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Research Article | DOI: https://doi.org/10.31579/2641-0419/564
1Cardiology Department of the Tengandogo University Hospital Center, Ouagadougou, Burkina Faso.
2Training and Research Unit in Health Sciences, Joseph KI-ZERBO University, Ouagadougou, Burkina Faso.
3Yalgado OUEDRAOGO University Hospital.
4Regional Hospital Center of Dédougou, Dédougou, Burkina Faso.
5Bogodogo University Hospital Center, Ouagadougou, Burkina Faso.
*Corresponding Author: Kambire Yibar, Cardiology Department, Tengandogo University Hospital, 11 BP 104, CMS 11, Ouagadougou, Burkina Faso.
Citation: Kambire Y, Dabire Ye, Some Nh, Sia L, Konate L, et al, (2026), Contribution of Percutaneous Coronary Intervention in the Management of Acute Coronary Syndromes in Burkina Faso: Results from the Ouagadougou Myocardial Infarction Registry (RIO) and the Burkina Interventional Cardiology Registry (RE.C. I -Burkina), J Clinical Cardiology and Cardiovascular Interventions, 9(6); DOI:10.31579/2641-0419/564
Copyright: © 2026, Kambire Yibar. 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: 16 February 2026 | Accepted: 30 April 2026 | Published: 07 April 2026
Keywords: acute coronary syndromes; coronary angiography; percutaneous coronary intervention; prognosis; Burkina Faso
Aim: This study aimed to evaluate impact of percutaneous coronary intervention (PCI) in management and prognosis of acute coronary syndromes in Ouagadougou.
Methods: An analytic study compared data from two registries: the myocardial Infarction registry of Ouagadougou (RIO) before PCI and the Interventional Cardiology Registry of Burkina Faso (RE.C. I-Burkina) in the era of PCI. It included patients aged more than 18 years admitted for acute coronary syndromes (ACS) in Ouagadougou. Sociodemographic, clinical, therapeutic characteristics and outcomes of the patients of the two registries were analyzed.
Results: 343 patients were included. Patients of RE.C. I-Burkina registry were younger than them of RIO registry (p=0.011). ACS was dominated by STEMI in both registries. In RE.C. I-Burkina coronary lesions were multivessel in 74%. PCI was performed in 55,9% of patients who underwent coronary angiography with successful procedure in 92,1% of cases. In hospital mortality in the RE.C.I.-Burkina registry was lower than that in the RIO registry (5,9% vs 12.7%, p=0.011).
Conclusion: PCI improved coronary revascularization rate and hospital mortality from ACS in Burkina Faso. These results should be better by earlier cares and team improvement.
RIO: myocardial Infarction Registry of Ouagadougou
PCI: Percutaneous Coronary Intervention
RE.C. I-Burkina: Interventional Cardiology REgistry of Burkina Faso
ACS: Acute Coronary Syndromes
STEMI: ST-segment Elevation Myocardial Infarction
NSTEMI: Non-ST-segment Elevation Myocardial Infarction
LAD: left anterior descending artery
LVEF: Left Ventricle Ejection Fraction
DAPT: Dual Anti-Platelet Therapy
ACEi/ARBs: Angiotensin-converting enzyme inhibitor/Angiotensin II receptor blockers LMWH: Low Molecular Weight Heparins
Coronary artery disease is a public health problem. Each year, more than 7 million people worldwide are diagnosed with acute coronary syndrome (ACS) [1]. In Burkina Faso, the hospital incidence of ACS was 4.2% in 2018, with an in-hospital mortality rate of 8.7% and a one-month mortality rate of 16.2% [2]. The in-hospital mortality rate is 22.7% in ACS among patients aged 60 and over [3]. This high mortality is linked, among other things, to delayed treatment [4] and inadequate management in the absence of interventional cardiology. In Burkina Faso, interventional cardiology has been operational since 2022. Our study aimed to evaluate the impact of percutaneous coronary intervention (PCI) on the management and prognosis of patients with ACS in Ouagadougou.
This analytical study compared the characteristics and management of patients over 18 years of age hospitalized for ACS in Ouagadougou city, using data from two registries. The Ouagadougou Myocardial Infarction Registry (RIO) is a multicenter registry that retrospectively included patients hospitalized for ACS in three public hospitals and three private healthcare facilities in Ouagadougou from January 1, 2016, to December 31, 2020, prior to the introduction of interventional cardiology in Burkina Faso. The Burkina Faso Interventional Cardiology Registry (RE.C.I.-Burkina) is a single-center registry established at the Tengandogo University Hospital Center, the only public interventional cardiology hospital in Burkina Faso, which prospectively included patients who underwent coronary angiography and/or coronary angioplasty. In this study, preliminary data from the RE.C.I-Burkina registry concerning patients over 18 years of age hospitalized for ACS were considered for the period from March 1, 2022, to September 30, 2023. Sociodemographic characteristics, cardiovascular risk factors, type of ACS, treatments and hospital outcomes were compared between the two registries. Angiographic and PCI data were specified for patients from the RE.C.I-Burkina registry.
Patient’s characteristics were described by their count and percentage for categorical variables. Quantitative variables were described by their means and standard deviations. To explore associations between categorical variables, the chi-square test was used to compare the proportions of the two registries. In the case of the association between continuous quantitative variables and categorical qualitative variables, we chose a test comparing means or any other analysis depending on the appropriate conditions. The analyses were performed using Rsutio software version 4.3.2, and a p-value < 0>
A total of 343 patients were included, comprising 275 patients from the RIO registry and 68 patients from the RE.C. I-Burkina registry.
Sociodemographic characteristics
The mean age of patients was 60 ± 14.8 years (range 20–91) in the RIO registry and 55 ± 12.3 years (range 31–80) in the RE.C.I-Burkina registry (p = 0.005). There was no statistically significant difference in sex between patients in the two registries: 70.9% and 79.4% were male in the RIO and RE.C.I-Burkina registries, respectively (p = 0.21).
Craftsmen and laborers were more represented in the RIO registry (17%) than in the RE.C.I-Burkina registry (6%) (p = 0.04). Tradespeople were more represented among patients who underwent coronary angiography in RE.C.I-Burkina than in the RIO registry (15% vs 4%, p = 0.003). Housewives were relatively more numerous (26%) in the general population of patients with ACS than in the population of patients with access to coronary angiography (9%) (p = 0.004). Mine workers and non-governmental organization (NGO) employees had greater access to coronary angiography (p = 0.02). Table I summarizes the sociodemographic characteristics of patients in both registries.
Clinical Characteristics
The main cardiovascular risk factors found in patients were hypertension, diabetes mellitus, smoking, and dyslipidemia. There was no statistically significant difference between patients in the two registries about the other cardiovascular risk factors (see Table I).
ST-segment Elevation Myocardial Infarction (STEMI) was the most frequent in both registries, accounting for 64.4% in RIO and 66.2% in RE.C.I-Burkina. It was followed by Non-ST-segment Elevation Myocardial Infarction (NSTEMI) with elevated troponin and Unstable Angina, as shown in Table I. There was no statistically significant difference in the distribution of ACS types between the two registries (p = 0.93).
Paraclinical aspects
The left ventricular ejection fraction was less than 50% in 42.6% of patients in both regsitries. The mean hemoglobin level, mean creatinine level, and mean total cholesterol and LDL cholesterol levels were identical in the populations of the two registries, as shown in Table I. Coronary angiography was performed in only 3.3% of patients in the RIO registry (after medical evacuation out of the country) and in all 68 (100%) patients in the RE.C.I.-Burkina. In the RE.C.I.-Burkina patients who underwent coronary angiography, the radial approach was used in 61 (89.7%) patients and the femoral approach in seven (10.3%) cases. The 6F sheath was the most frequently used, in 75% of cases. Two (2.9%) procedures were performed before the 12th hour of pain onset. In 50 (73.5%) patients, at least one significant lesion was found on at least one vessel. The lesions were single-vessel (26%), two-vessel (34%), and three-vessel in 40% of cases. The left main coronary artery was affected in four (5.9%) patients. The left anterior descending artery (LAD) was the most frequently affected vessel (69.1%), followed by the right coronary artery (54.4%) and the circumflex artery (41.2%), as shown in Table II.
Table I: Ociodemographic and clinical characteristics of patients with acute coronary syndrome in the RIO and RE.C.I-Burkina registries in Ouagadougou
Sociodémographic and clinical Characteristics | RIO Registry Number=275 (%) | RECI-Burkina Number=68 (%) | p-value |
| Sociodemographic characteristics | |||
| Male sex | 195 (70.9) | 54 (79.4) | 0.21 |
| Mean age (SD) | 60 (14.8) | 55 (12.2) | 0.005 |
| Occupation n (%) | |||
| Craftsman / Worker | 46 (17) | 4 (6) | 0.04 |
| Merchant | 11 (4) | 10 (15) | 0.003 |
| Farmer | 14 (5) | 1 (2) | 0.329 |
| Housewives | 72 (26) | 6 (9) | 0.004 |
| Official | 69 (25) | 20 (29) | 0.57 |
| Military / Paramilitary | 6 (2) | 4 (6) | 0.22 |
| Minister of religion | 6 (2) | 3 (4) | 0.54 |
| Liberal profession | 8 (8) | 4 (6) | 0.41 |
| Retirees | 8 (8) | 6 (9) | 0.06 |
| Mines/NGO workers | 6 (2) | 6 (9) | 0,02 |
| Cardiovascular risk factors | |||
| Age correlated with sex | 221 (80,4) | 52 (76,5) | 0,59 |
| High blood pressure | 158 (57,5) | 35 (51,5) | 0,45 |
| Diabetes | 51 (18,6) | 18 (26,5) | 0,20 |
| Dyslipidemia | 32 (11,6) | 5 (10,3) | 0,42 |
| Smoking | 63 (23) | 17 (25) | 0,84 |
| Type of ACS | |||
| STEMI | 177 (64,4) | 45 (66,2) | |
| NSTEMI | 71 (25,8) | 16 (23,5) | 0,93 |
| Unstable Angina | 27 (9,8) | 7 (10,3) | |
| LVEF < 50> | 92 (42,6) | 29 (42,6) | 1 |
| Biology | |||
| Mean hemoglobin (SD) | 14,2 (9,8) | 13,5 (1,7) | 0,33 |
| Mean creatinine (SD) | 119 (96,1) | 114 (92,4) | 0,46 |
| Mean total cholesterol (SD) | 4,8 (1,6) | 4,7 (1,6) | 0,93 |
| Mean LDL cholesterol (SD) | 2,98 (1,3) | 2,7 (1,3) | 0,34 |
NGO: Non-governmental organization ACS: acute coronary syndromes. STEMI: ST-segment elevation acute Myocardial Infarction. NSTEMI: Non-ST-segment elevation. Myocardial Infacrtion LVEF: Left ventricular ejection fraction. SD = standard deviations.
Table II: Angiographic characteristics of 68 patients who underwent coronary angiography for acute coronary syndromes at Ouagadougou (RE.C.I-Burkina registry).
| Angiographic charactéristics | Number (N=68) | Pourcentage (%) |
| Arterial access | ||
| Radial | 61 | (89,7) |
| Femoral | 7 | (10,3) |
| Sheath | ||
| 5 French | 17 | (25,0) |
| 6 French | 51 | (75,0) |
| Time to coronary angiography | ||
| < 12th> | 2 | 2,9 |
| ≥ 12th hour | 66 | 97,1 |
| Significant coronary lesions (out of 50 lesions) | 50 | 73,5 |
| Left main coronary artery involvement | 4 | 5,9 |
| Left anterior descending artery involvement | 47 | 69,1 |
| Circumflex artery involvement | 28 | 41,2 |
| Right coronary artery involvement | 37 | 54,4 |
| Angiographically normal coronary arteries | 18 | 26,5 |
| Number of coronary arteries affected (out of 50 lesions) | ||
| Single-vessel disease | 13 | 26,0 |
| Two-vessel disease | 17 | 34,0 |
| Three-vessel disease | 20 | 40,0 |
Therapeutic aspects
Treatment with beta-blockers, statins, and renin-angiotensin-aldosterone system inhibitors was identical in both registries (see Table III). Low-molecular-weight heparins (LMWH) was more frequently used in patients in the RE.C.I-Burkina registry (94.1% vs 87.9%; p = 0.0004). Dual antiplatelet therapy was prescribed more frequently in RE.C.I-Burkina than in RIO (91.2% vs. 73.1%; p = 0.003). PCI was performed in 55.9% of patients in RE.C.I-Burkina and 3.3% of patients in the RIO registry (p < 0>
Table III: Compared medical treatment of acute coronary syndromes in the RIO and REC.I-Burkina registries.
| Treatment | RIO Registry Number =275 (%) | RE.C. I-Burkina Number=68(%) | Chi-Square | p-value |
| Beta-blocker | 214 (77.8) | 55 (80.9) | 0.14 | 0.70 |
| Aspirin | 228 (82.9) | 66 (97.1) | 7.80 | 0.005 |
| Clopidogrel | 225 (81.8) | 63 (92.6) | 3.98 | 0.04 |
| DAPT | 201 (73.1) | 62 (91.2) | 8.99 | 0.003 |
| ACEi/ARBs | 195 (70.9) | 55 (80.9) | 2.26 | 0.13 |
| Statins | 223 (81.1) | 59 (86.8) | 0.84 | 0.36 |
| LMWH | 201 (73.1) | 64 (94.1) | 12.6 | 0.0004 |
| Thrombolysis* | 26 (9.5) | 1 (10) | 3.75 | 0.05 |
| Percutaneous coronary intervention | 9 (3,3) | 38 (55, 9) | 18.42 | < 0.0001 |
DAPT: Dual Anti-Platelet Therapy ACEi/ARBs: Angiotensin-converting enzyme inhibitor/Angiotensin II receptor blockers LMWH: low molecular weight heparins *Applicable only for STEMI.
Table IV: Percutaneous coronary intervention data of 38 patients revascularized in the RE.CI-Burkina registry
| Setting | Number N=38 | Pourcentage (%) |
| Type of PCI | ||
| Primary PCI | 2 | 5,3 |
| Time of PCI | ||
| Ad ‘hoc | 5 | 92,1 |
| Delayed | 3 | 7,9 |
| Nature of the lesions | ||
| New lesion | 36 | 94,7 |
| Stent restenosis | 2 | 5,3 |
| Type of stent | ||
| Drug Eluded Stent | 34 | 89.5 |
| Balloon only | 4 | 10.5 |
| PCI results | ||
| Success (TIMI flow 3) | 35 | 92.1 |
| Incomplet success (TIMI Flow 2) | 2 | 5,3 |
| Failure (TIMI flow 1 or 0) | 1 | 2.6 |
PCI = Percutaneous Corornary Intervention TIMI = Thrombolysis In Myocardial Infarction
In hospital Outcomes
Four in-hospital deaths were reported in RE.C.I-Burkina, representing a mortality rate of 5.9%, compared to 35 deaths (12.7%) in the RIO registry (p=0.011). Among the deaths in RE.C.I-Burkina, one occurred during angioplasty for a critical lesion of the ostial left main coronary artery, and the other three occurred following the angioplasty procedure during hospitalization, one due to sudden death (probably by ventricular tachycardia) and the other due to an ischemic stroke with hemorrhagic transformation.
Sociodemographic Characteristics
The mean age of ACS patients in our study was 60 ± 14.8 years in the
RIO registry and 55 ± 12.2 years in the RE.C.I-Burkina registry. This mean age is similar to that found in sub-Saharan African literature, which ranges from 55 to 61 years [5-8]. These results confirm the young age of coronary diseases patients in sub-Saharan Africa. In our study, patients who underwent coronary angiography were predominantly employed with an income sufficient to cover the cost of care. However, the unavailability of coronary angiography in Burkina Faso at the period of the RIO registry partly explains the low rate of access to angiography in this registry. The male predominance in our patients (70.9% in RIO and 78.8% in RE.C.I.-Burkina) corroborates data from the literature, which report a proportion of men in 3/4 to 2/3 of the populations as Toure et al. who reported a sex ratio of 2.33 [9].
Clinical Aspects
Hypertension was the most frequent modifiable risk factor in our study, at 57.5% in RIO and 51.5% in RE.C.I.-Burkina. Ndao et al. [8] and Diop et al. [10] reported a prevalence of hypertension of 47.3% and 59% in their respective series. Hypertension is a major risk factor for atherosclerotic disease. The prevalence of diabetes was 18.6% in RIO and 26.5% in RE.C.I.-Burkina. In the France-PCI registry, 27.8% of patients were diabetic [11]. The prevalence of smoking in our study was 23% and 25% respectively in RIO registry and RE.C.I-Burkina registry with no statistically significant difference. According to the clinical presentation, STEMI was the most frequent (64.4% of cases in the RIO registry and 66.2% in the RE.C.I-Burkina registry), followed by NSTEMI (25.8% and 23.5% in the two registries) and Unstable Angina (9.8% and 10.3%). According to N’Guetta et al. [7], STEMI accounted for 73% of ACS cases and 75.1% of patients who underwent PCI.
Coronary angiography data
In our study, 55.9% of patients who underwent coronary angiography received PCI. This proportion is higher than the 22% reported by N’Guetta at the beginning of this technique [7].
Radial approach was the most frequently used (91.9%). It is the preferred approach for coronary angiography and PCI because it is associated with a significantly lower rate of puncture site complications [12].
In 65 (95.6%) cases, coronary angiography was scheduled. It was performed as an emergency procedure in three cases (4.4%). In Côte d’Ivoire, 20.2% of patients with ACS underwent coronary angiography before the 12th hour of pain onset [7]. The low proportion of patients admitted for emergency coronary angiography in our series is due to several factors: delayed consultation, the patient pathway involving visits to several centers before admission to the Tengandogo University Hospital, financial constraints, and the reduced size of the intervention team, which consisted of only two interventional cardiologists during the study period.
In our series, coronary angiography revealed angiographically normal coronary arteries in 26.5% of cases. Our results are close to those of Diop in Senegal (32%) [10]. Toure et al. [9] and the France-PCI registry [11] reported 34% of angiographies without significant coronary lesions in all patients presenting for coronary angiography in their respective series.
In our study, the lesions were single-vessel in 26% of cases, two-vessel in 34% of cases, and three-vessel in 40%. The proportion of patients with three-vessel disease was greater than that found by N’Guetta (10.5% among STEMI and 17.7% among NSTEMI [7] and Touré et al. [9] with 25%. In the France-PCI registry, 48% of coronary lesions were multivessel [11].
Therapeutic data and percutaneous Coronary Intervention
In the RIO registry, the proportion of STEMI patients treated with fibrinolysis was 9.5%. This proportion was 10% in the RE.C.I-Burkina registry. This proportion is identical to that found in the REPACI registry in Côte d'Ivoire, which was 10.6%. This low fibrinolysis rate is due to excessively long admission times in our setting and the unavailability of thrombolytics and/or their high cost, as reported by other African authors [7,13].
PCI was performed in only 3.3% of patients in the RIO registry and in 55.9% of ACS patients in the RE.C.I-Burkina registry. It was performed with a drug-eluting stent in 94.1% of cases. The success rate of angioplasty in our study was 92.1%. This result is close to that of the initial series in several studies. Indeed, N’Guetta in Côte d’Ivoire reported an PCI success rate of 90.1% [7]. In Senegal, where coronary angiography has been performed for about ten years with a larger team, the angiographic success rate in ACS was 96.4% [8]. These results confirm the importance of the learning curve at the beginning of interventional cardiology. In fact, results improve with the experience of the teams and the availability of consumables specific to certain procedures. In addition to coronary angioplasty, the drug treatment of patients in the RE.C.I-Burkina registry is significantly improved, with a higher proportion of patients receiving dual antiplatelet therapy and heparin compared to the RIO registry.
In hospital outcomes
Hospital mortality in the RE.C.I-Burkina registry was 5.9% compared to 12.7% in RIO. Ndao et al. found a mortality rate of 2.7% in Senegal [8]. In Europe, with prehospital management and early admission to the cathlab, the hospital mortality rate for ACS after PCI with stenting is lower [11, 14, 15]. With prehospital management, the experience of interventional cardiology teams, and the increased number of procedures, interventions are becoming easier and safer. In the France-PCI registry, the hospital mortality rate for ACS varies from 1.1% for NSTEMI to 5.3% for STEMI [11].
The prognosis for coronary patients is multifactorial and does not depend exclusively on the performance of PCI [3, 15-17]. In our context, delays in care, pre-hospital management, and medical treatment are not always appropriate before PCI. Furthermore, deaths are not related to the PCI procedure in the majority of cases. Thus, among our patients who died in the hospital, one case was related to the procedure on a critical left main coronary artery ostial lesion, another to an ischemic stroke with hemorrhagic transformation two days after successful angioplasty in a female patient, and a sudden death, probably due to ventricular tachycardia, in a patient admitted with severe acute pulmonary edema due to extensive anterior necrosis from proximal left anterior descending artery occlusion that had been progressing for two days, and in a hypertensive and diabetic patient who had not been previously monitored.
Interventional cardiology is effective in Burkina Faso since 2022. The results of the first procedures are encouraging, with improved coronary revascularization rate and a reduction in hospital mortality from ACS. These results can be improved through early intervention, particularly pre-hospital care by the emergency medical services with thrombolysis, direct patient admission to the cathlab, training of interventional cardiologists, and improved financial accessibility. Long-term studies are needed to assess its lasting impact in Burkina Faso.
The difference in data collection periods between the two registries may have influenced the discrepancies in certain treatments. The limited number of patients in the RE.C.I-Burkina registry restricts the scope of this study but provides a preliminary
The authors declare that they have no conflicts of interest related to this article.
KAMBIRE Yibar, DABIRE Y. Eric, and YAMEOGO N. Valentin drafted the protocol, collected and analyzed the data, and wrote the article. All authors read, amended, and approved the protocol and the draft article.
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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.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.
Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.
I recommend without hesitation submitting relevant papers on medical decision making to the International Journal of Clinical Case Reports and Reviews. I am very grateful to the editorial staff. Maria Emerson was a pleasure to communicate with. The time from submission to publication was an extremely short 3 weeks. The editorial staff submitted the paper to three reviewers. Two of the reviewers commented positively on the value of publishing the paper. The editorial staff quickly recognized the third reviewer’s comments as an unjust attempt to reject the paper. I revised the paper as recommended by the first two reviewers.
Dear Maria Emerson, Editorial Coordinator, Journal of Clinical Research and Reports. Thank you for publishing our case report: "Clinical Case of Effective Fetal Stem Cells Treatment in a Patient with Autism Spectrum Disorder" within the "Journal of Clinical Research and Reports" being submitted by the team of EmCell doctors from Kyiv, Ukraine. We much appreciate a professional and transparent peer-review process from Auctores. All research Doctors are so grateful to your Editorial Office and Auctores Publishing support! I amiably wish our article publication maintained a top quality of your International Scientific Journal. My best wishes for a prosperity of the Journal of Clinical Research and Reports. Hope our scientific relationship and cooperation will remain long lasting. Thank you very much indeed. Kind regards, Dr. Andriy Sinelnyk Cell Therapy Center EmCell
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. It was truly a rewarding experience to work with the journal “Clinical Cardiology and Cardiovascular Interventions”. The peer review process was insightful and encouraging, helping us refine our work to a higher standard. The editorial office offered exceptional support with prompt and thoughtful communication. I highly value the journal’s role in promoting scientific advancement and am honored to be part of it. Best regards, Meng-Jou Lee, MD, Department of Anesthesiology, National Taiwan University Hospital.
Dear Editorial Team, Journal-Clinical Cardiology and Cardiovascular Interventions, “Publishing my article with Clinical Cardiology and Cardiovascular Interventions has been a highly positive experience. The peer-review process was rigorous yet supportive, offering valuable feedback that strengthened my work. The editorial team demonstrated exceptional professionalism, prompt communication, and a genuine commitment to maintaining the highest scientific standards. I am very pleased with the publication quality and proud to be associated with such a reputable journal.” Warm regards, Dr. Mahmoud Kamal Moustafa Ahmed
Dear Maria Emerson, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews’, I appreciate the opportunity to publish my article with your journal. The editorial office provided clear communication during the submission and review process, and I found the overall experience professional and constructive. Best regards, Elena Salvatore.
Dear Mayra Duenas, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews Herewith I confirm an optimal peer review process and a great support of the editorial office of the present journal
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. I am really grateful for the peers review; their feedback gave me the opportunity to reflect on the message and impact of my work and to ameliorate the article. The editors did a great job in addition by encouraging me to continue with the process of publishing.
Dear Cecilia Lilly, Editorial Coordinator, Endocrinology and Disorders, Thank you so much for your quick response regarding reviewing and all process till publishing our manuscript entitled: Prevalence of Pre-Diabetes and its Associated Risk Factors Among Nile College Students, Sudan. Best regards, Dr Mamoun Magzoub.
International Journal of Clinical Case Reports and Reviews is a high quality journal that has a clear and concise submission process. The peer review process was comprehensive and constructive. Support from the editorial office was excellent, since the administrative staff were responsive. The journal provides a fast and timely publication timeline.
Dear Maria Emerson, Editorial Coordinator of International Journal of Clinical Case Reports and Reviews, What distinguishes International Journal of Clinical Case Report and Review is not only the scientific rigor of its publications, but the intellectual climate in which research is evaluated. The submission process is refreshingly free of unnecessary formal barriers and bureaucratic rituals that often complicate academic publishing without adding real value. The peer-review system is demanding yet constructive, guided by genuine scientific dialogue rather than hierarchical or authoritarian attitudes. Reviewers act as collaborators in improving the manuscript, not as gatekeepers imposing arbitrary standards. This journal offers a rare balance: high methodological standards combined with a respectful, transparent, and supportive editorial approach. In an era where publishing can feel more burdensome than research itself, this platform restores the original purpose of peer review — to refine ideas, not to obstruct them Prof. Perlat Kapisyzi, FCCP PULMONOLOGIST AND THORACIC IMAGING.
Dear Mayra Duenas, Editorial Coordinator of the journal IJCCR, I write here a little on my experience as an author submitting to the International Journal of Clinical Case Reports and Reviews (IJCCR). This was my first submission to IJCCR and my manuscript was inherently an outsider’s effort. It attempted to broadly identify and then make some sense of life’s under-appreciated mysteries. I initially had responded to a request for possible submissions. I then contacted IJCCR with a tentative topic for a manuscript. They quickly got back with an approval for the submission, but with a particular requirement that it be medically relevant. I then put together a manuscript and submitted it. After the usual back-and-forth over forms and formality, the manuscript was sent off for reviews. Within 2 weeks I got back 4 reviews which were both helpful and also surprising. Surprising in that the topic was somewhat foreign to medical literature. My subsequent updates in response to the reviewer comments went smoothly and in short order I had a series of proofs to evaluate. All in all, the whole publication process seemed outstanding. It was both helpful in terms of the paper’s content and also in terms of its efficient and friendly communications. Thank you all very much. Sincerely, Ted Christopher, Rochester, NY.
Dear Grace Pierce, Editorial Coordinator of the journal IJCCR, I had a very positive experience with Auctores - Journal throughout the publication process. The Editorial Team was highly responsive, professional, and supportive at every stage. I would like to extend my sincere thanks to the Editor: Grace Pierce, for her guidance and assistance. The peer-review process was smooth and constructive, helping improve the quality of my work. I would gladly recommend Auctores Journal to fellow researchers and authors. Dr. SABITA SINHA, Medical Oncologist, MD (Electro Homeopathy).
Dear Maria Emerson, Editorial Coordinator of - Journal of Clinical Research and Reports. ''I am pleased to provide this testimonial following the publication of our recent case report in this journal. The peer review process was rigorous, constructive, thorough, and conducted in a timely manner. The reviewers’ comments were thoughtful, detailed, and highly constructive, contributing substantially to the refinement, clarity, and scientific robustness of our manuscript. The process was conducted with professionalism and academic integrity throughout. The support provided by the editorial office was exemplary. Communication was consistently prompt, clear, and courteous at all stages of the submission and publication process. The editorial team demonstrated a high level of organization and responsiveness, ensuring that all queries were addressed efficiently and that the process remained transparent and well-coordinated. The overall quality of the journal is reflected in its strong editorial standards, commitment to scientific excellence, and dedication to publishing clinically meaningful research. It has been a privilege to publish our work in this journal, and we would welcome the opportunity to contribute further in the future.'' Best wishes from, Dr. Efstratios Trogkanis, Cardiologist.
Dear Reader: We have published several articles in the Auctores Publishing, LLC, journal, Clinical Medical Reviews and Reports in recent years (CMRR). This is an ‘open access’ journal and the following are our observations. From the initial invitation to submit an article, to the final edits of galley proofs, we have found CMRR personnel to be professional, responsive, rapid and thorough. This entire process begins with Catherine Mitchell, Editorial Coordinator. She is simply outstanding, and, I believe, unparalleled in her capacity. I cannot imagine a more responsive and dedicated Editorial Coordinator. As I read the dates and timing of her correspondence with us, it seems that she never sleeps. I hope Auctores Publishing, LLC, appreciates her efforts as much as these authors do. Thank you to Auctores Publishing, LLC, to the Editorial Staff/Board, and to Catherine Mitchell from a grateful author(s).
