Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract Background: Diabetes mellitus (DM) is a known major cardiovascular risk factor, early detection of left ventricular (LV) subclinical dysfunction is important to prevent overt heart failure in diabetic patients, this study aims to evaluate the regional and global LV myocardial functions by Strain and strain rate echocardiography in asymptomatic patients with type 2 DM. Patients and methods: The study included 38 asymptomatic type 2 DM patients with preserved ejection fraction (EF)>50%, excluding those who had hypertension, valvular, coronary artery disease, arrhythmias or conduction delay, they were compared to 20 healthy subjects as control group, color tissue Doppler imaging (TDI) was acquired in apical 4, 2 and 3-chamber views and LV regional and global peak systolic longitudinal strain(PSLS) and peak systolic strain rate(PSSR) were measured for 16LV segments. Results: ...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract Background: Youth of 18 to 20 year age achieve medical college admission through tough competition. Genotype, phenotype and environmental interactions that drive cardiovascular and other lifestyle diseases may be meaningfully recognized at such stage. Early detection of lifestyle disease and its determinants can guide timely interventions and correction toward prevention/reduction of morbidity and mortality. Objective: Screening of first year male and female medical students for pre-hypertension and a study of family history, clinicodemographic and biochemical characteristics in comparison with normotensive peers. Method: In a cross sectional study, 23 subjects (16 males and 7 females) in 18-20 year age range found to be prehypertensive upon screening were compared with 15 mached normotensive peers(10 males and 5 females). Familial, psychological behavioral, clinicodemogra...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract A one year old male French mastiff dog was presented with history of complete anorexia, ascites, exercise intolerance and lethargy. Chest radiographs revealed moderate to severe pleural effusions, tracheal elevation, increased tracheal bifurcation angle and pulmonary edema. Electrocardiography showed low voltage complexes and atrial fibrillation. Abdominal ultrasound revealed ascites and severe hepatomegaly. Haematobiochemical analysis revealed neutrophilic leukocytosis with mild thrombocytopenia and hypoproteinemia. Cytological and biochemical analysis of ascitic fluid indicated its modified transudate nature. Doppler echocardiography revealed tricuspid valve regurgitation with severe right atrial enlargement and there was downward displacement of tricuspid valve leaflets into the right ventricle indicating ebstein anomaly.The animal was treated with diuretics, vasodilators,...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract The effectiveness of rotational atherectomy has been established for hard, calcified lesions rotablator burr entrapment is a rare complication of rotational atherectomy, estimated to occur in 0.4% of cases. A 54-year-old woman was admitted to our hospital to undergo percutaneous coronary intervention for an atherosclerotic lesion of left anterior descending coronary artery. Coronary angiography revealed diffuse narrowing with severe calcification in her left anterior descending coronary artery, which seemed to be refractory to conventional devices. We decided to perform lesion modification by rotablator. During rotablation, the burr suddenly stalled and became trapped at the distal portion of the left anterior descending coronary artery just beyond the severely calcified lesion. We successfully retrieved the entrapped burr by balloon inflation after the insertion of a second guide ...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Keywords Keywords: Hypertension; Disparities; Treatment; Research; Education; Knowledge gap Objectives A. Provide a review of current hypertension management best-practices. B. Assess and bridge any existing knowledge gap among providers regarding the understanding of current data related to the treatment of hypertension in specific populations. C. Understand strategies for individualizing the treatment of hypertension, given existing controversies and disparate treatment guidelines. D. Share recent clinical trial data on the use of angiotensin converting enzyme inhibitors/angiotensin receptor blockers as monotherapy and combination therapy in hypertensive African Americans. Introduction/Background About 1 of 3 U.S. adults has high blood pressure. Only about half of these people have their high blood pressure under control [...