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Publisher: Medknow Publishers   (Total: 429 journals)

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Showing 1 - 200 of 429 Journals sorted alphabetically
Acta Medica Intl.     Open Access   (SJR: 0.101, CiteScore: 0)
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advanced Biomedical Research     Open Access  
Advances in Human Biology     Open Access   (Followers: 3)
Advances in Skeletal Muscle Function Assessment     Open Access  
African J. for Infertility and Assisted Conception     Open Access  
African J. of Medical and Health Sciences     Open Access   (Followers: 2)
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.25, CiteScore: 1)
African J. of Trauma     Open Access   (Followers: 1)
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Alexandria J. of Pediatrics     Open Access  
Ancient Science of Life     Open Access   (Followers: 5)
Anesthesia : Essays and Researches     Open Access   (Followers: 10)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.258, CiteScore: 1)
Annals of Bioanthropology     Open Access   (Followers: 4)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 14, SJR: 0.308, CiteScore: 1)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.434, CiteScore: 1)
Annals of Indian Academy of Otorhinolaryngology Head and Neck Surgery     Open Access  
Annals of Indian Psychiatry     Open Access  
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 8, SJR: 0.352, CiteScore: 1)
Annals of Saudi Medicine     Open Access   (SJR: 0.238, CiteScore: 1)
Annals of Thoracic Medicine     Open Access   (Followers: 5, SJR: 0.524, CiteScore: 1)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 13, SJR: 0.152, CiteScore: 0)
Annals of Tropical Pathology     Open Access  
Apollo Medicine     Open Access  
APOS Trends in Orthodontics     Open Access  
Arab J. of Interventional Radiology     Open Access  
Archives of Cardiovascular Imaging     Open Access   (Followers: 1, SJR: 0.187, CiteScore: 0)
Archives of Intl. Surgery     Open Access   (Followers: 10, SJR: 0.302, CiteScore: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Medicine and Surgery     Open Access  
Archives of Pharmacy Practice     Open Access   (Followers: 6, SJR: 0.102, CiteScore: 0)
Archives of Trauma Research     Open Access   (Followers: 3, SJR: 0.37, CiteScore: 2)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 4)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.856, CiteScore: 2)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 1)
Asian J. of Transfusion Science     Open Access   (Followers: 1, SJR: 0.35, CiteScore: 1)
Asian Pacific J. of Reproduction     Open Access   (SJR: 0.227, CiteScore: 1)
Asian Pacific J. of Tropical Biomedicine     Open Access   (Followers: 2, SJR: 0.491, CiteScore: 2)
Asian Pacific J. of Tropical Medicine     Open Access   (Followers: 1, SJR: 0.561, CiteScore: 2)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
Biomedical and Biotechnology Research J.     Open Access  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access  
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 1)
Canadian J. of Rural Medicine     Full-text available via subscription   (SJR: 0.202, CiteScore: 0)
Cancer Translational Medicine     Open Access   (Followers: 2)
Cardiology Plus     Open Access  
Chinese Medical J.     Open Access   (Followers: 10, SJR: 0.52, CiteScore: 1)
CHRISMED J. of Health and Research     Open Access  
Clinical Cancer Investigation J.     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 2)
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access  
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 10, SJR: 0.811, CiteScore: 2)
Contemporary Clinical Dentistry     Open Access   (Followers: 4, SJR: 0.353, CiteScore: 1)
Current Medical Issues     Open Access   (Followers: 1)
CytoJ.     Open Access   (Followers: 2, SJR: 0.543, CiteScore: 1)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 3, SJR: 0.152, CiteScore: 0)
Dental Research J.     Open Access   (Followers: 11, SJR: 0.416, CiteScore: 1)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 6, SJR: 0.242, CiteScore: 0)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1, SJR: 1.799, CiteScore: 2)
Egyptian J. of Chest Diseases and Tuberculosis     Open Access   (Followers: 3, SJR: 0.155, CiteScore: 0)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access   (Followers: 1)
Egyptian J. of Internal Medicine     Open Access   (Followers: 1)
Egyptian J. of Neurology, Psychiatry and Neurosurgery     Open Access   (Followers: 1, SJR: 0.127, CiteScore: 0)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access   (Followers: 1)
Egyptian J. of Otolaryngology     Open Access   (Followers: 2)
Egyptian J. of Psychiatry     Open Access   (Followers: 2)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Nursing J.     Open Access  
Egyptian Orthopaedic J.     Open Access   (Followers: 2)
Egyptian Pharmaceutical J.     Open Access  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access  
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.822, CiteScore: 2)
Environmental Disease     Open Access   (Followers: 2)
Eurasian J. of Pulmonology     Open Access  
European J. of Dentistry     Open Access   (Followers: 2, SJR: 0.749, CiteScore: 2)
European J. of General Dentistry     Open Access   (Followers: 1, SJR: 0.12, CiteScore: 0)
European J. of Prosthodontics     Open Access   (Followers: 3)
European J. of Psychology and Educational Studies     Open Access   (Followers: 11, SJR: 0.113, CiteScore: 0)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.112, CiteScore: 0)
Genome Integrity     Open Access   (Followers: 3, SJR: 0.153, CiteScore: 0)
Glioma     Open Access  
Global J. of Transfusion Medicine     Open Access   (Followers: 1)
Gynecology and Minimally Invasive Therapy     Open Access   (SJR: 0.311, CiteScore: 1)
Hamdan Medical J.     Open Access  
Heart and Mind     Open Access  
Heart India     Open Access   (Followers: 1)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
Ibnosina J. of Medicine and Biomedical Sciences     Open Access  
IJS Short Reports     Open Access  
Imam J. of Applied Sciences     Open Access  
Indian Anaesthetists Forum     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 3)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 7, SJR: 0.478, CiteScore: 1)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (Followers: 1, SJR: 0.361, CiteScore: 1)
Indian J. of Cerebral Palsy     Open Access   (Followers: 1)
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.37, CiteScore: 1)
Indian J. of Critical Care Medicine     Open Access   (Followers: 2, SJR: 0.604, CiteScore: 1)
Indian J. of Dental Research     Open Access   (Followers: 4, SJR: 0.266, CiteScore: 1)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.468, CiteScore: 1)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 5, SJR: 0.445, CiteScore: 1)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1, SJR: 0.791, CiteScore: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4, SJR: 0.568, CiteScore: 1)
Indian J. of Health Sciences     Open Access   (Followers: 2)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.425, CiteScore: 1)
Indian J. of Medical Microbiology     Open Access   (Followers: 1, SJR: 0.503, CiteScore: 1)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.656, CiteScore: 1)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.102, CiteScore: 0)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 2, SJR: 0.347, CiteScore: 1)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.23, CiteScore: 0)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 3, SJR: 0.225, CiteScore: 1)
Indian J. of Ophthalmology     Open Access   (Followers: 4, SJR: 0.498, CiteScore: 1)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 8, SJR: 0.392, CiteScore: 1)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.199, CiteScore: 0)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 2)
Indian J. of Pain     Open Access   (Followers: 1)
Indian J. of Palliative Care     Open Access   (Followers: 5, SJR: 0.454, CiteScore: 1)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 2, SJR: 0.276, CiteScore: 1)
Indian J. of Pharmacology     Open Access   (SJR: 0.412, CiteScore: 1)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.311, CiteScore: 0)
Indian J. of Psychiatry     Open Access   (Followers: 3, SJR: 0.408, CiteScore: 1)
Indian J. of Psychological Medicine     Open Access   (SJR: 0.368, CiteScore: 1)
Indian J. of Public Health     Open Access   (Followers: 1)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Respiratory Care     Open Access  
Indian J. of Rheumatology     Open Access   (SJR: 0.119, CiteScore: 0)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.34, CiteScore: 0)
Indian J. of Social Psychiatry     Open Access   (Followers: 2)
Indian J. of Transplantation     Open Access  
Indian J. of Urology     Open Access   (Followers: 3, SJR: 0.434, CiteScore: 1)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Indian Spine J.     Open Access  
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intervention     Open Access   (Followers: 1)
Intl. Archives of Health Sciences     Open Access  
Intl. J. of Abdominal Wall and Hernia Surgery     Open Access  
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Clinicopathological Correlation     Open Access  
Intl. J. of Community Dentistry     Open Access  
Intl. J. of Critical Illness and Injury Science     Open Access   (Followers: 1, SJR: 0.192, CiteScore: 0)
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 4)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 3, SJR: 0.142, CiteScore: 0)
Intl. J. of Growth Factors and Stem Cells in Dentistry     Open Access  
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 3)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 3)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 6)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.535, CiteScore: 1)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4, SJR: 0.17, CiteScore: 0)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 2)
Intl. J. of Orofacial Biology     Open Access  
Intl. J. of Orofacial Research     Open Access  
Intl. J. of Orthodontic Rehabilitation     Open Access  
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 1)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.623, CiteScore: 1)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 5, SJR: 0.653, CiteScore: 1)
Intl. J. of the Cardiovascular Academy     Open Access   (SJR: 0.105, CiteScore: 0)
Intl. J. of Trichology     Open Access   (SJR: 0.4, CiteScore: 1)
Intl. J. of Yoga     Open Access   (Followers: 13)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 5)

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Journal Cover
Journal of Clinical and Preventive Cardiology
Number of Followers: 1  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2250-3528 - ISSN (Online) 2456-3366
Published by Medknow Publishers Homepage  [429 journals]
  • Editor's Page JCPC July 2018

    • Authors: Ravi R Kasliwal
      Pages: 85 - 85
      Abstract: Ravi R Kasliwal
      Journal of Clinical and Preventive Cardiology 2018 7(3):85-85

      Citation: Journal of Clinical and Preventive Cardiology 2018 7(3):85-85
      PubDate: Tue,10 Jul 2018
      DOI: 10.4103/2250-3528.236326
      Issue No: Vol. 7, No. 3 (2018)
       
  • Association of depression, anxiety, and stress with myocardial infarction:
           A case–control study

    • Authors: MT Manoj, KA Joseph, Govindan Vijayaraghavan
      Pages: 86 - 92
      Abstract: MT Manoj, KA Joseph, Govindan Vijayaraghavan
      Journal of Clinical and Preventive Cardiology 2018 7(3):86-92
      Background: Myocardial infarction (MI), the most common cardiovascular disease, has assumed an epidemic proportion today. Higher prevalence of MI is reported from India (a low-middle income country) with the state of Kerala topping the list. Limited data exist on the impact of psychosocial factors on MI in India. Materials and Methods: A total of 100 cases (with MI) and 100 controls (without MI and matched for age and gender) were selected using consecutive sampling from a tertiary hospital in Trivandrum, Kerala, India. Data on depression, anxiety and stress were collected using the depression, anxiety and stress scales (DASS 21). Chi-square test was used to study the association of the variables under study with MI. Multivariate logistic regression was used to control for confounders. The unadjusted and adjusted odds ratios (OR) and 99% confidence intervals (CI) were estimated. Results: Depression (35% vs. 20%, P = 0.024), anxiety (41% vs. 14%, P < 0.001) and stress (36% vs. 15%, P = 0.002) had a statistically significant association with MI on comparing cases vs. controls. Higher levels of depression, anxiety and stress were associated with an increased risk of MI with OR of 2.790, 6.429, and 3.470, respectively. Conclusion: Depression, anxiety and stress were associated with MI. Prospective studies are required to confirm our findings.
      Citation: Journal of Clinical and Preventive Cardiology 2018 7(3):86-92
      PubDate: Tue,10 Jul 2018
      DOI: 10.4103/JCPC.JCPC_39_17
      Issue No: Vol. 7, No. 3 (2018)
       
  • Comparative analysis of acute coronary syndrome in the elderly and the
           young: A hospital-based observational study

    • Authors: Abhikant Chugh, Sohaib Ahmad, Anurag Rawat, Minakshi Dhar
      Pages: 93 - 99
      Abstract: Abhikant Chugh, Sohaib Ahmad, Anurag Rawat, Minakshi Dhar
      Journal of Clinical and Preventive Cardiology 2018 7(3):93-99
      Background: The high prevalence of acute coronary syndromes (ACS) and the imminent transition of a proportion of the population into the geriatric age group are issues vital to the health-care delivery system. We wished to compare the risk factors, clinical presentation, echocardiographic and angiographic findings, complications, and in-hospital outcomes of ACS in the elderly and the younger population and identify the predictors of mortality in the elderly. Materials and Methods: This observational cross-sectional study was performed on patients hospitalized with ACS over a 12-month period. Demographic, clinical, and laboratory data of all included patients were analyzed after categorizing them as Groups I (>60 years; n = 188) and II (<60 years; n = 123). Results: Congestive heart failure (n = 64; 20.6%), shock (n = 19; 6.1%), and arrhythmias (n = 9; 2.9%) were observed at presentation in the 311 patients studied. Intervention was not undertaken in 18/311 (5.8%) either due to poor general condition or refusal by the patients' attendants. The risk factors significantly associated (P < 0.05) in Group II included male gender, tobacco and alcohol use, central obesity, dyslipidemia, and a positive family history of coronary artery disease (CAD). Group II had significantly higher (P < 0.05) Killip class, heart failure, and shock at presentation and mortality. Conclusion: The risk factors of CAD differ in the elderly; also they are predisposed to adverse outcome as compared to the younger people. Mortality among the elderly is significantly higher in those with arrhythmias, shock, low diastolic blood pressure, and/or congestive heart failure with advanced Killip class.
      Citation: Journal of Clinical and Preventive Cardiology 2018 7(3):93-99
      PubDate: Tue,10 Jul 2018
      DOI: 10.4103/JCPC.JCPC_4_18
      Issue No: Vol. 7, No. 3 (2018)
       
  • Efficacy of spiritual care therapy in patients undergoing percutaneous
           

    • Authors: Komal Dalal, Abhijit Aklujkar, Harminder Singh, Parag Sarve
      Pages: 100 - 105
      Abstract: Komal Dalal, Abhijit Aklujkar, Harminder Singh, Parag Sarve
      Journal of Clinical and Preventive Cardiology 2018 7(3):100-105
      Background: Spiritual care therapy has been shown to improve the well-being in chronic diseases such as cancer or psychiatric illness. The present study was conducted to evaluate the efficacy of spiritual care in patients with coronary artery disease (CAD) undergoing percutaneous transluminal coronary angioplasty (PTCA). Methods: An open-label, clinical study randomizing patients undergoing PTCA to receive either standard of care alone or spiritual therapy with standard of care was carried out. Spiritual care therapy includes spiritual counseling and holy name chanting before angioplasty and holy name chanting over a period of 14-day postangioplasty. Clinical examination, functional assessment of cancer therapy-general well-being (FACT-G) and functional assessment of chronic illness therapy-spiritual well-being (FACIT-Sp), Hospital Anxiety and Depression Scale (HADS) were performed before the procedure, 24 h and 14 days after PTCA. Inferential statistics was used to assess the statistical significance of the outcome measures. Results: Significant reductions in the systolic blood pressures, FACT-G and FACIT-Sp were observed at both 24 h and 14 days following angioplasty in the spiritual care group but not in the control group that received standard of care. Significant reduction in the anxiety and depression scores of HADS in the spiritual care group was also observed as compared to control group at both the follow-up periods. Furthermore, a significant shorter length of hospital stay and lower levels of high-sensitivity C-reactive protein was observed in the spiritual group. Conclusion: Spiritual care therapy can be part of treatments regime among CAD patients undergoing PTCA as it improves general as well as spiritual well-being and reduces hospital anxiety.
      Citation: Journal of Clinical and Preventive Cardiology 2018 7(3):100-105
      PubDate: Tue,10 Jul 2018
      DOI: 10.4103/JCPC.JCPC_37_17
      Issue No: Vol. 7, No. 3 (2018)
       
  • Clinical profile of young Indian women presenting with acute coronary
           syndrome

    • Authors: UM Nagamalesh, T Abhinay, K C Karthik Naidu, N Ambujam, Anupama V Hegde, VS Prakash
      Pages: 106 - 110
      Abstract: UM Nagamalesh, T Abhinay, K C Karthik Naidu, N Ambujam, Anupama V Hegde, VS Prakash
      Journal of Clinical and Preventive Cardiology 2018 7(3):106-110
      Introduction: Coronary artery disease is an important public health issue in India. Over the last few decades, several studies have led to an understanding of the disease with respect to Indian population. However, lacunae still exist in several aspects of this burning health issue. There is a lack of data on acute coronary syndrome (ACS) in the young Indian population. Our study targeted an important subgroup of Indian population which is the young Indian women. In this study, we present a brief overview of the clinical and laboratory characteristics of young Indian women who presented in our Institute with ACS. Methods: A total of 63 female patients aged ≤45 years with a diagnosis of ACS after satisfying inclusion-exclusion criteria were chosen for the study. Baseline demographics, laboratory investigations, electrocardiogram, echocardiographic assessment, and coronary angiogram with subsequent treatment approach and outcomes were recorded. Results: Dyslipidemia was the most common prevalent risk factors among the study patients, while diabetes and hypertension were other common risk factors noted. Among 63 patients admitted with ACS, 77% (n = 21) received primary percutaneous coronary intervention (PCI) and 11.1% (n = 7) received thrombolytic therapy. The average duration of hospital stay was 4 ± 1 day. Conclusion: It was observed that dyslipidemia was major risk factor for ACS among young Indian woman included in our study. Other risk factors included diabetes mellitus and hypertension. Chest pain (95.2%) was the most common complaint. In 76% cases, the coronary angiogram revealed single vessel disease with left anterior descending coronary artery being the culprit vessel in 69.8% cases. Majority of the participants had preserved left ventricular function at the time of discharge. Nearly 85% of our patients received PCI as the revascularization strategy of choice.
      Citation: Journal of Clinical and Preventive Cardiology 2018 7(3):106-110
      PubDate: Tue,10 Jul 2018
      DOI: 10.4103/JCPC.JCPC_48_17
      Issue No: Vol. 7, No. 3 (2018)
       
  • A prospective observational study of radiation trends in the cardiac
           catheterization laboratory

    • Authors: Suraj Khanal, Pavan Kumar Rasalkar, Rajesh Vijayvergiya
      Pages: 111 - 114
      Abstract: Suraj Khanal, Pavan Kumar Rasalkar, Rajesh Vijayvergiya
      Journal of Clinical and Preventive Cardiology 2018 7(3):111-114
      Background: Radiation exposure in cardiac catheterization laboratory (cath lab) is a health hazard not only to the interventional cardiologist, but also to the support staff as well as the patients. Data about radiation exposure in cath lab are lacking in India. We undertook this study to observe the radiation trends in a high-volume cath lab at a tertiary care center in India. Materials and Methods: A prospective study of radiation trends in the cardiac catheterization laboratory was carried out with regard to mean fluoroscopic time (FT, minutes), mean total cumulative dose (Gy), and mean dose area product (DAP) (Gycm2). Radiation exposures in various diagnostic and interventional procedures with respect to the above three parameters were studied. Radiation exposure in transradial and transfemoral routes was compared in the subgroup analysis. Results: A total of 2016 cases in which cath lab procedures were done during the period of 1 year were included in the study. Mean DAP for coronary angiography was 23.72 Gycm2 and for percutaneous transluminal coronary angioplasty (PTCA) was 196.61 Gycm2. If the complex PTCA procedures were excluded, the mean DAP was 33.19 Gycm2. Radiation trends observed in our study were comparable to the international standards. Conclusions: Radiation exposure in cath lab is a health hazard and must be given due importance. By maintaining radiation hygiene and associated precautions, the radiation exposure in cath lab can be kept within acceptable limits as shown in our study.
      Citation: Journal of Clinical and Preventive Cardiology 2018 7(3):111-114
      PubDate: Tue,10 Jul 2018
      DOI: 10.4103/JCPC.JCPC_7_18
      Issue No: Vol. 7, No. 3 (2018)
       
  • A rare case of takotsubo cardiomyopathy: The masquerader

    • Authors: Gaurav Khandelwal, Agam Bansal
      Pages: 115 - 117
      Abstract: Gaurav Khandelwal, Agam Bansal
      Journal of Clinical and Preventive Cardiology 2018 7(3):115-117
      Takotsubo cardiomyopathy (TCM) is a form of transient systolic dysfunction that masquerades myocardial infarction clinically. We report a case of a 57-year-old female with a normal cardiac profile who underwent an abdominal surgery. However, immediately after the operation, she developed chest pain and dyspnea, ST-segment elevation and QRS complex widening on electrocardiography, and increased left ventricle diastolic diameter, apical ballooning, and decreased ejection fraction on two-dimensional echocardiography. However, coronary angiography was normal. Based on these findings, she was diagnosed with TCM. She was started on diuretics and beta-blocker, and her heart function returned to normal within 2 weeks. Possibility of TCM should be kept in mind when acute coronary syndrome like manifestation is immediately preceded by a stress episode, like in this case.
      Citation: Journal of Clinical and Preventive Cardiology 2018 7(3):115-117
      PubDate: Tue,10 Jul 2018
      DOI: 10.4103/JCPC.JCPC_6_18
      Issue No: Vol. 7, No. 3 (2018)
       
  • Frank&#39;s sign: Cutaneous marker of cardiovascular disease

    • Authors: Rakesh Agarwal
      Pages: 118 - 119
      Abstract: Rakesh Agarwal
      Journal of Clinical and Preventive Cardiology 2018 7(3):118-119

      Citation: Journal of Clinical and Preventive Cardiology 2018 7(3):118-119
      PubDate: Tue,10 Jul 2018
      DOI: 10.4103/JCPC.JCPC_3_18
      Issue No: Vol. 7, No. 3 (2018)
       
  • Why majority of heart failure with preserved ejection fraction randomized
           controlled trials fail? Part: I

    • Authors: Satyanarayana Upadhyayula, Ravi R Kasliwal
      Pages: 120 - 126
      Abstract: Satyanarayana Upadhyayula, Ravi R Kasliwal
      Journal of Clinical and Preventive Cardiology 2018 7(3):120-126
      Today, heart failure with preserved ejection fraction (HFpEF) remains one of the toughest Gordian knots in cardiovascular medicine with no visible effective and acceptable therapies. Owing to the complexity, urgency, and gravity of the problem of HFpEF, the present article has been divided into two parts – Part I deals with the description of the problem, and in Part II, the authors suggest innovative methodologies to deal with the problem globally. All the while we have been searching for a size which fits HFpEF, a less understood complex syndrome due to maladaptive changes in structural, functional, and biochemical aspects of the myocyte. Inflammation appears to be the underlying string which weaves together nitrosative/oxidative stress, endothelial dysfunction, downregulation of nitric oxide (NO) bioavailability/NO-mediated signaling, impaired myocardial bioenergetics, disturbed calcium handling, and concentric hypertrophy. Most of the HF with reduced EF (HFrEF) randomized controlled trials (RCTs) are positive, while the majority of HFpEF RCTs are either neutral, borderline, or negative leading to a huge vacuum in the therapeutic space of HFpEF. While few understand the statistical complexity of RCTs, many pretend to do so. Endeavor has been made in the present article to make the underlying concepts loud and lucid without going into statistical complexities. Attempts are being made to negotiate this problem by adopting/experimenting with innovative designs, enrichment trials, adaptive trials, umbrella trials, basket trials, and machine learning-based trials leading to what may be termed as “precision medicine, precision diagnosis, and precision therapy.” We have compared two recent negative HFpEF RCT's (TOPCAT trial - Treatment of Preserved Cardiac Function Heart Failure with an Aldosterone Antagonist, INDIE trial - Inorganic Nitrite Delivery to Improve Exercise Capacity in HFpEF) with one positive HFrEF RCT (CASTLE AF trial - Catheter Ablation Versus Standard Conventional Treatment in Patients with Left Ventricular Dysfunction and Atrial Fibrillation), one negative HFrEF RCT (IRONOUT HF trial - Oral Iron Repletion Effects on Oxygen Uptake in Heart Failure), one positive HFmEF / HFpEF randomized, parallel-group, blinded, multicenter trial (REDUCE LAP-HF TRIAL Phase 2: A Study to Evaluate the DC Devices, Inc. IASD™ System II to REDUCE Elevated Left Atrial Pressure in Patients with Heart Failure), one positive HFmEF / HFpEF non-randomized, multicenter, open label, single arm study (REDUCE LAP-HF TRIAL Phase 1: A Study to Evaluate the DC Devices, Inc. IASD™ System II to REDUCE Elevated Left Atrial Pressure in Patients with Heart Failure) in order to understand why majority of HFpEF Clinical Trials fail.
      Citation: Journal of Clinical and Preventive Cardiology 2018 7(3):120-126
      PubDate: Tue,10 Jul 2018
      DOI: 10.4103/JCPC.JCPC_28_18
      Issue No: Vol. 7, No. 3 (2018)
       
 
 
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