Abdelfatah Elasfar

Abdelfatah Elasfar

Tanta University

H-index: 16

Africa-Egypt

Abdelfatah Elasfar Information

University

Tanta University

Position

Professor of Cardiology Faculty of Medicine Egypt

Citations(all)

1167

Citations(since 2020)

846

Cited By

640

hIndex(all)

16

hIndex(since 2020)

14

i10Index(all)

22

i10Index(since 2020)

19

Email

University Profile Page

Tanta University

Abdelfatah Elasfar Skills & Research Interests

Heart Failure

Top articles of Abdelfatah Elasfar

Morbidity and mortality of acute heart failure patients stratified by mitral regurgitation in the Arabian Gulf: Observations from the Gulf acute heart failure registry (Gulf CARE)

This study aimed to evaluate the clinical outcomes of patients with acute heart failure (AHF) stratified by mitral regurgitation (MR) in the Arabian Gulf. Patients from the Gulf CARE registry were identified from 47 hospitals in seven Arabian Gulf countries (Yemen, Oman, Kuwait, Qatar, Bahrain, the United Arab Emirates, and Saudi Arabia) from February to November 2012. The cohort was stratified into two groups based on the presence of MR. Univariable and multivariable statistical analyses were performed. The population cohort included 5005 consecutive patients presenting with AHF, of whom 1491 (29.8 %) had concomitant MR. The mean age of patients with AHF and concomitant MR was 59.2 ± 14.9 years, and 63.1 % (n = 2886) were male. A total of 58.6 % (n = 2683) had heart failure (HF) with reduced ejection fraction (EF) (HFrEF), 21.0 % (n = 961) had HF with mildly reduced EF (HFmrEF), and 20.4 % (n = 932 …

Authors

Laura AlObaid,Rajesh Rajan,Mohammed Al Jarallah,Raja Dashti,Bassam Bulbanat,Mustafa Ridha,Kadhim Sulaiman,Ibrahim Al-Zakwani,Alawi A Alsheikh-Ali,Prashanth Panduranga,Khalid F AlHabib,Jassim Al Suwaidi,Wael Al-Mahmeed,Hussam AlFaleh,Abdelfatah Elasfar,Ahmed Al-Motarreb,Nooshin Bazargani,Nidal Asaad,Haitham Amin,Zhanna Kobalava,Peter A Brady,Georgiana Luisa Baca,Ahmad Al-Saber

Journal

Heliyon

Published Date

2023/12/1

In Hospital Mortality in Acute Heart Failure with Idiopathic Cardiomyopathy and Type II Diabetes

Background:Clinical characteristics and outcomes in patients with type 2 diabetes mellitus (T2DM) and acute heart failure (AHF) patients with idiopathic cardiomyopathy are not well known.Objective:The objective of our study is to determine all-cause mortality in patients with idiopathic cardiomyopathy presenting with AHF.Methods:We analyzed the data from 509 consecutive patients with idiopathic cardiomyopathy presenting with AHF to 47 hospitals in seven Middle Eastern countries (Saudi Arabia, Oman, Yemen, Kuwait, United Arab Emirates, Qatar, and Bahrain) between February and November 2012. All patients were stratified according to T2DM. The analyses were performed using the univariate and multivariate statistical techniques.Results:The mean age of the cohort was 52.0±14.8 years. Of the 509 patients, 123 (24.2%) had T2DM and had a higher incidence of major stroke than the nondiabetic group (11.4 …

Authors

Mohammed Al-Jarallah,Salem Mohammed Alajmi,Raja Dashti,Bassam Bulbanat,Mustafa Ridha,Kadhim J Sulaiman,Ibrahim Al-Zakwani,Alawi A Alsheikh-Ali,Prashanth Panduranga,Khalid F Alhabib,Jassim Al Suwaidi,Wael Al-Mahmeed,Hussam Al-Faleh,Abdelfatah Elasfar,Ahmed Al-Motarreb,Nooshin Bazargani,Nidal Asaad,Haitham Amin,Zhanna Kobalava,Peter A Brady,Georgiana Luisa Baca,Parul Setiya,Ahmad Alsaber,Rajesh Rajan

Journal

Annals of Clinical Cardiology

Published Date

2023/7/1

Myocardial Revascularization in Stable Coronary Artery Disease in Patients with and without Diabetes

In chronic stable angina management, percutaneous or surgical revascularization could be adopted in addition to optimum medical treatment. Choice of the most suitable and beneficial strategies usually depends on appropriate clinical judgment, meticulous assessment by different contemporary investigatory tools and patient preference. In this review, we address the impact of contemporary investigatory and treatment equipment such as pressure wire, intravascular imaging, myocardial perfusion scans, cardiac magnetic resonance and new generations of drug eluting stents, on the outcome of myocardial revascularization among variable stable coronary artery disease patients’ profiles; old age, multi-vessel, left main disease and diabetic patients.

Authors

Ahmed Abdalwahab,Azfar Zaman,Abdelfatah Elasfar,Samia Sharaf Alden,Ayman Elsaid,Saham Badr

Published Date

2023/1/24

2023 National Heart Center/Saudi Heart Association Focused Update of the 2019 Saudi Heart Association Guidelines for the Management of Heart Failure

BackgroundThe burden of cardiovascular diseases is undeniable in local populations, who have high mortality rates and a young age of disease onset. A systematic review of emerging evidence and update of the Saudi Heart Association (SHA) 2019 heart failure (HF) guidelines was therefore undertaken.

Authors

Waleed Al Habeeb,Adel Tash,Abdelfatah Elasfar,Ali Almasood,Abeer Bakhsh,Fayez Elshaer,Fakhr Al Ayoubi,Kamal Waheeb AIghalayini,Maryam Mohammed AlQaseer,Mosaad Alhussein,Osama Almogbel,Shukri Merza AlSaif,Yahia AlHebeshi

Journal

Journal of the Saudi Heart Association

Published Date

2023

NHC/SHA 2023 Focused update of the 2019 guidelines for the management of heart failure

Background The burden of cardiovascular diseases is undeniable in local populations, who have high mortality rates and a young age of disease onset. A systematic review of emerging evidence and update of the Saudi Heart Association (SHA) 2019 heart failure (HF) guidelines was therefore undertaken. Methodology A panel of expert cardiologists reviewed recommendations of the 2019 guidelines following the Saudi Heart Association methodology for guideline recommendations. When needed, the panel provided updated and new recommendations endorsed by the national heart council that are appropriate for clinical practice and local resources in Saudi Arabia. Recommendations and conclusion The focused update describes the appropriate use of clinical assessment as well as invasive and non-invasive modalities for the classification and diagnosis of HF. The prevention of HF was emphasized by expanding on both primary and secondary prevention approaches. Pharmacological treatment of HF was supplemented with recommendations on newer therapies, such as SGLT-2 inhibitors. Recommendations were also provided on the management of patients with cardiovascular and non-cardiovascular co-morbidities, with a focus on cardio-oncology and pregnancy. Updated clinical algorithms were included in support of HF management in both the acute and chronic settings. The implementation of this focused update on HF management in clinical practice is expected to lead to improved patient outcomes by providing evidence-based comprehensive guidance for practitioners in Saudi Arabia.

Authors

Waleed Al Habeeb,Adel Tash,Abdelfatah Elasfar,Ali ALmasood,Abeer Bakhshi,Fayez Elshaer,Fakhr Al Ayoubi,Kamal Alghalaini,Maryam Alqaseer,Mosaad Alhussein,Osama Almogbel,Shukri AlSaif,Yahia AlHebeshi

Journal

Journal of the Saudi Heart Association

Published Date

2023

The Impact of mineralocorticoid receptor antagonist use on all-cause mortality in acute heart failure patients

Background:The impact of mineralocorticoid receptor antagonist (MRA) use in acute heart failure (AHF) patients in the Middle East is not well studied. The objective of this study was to examine the impact of MRA therapy on all-cause mortality in AHF patients in the Middle East stratified by left ventricular ejection fraction.Methods:Data were analyzed from 3792 consecutive patients admitted to 47 hospitals in 7 Middle Eastern countries.Results:The overall mean age was 59±15 years and 62%(n= 2353) were male. At discharge, MRA therapy was prescribed in 34%(n= 1301) of the patients. A total of 54%(n= 2048) of the patients had AHF with reduced ejection fraction (EF)(HFrEF)(< 40%), 23%(n= 880) had HF with mid-range EF (HFmrEF)(40%–49%), and 23%(n= 864) had HF with preserved EF (HFpEF)(≥ 50%). MRA therapy was associated with lower cumulative all-cause 3-month mortality in those with HFrEF …

Authors

Ibrahim Al-Zakwani,Mohammed Al-Jarallah,Rajesh Rajan,Kadhim Sulaiman,Raja Dashti,Bassam Bulbanat,Alawi A Alsheikh-Ali,Prashanth Panduranga,Khalid F AlHabib,Jassim Al Suwaidi,Wael Al-Mahmeed,Hussam AlFaleh,Abdelfatah Elasfar,Ahmed Al-Motarreb,Mustafa Ridha,Nooshin Bazargani,Nidal Asaad,Haitham Amin,Amar M Salam

Journal

Annals of Clinical Cardiology

Published Date

2021/1/1

Heart failure in the Middle East Arab countries: current and future perspectives

For many years, data about heart failure (HF) was only limited to Western countries but in the last few years, well designed heart failure registries have been conducted in many developing countries. The purpose of this review is to summarize the current status regarding the epidemiology and management of heart failure in Middle East Arab countries (MEACs) by analysis of the results of the latest HF registries performed in these countries and to anticipate future perspectives, quality initiatives and areas of research and development. Data has shown that the average age of affected individuals is at least 10 years younger than their Western counterparts. Heart failure with preserved ejection fraction was generally under-represented in these registries to less than 30% of the whole population of heart failure. Coronary artery disease (CAD) constitutes about 55% of causes of heart failure in this region in comparison to …

Authors

Abdelfatah A Elasfar,Waleed Alhabeeb,Salma Elasfar

Published Date

2020

Evaluation of the growth of central pulmonary arteries following patent ductus arteriosus stenting in patients with duct dependent pulmonary circulation

Pulmonary arteries’ (PAs) growth can be promoted by stenting of patent ductus arteriosus (PDA). This may result in better angle between the PDA and the PAs, allowing improved growth. In this study, we sought to evaluate the effect of PDA stenting on the growth of the pulmonary arteries by comparing their dimensions pre-stenting to their dimensions in the pre-second stage operations in patients with congenital heart diseases-duct-dependent pulmonary (CHD-DDP) circulation. Between January 2015 and December 2016, 58 neonates with CHD-DDP circulation underwent transcatheter PDA stenting and had evaluation of PAs growth before the second stage. Various parameters [Pre-branching right and left pulmonary artery (RPA, LPA) diameters, their Z scores, LPA/RPA ratio, McGoon’s ratio and Nakata index] were recorded and compared pre-stenting and pre-second stage. The evaluation was done using …

Authors

Hala Elmarsafawy,Abdelfatah Elasfar,Fatma Aboalsoud Taha

Journal

Pediatric Cardiology

Published Date

2020/12

Impact of digoxin on all-cause mortality and re-hospitalizations in acute heart failure patients

Methods:Data were analyzed from 4577 consecutive patients admitted to 47 hospitals in seven Middle Eastern countries with AHF from February to November, 2012. Analyses were performed using univariate and multivariate statistical techniques.Results:The overall mean age of the cohort was 59±15 years, and 63%(n= 2887) were males. At hospital discharge, digoxin was prescribed to 25%(n= 1156) of the patients. Nearly 59%(n= 2683) of the patients had HF with reduced EF (HFr EF)(< 40%), 21%(n= 962) had HF with mid-range EF (HFmr EF)(40%–49%), and 20%(n= 932) had HF with preserved EF (HFp EF)(≥ 50%). The most prominent comorbidities included hypertension (61%; n= 2783), coronary artery disease (60%; n= 2762), and diabetes mellitus (49%; n= 2258). Multivariate logistic regression analysis demonstrated that digoxin use was associated with lower cumulative all-cause mortality at 3-month …

Authors

Mohammed Al-Jarallah,Rajesh Rajan,Ibrahim Al-Zakwani,Raja Dashti,Bassam Bulbanat,Mustafa Ridha,Kadhim Sulaiman,Alawi A Alsheikh-Ali,Prashanth Panduranga,Khalid F AlHabib,Jassim Al Suwaidi,Wael Al-Mahmeed,Hussam AlFaleh,Abdelfatah Elasfar,Ahmed Al-Motarreb,Nooshin Bazargani,Nidal Asaad,Haitham Amin

Journal

Annals of Clinical Cardiology

Published Date

2020/1/1

Comparison of demographics and outcomes of acute heart failure patients with reduced, mid-range, and preserved ejection fraction

Background:Heart failure (HF) burden in the developing world is not well quantified.Objectives:The objective is to evaluate the demographics and outcomes of acute HF patients with reduced ejection fraction (EF)(< 40%)(HFr EF), HF with midrange EF (40%–49%)(HFmr EF) and HF with preserved EF (≥ 50%)(HFp EF) in the Arabian Gulf.Methods:Gulf CARE registry analyzed 4577 HF patients admitted to 47 hospitals in seven Middle Eastern countries (Kuwait, Oman, Qatar, Saudi Arabia, United Arab Emirates, Bahrain, and Yemen.) Analyses were performed using multivariate statistical techniques.Results:The overall median age was 60 (50–70) years and 63%(n= 2887) were male. The most prominent comorbidities included hypertension (61%; n= 2783), coronary artery disease (60%; n= 2762), and diabetes mellitus (49%; n= 2258). A total of 59%(n= 2683) of the patients had HFr EF, 21%(n= 962) had HFmr EF …

Authors

Mohammed Al-Jarallah,Rajesh Rajan,Hussein Heshmat,Ibrahim Al-Zakwani,Raja Dashti,Bassam Bulbanat,Mustafa Ridha,Kadhim Sulaiman,Alawi A Alsheikh-Ali,Prashanth Panduranga,Khalid F AlHabib,Jassim Al Suwaidi,Wael Al-Mahmeed,Hussam AlFaleh,Abdelfatah Elasfar,Ahmed Al-Motarreb,Nooshin Bazargani,Nidal Asaad,Haitham Amin

Journal

Annals of Clinical Cardiology

Published Date

2020/7/1

Mortality and morbidity in HFrEF, HFmrEF, and HFpEF patients with diabetes in the middle east

ObjectivesWe sought to estimate the mortality and morbidity in diabetic acute heart failure (AHF) patients stratified by left ventricular ejection fraction.MethodsWe analyzed the data of patients with AHF from seven Middle Eastern countries (Bahrain, Oman, Yemen, Kuwait, UAE, Qatar, and Saudi Arabia) from February to November 2012, who were enrolled in a multinational registry of patients with heart failure (HF).ResultsA total of 2258 AHF patients had diabetes mellitus. The mean age was 63.0±11.0 years (ranging from 18 to 99 years), and 60.3%(n= 1362) of the patients were males. The mean ejection fraction (EF) was 37.0±13.0%. HF with reduced EF (< 40%)(HFrEF) was observed in 1268 patients (56.2%), whereas 515 patients (22.8%) had mid-range (40–49%)(HFmrEF) and 475 patients (21.0%) had preserved EF (3 50%)(HFpEF). The overall cumulative all-cause mortalities at three-and 12-months follow-up …

Authors

Mohammed Al-Jarallah,Rajesh Rajan,Ibrahim Al-Zakwani,Raja Dashti,Bassam Bulbanat,Mustafa Ridha,Kadhim Sulaiman,Alawi A Alsheikh-Ali,Prashanth Panduranga,Khalid F AlHabib,Jassim Al Suwaidi,Wael Al-Mahmeed,Hussam AlFaleh,Abdelfatah Elasfar,Ahmed Al-Motarreb,Nooshin Bazargani,Nidal Asaad,Haitham Amin

Journal

Oman medical journal

Published Date

2020/1

Impact of diabetes on mortality and rehospitalization in acute heart failure patients stratified by ejection fraction

Aims The aim of this study is to determine the impact of diabetes mellitus on all‐cause mortality and rehospitalization rates at 3 months and at 1 year in patients admitted with acute heart failure (AHF) stratified by left ventricular ejection fraction (EF). Methods and results We analysed consecutive patients admitted to 47 hospitals in seven Middle Eastern countries (Saudi Arabia, Oman, Yemen, Kuwait, United Arab Emirates, Qatar, and Bahrain) with AHF from February to November 2012 with AHF who were enrolled in Gulf CARE, a multinational registry of patients with heart failure (HF). AHF patients were stratified into three groups: HF patients with reduced (EF) (HFrEF) (<40%), HF with mid‐range EF (HFmrEF) (40–49%), and HF patients with preserved EF (HFpEF) (≥50%). Analyses were performed using univariate and multivariate statistical techniques. The mean age of the cohort was 59 ± 15 years (ranging …

Authors

Mohammed Al‐Jarallah,Rajesh Rajan,Ibrahim Al‐Zakwani,Raja Dashti,Bassam Bulbanat,Mustafa Ridha,Kadhim Sulaiman,Alawi A Alsheikh‐Ali,Prashanth Panduranga,Khalid F AlHabib,Jassim Al Suwaidi,Wael Al‐Mahmeed,Hussam AlFaleh,Abdelfatah Elasfar,Ahmed Al‐Motarreb,Nooshin Bazargani,Nidal Asaad,Haitham Amin

Journal

ESC heart failure

Published Date

2020/2

P1710 Reverse right ventricular remodeling using right ventricular strain and strain rate after mitral clip implantation in functional mitral regurgitation, an …

Funding Acknowledgements none OnBehalf none Background Chronic mitral regurgitation (MR) leads to right ventricular dysfunction because of volume and pressure overload over a long time. Mitral valve repair with a mitral clip will reduce the (MR) but how much its effect on the right ventricle. Aim The aim of the present study is to assess the impact of Mitral Valve Clipping on right ventricular (RV) remodeling (RV strain and strain rate) at med term after Mitral Clip implantation in high-risk surgical patients with severe functional mitral regurgitation (MR). Methods Study population included 62 patients with severe functional MR. All the patients underwent full echocardiographic evaluation before MV clip, and at 12-month follow-up. RV systolic function was assessed using tissue Doppler and TAPSE. Using Tom-Tec …

Authors

H Abdo Naeim,O Amoudi,IH Alharbi,ABEER Mahmood,A Elasfar,L Khedr,MS Waleed,REDA Abuelatta

Journal

European Heart Journal-Cardiovascular Imaging

Published Date

2020/1/1

Health care delivery for heart failure patients during the COVID-19 pandemic; A consensus of The Saudi Heart Failure Working Group (Saudi-HF)

The Coronavirus disease 2019 (COVID-19) pandemic led to global and national rapid health system changes to treat the affected patients and prevent the spread of the virus. The social distancing, redirecting resources, and nationwide lockdown led to the cancellation of non-urgent hospital visits and interruption of continuity of care for patients with chronic cardiac conditions such as heart failure (HF). This consensus document addresses the domains of health care delivery that are affected by the pandemic. It explains the current situation of health care delivery to heart failure patients and further recommendation on how to overcome this. Thus, maintaining quality and continuity of care to the HF population.

Authors

Abeer Bakhsh,Maryam AlQaseer,Fakhr AlAyoubi,Rima S Bader,Kamal Alghalayini,Abdelfatah ElAsfar,Waleed Alhabeeb

Journal

Journal of the Saudi Heart Association

Published Date

2020

The prognostic impact of pulse pressure in acute heart failure: insights from the HEARTS registry

BackgroundLow pulse pressure predicts long-term mortality in chronic heart failure, but its prognostic value in acute heart failure is less understood. The present study was designed to examine the prognostic value of pulse pressure in acute heart failure.MethodsPulse pressure was tested for its impact on short-and long-term mortality in all patients admitted with acute heart failure from October 2009 to December 2010 in eighteen tertiary centers in Saudi Arabia (n= 2609). All comparisons were based on the median value (50 mmHg). Heart failure with reduced ejection fraction was defined as less than 40%.ResultsLow pulse pressure was associated with increased short-term mortality in the overall population (OR= 1.61; 95 CI 1.17, 2.22; P 0.004 and OR= 1.51; 95% CI 1.13, 2.01; P= 0.005, for hospital and thirty-day mortality, respectively), and short-term and two-year mortality in the reduced ejection fraction group …

Authors

Alwaleed Aljohar,Khalid Alhabib,Hussam AlFaleh,Ahmad Hersi,Waleed Al Habeeb,Anhar Ullah,Abdelfatah Elasfar,Ali Almasood,Abdullah Ghabashi,Layth Mimish,Saleh Alghamdi,Ahmed Abuosa,Asif Malik,Gamal Abdin Hussein,Mushabab Al-Murayeh,Tarek Kashour

Journal

Journal of the Saudi Heart Association

Published Date

2020

Abdelfatah Elasfar FAQs

What is Abdelfatah Elasfar's h-index at Tanta University?

The h-index of Abdelfatah Elasfar has been 14 since 2020 and 16 in total.

What are Abdelfatah Elasfar's top articles?

The articles with the titles of

Morbidity and mortality of acute heart failure patients stratified by mitral regurgitation in the Arabian Gulf: Observations from the Gulf acute heart failure registry (Gulf CARE)

In Hospital Mortality in Acute Heart Failure with Idiopathic Cardiomyopathy and Type II Diabetes

Myocardial Revascularization in Stable Coronary Artery Disease in Patients with and without Diabetes

2023 National Heart Center/Saudi Heart Association Focused Update of the 2019 Saudi Heart Association Guidelines for the Management of Heart Failure

NHC/SHA 2023 Focused update of the 2019 guidelines for the management of heart failure

The Impact of mineralocorticoid receptor antagonist use on all-cause mortality in acute heart failure patients

Heart failure in the Middle East Arab countries: current and future perspectives

Evaluation of the growth of central pulmonary arteries following patent ductus arteriosus stenting in patients with duct dependent pulmonary circulation

...

are the top articles of Abdelfatah Elasfar at Tanta University.

What are Abdelfatah Elasfar's research interests?

The research interests of Abdelfatah Elasfar are: Heart Failure

What is Abdelfatah Elasfar's total number of citations?

Abdelfatah Elasfar has 1,167 citations in total.

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