2^nd International Conference on Cardiovascular Diseases and Therapeutics August 12-13, 2019 Amsterdam, Netherlands

Biography:

Rosario Lopez Infante is currently working as a kinesiologist and Cardiovascular rehabilitation specialist at DIPRECA Hospital in Chile. She is also an internship guide at University of America in Chile and works a teacher at Finis Terrae University. She was a trainee in CVHC, Cardiac Rehab at Mayo Clinic. She graduated in kinesiology. She is current director for Chilean Cardiology Congress 2019.

Abstract:

This workshop approaches the general and specific concepts of cardiovascular rehabilitation (CR). CR combines prescriptive exercise training with coronary risk factor modification in patients with established heart disease. The goals of CR are to improve functional capacity, alleviate or lessen activity-related symptoms, reduce disability, and identify and modify coronary risk factors in an attempt to reduce subsequent morbidity and mortality due to cardiovascular illness.

CR and efforts targeted at exercise, lipid management, hypertension control, and smoking cessation can reduce cardiovascular mortality, improve functional capacity, attenuate myocardial ischemia, retard the progression and foster the reversal of coronary atherosclerosis. Combining the knowledge and skills of clinicians (such as physicians, nurses, psychologists, and experts in nutrition, cardiac rehabilitation, and sports medicine) into multimodal, behavioral interventions can help to optimize the preventive efforts.

This workshop will provide knowledge and help develop abilities to deliver cardiovascular rehabilitation to even patients once considered to be too high risk for structured rehabilitation programs, considering the core components of this intervention in the correct dosification.

We expect our assistants to analyze and compare guidelines for outpatient CR from around the world, determine any differences and/or consensus in patient eligibility, program delivery and exercise testing, prescription and monitoring that exist in order to be able to create and provide evidencebased cardiovascular rehabilitation in their local facilities.

Finally, according to the new challenges, we will go through the potential use of aerobic exercise to mitigate the adverse cardiovascular anthracycline (AC)-induced effects in cancer patients since this treatment can decrease exercise capacity; aerobic exercise prescription before, concomitant, and after AC treatment provides cardioprotective benefits, which can mitigate or even prevent AC-induced cardiotoxicity.

Biography:

Abstract:

Background: Every year, over 250,000 patients have cardiac surgery and the incidence of cardiac arrest. When treated quickly, 17% to 79% of patients who experience cardiac arrest after cardiac surgery survive to discharge. Many of health care providers found this was disorganised and they would have performed better if they had well defined roles.

Objectives: The aim of the study is to assess the level of knowledge among novice nurses regarding cardiac advance life support surgery (CALS) in cardiac surgery intensive care unit (CICU) and Cardio pulmonary department (D1 department) of Aga khan university hospital.

Material and methods: The descriptive cross-sectional study done. The 15 nurses were selected as sample to assess knowledge.

Results: Novice nurses were not aware about (CALS). Moreover we developed module for nurses for future education and awareness about CALS the later study will help to assess the efficacy of CALS module.

Conclusion: The study helps to make module of CALS for nurses taking care of patient underwent open heart surgery.

Biography:

Sarah Verhemel, MBChB, MRCP is originally from The Netherlands where she attended premed Biomedical Science at the University of Amsterdam. She earned her medical degree and graduated Cum Laude from 6th of October University, Cairo, Egypt. She then went on to complete her residency in The University Hospital of Antwerp, Belgium and gained research skills by doing a scientific internship at Utrecht Medical Centre. She has a particular interest in Cardiology and attended during medical school an elective in St. Thomas London, which persuaded her to continue her career in Cardiology.

Abstract:

Myxofibrosarcoma is one of the most common soft-tissue sarcomas arising in the limbs of elderly patients. Description of this tumor in the literature reported that the commonest sites for metastases are lymph nodes and lungs, but no case reports to date describe solitary metastasis to the heart from peripheral myxofibrosarcoma lesions.

Herein, we present the first case report of metastasis of peripheral myxofibrosarcoma to the heart of a 53-year-old female with equivocal non-invasive and -invasive diagnostic tests, in whom the final diagnosis was made through exploratory surgery.

The positron emission tomography???computed tomography scans and cardiac magnetic resonance imaging revealed the mass in the right atrium as well as allowing an in-depth insight in tumour growth, size, site and extent. Echocardiographic evaluation was beneficial in confirming the tumour and predicting clinical outcome. Unfortunately transvenous endomyocardial biopsies of the tumour were nondiagnostic. Thus a more invasive but diagnostic approach to the right atrial mass was required via an open surgery, to obtain a definitive histological diagnosis.

This case demonstrates the complexity of pairing multi-modality imaging and invasive techniques to achieve tissue characterization and diagnosis. Despite advances in multimodality investigations and increasing treatment options, the case presented a number of diagnostic and management challenges. Further translational studies are warranted to improve the diagnostic yield and choice of therapy.

Biography:

Maxim Kamenskikh complited the Medical Academy in 2006, currently he is a leading cardiac surgeon at St. Petersburg state University. Clinic of advanced medical technologies n.a. Pirogov Nikolai Ivanovich. St. Petersburg, Russian Federation.

Abstract:

Myxofibrosarcoma is one of the most common soft-tissue sarcomas arising in the limbs of elderly patients. Description of this tumor in the literature reported that the commonest sites for metastases are lymph nodes and lungs, but no case reports to date describe solitary metastasis to the heart from peripheral myxofibrosarcoma lesions.

Herein, we present the first case report of metastasis of peripheral myxofibrosarcoma to the heart of a 53-year-old female with equivocal non-invasive and -invasive diagnostic tests, in whom the final diagnosis was made through exploratory surgery.

The positron emission tomography???computed tomography scans and cardiac magnetic resonance imaging revealed the mass in the right atrium as well as allowing an in-depth insight in tumour growth, size, site and extent. Echocardiographic evaluation was beneficial in confirming the tumour and predicting clinical outcome.

Unfortunately transvenous endomyocardial biopsies of the tumour were nondiagnostic. Thus a more invasive but diagnostic approach to the right atrial mass was required via an open surgery, to obtain a definitive histological diagnosis. This case demonstrates the complexity of pairing multi-modality imaging and invasive techniques to achieve tissue characterization and diagnosis. Despite advances in multimodality investigations and increasing treatment options, the case presented a number of diagnostic and management challenges. Further translational studies are warranted to improve the diagnostic yield and choice of therapy.

Biography:

William J. Rowe M.D. FBIS (Fellow British Interplanetary Society), FACN (Fellow American College of Nutrition, Retired Fellow Royal Society of Medicine), is a board certified specialist in Internal Medicine. He received his M.D. at the University of Cincinnati and was in private practice in Toledo, Ohio for 34 years. During that time he supervised over 5000 symptom - limited maximum hospital-based treadmill stress tests. He studied 3 world class extraordinary endurance athletes and published their exercise-related magnesium deficiencies. This triggered a 20 year pursuit of the cardiovascular complications of Space flight. All his publications are posted on his website www.femsinspace.com).

Abstract:

Of 12 moon walkers, James Irwin on day after return from Apollo 15 mission, showed extraordinary bicycle ( B) stress test (ST) hypertension ( 275/125) after 3 minutes exercise; supervising > 5000 maximum treadmill ST, author never witnessed ST- blood pressure approaching this level. Symptom-limited maximum B stress test showed “cyanotic fingernails”; possibly venous blood trapped peripherally, supporting author’s “Apollo 15 Space Syndrome,” postulating that severe fingertip pain during space walks, triggered by plasma fluid, trapped distally; mechanism could be related to endothelial dysfunction, providing “silent ischemia” warning. Neil Armstrong returned to Earth with severe diastolic hypertension ( 160/135), consistent with ischemic left ventricular dysfunction; 50 mm increase in comparison with resting BP 110/85. With inhalation of lunar dust, brought into habitat on space suit, with high lunar iron (I) this dust inhalation, along with reduced (R) space flight- transferrin, R antioxidant, calcium (Ca) blocker - magnesium, conducive to severe oxidative stress, Ca overload with potential endothelial injuries. Using moon walker studies as example, my recent editorials show that I dust, released from brakes, with over 90% of brakes made of I, is a major hypertension factor and may also contribute to myocardial infarctions.