70-year-old man admitted to our hospital because of chest discomfort on effort. Because we inserted the 6 Fr sheath into the wrong radial vein, we replaced the 5 Fr sheath into the radial vein. We inserted the 6 Fr sheath into the radial artery. We performed the acetylcholine and ergonovine spasm provocation tests under the temporary pace maker insertion. After the procedures, we compressed the radial artery and vein with radial band simultaneously. No bleeding or hematoma was found after the removal of radial band. We could perform the acetylcholine test via the radial artery and vein without any complications.

Situs inversus totalis is a rare anomaly. A 40 day old girl presented to our emergency with this condition. She also had intact ventricular septum and D-transposition of the great arteries. Balloon atrial septostomy is usually a lifesaving procedure in such patients, till the corrective surgery is performed. In our case, this procedure was performed in the patient and we discuss the implication of her abnormal anatomy in the ease of management of this case. To our knowledge, this is the first case report of such a procedure in a patient with this unusual presentation.

The mass application of mobile cardiographs already leads to both explosive quantitative growth of the number of patients available for ECG study, registered daily outside the hospital Big DATA in cardiology and to the emergence of new qualitative opportunities for the study of long-term oscillatory processes weeks, months, years of the dynamics of the individual state of the Cardiovascular system of any patient

Background: Although several studies have investigated the age-associated changes in male and female F344 as well as male Fischer 344/NNiaHSD x Brown Norway/BiNia F1 (F344xBN), no study to our knowledge has examined the age-associated changes in structure and function in the female F344xBN heart using echocardiographic measures. This information is crucial in determining whether or not the female F344xBN is an appropriate aging model. Additional studies have also suggested that age-associated increases in levels of oxidative stress may cause cardiac dysfunction and that chronic acetaminophen (APAP) ingestion may be protective against increased oxidative stress. On the basis of these studies we examined the function and structure of the aged female F344xBN heart in the absence and presence of chronic APAP treatment. Methods: To investigate if the aging-related changes in cardiovascular structure and function can be attenuated with APAP treatment, aged (22-month old) female F344xBN rats were administered APAP (30 mg/kg body weight/day) for 8 months in drinking water and echocardiograms assessments were performed. Results: Aging was associated with evidence of diastolic (impaired left ventricle relaxation time) and systolic dysfunction (fractional shortening and end systolic volume). The incidence of arrhythmias was not different with age. However, valvular dysfunction was increased. Chronic APAP treatment did not attenuate the age-associated changes in cardiac structure and function in the female F344xBN. However the occurrence of valve dysfunction with aging was significantly lowered in the APAP treated 30-month female hearts.

The number of patients with refractory angina without revascularization options is increasing. The prognosis and the quality of life in these patients is poor and maximal medical therapy is not enough for symptoms relieve.

Heart Failure (HF) has become a major cause of death and hospitalization among people older than 60 year. Lack of available data and registries from different countries that may aid in understanding the burden of the disease does exist. The aim of the lebanese Geitawi Hospital-University Medical Center (LGH-UMC) heart failure registry is to point toward the incidence of heart failure, in patients with suspected dyspnea, during a 7 months period in a single university medical center based on Trans-thoracic echocardiography (TTE) findings with emphasis on its etiology. Study population The LGH-HFR includes inpatients and outpatients (=18 years) presenting for further evaluation of possible HF by performing a TTE after suspicious clinical findings. Patients with clinical impression of possible heart failure were reported to LGH-HFR by their doctors. The final decision to register a patient in the LGH-HFR is made by a single cardiologist to ensure the validity of the clinical suspicion. Approximately 1422 patients with clinically suspicion HF were registered in the LGH-HFR between 1.1.2018 and 31.7.2018. Main variables and descriptive data Our study will be a retrospective cohort analysis of data collected from the LGH-HFR between 1.1.2018 and 31.7.2018. Our number of studied patients is about 1422. The main variables recorded in the LGH-HFR are related to the TTE findings: LVEDV, LVEF, presence of LVH, the presence of diastolic dysfunction, documentation of any valvulopathies, measurements of PAPs. Furthermore, pro-BNP level and basic patient characteristics (age and sex) will be recorded. The findings then will be pooled according to the documentation of heart failure, either systolic or diastolic. Furthermore, specific TTE findings will be mentioned in each case after correlation with the HF type pointing toward the possible etiology of the cardiac function degradation. Results of our study will be reported back to clinicians to promote awareness for HF and communicated with the HFRs of different hospitals and LSC in order to optimize the standards of care regarding HF and discussing the cost effectiveness issue if possible. Conclusion The LGH-HFR is a valuable tool for continuous improvement of quality of care in patients and awareness regarding HF in Lebanon. Furthermore, it will be an important resource for the Lebanese registry-based HF research once available.

Introduction: According to data from the World Health Organization of 2017, of the 21.7 million deaths from these diseases, more than ten million occur due to atherosclerotic coronary disease. Objective: Therefore, the present study aimed to analyze the main clinical data in terms of coronary angiography findings, as well as to know if the types of lesions found are related to acute myocardial infarction and whether gender and age predictors influence these events. Methods: A total of 502 participants (Female: n=174; Male: n=328) were submitted to eligibility analysis, followed by the rules STROBE. The present study followed a retrospective longitudinal with epidemiological/observational profile study on the analysis of the profile of patients who underwent angioplasty at Brazil. As there were continuous and categorical predictors and the response predictors, linear regression and was applied. For all linear regression tests, alpha level lower than 0.05 was adopted as significant. Results and Conclusion: According to the results in the evaluated cohort of the present study, it can be known that the presence of lesions above 50.0% in the LCT, P. Descendant, Circumflex, Right Coronary, Saphenous Bridge did not imply the occurrence of Stable, AMI – ST events. (NOT), AMI-ST and Complications, with a significant statistical difference, p <0.05, not finding any relationship between them. Moreover, it was observed that the Gender and Age predictors statistically influenced the response of the P. Descendant, Circumflex, Right Coronary and Complications predictors, with p <0.05.