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Journal of Heart and Cardiovascular Science

ISSN: 2766-967X

Journal of Heart and Cardiovascular Science (JHCS)

Journal of Heart and Cardiovascular Science is a peer reviewed open access journal, with a motif to publish best quality research articles from experts in the field of cardiology with most comprehensive and reliable, innovative, novel research information. JHCS provides a gateway to authors to explore their research work and emphasizes on Acute Coronary Syndrome, Hypertension, Atherosclerosis, Cardiomyopathy, Cardiovascular Diseases, Myocardial Diseases, Heart Attack, Cardiac Rehabilitation, Heart Failure, Angiology, Arrhythmia, etc.

JHCS uses double blinded peer review process to publish high quality articles within different areas under including original research articles, review articles, case reports, short communications, perspectives, editorials, letter to the editor, etc.

The peer review process is carried out by our experts in the editorial board and other eminent experts. In order for an manuscript to get published the article has to be approved by at least two or more independent reviewers followed by the editors approval for final acceptance.

Journal of Cardiology and cardiovascular Science aims at providing Researchers, Students, Business entities, Academics and doctors with practical reviews and clinical information that will assist them in reviewing and updating their knowledge in the field of cardiology.

Pragma Journals ensures that the Journal of Cardiology and cardiovascular Science leads towards a flagship journal in the field of cardiology, subjected to the same through high production standards and peer review process.

Latest Articles

Change of Bifurcation Stenting Strategy In Case Of Non-Q Wave Myocardial Infarction: From V-Stenting to Mini Crush Technique -A Case Report

Article Type: Case Report
Authors:

1*Rohit Mody, 2 Debabrata Dash, 3 Bhavya Mody, 4 Aditya Saholi, 4 Shubham Sachdeva

Percutaneous treatment of coronary bifurcation is a typical area where controversy regarding stenting techniques is still there. While provisional stenting (PS) of the side branch is a practical and effective technique, there is a number of cases where two stent techniques are needed. We present here a case of a 69-year-old gentleman presenting with Acute coronary syndrome (ACS) with ongoing chest pain was subsequently diagnosed to have right coronary artery (RCA) bifurcation lesion (Medina 0,1,1) where a change of stenting strategy from V-stenting to mini crush enabled us to tide over the complications.
A 69-year-old gentleman, non-diabetic, nonsmoker normal body mass index (BMI), with a past history of coronary artery disease (CAD), with ACS was transferred to our catheterization lab in view of recurrent chest pain and dynamic ST-T changes. Electrocardiogram (ECG) showed ST-T changes in inferior leads and Echocardiography (ECHO) showed regional wall motion abnormalities (RWMA) in RCA territory. A diagnosis of CAD, non-Q myocardial infarction (MI) was made. Coronary angiography (CAG) revealed triple vessel disease with culprit vessel was identified as distal RCA with bifurcation into posterior descending artery (PDA) and posterolateral vessel (PLV) with thrombolysis in myocardial infarction (TIMI) grade - 3 clot. Two stent strategy with V-stenting was contemplated due to ongoing chest pain and dynamic ST-T changes. Two Drug-eluting stents (DES) from distal RCA to PLV and PDA in a V fashion were implanted simultaneously. However, it resulted in edge dissection at the proximal edge of overlapping stents. Hence, another long stent 3 x 33mm DES was deployed from PLV to distal RCA crushing the PDA stent which was then recrossed and sequentially balloon dilated and final kissing balloon dilatation was performed with the excellent final result.
V-stenting can be an attractive two-stent strategy in patients of bifurcation where clinically there is an acute situation and PCI must be completed in the shortest possible time with minimal complicity. In case of complication of proximal edge dissection in V-stenting technique, the strategy can be changed to mini crush to bail out the complications.

DOI: 10.47755/2766-967X.1000105

Defeating In-Stent Restenosis: The Bugaboo of Percutaneous Coronary Intervention

Article Type: Case Report
Authors:

1*Rohit Mody, 2 Debabrata Dash, 3 Bhavya Mody, 4 Aditya Saholi, 4 Shubham Sachdeva

Despite numerous advances in coronary intervention techniques, in-stent restenosis (ISR) remains the Achilles heel of interventional cardiology. The incidence of ISR varies from 10-50% and depends on the absence or presence of several risk factors such as small vessel size, longer lesions, and diabetes. Drug-eluting stents (DES) have dramatically reduced the rates of restenosis and target vessel revascularization in a wide spectrum of patients with varying lesion morphologies. The interventionists must do a strategic evaluation of their patient before doing angioplasty to prevent ISR. Intracoronary imaging might help to understand the mechanism and to decide the management. In this article, we describe and compare the contemporary treatment modalities in patients who develop ISR. We also describe the role of imaging in the evaluation and characterization of in-stent restenosis. Various modalities of treatment like balloon angioplasty, cutting and scoring balloon, rotational atherectomy, excimer laser coronary angioplasty (ELCA), drug coated balloons, drug-eluting stents, brachytherapy, and the role of coronary artery bypass grafting (CABG) have been discussed.

DOI: 10.47755/2766-967X.1000104

Identification of Socioeconomic Variables Responsible for Prevalence of Hypertension among Bangladeshi Adults

Article Type: Research Article
Authors:

KC Bhuyan

The paper dealt with analytical results of data collected from 995 adults of 18 years and above living in rural and urban areas of Bangladesh. The analysis was done to identify some socioeconomic variables which were responsible for the prevalence of hypertension in adults of 18 years and above. The prevalence rate was observed among 5.9% adults. The rate was significantly higher than the overall prevalence rate among non-Muslims, elderly people, retired persons, smokers, and process food consumers, adults involved in sedentary activities, obese adults, and diabetic adults suffering for a longer duration. The risk of prevalence was more among urban people, males, single adults, lower educated adults, and adults of economically affluent families. However, the most responsible variable for the prevalence of hypertension was age followed by the duration of diabetes, process food consumption, sedentary activity, body mass index, smoking habit. These variables were identified in discriminating hypertensive and non-hypertensive adults.

DOI: 10.47755/2766-967X.1000103

Activation of Mechanosensitive BK Ca Channel in Cardiovascular

Article Type: Editorial
Authors:

School of Pharmaceutical Sciences, Tsinghua-Peking Joint Center for Life Sciences, IDG/McGovern Brain Research Institute, Tsinghua University, Haidian District, and Beijing, China

Previously published study has demonstrated that stress in the plasma membrane can contribute to the mechanical activation of mechanosensitive channels (e.g. BKCa), though the possibility for the involvement of ancillary proteins in the activation cannot be ruled out. However, the activation of BKCa channel is unclear. The reviews have provided an important mechanism.

DOI: 10.47755/2766-967X.1000101

Factors Responsible for Obesity Heart Diseases Among Bangladeshi Adults

Article Type: Research Article
Authors:

KC Bhuyan

The aim of this paper was to observe the influencing socioeconomic variables in enhancing the obesity and heart disease simultaneously among Bangladeshi adults of 18 years and above. The adults were interviewed from different urban and semi-urban diagnostic clinics by some nurses with the help of medical assistants working in the clinics when the adults were visiting the clinics for suggested blood test. The number of investigated adults was 995, out of which 51.1% were males. The percentage of obese adults was 30.2 and heart problem was prevailed among 21.7% of them. These latter groups of adults were classified by levels of different socioeconomic variables to observe the association of the variables with the prevalence of obesity-heart disease. The risk ratio for this prevalence for a particular level of socioeconomic variable was calculated along with confidence interval of risk ratio. The influencing variable for the prevalence of obesity-heart problem was detected by logistic regression analysis. The responsible variables were residence, gender, age, family income, smoking habit, sedentary activities and blood pressure. However, non-involvement in physical labour, habit of taking process food and family expenditure were significantly associated with prevalence of obesity-heart disease. The higher risk of prevalence of obesity –heart disease was noted among urban residents, housewives, adults of ages 40-60 years, smokers, process food consumers and among hypertensive adults.

DOI: 10.47755/2766-967X.1000102
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