Juniper Publishers: Hematological Manifestations of Infectious Disease...

Juniper Publishers: Hematological Manifestations of Infectious Disease...: Journal of Nursing & Health Care - Juniper Publishers Abstract Infectious processes have a potential to complicate the clinical...

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Reperfusion Therapy of Myocardial Infarction: From Classic to Modern Fibrinolysis-Juniper Publishers

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JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Opinion One of the main changes occurred in medicine in the last 25 years has been reperfusion treatment in acute myocardial infarction. From management of complications to immediate intervention in STEMI has come a long way. Four decades ago, STEMI treatment pointed to complications management, mainly arrhythmic (Ventricular fibrillation or AV block) or mechanics (cardiogenic shock, VSD, cardiac rupture or expansion). Intervention era started with intracoronary fibrinolysis, which quickly evolved to endovenous approach. Fibrinolytic treatment was a landmark as the beginning of the “reperfusion era” in STEMI. But it also was the beginning of bleeding complications in acute coronary syndromes, and its most dreaded form, intracranial hemorrhage. Streptokinase, the historically (and currently) most used fibrinolytic drug is far from ideal: in addition to a low reperfusion rate (TIMI 3 flo...
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How to Use Risk Score Systems on Severe Aortic Stenosis?-Juniper Publishers

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JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Aorticstenosis is the most common acquired valvar disease, when severe and symptomatic, surgical approach wasthegold standard therapy. It is Worth noticing that severe aortic stenosis treatment was change in the last years and transcatheter aortic-valve replacement (TAVR) become an important therapy for a specific group of patients with a severe aortic stenosis. The patients schedule for TAVR has been progressively changing from only high risk to intermediary risk patients. After these patients selections a world wide risk models were emerged to stratifie patients before TAVR. The STS score was the most used risk score to refer patients for TAVR. Keywords: Aortic stenosis; Trans catheter aortic-valve replacement; STS score; Valvar disease Introduction Aortic stenosis is the most common acquired valvar disease, when severe and symptomatic, surgical approach w...
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