#Open Access Journal of Cardiology

[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.

[jungkookandyugyeomwhores]

Top International CME Conferences 2025 for Physicians

Continuing Medical Education is essential for physicians aiming to stay at the forefront of clinical practice. The most prestigious cme conferences 2025 offer immersive experiences in global medical hubs, featuring leading experts, groundbreaking research, and hands-on workshops. Cell Surgical Conference curates guidance on selecting conferences that align with your specialty and career goals. From groundbreaking cardiology insights in London to innovative oncology panels in Dubai, understanding which events deliver the greatest educational value ensures you invest your time and resources wisely.

How CME Conferences 2025 Enhance Clinical Knowledge Globally?

Physicians attending top CME Conferences 2025 gain exposure to cutting-edge studies that refine diagnostic accuracy and treatment protocols. Speakers present peer-reviewed data on emerging therapies, while interactive sessions allow you to discuss case studies with global thought leaders. Cell Surgical Conference emphasizes evaluating conference agendas for balanced scientific depth and practical takeaways. Networking over coffee breaks often sparks collaborative research ideas, while poster sessions showcase innovations before they reach mainstream journals.

CME Conferences 2025 Offer Cutting-Edge Research in Medicine

Leading CME events in 2025 spotlight breakthroughs in fields like immunotherapy, gene editing, and digital health. Detailed lectures dissect trial methodologies and statistical analyses, ensuring you critically appraise new findings. Cell Surgical Conference recommends identifying sessions that align with your subspecialty—whether that’s endocrinology or interventional cardiology. Access to unpublished data and early-stage drug development panels allows you to adopt promising interventions ahead of peers.

Networking Opportunities Abound at CME Conferences 2025 Events

Beyond academic sessions, cme conferences 2025 thrive on interpersonal connections. Formal networking lunches, roundtable discussions, and evening receptions facilitate dialogue with renowned clinicians and industry leaders. Cell Surgical Conference underscores the importance of pre-conference planning: review attendee lists and schedule one-on-one meetings. These interactions often lead to mentorship opportunities, multicenter trial collaborations, or guest lecture invitations. Strong professional networks not only enrich your knowledge but also open avenues for leadership roles and international speaking engagements.

Hands-On Workshops Feature in CME Conferences 2025 Programs

Practical skills development is a highlight of top cme conferences 2025. Workshops on ultrasound-guided procedures, robotic surgery simulators, or advanced suturing techniques provide supervised, hands-on experience. Cell Surgical Conference notes that these sessions bridge theory and practice, bolstering your competence before returning to the clinic. Small group sizes ensure personalized feedback, while state-of-the-art equipment replicates real-world settings.

CME Conferences 2025 Include Interactive Multi-Specialty Sessions and Panels

Interdisciplinary panels at cme conferences 2025 bring together cardiologists, endocrinologists, and primary care physicians to tackle overlapping clinical challenges. Case-based discussions encourage debate on best practices for complex comorbidities, such as diabetes with cardiovascular disease. Cell Surgical Conference highlights the value of these sessions in broadening your perspective and fostering holistic patient care.

Technological Innovations Showcased at CME Conferences 2025 Forums

Emerging technologies—AI diagnostics, telemedicine platforms, and wearable health trackers—are prominent at cme conferences 2025. Exhibitors demonstrate how these tools integrate into clinical workflows, offering practical tutorials and real-time data analytics. Cell Surgical Conference recommends attending tech-focused symposia and visiting innovation booths to evaluate gadgets firsthand. Early adoption of validated technologies can streamline patient monitoring, reduce administrative burden, and support precision medicine initiatives in your practice.

Accreditation Benefits from CME Conferences 2025 Attendance Validated

Earning CME credits is crucial for licensure maintenance and board certification. Top cme conferences 2025 offer dual accreditation from multiple medical councils, ensuring broad credit acceptance. Cell Surgical Conference advises checking each conference’s accreditation status before registration. Some events also provide digital badge systems, allowing you to track credit accrual effortlessly. Accumulating credits through high-impact conferences signals your dedication to lifelong learning and excellence, enhancing your professional reputation and career advancement prospects.

Conclusion

Planning your 2025 continuing education around premier cme conferences 2025 empowers you to stay informed, skilled, and connected within the global medical community. By focusing on research depth, hands-on workshops, interdisciplinary dialogue, and technological innovation, you maximize the return on your time and investment. Cell Surgical Conference emphasizes choosing accredited events that align with your specialty and career aspirations. Through strategic selection and active participation, you not only earn valuable CME credits but also foster collaborations, adopt the latest clinical advances, and reinforce your commitment to delivering exceptional patient care.

[rmceducation]

Is Tbilisi State Medical University good?

Academic Excellence

TSMU’s academic programs are designed to foster a deep understanding of medical sciences, clinical skills, and research methodologies. The university offers a range of undergraduate and graduate programs, including Medicine, Dentistry, Pharmacy, and Public Health. With a strong focus on interdisciplinary learning, TSMU’s curriculum ensures that students develop a comprehensive understanding of the complex relationships between various medical disciplines.

Faculty and Research

TSMU’s faculty comprises experienced professionals and renowned researchers in their respective fields. Students benefit from mentorship, guidance, and hands-on training from experts who are passionate about teaching and research. The university’s research focus areas include oncology, cardiology, neurology, and infectious diseases, providing students with opportunities to engage in cutting-edge research projects.

Clinical Training

Tbilisi State Medical University clinical training programs are conducted in affiliation with leading hospitals and clinics in Georgia, providing students with hands-on experience in real-world settings. This exposure enables students to develop essential clinical skills, critical thinking, and problem-solving abilities.

International Recognition

TSMU is recognized by several international organizations, including:

World Health Organization (WHO)

Medical Council of India (MCI)

European University Association (EUA)

Association of Medical Schools in Europe (AMSE)

This recognition ensures that TSMU’s degrees are respected globally, opening doors to career opportunities worldwide.

Modern Infrastructure

TSMU’s infrastructure is modern and well-equipped, featuring:

State-of-the-art classrooms and lecture halls

Advanced laboratories and research facilities

Comprehensive library with access to medical databases and journals

Affiliated hospitals and clinics for clinical training

Student Life

TSMU offers a vibrant student life, with various extracurricular activities, clubs, and organizations. Students can engage in cultural events, sports, and community service projects, fostering a sense of community and social responsibility.

Conclusion

Tbilisi State Medical University is an exceptional institution for medical education, offering a unique blend of academic excellence, innovative research, and clinical expertise. With its strong faculty, modern infrastructure, and international recognition, TSMU provides students with a world-class education and prepares them for successful careers in medicine. If you’re considering a career in medicine, TSMU is definitely worth exploring.

[peertechz-publications]

Read this article on OJS platform, from Peertechz Publications

[aaditya01]

India's Top Cardiologists: A Brief Overview

The cardiologists in India typically have impressive credentials, including training from prestigious institutions both in India and abroad. Many are pioneers in their field, introducing cutting-edge techniques and technologies to the Indian medical landscape.

India has emerged as a global leader in cardiac care, with world-class cardiologists practicing across the country. The nation's top heart specialists are known for their exceptional skills, extensive experience, and innovative approaches to cardiovascular health.

What sets India's best cardiologists apart is their commitment to patient care. They combine technical expertise with a compassionate approach, ensuring patients receive personalized treatment plans. Many emphasize preventive cardiology, helping patients maintain heart health through lifestyle modifications and early interventions.

India's top cardiologists are often found in major metropolitan areas like Mumbai, Delhi, Bangalore, Chennai, and Kolkata. However, with the advent of telemedicine, their expertise is increasingly accessible to patients across the country.

These specialists cover a wide range of subspecialties, including interventional cardiology, electrophysiology, pediatric cardiology, and cardiothoracic surgery. They work with state-of-the-art equipment in advanced cardiac care centers, offering treatments ranging from minimally invasive procedures to complex open-heart surgeries.

Many of India's leading cardiologists are also active in research, contributing to global advancements in cardiac care. They participate in international clinical trials, publish in renowned medical journals, and often speak at global cardiology conferences.

Choosing the right cardiologist involves considering factors such as their expertise, experience, hospital affiliation, and patient reviews. With its wealth of top-tier cardiac specialists, India offers patients access to some of the best heart care available worldwide.

[literaturepublisher23]

 Journal of Clinical Images

Clinical Image Journal: Journal of Clinical Images accepting articles in the form of images, image case, clinical images journal, image of journal, clinical image illustrations journal, clinical research image journal, clinical research imaging journal etc. Journal paves a great platform to access the recent developments of the clinical and medical world and is employed for publishing the varied case reports & clinical images that pertains to many clinical and medical conditions. Clinical Image Journal: Journal of Clinical Images is an international peer reviewed open access journal focused on publishing the most complete, reliable source of research information, current developments, and clinically interesting, trainees and researchers in all surgical subspecialties, as well as clinicians in related fields. Clinical Image Journal: Journal of Clinical Images is internationally peer reviewed and provides major understanding of diagnosis of many diseases, their management and their therapeutic strategies that aims in improving health outcomes globally. Case reports and clinical images are required altogether areas of medicine and involves research using the human volunteers who are intended to contribute to the clinical and medical knowledge.

Journal Homepage: https://www.literaturepublishers.org/

Manuscript Submission

Authors are requested to submit their manuscript by using Online Manuscript Submission Portal:

(or) also invited to submit through the Journal E-mail Id: editor.cicrj@literaturepublishers.org

The mission of Clinical Image Journal: Journal of Clinical Images is to publish, in a timely manner, the very best clinical research around the world with special attention to the impact of medical imaging on patient care. Clinical Image Journal: Journal of Clinical Images publications cover all imaging modalities, radiology issues related to patients, policy and practice improvements, and clinically-oriented imaging physics and informatics. Clinical Image Journal: Journal of Clinical Images is a valuable resource for practicing radiologists, radiologists-in-training and other clinicians with an interest in imaging.

Papers are carefully peer-reviewed and selected by our experienced subject editors who are leading experts spanning the range of imaging sub-specialties, which include: Body Imaging- Breast Imaging- Cardiothoracic Imaging- Imaging Physics and Informatics- Molecular Imaging and Nuclear Medicine- Musculoskeletal and Emergency Imaging- Neuroradiology- Practice, Policy & Education- Pediatric Imaging- Vascular and Interventional Radiology.

Clinical Image Journal: Journal of Clinical Images Scope Case reports / Clinical Images can be prospective or retrospective and examine the effects of an intervention in more than one patient. All case reports and clinical Images submitted need to comply with the relevant reporting criteria. It is dedicated to publishing Medical Case Reports, Clinical Images, Case Series and Clinical Videos. The following classifications and topics related to it will be considered for publication in the Journal but not limited to the following fields.

Neurology Image Journal, Oncology Image Journal, Dentistry Image Journal, Surgery Image Journal, Cardiology Image Journal, Nutrition and Dietetics Image Journal, Ophthalmology Image Journal, Gastroenterology Image Journal, Internal Medicine Image Journal, Nephrology Image Journal, Palliative Care Image Journal, Physiotherapy Image Journal, Radiation Oncology Image Journal, Sleep Disorders Image Journal & Sleep Studies Image Journal, Anesthesiology Image Journal, Emergency Medicine Image Journal and Critical, Forensic Image Journal and Legal Medicine Image Journal, Infectious Disease Image Journal, Infertility Case reports, Neurological Surgery Image Journal, Obstetrics Image Journal and Gynecology Image Journal, Otolaryngology Image Journal, Pharmacology Image Journal and Therapeutics Image Journal, Physical Medicine Image Journal & Rehabilitation Image Journal, Radiology Image Journal, Dermatology Image Journal, Endocrinology Image Journal, Diabetes Image Journal & Metabolism Image Journal, Orthopedics Image Journal & Rheumatology Image Journal, Pathology- Anatomic & Clinical Image Journal, Pulmonary Image Journal Disease, Preventive Medicine Image Journal, Respiratory Medicine Image Journal, Urology Image Journal, Oral Medicine Image Journal, ENT Image Journal, Geriatric Medicine Image Journal, Maxillofacial Surgery Image Journal, Neonatology Image Journal, Nuclear Medicine Image Journal, Pain Management Image Journal, Pediatrics Image Journal, Psychiatry Image Journal, Sexual Health Image Journal, Vascular Medicine Image Journal, Family Medicine Image Journal and Public Health Image Journal, Allergy Image Journal & Immunology Image Journal, Diabetology Image Journal, Hematology Image Journal.

[literaturepublisher10]

Journal of Clinical and Medical Case Reports

Journal of Clinical and Medical Case Reports publishes clinical case reports, medical case series, medical case studies, medical case reports and clinical images for publication that fall under the scope of all clinical and medical studies. Journal of Clinical and Medical Case Reports mainly focuses on symptoms, signs, diagnosis, treatment, and follow-up of patient disease in different areas of the journal in diagnostic case report and treatment.

Journal Homepage: https://www.literaturepublishers.org/

Journal of Clinical and Medical Case Reports is a peer-reviewed open access high impact factor indexed Journal that publishes highly cited research work conducted as case reports in the medical field on various types of diseases, covering their respective clinical journal case reports, medical journal case report, clinical reports, medical case reports, clinical images, clinical case reports, journal of medical case reports and diagnosis issues.

Scope and Keywords: Journal of Clinical and Medical Case Reports, Open Journal of Clinical and Medical Case Reports, Journal of Medical Case Reports, Clinical and Medical Case Reports, Journal of Clinical Images and Medical Case Reports, Journal of Clinical Studies & Medical Case Reports, Journal of Clinical and Medical Case Studies, International Journal of Clinical and Medical Cases, Journal of Clinical Medicine, Clinical Case Reports, International Medical Case Reports Journal, Archives of Clinical and Medical Case Reports, Case Reports - A journal for medical case reports, International Journal of Clinical Case Reports and Reviews, Japanese Journal of Clinical and Medical Case Reports etc.

Journal of Clinical and Medical Case Reports Journal publishes only high quality articles from all over the world. Journal of Clinical and Medical Case Reports follows double blinded peer review process. All Editors are active and Editorial Board Members belonging to reputed institutions from abroad. They are senior faculty members, doctors, scientist and research fellows etc. Journal regularly releasing issues with good number of articles in the form of clinical images and case reports.  

Scope of Clinical and Medical Case Reports Journal Authors can also find this journal in their scope on the basis these keywords: medical case reports journals, journal of medical case reports, clinical image, cardiology case reports, case reports cardiology, case reports in cardiology, case reports pediatrics, pediatrics case reports, ent journal, case reports hematology, hematology case reports, journal of otolaryngology head and neck surgery, orthopaedics & traumatology, case reports gastroenterology, case reports in gastroenterology, gastroenterology case report, clinical case report journal, International journal of surgery case reports, case images, dermatology case reports, case report in ophthalmology, case report ophthalmology, case reports in surgery, clinical image journal, journal of surgical case reports, ophthalmology case report, journal of clinical imaging science, literature publishers, cardiology case report journals, journal of traumatology, case reports in nephrology, case reports nephrology, nephrology case reports, clinical images in medicine, journal of pediatric surgery case reports, medical image analysis journals, journal of medical case reports impact factor, otolaryngology case reports, clinical case reports impact factor, case reports otolaryngology, surgical case reports, journal of orthopedic case reports, case reports in neurological medicine, best case report journals, journal of otology and laryngology and, clinical imaging impact factor etc.

Medical Case Report Journal scope also includes medical advancements with an aim towards special techniques that are implementing in all aspects of the human anatomy journal. The body image journal is running with a strong desire to provide knowledge on recent scientific research and advances in the field of Clinical and Medical Studies. The aim of the clinical imaging journal is to collect an article in the Journal of Clinical and Medical Case Reports across all clinical imaging science, medical imaging science and clinical fields, thereby integrating international medical case reports and clinical knowledge.

We feel honored to associate with and invite scientists and researchers to submit their original research/ medical case report journal/ body imaging journal/ clinical imaging journal/ clinical imaging science in International journal of clinical and medical images and case reports work for publication in literature publishers: journal of clinical and medical case studies and reports. This journal considers articles in the form of a research article, review article, short communication, opinion, Image, Case reports and commentary.

Journal of Clinical and Medical Case Reports covers all the areas of Medical Science Journal that includes: case reports in oncology, oncology case reports journal, case reports in cardiology, journal of cardiology case reports, international journal of surgery case reports, case reports in surgery, journal of surgery case reports, general surgery case report, surgical case reports journal, surgery case reports journal, journal of dermatological case reports, case reports in dermatology, case reports in endocrinology, case reports endocrinology, case reports in gastroenterology, gastroenterology case report journals, case reports in hematology, case reports in nephrology, orthopedic surgery case reports, journal of orthopedic case reports, case reports in pediatrics, journal of pediatric surgery case reports, case reports in microbiology, clinical microbiology case reports, case reports in genetics, case reports in toxicity, case reports in neuroscience, case reports in ophthalmology, case reports in andrology and gynecology, case reports in dentistry, case reports in odontology, case reports in otolaryngology, case reports in ENT, case report in head and neck surgery etc.

Journal of Clinical and Medical Case Reports encourages authors and scientists all over the world to submit their work related to various diseases, clinical trials, radiology, surgery, basic research, epidemiology, and palliative care. At a time when the research on drug delivery is taking place at a tremendous phase.

Manuscript Submission

Authors are requested to submit their manuscript by using Online Manuscript Submission Portal:

(or) also invited to submit through the Journal E-mail Id: editor.cicrj@literaturepublishers.org

[cambridge-publishers]

Open-Access Journal of Heart Case Reports

The journal is committed to providing a platform for disseminating vital research findings and case reports concerning various cardiac conditions and their management strategies. With its rigorous peer-review process, the journal ensures that only high-quality studies are published, contributing significantly to advancing knowledge and understanding in the field. Moreover, being an open-access publication, it enables healthcare professionals across the globe to access and benefit from this valuable information without any financial barriers. 

The Peer-Reviewed Journal of Heart Case Reports is a prestigious medical publication that focuses on showcasing and analyzing unique cases related to heart conditions. It provides valuable insights into rare or challenging cases, highlighting clinical approaches, new treatments, and potential research avenues.

Open-Access Journal of Heart Case Reports

The Open-Access Journal of Heart Case Reports is a prestigious publication that focuses on advancing the field of cardiology and providing valuable insights into heart-related medical conditions. With its commitment to open access, this journal ensures that its high-quality content is accessible to researchers, practitioners, and other stakeholders worldwide.

The journal publishes a wide range of case reports detailing exceptional clinical cases, novel diagnostic approaches, innovative treatment strategies, or unique surgical techniques related to cardiovascular diseases. These case reports are rigorously reviewed by experts in the field, guaranteeing the accuracy and credibility of the information presented. By disseminating detailed and well-documented case studies, the Open-Access Journal of Heart Case Reports empowers healthcare professionals with vital knowledge that can help improve patient care outcomes. This journal plays a crucial role in bridging gaps in research by facilitating the exchange of ideas among cardiologists and fostering collaboration between various healthcare institutions globally.

The journal focuses on publishing case reports related to various heart conditions, providing valuable insights into rare or unique cases, diagnostic approaches, treatment strategies, and patient outcomes. The journal aims to contribute to the improvement of cardiac care and patient outcomes worldwide.

The collaboration with Cambridge City Publishers further adds credibility and trustworthiness to the journal's content. Ultimately, the Journal of Heart Case Reports serves as an invaluable resource for cardiologists, researchers, and medical practitioners seeking evidence-based insights into complex cardiovascular conditions.

Manuscript Submission

Authors are requested Journal of Heart Case Reports to submit their manuscript by using Online Manuscript Submission Portal: https://www.cardiologycasereportsjournal.org/journal/Heart-Journal:-Case-Reports.html 

(or) also invited to submit through the Journal E-mail Id: editor.clinical@cardiologycasereportsjournal.org

[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.

[dertaglichedan]

1 in 35 Who Got Boosted Developed Myocarditis, Study Finds.

One in 35 people who received the COVID-19 mRNA booster vaccinations had vaccine-associated myocardial injury, according to a peer-reviewed, industry-independent study from the University of Basel.

The study, which is due to be published in the highly accredited open-access journal of the Heart Failure Association of the European Society of Cardiology, aimed to identify the incidence rate and symptoms of myocardial injury – inflammation of the heart muscle – after mRNA booster vaccinations.

The study found that myocardial vaccine-associated injury was “much more common than previously thought,” occurring in one out of every 35 people – around 2.8 percent.

The symptoms were found to be mostly mild and transient. These results were broken down further, finding myocardial injury “significantly more often” in women than men, with a median age of 46 years old.

Women developed symptoms at a rate of 3.7 percent, whereas men developed symptoms at 0.8 percent. This may be explained by the “higher vaccine dose per body weight or myocardial mass in women and therefore dose-dependent toxic effects,” the study suggests.

[rmceducation]

Is Tbilisi State Medical University good?

Academic Excellence

TSMU’s academic programs are designed to foster a deep understanding of medical sciences, clinical skills, and research methodologies. The university offers a range of undergraduate and graduate programs, including Medicine, Dentistry, Pharmacy, and Public Health. With a strong focus on interdisciplinary learning, TSMU’s curriculum ensures that students develop a comprehensive understanding of the complex relationships between various medical disciplines.

Faculty and Research

TSMU’s faculty comprises experienced professionals and renowned researchers in their respective fields. Students benefit from mentorship, guidance, and hands-on training from experts who are passionate about teaching and research. The university’s research focus areas include oncology, cardiology, neurology, and infectious diseases, providing students with opportunities to engage in cutting-edge research projects.

Clinical Training

Tbilisi State Medical University clinical training programs are conducted in affiliation with leading hospitals and clinics in Georgia, providing students with hands-on experience in real-world settings. This exposure enables students to develop essential clinical skills, critical thinking, and problem-solving abilities.

International Recognition

TSMU is recognized by several international organizations, including:

World Health Organization (WHO)

Medical Council of India (MCI)

European University Association (EUA)

Association of Medical Schools in Europe (AMSE)

This recognition ensures that TSMU’s degrees are respected globally, opening doors to career opportunities worldwide.

Modern Infrastructure

TSMU’s infrastructure is modern and well-equipped, featuring:

State-of-the-art classrooms and lecture halls

Advanced laboratories and research facilities

Comprehensive library with access to medical databases and journals

Affiliated hospitals and clinics for clinical training

Student Life

TSMU offers a vibrant student life, with various extracurricular activities, clubs, and organizations. Students can engage in cultural events, sports, and community service projects, fostering a sense of community and social responsibility.

Conclusion

Tbilisi State Medical University is an exceptional institution for medical education, offering a unique blend of academic excellence, innovative research, and clinical expertise. With its strong faculty, modern infrastructure, and international recognition, TSMU provides students with a world-class education and prepares them for successful careers in medicine. If you’re considering a career in medicine, TSMU is definitely worth exploring.

[literaturepublishersjournal]

Case Reports in Clinical Medicine Journal and Images

Case Reports in Clinical Medicine Journal and Images accepting Clinical Medicine articles, journal of Clinical Medicine case reports, journal publishing Clinical Medicine case reports, images in Clinical Medicine journal, image journal in Clinical Medicine, journal of Clinical Medicine images etc. Case Reports in Clinical Medicine Journal and Images is an International, open access journal which considers case reports in all areas of clinical medicine which advance general medical knowledge. Of particular but not exclusive interest are case reports in the areas of arthritis and musculoskeletal disorders, cardiology, circulatory, respiratory and pulmonary medicine, dermatology, ear, nose and throat and otolaryngology, endocrinology, ethics, health services and epidemiology, gastroenterology, geriatrics, obstetrics and gynaecology, reproduction, women’s health, oncology, pathology, psychiatry, neurology, psychology, and trauma and intensive medicine.

Journal Homepage: https://www.literaturepublishers.org/

Case Reports in Clinical Medicine Journal and Images: Visual images are a rich source of the information we use in clinical medicine, yet we expend little effort to enhance our perception and recognition of these images. A new feature introduced in this issue of the Journal, Case Reports in Clinical Medicine Journal and Images, will present a broad representation of useful and clinically important visual images. We believe that exposure to these photographs will help sharpen the reader's ability to identify common forms. As doctors we encounter an enormous variety of images from day to day, including skin lesions, funduscopic views, blood smears, bone marrow smears, urine sediments, microbiologic specimens, joint etc.

Manuscript Submission

Authors may submit their manuscripts through the journal's online submission portal: https://www.literaturepublishers.org/submit.html

(or) Send an e-mail attachment to the Editorial Office E-mail Id: editor.cicrj@literaturepublishers.org

[stephypublishers]

Evaluation of Arterial Hypertension Care in Four Brazilian Metropoles

Stephy Publishers

Journal of Cardiology and Current Trends in Surger

Hypertension (AH) is one of the most prevalent chronic diseases in Brazil, which, in 2018, affected about 24.5% of the adult population, reaching 59.3% of people aged 65 and over. (Ministry of Health 2020)  These levels of prevalence and with an increasing trend have a major impact on morbidity and mortality, with high social cost. In this context, the Unified Health System (SUS) has been developing a strategic action plan based on conceptual bases that involve a comprehensive approach to chronic non-communicable diseases, especially AH, at all levels of activity (promotion, prevention and comprehensive care and Organization health services for the care of patients with chronic diseases). The guidelines of the Strategic Action Plan recommend that the care offered should use, in addition to pharmacological Therapy, educational actions to change lifestyle (encouraging the practice of physical activity, the consumption of healthy foods and the reduction of salt consumption),  monitoring the disease by means of routine examinations and searching for damage to a target organ (ECG and Echo cardiogram) in specific populations.

https://www.stephypublishers.com/cardiology-and-current-trends-in-surgery/pdf/JCCTS.MS.ID.000502.pdf

[lupinepublishers]

Lupine Publishers | Left Ventricular Suction in Right Ventricular Dysfunction

Lupine Publishers | Cardiovascular Research

Abstract

Introduction and Objective: Recent research has determined that the “cardiac suction” phase occurs between systole and diastole. The aim of this work was to analyze the suction capacity of the left ventricle after excluding the right ventricle through an atriopulmonary bridge.

Methods: An atriopulmonary bridge was performed on six dogs, followed by right coronary artery occlusion to generate right ventricular dysfunction. Cardiac output (CO), cardiac index (CI), systolic index (SI), left ventricular stroke work index (LVSWI), right ventricular stroke work index (RVSWI), systemic vascular resistance (SVR) and pulmonary vascular resistance (PVR) were evaluated using a Swan Ganz catheter. Recordings were acquired at baseline before any procedure, 60 minutes after right coronary occlusion with the atriopulmonary bridge connection closed and 60 minutes after opening the atriopulmonary connection. At the end of the experiment, coronary angiography and histological examination were performed to verify the right coronary occlusion.

Results: Sixty minutes of coronary occlusion produced decreased CO (3.43 to 2.25 l/min), CI (5.22 to 3.39 l/m2), SI (41.5 to 20.8 ml/beat/m2), LVSWI (53.3 to 14.4 g × m/beat/m2), and RVSWI (1.61 to -1.97 g × m/beat/m2). When the atriopulmonary bridge was opened, CO increased to 3.39 l/min (p< 0.05), CI to 4.95 l/m2 (p< 0.05), SI to 45.1 ml/beat/m< sup>2 (p< 0.05), LVSWI to 40.8 g × m/beat/ m2 (p< 0.05) and RVSWI to 1.57 g × m/beat/m2 (p< 0.05), and right atrial pressure decreased from 10.6 to 3 mmHg (p< 0.05) and PVR from 109 to 48.9 dyn/s/cm-5 (ns).

Conclusion: As demonstrated by means of an atriopulmonary bridge, right ventricular dysfunction experimentally induced by ischemia is compensated by a left ventricular suction mechanism, restoring normal circulatory parameters.

Keywords: Ventricular suction; Atriopulmonary Bridge; Fontan; right ventricular exclusion; isovolumic diastolic phase.

Abbreviations: CI: Cardiac index; SI: Systolic index; LVSWI: Left ventricular stroke work index; RVSWI: Right ventricular stroke work index; SVR: Systemic vascular resistance; PVR: Pulmonary vascular resistance

Introduction

Recent studies have demonstrated an active suction phase between systole and diastole [1-4], with muscle contraction, energy expenditure and decreased intraventricular pressure. This active suction generates a gradient between peripheral and ventricular pressures, allowing blood flow into the heart [5-10]. Circulation is a dynamic process in which the heart, the vascular system and resistances modify their properties adapting according to the circulatory needs. From the point of view of blood oxygenation (though not histologically), we consider the systemic venous system, the right ventricle and the pulmonary artery as belonging to the venous system, while the pulmonary veins, the left ventricle and the arteries make up the arterial system. The systemic and pulmonary capillaries connect both systems, assuming that the filling pressures are similar in both sides (venous and arterial). Central venous pressure and pulmonary capillary pressure are comparable, the latter being the load the venous system offers to the left ventricle. The small difference between peripheral and heart pressure needs a suction energy in the left ventricle to generate intraventricular depression.

Although both ventricles manage similar volumes, their pressures are different. The left ventricular suction energy explains right ventricular filling. In the present study, we experimentally performed an atrioventricular bridge and generated right ventricular dysfunction, leaving the left ventricle as the only contractile component. In these conditions of right ventricular dysfunction, we analyzed whether the atriopulmonary bridge connection improved the hemodynamic conditions based on the left ventricular suction mechanism.

Materials and Method

The present study was conducted at Universidad de Avellaneda in Buenos Aires (Argentina), after approval by the institutional Ethics Committee. Six adult mongrel dogs slated for euthanasia, with mean weight of 17 kg and 0.72 m2 (range 0.56-0.96) body surface area, were used in the study. The experiments were performed under “Arrive” regulations and according to the United Kingdom 1996 Act on scientific procedures on animals, the EU Directive 2010/63/EU for experimental animals and the “National Institutes of Health” guide for the care and use of laboratory animals (NIH Publication No. 8023, updated in 1978). The animals were sedated with ketamine (10mg/kg) and femoral artery and vein cannulation was performed for fluid infusion and arterial and central venous pressure monitoring. Ventilation was controlled with intermittent positive pressure using a Taka-Vent 550 respirator with 100% oxygen, airway flow of 9 l/min and positive pressure of 11 cm H2O. Anesthesia was maintained with 0.5-2% enflurane and fentanyl (5 mg/kg).

Surgical Protocol

Heparin (1 mg/kg) was administered after median sternotomy and pericardiectomy. The atriopulmonary bridge connection was performed between the right atrial appendage and the pulmonary artery (through partial clamping) with an 8 mm diameter woven conduit. A Swan-Ganz catheter was inserted into the pulmonary artery, connected to a transducer and two recording channels, and a second catheter was placed in the right atrium. Cardiac output was assessed using the thermodilution technique.

Variables Recorded: Right atrial pressure, pulmonary artery pressure, pulmonary capillary pressure, mean arterial pressure, heart rate and cardiac output were recorded.

Calculations and formulas:

Cardiac index (CI): cardiac output/body surface area=l/min/m2

Systolic index (SI): CI/heart rate=ml/beat/m2

Left ventricular stroke work index (LVSWI): (mean arterial pressure-pulmonary capillary pressure) × SI × 0.0136=g × m/ beat/m2

Right ventricular stroke work index (RVSWI): (pulmonary arterial pressure-right atrial pressure) × SI × 0.0136=g × m/ beat/m2

Systemic vascular resistance (SVR): (pulmonary arterial pressure-right atrial pressure)/cardiac output × 80=dyn/s/ cm-5

Pulmonary vascular resistance (PVR): (pulmonary arterial pressure- pulmonary capillary pressure/cardiac output × 80=dyn/s/cm-5

Measurements were taken at baseline before any procedure. Following right coronary occlusion by ligation at its origin, volume overload with saline was achieved to a threefold increase of right atrial pressure. After 60-minute ischemia, the atriopulmonary bridge was opened and kept patent during another 60 minutes. Hematocrit, pH, pO2 and pCO2 were controlled at all times. The experiment was concluded after 120 minute-ischemia and the hearts were explanted. A coronary angiography was performed to verify the right coronary artery occlusion, and tissue samples were taken and fixed in 10% formalin for histological analysis. The right ventricle was sectioned, taking samples at different heights of the wall and additional samples near the left apex. Samples were processed in an autothecnicon tissue processor and stained with hematoxylin-eosin, periodic-acid Schiff (PAS) for glycogen and basic fuchsin dye for necrosis-ischemia.

Statistical Analysis

Analysis of variance for randomized block design, Tukey test for multiple comparisons and Friedman’s test for non-parametric and post-hoc comparisons were used to analyze the data. Differences with p<0.05 were considered as significant.

Results

Table 1 shows hemodynamic values at baseline, at 60 minutes of right coronary artery occlusion and at 60 minutes after atriopulmonary bridge connection. Both the right and left ventricles showed no changes in myofibrillar architecture, nucleus or transverse striation with hematoxylin-eosin staining. The PAS technique evidenced marked glycogen reduction in right ventricular sections, expressed as complete lack of magentacolored granules, almost throughout the entire wall thickness. Only a thin band of subepicardial parallel fibers and other isolated fibers in the papillary muscles presented scarce glycogen granules. Conversely, the left ventricle showed visible glycogen content. The almost massive loss of intracellular glycogen demonstrated by the PAS technique is due to the early change (first 30 minutes) observed in experimental animals with coronary occlusion.

Discussion

As confirmed by different studies, acute occlusion of the right coronary artery produces right ventricular dysfunction [11]. Table 1 reflects the decrease of RVSWI (1.61 to -1.97 g × m/beat/m2) and of cardiac output (3.43 to 2.25 l/min) following right coronary artery occlusion. The right ventricle expanded, increasing its atrial pressure and decreasing pulmonary capillary pressure. At autopsy, right ventricular dilation is frequent after its acute infarction. Moreover, PVR increased from 49.9 to 109 dyn/s/cm-5 and the SI decreased from 41.5 to 20.8 ml/beat/m2. The choice of 60 minutes between coronary occlusion and atriopulmonary bridge opening was not arbitrary. Previous works have established that a 40-minute period of regional ischemia produces irreversible ventricular injury [11]. In our case, histological analysis confirmed right ventricular ischemia. It was seen that the injured right ventricle was not able to behave as a simple conduit vessel, as volume overload worsened its distention and impaired the SI (Table 1). All the animals evidenced right ventricular damage, with contractile dysfunction and lack of synchronization between both ventricles. Our model eliminated the pericardial protective function, which in case of being intact would have attenuated right ventricular dilation secondary to ischemia.

Table 1:  Hemodynamic values.

RCO: right coronary occlusion; RA-PA: right atrium-pulmonary artery bridge; RAP: right atrial pressure; PAP: pulmonary arterial pressure; PCP: pulmonary capillary pressure; MAP: mean arterial pressure; HR: heart rate; CO: cardiac output; CI: cardiac index; LVSWI: left ventricular stroke work index; RVSWI: right ventricular stroke work index; SVR: systemic vascular resistance; PVR: pulmonary vascular resistance; SI: systolic index.

In view of the expected post-ischemic right ventricular dilation (worsening after increasing preload) we applied Fontan´s principle: right atrial connection to the pulmonary artery, avoiding the dysfunctional right ventricle [12]. We sought to increase left ventricular preload and relieve right ventricular distention. Right ventricular ischemia reduced cardiac output to 65% and LVSWI to 27% their baseline values. Opening of the atriopulmonary bridge connection after 60-minute ischemia produced hemodynamic recovery by unloading the right atrium into the pulmonary artery. Cardiac output improved to 95% its baseline value, recovering to 3.29 l/min (p<0.05), SI to 45.1 ml/beat/m2 (p<0.05), LVSWI to 40.8 g × m/beat/m2 (p<0.05) and RVSWI to 1.57 g × m/beat/m2 (p<0.05). Also, right ventricular pressure decreased from 10.16 to 3 mmHg (p<0.05) and PVR from 109 to 48.9 dyn/s/cm-5 (ns). The new scenario that emerges after opening the atriopulmonary bridge connection by eliminating the passage through the dysfunctional right ventricle, transfers the right circulatory mechanism exclusively to the left ventricular suction capacity. Our experimental model shows how the obstacle of a dysfunctional right ventricle can be overcome bypassing this chamber with an atriopulmonary bridge, with the sole prior condition of acceptable pulmonary resistances. Thus, the left ventricular suction mechanism acts as a cardiac flow engine.

The increase in SI was higher than expected, considering that the pressure difference between the right atrium and the pulmonary artery disappeared rapidly when the atriopulmonary bridge connection was opened. It is possible that reduced right preload conditions a slight improvement of the right ventricle by not worsening the ischemic effects, thus contributing to the increase in SI after a discrete functional recovery. This analysis is concurrent with previous investigations [1-5] where the isovolumic diastolic phase was studied as an active phenomenon generated by a myocardial contraction that tends to expand the left ventricular apex-base distance after the ejective phase, producing a suction effect similar to that of a “plunger”. A drop in intraventricular pressure is generated that, in turn, elicits ventricular suction. It is an active process during the isovolumic phase, which is erroneously considered as diastolic. When this pressure is sufficiently negative (-10 mmHg) and the left ventricle is elongated and “uncoiled”, the mitral valve opens with the ensuing rapid blood filling from the atrium. This suction phase between systole and diastole of the human cardiac cycle lasts between 100 and 120 ms with active muscle contraction and a drop of intraventricular pressure below zero, as shown by Tyberg [13] with balloon mitral valve occlusion in the dog. Fontan procedures, with atriopulmonary bypass that avoid the right ventricle, clinically show the efficiency of the left ventricular suction mechanism. Its validity is confirmed even before recent physio mechanical investigations. The same consideration should be applied to left circulatory mechanics, where blood is bypassed from the left ventricle into the aorta. It can be concluded that suction due to the elastic recoil of the helical ventricular structure is an active process. Myocardial contraction occurs during the left ventricular isovolumic phase. In cases of ventricular dilation, this suction mechanism (“plunger”) becomes more precarious. This concept may help to establish a new evaluation of heart failure and its clinical severity [14-16].

Conclusion

As demonstrated using an atriopulmonary bridge, right ventricular dysfunction produced experimentally by ischemia is compensated by a left ventricular suction mechanism, maintaining normal circulatory parameters

Appendix

Cardiac output (CO) is given by:

where E1: left ventricular energy; E2: right ventricular energy; R1: systemic vascular resistance; and R2: pulmonary vascular resistance.

E1/R1=E2/R2 shows the output energy and vascular resistance ratio between both circulatory systems; then:

With Q1= left ventricular flow potential; Q2= = right ventricular flow potential

Venous pressure is the same in both circulatory systems. If the right ventricle is withdrawn from the circuit (E2=0), cardiac energy after surgery results as:

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The mission of Clinical Image Journal: Journal of Clinical Images is to publish, in a timely manner, the very best clinical research around the world with special attention to the impact of medical imaging on patient care. Clinical Image Journal: Journal of Clinical Images publications cover all imaging modalities, radiology issues related to patients, policy and practice improvements, and clinically-oriented imaging physics and informatics. Clinical Image Journal: Journal of Clinical Images is a valuable resource for practicing radiologists, radiologists-in-training and other clinicians with an interest in imaging.

Papers are carefully peer-reviewed and selected by our experienced subject editors who are leading experts spanning the range of imaging sub-specialties, which include: Body Imaging- Breast Imaging- Cardiothoracic Imaging- Imaging Physics and Informatics- Molecular Imaging and Nuclear Medicine- Musculoskeletal and Emergency Imaging- Neuroradiology- Practice, Policy & Education- Pediatric Imaging- Vascular and Interventional Radiology.

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Journal Homepage: https://www.literaturepublishers.org/

Manuscript Submission

Authors are requested to submit their manuscript by using Online Manuscript Submission Portal:

https://www.literaturepublishers.org/submit.html

(or) also invited to submit through the Journal E-mail Id: editor.cicrj@literaturepublishers.org

The mission of Clinical Image Journal: Journal of Clinical Images is to publish, in a timely manner, the very best clinical research around the world with special attention to the impact of medical imaging on patient care. Clinical Image Journal: Journal of Clinical Images publications cover all imaging modalities, radiology issues related to patients, policy and practice improvements, and clinically-oriented imaging physics and informatics. Clinical Image Journal: Journal of Clinical Images is a valuable resource for practicing radiologists, radiologists-in-training and other clinicians with an interest in imaging.

Papers are carefully peer-reviewed and selected by our experienced subject editors who are leading experts spanning the range of imaging sub-specialties, which include: Body Imaging- Breast Imaging- Cardiothoracic Imaging- Imaging Physics and Informatics- Molecular Imaging and Nuclear Medicine- Musculoskeletal and Emergency Imaging- Neuroradiology- Practice, Policy & Education- Pediatric Imaging- Vascular and Interventional Radiology.

Clinical Image Journal: Journal of Clinical Images Scope Case reports / Clinical Images can be prospective or retrospective and examine the effects of an intervention in more than one patient. All case reports and clinical Images submitted need to comply with the relevant reporting criteria. It is dedicated to publishing Medical Case Reports, Clinical Images, Case Series and Clinical Videos. The following classifications and topics related to it will be considered for publication in the Journal but not limited to the following fields.

Neurology Image Journal, Oncology Image Journal, Dentistry Image Journal, Surgery Image Journal, Cardiology Image Journal, Nutrition and Dietetics Image Journal, Ophthalmology Image Journal, Gastroenterology Image Journal, Internal Medicine Image Journal, Nephrology Image Journal, Palliative Care Image Journal, Physiotherapy Image Journal, Radiation Oncology Image Journal, Sleep Disorders Image Journal & Sleep Studies Image Journal, Anesthesiology Image Journal, Emergency Medicine Image Journal and Critical, Forensic Image Journal and Legal Medicine Image Journal, Infectious Disease Image Journal, Infertility Case reports, Neurological Surgery Image Journal, Obstetrics Image Journal and Gynecology Image Journal, Otolaryngology Image Journal, Pharmacology Image Journal and Therapeutics Image Journal, Physical Medicine Image Journal & Rehabilitation Image Journal, Radiology Image Journal, Dermatology Image Journal, Endocrinology Image Journal, Diabetes Image Journal & Metabolism Image Journal, Orthopedics Image Journal & Rheumatology Image Journal, Pathology- Anatomic & Clinical Image Journal, Pulmonary Image Journal Disease, Preventive Medicine Image Journal, Respiratory Medicine Image Journal, Urology Image Journal, Oral Medicine Image Journal, ENT Image Journal, Geriatric Medicine Image Journal, Maxillofacial Surgery Image Journal, Neonatology Image Journal, Nuclear Medicine Image Journal, Pain Management Image Journal, Pediatrics Image Journal, Psychiatry Image Journal, Sexual Health Image Journal, Vascular Medicine Image Journal, Family Medicine Image Journal and Public Health Image Journal, Allergy Image Journal & Immunology Image Journal, Diabetology Image Journal, Hematology Image Journal.