Cardiovascular research institute, Isfahan University of Medical Sciences
ARYA Atherosclerosis Journal
1735-3955
10
2
2014
03
14
Behavioral determinants of cardiovascular diseases risk factors: A qualitative directed content analysis
71
81
10406
EN
Leila
Sabzmakan
PhD Candidate, Department of Health Education, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Mohammad Ali
Morowatisharifabad
Associate Professor, Department of Health Education, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
0000-0002-4039-3932
Eesa
Mohammadi
Associate Professor, Department of Nursing, Tarbiat Modares University, Tehran, Iran
Seid Saied
Mazloomy-Mahmoodabad
Professor, Department of Health Education, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Katayoun
Rabiei
PhD Candidate, Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
Mohammad Hassan
Naseri
Associate Professor, Department of Surgery, Baqiyatallah University of Medical Sciences, Tehran AND Department of Surgery, Alborz University of Medical Sciences, Karaj, Iran
Elham
Shakibazadeh
Assistant Professor, Department of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
Masoud
Mirzaei
Assistant Professor, Yazd Cardiovascular Research Centre, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Journal Article
2013
04
10
BACKGROUND: The PRECEDE model is a useful tool for planers to assess health problems, the behavioral and environmental causes of the problems, and their determinants. This study aims to understand the experiences of patients and health care providers about the behavioral causes of cardiovascular diseases (CVDs) risk factors and their determinants. METHODS: This qualitative study utilized content analysis approach based on the PRECEDE model. The study was conducted for over 6 months in 2012 at the diabetes units of health centers associated with Alborz University of Medical Sciences, which is located in Karaj, Iran. Data were collected using individual semi-structured interviews with 50 patients and 12 health care providers. Data analysis was performed simultaneously with data collection using the content analysis directed method. RESULTS: Stress, unhealthy eating, and physical inactivity were the behaviors, which predict the risk factors for CVD. Most of the patients considered stress as the most important underlying cause of their illness. In this study, 110 of the primary codes were categorized into seven subcategories, including knowledge, attitude, perceived susceptibility, severity, perceived benefits, barriers, and self-efficacy, which were located in the predisposing category of the PRECEDE model. Among these determinants, perceived barriers and self-efficacy for the mentioned behaviors seemed to be of great importance. CONCLUSION: Identifying behavioral determinants will help the planners design future programs and select the most appropriate methods and applications to address these determinants in order to reduce risky behaviors. Keywords: Behavior, Cardiovascular Diseases, Risk Factors, Qualitative Research
https://arya.mui.ac.ir/article_10406_570743587be4f36104a2a0e1550d0a9a.pdf
Cardiovascular research institute, Isfahan University of Medical Sciences
ARYA Atherosclerosis Journal
1735-3955
10
2
2014
03
14
The effect of calcitriol on lipid profile and oxidative stress in hyperlipidemic patients with type 2 diabetes mellitus
82
88
10407
EN
Mohammad Hassan
Eftekhari
Associate Professor, Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
Marzieh
Akbarzadeh
PhD Candidate, Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
Mohammad Hossein
Dabbaghmanesh
Professor, Endocrine and Metabolism Research Center, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
Jafar
Hassanzadeh
Associate Professor, Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
Journal Article
2013
01
21
BACKGROUND: Cardiovascular mortality is high among diabetic patients due to abnormalities in the plasma lipid and lipoprotein metabolism, and increased oxidative stress. This study aimed to investigate the effects of active vitamin D on serum lipids and oxidative stress markers in type 2 diabetic patients. METHODS: A double-blind randomized placebo-controlled trial was carried out in 70 participants with type 2 diabetes, aged 30-75 years of age. The participants were randomly assigned to two groups. One group received two capsules of calcitriol (0.25 µg 1,25-dihydroxycholecalciferol per capsule) per day. The second group received placebo tablets. All participants received their oral hypoglycemic drugs as prescribed by the endocrinologist. At the beginning, after 6 weeks, and at the end of the 12-week supplementation trial, serum total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglyceride (TG), and serum malondialdehyde (MDA) levels were measured. RESULTS: There was a significant reduction in total cholesterol, LDL-cholesterol, TG, and MDA levels in both treatment and placebo groups (P < 0.05). Serum HDL-cholesterol level decreased significantly in the placebo group (P < 0.05), while it remained unchanged in the treatment group. However, the P values related to the between group’s comparisons were not significant for any variables. CONCLUSION: Active vitamin D reduced lipid profile and oxidative stress markers in diabetic patients compared to the control group, but these alterations were not statistically significant Keywords: Diabetes Mellitus, Lipoproteins, Oxidative Stress, Vitamin D
https://arya.mui.ac.ir/article_10407_02a14e64174f6202e42ed1e7e94149e8.pdf
Cardiovascular research institute, Isfahan University of Medical Sciences
ARYA Atherosclerosis Journal
1735-3955
10
2
2014
03
18
Acute effects of smoking on QT dispersion in healthy males
89
93
10408
EN
Mohammad Ali
Akbarzadeh
Assistant Professor, Department of Cardiology, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Shahrooz
Yazdani
Cardiologist, Department of Cardiology, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Mohamad Esmail
Ghaidari
Associate Professor, Department of Cardiology, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Mohammad
Asadpour-Piranfar
Associate Professor, Department of Cardiology, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Negar
Bahrololoumi-Bafruee
General Practitioner, Cardiac Electrophysiology Research Center, Rajaie Cardiovascular Medical & Research Center, Iran University of Medical Sciences, Tehran, Iran
Allahyar
Golabchi
Cardiologist, Fellowship of Interventional Electrophysiology, Shaheed Beheshti Hospital, Kashan University of Medical Sciences, Kashan, Iran
Amirhossein
Azhari
Fellowship of Pacemaker and Invasive Electrophysiology, Department of Electrophysiology AND Shaheed Rajaei Cardiovascular & Medical Research Center, Iran University of Medical Sciences, Tehran, Iran
Journal Article
2013
02
15
BACKGROUND: Cigarette smoking increases the risk of ventricular fibrillation and sudden cardiac death (SCD). QT dispersion (QTD) is an important predictor of cardiac arrhythmia. The aim of this study was to assess the acute effect of smoking a single standard cigarette containing 1.7 mg nicotine on QT interval and QTD in healthy smokers and nonsmokers. METHODS: The study sample population consisted of 40 healthy male hospital staff, including 20 smokers and 20 nonsmokers. They were asked to refrain from smoking at least 6 h before attending the study. A 12-lead surface electrocardiogram (ECG), recorded at paper speed of 50 mm/s, was obtained from all participants before and 10 min after smoking of a single complete cigarette. QT interval, corrected QT interval, QTD, and corrected QT dispersion (QTcD) were measured before and after smoking. RESULTS: Smokers and nonsmokers did not have any significant differences in heart rate (HR) (before smoking = 67.35 ± 5.14 vs. 67.70 ± 5.07, after smoking = 76.70 ± 6.50 vs. 76.85 ± 6.50, respectively), QTD (before smoking = 37.75 ± 7.16 vs. 39.15 ± 6.55, after smoking = 44.75 ± 11.97 vs. 45.50 ± 9.58, respectively), and QTcD (before smoking = 39.85 ± 7.40 vs. 41.55 ± 6.57, after smoking = 50.70 ± 14.31 vs. 51.50 ± 11.71, respectively). However, after smoking a single cigarette, HR, mean QTD, and QTcD significantly increased (all had P value <0.001) in comparison to the measures before smoking. CONCLUSION: Smoking of a single complete cigarette in both smokers and nonsmokers results in significant QTD increase, which can cause arrhythmia and SCD. Keywords: Cardiac, Death, Electrocardiography, Smoking, Sudden
https://arya.mui.ac.ir/article_10408_397356578fbccdf4fb31f357e408d822.pdf
Cardiovascular research institute, Isfahan University of Medical Sciences
ARYA Atherosclerosis Journal
1735-3955
10
2
2014
03
18
Subarachnoid block with low dose of bupivacaine and sufentanil in patients with coronary artery disease
94
99
10409
EN
Mehdi
Sanatkar
Assistant Professor, Razi Hospital AND Farabi Hospital, Tehran University of Medical Sciences, Tehran, Iran
Afshin
Farhanchi
Assistant Professor, Besat Hospital, Hamedan University of Medical Sciences, Hamadan, Iran
Nahid
Manouchehrian
Assistant Professor, Besat Hospital, Hamedan University of Medical Sciences, Hamadan, Iran
Atabak
Najafi
Associate Professor, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
Shahriyar
Haddadi
Assistant Professor, Razi Hospital AND Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
Javad
Rahmati
Assistant Professor, Razi Hospital AND Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
Shahrokh
Ghazizadeh
Assistant Professor, Razi Hospital AND Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
Hojjat
Rahmani
Assistant Professor, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
Jayran
Zebardast
Deputy of Research, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
Journal Article
2013
01
12
BACKGROUND: Subarachnoid block with local anesthetics and opioids enable efficacious spinal anesthesia because of their synergistic effect and permit the use of low-dose local anesthetics, which results in a stable hemodynamic state. The purpose of this study was to describe the cardiovascular effects of spinal anesthesia with low-dose bupivacaine and sufentanil on patients with coronary artery disease. METHODS: This study was a double-blind randomized clinical trial. A total of 18 patients who had known coronary artery disease were enrolled. Our subjects underwent spinal block for lower limb surgery with 7.5 mg hyperbaric bupivacaine 0.5% and 5 µg sufentanil. Complications related to anesthesia such as hypotension, bradycardia, vasopressor need, and blood or volume use were recorded. RESULTS: The average mean arterial pressure decreased 15% in the first 15 min of spinal block in our cases. No patients presented with hypotension and the subjects were without complaints during the spinal anesthesia. All patients remained alert, and no ST segment changes were observed intraoperatively and until 6 h after the operation. Baseline ejection fraction (EF) 40% or less was observed in 10 patients and these subjects were compared with other patients. Systolic and diastolic blood pressures, mean arterial pressure, and heart rate decreased during the first 15 min in response to spinal anesthesia in both groups of patients, but decreased more significantly in patients with EF > 40%. CONCLUSION: We recommend spinal block with low-dose bupivacaine and sufentanil in patients with coronary artery disease and especially in patients with low EF. Keywords: Bupivacaine, Coronary Artery Disease, Subarachnoid Block
https://arya.mui.ac.ir/article_10409_4b72fdb39f76d17e9a8fdbc8fae6ad12.pdf
Cardiovascular research institute, Isfahan University of Medical Sciences
ARYA Atherosclerosis Journal
1735-3955
10
2
2014
03
18
Prediction of short-term clinical outcome of percutaneous coronary intervention in patients with acute coronary syndrome through myeloperoxidase levels
100
106
10401
EN
Ali
Pourmoghaddas
Associate Professor, Cardiac Rehabilitation Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
Abedin
Bazgir
Resident, Department of Cardiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Hamid
Sanei
Associate Professor, Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
Jafar
Golshahi
Associate Professor, Cardiac Rehabilitation Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
Katayoun
Rabiei
PhD Candidate, Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
0000-0001-5621-7960
Effat
Sistani
Chamran Heart Center, Isfahan University of Medical Sciences, Isfahan, Iran
Journal Article
2013
06
09
BACKGROUND: The present study assessed the significance of troponin and myeloperoxidase levels in the prediction of major adverse cardiac events (MACE) during the 1st month after percutaneous coronary intervention (PCI). METHODS: This prospective, longitudinal study included 100 patients with acute coronary syndrome who underwent PCI. The participants’ characteristics were recorded in a questionnaire. Blood samples were obtained before and 24 h after PCI, and troponin, and myeloperoxidase levels were measured. During the 1st month after PCI, death, myocardial reinfarction, and revascularization during admission were investigated through weekly phone calls. The value of troponin and myeloperoxidase levels before and after PCI in predicting MACE was evaluated using Cox regression. RESULTS: Considering the obtained methods and the short duration of the study, 99% of the patients completed the study. Moreover, one death and four cases of myocardial infarction and revascularization were reported. Cox regression did not show significant relations between the incidence of MACE and myeloperoxidase levels before (hazard ratio: 1.12; 95% confidence interval 0.9, 1.39) and after PCI (hazard ratio: 0.86; 95% confidence interval: 0.43, 1.71), or troponin levels before (hazard ratio: 0.97; 95% confidence interval: 0.81, 1.17) and after PCI (hazard ratio: 1.03; 95% confidence interval: 0.96, 1.11). CONCLUSION: It seems that the few cases of MACE, due to the small sample size and short duration of follow-up, had been insufficient for determining the predictive value of troponin and myeloperoxidase levels before and after PCI. Therefore, further studies with larger sample size and longer follow-up duration are recommended. Keywords: Percutaneous Coronary Intervention, Acute Coronary Syndrome, Major Adverse Cardiac Events, Myeloperoxidase
https://arya.mui.ac.ir/article_10401_64fd9b644586e9118b65c118738763ff.pdf
Cardiovascular research institute, Isfahan University of Medical Sciences
ARYA Atherosclerosis Journal
1735-3955
10
2
2014
03
01
The sustainability of interventions of a community-based trial on children and adolescents’ healthy lifestyle
107
117
10402
EN
Nizal
Sarrafzadegan
Professor, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
Katayoun
Rabiei
PhD Candidate, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
0000-0001-5621-7960
Fiona
Wong
Senior Associate, Matrix Public Health Solution, World Heart Federation, Geneva, Switzerland
Hamidreza
Roohafza
Assistant Professor, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
0000-0003-3582-0431
Sonia
Zarfeshani
Isfahan Cardiovascular Research Centre, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
Fatemeh
Noori
Isfahan Cardiovascular Research Centre, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
Alice
Grainger-Gasser
Program Development Manager, World Heart Federation, Geneva, Switzerland
Journal Article
2014
03
28
BACKGROUND: Sustainability is the core of a successful health-related intervention program. This study was conducted to evaluate the sustainability of interventions of the Heart Health Promotion from Childhood (HHPC) project, one of the 10 interventional projects of the Isfahan Healthy Heart Program. METHODS: The evaluation of HHPC included administrating surveys to 500 elementary and middle, and 500 high school students. The study participants were randomly selected from all schools in Isfahan. The questionnaires were administered by interviews to evaluate the sustainability of interventions. RESULTS: The results of interviews showed that interventions were sustainable in 100% of elementary school, 99% of middle school, and 87% of high school students. Training of healthy lifestyle behaviors was significantly higher in all-girls middle schools (P < 0.001). Daily morning exercise was more frequent in girls high schools (P < 0.001), while selling unhealthy food was more frequent in boys high schools (P < 0.001). The participants attributed the success of the program mostly to students’ agreement and cooperation. CONCLUSION: Even though 5 years have passed since the end of the HHPC project, many of the interventions have been continued at the schools, often because healthy behaviors have become institutionalized in the target population. However, now all schools have the same level of sustainability, especially the middle and high schools, and all-boys schools. Therefore, it is important for future projects to place additional emphasis on these institutions for future school-based interventions. Keywords: Behavior, Community Health Planning, Institutionalization, Schools, Sustainability
https://arya.mui.ac.ir/article_10402_1194ac6a14ebb668791215a9f3299915.pdf
Cardiovascular research institute, Isfahan University of Medical Sciences
ARYA Atherosclerosis Journal
1735-3955
10
2
2014
03
01
Pediatric patients with renal disease and cardiovascular complications: A literature review
118
128
10403
EN
Reza
Karbasi-Afshar
Assistant Professor, Department of Cardiology AND Cardiovascular Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
Amin
Saburi
Chemical Injuries Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
Saeed
Taheri
Dr. Taheri Medical Research Group, Tehran, Iran
Journal Article
2013
02
28
The cardiovascular burden of end stage renal disease (ESRD) in children has recently received more attention, and some authors have recommended that the origins of the increase in cardiovascular morbidity and mortality be found in childhood. In this comprehensive review of the literature, we aim to review the main and most recent studies evaluating cardiovascular risk factors in pediatric kidney disease patients. The literature suggests that ESRD, even in the pediatric population, is associated with a high rate of cardiovascular morbidity and mortality, and needs serious attention. Unfortunately, there is extreme scarcity of data on the efficacy of preventive strategies on cardiovascular morbidity and mortality in pediatric patients with renal disease. Therefore, authors of the current article recommend future studies to be directed to find beneficial and/or potential harmful effects of different interventions conventionally used in this population, including lifestyle modifications and pharmaceutical therapy on cardiovascular indices. Moreover, the effects of these drugs on the renal function of children with minimal kidney disease should be evaluated. Keywords: Cardiovascular Complication, Children, Kidney Disease, Pediatrics
https://arya.mui.ac.ir/article_10403_8548ef0fcfb935846e17e9041fc02b6a.pdf
Cardiovascular research institute, Isfahan University of Medical Sciences
ARYA Atherosclerosis Journal
1735-3955
10
2
2014
03
01
A rare case of stenting of spontaneous dissection of Shepherd’s Crook right coronary artery
129
132
10404
EN
Laxman
Dubey
Department of Cardiology, College of Medical Sciences and Teaching Hospital, Bharatpur, Chitwan, Nepal
Journal Article
2013
04
16
BACKGROUND: Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS) and sudden death. It usually occurs in young women during the peripartum period; however, it had also been reported in older aged males having risk factors for atherosclerotic coronary artery disease. CASE REPORT: This case describes a 69-year-old male patient who presented with manifestations of ACS due to a spontaneous dissection of the Shepherd’s Crook right coronary artery (RCA), which was successfully managed with percutaneous coronary intervention (PCI) and stenting. At the 6th month follow-up, the patient remained chest pain free. CONCLUSION: Patients with SCAD in the presence of ongoing ischemia can be treated with PCI and stenting. Keywords: Acute Coronary Syndrome, Percutaneous Coronary Intervention, Shepherd’s Crook Right Coronary Artery, Spontaneous Coronary Artery Dissection
https://arya.mui.ac.ir/article_10404_dda3c340b2a1b3e7a14a1296ed1d05a6.pdf
Cardiovascular research institute, Isfahan University of Medical Sciences
ARYA Atherosclerosis Journal
1735-3955
10
2
2014
03
01
Pulmonary hypertension due to a pulmonary artery leiomyosarcoma: A case report
133
136
10405
EN
Hassan
Adeli
Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran
Bardia
Nemati
Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran
Mahboubeh
Jandaghi
General Practitioner, Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran
Mohammad Mahdi
Riahi
Qom University of Medical Sciences, Qom, Iran
Fatemeh
Salarvand
General Practitioner, Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran
Journal Article
2012
12
23
BACKGROUND: Primary pulmonary artery sarcomas are very rare and their histologic type called leiomyosarcoma is even rarer. These tumors are frequently misdiagnosed as pulmonary thromboembolism in clinical settings. Many patients receive anticoagulant therapy without response, and many are diagnosed postmortem only. Most of the tumors reported in the literature have involved the right ventricular outflow tract and the main pulmonary trunk, often extending into the main pulmonary artery (MPA) branches. CASE REPORT: A 64-year-old woman presented with weakness, fatigue, malaise, dyspnea, and marked elevation of pulmonary artery pressure was admitted to our hospital. She was initially diagnosed with chronic pulmonary thromboembolism, and chest computed tomography (CT) scan revealed lobulated heterogeneous left hilar mass extended to precarinal and subcarinal space. Magnetic resonance imaging (MRI) demonstrated a polypoid lesion at the trunk with extension to left MPA and its first branch. The patient was operated, and a yellowish-shiny solid mass in pulmonary trunk was seen intra-operation and pulmonary endarterectomy was performed. Her tumor was pathologically diagnosed as pulmonary artery leiomyosarcoma. CONCLUSION: Clinicians must consider pulmonary artery sarcoma when making the differential diagnosis for patients with pulmonary artery masses. The clinical prediction scores and the CT and MRI findings can help identifying patients with pulmonary artery sarcoma. Keywords: Hypertension, Leiomyosarcoma, Pulmonary Artery, Pulmonary Embolism
https://arya.mui.ac.ir/article_10405_0e3292558c12248814f0afdbde5257e8.pdf
Cardiovascular research institute, Isfahan University of Medical Sciences
ARYA Atherosclerosis Journal
1735-3955
10
2
2014
03
01
Journal Index
10400
EN
Index
Journal
0000-0002-1825-0097
Journal Article
2014
05
19
Click to download the index of this issue
https://arya.mui.ac.ir/article_10400_48f3e41047551637164e567be2eb4e82.pdf