Journal of integrative cardiology open access最新文献

{"title":"Tacrolimus-induced Reversible Cerebral Vasoconstriction Syndrome after Heart Transplant: Case Report","authors":"","doi":"10.33140/coa.07.03.02","DOIUrl":"https://doi.org/10.33140/coa.07.03.02","url":null,"abstract":"We describe the case of a patient with a recurrent severe headache that occurred after heart transplant surgery. She was diagnosed with reversible cerebral vasoconstriction syndrome (RCVS) since typical imaging was seen through brain contrast computed tomography. Tacrolimus, an immunosuppressant, was suspected as the cause of the RCVS. The treatment was switched to cyclosporine, after which there was rapid improvement of her symptoms. This case highlights the importance of an immediate diagnosis to switch immunosuppressants to relieve symptoms and prevent progression to severe neurological dysfunction.","PeriodicalId":93027,"journal":{"name":"Journal of integrative cardiology open access","volume":"13 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72616356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transcatheter Aortic Valve Implantation (TAVI) Versus Surgical Aortic Valve Replacement (SAVR): A Retrospective Analysis from a Tertiary Care Hospital","authors":"","doi":"10.33140/coa.07.03.03","DOIUrl":"https://doi.org/10.33140/coa.07.03.03","url":null,"abstract":"Objective: To compare the post-operative complication rate in Transcatheter Aortic Valve Implantation [TAVI] vs Surgical Aortic Valve Replacement [SAVR] within one week of the operation. Methods: This is a retrospective cohort study in which two separate cohorts of patients would be included. The first group is of patients who undergo traditional open-heart surgery at our hospital for valve replacement, whereas the other cohort would be of patients who undergo valve replacement procedure using TAVI. Records of all the patients who underwent TAVI and SAVI in the last 5 years preceding the survey and fulfilling our inclusion criteria would be included in our study using purposive sampling method until the desired sample size is achieved. The inclusion criteria include patients who underwent primary valve replacement surgery at our institute through either of these procedures, patients who remained admitted in the hospital for at least one week and whose medical records are readily available at the hospital. Results: A higher Postoperative Complication Rate observed with SAVR compared with TAVI. The Myocardial Infarction, Acute kidney failure and Stroke reported higher after SAVR compared to TAVI. Conclusion: TAVI is a safer and more reliable procedure for Patients suffering from Aortic Stenosis","PeriodicalId":93027,"journal":{"name":"Journal of integrative cardiology open access","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91297689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysing the Status and Strategy Dimensions of the Sport Organizational Structure in the South Ethiopia Sport Commission Office","authors":"","doi":"10.33140/coa.07.03.01","DOIUrl":"https://doi.org/10.33140/coa.07.03.01","url":null,"abstract":"Abstract Background: The structure of an organization is significant because it determines how employees and volunteers interact in terms of job tasks, decision-making procedures, the need for collaboration, levels of responsibility, and reporting mechanisms. Specialization, standardization and centralization are three structural dimensions that have long been used to define organizational traits and arrangements. Objective: To analyse the status and strategy dimension of the sport organizational structure in the south Ethiopia sport commission office. Methods: An institutional based descriptive survey research approach was conducted at the south Ethiopia sport commission office. Data were collected by using a self-administered questionnaire. Study participants were allocated proportionally based on their profession by using a purposive sampling method. Data were entered and analysed by using SPSS version 20.0. Descriptive statistics frequency and percent were used to describe the analysis of variables in the study area. Result: In this study, the status and strategy dimensions of the sport organizational structure in South Ethiopia sport commission office, like work specializations implemented were only (60.4%), departmentalization (62.3%), chain of command that there was no reporting trial between managers and employers (43.3%). The wide type of control was (64.2%), the status of centralization was (62.2%) and decentralization was only (24.5%). Conclusion: According to the findings of the current study, the status and strategy dimension of the sport organizational structure in the South Ethiopia sports commission office is very low. Factors affecting departmentalization include work type, employer’s field of study, different task process and environmental risk. Factors affecting the span of control competencies of subordinate, nature of work, quality of planning, communication techniques, organizational structure, organizational culture, and complexity of organizations were independent predictors of strategic dimension in sport organizational structurePreparing and providing programmed continuously on the job, organizing seminars and up on hire training on strategic dimensions of sport organizational structure should be crucial. To enhance the span of control adminsterative personnel should practice direct control of supervisors and subordinates. In chain of command, administrative personnel and employers should follow reporting trials between the employers and upper managers.","PeriodicalId":93027,"journal":{"name":"Journal of integrative cardiology open access","volume":"1117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83329520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Covid-19 in the Field of Cardiology in Karachi Pakistan","authors":"Khalida Soomro, Zaman Baloch","doi":"10.33140/coa.07.03.04","DOIUrl":"https://doi.org/10.33140/coa.07.03.04","url":null,"abstract":"The COVID-19 pandemic caused by the Corona-virus has brought new changes to the worldwide healthcare system. Healthcare delivery is experiencing drastic changes due to the pandemic. This unprecedented surge in COVID-19 infections led many governments around the world to implement population lifestyle changes to limit the spread of infection. To identify the differences in demographics, clinical characteristics, admission, diagnostic and therapeutic procedures, affect cardiovascular services and changes adopted in hospital’s emergency room triage. We analyzed key performance services offered in cardiology department in tertiary care hospitals. There has been a more than 50% drop in the number of Cardiac patients presenting to the cardiac dept. of these hospital. All areas of cardiology service provision sustained significant reductions, which included outpatient clinics, investigations, procedures and cardiology community services such as heart failure and cardiac rehabilitation. In line with government guidelines, cardiology services had to alter the delivery of care by adopting virtual clinic models, redeployment of staff to the acute medical services and rescheduling of non-urgent procedures. Dealing with the increased COVID-associated CV risk burden and becoming acquainted with potential new e-cardiology approaches aimed at integrating the cardiology practice are relevant new challenges brought by severe acute respiratory syndrome coronavirus 2 infection and its sequelae in Middle-income countries like Pakistan.","PeriodicalId":93027,"journal":{"name":"Journal of integrative cardiology open access","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74365935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Census of Cardiac Uptake on Routine Bone Scintigraphy, a Methodology to Assess the Prevalence of the TTR Amyloidosis","authors":"F. Chehade, A. Khoury, Samer Nasr","doi":"10.31487/j.jicoa.2022.02.01","DOIUrl":"https://doi.org/10.31487/j.jicoa.2022.02.01","url":null,"abstract":"Objective: Transthyretin cardiac amyloidosis is a rapidly progressive disease, remains underdiagnosed, and has long been considered a rare disease. Diagnosis decision making cannot be based on echography and MRI findings alone because they lack accuracy. However, it requires invasive test of myocardial or fat pad biopsies. Thus, the diagnosis is challenging, and the non-invasive scintigraphic technique using bone-seeking radiopharmaceuticals has become a cornerstone in the workup revealing a myocardial uptake. Our work consists of a single institution retrospective study aiming to estimate the bone scintigraphies, and the prevalence of the transthyretin cardiac amyloidosis in our population.\u0000Methods: We have carried out a census of the incidental cardiac uptake on routine bone scintigraphy in 2211 consecutive patients enrolled between 2009 and 2020, mostly performed for oncologic purposes. The visual analysis of the scintigraphic images classifies the cardiac uptake into 3 levels of gradation and evokes the diagnosis of the TTR cardiac amyloidosis in grades 2 and 3.\u0000Results: Different grades of myocardial uptake were observed in 1.37 % of all patients. Prevalence of uptake was 0.37% in the 50th, increased dramatically at the 60th (2.49%), and reached 4% above the age of 80. The diagnostic grades 2 and 3 cardiac uptakes were identified in 5 patients (0.23% of overall patients) ranging between 56- and 91-y-old. Our results concord with the trend of disease increases with age.\u0000Conclusion: The careful analysis of the bone scintigraphy of all incoming adult patients should allow to make the diagnosis of the TTR cardiac amyloidosis at a preclinical stage and establish new effective treatments. Our results provide an estimate of the number of patients that could be diagnosed and improve the awareness of the corresponding prevalence in our population. In this way, multicentric studies should be implemented by enrolling large cohorts of bone scintigraphy cases.","PeriodicalId":93027,"journal":{"name":"Journal of integrative cardiology open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44679838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Psychological Experience of Elder Mothers Raising a Second Child: A Qualitative Study","authors":"","doi":"10.33140/coa.07.02.01","DOIUrl":"https://doi.org/10.33140/coa.07.02.01","url":null,"abstract":"Objective: To explore the psychological changes that may take place in older women with a second child from conception to birth. The study has several aims, including the provision of protection of the overall health level of these women; the maintenance of women's position in the labor market; and the promotion of the implementation of the \"comprehensive twochild\" policy. Methods: Semi-open interviews conducted on older women pregnant with their second child. These women recruited from three tertiary hospitals in one province in western China. The interview content analyzed using the qualitative research method of Japanese scholar Kinoshita Yasuhito's revised version of grounded theory. Results: Four themes extracted from the psychological experience of the older women with a second child; these were Life choice; the mixed feelings of motherhood; the backbone of a family; Second children should be cautious. Conclusion: Older women with a second child face physical, psychological, life, and other pressures. To ensure the implementation of the \"comprehensive two-child\" policy, the Chinese government should speed up the establishment of a fertility support system, including education, medical investment, women’s employment rights protection, and pension burden. Establish and improve relevant policies","PeriodicalId":93027,"journal":{"name":"Journal of integrative cardiology open access","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80625601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Minimally Invasive Mitral Valve Surgery vs Open Mitral Valve Replacement","authors":"","doi":"10.33140/coa.07.02.05","DOIUrl":"https://doi.org/10.33140/coa.07.02.05","url":null,"abstract":"Objective: To establish the advantages of invasive mitral valve surgery over open heart mitral valve surgery in treating patients with mitral valve pathologies. Material and Methods: A literature search was done on PubMed, google scholar, and Embase using search terms like open ‘invasive mitral valve surgery’, ‘mitral clip’, ‘sternotomy’, and ‘annuloplasty.” The time limit was set to 5 years ago and the language set to English. After searching, a quick screening of the title and abstract was done for relevance. The selected papers were then used in this review. Results: The minimally invasive mitral valve surgery was shown to have significantly greater survival rates across all post-surgical time frames as well as lower short-term mortality rates. Mini MVS was also shown to be more effective in treating infective endocarditis and is a highly impractical operation for patients with left ventricular dysfunction or other cardiomyopathies. The Minimally Invasive Mitral valve surgery (Mini MVS) proved to cause fewer mortalities and clearly showed a lower number of complications; the complications that exist are highly preventable. In addition, the mini MVS is more effective in treating patients with mitral regurgitation. Conclusion: This review confirms that employing the minimally invasive MVS procedure for patients with mitral valve pathologies is more effective than the standard open heart MVS in terms of post-surgery mortalities and hospital stay times. It is also more effective in treating patients with preexisting cardiomyopathies. However, sufficient training should be done to prevent complications from arising. The mitraliclp device should be further developed to prevent complications that arise due to the clip attachment","PeriodicalId":93027,"journal":{"name":"Journal of integrative cardiology open access","volume":"102 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79425016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hybrid Coronary Revascularization Vs Traditional Coronary Artery Bypass Graft: A Better Revascularization Modality","authors":"Sumera Nasim, Khalid Galal, W. Shaker","doi":"10.33140/coa.07.02.04","DOIUrl":"https://doi.org/10.33140/coa.07.02.04","url":null,"abstract":"Background: Hybrid coronary revascularization (HCR) represents a minimally invasive revascularization strategy in which the durability of the internal mammary artery to left anterior descending combined with percutaneous coronary intervention with drug eluting stents(DES)to treat remaining lesions in different coronary arteries. Objective: To compare the complication like bleeding, nephropathy and hospital stay MACCE defined as death, stroke, myocardial infarction (MI), stroke, and repeat revascularization in hospital and one year follow up. Methods: It was correctional study done UAE in 2018- 2019 patient with multi vessel disease who consented with insurance approval were included and decision for which patient went HCR or CABG arm by heart team, patient underwent HCR we used stage manner first LIMA – LAD followed by multi vessel PCI after 24 hrs. And patient were discharged on day 5 of admission Results: 15 patients underwent hybrid revascularization bleeding rate was high with OR OF 1.0 with 95% C.I of 0.8-1.3 with p value of 0.03, risk of Nephropathy was higher in HCR group with odd ration 1.2 (0.6-1.5) with p value of 0.04 the mean length was 5 vs 7 Days One stroke in CABG group and MACE was HCR with ODD ratio of 1.2 (95% CI 0.8-1.5 with p value of 0.04 observed till one year no in hospital death one year follow up. Three patients died of MACE in CABG and one patient in HCR group.","PeriodicalId":93027,"journal":{"name":"Journal of integrative cardiology open access","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85813117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inhalation of Heliox as a Potential Treatment for the Acute Respiratory Distress Syndrome (ARDS) caused by Covid-19","authors":"","doi":"10.33140/coa.07.02.03","DOIUrl":"https://doi.org/10.33140/coa.07.02.03","url":null,"abstract":"Corona virus disease 2019 (COVID-19) is currently a global pandemic It presents as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) due to COVID-19 infection. Despite the widespread use of symptomatic, antiviral, and supportive treatment, the daily death toll from COVID-19 is still rising. The most common lethal complication is acute respiratory distress syndrome (ARDS). Mechanical ventilation is one of the necessary support methods of treating ARDS. Heliox (Heliumoxygen mixture) inhalation can reduce respiratory work of breathing, improve oxygenation, improve lung compliance, and effectively optimize the treatment of ARDS. Heliox also has potential anti-inflammatory, neuroprotective, and cardiac effects, and could reduce the inflammatory storm caused by SARS-CoV-2. This article reviews the properties of heliox, the therapeutic mechanism for ARDS, and the effects of heliox on inflammation, nerves, and the heart. Conclusion we suggests that heliox is a potential treatment for COVID-19.","PeriodicalId":93027,"journal":{"name":"Journal of integrative cardiology open access","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75830975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Central Diabetes Insipidus Caused by Therapeutic Hypothermia after Cardiopulmonary Resuscitation with Carbon Monoxide Poisoning","authors":"","doi":"10.33140/coa.07.01.06","DOIUrl":"https://doi.org/10.33140/coa.07.01.06","url":null,"abstract":"Central Diabetes Insipidus (DI) usually has hypernatremia and increased urine output as the main clinical manifestations. It is also a rare complication of therapeutic hypothermia after cardiopulmonary resuscitation and carbon monoxide poisoning, but it may be fatal if it is not recognized in time. This case describes a patient who experienced cardiac arrest due to carbon monoxide poisoning, and then successfully restored his spontaneous heart rate after cardiopulmonary resuscitation. However, the patient experienced unexpected hypernatremia and increased urine output during therapeutic hypothermia, and was diagnosed with central DI as a complication of cerebral edema. After treatment, he eventually developed spontaneous breathing and corrected electrolyte imbalances.Central DI should be taken seriously as a possible complication of increased urine output during therapeutic hypothermia after carbon monoxide poisoning cardiopulmonary resuscitation, and pituitary vasopressin should be used to treat central DI.","PeriodicalId":93027,"journal":{"name":"Journal of integrative cardiology open access","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82515024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}