Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Pregnancy is associated with a range of haemodynamic and physiological changes including volume expansion, increase in cardiac output, a fall in systemic vascular resistance, increase in heart size and rise in heart rate [ 1 ]. These physiological changes can induce new onset of cardiac arrhythmias in a patient with or without structural heart disease. However, the prevalence of Atrial fibrillation is rare in pregnancy and if present there is likely to be an underlying structural heart disease or metabolic disturbances. The literature on exact data, prognosis and management is limited. It is important for a physician to know how to manage stable and unstable arrhythmias in pregnancy without compromising the outcome of pregnancy. Symptomatic women who fail to respond to medical therapy may need DC cardioversion. Case Report A 32-ye...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract A 55-year-old male, from the Dominican Republic, with a history of treated pulmonary tuberculosis of the right lung, presents to the primary care clinic with a history of several months of palpitations, unrelated to physical activity. Chest imaging showed right lung peripheral pleural thickening and parenchymal volume loss with mediastinal shift to the right. Subsequent Pulmonary Function Tests: showed severe airway obstruction, without response to bronchodilators and severely decreased total lung capacity and diffusing capacity. EKG: sinus rhythm. The patient was then diagnosed with the Post-pneumonectomy-like syndrome. Due to persistent palpitations, the patient was referred to the Cardiology clinic. ECHO was normal. Holter monitor with sinus pauses of up to 10.6 seconds. After this abnormal finding, he was diagnosed with sick sinus syndrome and referred to the Electrophysiolo...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Opinion To be effective, Cardio Pulmonary Resuscitation (CPR) requires a prompt and correct execution with compressions having the depth and the rate prescribed by the AHA. Unfortunately, the human chest dissipates most of the energy applied during the massage, consequently rescuers need to change frequently not to allow the fatigue to impair their performance. But, the recurrent interruption of the massage reduces the effectiveness of the resuscitation even further. This is the raisons d'etre of the automatic devices: to overcome the negative effect of fatigue and interruptions. The AHA does not recommend the routine use of automatic devices, because there is no statistical evidence that they improve the outcome of CPR [ 1 - 8 ]. However, statistics tell only part of the story. Forti et al. [ 9 ], for example, have described the case of a man who survived a cardiac arrest without ne...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Background and aim of the work: Platelets play a role in the pathogenesis of atherosclerotic complications by contributing to thrombus formation or plaque rupture. There is evidence that inflammation plays an important role in the initiation, development as well as evolution of atherosclerosis, suggesting that atherosclerosis is an inflammatory disease. The aim of this study is to evaluate the effect of mean platelet volume (MPV) and some inflammatory markers on patients with slow coronary flow (SCF) and its possible relationship with clinical presentation. Methodology: This study included thirty patients with coronary slow flow detected by coronary angiography via Thrombosis in Myocardial Infarction (TIMI) frame count method and fifteen patients with normal coronary arteries were selected as control group. All patients group and control group underwent Legal consent, complet...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Introduction Aortitis involving the coronary arteries is rare [ 1 , 2 ]. Affected individuals may develop myocardial ischaemia due to stenosis of the coronary ostia and/or aortic valve (AV) regurgitation. We report a case of recurrent ostial coronary artery lesions in a young woman. Case A 27-year-old Caucasian lady was admitted with chest pain at rest suggestive of myocardial ischemia. Clinical examination was normal. The electrocardiogram showed lateral T-wave inversion. High-sensitivity troponin T level was elevated at 18ng/L (99 th centile 13ng/L). The CRP was 32mg/L and normalised within 24 hours. Echocardiography showed anterior wall hypokinesia with good left ventricular function and a normal AV. She was treated with aspirin, clopidogrel and enoxaparin. Coronary angiography showed severe ostial left main stem (LMS) artery stenosis ( Fig...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Incidence of aorto-caval fistulae is quite low, ranging from 0.22 to 6.04% of all abdominal aortic aneurysm. One of the rare forms of abdominal aortic aneurysm rupture is rupture into great abdominal veins, such as the inferior vein cava (IVC) or the iliac veins. The typical clinical presentation includes abdominal pain, a pulsatile abdominal mass, an abdominal bruit and acute dyspnea. Morbidity and mortality will be affected by the acute presentation, preoperative recognition of the fistula, the extent of cardiac failure, coronary disease and other risk factors of atherosclerosis. Correct operative management includes expeditious control of the bleeding, greater care to avoid embolization through the fistula, use of blood salvage, and only selective caval interruption. Introduction Arteriovenous fistula (AVF) of the infrare...