Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract The sympathetic nervous system is a key component of the generation of many life-threatening ventricular arrhythmias [ 1 ]. Various medical therapies target the sympathetic nervous system, with the goal of diminishing ventricular arrhythmias, ultimately for the protection of the structural and functional integrity of cardiac tissue. Ventricular arrhythmias that are refractory to medical management can contribute to degeneration of cardiomyocyte and can lead to the development of heart failure and increase the risk of sudden cardiac death. This article will review the relevant literature surrounding medical and surgical management of refractory ventricular arrhythmia, and determine if there is evidence to support the recommendation of bilateral upper thoracic sympathectomy as a beneficial option for management. Keywords: Ventricular arrhythmia; Thoracic sympathectomy; Stellate ganglia...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Introduction Kawasaki disease is an acute vasculitis of childhood that predominantly affects the coronary arteries [ 1 - 3 ]. The etiology of Kawasaki disease remains unknown [ 4 ], although an infectious agent is strongly suspected based on clinical and epidemiologic features [ 5 , 6 ]. Most children who are treated recover from the disease without long-term problems [ 1 , 5 ]. Other need close follow up and special treatment by Aspirin, IVIG and sometimes Steroids [ 7 - 9 ]. The disease is most common in children ages 1 to 2 years [ 2 , 4 ] and is less common in children older than age 8 or in infants [ 10 ]. We are presenting 4 months old girl with Kawasaki disease complicated with coronary arteries ectasia and aneurysm which is unusual in this age. Case Report 4 months old girl presented to emergency department with fever not responding to or...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract Diagnostic and interventional catheterization especially is invasive procedures that naturally can occur with risks and side effects for patients. This article examines the prevalence and detection of unpleasant side effects and early outcomes occurred deals by angiography. The study performed in patients undergoing angiography in Isfahan University of Medical Sciences in children department at one year. 372 patients, including 185 men and 187 women underwent angiography, which were 172 diagnostic angiography and 200 were interventional angiography. Among these patients, 105 had cyanotic heart disease, and 267 patients were non-cyanotic. Of the patients, 18 patients (5%) had unpleasant side effects or bad early outcome during angiography include (emboli of breaking wires and interventional devices in the body, death, drug allergies, fever and bleeding and need to blood transf...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Opinion Hypertension is a leading risk factor for morbi-mortality and disability. It is estimated that approximately 875 million adults worldwide have systolic blood pressure above 140mmHg. If the demographic trend is considered and the prevalence of hypertension increases with age, the consequences of hypertension will continue to increase. The 2017 guideline is an update of “The Seven Report of the Joint Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (JNC)” [ 1 , 2 ]. The guidelines provide a comprehensive review for the diagnosis and therapeutics of arterial hypertension. These guides recommend classifying blood pressure into 4 categories: normal (less than 120/80mm Hg); elevated (120-129/lower 80mmHg); stage 1 hypertension (130-139/80mmHg) and stage 2 hypertension (greater 140/greater 90mmHg). These categories are designed to facilitate clinic...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Opinion Cardivan- vascular dieses are group of disease which are totally preventable, it is concluded that almost 90% of CVD is avoidable. Improving risk factors is the key point in Prevention strategies, thus minimizing atherosclerosis process are significantly linked to improving risk factors by: healthy diet consumption, conducting exercises, eliminating tobacco smoke and educing alcohol intake. Lipids and high blood pressure management and control have great impact on CVD morbidities and mortalities. Applying effective strep throat with suitable antibiotics can contribute to decrease risk of rheumatic heart disease. Cardiovascular diseases kept the main cause of mortality worldwide globally. It has been estimated that the mortality rate has been increased from 17.9 million deaths (32.1%) in 2015, up from 12.3 million (25.8%) in 1990 and have been increasing in much of the developi...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Case Report A 58-year-old man was admitted to the hospital with asymptomatic hypertensive urgency. His medical history was significant for heart failure and complete heart block with a dual chamber pacemaker first implanted in 1985. Although he had more leads added over time, his previous leads were never removed. Examination revealed a left-sided generator and an old right-sided device with purulent eroded wires. He also had mild pedal edema. A chest radiograph ( Figure 1A ) demonstrated a complicated lead arrangement with wires connecting the generator on the left and the old generator pocket site on the right, an atrial lead (yellow arrow) in the correct position, and multiple ventricular leads (green and red arrows) passing through the tricuspid area (oval). Gated chest computed tomography showed a misplaced, abandoned lead piercing one of the tricuspid leaflets (Red arrow in Figur...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Introduction Subclavian artery pseudoaneurysm is an uncommon clinical entity with only a few cases reported in the literature. Most cases are related to injuries of the subclavian artery during insertion of central venous catheter. In some of these cases, the injury is secondary to blunt trauma. We report an interesting case of iatrogenic right subclavian artery pseudoaneursym secondary to a complicated central vein dialysis catheter insertion, which was successfully treated with endovascular stenting and resulted in clinical improvement. Case Report A 60-year-old gentleman with a background history of accelerated hypertension and chronic kidney disease developed worsening renal function secondary to Enterococcus septicemia, following an admission for Steven-Johnson syndrome. The oliguric renal failure did not respond to fluid challenge and eve...