#Cardiology Journal

[symbiosis-online-publishing]

Preventive Strategies and Public Health

Welcome to the Journal of Clinical Trials in Cardiology, a leading publication dedicated to advancing knowledge and innovation in cardiovascular clinical trials. Our journal serves as a distinguished platform for researchers, clinicians, and healthcare professionals to contribute and access the latest advancements in cardiology research. At the heart of our mission is the commitment to fostering evidence-based practice and enhancing patient care through the dissemination of high-quality clinical trial findings. The Journal of Clinical Trials in Cardiology strives to promote rigorous research methodologies, ethical conduct, and transparency in cardiovascular clinical trials.

Key Features:

Rigorous Peer Review: All submitted manuscripts undergo a thorough and unbiased peer-review process by experts in the field to ensure the highest scientific standards.

Comprehensive Scope: The journal covers a wide range of topics within cardiovascular clinical trials, including but not limited to novel therapies, diagnostic tools, and prevention strategies.

Global Collaboration: We encourage international collaboration and welcome contributions from researchers around the world to facilitate a diverse and impactful exchange of ideas.

Our primary audience includes cardiologists, researchers, clinical trial specialists, and healthcare professionals dedicated to advancing cardiovascular medicine. We aim to provide a valuable resource for staying informed about the latest developments in the field.

[casereportsjournal]

Case Reports in Clinical Cardiovascular Journal - Cambridge Publishers

Case Reports in Clinical Cardiovascular Journal (CRCCJ) is a peer-reviewed high-impact factor PMC-indexed medical journal that focuses on various aspects of Cardiology and Cardiovascular diseases. 

Journal accepting articles for publication in Heart Case Reports, Cardiovascular Imaging, Cardiovascular Journal, Cardiovascular Case Series and Clinical Videos in Cardiovascular disorders. 

Cardiovascular case reports journal aims to publish original case reports in the field of cardiology including cardiovascular medicine and Cardiovascular Journal. Cambridge Publisher’s Cardiac Journal publishes case reports on Coronary Heart Disease, Pediatric Cardiology Case Reports, Cardiac Surgery Case Reports, Cardiovascular Surgery Case Reports etc.

If you have any special requests or queries regarding our services, visit our site for more information about Cambridge Publishers - Case Reports in Clinical Cardiovascular Journal -  https://www.cardiologycasereportsjournal.org/

[cambridgepublishers]

Cardiovascular Journal accepting images in Cardiovascular Journal, imaging in Cardiovascular Journal, case reports in Cardiovascular Journal, videos in Cardiovascular Journal, research articles in Cardiovascular Journal accepting Cardiovascular case reports for publication.

[autumnarcanavo]

Great news today my Cardiology appointment that was initially scheduled for August 5th was moved up to July 1st and I am ecstatic

[obfuscated-abstract]

Title: Canadian Cardiovascular Society Position Statement on Postural Orthostatic Tachycardia Syndrome (POTS) and Related Disorders of Chronic Orthostatic Intolerance

Date: March 2020 Published in: Canadian Journal of Cardiology (CJC) Publicly available? Yes

Citation: Raj, S. R., Guzman, J. C., Harvey, P., Richer, L., Schondorf, R., Seifer, C., Thibodeau-Jarry, N., & Sheldon, R. S. (2020). Canadian cardiovascular society position statement on postural orthostatic tachycardia syndrome (pots) and related disorders of chronic orthostatic intolerance. Canadian Journal of Cardiology, 36(3), 357–372. https://doi.org/10.1016/j.cjca.2019.12.024

Figures and tables under the cut

Figures

Figure 1. Proposed framework for postural orthostatic tachycardia syndrome (POTS) and related disorders. This newly proposed framework defines a novel framework for defining POTS and related disorders on a grid of orthostatic tachycardia and orthostatic symptoms. PSWT, postural symptoms without tachycardia.

Figure 2. Postural orthostatic tachycardia syndrome (POTS) diagnostic criteria algorithm: a flow algorithm to help clinicians navigate the diagnosis of POTS and related disorders of orthostatic intolerance and orthostatic tachycardia. bpm, beats per minute; EDS, Ehlers-Danlos syndrome; HR, heart rate; IST, inappropriate sinus tachycardia; MCAS, mast cell activation syndrome; PSWT, postural symptoms without tachycardia.

Figure 3. Postural orthostatic tachycardia syndrome (POTS) diagnostic approach algorithm: a flow algorithm that includes a diagnostic approach for POTS, relevant investigations, and indications for referral to a specialist. ECG, electrocardiography; EEG, electroencephalography; EMG, electromyography

Figure 4. Postural orthostatic tachycardia syndrome treatment algorithm: a suggested treatment algorithm for patients with postural orthostatic tachycardia syndrome.

Tables

Table 1. Chronic orthostatic intolerance syndromes: diagnostic hemodynamic and symptom criteria

Table 2. Symptoms associated with POTS

Table 3. Noncardiovascular debilitating symptoms

Table 4. Associated comorbid conditions seen in POTS plus

Table 5. Underlying conditions associated with PTOC

Table 6. POTS pathophysiological subtypes

Table 7 Autonomic review of systems

Table 8. Summary of treatment and management of POTS

[irispublisherscardiovascular]

Resistant Kawasaki Disease in an Infant Causing Giant Coronary Aneurysms with Thrombosis

Abstract 

Giant coronary artery aneurysms that occur in 0.5 to 1% of patients with Kawasaki disease can be fatal if associated with thrombosis. Some patients may show persistent inflammation and fever despite treatment with repeated doses of intravenous immunoglobulin (IVIG), steroids, and aspirin. This report describes an infant boy with resistant Kawasaki disease who presented with extensive coronary artery involvement and coronary thrombosis. His inflammation was not controlled with multiple doses of IVIG, parenteral and oral steroids, or high-dose aspirin, and he finally needed infliximab, a monoclonal antibody against tumor necrosis factor alpha. 

Read More About This Article: https://irispublishers.com/ojcrr/pdf/OJCRR.MS.ID.000595.pdf

Read More Iris Publishers Google Scholar Article: https://scholar.google.com/citations?view_op=view_citation&hl=en&user=LxGGn5cAAAAJ&cstart=20&pagesize=80&citation_for_view=LxGGn5cAAAAJ:7T2F9Uy0os0C

[symbiosisonlinepublishing]

𝐏𝐡𝐚𝐬𝐞 𝟏 𝐭𝐫𝐢𝐚𝐥𝐬: These trials are small and involve a small number of healthy volunteers. The goal of #Phase1 trials is to assess the safety of a #newtreatment and to determine how the body #tolerate it.

𝐏𝐡𝐚𝐬𝐞 𝟐 𝐭𝐫𝐢𝐚𝐥𝐬: These #trials are larger than phase 1 trials and involve people with the condition that the new treatment is being developed for. The goal of #Phase2 trials is to assess the efficacy of the new treatment and to identify any potential #sideeffects.

Visit: https://symbiosisonlinepublishing.com/cardiology/

[literaturepublishersjournal]

Cardiovascular Images Journal: Imaging in Cardiology publishes cardiovascular imaging, journal of cardiology imaging, images in cardiovascular journal, images in cardiology journal etc. Cardiology is the sub discipline of medical sciences that deals with the functioning of the body’s major organ – Heart. It also deals with the various diseases and abnormalities related to heart.

[kittenlittle24]

Roommates

Warming: smut

As usual, gifs aren’t mine! Likes, comments and reblogs warm my heart

Masterlist

Every cell in your body was tired, your feet were killing you from being on heels for the last week, your patience was worn out after seven consecutive days with stuck-up people, your neck and back were cramped from the flight and all you wanted was to get home and curl up in bed.

Paying the cab driver, you noticed the orange bike parked outside the apartment building, meaning your boyfriend came home early from work.

Unlocking the door, you entered and put your suitcase aside. Greeted by your boyfriend sitting on the armchair reading a medical journal about cardiology.

“Oh goodie, you’re back, be a dear and put this on the door handle outside,” he asked, holding out his stethoscope.

Scrunching your eyebrows you chose not to question and just nod and follow his request. Then you sat down on the armrest, one arm rested his shoulder, and played with his hair while the other stroked his cheek down to play with his shirt collar.

“Missed me?” You asked as you opened the top button.

Looking down at your hand, then at your cleavage, and lastly your eyes, “Kinda busy.”

Stopping your actions and raising your eyebrows in surprise, “You’re declining sex?”

Pretending to think it over, he reached over to sneak his hand under your shirt and single-handedly unhooked your bra.

“If you put it that way,”

Laughing you took off your shirt and bra along with it before standing up, taking his hand in yours, and pulling him towards your bedroom.

You lay down on your bed, he immediately placed open-mouth kisses down your neck and then chest. “No need for these,” he said slowly. His voice was grave as he tugged on your pants and you nodded, quickly getting off him. He helped tug them down and your underwear came with it.

reaching a hand to his hair, deepening the kiss as you moved your position. Carefully straddling his lap, you subtly rocked yourself down against him. His hands immediately came to your hips, squeezing tightly. Stroking your hands down his neck, you began to undo the dress shirt he had on, one button at a time. You teased him when you got to the bottom of his shirt, having to pull it out from being tucked in, you lingered your fingertips around his waistline, tracing around the top of his belt slowly. You kept your kisses deep and sweet, taking in every second. Pressing your hands teasingly up his chest before cupping his checks. You looked at Greg and then to his lips. You moved closer and closer to him, eventually kissing him, keeping your lips hardly apart, “No foreplay, I need you.”

His hand was on your waist, pushing you down against his now hard cock.

He took a hold of his cock, before pushing it against your entrance. You moaned, looking into his blue eyes. You wrapped your arms around his neck, kissing him, sinking lower and lower on his length.

He moaned into the kiss. His tongue entered your mouth, exploring it. You circled your hips against his. You pulled away, closing your eyes as you picked up speed. Lips attached to your neck, sucking on your sweet spot.

Low grunts came from him. You ran your hand through his head, pushing him closer. You bounced on his cock, moans and whimpers left your lips and it sounded like heaven to him. Seeing you riding his cock, making all those pretty sounds for him, he could come right then.

Moving you to lay on your back, You reached your arms around him, feeling his broad shoulder blades. Spreading your legs slightly, you felt his hips touch yours, you let go of him for a moment to align with you before he returned on top of you and you wrapped your legs around him. You dropped your jaw feeling every inch of him sink in while he kissed up your neck roughly, impatient already, one hand tangling in your hair messily, as the other felt its way down to the back of your thigh adjusting your position a little to make it easier. 

“Greg,” your voice was shaky as you buried your face in the crook of his neck.

Digging your nails into his shoulder and bicep, you moaned in bliss kissing his neck. Gently starting to move his hips, you relaxed at the suddenly beautiful feeling rushing through your body. He was busy kissing your jawline as his pace became rougher. 

He continued his rough pace, you gasped, arching your back and rolling your shoulders back feeling his fingertips press deep into your back as he held you there for a moment. You pushed your chest up against him and couldn’t help wanting to touch every inch of him. Scratching your nails down his back as he buried his face against your neck.

Teeth gripping against your tender skin, you cum seconds before he does. He rested his forehead on yours, your sweat mingling as you both catch your breath. He waited a few minutes before he pulled out of you, kissed your temple, and went to the bathroom to bring a damp cloth to clean you both.

It was your stomach growling that pulled you out of your nap. You grabbed the first shirt you could find, which happened to be one of Greg’s graphic tees and a pair of panties before making your way to the kitchen.

“Greg? You want to go grab some-“You paused upon seeing a brown-haired man in a suit washing dishes.

Staring at each other in surprise you missed House coming up behind you.

“Wilson, meet y/n.” He introduced.

Reaching to shake his hand, “I assume Greg didn’t mention me, I’m his girlfriend. Now if you excuse me, I’m going to put on some pants.” You say awkwardly and rush back to the bedroom.

Wilson quickly pulled him to the kitchen and whispered shouted at House, “How long have you been with her?”

“Met her when Stacy and I were in Baltimore.” House shared.

"So you moved your hooker into the apartment just to make me miserable? I can find my own place if you’d stop deleting my messages."

"She's not a hooker." He admitted quietly looking anywhere but at his friend.

“She’s the reason you sent Stacy away,” Wilson concluded.

House sighed and nodded, he was saved from the conversation when you came back to the kitchen, “Anyone hungry?

Smiling wildly at you, “I’ll cook.” Wilson volunteered.

“You’re our guest, you shouldn’t cook for-“

Greg interrupted you, “Y/n, he offered, don’t insult him. Let the man cook.”

Both Wilson and you rolled your eyes.

“You can help by keeping me company and telling me about yourself,“ Wilson suggested.

Grinning you agreed.

[symbiosis-online-publishing]

"International Journal of Cardiology: Advancing Global Cardiovascular Health"

The "International Journal of Cardiology" is a renowned publication dedicated to advancing the field of cardiology and promoting cardiovascular health on a global scale. Our journal serves as a dynamic platform for exploring the intricacies of the cardiovascular system, fostering international collaborations, and addressing the challenges and opportunities within the realm of cardiology and cardiovascular science. Within the pages of the "International Journal of Cardiology," you will embark on an enlightening journey through the multifaceted world of cardiovascular health. Key highlights of the "International Journal of Cardiology" encompass:

Global Insights: It offers a platform for healthcare professionals and researchers worldwide to share their clinical expertise, experiences, and innovative techniques for managing cardiovascular conditions.

Global Impact: Recognizing the worldwide significance of cardiovascular health, the journal covers cardiovascular issues from various regions, addressing cultural, economic, and geographic diversity.

Education and Collaboration: "International Journal of Cardiology" promotes knowledge exchange, international collaboration, and interdisciplinary engagement within the global cardiology community, fostering continuous learning and improvement.

Our publication is an invaluable resource for cardiologists, cardiovascular researchers, nurses, allied healthcare professionals, educators, and individuals passionate about heart health across borders. Join us in advancing global cardiovascular health, navigating the complexities of cardiovascular science, and ultimately contributing to a healthier and brighter future for individuals affected by cardiovascular diseases worldwide.

[casereportsjournal]

Cardiovascular Journal accepting images in Cardiovascular Journal, imaging in Cardiovascular Journal, case reports in Cardiovascular Journal, videos in Cardiovascular Journal, research articles in Cardiovascular Journal accepting Cardiovascular case reports for publication.

[cambridgepublishers]

Cardiovascular Journal accepting images in Cardiovascular Journal, imaging in Cardiovascular Journal, case reports in Cardiovascular Journal, videos in Cardiovascular Journal, research articles in Cardiovascular Journal accepting Cardiovascular case reports for publication.

[ricisidro]

A comparative study showed.that COVID is not like the flu.

The study revealed a statistically significant increase in ischemic findings (or inadequate blood supply [circulation] to a local area due to blockage of the blood vessels supplying the area) and arrhythmias (or irregular heartbeats) in patients with COVID-19 vs. non-COVID-19 respiratory viruses infections, published in the Journal of the American of Cardiology, April 2024

https://www.jacc.org/doi/10.1016/S0735-1097%2824%2902110-7

[obfuscated-abstract]

Title: Canadian Cardiovascular Society Position Statement on Postural Orthostatic Tachycardia Syndrome (POTS) and Related Disorders of Chronic Orthostatic Intolerance

Date: March 2020 Published in: Canadian Journal of Cardiology (CJC) Publicly available? Yes

Citation: Raj, S. R., Guzman, J. C., Harvey, P., Richer, L., Schondorf, R., Seifer, C., Thibodeau-Jarry, N., & Sheldon, R. S. (2020). Canadian cardiovascular society position statement on postural orthostatic tachycardia syndrome (pots) and related disorders of chronic orthostatic intolerance. Canadian Journal of Cardiology, 36(3), 357–372. https://doi.org/10.1016/j.cjca.2019.12.024

Figures and Tables

Abbreviations:

ECG: electrocardiogram

POTS: postural orthostatic tachycardia syndrome

PSWT: postural symptoms without orthostatic tachycardia

PTOC: postural tachycardia of other cause

QOE: quality of the evidence

Article Summary

Abstract

Introduction and Rationale

Provides a general history and summary of the symptoms of POTS as well as the diagnostic criteria.

Explains the reasoning behind the report: disagreement and misunderstanding among diagnosing phsyicians as well as a general lack of understanding of and research on the condition.

Methods

Explains the review process used, the nomenclature developed, and how the strength of recommendation was decided based on the quality of the evidence (QOE).

Definitions and Diagnostic Criteria

Defines POTS as a 'heterogeneous clinical syndrome that is characterized by sustained and excessive sinus tachycardia upon standing, in the absence of orthostatic hypotension and with chronic symptoms of orthostatic intolerance,' and explains some of the problems or incorrect applications of this definition.

Proposes a new classification system and diagnostic terms: chronic orthostatic intolerance syndromes, POTS, POTS plus, PSWT, PSWT plus, PTOC, asymptomatic orthostatic tachycardia, IST. Subsections 3.1 through 3.8 provide the definitions and diagnostic criteria for these.

Epidemiology and Natural History

The prevalence of POTS in Canada is unknown but data from the United States suggests a prevalence of 0.1% to 1% in the general population. Anecdotal demographic information provided.

Explains that untreated POTS 'can become a debilitating disorder that can lead to impairment in quality of life and disability.'

Acknowledges a variable prognosis and lack of adequate research, definitions, and diagnostic criteria

Pathophysiology

Describes the different mechanisms described in patients with POTS including: autonomic denervation, hypovolemia, hyperadrenergic stimulation, and deconditioning. These are described in detail Table 6.

Recommends against determining the subtype during the initial screening and diagnosis of POTS because of the lack of tools available to determine the subtype (strong recommendation, low-quality evidence).

Diagnosis and Evaluation

The basic valuation for suspected POTS should include a complete clinical history, a physical examination (including taking orthostatic vital signs), and performing a 12-lead ECG.

Explains this should be enough to determine a diagnosis and initial treatment for most patients but an individualised approach is given in Figure 3.

Subsections 6.1 through 6.3 explain the details for how a clinical history, physical examinations, and orther investigations should be carried out.

Recommends that patients presumed to have POTS have a detailed history and physical examination when initially assessed (strong recommendation, high-quality evidence).

Provides recommendations for heart rate and blood pressure measurements during the physical examination (strong recommendation, moderate-quality evidence).

Recommends screening for comorbid or underlying conditions that might affect treatment and prognosis (strong recommendation, moderate-quality evidence).

Recommends a 12-lead ECG and blood tests to identify possible secondary causes of the symptoms (strong recommendation, moderate quality evidence).

Recommends against ancillary cardiac testing (e.g., echocardiogram, external ECG loop monitoring) but acknowledges these might be useful to rule out mimicking conditions (strong recommendation, moderate-quality evidence).

Recommends against tilt table testing, autonomic nervous system testing, plasma catecholamine testing, autoimmune workup, blood volume assessment, neuroimaging, and neurological studies (weak recommendation, moderate-quality evidence).

Recommends additional testing to clarify diagnosis or for targeted therapy (strong recommendation, moderate-quality evidence)

Treatment and Management

There are currently no cures for POTS. Explains the goals of treatment (patient education, reducing symptoms, enhancing quality of life, improving physical conditioning, achieving symptom remission)

Provides an overview of nonpharmocological (not using medications) treatment strategies and states that no pharmacologic therapies are approved for POTS treatment in Canada.

Figure 4 provides a treatment flowchart and Table 8 summarises the treatment and management concisely and subsequent subsections provide more details and explanations for the recommendations/suggestions for or against.

Special Considerations

Pediatric population: provides an overview of prevalence (~1%) and median age of onset (13 years). Explains associated comorbidities and provides diagnostic and treatment recommendations.

When to refer to a specialist: care should be offered by a primary care physicial (GP) but referral to a POTS specialist should be considered for complicated cases or if the patient doesn't respond to initial treatment options. Multidisciplinary management might be considered where services are available to account for symptoms affecting different organ systems.

Summary

'POTS can be a difficult disorder to manage, for providers and patients. Accurate diagnosis can lead to management that can improve the quality of life of POTS patients. These recommendations might guide health care providers in the treatment of a patient with POTS. These recommendations will require review in 5-10 years as new evidence appears regarding treatment in POTS. We have also attempted to address some lack of clarity with the diagnosis of POTS, and in particular in related disorders of orthostatic tolerance that are not POTS. This new ecosystem of disorders will need prospective evaluation over the next few years, and will likely undergo successive improvements.'

Supplementary Material

Supplemental Appendix S1 and Supplemental Table S1

[emgoesmed]

8/15/2024

Throwback to last week when I was on a more chill elective.

This week I’m on a different elective and struggling. It’s frustrating because it’s not as busy or as long hours as the floors but I feel like my knowledge is abysmal (cardiology has never been a very strong subject for me) and working with a new attending every day keeps me on my toes since they all want different levels of independent work and presentations and note templates and physical exam styles 🥲

Doesn’t help that my afternoon continuity clinic yesterday ended at like 6pm because even though I only had two patients (yay intern year lol) they were both scheduled late in the afternoon, showed up late, and took forever to get roomed. So after what amounted to an 8am-6pm day I just went home and rotted and forgot I needed to prep for journal club this afternoon 😓

Anyway it’s been a time… I’ll be on inpatient cardiology next week and looking forward to spending the weekend visiting family and friends, running (finally got my hands on an albuterol inhaler) and studyinggg!!!

[symbiosisonlinepublishing]

𝟏. 𝐕𝐚𝐥𝐯𝐮𝐥𝐚𝐫 𝐇𝐞𝐚𝐫𝐭 𝐃𝐢𝐬𝐞𝐚𝐬𝐞: Conditions affecting the heart valves, which can lead to valve regurgitation or stenosis. Valve replacement or repair may be necessary.

𝟐. 𝐇𝐞𝐚𝐫𝐭 𝐅𝐚𝐢𝐥𝐮𝐫𝐞: A chronic condition in which the heart is unable to pump blood effectively, leading to symptoms such as fatigue, shortness of breath, and fluid retention.

Visit: https://symbiosisonlinepublishing.com/cardiology/