DSpace Collection: Saudi Heart Association

Prevalence of coronary arl'ery disease risk factors in saudi children

Fri, 01 Jan 1993 00:00:00 GMT

Title: Prevalence of coronary arl'ery disease risk factors in saudi children

Authors: Al-Hazzaa, Hazzaam; Sulaiman, A. Mohammed; Al-Mottairrtk, Khalid F.; Al-Attas, Omah S.

Abstract: Two hundred and twenty boy*, 7 to 12 years oT j ^ t , were subjected ro a comprehensivemedical, anthropometric, and physiological evaluation to assess tin: prevalence of coronaryartery disease risk factors. These risk factors include obesity, blood lipids and lipoproteins,blood glucose, blood pressure, cardiorespiratory fitness, and physical activity level. Theresults of :his Study indicate that there are no significant age-related differences in totalcholesterol, triglycerides, LDL-cholcstcrol, HDL-G'cholesterol ratio, or blood glucose. Nosignificant hypertension was detested among the subjects, Using relative body fat, 15.6% ofthe boys were considered obese. body fat percent showed significant inverse relationshipswith cardiorespiratory fitness, HOL-ehok-slerol, HDL-Ccholestcrol ratio, and was relatedpositively to systolic tind diastolic blood pressures bur not to total cholesterol. Blood pressurewas not related to cholesterol or triglyceride levels. The findings of this study also showedthat 223% of the boys exceeded cholesterol level of 5.2 mmal/L.26,4% had triglyceride tev*jabove 1.4 mmol/L., 15.4% had a LDL-cholestcrol level above 3.4 mmol/L, and 4.0% hadHDL-cholestcrol below .96 mmol/L. Wc conclude that a considerable percentage of thetested schoolchildren between the ages of 7 and 12 years have one or more coronary arterydisease risk factors.

Congenital coronary artery pulmonary artery fistula causing steal phenomenon: case report and review of the literature

Sat, 01 Jan 1994 00:00:00 GMT

Title: Congenital coronary artery pulmonary artery fistula causing steal phenomenon: case report and review of the literature

Authors: Maher, Samir; Al-Saddlque, Ahmed; Arafah, Mohammed R.; Ukra, Heder S.

Abstract: Congenital coronary artery fistulas terminating in revealed a continuous murmur in the second and cardiac chambers, pulmonary artery, or systemic third left parasternal spaces. The ECG was normal, veins are the most common hemodynamically apart from a leftward axis with inverted T-waves in significant coronary congenital anomaly found in up leads 1II and AVF. Serum, electrolytes, blood urea to 0.2% of the adult population.' It was first nitrogen, creatinine, triglycerides, and complete described by Krause in 1865.2 The first surgically blood count were normal. The chest x-ray was treated patient was reported by Bijork and Crafoord unremarkable. in 19473 at thoracotomy in a patient diagnosed as a Echocardiographic study was within normal case of patent ductus arteriosus. limits. Coronary angiography showed bilateralcoronary artery fistulas arising from the left anteriorCase Report descending (LAD) and intermediate branches of the left coronary artery, the dye opacifing theA 54-year-old man was admitted to the coronary pulmonary artery and poor filling of the LAD due to care unit in another hospital following an a.tack of stealing of coronary flow (Figure 1). Right coronary chest pain that was associated with sweaung and injection demonstrated a critical lesion in the dizziness. His electrocardiogram (ECG) showed proximal right coronary artery (RCA) and two raised ST segment in leads 1II and VF and depressed proximal branches arising from the RCA and ST segments I, aVL, V4 and V6' The enzymes were feeding the fistula (Figure 2), The Qp/Qs was normal on admission but showed an early rise after 8 estimated to be 1.2:1. In view of the subjective and h and then gradually declined by the end of 24 h. objective findings, surgery was offered. The patient responded well to antianginal therapy. A Through median sternotomy, the creation of a continuous murmur was noticed in the second and pericardial cradle revealed angiomatous plexus with third left parasternal spaces. The patient was a palpable thrill, overlying the outflow tract of the referred to King Khalid University Hospital for right ventricle arising from the LAD and further management. intermediate branches of the left coronary arteryOn admission, his heart rate was 65 beats/min leading to a vascular channel that ended in the and regular; the blood pressure was 140/100 mm pulmonary artery about 1 cm above the level of the Hg. The patient was afebrile, had no edema of the pulmonary valve. A branch from the RCA was lower limbs, and the jugular venous pressure was passing over the left anterolateral aspect of the not raised. The apex beat was in the left fifth pulmonary artery to join the vascular channel.

Description: Departments of Surgery,College of Medicine, King Saud University, Riyadh, Saudi Arabia

Comparison of the immediate and long-term outcomes of percutaneous balloon mitral valvuloplasty for severe mitral stenosis and predictors of restenosis

Sat, 01 Jan 2005 00:00:00 GMT

Title: Comparison of the immediate and long-term outcomes of percutaneous balloon mitral valvuloplasty for severe mitral stenosis and predictors of restenosis

Authors: Arafah, Mohammed R.

Abstract: To study the immediate and long-term results of percutaneous balloon mitral valvuloplasty (PBMY) inpatients with severe mitral stenosis and to determine the predictors of restenosis.Patients and Method: Consecutive patients presented to Kmg Khalid University Hospital, Riyadh, SaudiArabia during the period from 1999 to 2003. Two hundred fifteen patients with severe symptomatic mitralstenosis submitted to PBMY using the Inoue technique. The morphological features of the mitral valve weregraded using Wilkin's echocardiography score. Clinical and echocardiography data were available on follow-upon 195 patients (90.6%), 46 male and 149 females. Mean age was 32 ± 10.9 years with a mean follow-up 96 ±28 months (II month to II year).Result: The procedure was successful (i.e. MYA ::: 1.5 em' and mitral regurgitation (MR) < 3) in 205 patients(95%), without mortality MYA increased from 0.98 ± 0.27 em' to 2.02 ± 0.29 em' (P
Description: Department of Medicine (38), College of Medicine, King Khalid University Hospital; From the Department of Medicine (38), College of Medicine, King Khalid University Hospital, Riyadh Saudi Arabia

Screening and localization of silent pericardial effusion in healthy pregnant women

Tue, 01 May 2001 00:00:00 GMT

Title: Screening and localization of silent pericardial effusion in healthy pregnant women

Authors: Nouh, Mohamed S.M.; Arafah, Mohammed R.; Allam, Abdulkader R.; Al-Shamiri, Mostafa; Nooh, Randa M.; Babay, Zainab A.

Abstract: During normal pregnancy, the functional load on the heart and circulation are monitored, but the effect of pregnancy on the pericardium has not received the deserved attention. The aim of this study was to assess pericardial sac during normal pregnancy when developing pericardial effusion, with reference to clinical significance and prognostic signs. One hundred and four asymptomatic healthy pregnant women were clinically examined and investigated by M-mode and two-dimensional echocardiography at 12th, 24th and 36th weeks' gestation and in the 8th week after delivery. The findings were compared with those from 50 young age-matched non-pregnant women with no heart diseases. Pericardial effusion of different severity was detected in 24 cases (23 %). The size of the effusion was assessed by a simple method based on volume estimation of a prolate ellipse derived from the measurement of the length and two minor axes of the ellipse which is used to estimate total pericardial sac volume and cardiac volume. The pericardial fluid volume is the difference between these two volumes. The effusion was large in 4 (3.8 %), moderate in 4 (3.8 %) and small in 16 (IS%) cases. Eight weeks after delivery, there was little or no evidence of pericardial effusion in the 16 cases of small effusion, but there was a major reduction in the size of effusion in the eight cases, with a large and moderate pericardial fluid formula.

Description: Department ofdelivery in normal pregnant women..Medicine and Division of Cardiology, P.O. Box 2925, King SaudUniversity, Riyadh 11461, Saudi Arabia.