was 291.5±93.5 and 245.7±76.6 grams per day, respectively(P<0.05) and in warm season 197±76.3 and 166.4±60.7 grams per day, respectively(P<0.05). The proportion of men who consumed more than 5 servings of fruits andvegetables in a day was significantly greater than women (P<0.05). Fruit and vegetableintake in men educated below junior school and high school was significantly higher than intheir female counterparts (P<0.05). Fruit and vegetable intake in single men wassignificantly lower than in their female counterparts (P<0.05).DISCUSSION: The findings show the effectiveness of social and cultural factors on thepattern of fruit and vegetable intake.Keywords • Fruits • Vegetables • Gender • Adults • Isfahan • Food frequency questionnaire
https://arya.mui.ac.ir/article_10166_f9f110305f9bbbfc3025654ce5cebe71.pdf
2010-12-18
Nooshin
Mohammadifard
nmohammadifard@gmail.com
1
MSc,
AUTHOR
Nasrin
Omidvar
nomidvar@yahoo.com
2
Department of Community Nutrition
Faculty of Nutrition and Food Technology
LEAD_AUTHOR
Anahita
Hoshiar Rad
3
AUTHOR
Maryam
Maghroon
4
AUTHOR
Firoozeh
Sajjadi
5
AUTHOR
ORIGINAL_ARTICLE
CARDIAC REHABILITATION IN PATIENTS WITH DIABETES MELLITUS
AbstractINTRODUCTION: Prevalence of cardiovascular diseases (CVD) is 19.4% in Iran anddiabetes mellitus is an important CVD risk factor in this country. Non-insulin-dependentdiabetes mellitus (type II DM) is associated with increased morbidity and mortality due toatherosclerosis. With cardiac rehabilitation (CR) we can modify CVD risk factors such astype II DM and play an important role in decreasing its mortality and morbidity. Weinvestigated the effects of CR on cardiac patients with and without type II DM.METHODS: In this retrospective before-and-after study we analyzed data from 496 cardiacpatients (419 with type II DM and 77 without type II DM). All of the subjects completeddemographic data questionnaires and underwent weight and height measurement, exercisetest to assess exercise capacity (EC), echocardiography, and blood test to assess lipidprofile and fasting blood glucose. The subjects then participated in a 24-session CRprogram. Each session consisted of 10 minutes warm-up, 40 minutes aerobic exercise, 10minutes cool-down and 20 minutes relaxation. They also took part in 8 educational sessionson life style modification, diet therapy and stress management supervised by CR team (acardiologist, a physician, a physiotherapist, a nurse, a nutritionist and a psychiatrist). At theend of the program, all measurements, exams and tests were repeated. Data were analyzedwith SPSS11.5 using independent t-test at level of P<0.05.RESULTS: We studied 419 non-diabetics (mean age: 55.61±9.41 years) and 77 diabetics(mean age: 58.59±7.76 years). Mean EC increased significantly after CR in both groups. Inthe diabetic group, EC increased significantly compared to the non-diabetic group(62.21±133.40 vs. 33.68±31/42, P=0.02). Mean levels of triglyceride, cholesterol, LDLcholesterol,as well as body mass index and heart rate decreased significantly after CR inboth groups. However, no significant difference was seen between the two groups in respectof these variables.DISCUSSION: CR is an effective intervention in diabetics as well as non-diabeticsespecially given its remarkable effects in improving EC as a critical indicator of mortality andmorbidity of diabetic patients. Hence we suggest these patients undergo CR programs.Keywords • Cardiac rehabilitation • Exercise capacity • Diabetes mellitus •Cardiovascularrisk factors
https://arya.mui.ac.ir/article_10167_b69c97d8f8a84bc156edb354d10b3157.pdf
2010-12-18
Marzieh
Saeidi
1
AUTHOR
Katayun
Rabiei
k-rabiei@crc.mui.ac.ir
2
Cardiac Rehabilitation Department
Isfahan Cardiovascular Research Center.
LEAD_AUTHOR
ORIGINAL_ARTICLE
CAN EDUCATION THROUGH POSTER IMPROVE THE KNOWLEDGE AND PRACTICE OF PRESCHOOLERS ABOUT HEALTHY LIFESTYLE? IHHP-HHPC
AbstractINTRODUCTION: Lifelong behavior and risk factors of chronic diseases extend from earlylife to adulthood. It seems that dietary habits and unhealthy food consumption, as well aspassive smoking play an important role in the development of such diseases. Multiplestudies have shown that healthy lifestyle education in preschool children improves theirknowledge, attitude and practice about healthy lifestyle. This study was conducted toevaluate the effect of lifestyle education with educational posters in daycare centers onpreschool children.METHODS: In an interventional study, 250 preschool children were selected via 2-stagerandom cluster sampling and taught tips on healthy lifestyle via educational posters. Theirknowledge on healthy lifestyle was assessed before and after (1 week and 3 months)education via a picture-questionnaire, and their practice and behavior were assessed beforeand after education via their favorite choice of snack in daycare centers. Collected datawere analyzed using SPSS13 by paired t-test and Man Whitney test.RESULTS: The knowledge and practice scores of the studied subjects improvedsignificantly one week after intervention compared with baseline, and persisted until the thirdmonth after education.DISCUSSION: Healthy lifestyle education via poster for preschool children can significantlyimprove their knowledge and practice towards healthy lifestyle.Keywords • Healthy life style • Education • Preschool children
https://arya.mui.ac.ir/article_10168_a4b9143b569e4d80aaab27289823593e.pdf
2010-12-18
Roya
Kelishadi
kelishadi@med.mui.ac.ir
1
Preventive Pediatric Cardiology Department
Isfahan Cardiovascular Research Center.
LEAD_AUTHOR
Mojgan
Soghrati
2
MD
AUTHOR
Mahmoud
Mohammadzadeh
3
MD,
AUTHOR
Effat
Najafpour
4
BS
AUTHOR
Mahfar
Arasteh
5
MD,
AUTHOR
Idin
Ahangar-Nazari
6
MD
AUTHOR
ORIGINAL_ARTICLE
occupational noise
abstaract
https://arya.mui.ac.ir/article_10169_61ff32b78fdc7a092c5f553c05772d26.pdf
2010-12-18
ardeshir
kalantari
f.radandish@gmail.com
1
LEAD_AUTHOR