AUCTORES
Globalize your Research
Research Article | DOI: https://doi.org/10.31579/2692-9422/007
University of Social Welfare and Rehabilitation, Razi Psychiatric Hospital, Tehran, Iran.
*Corresponding Author: Saeed Shoja Shafti , University of Social Welfare and Rehabilitation, Razi Psychiatric Hospital,Tehran, Iran
Citation: Saeed S Shafti (2020) A Pilot Study Concerning Psychological and Psychiatric Problems among Ischemic Heart Patient,3(1): Doi: 10.31579/2692-9422/007
Copyright: © 2020 Saeed S Shafti, This is an open-access article distributed under the terms of The Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 15 February 2019 | Accepted: 20 February 2019 | Published: 05 March 2019
Keywords: coronary artery disease; ischemic heart disease; psychiatric comorbidities; depression; anxiety disorders; psychosis
Introduction: Psychosocial stresses and psychiatric problems may make worse the prognosis of patients with ischemic heart disease. Therefore assessing their incidence among this group of patients may perhaps enhance our perception concerning their dynamic significance in the field of psychological medicine.
Method and Materials: 101 patients with diagnosed ischemic heart disease, in the coronary care unit of a general hospital, had been interviewed by a psychiatrist to find that is there any meaningful association between psychiatric complications or psychosocial strains and ischemic cardiac events.
Results: Ischemic events were meaningfully more prevailing amongst patients with both biological risk factors and psychiatric problems. Moreover, the quantity of patients suffering from psychiatric difficulties was significantly more than patients without psychiatric complications. Besides, there was a significant alteration between male and female patients as regards the category of psychosocial stress. Seventy- nine percent of psychosocial stresses had been experienced by patients who had psychiatric complications. Besides, while more dysthymic illness was evident in the acute assembly of patients, more major or minor depressive disorder was noticeable in the chronic group of cardiac patients; a variance which looked significant.
Conclusion: The high incidence of psycho-social stresses and psychiatric problems among ischemic heart patients, which may act as co-factors in triggering the pathogenicity of organic risk factors, ask for enough care for recognition, checking, and controlling of them, by way of reasonable clinical and psycho-social interventions.
Psychological distress can be generally defined as a negative internal state of the individual that is dependent on analysis or evaluation of risk, hurt, or demand (1). Myocardial infarction and sudden cardiac death can be elicited by emotional distress (2). The susceptibility for these acute coronary disorders is mainly determined by the presence of coronary artery disease (CAD) and/or structural myocardial injury (3). Long-lasting psychiatric, psychological and social situations can influence the slow progression of cardiovascular disease and may further boost the probability or extent of emotion -related causes of acute coronary syndromes, principally in patients with underlying cardiovascular disease (4, 5). Distress and other psychological risk factors may have straight physiologic and biologic influences pertinent to CAD progression. In addition, risk linked with psychological distress may be interceded by adversative health actions such as smoking (6) and customary cardiovascular disease risk factors (for example, hypertension, dyslipidemia, and metabolic disorder) (7). On the other hand, the majority of patients at risk of adverse cardiac consequences based on psychological influences do not have clinical psychiatric illnesses (8). A general factor of “psychological distress” includes a large portion of the prognostic standards of various specific psychological cardiovascular risk factors containing anxiety, depression, enmity, and low perceived social care (9). Severe and prolonged overwhelming distress can result in clinical and sub-clinical conditions categorized by adverse affect that usually occur in psychiatric problems (8) and conditions that generally fall outside the range of clinical psychiatry such as vital exhaustion and burn-out syndrome. The increased cardiovascular disease risk related with depression develops at levels well below clinical diagnostic standards for major depressive disorder (10). Psychological distress is an unceasing variable and evidence proposes a dose-response association between the rigorousness of psychological distress with bio- behavioral associates in addition to cardiovascular disease risk (11). Nearly one in five acute coronary syndromes is heralded by an acute trigger. Substantial surges in central and autonomic nervous system activity are a common occurrence that link acute psychological, psychiatric and neurologic events to major cardiac pathologies (12). While acute psychological distress may play a contributing role in clinical syndromes in the absence of well-defined anatomical or structural disease, the role of psychological distress in cardiovascular disease differs with the period of the illness (13). Acute stressors are principally of importance as triggers of acute coronary disorders in the presence of relatively progressive coronary artery ailment, though incidents of continued elevated distress are connected with increased susceptibility for acute coronary conditions, and enduring distress related to characters and/or stable adverse socio-environmental issues is related with the slow progression of coronary artery disease (13). While there seems to be a dose-response association between the severity of psychological distress and the hazard of cardiovascular ailment, more study is desired to determine whether general psychological distress by itself or clinical disorders such as major depressive and anxiety disorders are better conjecturers of adverse cardiovascular health consequences (11). It is important, as well, to consider the surroundings in which these problems are addressed (9). In the current local evaluation, the rate of recurrence of psychiatric complications and psychosocial strains, which were existent earlier than ischemic heart events, had been appraised, to study their possible triggering effect with respect to the said morbid processes.
Method and Materials:
101 ischemic heart patients, who were admitted in the coronary care unit (CCU), were elected systematically during a 6-months period, from August 2011 up to December of the same year. After the primary work-up and management by a cardiologist and just before release from CCU, an inclusive clinical interview was accomplished by an associate colleague (psychiatrist) to explore the presence of any kind of psychiatric symptom or stress in patients. In this regard, supplementary data, too, was obtainable from patient’s families, personnel, and medical doctors, who were visiting cases every day. Psychiatric disorders had been identified in line with the criteria of ‘Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision (DSM IV-TR)’ (14), which was the basis of diagnosis during present evaluation. In addition, a self-made form, as a kind of assist for surveyor (the aforesaid psychiatrist), had been designed, which involved all psychiatric symptoms, substance abusing, physiognomies of type A behavior pattern, and psycho-social stresses. Precedence of symptoms and stresses before admittance was a requisite for ultimate exploration.
Statistical Analysis:
Statistics were evaluated by
Ischemic events were meaningfully more prevailing amongst patients with both biological risk factors and psychiatric problems. Moreover, the quantity of patients suffering from psychiatric difficulties was significantly more than patients without psychiatric complications. Besides, there was a significant alteration between male and female patients as regards the category of psychosocial stress. Seventy- nine percent of psychosocial stresses had been experienced by patients who had psychiatric complications. Besides, while more dysthymic illness was evident in the acute assembly of patients, more major or minor depressive disorder was noticeable in the chronic group of cardiac patients; a variance which looked significant.
Cardiovascular psychological risk factors can be grouped based on the period and chronological proximity to the occurrence of coronary disorders :1) acute psychological risk-factors (e.g. outbursts of anger, mental activity, and acute distress) that may act as causes of cardiac happenings within one hour; 2) occasional psychological risk factors with a duration lasting from a number of weeks to two years (e.g. depression, exhaustion and episodes of distress related to job loss, divorce and exposure to extreme physical or mental adversity); and 3) chronic psychological risk factors that stimulate the gradual progression of coronary artery illness (e.g. personality traits and adverse socioenvironmental circumstances). Long-lasting psychological issues are connected with increased reactivity to acute stressors and also stimulate the risk of the development of episodic psychological risk-factors [15]. Recent evidence, too, proposes that occasional risk factors such as depression are related with an increased emotional and biologic reaction to acute stressors. These forms of psychological risk-factors are linked with distinctive organic and functional processes that play distinct roles at different sickness periods. These psychological risk-factors often need to be realized in the context of genetic background dynamics and customary cardiovascular risk-factors such as dyslipidemia, diabetes mellitus and hypertension. On the other hand, since numerous patients will not meet traditional classification standards for psychiatric diagnosis , innovative psychiatric and psychological strategies will need to be settled to address distressrelated psychological risk-factors. So, it is important to appraise psychological distress in terms of its environmental precipitants and causes that may intensify susceptibility to these happenings (i.e. discrimination, low socioeconomic status, and adversative early life experiences) as well as psychological and social factors that can act as safeguards (coping style, social support and optimism) [15]. Moreover, innovative biologic and physiologic cardiovascular disease markers are constantly developed to enhance risk stratification for adverse cardiovascular health consequences. Such unique biomarkers may not only improve identification of patients who are “at risk”, but may also rise our understanding of the bio-behavioral processes by which psychological distresses are related to adverse cardiovascular illness. For example, psychological distress and depression are connected with increased oxidative stress markers, which may have significant consequences for the distress-cardiovascular disease pathways [15]. Anyhow, more study is required on the interaction between biologic and behavioral links of psychological distress [12]. This would possibly lead to multidimensional monitoring of high-risk patients who are treated with psychological and behavioral interventions [16]. For example, even in the lack of clinical cardiovascular disease, the effectiveness of antidepressant pharmacotherapy is less if patients have biological riskfactors or psychological stresses [16]. Maybe a healthcare system approach, rather than individually-based depression reduction policies, may be superior in reducing secondary cardiovascular happenings in clinically depressed patients with cardiovascular disease [17]. In contrast to the variable conclusions for antidepressant interventions, reduction of psychological distress seems to have more consistent effects in declining adversative cardiovascular endpoints (18). Back to our discussion, objectives of the present assessment could be identified as: 1) prevalence of psychiatric difficulties among ischemic heart patients; 2) probing any meaningful relationship between psycho-social stresses and ischemic events; and 3) searching any noticeable harmful influence thanks to TABP. With respect to the first query and along with the outcomes, frequency of psychiatric illnesses, specifically depression amongst patients with ischemic heart disease was significantly high. On the other hand, by with respect to chronicity or acuteness of cardiac events, it was obvious that there was a straight affiliation between chronicity of cardiac ailments and increasing severity of depression. In a comparatively analogous study in India on patients with IHD, major depressive disorder and anxiety disorders were found in a noticeable percentage of patients and around 95.4% of patients reported some kind of psychiatric problem [15], which was quantitatively far more than the outcomes of the current assessment. On the other hand, while anxiety and depression were more prevailing among female patients, in comparison with male patients (2- and 1.5- folds, resp.), male patients without definable psychiatric complications were two-folds more than female cases. This finding showed that unfavorable effects of psychiatric problems could have some gender-based physiognomies. Otherwise, such a variance is similar, too, to the frequency of anxiety and depression in general public. Regarding the interaction of organic risk factors and psychiatric difficulties, we found a two-times escalation in the pathogenicity of organic risk-factors in presence of psychiatric complications, and three-times upsurge in cardiovascular harms when both of organic risk-factors and psychiatric difficulties co-exist. Most of the patients in the present evaluation had both of them. Concerning psycho-social stress and its interaction with ischemic happenings, findings revealed that the chance of patients with psychiatric problems in comparison with cases without that, for personal experience of stress, were around ‘4:1’.Thus, 79% of stresses had been concentrated in cases with psychiatric problems. Therefore, we may say that psycho-social stresses and psychiatric complications had a reciprocal aggravating effect on each other. Likewise, it is a renowned fact that mental stress-induced ischemia is much more common than exercise-induced ischemia in patients with clinically stable coronary heart disease. Females and unmarried males are at higher risk for mental stress-induced ischemia [16]. While mental stress induces transient myocardial ischemia in one third to one half of patients with CAD, it is usually without pain and happens at lower levels of oxygen demand than ischemia induced by physical exercise and, also, not connected to the severity of coronary blockade. Though stressinduced hemodynamic fluctuations, principally increases in systemic vascular resistance, coronary artery vasoconstriction, and microvascular variations, may all contribute to the pattern of ischemia, there is huge variability in responses to mental stress [17]. So, this morbid process together with the harmful effects of organic risk-factors can be accounted as the most risky combination. Moreover, in the present study, there was a substantial difference between male and female patients, with regard to description of psychosocial stresses, who had declared family conflicts and economic problems, separately, as their most important stresses. So, maybe more incidents of cardiac happenings among married people, in comparison with the singles, could be ascribed to the joint unfavorable effect of multiple stresses. Considering more acute infarction in male patients in comparison with the female cases and, besides, more feeling of stress among infracted males, might disclose, over again, gender-based adverse effect of stress on acuteness of cardiac events, a phenomenon which was evident, once again, regarding the link between type A behavior and acuteness of cardiac events among male patients. Furthermore, management of psychiatric syndromes in ischemic heart patients can be perplexing due to cardiovascular side effects of many of the psychotropic drugs, besides potentiality of drug interactions. Additionally, many of the hypertensive or cardiac drugs have psychiatric side effects. Anyhow, acute psychological distress is a significant cause of acute coronary diseases [18]. Evaluation of myocardial ischemia and markers of cardiac electrical instability, induced by emotional arousal in controlled clinic or laboratory settings, can be used to develop pathophysiologic prototypes explaining the association between acute psychological distress and adverse cardiovascular outcomes [19]. Clinical psychiatric conditions such as major depressive disorder are pointedly associated with poor cardiovascular effects and the prognostic value of psychological distress for adverse cardiovascular disease progression is not an artifact of original atherosclerotic disease processes [19]. Psychological distress is related with adverse cardiovascular consequences via probable biologic pathways, including neuro- hormonal issues, autonomic nervous system dysregulation, raised inflammation and coagulation factors and reduced response to injury, in addition to adverse health activities such as smoking, physical inactivity, poor dietary habits and medication nonadherence [20]. Absence of non-CCU cohort group, limitation of outcomes to a solitary academic center, and also small sample sizes were among the weak points of this estimation. Certainly, supplementary methodical investigations in future will increase our understanding regarding these dynamic interactions in the realm of psychological medicine.
The high incidence of psycho-social stresses and psychiatric problems among ischemic heart patients, which may act as cofactors in triggering the pathogenicity of biological risk factors, ask for enough attention for recognition, checking, and controlling of them, by way of reasonable clinical and psycho-social interventions.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
