Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract The number of post cardiac transplant patients desiring and achieving pregnancy continues to grow as more of these patients reach reproductive age. We present a case of a successful pregnancy and delivery in a 37 year old woman following a second heart transplantation. Given the complex clinical scenarios of both pregnancy and cardiac transplantation, we recommend a systematic and multidisciplinary approach for these patients. Introduction Janeway’s lesions are non tender small erythematous or hemCardiac transplantation is a life saving procedure for those patients with end stage heart failure. Advances in the field of transplant over recent decades have improved survival outcomes for post cardiac transplant patients. Approximately one third of heart transplant recipients are women and of those, approximately 20% are of rep...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Background: The significant decline of endogenous carnitine levels has been well confirmed in a single hemodialysis session. In children, owing to poor tissue stores, and growing demand, a resurgence in carnitine levels may take much longer time. Intradialytic hypotension secondary to carnitine deficiency is commonly due to depressed cardiac function. During hemodialysis, both oral carnitine and intravenous carnitine has been equally effective in adults by reducing the signs and symptoms. However, in children, intravenous carnitine may be more effective in the management of intradialytic hypotension and improving heart function. Case presentation: We report a 9-year-old girl who is a known case of end-stage renal failure secondary to hypoplastic kidneys. Her dialysis is complicated with left ventricular systolic dysfunction, and tertiary hyperparathyroidism for which she und...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract Background: Meticulous risk stratification for contrast-induced nephropathy (CIN) is important for patients with ST-segment elevation myocardial infarction (STEMI) and treated with primary percutaneous coronary intervention (PPCI). Aim of the work: To compare between different risk scores for predicting contrast induced nephropathy and short outcome after primary percutaneous coronary intervention in patients with ST elevation myocardial infarction. Material and methods: We prospectively enrolled 100 patients who presented with STEMI and treated with Primary PCI (PPCI). Mehran, Gao, Chen, ACEF or AGEF (age, serum creatinine, or glomerular filtration rate, and ejection fraction); and GRACE (Global Registry for Acute Coronary Events) risk scores were calculated for each patient. The predictive accuracy of the 6 scores for CIN, in-hospital death and major adverse clinical events ...