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Topic Review
High-Density Lipoprotein
High-density lipoprotein (HDL), the smallest and most dense lipoprotein, is composed of a central hydrophobic non-polar lipid core, consisting of primarily triacylglycerols and cholesterol esters.
  • 1.2K
  • 29 Jan 2022
Topic Review
Diagnosis of Postural Tachycardia Syndrome and vasovagal Syncope
In children, vasovagal syncope and postural tachycardia syndrome constitute the major types of orthostatic intolerance. The clinical characteristics of postural tachycardia syndrome and vasovagal syncope are similar but their treatments differ. Therefore, their differential diagnosis is important to guide the correct treatment. Children suffering from vasovagal syncope or postural tachycardia syndrome might be treated using water, β-blockers, salt, or midodrine. However, the effificacy of the drugs varies. Biomarkers or certain hemodynamic parameters that can predict the treatment effects of individualized treatment for POTS or VVS have been used.
  • 1.2K
  • 08 Jul 2022
Topic Review
Anatomical-MRI Correlations in Hypertrophic Cardiomyopathy Adults and Children
Hypertrophic Cardiomyopathy (HCM) is the most frequent hereditary cardiovascular disease and the leading cause of sudden cardiac death in young individuals. Advancements in CMR imaging have allowed for earlier identification and more accurate prognosis of HCM. CMR has been validated as a technique with high sensitivity and specificity, very few contraindications, a low risk of side effects, and is overall a good tool to be employed in the management of HCM patients.
  • 1.2K
  • 11 Mar 2022
Topic Review
Patent Foramen Ovale
A patent foramen ovale (PFO) is a commonly discovered potential opening between the right atrium (RA) and left atrium (LA) on routine echocardiographic surveillance in an otherwise asymptomatic infant or child. The importance of a PFO in some critical congenital heart defects (CHD), especially in neonates, is well recognized. 
  • 1.1K
  • 24 Apr 2022
Topic Review
Bayés’ Syndrome
Interatrial block associated with atrial arrhythmias, mainly atrial fibrillation, define the Bayés’ Syndrome (called after Bayés de Luna, a proeminent cardiologist, who published the seminal paper about the problem of P-wave anomalies and interatrial blocks). Finding the signs of interatrial block on ECG represents a call for active screening of atrial fibrillation and starting of prophylactic anticoagulation in selected patients.  
  • 1.0K
  • 09 Sep 2020
Topic Review
Cardiac IKs (KCNQ1/KCNE1) Channels
The cardiac IKs (KCNQ1/KCNE1) channel is one of the main contributors to the repolarizing currents that regulate the ventricular action potential duration (APD) and thus the QT interval in the electrocardiogram. Mutations in cardiac KCNQ1/KCNE1 channels are the most common cause of congenital defects that cause long QT syndrome (LQTS).
  • 1.0K
  • 08 Jan 2021
Topic Review
Pulse Wave Velocity
Pulse wave velocity (PWV) is a simple, reproducible and non-invasive technique to assess arterial stiffness. It estimates the velocity of arterial wave propagation to travel a known distance between two anatomic sites within the arterial system [1]. PWV has been established as an independent predictor of cardiovascular mortality and is consequently used for diagnosis and prognosis in patients at risk of atherosclerotic cardiovascular disease [2]; however, PWV's significance relies on the fact that arterial stiffness, specially of muscular arteries can be modified by interventions that improve endothelial function such as exercise training, which makes PWV an important tool for cardiovascular risk management [3].
  • 1.0K
  • 24 Apr 2021
Topic Review
Advanced Glycation End Products and Cardiovascular Disease
Epidemiological studies demonstrate the role of early and intensive glycemic control in the prevention of micro and macrovascular disease in both type 1 and type 2 diabetes mellitus (DM). Hyperglycemia elicits several pathways related to the etiopathogenesis of cardiovascular disease (CVD), including the generation of advanced glycation end products (AGEs). 
  • 1.0K
  • 11 Mar 2022
Topic Review
Echocardiography in Autoimmune Rheumatic Diseases
Echocardiography, including transthoracic two and three-dimensional echocardiography, Doppler imaging, myocardial deformation and transesophageal echo, is an established and widely available imaging technique for the identification of cardiovascular manifestations that are crucial for prognosis in rheumatic diseases. Echocardiography is also important for monitoring the impact of drug treatment on cardiac function, coronary microcirculatory function, valvular function and pulmonary artery pressures. 
  • 1.0K
  • 17 Sep 2020
Topic Review
Licorice and the Cardiovascular System
Licorice is one of the oldest used herbs for medicinal purposes and consists of up to 300 active compounds. The main active constituent of licorice is the prodrug glycyrrhizin, which is successively converted to 3β-monoglucuronyl-18β-glycyrrhetinic acid (3MGA) and 18β-glycyrrhetinic acid (GA) in the intestines. Despite many reported health benefits, 3MGA and GA inhibit the 11-β-hydrogenase type II enzyme (11β-HSD2) oxidizing cortisol to cortisone. Through activation of mineralocorticoid receptors, high cortisol levels induce a mild form of apparent mineralocorticoid excess in the kidney and increase systemic vascular resistance. Continuous inhibition of 11β-HSD2 related to excess licorice consumption will create a state of hypernatremia, hypokalemia and increased fluid volume.
  • 1.0K
  • 21 May 2021
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