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Implantation of Sutureless Aortic Valve in a High- Risk Patient with Active Infective Endocarditis TAVI-Juniper Publishers

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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Active infective endocarditis (AIE) is major problem especially for patients with prior valve intervention or device implantation. We present a 77-year-old patient suffering from AIE 14 months after transcatheter-implanted aortic valve (TAVI). The heart team considerated TAVI by increased operative risk, Euro SCORE of 10.42%, including sever pulmonary hypertension, chronic obstructive pulmonary disease, insulin depending diabetes mellitus, chronic renal failure and polyneuropathy. Post-interventional, the patient suffered from an aneurysm spurium. During follow-up, the patient underwent dental treatment and afterwards developed 39°C fever und blood culture showed repeatedly Escherichia Coli. Echocardiographic examination showed a new paravalvular leakage with limited vegetation at the TAVI. The heart team decided, although a Euro SCORE of 63.57%, appropriate antimicrobial...

Juniper Publishers: Simultaneous Estimation of Aliskiren and Amlodipin...

Juniper Publishers: Simultaneous Estimation of Aliskiren and Amlodipin... : Journal of Organic & Medicinal Chemistry - Juniper Publishers Abstract Simple, sensitive and accurate UV-spectroscopic methods ...

Acute Aortic Dissection: Update on Diagnosis and Application of Endovascular Therapy of Emergency-Juniper Publishers

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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Acute aortic syndrome (AAS) describes emergency aortic diseases. In 80% of patients, the AAS presents itself as an Acute Dissection of Aorta (ADA). It’s worth pointing out that the traumatic etiology of this condition has great relevance regarding morbidity and mortality. This is fact that the Traumatic Thoracic Aortic Dissection (TTAD), usually occurs from a contuse injury, product of an abrupt deceleration, especially in men and individuals with overweight or obesity, which have a history of smoking and heart surgeries. Early diagnosis of ADA is indispensable, since patients who arrive alive at the hospital, have high probability of death in a short period of time if not treated properly, especially those who have been victims of some traumatic event earlier. In this context, the endovascular approach has become the treatment of choice for acute surgical emergencies involvin...

Juniper Publishers: Death Drive In Psychoanalysis versus Existential P...

Juniper Publishers: Death Drive In Psychoanalysis versus Existential P... : Journal of Psychology and Behavioral Science - Juniper Publishers Introduction In Greek myth, the demon of death was the son of Nix...

Systolic and Diastolic BP Control in Metabolic Syndrome Patients with Metadichol® a Novel Nano Emulsion Lipid-Juniper Publishers

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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Metadichol®, [1] a nano formulation a mixture of long chain alcohols that is present in many foods like rice and sugar cane and is derived from the waste of the sugar cane industry. It is a renewable resource. Most of the clinical data in literature is a: non-nano formulation either a tablet or capsule which have not shown any efficacy. Given its safety profile, we carried out a small open-label pilot study on diabetic patients with hypertension who had in additional co-morbidities such as dyslipidemia, obesity, and hypertension. None of them were on any hypertensive medication. Our studies on patients for 60 weeks in an open-label study @20mg per day showed that it is possible to bring about improvements in Systolic and diastolic pressure in addition to CRP, VLDL, HDL, Triglycerides and waist circumference reduction and reduction in insulin resistance. Interestingly Vitam...

Juniper Publishers: On A Boundary Value Problem for A Singularly Pertu...

Juniper Publishers: On A Boundary Value Problem for A Singularly Pertu... : Journal of Biostatistics and Biometrics - Juniper Publishers Abstract In a semi-infinite strip we consider a boundary value pro...

Clinical Profile and Outcome of Infective Endocarditis in a Tertiary Care Centre: Retrospective Study-Juniper Publishers

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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Objective: This study was conducted to outline the clinical profile and outcomes of infective endocarditic (IE). It provides a contemporary picture of the presentation, etiology and outcomes of IE. Methods: A total of 97 consecutive cases of definitive IE who met the modified Duke’s definitive criteria were included in the study. We analysed their clinic-epidemiologic features and outcomes. Results: The mean age was 34.8±14.6 years with male preponderance (57.7%). Rheumatic heart disease (RHD) (29.8%) was the commonest underlying cause followed by congenital heart disease (CHD) (20.6%). Fever as the main clinical feature was seen in 95.8%. About 61.8% of patients were in New York Heart Association (NYHA) class II. Blood culture was positive in 44.3% with commonest organisms being Staphylococcus aureus (10.3%) and Streptococci viridians (9.3%). Most common valve involvem...