Cardiovascular Journal of Africa

Volume 36, Issue 4

The relationship between the electromechanical window and ventricular arrhythmia prevalence in HFrEF patients with ICD

The electromechanical window (EMW) refers to the time interval between aortic valve closure and the end of the T-wave during the same cardiac cycle. Recent studies highlight the role of EMW in assessing the risk of ventricular arrhythmia. This study examines the predictive value of the EMW for ventricular arrhythmias in heart failure with reduced ejection fraction (HFrEF) patients with an...

Evaluation of the effects of dapagliflozin on subclinical atherosclerosis with two non-invasive methods: pulse wave velocity and carotid intima-media thickness

Recent cardiovascular outcome trials have shown that sodium-glucose co-transporter 2 (SGLT2) inhibitors reduce cardiovascular events, but results regarding their effects on subclinical atherosclerosis are conflicting. In this study, we aimed to investigate the effect of dapagliflozin, a selective SGLT2 inhibitor, on subclinical atherosclerosis by monitoring pulse wave velocity (PWV) and carotid...

Prevalence of occlusive myocardial infarction in patients diagnosed with non-ST-elevation myocardial infarction at a single private facility in Cape Town, South Africa

ST-elevation myocardial infarction (STEMI) is associated with acute coronary occlusion, while non-ST- elevation myocardial infarction (NSTEMI) is often associated with partial occlusion. However, 25.5% of NSTEMIS involve complete occlusion, impacting mortality and major adverse cardiovascular events (MACE). The occlusive myocardial infarction (OMI) vs. non-occlusive myocardial infarction (NOMI)...

Clinical and echocardiographic characteristics of patients who developed adverse events following Benzathine penicillin G injection for secondary prophylaxis of rheumatic heart disease: a cross-sectional study from three university hospitals in Ethiopia

Intramuscular (IM) Benzathine penicillin G administration (BPG) is essential to prevent the progression of acute rheumatic fever (RF) to rheumatic heart disease (RHD). Fatal adverse events during BPG administration have been reported. This study aimed to characterise the clinical features and outcomes of RHD patients who developed adverse events with BPG administration for RHD prophylaxis in...

A retrospective description of acute coronary syndromes presenting to prehospital providers in the Western Cape, South Africa

The growing prevalence of cardiovascular disease (CVD) in Africa remains a significant public health and socioeconomic issue. Disease manifestations include acute coronary syndrome (ACS) and, crucially, ST-segment myocardial infarction (STEMI), predominantly resulting in serious or long-term complications often overburdening healthcare systems.