2024-03-29T16:04:19Z
https://arya.mui.ac.ir/?_action=export&rf=summon&issue=82
ARYA Atherosclerosis Journal
ARYA
1735-3955
1735-3955
2018
14
6
The effect of evidence-based care guidelines on outcomes after removal of arterial sheath in patients undergoing angioplasty
Alireza
Parach
Mohsen
Sadeghi-Ghahroudi
Yaser
Saeid
Abbas
Ebadi
BACKGROUND: Evidence-based clinical care guidelines effectively assists medical teams to increase the quality of clinical practice, and improve outcomes in patients. This study aimed to design and implement evidence-based care guidelines for removing arterial sheath in patients undergoing angioplasty of coronary artery.METHODS: This clinical trial study was performed on 200 patients (two groups of 100 patients) with mean age of 62.5 ± 10.8 years, from July 2014 to February 2014 in Baqiyatallah University of Medical Sciences (BUMS), Tehran, Iran. First, we designed a five-step guideline for removing arterial sheath. Then, the designed guideline (based on five-step Stetler model, i.e. preparation, validation, comparative study, implementation, and execution) in the current study, and the routine guideline were used for removing arterial sheath in patients in the intervention and the control groups, respectively. In both groups, the relevant outcomes including bleeding, vasovagal reactions, urinary retention, and pain were evaluated.RESULTS: There were significant differences between the two groups in terms of bleeding, hematoma, vasovagal reactions (n = 11 versus n = 24), urinary retention (n = 8 versus n = 31), and back pain after removing arterial sheath (P < 0.050 for all).CONCLUSION: Based on the results of this study, the use of evidence-based care guidelines after removal of atrial sheath in patients undergoing angioplasty is recommended.
Evidence-Based Practice
Guideline
Peripheral Catheterization
Transluminal Coronary Balloon Dilation
Outcomes Assessment
2019
01
08
237
241
https://arya.mui.ac.ir/article_10656_92b657d05f13cf89b6e2ee7e0d084a0e.pdf
ARYA Atherosclerosis Journal
ARYA
1735-3955
1735-3955
2018
14
6
Syncope risk factors among military training soldiers; A case-control study
Farhad
Mahmudy
Seyyed Hossein
Mousavi
Adel
Jouhari-Moghadam
Farzad
Mehrabi
BACKGROUND: Syncope is a transient brief loss of consciousness accompanied with loss of postural tone. Of common places in which people experience syncope, military barracks can be named where training soldiers spend their military courses. The current study aimed to assess etiology and risk factors of syncope among military training soldiers.METHODS: This was a retrospective case-control study conducted on training soldiers of Army-501 hospital in Tehran, Iran, during the years 2017-2018. Cases were consisted of 50 soldiers who experienced syncope during military training, and controls were 150 soldiers who had not experienced syncope during their military training. Demographic data were recorded for cases and controls.RESULTS: Members of case and control groups were not statistically different regarding age (P = 0.46) and height (P = 0.70). Logistic regression test was performed and considering crude model, weight [odds ratio (OR): 0.94; 95% of confidence interval (95%CI): 0.90-0.98], body mass index (BMI) (OR: 0.72; 95%CI: 0.61-0.85), standing duration (OR: 1.007; 95%CI: 1.00-1.01), history of syncope (OR: 15.47; 95%CI: 4.15-57.60), positive family history of syncope (OR: 5.94; 95%CI: 1.66-21.25), smoking (OR: 3.5; 95%CI: 1.54-7.91), medical problems (OR: 7.97; 95%CI: 1.98-32.17), anxiety (OR: 2.02; 95%CI: 1.13-4.26), stress (OR: 6.68; 95%CI: 3.28-13.57), and depression (OR: 4.25; 95%CI: 2.15-8.39) were detected as significant predictors of syncope occurrence.CONCLUSION: Based on the findings of this study, lower BMI, positive history of syncope, smoking, depression, and stress were significant risk factors of syncope occurrence among training soldiers. Higher BMI has protective role in syncope occurrence.
Syncope
Risk Factors
Case-Control Studies
Military Personnel
2019
01
08
242
247
https://arya.mui.ac.ir/article_10657_0daa28dcb6eb09892073ac57fade93ca.pdf
ARYA Atherosclerosis Journal
ARYA
1735-3955
1735-3955
2018
14
6
Comparison of the effect of fibrinogen concentrate with fresh frozen plasma (FFP) in management of hypofibrinogenemic bleeding after congenital cardiac surgeries: A clinical trial study
Gholamreza
Massoumi
Davoud
Mardani
Seyed Masoud
Mousavian
Hamid
Bigdelian
BACKGROUND: Hypofibrinogenemia is an independent factor of excessive bleeding after congenital cardiac surgeries. Fresh frozen plasma (FFP) and fibrinogen concentrate are examples of recommended products for management of hypofibrinogenemic bleedings. Unfortunately, there is no study to compare these treatments in pediatric cardiac surgeries. Therefore, this study aimed to compare the effect of fibrinogen concentrate with FFP on postoperative bleeding and clinical outcome after congenital cardiac surgeries in pediatric population.METHODS: Phis prospective clinical trial study was carried out on 90 consecutive pediatric patients who underwent congenital cardiac surgeries. The eligible pediatrics who met our study criteria, randomly received FFP (10 ml/kg) or fibrinogen concentrate (70 mg/kg) to assess postoperative bleeding and blood-products requirements.RESULTS: Each of FFP and fibrinogen concentrate significantly reduced total chest tube drainage (CTD) at 3, 6, 12, and 24 postoperative hours (P = 0.04). The analysis of time*intervention revealed that our intervention (fibrinogen group) significantly reduced CTD more (P = 0.01). Moreover, fibrinogen group had a significantly higher plasma fibrinogen level in first 24 hours (P = 0.02).CONCLUSION: Nowadays, both of fibrinogen concentrate and FFP product are widely used for management of hypofibrinogenic bleedings after cardiac surgeries. According to our results, we concluded that although the both product had a comparable effect on management of hypofibrinogenemic bleeding in pediatrics undergoing congenital cardiac surgeries, choosing better product depended on general condition of patients such as their body fluid status.
Congenital Defects
Fibrinogen
Cardiac Surgery
Pediatric Intensive Care Units
Blood Coagulation
Blood Transfusion
2019
01
08
248
253
https://arya.mui.ac.ir/article_10658_86b0bc69aa9ab3951cb48c201d31cb20.pdf
ARYA Atherosclerosis Journal
ARYA
1735-3955
1735-3955
2018
14
6
The association between the serum 25-hydroxyvitamin D level and cardiovascular events in individuals with and without metabolic syndrome
Keivan
Kiani
Hamidreza
Roohafza
Mojgan
Gharipour
Minoo
Dianatkhah
Mohammad
Talaei
Shahram
Oveisgharan
Nizal
Sarrafzadegan
Masoumeh
Sadeghi
BACKGROUND: Previous studies revealed that the level of 25-hydroxyvitamin D [25(OH)D] could be consider as one the risk factors for the occurrence of cardiovascular diseases (CVDs). This study aimed to evaluate the relationship between serum 25(OH)D level and CVD events in individuals with and without metabolic syndrome (MetS) in an Iranian population.METHODS: In this nested case-control study conducted as a part of the Isfahan Cohort Study (ISC), 55 patients with CVD events were selected as case group, and 55 sex- and age-matched individuals without CVD events as control group. These participants were divided into the two main groups based on the presence of MetS at baseline.RESULTS: The level of 25(OH)D in individuals with and without MetS was significantly lower among patients with CVD compared to those without CVD events at the baseline of study and after the follow-up (P = 0.036 and P = 0.039, respectively). The level of 25(OH)D significantly decreased risk of incidence of CVD events in individuals without MetS after adjusting for age, sex, nutrition, and exposure to sunlight [0.19 (0.05-0.73); P = 0.016]. There was not any significant relationship between the amount of 25(OH)D at the baseline and CVD events in individuals with MetS.CONCLUSION: In individuals with MetS, the level of 25(OH)D is not related to CVD events; as MetS directly influence the pathophysiology of mechanisms which are responsible for CVD events, and maybe this effect obscure the effect of 25(OH)D.
Cardiovascular Diseases
Metabolic Syndrome
25-Hydroxyvitamin D
2019
01
13
254
259
https://arya.mui.ac.ir/article_10659_f367fac314d793f41ee418caf57e8980.pdf
ARYA Atherosclerosis Journal
ARYA
1735-3955
1735-3955
2018
14
6
The effects of low-volume high-intensity interval versus moderate intensity continuous training on heart rate variability, and hemodynamic and echocardiography indices in men after coronary artery bypass grafting: A randomized clinical trial study
Alireza
Ghardashi-Afousi
Mohammad Taghi
Holisaz
Hossein
Shirvani
Bahram
Pishgoo
BACKGROUND: Heart rate variability (HRV) declines after coronary artery bypass grafting (CABG). The purpose of this study was to evaluate the effect of low-volume high-intensity interval training (LV-HIIT) and moderate-intensity continuous training (MICT) on HRV as well as, hemodynamic and echocardiography indices.METHODS: Forty-two men after CABG (55.12 ± 3.97 years) were randomly assigned into LV-HIIT, MICT, and control (CTL) groups. The exercise training in LV-HIIT consisted of 2-minute interval at 85-95 percent of maximal heart rate (HRmax), 2-minute interval at 50% of HRmax and 40-minute interval at 70% of HRmax in MICT for three sessions in a week, for 6-weeks. HRV parameters were evaluated by 24-hour Holter electrocardiography (ECG) recording, and echocardiography parameters at baseline and end of intervention were measured in all 3 groups.RESULTS: At the end of the intervention, left ventricular ejection fraction (LVEF) significantly increased in LV-HIIT group (58.53 ± 7.26 percent) compared with MICT (52.26 ± 7.91 percent) and CTL (49.68 ± 7.27 percent) groups (P < 0.001). Furthermore, mean R-R interval, root mean square successive difference (RMSSD) of R-R interval, and standard deviation of R-R interval (SDRR) in LV-HIIT group considerably increased compared with MICT group (P < 0.001). High-frequency power (HF) significantly increased in LV-HIIT and MICT groups compared with CTL group (P < 0.001). On the other hand, low frequency (LF) and LF/HF ratio significantly decreased in LV-HIIT group in comparison with MICT group (P < 0.010).CONCLUSION: These results suggest that LV-HIIT has a greater effect on improvement of cardiac autonomic activities by increasing R-R interval, SDRR, RMSSD, and HF, and decreasing LF and LF/HF ratio in patients after CABG.
High-Intensity Interval Trainin
Continuous Training
Cardiac Rehabilitation
Cardiac Autonomic Activity
2019
01
31
260
271
https://arya.mui.ac.ir/article_10660_c3b5f6e3a7014b37a0bcc78cff1b5e9f.pdf
ARYA Atherosclerosis Journal
ARYA
1735-3955
1735-3955
2018
14
6
Cryoballoon ablation results and complications in mid-term follow-up of patients with atrial fibrillation
Javad
Shahabi
Zahra
Emkanjoo
Majid
Haghjoo
Abolfath
Alizadeh
Amirfarjam
Fazelifar
Shabnam
Madadi
Farzad
Kamali
Mehrana
Sharifi
Zahra
Karimian
Ghasem
Yadegarfar
BACKGROUND: Atrial fibrillation (AF) is the most common cardiac arrhythmia, and its prevalence increases with advancing age. Pulmonary vein isolation is a standard approach in drug refractory paroxysmal AF which could be performed by cryoballoon ablation (CBA). We tried to evaluate its efficacy and safety in Iranian patients with AF.METHODS: From 2015 to 2017, 97 patients with paroxysmal and persistent AF were enrolled in our observational historical cohort study. They were visited 1 and 6 months post-procedure in order to assess the efficacy (recurrence) and safety. Recurrence was defined as 30 seconds of arrhythmia on their 48-hours Holter monitoring.RESULTS: Ninety-seven patients enrolled in the study, 64 (66.0%) of them were men, and their mean age was 55 ± 12 years. Hypertension was reported in 41 patients (42.3%), as the most common cardiac risk factor. 71 patients (73.2%) patients with paroxysmal AF and 15 patients (15.5%) with persistent AF underwent the procedure. After 6 months, recurrence was documented in only 17 patients (17.5%), and 82.5% of the patients were free from the recurrence. Post-procedural complication was detected only in 3 patients (3.1%).CONCLUSION: In our study, the mid-term success and safety of CBA in patients with paroxysmal AF was showed. CBA is a safe and effective method in paroxysmal AF, and even in some cases with persistent AF.
Catheter Ablation
Atrial Fibrillation
Follow-Up Studies
2019
01
08
272
275
https://arya.mui.ac.ir/article_10661_373792764ef05e79d277dfdfe1c7a837.pdf
ARYA Atherosclerosis Journal
ARYA
1735-3955
1735-3955
2018
14
6
Case formulation and comprehensive cardiac rehabilitation programs tailored to the unique risk factors and consequences profile
Saeid
Komasi
Mozhgan
Saeidi
This article does not have an abstract
2019
01
08
276
277
https://arya.mui.ac.ir/article_10662_a31146e0d779e66db0c0ddf1bf9cc34a.pdf
ARYA Atherosclerosis Journal
ARYA
1735-3955
1735-3955
2018
14
6
Journal Index
Index
Journal
Click to download the index of this issue.
2018
11
01
https://arya.mui.ac.ir/article_10655_c223069e4c4721a5de3903b35ffc2ef3.pdf