Cardiovascular research institute, Isfahan University of Medical SciencesARYA Atherosclerosis Journal1735-395515620191211The association between particulate matter 2.5 and hospitalization and mortality rates of heart failure: The CAPACITY study2532591070510.22122/arya.v15i6.1825ENNafiseMoeinCardiologist, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute AND Department of Cardiology, Isfahan University of Medical Sciences, Isfahan, Iran0000-0003-1384-5646MohammadGarakyaraghiHeart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranDavoodShafieHeart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran0000-0002-7999-2393KatayounRabieiIsfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranSayed MohsenHosseiniDepartment of Biostatistics and Epidemiology, School of Public Health, Isfahan University of Medical Sciences, Isfahan, IranTohidJafari-KoshkiRoad Traffic Injury Research Center AND Department of Statistics and Epidemiology, School of Health, Tabriz University of Medical Sciences, Tabriz, IranMojtabaRahimiDepartment of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranBabakSadeghianCentral Laboratory and Air Pollution Monitoring, Isfahan Province Environmental Monitoring Center, Isfahan Department of Environment, Isfahan, IranMahshidGiviHeart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran0000-0001-8766-2151NizalSarrafzadeganIsfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranJournal Article20180717BACKGROUND: Considering the high concentrations of pollutants in large cities of Iran and the high prevalence of heart failure (HF) among Iranians, especially with increasing life expectancy, this study investigated the relationship between airborne contaminants with a diameter < 2.5 µm or particulate matter 2.5 (PM2.5) and hospitalization and mortality in patients with HF in Isfahan, Iran, during 2011.METHODS: This ecological study was carried out on a part of data from the CAPACITY study. A total of 275 patients with HF were randomly selected from 840 subjects with International Statistical Classification of Diseases, 10th Revision (ICD-10) diagnosis code I50 in the CAPACITY study. Patients’ records were evaluated and their clinical characteristics, disease history, and laboratory and echocardiographic findings were extracted. Air pollution and climatic data were extracted from the CAPACITY study. Poisson regression was used in crude and adjusted models to evaluate the association between PM2.5 and study outcomes. All analyses were performed using crude models and models adjusted for temperature, dew point, and wind speed.RESULTS: 54.9% (n = 151) were men with mean age of 70.4 ± 13.7 years. While most patients (85.8%) were discharged after recovery, 14.2% of the patients died in the hospital. Blood glucose, heart rate, and ejection fraction (EF) were significantly higher on unhealthy days than normal days. Regression analysis revealed no significant relationships between hospitalization and mortality rates and PM2.5 concentrations on healthy days, unhealthy days for sensitive people, and unhealthy days.CONCLUSION: The model used in our study revealed no significant relationships between PM2.5 concentrations and hospital admission on healthy days, unhealthy days for sensitive people, and unhealthy days. https://arya.mui.ac.ir/article_10705_dc1913d422398c25c5f0b81cab94cc87.pdfCardiovascular research institute, Isfahan University of Medical SciencesARYA Atherosclerosis Journal1735-395515620191211Socioeconomic status, cardiac risk factors, and cardiovascular disease: A novel approach to determination of this association2602661070610.22122/arya.v15i6.1595ENMajidDavariAssistant Professor, Pharmaceutical Management and Economic Research Center AND Department of Pharmacoeconomics and Pharmaceutical Administration, School of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran0000-0001-7483-0259Mohammad RezaMaracyProfessor, Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, IranElaheKhorasaniPhD Candidate, Students’ Scientific Research Center AND Department of Pharmacoeconomics and Pharmaceutical Administration, School of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran0000-0003-0000-5760Journal Article20170302BACKGROUND: Socioeconomic inequality is one of the important issues in cardiovascular diseases (CVDs). The aim of this study was to investigate the distribution and relation between selected cardiac risk factors, type of CVD, and the socioeconomic status (SES) in the hospitalized patients with heart disease in Isfahan, Iran.METHODS: This analytical and cross-sectional study was conducted in Isfahan in 2013. The population consisted of all patients with CVD admitted to the public and private hospitals. The sample size was 721. Data collection was conducted through one researcher-made questionnaire with three sections: demographic, disease, and SES questionnaires. To determine the SES of the patients, the indicators of income, housing status, occupation, family size, and education were used. Data analysis was conducted in two statistical levels of descriptive and inferential.RESULTS: 69.1% of the patients were placed in the poor status, and there was no wealthy status within the subjects. The five most frequent CVDs were chronic ischemia, unstable angina, arrhythmia, congestive heart failure (CHF), and acute myocardial infarction (MI), respectively. The three highest frequent risk factors in the patients were hypertension (HTN) (47.2%), diabetes (33.6%), and hyperlipidemia (32.6%). Regression analysis of the risk factors and the type of heart disease on the SES revealed that there were statistically significant differences between patients who were smokers (P = 0.030) and those who had valve disease (P = 0.010), adjusted for age, gender, and marital status.CONCLUSION: Our findings showed that the frequency of CVD risk factors were higher in lower SES groups and thus SES can be a strong predictor for the occurrence of the CVD risk factors as well as the CVDs. https://arya.mui.ac.ir/article_10706_fe87435d12ef7642af67d9bc82a8b3cd.pdfCardiovascular research institute, Isfahan University of Medical SciencesARYA Atherosclerosis Journal1735-395515620191211A clinical trial on the effect of a multifaceted intervention on blood pressure control and medication adherence in patients with uncontrolled hypertension2672741070710.22122/arya.v15i6.1904ENAzam-AlsadatMirniamMSc Student, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran0000-0002-7174-2437ZahraHabibiMSc Student, Global Studies Institute, University of Geneva, Geneva, SwitzerlandAlirezaKhosraviProfessor, Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran0000-0003-0736-2090MasoumehSadeghiProfessor, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranMaryamEghbali-BabadiAssistant Professor, Nursing and Midwifery Care Research Center AND Department of Intensive Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran0000-0003-4719-7640Journal Article20181102BACKGROUND: Hypertension (HTN) is the key risk factor for cardiovascular diseases (CVDs). The purpose of this study was to determine the effect of a multifaceted intervention on blood pressure (BP) control and medication adherence (MA) among patients with uncontrolled HTN.METHODS: A randomized controlled clinical trial study was conducted on 72 patients in the emergency ward who were selected through convenience sampling method. They were randomly divided into intervention and control groups. The studied multifaceted intervention includes motivational interviews and 90 minutes of training sessions, use of a drug reminder box, family support, and 4 phone call follow-ups. The8-Item Morisky Medication Adherence Scale (MMAS-8) was used before and after the intervention. BP was measured in both groups before and after the intervention and compared between them.RESULTS: No significant difference existed between the two groups in terms of MA and systolic and diastolic BP before the study. The differences between the mean changes in post-intervention systolic (-25.75 ± 19.39 vs. -2.88 ± 11.92 mmHG; P < 0.001) and diastolic (-6.18 ± 8.87 vs. -1.06 ± 8.70 mmHg; P = 0.010) BP in the intervention and control groups were statistically significant. The mean changes in post-intervention MA in the intervention and control group was 2.91 ± 1.64 and -0.36 ± 1.15, respectively; this difference was statistically significant (P < 0.001).CONCLUSION: The studied multifaceted intervention promoted MA and reduced systolic and diastolic BP. Thus, the use of this method as a supplementary treatment is recommended after patient discharge.https://arya.mui.ac.ir/article_10707_e8ad3f3f04296aa9be9de71a674e3769.pdfCardiovascular research institute, Isfahan University of Medical SciencesARYA Atherosclerosis Journal1735-395515620191230Water hardness zoning of Isfahan Province, Iran, and its relationship with cardiovascular mortality, 2013-20152752801070810.22122/arya.v15i6.1715ENFereshteHossienifarExpert, Health Center Number 2, Isfahan University of Medical Sciences, Isfahan, Iran0000-0002-6834-231XMozhganEntezariAssistant Professor, Department of Geography, University of Isfahan, Isfahan, IranShidokhtHosseiniResearcher, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranJournal Article20171217BACKGROUND: Cardiovascular disease (CVD) is one of the common diseases and today, it is considered as not only an important cause of mortality but also a significant aspect of health geography. The evidence presented in the literature indicates that hard water may reduce the cases of sudden death caused by CVDs because drinking water contains significant amounts of calcium and magnesium, which play a crucial role in the electrical activity of heart. Hence, the present study aimed at investigating the relationship between water hardness and CVD mortality rate in Isfahan, Iran.METHODS: In this ecological study, the available data regarding the cardiovascular mortality rate and water hardness have been used. Preparation of zoning map has been conducted using the Geographic Information System (GIS) software considering Inverse Distance Weighting (IDW) interpolation models. Moreover, statistical analysis has been conducted using SPSS software.RESULTS: A reverse relationship was observed between cardiovascular mortality rate and water hardness. However, the observed relationship was not statistically significant (2013: r = -0.066, 2014: r = -0.155, 2015: r = -0.051, P > 0.050).CONCLUSION: The results of mapping with GIS and statistical analysis with SPSS both indicated a non-significant inverse relationship between the water hardness and CVDs. However, lack of a significant relationship highlights the necessity of conducting similar studies involving larger sample sizes and wider areas of investigation to present a definitive and generalizable result.https://arya.mui.ac.ir/article_10708_e360367584297ee8d2d5afa709cd440e.pdfCardiovascular research institute, Isfahan University of Medical SciencesARYA Atherosclerosis Journal1735-395515620200301The effectiveness of dialectical behavior therapy on adherence to treatment and self-caring behavior in patients with coronary heart disease2812871070910.22122/arya.v15i6.1733ENFatemehTavakoliDepartment of Clinical Psychology, Khomeinishahr Branch, Islamic Azad University, Khomeinishahr, Isfahan, Iran0000-0002-5909-7762HamidKazemi-ZahraniAssistant Professor, Department of Psychology, Payame Noor University, Tehran, IranMasoumehSadeghiProfessor, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran0000-0001-7179-5558Journal Article20180110BACKGROUND: The aim of this study was to investigate the effectiveness of dialectical behavior therapy (DBT) on adherence to treatment and self-caring behavior in patients with coronary heart disease (CHD).METHODS: This was an experimental study based on control and experimental groups with pre-test and post-test. 32 male and female patients with CHD having at least high school diploma, referring to Isfahan cardiovascular research institute, Isfahan, Iran, were selected and placed randomly in two groups of control and experimental. Pre-test stage was done for both two groups by 8-item Morisky Medication Adherence Scale (MMAS-8) and Self-Care of Coronary Heart Disease Inventory (SC-CHDI). The experimental group was placed under the intervention of DBT for 8 sessions of 2 hours (once a week). Afterwards, the post-test was done for both groups.RESULTS: It was shown by analyzing results from t-test that adherence to treatment and self-care behavior significantly increased in experimental group comparing to control group [(1.81 ± 0.75 vs. 5.19 ± 1.22, P < 0.001) and (72.50 ± 4.38 vs. 55.50 ± 7.42, P < 0.001), respectively]. Also results showed that self-caring and adherence to treatment significantly increased after being adjusted for baseline measurement (P < 0.001). The findings showed that DBT had effect on adherence to treatment and self-caring behavior of patients with CHD.CONCLUSION: On the basis of results, it could be said that DBT intervention can have positive impact on adherence to treatment and self-caring behavior of patients with CHD. https://arya.mui.ac.ir/article_10709_0740bb92e583cd2b88ec7c59f985cb41.pdfCardiovascular research institute, Isfahan University of Medical SciencesARYA Atherosclerosis Journal1735-395515620191230Youngest documented rheumatic mitral stenosis with regurgitation in a 28-month-old girl2882911071010.22122/arya.v15i6.1725ENSantosh KumarSinhaAssociate Professor, Department of Cardiology, Ganesh Shankar Vidyarthi Memorial Medical College, LPS Institute of Cardiology, Kanpur, Uttar Pradesh, India0000-0002-1776-1485MohammadAsifSenior Registrar, Department of Cardiology, Ganesh Shankar Vidyarthi Memorial Medical College, LPS Institute of Cardiology, Kanpur, Uttar Pradesh, IndiaVikasMishraSenior Registrar, Department of Cardiology, Ganesh Shankar Vidyarthi Memorial Medical College, LPS Institute of Cardiology, Kanpur, Uttar Pradesh, IndiaMahmodullaRaziAssistant Professor, Department of Cardiology, Ganesh Shankar Vidyarthi Memorial Medical College, LPS Institute of Cardiology, Kanpur, Uttar Pradesh, IndiaVinayKrishnaDepartment of Cardiology, Ganesh Shankar Vidyarthi Memorial Medical College, LPS Institute of Cardiology, Kanpur, Uttar Pradesh, IndiaJournal Article20171230BACKGROUND: Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) are the leading causes of acquired diseases in children and young adults in developing countries carrying considerable morbidity and mortality.Rheumatic fever (RF) commonly affects children between 5-15 years old and is rarely seen in < 5 years old. Mitral stenosis (MS) is the most common sequela, as it bears maximum onslaught. In India, few patients follow an unusually rapid course in developing severe MS because of its fulminant nature following attack of ARF.CASE REPORT: Our patient was a 28-month-old girl who had developed severe MS, mitral regurgitation (MR), and pulmonary hypertension (PH) as the sequelae of ARF which she had suffered at the age of 18 months old.CONCLUSION: To the best of our knowledge, this is the youngest reported case of rheumatic MS following ARF after extensive search in the literature. This case highlights the fact that very young population is not immune to ARF contrary to prior belief and therefore, more stringent preventive measures need to be implemented for it and possibility of ARF should be kept in mind while evaluating carditis in a child.https://arya.mui.ac.ir/article_10710_57ebe10efddcad20314b2eb42fd3a5bd.pdfCardiovascular research institute, Isfahan University of Medical SciencesARYA Atherosclerosis Journal1735-395515620191230Nebivolol for improving endothelial dysfunction in cardiac syndrome-x; Is it ready for clinical use?2922931071110.22122/arya.v15i6.1971ENAlirezaFatahianAssistant Professor, Department of Cardiology, Cardiovascular Research Center, Mazandaran University of Medical Sciences, Sari, Iran0000-0002-3284-4959Journal Article20190213This article does not have an abstracthttps://arya.mui.ac.ir/article_10711_231e535a63030cd69bf4b9a07d9968bf.pdfCardiovascular research institute, Isfahan University of Medical SciencesARYA Atherosclerosis Journal1735-395515620191101Journal Index1070410.22122/arya.v15i6.2138ENIndexJournal0000-0002-0105-6095Journal Article20200312Click to download the index of this issue. https://arya.mui.ac.ir/article_10704_dacb283d1182b49af03528f6f02eccd7.pdf