Journal of Clinical Cardiology

Case Report Open Access

The Fatal Interplay between Stress Induced Cardiomyopathy, Arrhythmia and Cardiogenic Shock

Mariam Khabsa, Bilal Al Kalaji, Sumaya Rasheed, Farah Zahra, Alok Patel

A 59-year-old man presents to the hospital following a syncopal episode after a low-speed car accident without visible injuries. He was diagnosed with stress cardiomyopathy and severe triple-vessel coronary artery disease. The case was complicated by complete heart block that culminated in refractory cardiogenic shock. Literature and current approach are reviewed.

Research Article Open Access

Ischemic Cardiomyopathy Evaluation with Coronary Calcium Score and CT Angiogram

Agara Kumar, Nebat Hussen, Suvasini Lakshmanan, Venkat Manubolu, April Kinninger, Matthew J. Budoff, Sion K. Roy

Our study aimed to examine the prevalence of atherosclerotic burden in a predominantly non-white cohort of patients from LA County who underwent coronary artery calcium scoring (CACS) and coronary CT angiogram (CCTA) for the evaluation of cardiomyopathy of ischemic origin. Ischemic cardiomyopathy, primarily caused by reduced blood supply to the heart, is the most common type of cardiomyopathy.

Short Communication Open Access

Association between Leukocyte Telomere Length and Atrial Fibrillation: A Mendelian Randomization Study

Jingmeng Liu, Jun Chen

Atrial fibrillation (AF) is the most common cardiac arrhythmia worldwide. The prevalence of AF increases significantly associated with increasing age, ranging from less than 0.5% of the population younger than 40 to 5% of those aged 65 and older and more than 10% of those surviving to the eighth decade of life. Therefore, AF is thought to be closely related to biological ageing.

Case Report Open Access

When the Right Coronary Artery is Tortuous and Too Big for Standard Coronary Stents: “The Child-in Mother Carotid Stent Technique”

Giulio Piedimonte, Enrico Cerrato, Greca Zanda, Cristina Rolfo, Francesco Tomassini, Alfonso Franzè, Marco Pavani, Rosario Tripodi, Ferdinando Varbella

Routine implementation of guide extension catheters in percutaneous coronary intervention (PCI) has significantly increased success rates in challenging anatomies, such as in tortuous and severe calcified vessels. Recently, the “Child-In-Mother technique” has been tested successfully in carotid artery stenting (CAS) in patients with severe tortuosity of the common or internal carotid artery (ICA).

Research Article Open Access

Guidelines Oriented Approach to Lipid (GOAL) Lowering Quality Improvement International Program

Anatoly Langer, Mary Tan, Caroline Spindler, Otavio Berwanger, Diane Camara, Khalid Al Faraidy, Mousa Akbar, Wael Almahmeed, Marco Alcocer-Gamba

Background: Despite practice guidelines, strategies for lowering LDL-C are often poorly adopted in clinical practice. Materials and Methods: Five countries (Brazil, Kuwait, Mexico, Saudi Arabia, and UAE) enrolled 2,422 patients with atherosclerotic cardiovascular disease (ASCVD) or familial hypercholesterolemia (FH) with low density lipoprotein cholesterol level (LDL-C) above 1.4 mmol/L. Patients were followed at 6 ± 2 months intervals to assess LDL-C level and treatment with ezetimibe and/or proprotein convertase subtilisin/kexin type 9 inhibitor (PCSK9i).