Scientific Program

Conference Series Ltd invites all the participants across the globe to attend International Conference on Cardiology and Heart Failure Tokyo, Japan .

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heartfailure@asiameets.com
heartfailure@asiameets.com

Scientific Program Day 1

Day :

  • Heart Disease and Heart Failure

Session Introduction

Achmad F

Padjajaran University, Bandung, Indonesia

Title: New Perspectives of Soluble Suppression of Tumorigenicity-2 Value in Pregnancy: a Comparison Study
Biography:

Achmad Fitrah has completed his Medical Degree in Sriwijaya University and currently working as a cardiology resident in Hasan Sadikin General Hospital, Bandung, Indonesia. Alongside colleagues, he strives to advance his knowledge in Cardiology. He enjoys human related research and is open to new and exciting experiences, believing that the best learning is achieved through a hands-on approach.

Abstract:

Background: Soluble ST2 (sST2) has been linked with cardiovascular disease and has an important value as a predictor of hospitalization, short-term mortality risk, and death. Normal pregnancy, especially third trimester, was associated with a mild systemic inflammatory response. This phenomenon could increase sST2 levels, and will keep increasing in severe inflammatory condition such as pre-eclampsia. Thus, determining the baseline of sST2 level in third trimester of pregnancy is essential.
Material and Methods: Two groups, which consist of normal pregnancy and pre-eclampsia group, was formed. All of this study samples were taken from third trimester of pregnancy and exclude those with a history of allergic, inflammatory and malignancy disease. We enrolled 30 samples for each group and a single blood sample was taken. Maternal plasma of sST2 was measured using the Presage ST2 Assay according to the manufacturer’s instruction and the data will be analyzed using SPSS 23.
Results: Pre-eclampsia group was significantly (p=0.01) older than those in normal pregnancy. Blood pressure, both SBP and DBP, was significantly higher (p<0.001) in pre-eclampsia group. sST2 levels in pre-eclampsia group (mean 85.89 ng/ml) was also significantly higher (p<0.001) than those in normal pregnancy group (mean 38.3 ng/ml). This study also found that sST2 has a correlation with both systolic (p<0.001, r=0.407) and diastolic blood pressure (p=0.007, r=0.342).
Conclusion: This study demonstrates the change in plasma sST2 levels in third trimester of both pregnancy and pre-eclampsia. Women with normal pregnancy has higher level of sST2 compared to normal reference value of sST2 and its level is significantly increased in pre-eclampsia pregnancy.

Lijuan Xuan

Sichuan University, China

Title: Readiness for Hospital Discharge and its Association with Quality of Discharge Teaching in Heart Failure Patients
Biography:

Lijuan Xuan is a master of nursing studying in West China School of Nursing, Sichuan University. She has strong interests in the management of cardiac disease patients. She combined the holistic nursing theory and transition care theory and then applied it to the preparation of hospital discharge. She has accumulated some experience of transferring patients from hospital to home setting safely in practice. However, there is a long way to go for the promotion of research ability for her.

Abstract:

Background: Heart failure(HF) is the end stage of many cardiovascular diseases, which incurs a high prevalence, mortality and morbidity. An increasing number of studies showed that about 30% of the HF patients were readmitted within 30 days after discharge due to the clinical exacerbation. Recurrent hospitalizations not only worsen the heart function, but also increase the healthcare costs. Researchers have reported that high level of readiness for hospital discharge can lower the readmission rate. In addition, quality of discharge teaching(QDT) has emerged as a momentous factor influencing the readiness for hospital discharge(RHD). However, there is little research on the status of RHD and its association with the QDT in HF patients. Objective: The purpose of this study is to assess readiness for discharge and explore its correlation with the QDT in HF patients. Method: This is a cross-sectional study and a convenience sample of 160 patients were selected according to the inclusion criterions. Results: There were 88.8% (n=142) patients who were ready for discharge. The average scores of the readiness of discharge and the QDT were respectively (7.47±1.16) and (7.32±1.36). The scores of the RHD sub-scales from high to low were expected support (7.80±1.51), personal status (7.54±1.47), coping ability (7.48±1.66) and knowledge (7.27±1.57). There was positive correlation between the readiness of discharge and QDT in HF patients (r=0.457, P＜0.01). Conclusion: The RHD in HF patients presented in a medium level. There was positive correlation between readiness of discharge and QDT. Important consideration should be given to patient education and the training on discharge teaching skills also recommended for medical staff.

Sarvenaz Soltani

Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran

Title: The role of parathyroid hormone (pth) in the 6-month prognosis of patients with chronic heart failure hospitalized in the cardiac unit of university hospitals of ahvaz city in 2015-2016
Biography:

Sarvenaz Soltani is currently working in Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran.

Abstract:

Background and aim: Chronic heart failure (CHF) syndrome is the most common cause of hospitalization in patients over 65 years of age. HF is a clinical disorder that occurs due to impairment in the structure or function of the heart as inherent or acquired, and causes clinical symptoms. Therefore, the purpose of this study was to evaluate the role of parathyroid hormone (PTH) in the 6-month prognosis of patients with chronic heart failure hospitalized in the cardiac unit of university hospitals of Ahvaz city in 2015-2016. 
Materials and methods: This study is a descriptive epidemiologic study. In this study, a total of 202 people were enrolled in the study, of which 126 (62.3%) were male and 76 (37.6%) were female, and patients classified for HF according to Framingham criteria and in the subgroup of systolic HF (with an ejection fraction of less than or equal to 40%) and hospitalized in the heart unit of Imam Khomeini Hospital in Ahvaz during the year 2015-2016 were enrolled in the study.
 Findings: The results showed that the chance of stroke and death in people with a PTH of more than 39 pg/ml is 5.85 times more than those with PTH of less than 39 pg/ml, and with the rise in the NYHA, PTH has also increased.
Discussion and Conclusion: According to the evaluations conducted in this study, it was found that PTH is related to the severity of heart failure and subsequently its short-term prognosis. Therefore, it seems that during the first hospitalization of patients with heart failure, measurement of PTH can play a significant role in clarifying patients' clinical condition and predicting their short-term prognosis, and subsequently changing of the therapeutic route.

Aila V. Velasco

Lorma Medical Center, Philippines

Title: Cor Triatriatum Sinister and Patent Ductus Arteriosus in a 23 year-old Filipino
Biography:

Aila Velasco is a graduate of Doctor of Medicine at Saint Louis University last June 2017, passing the Physician Licensure Examination in the Philippines last September 2018. She is currently under the training program for Internal Medicine. Her experience for research was based on her pre-medicine course in the University of the Philippines and during her post graduate years; where her skills for writing were honed by being a part of the University publication. Writing a medical paper in is a continuous process, a rapidly expanding experience, a challenge but also an opportunity for scientific knowledge.

Abstract:

Cor triatriatum is a rare cardiac condition involving the left atrium, representing only 0.1-0.4% of all congenital heart diseases. It presents as one of the atrium being divided into two chambers by a fibromuscular membrane and classically appear on the left atrium.
We report the case of a 23-year old Filipino female with orofacial cleft, presenting with symptoms of decompensated heart failure. Clinical examination revealed the presence of diastolic murmur, 5/6, with accentuated pulmonary component of the second heart sound. Cardiomegaly was seen on chest x-ray and right ventricular hypertrophy on electrocardiogram. Transthoracic echocardiogram (TTE) shows Cor triatrium sinistrum; dilated left atrium divided by a membrane into a proximal and distal chamber; dilated right atrium; dilated right ventricle with right ventricular hypertrophy; dilated main pulmonary artery; and severe pulmonic regurgitation with severe pulmonary hypertension.
TTE should provide accurate and sufficient characterization of cardiac anatomy for optimal diagnosis but because of its rarity, can be missed. A transesophageal echocardiography (TEE) provides excellent resolution and offers invaluable assistance to surgical intervention. TEE was done upon follow up to rule out associated congenital abnormalities which only showed patent ductus arteriosus.
Surgery provides a satisfactory early and long term survival. Therefore, accurate evaluation of cor triatriatum is the key. Our report highlights early diagnosis and the utility of transesophageal echocardiography in the diagnosis of such congenital cardiac abnormalities and associated lesions.