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1. May measurement month 2018: a pragmatic global screening campaign to raise awareness of blood pressure by the International Society of Hypertension (vol 40, pg 2006, 2019)

Author

Beaney, T, Burrell, LM, Castillo, RR, Charchar, FJ, Cro, S, Damasceno, A, Kruger, R, Nilsson, PM, Prabhakaran, D, Ramirez, AJ, Schlaich, MP, Schutte, AE, Tomaszewski, M, Touyz, R, Wang, JG, Weber, MA, Poulter, NR, Burazeri, G, Qirjako, G, Roshi, E, Cunashi, R, Fernandes, MJCC, Pereira, VSS, Neto, MFMP, Oliveira, PNM, Feijao, ACG, Cerniello, Y, Marin, MJ, Vasquez, GF, Espeche, WG, Stisman, D, Fuentes, IA, Zilberman, JM, Rodriguez, P, Babinyan, KY, Engibaryan, AH, Avagyan, AM, Minasyan, AA, Gevorkyan, AT, Carnagarin, R, Carrington, MJ, Sharman, JE, Lee, R, Perl, S, Niederl, E, Malik, FT, Choudhury, SR, Al Mamun, MA, Ishraquzzaman, M, Anthony, F, Connell, K, De Backer, TLM, Krzesinski, J, Houenassi, MD, Houehanou, CY, Sokolovic, S, Bahtijarevic, R, Tiro, MB, Mosepele, M, Masupe, TK, Barroso, WS, Gomes, MAM, Feitosa, ADM, Brandao, AA, Miranda, RD, Azevedo, VMAA, Dias, LM, Garcia, GDN, Martins, IPP, Dzudie, A, Kingue, S, Djomou, FAN, Njume, E, Khan, N, Lanas, FT, Garcia, MS, Paccot, MF, Torres, P, Li, Y, Liu, M, Xu, L, Li, L, Chen, X, Deng, J, Zhao, W, Fu, L, Zhou, Y, Lopez-Jaramillo, P, Otero, J, Camacho, PA, Accini, JL, Sanchez, G, Arcos, E, M'Buyamba-Kabangu, JR, Katamba, FK, Ngoyi, GN, Buila, NM, Bayauli, PM, Mbolla, EBF, Bakekolo, PR, Landa, KCM, Kaky, KGS, Kramoh, EK, Ngoran, YNK, Olsen, MH, Valoy, VL, Santillan, M, Rafael, AGM, Penaherrera, CE, Villalba, J, Ramirez, M, Arteaga, F, Delgado, P, Beistline, H, Cappuccio, FP, Keitley, J, Tay, T, Goshu, DY, Kassie, DM, Gebru, SA, Pathak, A, Denolle, T, Tsinamdzgvrishvili, B, Trapaidze, D, Sturua, L, Abesadze, T, Grdzelidze, N, Grabfelder, M, Kramer, BK, Schmeider, RE, Twumasi-Ankrah, B, Tannor, EK, Lincoln, MD, Deku, EM, Quintana, WFS, Kenerson, J, Baptiste, JED, Saintilmond, WW, Barrientos, AL, Jose, PA, More, A, Takalkar, A, Turana, Y, Widyantoro, B, Danny, SS, Djono, S, Handari, SD, Tambunan, M, Tiksnadi, BB, Hermiawaty, E, Tavassoli, E, Zolfaghari, M, Dolan, E, O'Brien, E, Borghi, C, Ferri, C, Torlasco, C, Parati, G, Nwokocha, CR, Nwokocha, M, Ogola, EN, Gitura, BM, Barasa, AL, Barasa, FA, Wairagu, AW, Nalwa, WZ, Najem, RN, Abu Alfa, AK, Fageh, HA, Msalam, OM, Derbi, HA, Bettamar, KA, Zakauskiene, U, Vickiene, A, Calmes, J, Alkerwi, A, Gantenbein, M, Ndhlovu, HLL, Masiye, JK, Chirwa, ML, Nyirenda, NM, Dhlamini, TD, Chia, YC, Ching, SM, Devaraj, NK, Ouane, N, Fane, T, Kowlessur, S, Ori, B, Heecharan, J, Alcocer, L, Chavez, A, Ruiz, G, Espinosa, C, Gomez-Alvarez, E, Neupane, D, Bhattarai, H, Ranabhat, K, Adhikari, TB, Koirala, S, Toure, IA, Soumana, KH, Wahab, KW, Omotoso, AB, Sani, MU, Okubadejo, NU, Nadar, SK, Al-Riyami, HA, Ishaq, M, Memon, F, Sidique, S, Choudhry, HA, Khan, RA, Ayala, M, Maidana, AJO, Bogado, GG, Ona, D, Atilano, A, Granada, C, Bartolome, R, Manese, L, Mina, A, Dumlao, MC, Villaruel, MC, Gomez, L, Jozwiak, J, Malyszko, J, Banach, M, Mastej, M, Rodrigues, DCMM, Martins, LL, Paval, A, Dorobantu, M, Konradi, AO, Chazova, IE, Rotar, O, Spoares, MC, Viegas, D, Almustafa, BA, Alshurafa, SA, Brady, A, Bovet, P, Viswanathan, B, Oladapo, OO, Russell, JW, Beheiry, HM, Ali, IA, Osman, AAA, Fahal, NAW, Osman, HA, Altahir, F, Persson, M, Wuerzner, G, Burkard, T, Wang, TD, Lin, HJ, Pan, HY, Chen, WJ, Lin, E, Mondo, CK, Ingabire, PM, Khomazyuk, TT, Krotova, VV, Negresku, E, Evstigneeva, O, Bazargani, NN, Agrawal, A, Bin Belaila, BA, Suhail, AM, Muhammed, KO, Shuri, HH, Wainford, RD, Levy, PD, Boggia, JJ, Garre, LL, Hernandez-Hernandez, R, Octavio-Seijas, JA, Lopez-Rivera, JA, Morr, I, Duin, A, Huynh, M, Cao, ST, Nguyen, VL, To, M, Phan, HN, Cockroft, J, McDonnell, B, Goma, FM, Syatalimi, C, Chifamba, J, Gwini, R, Tiburcio, O, and Xia, X

Subjects
Science & Technology, Cardiac & Cardiovascular Systems, Cardiovascular System & Hematology, Cardiovascular System & Cardiology, 1103 Clinical Sciences, Life Sciences & Biomedicine, 1102 Cardiorespiratory Medicine and Haematology
Published
2019

2. May Measurement Month 2018: a pragmatic global screening campaign to raise awareness of blood pressure by the International Society of Hypertension

Author

Beaney, T, Burrell, LM, Castillo, RR, Charchar, FJ, Cro, S, Damasceno, A, Kruger, R, Nilsson, PM, Prabhakaran, D, Ramirez, AJ, Schlaich, MP, Schutte, AE, Tomaszewski, M, Touyz, R, Wang, J-G, Weber, MA, Poulter, NR, Burazeri, G, Qirjako, G, Roshi, E, Cunashi, R, Fernandes, MJCC, Pereira, SSV, Neto, MFMP, Oliveira, PNM, Feijao, ACG, Cerniello, Y, Marin, MJ, Vasquez, FG, Espeche, WG, Stisman, D, Fuentes, IA, Zilberman, JM, Rodriguez, P, Babinyan, KY, Engibaryan, AH, Avagyan, AM, Minasyan, AA, Gevorkyan, AT, Carnagarin, R, Carrington, MJ, Sharman, JE, Lee, R, Perl, S, Niederl, E, Malik, F-T-N, Choudhury, SR, Al Mamun, MA, Ishraquzzaman, M, Anthony, F, Connell, K, De Backer, TLM, Krzesinski, J, Houenassi, MD, Houehanou, CY, Sokolovic, S, Bahtijarevic, R, Tiro, MB, Mosepele, M, Masupe, TK, Barroso, WS, Gomes, MAM, Feitosa, ADM, Brandao, AA, Miranda, RD, Azevedo, VMAA, Dias, LM, Garcia, GDN, Martins, IPP, Dzudie, A, Kingue, S, Djomou, FAN, Njume, E, Khan, N, Lanas, FT, Garcia, MS, Paccot, MF, Torres, PI, Li, Y, Liu, M, Xu, L, Li, L, Chen, X, Deng, J, Zhao, W, Fu, L, Zhou, Y, Lopez-Jaramillo, P, Otero, J, Camacho, PA, Accini, JL, Sanchez, G, Arcos, E, Buyamba-Kabangu, J-RM, Katamba, FK, Ngoyi, GN, Buila, NM, Bayauli, PM, Mbolla, BFE, Bakekolo, PR, Landa, CMK, Kaky, GSK, Kramoh, EK, Ngoran, YNK, Olsen, MH, Valoy, LV, Santillan, M, Medina, ARG, Penaherrera, CE, Villalba, J, Ramirez, MI, Arteaga, F, Delgado, P, Beistline, H, Cappuccio, FP, Keitley, J, Tay, T, Goshu, DY, Kassie, DM, Gebru, SA, Pathak, A, Denolle, T, Tsinamdzgvrishvili, B, Trapaidze, D, Sturua, L, Abesadze, T, Grdzelidze, N, Grabfelder, M, Kramer, BK, Schmeider, RE, Twumasi-Ankrah, B, Tannor, EK, Lincoln, MD, Deku, EM, Quintana, FSW, Kenerson, J, Baptiste, EDJ, Saintilmond, WW, Barrientos, AL, Peiger, B, Lagos, AR, Forgas, MA, Lee, VWY, Tomlinson, BWY, Jarai, Z, Pall, D, More, A, Maheshwari, A, Verma, N, Sharma, M, Mukherjee, TK, Patil, M, Jose, AP, Takalkar, A, Turana, Y, Widyantoro, B, Danny, SS, Djono, S, Handari, SD, Tambunan, M, Tiksnadi, BB, Hermiawaty, E, Tavassoli, E, Zolfaghari, M, Dolan, E, O'Brien, E, Borghi, C, Ferri, C, Torlasco, C, Parati, G, Nwokocha, CR, Nwokocha, MI, Ogola, EN, Gitura, BM, Barasa, AL, Barasa, FA, Wairagu, AW, Nalwa, WZ, Najem, RN, Abu Alfa, AK, Fageh, HA, Msalam, OM, Derbi, HA, Bettamar, KA, Zakauskiene, U, Vickiene, A, Calmes, J, Alkerwi, A, Gantenbein, M, Ndhlovu, HLL, Masiye, JK, Chirwa, ML, Nyirenda, NM, Dhlamini, TD, Chia, YC, Ching, SM, Devaraj, NK, Ouane, N, Fane, T, Kowlessur, S, Ori, B, Heecharan, J, Alcocer, L, Chavez, A, Ruiz, G, Espinosa, C, Gomez-Alvarez, E, Neupane, D, Bhattarai, H, Ranabhat, K, Adhikari, TB, Koirala, S, Toure, IA, Soumana, KH, Wahab, K, Omotoso, AB, Sani, MU, Okubadejo, NU, Nadar, SK, Al-Riyami, HA, Ishaq, M, Memon, F, Sidique, S, Choudhry, HA, Khan, RA, Ayala, M, Maidana, AJO, Bogado, GGG, Ona, DI, Atilano, A, Granada, C, Bartolome, R, Manese, L, Mina, A, Dumlao, MC, Villaruel, MC, Gomez, L, Jozwiak, J, Malyszko, J, Banach, M, Mastej, M, Rodrigues, MMDC, Martins, LL, Paval, A, Dorobantu, M, Konradi, AO, Chazova, IE, Rotar, O, Spoares, MC, Viegas, D, Almustafa, BA, Alshurafa, SA, Brady, A, Bovet, P, Viswanathan, B, Oladapo, OO, Russell, JW, Brguljan-Hitij, J, Bozic, N, Knez, J, Dolenc, P, Hassan, MM, Woodiwiss, AJ, Myburgh, C, Vally, M, Ruilope, LM, Molinero, A, Rodilla, E, Gijon-Conde, T, Beheiry, HM, Ali, IA, Osman, AAA, Fahal, NAW, Osman, HA, Altahir, F, Persson, M, Wuerzner, G, Burkard, T, Wang, T-D, Lin, H-J, Pan, H-Y, Chen, W-J, Lin, E, Mondo, CK, Ingabire, PM, Khomazyuk, TTA, Krotova, VV-Y, Negresku, E, Evstigneeva, O, Bazargani, NNB, Agrawal, A, Bin Belaila, BA, Suhail, AM, Muhammed, KO, Shuri, HH, Wainford, RD, Levy, PD, Boggia, JJG, Garre, LL, Hernandez-Hernandez, R, Octavio-Seijas, JA, Lopez-Rivera, JA, Morr, I, Duin, A, Huynh, MV, Cao, ST, Nguyen, VL, To, M, Phan, HN, Cockroft, J, McDonnell, B, Goma, FM, Syatalimi, C, Chifamba, J, Gwini, R, Xia, X, Tiburcio, OV, Beaney, T, Burrell, LM, Castillo, RR, Charchar, FJ, Cro, S, Damasceno, A, Kruger, R, Nilsson, PM, Prabhakaran, D, Ramirez, AJ, Schlaich, MP, Schutte, AE, Tomaszewski, M, Touyz, R, Wang, J-G, Weber, MA, Poulter, NR, Burazeri, G, Qirjako, G, Roshi, E, Cunashi, R, Fernandes, MJCC, Pereira, SSV, Neto, MFMP, Oliveira, PNM, Feijao, ACG, Cerniello, Y, Marin, MJ, Vasquez, FG, Espeche, WG, Stisman, D, Fuentes, IA, Zilberman, JM, Rodriguez, P, Babinyan, KY, Engibaryan, AH, Avagyan, AM, Minasyan, AA, Gevorkyan, AT, Carnagarin, R, Carrington, MJ, Sharman, JE, Lee, R, Perl, S, Niederl, E, Malik, F-T-N, Choudhury, SR, Al Mamun, MA, Ishraquzzaman, M, Anthony, F, Connell, K, De Backer, TLM, Krzesinski, J, Houenassi, MD, Houehanou, CY, Sokolovic, S, Bahtijarevic, R, Tiro, MB, Mosepele, M, Masupe, TK, Barroso, WS, Gomes, MAM, Feitosa, ADM, Brandao, AA, Miranda, RD, Azevedo, VMAA, Dias, LM, Garcia, GDN, Martins, IPP, Dzudie, A, Kingue, S, Djomou, FAN, Njume, E, Khan, N, Lanas, FT, Garcia, MS, Paccot, MF, Torres, PI, Li, Y, Liu, M, Xu, L, Li, L, Chen, X, Deng, J, Zhao, W, Fu, L, Zhou, Y, Lopez-Jaramillo, P, Otero, J, Camacho, PA, Accini, JL, Sanchez, G, Arcos, E, Buyamba-Kabangu, J-RM, Katamba, FK, Ngoyi, GN, Buila, NM, Bayauli, PM, Mbolla, BFE, Bakekolo, PR, Landa, CMK, Kaky, GSK, Kramoh, EK, Ngoran, YNK, Olsen, MH, Valoy, LV, Santillan, M, Medina, ARG, Penaherrera, CE, Villalba, J, Ramirez, MI, Arteaga, F, Delgado, P, Beistline, H, Cappuccio, FP, Keitley, J, Tay, T, Goshu, DY, Kassie, DM, Gebru, SA, Pathak, A, Denolle, T, Tsinamdzgvrishvili, B, Trapaidze, D, Sturua, L, Abesadze, T, Grdzelidze, N, Grabfelder, M, Kramer, BK, Schmeider, RE, Twumasi-Ankrah, B, Tannor, EK, Lincoln, MD, Deku, EM, Quintana, FSW, Kenerson, J, Baptiste, EDJ, Saintilmond, WW, Barrientos, AL, Peiger, B, Lagos, AR, Forgas, MA, Lee, VWY, Tomlinson, BWY, Jarai, Z, Pall, D, More, A, Maheshwari, A, Verma, N, Sharma, M, Mukherjee, TK, Patil, M, Jose, AP, Takalkar, A, Turana, Y, Widyantoro, B, Danny, SS, Djono, S, Handari, SD, Tambunan, M, Tiksnadi, BB, Hermiawaty, E, Tavassoli, E, Zolfaghari, M, Dolan, E, O'Brien, E, Borghi, C, Ferri, C, Torlasco, C, Parati, G, Nwokocha, CR, Nwokocha, MI, Ogola, EN, Gitura, BM, Barasa, AL, Barasa, FA, Wairagu, AW, Nalwa, WZ, Najem, RN, Abu Alfa, AK, Fageh, HA, Msalam, OM, Derbi, HA, Bettamar, KA, Zakauskiene, U, Vickiene, A, Calmes, J, Alkerwi, A, Gantenbein, M, Ndhlovu, HLL, Masiye, JK, Chirwa, ML, Nyirenda, NM, Dhlamini, TD, Chia, YC, Ching, SM, Devaraj, NK, Ouane, N, Fane, T, Kowlessur, S, Ori, B, Heecharan, J, Alcocer, L, Chavez, A, Ruiz, G, Espinosa, C, Gomez-Alvarez, E, Neupane, D, Bhattarai, H, Ranabhat, K, Adhikari, TB, Koirala, S, Toure, IA, Soumana, KH, Wahab, K, Omotoso, AB, Sani, MU, Okubadejo, NU, Nadar, SK, Al-Riyami, HA, Ishaq, M, Memon, F, Sidique, S, Choudhry, HA, Khan, RA, Ayala, M, Maidana, AJO, Bogado, GGG, Ona, DI, Atilano, A, Granada, C, Bartolome, R, Manese, L, Mina, A, Dumlao, MC, Villaruel, MC, Gomez, L, Jozwiak, J, Malyszko, J, Banach, M, Mastej, M, Rodrigues, MMDC, Martins, LL, Paval, A, Dorobantu, M, Konradi, AO, Chazova, IE, Rotar, O, Spoares, MC, Viegas, D, Almustafa, BA, Alshurafa, SA, Brady, A, Bovet, P, Viswanathan, B, Oladapo, OO, Russell, JW, Brguljan-Hitij, J, Bozic, N, Knez, J, Dolenc, P, Hassan, MM, Woodiwiss, AJ, Myburgh, C, Vally, M, Ruilope, LM, Molinero, A, Rodilla, E, Gijon-Conde, T, Beheiry, HM, Ali, IA, Osman, AAA, Fahal, NAW, Osman, HA, Altahir, F, Persson, M, Wuerzner, G, Burkard, T, Wang, T-D, Lin, H-J, Pan, H-Y, Chen, W-J, Lin, E, Mondo, CK, Ingabire, PM, Khomazyuk, TTA, Krotova, VV-Y, Negresku, E, Evstigneeva, O, Bazargani, NNB, Agrawal, A, Bin Belaila, BA, Suhail, AM, Muhammed, KO, Shuri, HH, Wainford, RD, Levy, PD, Boggia, JJG, Garre, LL, Hernandez-Hernandez, R, Octavio-Seijas, JA, Lopez-Rivera, JA, Morr, I, Duin, A, Huynh, MV, Cao, ST, Nguyen, VL, To, M, Phan, HN, Cockroft, J, McDonnell, B, Goma, FM, Syatalimi, C, Chifamba, J, Gwini, R, Xia, X, and Tiburcio, OV

Abstract

AIMS: Raised blood pressure (BP) is the biggest contributor to mortality and disease burden worldwide and fewer than half of those with hypertension are aware of it. May Measurement Month (MMM) is a global campaign set up in 2017, to raise awareness of high BP and as a pragmatic solution to a lack of formal screening worldwide. The 2018 campaign was expanded, aiming to include more participants and countries. METHODS AND RESULTS: Eighty-nine countries participated in MMM 2018. Volunteers (≥18 years) were recruited through opportunistic sampling at a variety of screening sites. Each participant had three BP measurements and completed a questionnaire on demographic, lifestyle, and environmental factors. Hypertension was defined as a systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg, or taking antihypertensive medication. In total, 74.9% of screenees provided three BP readings. Multiple imputation using chained equations was used to impute missing readings. 1 504 963 individuals (mean age 45.3 years; 52.4% female) were screened. After multiple imputation, 502 079 (33.4%) individuals had hypertension, of whom 59.5% were aware of their diagnosis and 55.3% were taking antihypertensive medication. Of those on medication, 60.0% were controlled and of all hypertensives, 33.2% were controlled. We detected 224 285 individuals with untreated hypertension and 111 214 individuals with inadequately treated (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg) hypertension. CONCLUSION: May Measurement Month expanded significantly compared with 2017, including more participants in more countries. The campaign identified over 335 000 adults with untreated or inadequately treated hypertension. In the absence of systematic screening programmes, MMM was effective at raising awareness at least among these individuals at risk.

Published
2019

3. Novel Impact of Colchicine on Interleukin-10 Expression in Acute Myocardial Infarction: An Integrative Approach.

Author

Handari SD, Rohman MS, Sargowo D, Aulanni'am, Nugraha RA, Lestari B, and Oceandy D

Abstract

Background: Inflammation plays a critical role in myocardial infarction as a critical process in the development of heart failure, involving the development of cardiac fibrosis. Colchicine is a well-established anti-inflammatory drug, but its scientific application in controlling post-acute myocardial infarction (AMI) inflammatory processes has not been established. IL-10 is a key cytokine in modulating inflammatory responses, underscoring its potential as a crucial therapeutic target of colchicine. The objective was to explore the protective role of IL-10 modulated by colchicine in myocardial healing and repair following AMI, particularly cardiac fibrosis. Methods: The predicted protein of colchicine was assessed using WAY2DRUG PASS as probability active value. Proteins associated with colchicine, cardiac fibrosis, and acute myocardial infarction were analyzed with DisGeNET and Open Target databases. Analysis and visualization of protein-protein interactions were conducted using STRING and Cytoscape. A 3T3 cell line treated with CoCl 2 was used to mimic hypoxic. HIF-1α and IL-10 expression were measured by flow cytometry and analyzed using a one-way ANOVA test. This observational clinical trial examined acute myocardial infarction patients undergoing immediate and delayed primary percutaneous coronary interventions. Subjects were randomized into control groups receiving placebo and intervention groups treated with colchicine. Assessments occurred at 24 h and five days after the intervention. IL-10 expression in the clinical trial was measured by ELISA and analyzed using a T -test. Results: Colchicine demonstrates promising bioactivity in treating acute myocardial infarction, with notably activity values highlighting its probable role as a tubulin antagonist (0.744), beta-tubulin antagonist (0.673), and NOS2 inhibitor (0.529). Its primary action targets IL-10, with the protein-protein interactions analysis indicating interactions between IL-10 and key inflammatory mediators-IL-1β, IFN-γ, CCL2, TNF, and TGF-β1-during acute myocardial infarction and cardiac fibrosis. Hypoxic conditions in the CoCl 2 -induced 3T3 cell model show significantly elevated HIF-1α compared to controls ( p < 0.0001). Colchicine use significantly increased IL-10 expression in CoCl 2 -treated cells ( p < 0.0001) and in AMI patients within five days ( p < 0.05). Conclusions: Colchicine may bolster the anti-inflammatory response post-myocardial infarction by activating IL-10 pathways in fibroblasts and in clinical settings, potentially reducing inflammation after AMI. Further investigation into broader aspects of this pathway, particularly in cardiac fibroblasts, is required.

Published
2024
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4. A retrospective single-centre study on determinants of high-risk coronary artery calcium (CAC) score in women.

Author

Handari SD, Naesilla, and Paramitha AD

Abstract

One of the assessments for coronary atherosclerosis during cardiac computed tomography (CT) is coronary artery calcium (CAC) scoring. We conducted analysis on the determinants of high-risk coronary calcification, represented by CAC score, among women as a step to improve their outcomes and prognosis. This study involved a total of 1,129 female patients from a single centre. There were 127 patients (11.2%) classified as high risk (CAC ≥400). We found that a history of hypertension and diabetes are independent determinants of having a high-risk CAC score. Furthermore, this study demonstrated protective effects associated with physical activity and diastolic blood pressure. In conclusion, a history of hypertension, diabetes, and high uncontrolled systolic blood pressure might be used as cues for physicians to prioritise CAC assessment in women, despite the absence of chest pain or atypical symptoms., Competing Interests: Conflicts of interest None declared., (Copyright © 2024 Medinews (Cardiology) Limited.)

Published
2024
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5. An unexpected overlap syndrome of mitral valve prolapse with COVID-19 related myocarditis: case report from two patients.

Author

Alsagaff MY, Shonafi KA, Handari SD, Sembiring YE, Lusida TTE, and Nugraha RA

Abstract

The authors reported two patients with a history of asymptomatic mild mitral valve prolapse, a male in his late 40s (Case 1, vaccinated) and a female in her late 20s (Case 2, unvaccinated), who developed worsening (severe) mitral prolapse and New York Heart Association symptoms class III-IV after exposure to coronavirus disease 2019 with evidence of myocarditis on MRI. Both patients received similar 6-month of heart failure therapy; however, the outcomes did not affect the severity of their symptoms or mitral regurgitation. Subsequently, both patients underwent mitral valve surgery., Competing Interests: The authors declare no conflict of interest.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article., (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.)

Published
2023
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