Tilz, R. R., V. Schmidt, H. Pürerfellner, P. Maury, K. R. J. ulian Chun, M. Martinek, C. Sohns, B. Schmidt, F. Mandel, E. Gandjbakhch, et al., A worldwide survey on incidence, management, and prognosis of oesophageal fistula formation following atrial fibrillation catheter ablation: the POTTER-AF study, , vol. 44, issue 27, pp. 2458 - 2469, 2023/07/14. AbstractWebsite

Oesophageal fistula represents a rare but dreadful complication of atrial fibrillation catheter ablation. Data on its incidence, management, and outcome are sparse.This international multicentre registry investigates the characteristics of oesophageal fistulae after treatment of atrial fibrillation by catheter ablation. A total of 553 729 catheter ablation procedures (radiofrequency: 62.9%, cryoballoon: 36.2%, other modalities: 0.9%) were performed, at 214 centres in 35 countries. In 78 centres 138 patients [0.025%, radiofrequency: 0.038%, cryoballoon: 0.0015% (P < 0.0001)] were diagnosed with an oesophageal fistula. Peri-procedural data were available for 118 patients (85.5%). Following catheter ablation, the median time to symptoms and the median time to diagnosis were 18 (7.75, 25; range: 0–60) days and 21 (15, 29.5; range: 2–63) days, respectively. The median time from symptom onset to oesophageal fistula diagnosis was 3 (1, 9; range: 0–42) days. The most common initial symptom was fever (59.3%). The diagnosis was established by chest computed tomography in 80.2% of patients. Oesophageal surgery was performed in 47.4% and direct endoscopic treatment in 19.8% and conservative treatment in 32.8% of patients. The overall mortality was 65.8%. Mortality following surgical (51.9%) or endoscopic treatment (56.5%) was significantly lower as compared to conservative management (89.5%) [odds ratio 7.463 (2.414, 23.072) P < 0.001].Oesophageal fistula after catheter ablation of atrial fibrillation is rare and occurs mostly with the use of radiofrequency energy rather than cryoenergy. Mortality without surgical or endoscopic intervention is exceedingly high.

salem, M. R., M. R. Youssef, S. F. Shalaby, A. T. Mahmoud, M. Ismail, and S. K. Ibrahim, "Perspectives on Antibiotic Stewardship Programs among Health Care Providers at Two University Hospitals in Egypt", International Journal of Environmental Research and Public Health, vol. 20, issue 5, 2023. Abstract

The perspectives of healthcare professionals on antibiotic stewardship programs (ASPs) should be explored. Any antibiotic stewardship strategy must be individualized based on patient needs, prescription habits, and local resources. The current study aimed to explore the perspectives of healthcare providers on antibiotics stewardship and their awareness of these perspectives. Furthermore, potential barriers to the application of ASPs should be identified and addressed. This exploratory cross-sectional study utilized a qualitative method to evaluate critical care physicians, pediatricians, and clinical pharmacists (n = 43). The mean age of the physicians was 32 ± 1.5 years. Among them, approximately two-thirds (66%) were women. A thematic content analysis was performed to examine the responses of the participants and to prioritize the recommendations for and barriers to the implementation of ASPs from the perspective of healthcare providers. According to the interviewees, the primary obstacles include lack of time in implementation and monitoring and lack of awareness of the need for ASPs. All respondents recommended the implementation of supervised and continuous trainings. In conclusion, the abovementioned barriers must be adequately addressed to facilitate the implementation of ASPs.

Zein, M. M., A. T. Mahmoud, A. S. Elhawary, and N. Hegazy, "Cardiovascular Diseases Healthy Diet Related Knowledge among a Sample of the General Population in Egypt", Open Access Macedonian Journal of Medical Sciences, vol. 9, issue B, pp. 1764-1771, 2021/12/20. AbstractWebsite

<div><p class="Pa6"><strong><span lang="EN-GB">BACKGROUND: </span></strong><span lang="EN-GB">Little is known about the extent of Egyptians’ awareness regarding the relationship between nutrition and cardiovascular health.</span></p></div><div><p class="Pa6"><strong><span lang="EN-GB">AIM: </span></strong><span lang="EN-GB">This study seeks to evaluate people’s awareness through an online cross-sectional survey to determine the knowledge gaps.</span></p></div><div><p class="Pa6"><strong><span lang="EN-GB">METHODS: </span></strong><span lang="EN-GB">This cross-sectional study was conducted through an online survey using a convenience sampling technique. The participation required being an adult Egyptian (≥18 years old). A pre-tested electronic-questionnaire included three sections: Socio-demographic data, a self-reported history of chronic and cardiac diseases, and 15 questions addressing dietary risk factors and protective factors. Six hundred and thirty-two participants completed the questionnaire.</span></p></div><div><p class="Pa6"><strong><span lang="EN-GB">RESULTS: </span></strong><span lang="EN-GB">The mean age was 28 ± 8 years. More than 80% of the participants were males. Of 632 participants, 233 had poor awareness. The median knowledge percent score was 62 with interquartile range (52, 71). About 85.4% of the participants were ready to change their eating habits and follow a healthy diet to maintain their health. The participants were interested in knowing more about healthy food and how to prepare healthy balanced meals (71.7% and 62.2%, respectively). Females, university-educated, employed, and Upper Egypt residents demonstrated deep awareness (p-value = 0.02, 0.011, 0.05, and 0.012, respectively). Intriguingly, friends and social media were the primary sources of nutritional knowledge.</span></p></div><div><strong>CONCLUSION: </strong>The participants’ knowledge is poor regarding the relation between nutrition and cardiovascular health. This study emphasizes the urgent need to raise public awareness as a precaution against cardiovascular diseases.</div>

Bun, S. - S., A. M. Wedn, A. Taher, P. Taghji, F. Squara, K. Hasni, C. De Zuloaga, and E. Ferrari, "Slow pathway elimination using antegrade conduction improvement with fast atrial pacing during AVNRT radiofrequency ablation: a proof-of-concept study", Acta CardiologicaActa Cardiologica, vol. 77, issue 6: Taylor & Francis, pp. 524 - 531, 2022. AbstractWebsite
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Mohammed, R. S., M. R. Salem, A. T. Mahmoud, L. El Sabbahy, and S. I. El-Jaafary, "Stress Coping Strategies among Critical Care Medicine Physicians during COVID-19 Pandemic in Egypt: A Qualitative Study", Open Access Macedonian Journal of Medical Sciences, vol. 9, no. E, pp. 283–288, Apr., 2021. AbstractWebsite
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Labib, J. R., S. Kamal, M. R. Salem, E. D. ElDesouky, and A. T. Mahmoud, "Hospital Preparedness for Critical Care during COVID-19 Pandemic: Exploratory Cross-sectional Study", Open Access Macedonian Journal of Medical Sciences, vol. 8, no. T1, pp. 429–432, Oct., 2020. AbstractWebsite
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Salem, M., J. Labib, A. Mahmoud, and S. Shalaby, "Nurses’ Perceptions of Patient Safety Culture in Intensive Care Units: A Cross-Sectional Study", Open Access Macedonian Journal of Medical Sciences, vol. 7, no. 21, pp. 3667–3672, Oct., 2019. AbstractWebsite
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Mahmoud, A. T., M. M. Abbas, M. M. El-Hallag, K. H. Mohammed, and H. A. E. - M. Al-Aasar, "Predictors of long fluoroscopy time during ablation of atrial fibrillation", Kasr Al Ainy Medical Journal, vol. 23, issue 3, pp. 148-153, 2017. kasralainymedj233148-8458122_022058.pdf
Mahmoud, A. T., M. M. Abbas, M. M. El-Hallag, K. H. Mohammed, and H. A. E. - M. Al-Aasar, "Effectiveness of hybrid therapy versus radiofrequency ablation alone in decreasing recurrence after ablation of atrial fibrillation", Kasr Al Ainy Medical Journal, vol. 23, issue 3, pp. 125-134, 2017. kasralainymedj233125-8388693_021948.pdf
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