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action="https://publications.waset.org/abstracts/search"> <div id="custom-search-input"> <div class="input-group"> <i class="fas fa-search"></i> <input type="text" class="search-query" name="q" placeholder="Author, Title, Abstract, Keywords" value="cardiac catheterization"> <input type="submit" class="btn_search" value="Search"> </div> </div> </form> </div> </div> <div class="row mt-3"> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Commenced</strong> in January 2007</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Frequency:</strong> Monthly</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Edition:</strong> International</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Paper Count:</strong> 506</div> </div> </div> </div> <h1 class="mt-3 mb-3 text-center" style="font-size:1.6rem;">Search results for: cardiac catheterization</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">506</span> Reduction of Physician's Radiation Dose during Cardiac Catheterization Procedures Using Lead-Free Sterile Radiation Shields</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mohammad%20O.%20Diab">Mohammad O. Diab</a>, <a href="https://publications.waset.org/abstracts/search?q=Sahera%20A.%20Saleh"> Sahera A. Saleh</a>, <a href="https://publications.waset.org/abstracts/search?q=Mustapha%20M.%20Dichari"> Mustapha M. Dichari</a>, <a href="https://publications.waset.org/abstracts/search?q=Nijez%20Aloulou"> Nijez Aloulou</a>, <a href="https://publications.waset.org/abstracts/search?q=Omar%20Hamoui"> Omar Hamoui</a>, <a href="https://publications.waset.org/abstracts/search?q=Feras%20Chehade"> Feras Chehade</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This study sought to evaluate the efficiency of lead-free sterile radiation shield (Radionex) in the reduction of physician's exposure dose during interventional cardiology procedures. Cardiac catheterization procedures are often associated with high radiation doses and high levels of secondary radiation emitted by the patient's body. This study compares physician exposure dose rate during cardiac catheterization procedures done through the femoral artery with sterile radiation shielding to same procedures made without the shielding. The mean operator radiation dose rate without using the shield was found to be 18.4µSv/min compared to a mean dose rate of 5.1 µSv/min when using the shield, rendering a reduction of 72.5% of radiation received by the physician. Sterile radiation shielding is consequently an effective addition to a cardiac catheterization lab radiation protection system. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cardiac%20catheterization" title="cardiac catheterization">cardiac catheterization</a>, <a href="https://publications.waset.org/abstracts/search?q=physician%20exposure%20dose" title=" physician exposure dose"> physician exposure dose</a>, <a href="https://publications.waset.org/abstracts/search?q=sterile%20radiation%20shielding" title=" sterile radiation shielding"> sterile radiation shielding</a>, <a href="https://publications.waset.org/abstracts/search?q=lead-free%20sterile%20radiation%20shields" title=" lead-free sterile radiation shields"> lead-free sterile radiation shields</a> </p> <a href="https://publications.waset.org/abstracts/23700/reduction-of-physicians-radiation-dose-during-cardiac-catheterization-procedures-using-lead-free-sterile-radiation-shields" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/23700.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">513</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">505</span> Study of Contrast Induced Nephropathy in Patients Undergoing Cardiac Catheterization: Upper Egypt Experience</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ali%20Kassem">Ali Kassem</a>, <a href="https://publications.waset.org/abstracts/search?q=Sharf%20Eldeen-Shazly"> Sharf Eldeen-Shazly</a>, <a href="https://publications.waset.org/abstracts/search?q=Alshemaa%20Lotfy"> Alshemaa Lotfy</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Contrast-induced nephropathy (CIN) has been the third leading cause of hospital-acquired renal failure. Patients with cardiac diseases are particularly at risk especially with repeated injections of contrast media. CIN is generally defined as an increase in serum creatinine concentration of > 0.5 mg/dL or 25% above baseline within 48 hours after contrast administration. Aim of work: To examine the frequency of CIN for patients undergoing cardiac catheterization at Sohag University Hospital (Upper Egypt) and to identify possible risk factors for CIN in these patients. Material and methods: The study included 104 patients with mean age 56.11 ±10.03, 64(61.5%) are males while 40(38.5%) are females. 44(42.3%) patients are diabetics, 43(41%) patients are hypertensive, 6(5.7%) patients have congestive heart failure, 69(66.3%) patients on statins, 74 (71.2 %) are on ACEIs or ARBs, 19(15.4%) are on metformin, 6 (5.8%) are on NSAIDs, 30(28.8%) are on diuretics. RESULTS: Patients were classified at the end of the study into two groups: Group A: Included 91 patients who did not develop CIN. Group B: Included 13 patients who developed CIN, of which serum creatinine raised > 0.5mg/dl in 6 patients and raised > 25% from the baseline after the procedure in 13 patients. The overall incidence of CIN was 12.5%. CIN increased with older age. There was an increase in the incidence of CIN in diabetic versus non-diabetic patients (20.5% and 6.7%) respectively. (p< 0.03). There was a highly significant increase in the incidence of CIN in patients with CHF versus those without CHF (100% and 71%) respectively, (P<0001). Patients on diuretics showed a significant increase in the incidence of CIN representing 61.5% of all patients who developed CIN. Conclusion: Older patients, diabetic patients, patients with CHF and patients on diuretics have higher risk of developing CIN during coronary catheterization and should receive reno-protective measures before contrast exposure. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cardiac%20diseases" title="cardiac diseases">cardiac diseases</a>, <a href="https://publications.waset.org/abstracts/search?q=contrast-induced%20nephropathy" title=" contrast-induced nephropathy"> contrast-induced nephropathy</a>, <a href="https://publications.waset.org/abstracts/search?q=coronary%20catheterization" title=" coronary catheterization"> coronary catheterization</a>, <a href="https://publications.waset.org/abstracts/search?q=CIN" title=" CIN"> CIN</a> </p> <a href="https://publications.waset.org/abstracts/32783/study-of-contrast-induced-nephropathy-in-patients-undergoing-cardiac-catheterization-upper-egypt-experience" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/32783.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">313</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">504</span> Balanced Ischemia Misleading to a False Negative Myocardial Perfusion Imaging (Stress) Test</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Devam%20Sheth">Devam Sheth </a> </p> <p class="card-text"><strong>Abstract:</strong></p> Nuclear imaging with stress myocardial perfusion (stress test) is the preferred first line investigation for noninvasive evaluation of ischaemic heart condition. The sensitivity of this test is close to 90 % making it a very reliable test. However, rarely it gives a false negative result which can be explained by the phenomenon termed as “balanced ischaemia”. We present the case of a 78 year Caucasian female without any significant past cardiac history, who presents with chest pain and shortness of breath since one day. The initial ECG and cardiac enzymes were non-impressive. Few hours later, she had some substernal chest pain along with some ST segment depression in the lateral leads. Stress test comes back negative for any significant perfusion defects. However, given her typical symptoms, she underwent a cardiac catheterization which revealed significant triple vessel disease mandating her to get a bypass surgery. This unusual phenomenon of false nuclear stress test in the setting of positive ECG changes can be explained only by balanced ischemia wherein due to global myocardial ischemia, the stress test fails to reveal relative perfusion defects in the affected segments. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=balanced" title="balanced">balanced</a>, <a href="https://publications.waset.org/abstracts/search?q=false%20positive" title=" false positive"> false positive</a>, <a href="https://publications.waset.org/abstracts/search?q=ischemia" title=" ischemia"> ischemia</a>, <a href="https://publications.waset.org/abstracts/search?q=myocardial%20perfusion%20imaging" title=" myocardial perfusion imaging"> myocardial perfusion imaging</a> </p> <a href="https://publications.waset.org/abstracts/49756/balanced-ischemia-misleading-to-a-false-negative-myocardial-perfusion-imaging-stress-test" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/49756.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">299</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">503</span> A Literature Review on Bladder Management in Individuals with Spinal Cord Injury</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Elif%20Ates">Elif Ates</a>, <a href="https://publications.waset.org/abstracts/search?q=Naile%20Bilgili"> Naile Bilgili</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: One of the most important medical complications that individuals with spinal cord injury (SCI) face are the neurogenic bladder. Objectives: To review methods used for management of neurogenic bladder and their effects. Methods: The study was conducted by searching CINAHL, Ebscohost, MEDLINE, Science Direct, Ovid, ProQuest, Web of Science, and ULAKBİM National Databases for studies published between 2005 and 2015. Key words used during the search included ‘spinal cord injury’, ‘bladder injury’, ‘nursing care’, ‘catheterization’ and ‘intermittent urinary catheter’. After examination of 551 studies, 21 studies which met inclusion criteria were included in the review. Results: Mean age of individuals in all study samples was 42 years. The most commonly used bladder management method was clean intermittent catheterization (CIC). Compliance with CIC was found to be significantly related to spasticity, maximum cystometric capacity, and the person performing catheterization (p < .05). The main reason for changing the existing bladder management method was urinary tract infections (UTI). Individuals who performed CIC by themselves and who voided spontaneously had better life quality. Patient age, occupation status and whether they performed CIC by themselves or not were found to be significantly associated with depression level (p ≤ .05). Conclusion: As the most commonly used method for bladder management, CIC is a reliable and effective method, and reduces the risk of UTI development. Individuals with neurogenic bladder have a higher prevalence of depression symptoms than the normal population. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=bladder%20management" title="bladder management">bladder management</a>, <a href="https://publications.waset.org/abstracts/search?q=catheterization" title=" catheterization"> catheterization</a>, <a href="https://publications.waset.org/abstracts/search?q=nursing" title=" nursing"> nursing</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20cord%20injury" title=" spinal cord injury"> spinal cord injury</a> </p> <a href="https://publications.waset.org/abstracts/74098/a-literature-review-on-bladder-management-in-individuals-with-spinal-cord-injury" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/74098.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">175</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">502</span> Calculation the Left Ventricle Wall Radial Strain and Radial SR Using Tagged Magnetic Resonance Imaging Data (tMRI)</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mohammed%20Alenezy">Mohammed Alenezy</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The function of cardiac motion can be used as an indicator of the heart abnormality by evaluating longitudinal, circumferential, and Radial Strain of the left ventricle. In this paper, the Radial Strain and SR is studied using tagged MRI (tMRI) data during the cardiac cycle on the mid-ventricle level of the left ventricle. Materials and methods: The short-axis view of the left ventricle of five healthy human (three males and two females) and four healthy male rats were imaged using tagged magnetic resonance imaging (tMRI) technique covering the whole cardiac cycle on the mid-ventricle level. Images were processed using Image J software to calculate the left ventricle wall Radial Strain and radial SR. The left ventricle Radial Strain and radial SR were calculated at the mid-ventricular level during the cardiac cycle. The peak Radial Strain for the human and rat heart was 40.7±1.44, and 46.8±0.68 respectively, and it occurs at 40% of the cardiac cycle for both human and rat heart. The peak diastolic and systolic radial SR for human heart was -1.78 s-1 ± 0.02 s-1 and 1.10±0.08 s-1 respectively, while for rat heart it was -5.16± 0.23s-1 and 4.25±0.02 s-1 respectively. Conclusion: This results show the ability of the tMRI data to characterize the cardiac motion during the cardiac cycle including diastolic and systolic phases which can be used as an indicator of the cardiac dysfunction by estimating the left ventricle Radial Strain and radial SR at different locations of the cardiac tissue. This study approves the validity of the tagged MRI data to describe accurately the cardiac radial motion. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=left%20ventricle" title="left ventricle">left ventricle</a>, <a href="https://publications.waset.org/abstracts/search?q=radial%20strain" title=" radial strain"> radial strain</a>, <a href="https://publications.waset.org/abstracts/search?q=tagged%20MRI" title=" tagged MRI"> tagged MRI</a>, <a href="https://publications.waset.org/abstracts/search?q=cardiac%20cycle" title=" cardiac cycle"> cardiac cycle</a> </p> <a href="https://publications.waset.org/abstracts/21036/calculation-the-left-ventricle-wall-radial-strain-and-radial-sr-using-tagged-magnetic-resonance-imaging-data-tmri" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/21036.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">483</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">501</span> Automatic LV Segmentation with K-means Clustering and Graph Searching on Cardiac MRI</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Hae-Yeoun%20Lee">Hae-Yeoun Lee</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Quantification of cardiac function is performed by calculating blood volume and ejection fraction in routine clinical practice. However, these works have been performed by manual contouring,which requires computational costs and varies on the observer. In this paper, an automatic left ventricle segmentation algorithm on cardiac magnetic resonance images (MRI) is presented. Using knowledge on cardiac MRI, a K-mean clustering technique is applied to segment blood region on a coil-sensitivity corrected image. Then, a graph searching technique is used to correct segmentation errors from coil distortion and noises. Finally, blood volume and ejection fraction are calculated. Using cardiac MRI from 15 subjects, the presented algorithm is tested and compared with manual contouring by experts to show outstanding performance. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cardiac%20MRI" title="cardiac MRI">cardiac MRI</a>, <a href="https://publications.waset.org/abstracts/search?q=graph%20searching" title=" graph searching"> graph searching</a>, <a href="https://publications.waset.org/abstracts/search?q=left%20ventricle%20segmentation" title=" left ventricle segmentation"> left ventricle segmentation</a>, <a href="https://publications.waset.org/abstracts/search?q=K-means%20clustering" title=" K-means clustering"> K-means clustering</a> </p> <a href="https://publications.waset.org/abstracts/26435/automatic-lv-segmentation-with-k-means-clustering-and-graph-searching-on-cardiac-mri" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/26435.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">399</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">500</span> Using Audit Tools to Maintain Data Quality for ACC/NCDR PCI Registry Abstraction</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Vikrum%20Malhotra">Vikrum Malhotra</a>, <a href="https://publications.waset.org/abstracts/search?q=Manpreet%20Kaur"> Manpreet Kaur</a>, <a href="https://publications.waset.org/abstracts/search?q=Ayesha%20Ghotto"> Ayesha Ghotto</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Cardiac registries such as ACC Percutaneous Coronary Intervention Registry require high quality data to be abstracted, including data elements such as nuclear cardiology, diagnostic coronary angiography, and PCI. Introduction: The audit tool created is used by data abstractors to provide data audits and assess the accuracy and inter-rater reliability of abstraction performed by the abstractors for a health system. This audit tool solution has been developed across 13 registries, including ACC/NCDR registries, PCI, STS, Get with the Guidelines. Methodology: The data audit tool was used to audit internal registry abstraction for all data elements, including stress test performed, type of stress test, data of stress test, results of stress test, risk/extent of ischemia, diagnostic catheterization detail, and PCI data elements for ACC/NCDR PCI registries. This is being used across 20 hospital systems internally and providing abstraction and audit services for them. Results: The data audit tool had inter-rater reliability and accuracy greater than 95% data accuracy and IRR score for the PCI registry in 50 PCI registry cases in 2021. Conclusion: The tool is being used internally for surgical societies and across hospital systems. The audit tool enables the abstractor to be assessed by an external abstractor and includes all of the data dictionary fields for each registry. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=abstraction" title="abstraction">abstraction</a>, <a href="https://publications.waset.org/abstracts/search?q=cardiac%20registry" title=" cardiac registry"> cardiac registry</a>, <a href="https://publications.waset.org/abstracts/search?q=cardiovascular%20registry" title=" cardiovascular registry"> cardiovascular registry</a>, <a href="https://publications.waset.org/abstracts/search?q=registry" title=" registry"> registry</a>, <a href="https://publications.waset.org/abstracts/search?q=data" title=" data"> data</a> </p> <a href="https://publications.waset.org/abstracts/148403/using-audit-tools-to-maintain-data-quality-for-accncdr-pci-registry-abstraction" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/148403.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">105</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">499</span> Impact of Pediatric Cardiac Rehabilitation on the Physical Condition of Children with Congenital Heart Defects</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Hady%20Atef%20Labib">Hady Atef Labib</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Pediatric cardiac rehabilitation has the potential to benefit many children with congenital heart defects (CHD). Instead of excellent surgical results most of children usually present with a depression of physical condition so early rehabilitation program is recommended to avoid that decline in physical tolerance and prevent any post surgical complications. Unfortunately, the limited experience with and availability of these programs has caused the benefits of cardiac rehabilitation to be unavailable to most children with CHD. Therefore, it is recommended to study that field in more detail and apply it on wider scale. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=pediatric%20cardiac%20rehabilitation" title="pediatric cardiac rehabilitation">pediatric cardiac rehabilitation</a>, <a href="https://publications.waset.org/abstracts/search?q=congenital%20heart%20disease" title=" congenital heart disease"> congenital heart disease</a>, <a href="https://publications.waset.org/abstracts/search?q=quality%20of%20life" title=" quality of life"> quality of life</a>, <a href="https://publications.waset.org/abstracts/search?q=pediatric" title=" pediatric"> pediatric</a> </p> <a href="https://publications.waset.org/abstracts/13402/impact-of-pediatric-cardiac-rehabilitation-on-the-physical-condition-of-children-with-congenital-heart-defects" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/13402.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">378</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">498</span> Risk Factors for High Resistance of Ciprofloxacin Against Escherichia coli in Complicated Urinary Tract Infection</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Liaqat%20Ali">Liaqat Ali</a>, <a href="https://publications.waset.org/abstracts/search?q=Khalid%20Farooq"> Khalid Farooq</a>, <a href="https://publications.waset.org/abstracts/search?q=Shafieullah%20Khan"> Shafieullah Khan</a>, <a href="https://publications.waset.org/abstracts/search?q=Nasir%20Orakzai"> Nasir Orakzai</a>, <a href="https://publications.waset.org/abstracts/search?q=Qudratullah"> Qudratullah</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objectives: To determine the risk factors for high resistance of ciprofloxacin in complicated urinary tract infections. Materials and Methods: It is an analytical study that was conducted in the department of Urology (Team ‘C’) at Institute of Kidney Diseases Hayatabad Peshawar from 1st June 2012 till 31st December 2012. Total numbers of 100 patients with complicated UTI was selected in the study. Multivariate analysis and linear regression were performed for the detection of risk factors. All the data was recorded on structured Proforma and was analyzed on SPSS version 17. Results: The mean age of the patient was 55.6 years (Range 3-82 years). 62 patients were male while 38 patients were female. 66 isolates of E-Coli were found sensitive to ciprofloxacin while 34 isolates were found Resistant for ciprofloxacin. Using multivariate analysis and linear regression, an increasing age above 50 (p=0.002) History of urinary catheterization especially for bladder outflow obstruction (p=0.001) and previous multiple use of ciprofloxacin (p=0.001) and poor brand of ciprofloxacin were found to be independent risk factors for high resistance of ciprofloxacin. Conclusion: UTI is common illness across the globe with increasing trend of antimicrobial resistance for ciprofloxacin against E Coli in complicated UTI. The risk factors for emerging resistance are increasing age, urinary catheterization and multiple use and poor brand of ciprofloxacin. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=urinary%20tract%20infection" title="urinary tract infection">urinary tract infection</a>, <a href="https://publications.waset.org/abstracts/search?q=ciprofloxacin" title=" ciprofloxacin"> ciprofloxacin</a>, <a href="https://publications.waset.org/abstracts/search?q=urethral%20catheterization" title=" urethral catheterization"> urethral catheterization</a>, <a href="https://publications.waset.org/abstracts/search?q=antimicrobial%20resistance" title=" antimicrobial resistance"> antimicrobial resistance</a> </p> <a href="https://publications.waset.org/abstracts/13555/risk-factors-for-high-resistance-of-ciprofloxacin-against-escherichia-coli-in-complicated-urinary-tract-infection" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/13555.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">354</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">497</span> Quality Assurance in Cardiac Disorder Detection Images</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Anam%20Naveed">Anam Naveed</a>, <a href="https://publications.waset.org/abstracts/search?q=Asma%20Andleeb"> Asma Andleeb</a>, <a href="https://publications.waset.org/abstracts/search?q=Mehreen%20Sirshar"> Mehreen Sirshar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> In the article, Image processing techniques have been applied on cardiac images for enhancing the image quality. Two types of methodologies considers for survey, invasive techniques and non-invasive techniques. Different image processes for improvement of cardiac image quality and reduce the amount of radiation exposure for invasive techniques are explored. Different image processing algorithms for enhancing the noninvasive cardiac image qualities are described. Beside these two methodologies, third methodology has applied on live streaming of heart rate on ECG window for extracting necessary information, removing noise and enhancing quality. Sensitivity analyses have been carried out to investigate the impacts of cardiac images for diagnosis of cardiac arteries disease and how the enhancement on images will help the cardiologist to diagnoses disease. The paper evaluates strengths and weaknesses of different techniques applied for improved the image quality and draw a conclusion. Some specific limitations must be considered for whole survey, like the patient heart beat must be 70-75 beats/minute while doing the angiography, similarly patient weight and exposure radiation amount has some limitation. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cardiac%20images" title="cardiac images">cardiac images</a>, <a href="https://publications.waset.org/abstracts/search?q=CT%20angiography" title=" CT angiography"> CT angiography</a>, <a href="https://publications.waset.org/abstracts/search?q=critical%20analysis" title=" critical analysis"> critical analysis</a>, <a href="https://publications.waset.org/abstracts/search?q=exposure%20radiation" title=" exposure radiation"> exposure radiation</a>, <a href="https://publications.waset.org/abstracts/search?q=invasive%20techniques" title=" invasive techniques"> invasive techniques</a>, <a href="https://publications.waset.org/abstracts/search?q=invasive%20techniques" title=" invasive techniques"> invasive techniques</a>, <a href="https://publications.waset.org/abstracts/search?q=non-invasive%20techniques" title=" non-invasive techniques"> non-invasive techniques</a> </p> <a href="https://publications.waset.org/abstracts/26171/quality-assurance-in-cardiac-disorder-detection-images" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/26171.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">352</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">496</span> Treatment and Diagnostic Imaging Methods of Fetal Heart Function in Radiology</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mahdi%20Farajzadeh%20Ajirlou">Mahdi Farajzadeh Ajirlou</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Prior evidence of normal cardiac anatomy is desirable to relieve the anxiety of cases with a family history of congenital heart disease or to offer the option of early gestation termination or close follow-up should a cardiac anomaly be proved. Fetal heart discovery plays an important part in the opinion of the fetus, and it can reflect the fetal heart function of the fetus, which is regulated by the central nervous system. Acquisition of ventricular volume and inflow data would be useful to quantify more valve regurgitation and ventricular function to determine the degree of cardiovascular concession in fetal conditions at threat for hydrops fetalis. This study discusses imaging the fetal heart with transvaginal ultrasound, Doppler ultrasound, three-dimensional ultrasound (3DUS) and four-dimensional (4D) ultrasound, spatiotemporal image correlation (STIC), glamorous resonance imaging and cardiac catheterization. Doppler ultrasound (DUS) image is a kind of real- time image with a better imaging effect on blood vessels and soft tissues. DUS imaging can observe the shape of the fetus, but it cannot show whether the fetus is hypoxic or distressed. Spatiotemporal image correlation (STIC) enables the acquisition of a volume of data concomitant with the beating heart. The automated volume accession is made possible by the array in the transducer performing a slow single reach, recording a single 3D data set conforming to numerous 2D frames one behind the other. The volume accession can be done in a stationary 3D, either online 4D (direct volume scan, live 3D ultrasound or a so-called 4D (3D/ 4D)), or either spatiotemporal image correlation-STIC (off-line 4D, which is a circular volume check-up). Fetal cardiovascular MRI would appear to be an ideal approach to the noninvasive disquisition of the impact of abnormal cardiovascular hemodynamics on antenatal brain growth and development. Still, there are practical limitations to the use of conventional MRI for fetal cardiovascular assessment, including the small size and high heart rate of the mortal fetus, the lack of conventional cardiac gating styles to attend data accession, and the implicit corruption of MRI data due to motherly respiration and unpredictable fetal movements. Fetal cardiac MRI has the implicit to complement ultrasound in detecting cardiovascular deformations and extracardiac lesions. Fetal cardiac intervention (FCI), minimally invasive catheter interventions, is a new and evolving fashion that allows for in-utero treatment of a subset of severe forms of congenital heart deficiency. In special cases, it may be possible to modify the natural history of congenital heart disorders. It's entirely possible that future generations will ‘repair’ congenital heart deficiency in utero using nanotechnologies or remote computer-guided micro-robots that work in the cellular layer. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=fetal" title="fetal">fetal</a>, <a href="https://publications.waset.org/abstracts/search?q=cardiac%20MRI" title=" cardiac MRI"> cardiac MRI</a>, <a href="https://publications.waset.org/abstracts/search?q=ultrasound" title=" ultrasound"> ultrasound</a>, <a href="https://publications.waset.org/abstracts/search?q=3D" title=" 3D"> 3D</a>, <a href="https://publications.waset.org/abstracts/search?q=4D" title=" 4D"> 4D</a>, <a href="https://publications.waset.org/abstracts/search?q=heart%20disease" title=" heart disease"> heart disease</a>, <a href="https://publications.waset.org/abstracts/search?q=invasive" title=" invasive"> invasive</a>, <a href="https://publications.waset.org/abstracts/search?q=noninvasive" title=" noninvasive"> noninvasive</a>, <a href="https://publications.waset.org/abstracts/search?q=catheter" title=" catheter"> catheter</a> </p> <a href="https://publications.waset.org/abstracts/187696/treatment-and-diagnostic-imaging-methods-of-fetal-heart-function-in-radiology" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/187696.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">40</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">495</span> Out of Hospital Cardiac Arrest in Kuala Lumpur: A Mixed Method Study on Incidence, Adherence to Protocol, and Issues</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mohd%20Said%20Nurumal">Mohd Said Nurumal</a>, <a href="https://publications.waset.org/abstracts/search?q=Sarah%20Sheikh%20Abdul%20Karim"> Sarah Sheikh Abdul Karim </a> </p> <p class="card-text"><strong>Abstract:</strong></p> Information regarding out of hospital cardiac arrest incidence include outcome in Malaysia is limited and fragmented. This study aims to identify incidence and adherence to protocol of out of hospital cardiac arrest and also to explore the issues faced by the pre-hospital personnel in regards managing cardiac arrest victim in Kuala Lumpur, Malaysia. A mixed method approach combining the qualitative and quantitative study design was used. The 285 pre-hospital care data sheet of out of hospital cardiac arrest during the year of 2011 were examined by using checklists for identify the incidence and adherence to protocol. Nine semi-structured interviews and two focus group discussions were performed. For the incidence based on the overall out of hospital cardiac arrest cases that occurred in 2011 (n=285), the survival rates were 16.8%. For adherence to protocol, only 89 (41.8%) of the cases adhered to the given protocol and 124 did not adhere to such protocol. The qualitative information provided insight about the issues related to out of hospital cardiac arrest in every aspect. All the relevant qualitative data were merged into few categories relating issues that could affect the management of out of hospital cardiac arrest performed by pre-hospital care team. One of the essential elements in the out of hospital cardiac arrest handling by pre-hospital care is to ensure increase of survival rates and excellent outcomes by adhering to given protocols based on international standard benchmarks. Measures are needed to strengthen the quick activation of the pre-hospital care service, prompt bystander cardiopulmonary resuscitation, early defibrillation and timely advanced cardiac life support and also to tackle all the issues highlighted in qualitative results. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=pre-hospital%20care" title="pre-hospital care">pre-hospital care</a>, <a href="https://publications.waset.org/abstracts/search?q=out%20of%20hospital%20cardiac%20arrest" title=" out of hospital cardiac arrest"> out of hospital cardiac arrest</a>, <a href="https://publications.waset.org/abstracts/search?q=incidence" title=" incidence"> incidence</a>, <a href="https://publications.waset.org/abstracts/search?q=protocol" title=" protocol"> protocol</a>, <a href="https://publications.waset.org/abstracts/search?q=mixed%20method%20research" title=" mixed method research"> mixed method research</a> </p> <a href="https://publications.waset.org/abstracts/12852/out-of-hospital-cardiac-arrest-in-kuala-lumpur-a-mixed-method-study-on-incidence-adherence-to-protocol-and-issues" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/12852.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">414</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">494</span> Analyzing the Readiness of Resuscitation Team during Cardiac Arrest</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=J.%20Byimana">J. Byimana</a>, <a href="https://publications.waset.org/abstracts/search?q=I.%20A.%20Muhire"> I. A. Muhire</a>, <a href="https://publications.waset.org/abstracts/search?q=J.%20E.%20Nzabahimana"> J. E. Nzabahimana</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Nyombayire"> A. Nyombayire</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: A successful cardiopulmonary resuscitation during a sudden cardiac arrest can be delayed by different components including new hospital setting, lack of adequate training, lack of pre-established resuscitation team and ineffective communication and lead to an unexpected outcome which is death. The main objective of the study was to assess the readiness of resuscitation teams during cardiac arrest and the organizational approaches that would best support their functioning in a new hospital facility, and to detect any factor that may have contributed to responses. This study analyses the readiness of Resuscitation Team (RT) during cardiac arrest. —Material and methods: A prospective Analytic design was carried out at a newly established United Nations level 2 hospital facility, on four RTM (resuscitation team member). A semi structured questionnaire was used to collect data. —Results: This study highlights indicate that the response time during cardiac arrest simulation meet both American heart association (AHA) and European resuscitation council guidelines. The study offers useful evidence about the impact of a new facility on RTM performance and provides an exposure of staff to emergency events within the Work setting. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cardiac%20arrest" title="cardiac arrest">cardiac arrest</a>, <a href="https://publications.waset.org/abstracts/search?q=code%20blue" title=" code blue"> code blue</a>, <a href="https://publications.waset.org/abstracts/search?q=simulation" title=" simulation"> simulation</a>, <a href="https://publications.waset.org/abstracts/search?q=resuscitation%20team%20member" title=" resuscitation team member"> resuscitation team member</a> </p> <a href="https://publications.waset.org/abstracts/75912/analyzing-the-readiness-of-resuscitation-team-during-cardiac-arrest" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/75912.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">221</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">493</span> Incidence and Risk Factors of Central Venous Associated Infections in a Tunisian Medical Intensive Care Unit</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ammar%20Asma">Ammar Asma</a>, <a href="https://publications.waset.org/abstracts/search?q=Bouafia%20Nabiha"> Bouafia Nabiha</a>, <a href="https://publications.waset.org/abstracts/search?q=Ghammam%20Rim"> Ghammam Rim</a>, <a href="https://publications.waset.org/abstracts/search?q=Ezzi%20Olfa"> Ezzi Olfa</a>, <a href="https://publications.waset.org/abstracts/search?q=Ben%20Cheikh%20Asma"> Ben Cheikh Asma</a>, <a href="https://publications.waset.org/abstracts/search?q=Mahjoub%20Mohamed"> Mahjoub Mohamed</a>, <a href="https://publications.waset.org/abstracts/search?q=Helali%20Radhia"> Helali Radhia</a>, <a href="https://publications.waset.org/abstracts/search?q=Sma%20Nesrine"> Sma Nesrine</a>, <a href="https://publications.waset.org/abstracts/search?q=Chouch%C3%A8ne%20Imed"> Chouchène Imed</a>, <a href="https://publications.waset.org/abstracts/search?q=Boussarsar%20Hamadi"> Boussarsar Hamadi</a>, <a href="https://publications.waset.org/abstracts/search?q=Njah%20Mansour"> Njah Mansour</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Central venous catheter associated infections (CVC-AI) are among the serious hospital-acquired infections. The aims of this study are to determine the incidence of CVC-AI, and their risk factors among patients followed in a Tunisian medical intensive care unit (ICU). Materials / Methods: A prospective cohort study conducted between September 15th, 2015 and November 15th, 2016 in an 8-bed medical ICU including all patients admitted for more than 48h. CVC-AI were defined according to CDC of ATLANTA criteria. The enrollment was based on clinical and laboratory diagnosis of CVC-AI. For all subjects, age, sex, underlying diseases, SAPS II score, ICU length of stay, exposure to CVC (number of CVC placed, site of insertion and duration catheterization) were recorded. Risk factors were analyzed by conditional stepwise logistic regression. The p-value of < 0.05 was considered significant. Results: Among 192 eligible patients, 144 patients (75%) had a central venous catheter. Twenty-eight patients (19.4%) had developed CVC-AI with density rate incidence 20.02/1000 CVC-days. Among these infections, 60.7% (n=17) were systemic CVC-AI (with negative blood culture), and 35.7% (n=10) were bloodstream CVC-AI. The mean SAPS II of patients with CVC-AI was 32.76 14.48; their mean Charlson index was 1.77 1.55, their mean duration of catheterization was 15.46 10.81 days and the mean duration of one central line was 5.8+/-3.72 days. Gram-negative bacteria was determined in 53.5 % of CVC-AI (n= 15) dominated by multi-drug resistant Acinetobacter baumani (n=7). Staphylococci were isolated in 3 CVC-AI. Fourteen (50%) patients with CVC-AI died. Univariate analysis identified men (p=0.034), the referral from another hospital department (p=0.03), tobacco (p=0.006), duration of sedation (p=0.003) and the duration of catheterization (p=0), as possible risk factors of CVC-AI. Multivariate analysis showed that independent factors of CVC-AI were, male sex; OR= 5.73, IC 95% [2; 16.46], p=0.001, Ramsay score; OR= 1.57, IC 95% [1.036; 2.38], p=0.033, and duration of catheterization; OR=1.093, IC 95% [1.035; 1.15], p=0.001. Conclusion: In a monocenter cohort, CVC-AI had a high density and is associated with poor outcome. Identifying the risk factors is necessary to find solutions for this major health problem. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=central%20venous%20catheter%20associated%20infection" title="central venous catheter associated infection">central venous catheter associated infection</a>, <a href="https://publications.waset.org/abstracts/search?q=intensive%20care%20unit" title=" intensive care unit"> intensive care unit</a>, <a href="https://publications.waset.org/abstracts/search?q=prospective%20cohort%20studies" title=" prospective cohort studies"> prospective cohort studies</a>, <a href="https://publications.waset.org/abstracts/search?q=risk%20factors" title=" risk factors"> risk factors</a> </p> <a href="https://publications.waset.org/abstracts/65611/incidence-and-risk-factors-of-central-venous-associated-infections-in-a-tunisian-medical-intensive-care-unit" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/65611.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">361</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">492</span> Predicting Factors for Occurrence of Cardiac Arrest in Critical, Emergency and Urgency Patients in an Emergency Department</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Angkrit%20Phitchayangkoon">Angkrit Phitchayangkoon</a>, <a href="https://publications.waset.org/abstracts/search?q=Ar-Aishah%20Dadeh"> Ar-Aishah Dadeh</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: A key aim of triage is to identify the patients with high risk of cardiac arrest because they require intensive monitoring, resuscitation facilities, and early intervention. We aimed to identify the predicting factors such as initial vital signs, serum pH, serum lactate level, initial capillary blood glucose, and Modified Early Warning Score (MEWS) which affect the occurrence of cardiac arrest in an emergency department (ED). Methods: We conducted a retrospective data review of ED patients in an emergency department (ED) from 1 August 2014 to 31 July 2016. Significant variables in univariate analysis were used to create a multivariate analysis. Differentiation of predicting factors between cardiac arrest patient and non-cardiac arrest patients for occurrence of cardiac arrest in an emergency department (ED) was the primary outcome. Results: The data of 527 non-trauma patients with Emergency Severity Index (ESI) 1-3 were collected. The factors found to have a significant association (P < 0.05) in the non-cardiac arrest group versus the cardiac arrest group at the ED were systolic BP (mean [IQR] 135 [114,158] vs 120 [90,140] mmHg), oxygen saturation (mean [IQR] 97 [89,98] vs 82.5 [78,95]%), GCS (mean [IQR] 15 [15,15] vs 11.5 [8.815]), normal sinus rhythm (mean 59.8 vs 30%), sinus tachycardia (mean 46.7 vs 21.7%), pH (mean [IQR] 7.4 [7.3,7.4] vs 7.2 [7,7.3]), serum lactate (mean [IQR] 2 [1.1,4.2] vs 7 [5,10.8]), and MEWS score (mean [IQR] 3 [2,5] vs 5 [3,6]). A multivariate analysis was then performed. After adjusting for multiple factors, ESI level 2 patients were more likely to have cardiac arrest in the ER compared with ESI 1 (odds ratio [OR], 1.66; P < 0.001). Furthermore, ESI 2 patients were more likely than ESI 1 patients to have cardiovascular disease (OR, 1.89; P = 0.01), heart rate < 55 (OR, 6.83; P = 0.18), SBP < 90 (OR, 3.41; P = 0.006), SpO2 < 94 (OR, 4.76; P = 0.012), sinus tachycardia (OR, 4.32; P = 0.002), lactate > 4 (OR, 10.66; P = < 0.001), and MEWS > 4 (OR, 4.86; P = 0.028). These factors remained predictive of cardiac arrest at the ED. Conclusion: The factors related to cardiac arrest in the ED are ESI 1 patients, ESI 2 patients, patients diagnosed with cardiovascular disease, SpO2 < 94, lactate > 4, and a MEWS > 4. These factors can be used as markers in the event of simultaneous arrival of many patients and can help as a pre-state for patients who have a tendency to develop cardiac arrest. The hemodynamic status and vital signs of these patients should be closely monitored. Early detection of potentially critical conditions to prevent critical medical intervention is mandatory. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cardiac%20arrest" title="cardiac arrest">cardiac arrest</a>, <a href="https://publications.waset.org/abstracts/search?q=predicting%20factor" title=" predicting factor"> predicting factor</a>, <a href="https://publications.waset.org/abstracts/search?q=emergency%20department" title=" emergency department"> emergency department</a>, <a href="https://publications.waset.org/abstracts/search?q=emergency%20patient" title=" emergency patient"> emergency patient</a> </p> <a href="https://publications.waset.org/abstracts/77496/predicting-factors-for-occurrence-of-cardiac-arrest-in-critical-emergency-and-urgency-patients-in-an-emergency-department" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/77496.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">159</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">491</span> The Incidence of Cardiac Arrhythmias Using Trans-Telephonic, Portable Electrocardiography Recorder, in Out-Patients Faculty of Medicine Ramathibodi Hospital</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Urasri%20Imsomboon">Urasri Imsomboon</a>, <a href="https://publications.waset.org/abstracts/search?q=Sopita%20Areerob"> Sopita Areerob</a>, <a href="https://publications.waset.org/abstracts/search?q=Kanchaporn%20Kongchauy"> Kanchaporn Kongchauy</a>, <a href="https://publications.waset.org/abstracts/search?q=Tuchapong%20Ngarmukos"> Tuchapong Ngarmukos</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objective: The Trans-telephonic Electrocardiography (ECG) monitoring is used to diagnose of infrequent cardiac arrhythmias and improve outcome of early detection and treatment on suspected cardiac patients. The objectives of this study were to explore incidence of cardiac arrhythmia using Trans-Telephonic and to explore time to first symptomatic episode and documented cardiac arrhythmia in outpatients. Methods: Descriptive research study was conducted between February 1, 2016, and December 31, 2016. A total of 117 patients who visited outpatient clinic were purposively selected. Research instruments in this study were the personal data questionnaire and the record form of incidence of cardiac arrhythmias using Trans-Telephonic ECG recorder. Results: A total of 117 patients aged between 15-92 years old (mean age 52.7 ±17.1 years), majority of studied sample was women (64.1%). The results revealed that 387 ECGs (Average 2.88 ECGs/person, SD = 3.55, Range 0 – 21) were sent to Cardiac Monitoring Center at Coronary Care Unit. Of these, normal sinus rhythm was found mostly 46%. Top 5 of cardiac arrhythmias were documented at the time of symptoms: sinus tachycardia 43.5%, premature atrial contraction 17.7%, premature ventricular contraction 14.3%, sinus bradycardia 11.5% and atrial fibrillation 8.6%. Presenting symptom were tachycardia 94%, palpitation 83.8%, dyspnea 51.3%, chest pain 19.6%, and syncope 14.5%. Mostly activities during symptom were no activity 64.8%, sleep 55.6% and work 25.6%.The mean time until the first symptomatic episode occurred on average after 6.88 ± 7.72 days (median 3 days). The first documented cardiac arrhythmia occurred on average after 9 ± 7.92 days (median 7 day). The treatments after patients known actual cardiac arrhythmias were observe themselves 68%, continue same medications 15%, got further investigations (7 patients), and corrected causes of cardiac arrhythmias via invasive cardiac procedures (5 patients). Conclusion: Trans-telephonic: portable ECGs recorder is effective in the diagnosis of suspected symptomatic cardiac arrhythmias in outpatient clinic. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cardiac%20arrhythmias" title="cardiac arrhythmias">cardiac arrhythmias</a>, <a href="https://publications.waset.org/abstracts/search?q=diagnosis" title=" diagnosis"> diagnosis</a>, <a href="https://publications.waset.org/abstracts/search?q=outpatient%20clinic" title=" outpatient clinic"> outpatient clinic</a>, <a href="https://publications.waset.org/abstracts/search?q=trans-telephonic%3A%20portable%20ECG%20recorder" title=" trans-telephonic: portable ECG recorder"> trans-telephonic: portable ECG recorder</a> </p> <a href="https://publications.waset.org/abstracts/79923/the-incidence-of-cardiac-arrhythmias-using-trans-telephonic-portable-electrocardiography-recorder-in-out-patients-faculty-of-medicine-ramathibodi-hospital" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/79923.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">190</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">490</span> Detection of Cardiac Arrhythmia Using Principal Component Analysis and Xgboost Model </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sujay%20Kotwale">Sujay Kotwale</a>, <a href="https://publications.waset.org/abstracts/search?q=Ramasubba%20Reddy%20M."> Ramasubba Reddy M.</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Electrocardiogram (ECG) is a non-invasive technique used to study and analyze various heart diseases. Cardiac arrhythmia is a serious heart disease which leads to death of the patients, when left untreated. An early-time detection of cardiac arrhythmia would help the doctors to do proper treatment of the heart. In the past, various algorithms and machine learning (ML) models were used to early-time detection of cardiac arrhythmia, but few of them have achieved better results. In order to improve the performance, this paper implements principal component analysis (PCA) along with XGBoost model. The PCA was implemented to the raw ECG signals which suppress redundancy information and extracted significant features. The obtained significant ECG features were fed into XGBoost model and the performance of the model was evaluated. In order to valid the proposed technique, raw ECG signals obtained from standard MIT-BIH database were employed for the analysis. The result shows that the performance of proposed method is superior to the several state-of-the-arts techniques. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cardiac%20arrhythmia" title="cardiac arrhythmia">cardiac arrhythmia</a>, <a href="https://publications.waset.org/abstracts/search?q=electrocardiogram" title=" electrocardiogram"> electrocardiogram</a>, <a href="https://publications.waset.org/abstracts/search?q=principal%20component%20analysis" title=" principal component analysis"> principal component analysis</a>, <a href="https://publications.waset.org/abstracts/search?q=XGBoost" title=" XGBoost"> XGBoost</a> </p> <a href="https://publications.waset.org/abstracts/126916/detection-of-cardiac-arrhythmia-using-principal-component-analysis-and-xgboost-model" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/126916.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">119</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">489</span> Therapeutic Hypothermia Post Cardiac Arrest</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Tahsien%20Mohamed%20Okasha">Tahsien Mohamed Okasha</a> </p> <p class="card-text"><strong>Abstract:</strong></p> We hypothesized that Post cardiac arrest patients with Glasgow coma scale (GCS) score of less than (8) and who will be exposed to therapeutic hypothermia protocol will exhibit improvement in their neurological performance. Purposive sample of 17 patients who were fulfilling the inclusion criteria during one year collected. The study carried out using Quasi-experimental research design. Four Tools used for data collection of this study: Demographic and medical data sheet, Post cardiac arrest health assessment sheet, Bedside Shivering Assessment Scale (BSAS), and Glasgow Pittsburgh cerebral performance category scale (CPC). Result: the mean age was X̅ ± SD = 53 ± 8.122 years, 47.1% were arrested because of cardiac etiology. 35.3% with initial arrest rhythm ventricular tachycardia (VT), 23.5% with ventricular fibrillation (VF), and 29.4% with A-Systole. Favorable neurological outcome was seen among 70.6%. There was significant statistical difference in WBC, Platelets, blood gases value, random blood sugar. Also Initial arrest rhythm, etiology of cardiac arrest, and shivering status were significantly correlated with cerebral performance categories score. therapeutic hypothermia has positive effects on neurological performance among post cardiac arrest patients with GCS score of less than (8). replication of the study on larger probability sample, with randomized control trial design. Further study for suggesting nursing protocol for patients undergoing therapeutic hypothermia. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=therapeutic%20hypothermia" title="therapeutic hypothermia">therapeutic hypothermia</a>, <a href="https://publications.waset.org/abstracts/search?q=neurological%20performance" title=" neurological performance"> neurological performance</a>, <a href="https://publications.waset.org/abstracts/search?q=after%20resuscitation%20from%20cardiac%20arrest." title=" after resuscitation from cardiac arrest."> after resuscitation from cardiac arrest.</a>, <a href="https://publications.waset.org/abstracts/search?q=resuscitation" title=" resuscitation"> resuscitation</a> </p> <a href="https://publications.waset.org/abstracts/156362/therapeutic-hypothermia-post-cardiac-arrest" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/156362.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">96</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">488</span> Audit Outcome Cardiac Arrest Cases (2019-2020) in Emergency Department RIPAS Hospital, Brunei Darussalam</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Victor%20Au">Victor Au</a>, <a href="https://publications.waset.org/abstracts/search?q=Khin%20Maung%20Than"> Khin Maung Than</a>, <a href="https://publications.waset.org/abstracts/search?q=Zaw%20Win%20Aung"> Zaw Win Aung</a>, <a href="https://publications.waset.org/abstracts/search?q=Linawati%20Jumat"> Linawati Jumat</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background & Objectives: Cardiac arrests can occur anywhere or anytime, and most of the cases will be brought to the emergency department except the cases that happened in at in-patient setting. Raja IsteriPangiran Anak Saleha (RIPAS) Hospital is the only tertiary government hospital which located in Brunei Muara district and received all referral from other Brunei districts. Data of cardiac arrests in Brunei Darussalam scattered between Emergency Medical Ambulance Services (EMAS), Emergency Department (ED), general inpatient wards, and Intensive Care Unit (ICU). In this audit, we only focused on cardiac arrest cases which had happened or presented to the emergency department RIPAS Hospital. Theobjectives of this audit were to look at demographic of cardiac arrest cases and the survival to discharge rate of In-Hospital Cardiac Arrest (IHCA) and Out-Hospital Cardiac Arrest (OHCA). Methodology: This audit retrospective study was conducted on all cardiac arrest cases that underwent Cardiopulmonary Resuscitation (CPR) in ED RIPAS Hospital, Brunei Muara, in the year 2019-2020. All cardiac arrest cases that happened or were brought in to emergency department were included. All the relevant data were retrieved from ED visit registry book and electronic medical record “Bru-HIMS” with keyword diagnosis of “cardiac arrest”. Data were analyzed and tabulated using Excel software. Result: 313 cardiac arrests were recorded in the emergency department in year 2019-2020. 92% cases were categorized as OHCA, and the remaining 8% as IHCA. Majority of the cases were male with age between 50-60 years old. In OHCA subgroup, only 12.4% received bystander CPR, and 0.4% received Automatic External Defibrillator (AED) before emergency medical personnel arrived. Initial shockable rhythm in IHCA group accounted for 12% compare to 4.9% in OHCA group. Outcome of ED resuscitation, 32% of IHCA group achieved return of spontaneous circulation (ROSC) with a survival to discharge rate was 16%. For OHCA group, 12.35% achieved ROSC, but unfortunately, none of them survive till discharge. Conclusion: Standardized registry for cardiac arrest in the emergency department is required to provide valid baseline data to measure the quality and outcome of cardiac arrest. Zero survival rate for out hospital cardiac arrest is very concerning, and it might represent the significant breach in cardiac arrest chains of survival. Systematic prospective data collection is needed to identify contributing factors and to improve resuscitation outcome. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cardiac%20arrest" title="cardiac arrest">cardiac arrest</a>, <a href="https://publications.waset.org/abstracts/search?q=OHCA" title=" OHCA"> OHCA</a>, <a href="https://publications.waset.org/abstracts/search?q=IHCA" title=" IHCA"> IHCA</a>, <a href="https://publications.waset.org/abstracts/search?q=resuscitation" title=" resuscitation"> resuscitation</a>, <a href="https://publications.waset.org/abstracts/search?q=emergency%20department" title=" emergency department"> emergency department</a> </p> <a href="https://publications.waset.org/abstracts/150962/audit-outcome-cardiac-arrest-cases-2019-2020-in-emergency-department-ripas-hospital-brunei-darussalam" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/150962.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">99</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">487</span> Economic Evaluation of Cardiac Rehabilitation Programs for Patients with Cardiovascular Diseases</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Aziz%20Rezapour">Aziz Rezapour</a>, <a href="https://publications.waset.org/abstracts/search?q=Abdosaleh%20Jafari"> Abdosaleh Jafari</a>, <a href="https://publications.waset.org/abstracts/search?q=Marziye%20Hadian"> Marziye Hadian</a>, <a href="https://publications.waset.org/abstracts/search?q=Elaheh%20Mazaheri"> Elaheh Mazaheri</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Cardiac rehabilitation is an accurate educational and sporting program designed to help heart patients to increase their physical activities and reduce the risk factors that make their health worse and help to a healthier lifestyle so that they can return to their families and society with a better spirit. The aim of this study was to examine the cost-effectiveness and cost-utility of cardiac rehabilitation programs for patients with cardiovascular diseases. Methods: In the present review study, published articles related to cost-effectiveness and cost-utility of cardiac rehabilitation programs for patients with cardiovascular diseases within the time interval between 2004 and 2019 were searched using electronic databases. The methodological quality of the structure of articles was examined by Drummond’s standard checklist. Results: The results of reviewing studies showed that most of the studies related to the economic evaluation of cardiac rehabilitation programs in patients with cardiovascular disease were flawed in Drummond’s criteria, and only one study adhered to Drummond’s criteria. The results of the present study indicated use of cardiac rehabilitation programs in patients with cardiovascular disease was cost-effective. Conclusion: The results of this review study showed that although the results of the studies were different in terms of a number of aspects, such as the study perspective, the time horizons, and the costs of rehabilitation programs, they achieved a similar conclusion, they concluded that the use of cardiac rehabilitation programs in patients with cardiovascular diseases, leading to higher quality-adjusted life years (QALYs) and lower costs. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=economic%20evaluation" title="economic evaluation">economic evaluation</a>, <a href="https://publications.waset.org/abstracts/search?q=systematic%20review" title=" systematic review"> systematic review</a>, <a href="https://publications.waset.org/abstracts/search?q=cardiac%20rehabilitation" title=" cardiac rehabilitation"> cardiac rehabilitation</a>, <a href="https://publications.waset.org/abstracts/search?q=Drummond%E2%80%99s%20checklist" title=" Drummond’s checklist"> Drummond’s checklist</a> </p> <a href="https://publications.waset.org/abstracts/135227/economic-evaluation-of-cardiac-rehabilitation-programs-for-patients-with-cardiovascular-diseases" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/135227.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">143</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">486</span> Prevalence of Polypharmacy in Elderly Cardiac Patients at King Fahad Cardiac Center (KFCC) in King Khalid University Hospital (KKUH), Riyadh, Saudi Arabia</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mohamed%20N.%20Al-Arifi">Mohamed N. Al-Arifi</a>, <a href="https://publications.waset.org/abstracts/search?q=Hessa%20Othman%20Al-Husein"> Hessa Othman Al-Husein</a>, <a href="https://publications.waset.org/abstracts/search?q=Mostafa%20Q.%20Al%20Shamiri"> Mostafa Q. Al Shamiri</a>, <a href="https://publications.waset.org/abstracts/search?q=Ragab%20Said"> Ragab Said</a>, <a href="https://publications.waset.org/abstracts/search?q=Syed%20Wajid"> Syed Wajid</a>, <a href="https://publications.waset.org/abstracts/search?q=Salmeen%20D.%20Babelghaith"> Salmeen D. Babelghaith</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Polypharmacy was defined as a taking more than 4 medications per single patients (minor polypharmacy), patients who are taking more than 10 medications we considered as a major polypharmacy. This study was aimed to evaluate the prevalence of polypharmacy in elderly Saudi cardiac patient. A retrospective observational study was carried out at the department of CCU and cardiology unit of the King Fahad cardiac centre (KFCC) in King Khalid university hospital from May 2012 to October 2012. All Parameters was analyzed by using Statistical Packages for Social Science (SPSS) to conclude the result; tests of association were performed using the chi-square statistic. The mean age of patients was 70.1 ± 7.75 years, more than half 83 (51.6%) were males. The highest frequency of chronic diseases found were hypertension (91.0%) followed by, dyslipidemia (74.9%), and diabetes mellitus. Results showed that 82% had polypharmacy (>4 drugs) during the study period, and 47.9% had major polypharmacy. The incidence of inappropriate drug use was found to be higher with men than female (p = 0.984). In conclusion, this study revealed that high prevalence of polypharmacy and potentially inappropriate medications in elderly Saudi cardiac inpatients. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cardiac%20inpatients" title="cardiac inpatients">cardiac inpatients</a>, <a href="https://publications.waset.org/abstracts/search?q=medications" title=" medications"> medications</a>, <a href="https://publications.waset.org/abstracts/search?q=polypharmacy" title=" polypharmacy"> polypharmacy</a>, <a href="https://publications.waset.org/abstracts/search?q=prevalence" title=" prevalence"> prevalence</a> </p> <a href="https://publications.waset.org/abstracts/14611/prevalence-of-polypharmacy-in-elderly-cardiac-patients-at-king-fahad-cardiac-center-kfcc-in-king-khalid-university-hospital-kkuh-riyadh-saudi-arabia" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/14611.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">734</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">485</span> Significance of Apolipoprotein E (APOE) and Fat Mass and Obesity-Associated FTO Gene Polymorphisms in Cardiac Autonomic Neuropathy Among Individuals of Kazakh Nationality</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=N.%20Bekenova">N. Bekenova</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Aitkaliyev"> A. Aitkaliyev</a>, <a href="https://publications.waset.org/abstracts/search?q=B.%20Kassiyeva"> B. Kassiyeva</a>, <a href="https://publications.waset.org/abstracts/search?q=T.%20Vochshenkova"> T. Vochshenkova</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Cardiac autonomic neuropathy is not always detected in diabetes, and its phenotypic manifestations may not be evident. Therefore, the study of genetic markers predisposing to the disease is gaining increasing relevance. Research Objective: The goal is to investigate the association of polymorphisms in the APOE and FTO genes with cardiac autonomic neuropathy among individuals of Kazakh nationality. Materials and Methods: A case-control study included 147 patients with cardiac autonomic neuropathy (cases) and 153 patients without cardiac autonomic neuropathy (controls). 300 individuals of Kazakh nationality were recruited from a hospital affiliated with the RSE ‘Medical Centre Hospital of the President's Affairs Administration of the Republic of Kazakhstan.’ Patients were genotyped for 5 FTO gene polymorphisms (rs17817449, rs1121980, rs11075995, rs9939609, rs12149832) and 2 APOE gene polymorphisms (rs429358, rs7412) using real-time PCR. Statistical analysis involved Chi-square methods and calculation of odds ratios (OR) with 95% confidence intervals (CI) and was performed using the Gen Expert genetic calculator. Results. Our research revealed an association between cardiac autonomic neuropathy and rs12149832 (FTO) and rs429358 (APOE). The AA genotype of the rs12149832 polymorphism was found to double the risk of neuropathy development, while the GA genotype decreased the risk of autonomic neuropathy (2.21 (1.38-3.52) and 0.61 (0.38-0.96), respectively, p=0.003). Additionally, we identified that the TC genotype of rs429358 predisposes individuals to the development of cardiac autonomic neuropathy, while the CC genotype decreases the risk (2.23 (1.18-4.22) and 0.26 (0.03-2.31), respectively). Conclusion. Thus, polymorphisms in the APOE and FTO genes (rs429358 and rs12149832) are associated with a predisposition to cardiac autonomic neuropathy and may play a significant role in the pathogenesis of the disease. Further research with a larger sample size and an assessment of their impact on the phenotype is necessary. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=polymorphisms" title="polymorphisms">polymorphisms</a>, <a href="https://publications.waset.org/abstracts/search?q=APOE%20gene" title=" APOE gene"> APOE gene</a>, <a href="https://publications.waset.org/abstracts/search?q=FTO%20gene" title=" FTO gene"> FTO gene</a>, <a href="https://publications.waset.org/abstracts/search?q=automatic%20neuropathy" title=" automatic neuropathy"> automatic neuropathy</a>, <a href="https://publications.waset.org/abstracts/search?q=Kazakh%20population." title=" Kazakh population."> Kazakh population.</a> </p> <a href="https://publications.waset.org/abstracts/190209/significance-of-apolipoprotein-e-apoe-and-fat-mass-and-obesity-associated-fto-gene-polymorphisms-in-cardiac-autonomic-neuropathy-among-individuals-of-kazakh-nationality" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/190209.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">23</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">484</span> Left Posterior Pericardiotomy in the Prevention of Post-Operative Atrial Fibrillation and Cardiac Tamponade: A Retrospective Study of 2118 Isolated Coronary Artery Bypass Graft Patients</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ayeshmanthe%20Rathnayake">Ayeshmanthe Rathnayake</a>, <a href="https://publications.waset.org/abstracts/search?q=Siew%20Goh"> Siew Goh</a>, <a href="https://publications.waset.org/abstracts/search?q=Carmel%20Fenton"> Carmel Fenton</a>, <a href="https://publications.waset.org/abstracts/search?q=Ashutosh%20Hardikar"> Ashutosh Hardikar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Post-Operative Atrial Fibrillation (POAF) is the most frequent complication of cardiac surgery and is associated with reduced survival, increased rates of cognitive changes and cerebrovascular accident, heart failure, renal dysfunction, infection and length of stay, and hospital costs. Cardiac tamponade, although less common, carries high morbidity and mortality. Shed mediastinal blood in the pericardial space is a major source of intrapericardial oxidative stress and inflammation that triggers POAF. The utilisation of a left posterior pericardiotomy aims to shunt blood from the pericardium into the pleural space and have a role in the prevention of POAF as well as cardiac tamponade. 2118 patients had undergone isolated Coronary Artery Bypass Graft (CABG) at Royal Hobart Hospital from 2008-2021. They were divided into pericardiotomy vs control group. Patient baseline demographics, intraoperative data, and post-operative outcomes were reviewed retrospectively. Total incidence of new POAF and cardiac tamponade was 26.1% and 0.75%, respectively. Primary outcome of both the incidence of POAF(22.9% vs27.8%OR 0.77 p<0.05) and Cardiac Tamponade (0% vs 1.1% OR 0.85 p<0.05) were less in the pericardiotomy group.Increasing age, BMI, poor left ventricular function (EF <30%), and return to theatre were independent predictors of developing POAF. There were similar rates of return to theatre for bleeding however, no cases of tamponade in the pericardiotomy group. There were no complications attributable to left posterior pericardiotomy and the time added to the duration of surgery was minimal. Left posterior pericardiotomy is associated with a significant reduction in the incidence of POAFand cardiac tamponade and issafe and efficient. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cardiac%20surgery" title="cardiac surgery">cardiac surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=pericardiotomy" title=" pericardiotomy"> pericardiotomy</a>, <a href="https://publications.waset.org/abstracts/search?q=post-operative%20atrial%20fibrillation" title=" post-operative atrial fibrillation"> post-operative atrial fibrillation</a>, <a href="https://publications.waset.org/abstracts/search?q=cardiac%20tamponade" title=" cardiac tamponade"> cardiac tamponade</a> </p> <a href="https://publications.waset.org/abstracts/156310/left-posterior-pericardiotomy-in-the-prevention-of-post-operative-atrial-fibrillation-and-cardiac-tamponade-a-retrospective-study-of-2118-isolated-coronary-artery-bypass-graft-patients" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/156310.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">91</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">483</span> A Robust and Efficient Segmentation Method Applied for Cardiac Left Ventricle with Abnormal Shapes</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Peifei%20Zhu">Peifei Zhu</a>, <a href="https://publications.waset.org/abstracts/search?q=Zisheng%20Li"> Zisheng Li</a>, <a href="https://publications.waset.org/abstracts/search?q=Yasuki%20Kakishita"> Yasuki Kakishita</a>, <a href="https://publications.waset.org/abstracts/search?q=Mayumi%20Suzuki"> Mayumi Suzuki</a>, <a href="https://publications.waset.org/abstracts/search?q=Tomoaki%20Chono"> Tomoaki Chono</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Segmentation of left ventricle (LV) from cardiac ultrasound images provides a quantitative functional analysis of the heart to diagnose disease. Active Shape Model (ASM) is a widely used approach for LV segmentation but suffers from the drawback that initialization of the shape model is not sufficiently close to the target, especially when dealing with abnormal shapes in disease. In this work, a two-step framework is proposed to improve the accuracy and speed of the model-based segmentation. Firstly, a robust and efficient detector based on Hough forest is proposed to localize cardiac feature points, and such points are used to predict the initial fitting of the LV shape model. Secondly, to achieve more accurate and detailed segmentation, ASM is applied to further fit the LV shape model to the cardiac ultrasound image. The performance of the proposed method is evaluated on a dataset of 800 cardiac ultrasound images that are mostly of abnormal shapes. The proposed method is compared to several combinations of ASM and existing initialization methods. The experiment results demonstrate that the accuracy of feature point detection for initialization was improved by 40% compared to the existing methods. Moreover, the proposed method significantly reduces the number of necessary ASM fitting loops, thus speeding up the whole segmentation process. Therefore, the proposed method is able to achieve more accurate and efficient segmentation results and is applicable to unusual shapes of heart with cardiac diseases, such as left atrial enlargement. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=hough%20forest" title="hough forest">hough forest</a>, <a href="https://publications.waset.org/abstracts/search?q=active%20shape%20model" title=" active shape model"> active shape model</a>, <a href="https://publications.waset.org/abstracts/search?q=segmentation" title=" segmentation"> segmentation</a>, <a href="https://publications.waset.org/abstracts/search?q=cardiac%20left%20ventricle" title=" cardiac left ventricle"> cardiac left ventricle</a> </p> <a href="https://publications.waset.org/abstracts/38590/a-robust-and-efficient-segmentation-method-applied-for-cardiac-left-ventricle-with-abnormal-shapes" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/38590.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">339</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">482</span> The Use of Emergency Coronary Angiography in Patients Following Out-Of-Hospital Cardiac Arrest and Subsequent Cardio-Pulmonary Resuscitation</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Scott%20Ashby">Scott Ashby</a>, <a href="https://publications.waset.org/abstracts/search?q=Emily%20Granger"> Emily Granger</a>, <a href="https://publications.waset.org/abstracts/search?q=Mark%20Connellan"> Mark Connellan </a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objectives: 1) To identify if emergency coronary angiography improves outcomes in studies examining OHCA from assumed cardiac aetiology? 2) If so, is it indicated in all patients resuscitated following OHCA, and if not, who is it indicated for? 3) How effective are investigations for screening for the appropriate patients? Background: Out-of-hospital cardiac arrest is one of the leading mechanisms of death, and the most common causative pathology is coronary artery disease. In-hospital treatment following resuscitation greatly affects outcomes, yet there is debate over the most effective protocol. Methods: A literature search was conducted over multiple databases to identify all relevant articles published from 2005. An inclusion criterion was applied to all publications retrieved, which were then sorted by type. Results: A total of 3 existing reviews and 29 clinical studies were analysed in this review. There were conflicting conclusions, however increased use of angiography has shown to improve outcomes in the majority of studies, which cover a variety of settings and cohorts. Recommendations: Currently, emergency coronary angiography appears to improve outcomes in all/most cases of OHCA of assumed cardiac aetiology, regardless of ECG findings. Until a better tool for screening is available to reduce unnecessary procedures, the benefits appear to outweigh the costs/risks. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=out%20of%20hospital%20cardiac%20arrest" title="out of hospital cardiac arrest">out of hospital cardiac arrest</a>, <a href="https://publications.waset.org/abstracts/search?q=coronary%20angiography" title=" coronary angiography"> coronary angiography</a>, <a href="https://publications.waset.org/abstracts/search?q=resuscitation" title=" resuscitation"> resuscitation</a>, <a href="https://publications.waset.org/abstracts/search?q=emergency%20medicine" title=" emergency medicine"> emergency medicine</a> </p> <a href="https://publications.waset.org/abstracts/20520/the-use-of-emergency-coronary-angiography-in-patients-following-out-of-hospital-cardiac-arrest-and-subsequent-cardio-pulmonary-resuscitation" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/20520.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">299</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">481</span> Closed Incision Negative Pressure Therapy Dressing as an Approach to Manage Closed Sternal Incisions in High-Risk Cardiac Patients: A Multi-Centre Study in the UK</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Rona%20Lee%20Suelo-Calanao">Rona Lee Suelo-Calanao</a>, <a href="https://publications.waset.org/abstracts/search?q=Mahmoud%20Loubani"> Mahmoud Loubani</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objective: Sternal wound infection (SWI) following cardiac operation has a significant impact on patient morbidity and mortality. It also contributes to longer hospital stays and increased treatment costs. SWI management is mainly focused on treatment rather than prevention. This study looks at the effect of closed incision negative pressure therapy (ciNPT) dressing to help reduce the incidence of superficial SWI in high-risk patients after cardiac surgery. The ciNPT dressing was evaluated at 3 cardiac hospitals in the United Kingdom". Methods: All patients who had cardiac surgery from 2013 to 2021 were included in the study. The patients were classed as high risk if they have two or more of the recognised risk factors: obesity, age above 80 years old, diabetes, and chronic obstructive pulmonary disease. Patients receiving standard dressing (SD) and patients using ciNPT were propensity matched, and the Fisher’s exact test (two-tailed) and unpaired T-test were used to analyse categorical and continuous data, respectively. Results: There were 766 matched cases in each group. Total SWI incidences are lower in the ciNPT group compared to the SD group (43 (5.6%) vs 119 (15.5%), P=0.0001). There are fewer deep sternal wound infections (14(1.8%) vs. 31(4.04%), p=0.0149) and fewer superficial infections (29(3.7%) vs. 88 (11.4%), p=0.0001) in the ciNPT group compared to the SD group. However, the ciNPT group showed a longer average length of stay (11.23 ± 13 days versus 9.66 ± 10 days; p=0.0083) and higher mean logistic EuroSCORE (11.143 ± 13 versus 8.094 ± 11; p=0.0001). Conclusion: Utilization of ciNPT as an approach to help reduce the incidence of superficial and deep SWI may be effective in high-risk patients requiring cardiac surgery. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=closed%20incision%20negative%20pressure%20therapy" title="closed incision negative pressure therapy">closed incision negative pressure therapy</a>, <a href="https://publications.waset.org/abstracts/search?q=surgical%20wound%20infection" title=" surgical wound infection"> surgical wound infection</a>, <a href="https://publications.waset.org/abstracts/search?q=cardiac%20surgery%20complication" title=" cardiac surgery complication"> cardiac surgery complication</a>, <a href="https://publications.waset.org/abstracts/search?q=high%20risk%20cardiac%20patients" title=" high risk cardiac patients"> high risk cardiac patients</a> </p> <a href="https://publications.waset.org/abstracts/165904/closed-incision-negative-pressure-therapy-dressing-as-an-approach-to-manage-closed-sternal-incisions-in-high-risk-cardiac-patients-a-multi-centre-study-in-the-uk" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/165904.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">96</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">480</span> A Profile of Out-of-Hospital Cardiac Arrest in ‘Amang’ Rodriguez Memorial Medical Center: A Prospective Cohort Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Donna%20Erika%20E.%20De%20Jesus">Donna Erika E. De Jesus</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Cardiac arrest occurs when abrupt cessation of cardiac function results in loss of effective circulation and complete cardiovascular collapse. For every minute of cardiac arrest without early intervention (cardiopulmonary resuscitation [CPR], defibrillation), chances of survival drop by 7-10%. It is crucial that CPR be initiated within 4-6 minutes to avoid brain death. Most out-of-hospital cardiac arrests (OHCA) occur in a residential setting where access to trained personnel and equipment is not readily available, resulting in poor victim outcomes. Methods: This is a descriptive study done from August to November 2021 using a prospective cohort design. Participants of the study include adult patients aged 18 years and above brought to the emergency room who suffered from out-of-hospital cardiac arrest. Out of the total 102 cases of OHCA, 63 participants were included in the study. Descriptive statistics were used to summarize the demographic and clinical characteristics of the patients. Results: 43 were male patients, comprising the majority at 73.02%. Hypertension was identified as the top co-morbidity, followed by diabetes mellitus, heart failure, and chronic kidney disease (CKD). Medical causes of arrest were identified in 96.83% of the cases. 90.48% of cardiac arrests occurred at home. Only 26 patients (41.27%) received pre-hospital intervention prior to ER arrival, which comprised only hands-only CPR. Twenty-three of which were performed by individuals with background knowledge of CPR. 60.32% were brought via self-conduction, the remainder by ambulances, which were noted to have no available equipment necessary to provide proper resuscitation. The average travel time from dispatch to ER arrival is 20 minutes. Conclusion: Overall survival of OHCA in our local setting remains dismal, as a return of spontaneous circulation was not achieved in any of the patients. The small number of patients having pre-hospital CPR indicates the need for emphasis on training and community education. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=out-of-hospital%20cardiac%20arrest" title="out-of-hospital cardiac arrest">out-of-hospital cardiac arrest</a>, <a href="https://publications.waset.org/abstracts/search?q=cardiopulmonary%20resuscitation" title=" cardiopulmonary resuscitation"> cardiopulmonary resuscitation</a>, <a href="https://publications.waset.org/abstracts/search?q=basic%20life%20support" title=" basic life support"> basic life support</a>, <a href="https://publications.waset.org/abstracts/search?q=emergency%20medical%20services" title=" emergency medical services"> emergency medical services</a> </p> <a href="https://publications.waset.org/abstracts/159674/a-profile-of-out-of-hospital-cardiac-arrest-in-amang-rodriguez-memorial-medical-center-a-prospective-cohort-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/159674.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">106</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">479</span> mRNA Biomarkers of Mechanical Asphyxia-Induced Death in Cardiac Tissue</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Yan%20Zeng">Yan Zeng</a>, <a href="https://publications.waset.org/abstracts/search?q=Li%20Tao"> Li Tao</a>, <a href="https://publications.waset.org/abstracts/search?q=Liujun%20Han"> Liujun Han</a>, <a href="https://publications.waset.org/abstracts/search?q=Tianye%20Zhang"> Tianye Zhang</a>, <a href="https://publications.waset.org/abstracts/search?q=Yongan%20Yu"> Yongan Yu</a>, <a href="https://publications.waset.org/abstracts/search?q=Kaijun%20Ma"> Kaijun Ma</a>, <a href="https://publications.waset.org/abstracts/search?q=Long%20Chen"> Long Chen</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Mechanical asphyxia is one of the main cause of death; however, death by mechanical asphyxia may be difficult to prove in court, particularly in cases in which corpses exhibit no obvious signs of asphyxia. To identify a credible biomarker of asphyxia, we first examined the expression levels of all the mRNAs in human cardiac tissue specimens subjected to mechanical asphyxia and compared these expression levels with those of the corresponding mRNAs in specimens subjected to craniocerebral injury. A total of 119 differentially expressed mRNAs were selected and the expression levels of these mRNAs were examined in 44 human cardiac tissue specimens subjected to mechanical asphyxia, craniocerebral injury, hemorrhagic shock and other causes of death. We found that DUSP1 and KCNJ2 were up-regulated in tissue specimens of mechanical asphyxia compared with control tissues, with no significant correlation between age, environmental temperature and PMI, indicating that DUSP1 and KCNJ2 may associate with mechanical asphyxia-induced death and can thus serve as useful biomarkers of death by mechanical asphyxia. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=mechanical%20asphyxia" title="mechanical asphyxia">mechanical asphyxia</a>, <a href="https://publications.waset.org/abstracts/search?q=biomarkers" title=" biomarkers"> biomarkers</a>, <a href="https://publications.waset.org/abstracts/search?q=DUSP1" title=" DUSP1"> DUSP1</a>, <a href="https://publications.waset.org/abstracts/search?q=KCNJ2" title=" KCNJ2"> KCNJ2</a>, <a href="https://publications.waset.org/abstracts/search?q=cardiac%20tissue" title=" cardiac tissue"> cardiac tissue</a> </p> <a href="https://publications.waset.org/abstracts/62627/mrna-biomarkers-of-mechanical-asphyxia-induced-death-in-cardiac-tissue" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/62627.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">295</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">478</span> Reduction of Speckle Noise in Echocardiographic Images: A Survey</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Fathi%20Kallel">Fathi Kallel</a>, <a href="https://publications.waset.org/abstracts/search?q=Saida%20Khachira"> Saida Khachira</a>, <a href="https://publications.waset.org/abstracts/search?q=Mohamed%20Ben%20Slima"> Mohamed Ben Slima</a>, <a href="https://publications.waset.org/abstracts/search?q=Ahmed%20Ben%20Hamida"> Ahmed Ben Hamida</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Speckle noise is a main characteristic of cardiac ultrasound images, it corresponding to grainy appearance that degrades the image quality. For this reason, the ultrasound images are difficult to use automatically in clinical use, then treatments are required for this type of images. Then a filtering procedure of these images is necessary to eliminate the speckle noise and to improve the quality of ultrasound images which will be then segmented to extract the necessary forms that exist. In this paper, we present the importance of the pre-treatment step for segmentation. This work is applied to cardiac ultrasound images. In a first step, a comparative study of speckle filtering method will be presented and then we use a segmentation algorithm to locate and extract cardiac structures. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=medical%20image%20processing" title="medical image processing">medical image processing</a>, <a href="https://publications.waset.org/abstracts/search?q=ultrasound%20images" title=" ultrasound images"> ultrasound images</a>, <a href="https://publications.waset.org/abstracts/search?q=Speckle%20noise" title=" Speckle noise"> Speckle noise</a>, <a href="https://publications.waset.org/abstracts/search?q=image%20enhancement" title=" image enhancement"> image enhancement</a>, <a href="https://publications.waset.org/abstracts/search?q=speckle%20filtering" title=" speckle filtering"> speckle filtering</a>, <a href="https://publications.waset.org/abstracts/search?q=segmentation" title=" segmentation"> segmentation</a>, <a href="https://publications.waset.org/abstracts/search?q=snakes" title=" snakes"> snakes</a> </p> <a href="https://publications.waset.org/abstracts/19064/reduction-of-speckle-noise-in-echocardiographic-images-a-survey" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/19064.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">530</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">477</span> Complex Management of Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Abdullah%20A.%20Al%20Qurashi">Abdullah A. Al Qurashi</a>, <a href="https://publications.waset.org/abstracts/search?q=Hattan%20A.%20Hassani"> Hattan A. Hassani</a>, <a href="https://publications.waset.org/abstracts/search?q=Bader%20K.%20Alaslap"> Bader K. Alaslap</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C) is an uncommon, inheritable cardiac disorder characterized by the progressive substitution of cardiac myocytes by fibro-fatty tissues. This pathologic substitution predisposes patients to ventricular arrhythmias and right ventricular failure. The underlying genetic defect predominantly involves genes encoding for desmosome proteins, particularly plakophilin-2 (PKP2). These aberrations lead to impaired cell adhesion, heightening the susceptibility to fibrofatty scarring under conditions of mechanical stress. Primarily, ARVD/C affects the right ventricle, but it can also compromise the left ventricle, potentially leading to biventricular heart failure. Clinical presentations can vary, spanning from asymptomatic individuals to those experiencing palpitations, syncopal episodes, and, in severe instances, sudden cardiac death. The establishment of a diagnostic criterion specifically tailored for ARVD/C significantly aids in its accurate diagnosis. Nevertheless, the task of early diagnosis is complicated by the disease's frequently asymptomatic initial stages, and the overall rarity of ARVD/C cases reported globally. In some cases, as exemplified by the adult female patient in this report, the disease may advance to terminal stages, rendering therapies like Ventricular Tachycardia (VT) ablation ineffective. This case underlines the necessity for increased awareness and understanding of ARVD/C to aid in its early detection and management. Through such efforts, we aim to decrease morbidity and mortality associated with this challenging cardiac disorder. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=arrhythmogenic%20right%20ventricular%20dysplasia" title="arrhythmogenic right ventricular dysplasia">arrhythmogenic right ventricular dysplasia</a>, <a href="https://publications.waset.org/abstracts/search?q=cardiac%20disease" title=" cardiac disease"> cardiac disease</a>, <a href="https://publications.waset.org/abstracts/search?q=interventional%20cardiology" title=" interventional cardiology"> interventional cardiology</a>, <a href="https://publications.waset.org/abstracts/search?q=cardiac%20electrophysiology" title=" cardiac electrophysiology"> cardiac electrophysiology</a> </p> <a href="https://publications.waset.org/abstracts/175910/complex-management-of-arrhythmogenic-right-ventricular-dysplasiacardiomyopathy" class="btn btn-primary btn-sm">Procedia</a> <a 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