AUCTORES
Globalize your Research
Research Article | DOI: https://doi.org/10.31579/2639-4162/145
1Graduate in Health Technology, Physical Therapy and Rehabilitation profile. Assistant Professor. Associate Researcher. Department of Postgraduate and Research, Faculties of Medical Sciences, Sancti Spiritus. E
2Dra. Medicine. Specialist in First Degree in Comprehensive General Medicine and in normal and pathological Physiology. Instructor Professor. Department of Basic Biomedical Sciences, Faculties of Medical Sciences, Sancti Spiritus.
3Dra. Medicine. Specialist in First Degree in Comprehensive General Medicine and in normal and pathological Physiology. Instructor Professor. Department of Basic Biomedical Sciences, Faculties of Medical Sciences, Sancti Spiritus.
4Dra. Medicine. Specialist in First Degree in Comprehensive General Medicine and in normal and pathological Physiology. Instructor Professor. Department of Basic Biomedical Sciences, Faculties of Medical Sciences, Sancti Spiritus.
5Dr. Veterinary medicine. MSc. Preventive Veterinary Medicine. Assistant Professor Departamento Medios Diagnósticos, Faculty of Medical Sciences, Sancti Spiritus.
*Corresponding Author: Adrian González Méndez, Universidad de Ciencias Médicas, Departamento de Postgrado e Investigaciones, Sancti Spiritus, Cuba.
Citation: Adrian G. Méndez, López Cruz AI, Sandra R. Hernández, Lorelys M. González, Díaz Rodríguez NE, et al, (2024), Physiological Variables in Cardiovascular Rehabilitation with Resistance Training in Patients with Ischemic Heart Disease, J. General Medicine and Clinical Practice, 7(4); DOI:10.31579/2639-4162/145
Copyright: © 2024, Adrian González Méndez. 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: 22 January 2024 | Accepted: 11 March 2024 | Published: 17 March 2024
Keywords: cardiovascular rehabilitation programs; ischemic heart disease; hyperinsulinism
Introduction: Resistance training recognized as an essential component in cardiac rehabilitation programs.
Objective: to evaluate the behavior of physiological variables after the application of resistance training complementary to aerobic training in patients diagnosed with ischemic heart disease. Method: A quasi-experimental before-after study without a control group was carried out with the objective of evaluating the behavior of the physiological variables after the application of cardiovascular rehabilitation with supervised resistance training complementary to aerobic training in patients diagnosed with ischemic heart disease at the Gym of Ergometry and Cardiovascular Rehabilitation of the Cardiology Service of the Provincial General Universitario "Camilo Cienfuegos" Hospital of Sancti Spiritus.
Results: The average age was 64 years and the male sex (84.62%). The main diagnosis was Acute Coronary Syndrome with ST elevation. Peak oxygen consumption increased to 22±1 ml/kg/min and METs to 8.5 (p=0.000). The blood pressure response was normal (maximum 210 mmHg) and the maximum heart rate reached was 122±54 beats per minute (p=0.00). The workload increased from 20.5±11 pounds to 38±18 pounds. No changes in physiological safety variables reported.
Conclusions: The functional capacity of the patient was significantly increase according to peak oxygen consumption and according to METs, as well as the basal heart rate and muscle strength enhanced without changes in the safety variables.
Cardiovascular rehabilitation programs (CRP) constitute a multifactorial system of action, a set of activities necessary to ensure patients with heart disease an optimal physical, mental and social condition, which allows them to occupy, by their own means, such a normal place. as possible in society. It should be noted that these programs are mainly indicated when ischemic heart disease is diagnosed. [1]
Cardiac rehabilitation procedures in people who have suffered an acute coronary infarction are closely related to the prognosis and subsequent risk of developing new infarctions (secondary prevention). The existence of associated risk factors, such as hyperlipidemia, hyperglycemia, arterial hypertension, obesity and hyperinsulinism, increase the chances of a poor prognosis and condition endothelial dysfunction; Therefore, to fulfill the main objective of improving the prognosis, it is necessary not only to reduce morbidity and mortality, but also to increase functional capacity and reform the risk factors for coronary heart disease, the psychological profile and quality of life.[1]
The precept of physical exercises, like any other therapy, must be based on a good knowledge of the benefits and risks, as well as on the particularity and individual characteristics of the patient; When this is the case, the benefits are maximum. [1]
Currently it has been shown that physical training programs reduce the mortality of patients with cardiovascular disease by around 12% for each metabolic unit (MET: unit of measurement of the metabolic rate; it is based on the amount of energy necessary for a person to remain seated and awake corresponds to 3.5-4 mL O2/kg/min=1.2 call/min) of increase in exercise capacity, so that patients with uncomplicated acute myocardial infarction are suitable for mobilization early, which could begin from the first day in the medical institution. [2]
Current medical practice seeks to prevent diseases and achieve this at the lowest possible cost. In this regard, regular physical activity can help achieve these goals, especially if it is considered a healthy lifestyle habit. The acute response to exercise produces an increase in O2 needs and sympathetic activity, which represents a potentially risky situation, so it is necessary to know the state of cardiovascular health and, failing that, the individualized behavior of the patient. want to do physical exercise. [3]
It should be noted that heart disease, in any of its four basic forms (coronary, valvular, myocardial or congenital), can alter the exchange of O2 and CO2 during physical activity. In fact, heart disease, throughout its evolution, causes a decrease in functional capacity, which can be used as an evaluation method; The loss of physical capacity is basically due to a decrease in cardiac output, which does not increase adequately during physical activity for various reasons. In the case of the patient with ischemic heart disease—in the clinical forms given by the World Health Organization (WHO), which include cardiac arrest, angina pectoris, acute myocardial infarction, heart failure and arrhythmias—the degree of involvement depends on systolic and diastolic function, as well as the anatomical and functional severity of the injuries. [3]
Cardiac rehabilitation programs (CRP) are multifactorial action systems, which were recommended by the WHO in the 60s of the last centuries, and have been defined as the “set of activities necessary to ensure cardiac patients a physical, mental and optimal social situation that allows them to occupy, by their own means, a place as normal as possible in society”; It is mainly indicated if there is ischemic heart disease, but it is applicable to all types of cardiovascular disease. [3]
Currently, the benefits in terms of cost-effectiveness of cardiac rehabilitation and secondary prevention (PR- Cuyp’s) programs have been identified, determining a significant improvement in quality of life, reduction in mortality and recurrence of hospitalizations, this secondary to the gains obtained in maximum oxygen consumption, which allows greater tolerance to effort. [4]
The objective of this work is to evaluate the behavior of physiological variables after the application of cardiovascular rehabilitation with resistance training to patients with a diagnosis of ischemic heart disease in the Ergometry and Cardiovascular Rehabilitation Gymnasium of the Cardiology Service of the Provincial General University Hospital. Camilo Cienfuegos” from Sancti Spíritus.
A quasi-experimental before-after study was carried out without a control group with the objective of evaluating the behavior of physiological variables after the application of cardiovascular rehabilitation with supervised resistance training complementary to aerobic training in patients with a diagnosis of ischemic heart disease in the Gym. of Ergometry and Cardiovascular Rehabilitation of the Cardiology Service of the “Camilo Cienfuegos” Provincial General University Hospital of Sancti Spíritus in the period from January 1 to December 31, 2018.
Study universe: consisting of the 87 patients who, during the study period, were admitted to the Ergometry and Cardiovascular Rehabilitation Gymnasium of the Cardiology Service of the “Camilo Cienfuegos” General University Hospital in the province of Sancti Spíritus with a diagnosis of ischemic heart disease on a rehabilitation. The inclusion period for the study was carried out between the months of January and June 2018. During that stage, all patients who attended the gym with a diagnosis of ischemic heart disease undergoing rehabilitation were analyzed. The sample consisted of 39 patients who met the following criteria:
Inclusion criteria:
• Patients of both sexes.
• Diagnosis of ischemic heart disease in any of its manifestations: acute coronary syndrome with ST-segment elevation (STEACS), acute coronary syndrome without ST-segment elevation (NSTEACS), chronic stable angina, ischemic heart disease after percutaneous coronary intervention (PCI) and surgery myocardial revascularization.
• Have an early evaluative ergometric study with a functional capacity (FC) equal to or greater than 4 MET, according to New York Heart Association (NYHA) criteria.
• Stable ischemic heart disease with optimal medical treatment.
• Willingness to participate in the study.
Exclusion criteria:
• Patients with unstable angina, significant ventricular arrhythmias, heart failure and blood pressure equal to or greater than 140/90 mmHg in the previous two weeks.
• Patients with myocardial ischemia and/or hypo or hypertensive response in the stress test.
• Present diseases of the osteomyoarticular or neurological systems that prevent physical training.
Discontinuation criteria:
• Suspended on two or more occasions from the rehabilitation program due to decompensation of his underlying illness.
• Voluntary abandonment.
• Poor adherence to treatment.
The data were processed automatically by the statistical software SPSS ( Statistical Package for Social Sciences ), version 17.0 for Windows. The results were presented using frequency distribution tables. Descriptive statistics were used to obtain the averages, standard deviations, minimum and maximum values and frequencies. The t test for related samples was applied to the quantitative variables, considering it statistically significant when p ≤ 0.01 and the 99% confidence intervals were calculated. Qualitative variables were expressed as percentages.
During the development of the research, the ethical and legal aspects were considered in obtaining the information and informed consent was obtained from the participants following the provisions of the 1976 Helsinki Declaration for medical research: respect for people (autonomy), beneficence, non-maleficence and justice.
During the 6 months of the inclusion period, a total of 87 patients were admitted to the Ergometry and Cardiovascular Rehabilitation Gymnasium of the Cardiology Service of the “Camilo Cienfuegos” General University Hospital in the province of Sancti Spíritus with a diagnosis of ischemic heart disease undergoing rehabilitation. Those who did not meet the inclusion criteria described above were excluded (n=23) and after the evaluation of the early evaluative ergometric test, 25 more patients were excluded from the study due to having functional capacity less than 4 MET, myocardial ischemia and hypertensive response. during the test. The remaining 39 joined the PRC. There were no losses during the study.
The distribution of patients in a resistance exercise program according to demographic and clinical variables. The average age was 64 ± 10 years with a minimum age of 37 years and maximum age of 78 years and predominance of the group from 50 to 59 years with 71.7%. Regarding sex, a predominance of males (84.62%) compared to females (15.38%) is observed. The main diagnosis for which patients attended the rehabilitation gym was Acute Coronary Syndrome, with ST segment elevation (48.72%) and without ST segment elevation (23.08%). Patients with a diagnosis of Chronic Stable Angina (12, 82%) and Myocardial Revascularization Surgery (15, 38%) had a lower representation (Table 1).
Table 1: Characterization of patients in a resistance exercise program according to demographic and clinical variables. Source: patient interview and medical examinationSTEACS: acute coronary syndrome without ST segment elevation.
NSTEACS: acute coronary syndrome with ST segment elevation.
CRM: Myocardial Revascularization Surgery.
When evaluating the behavior of the response variables before and after resistance training, it can be seen that the changes in functional capacity according to peak oxygen consumption and according to METs, as well as
in basal HR and muscle strength were statistically significant (p ≤ 0.01), while the modifications produced in the variables basal BP, peak BP and training HR were not (Table 2).
Table 2: Physiological response variables before and after resistance training.
Source: medical examinations of patients
VO 2 max: Maximum oxygen consumption. MET: metabolic equivalent
BP: Blood pressure SBP: Systolic blood pressure.
HR: Heart rate. SD: standard deviation,
Training HR: Training heart rate
Max : Maximum value. Min.: Minimum value
Before the application of PRC, functional capacity evaluated according to peak oxygen consumption was moderately to severely decreased (13±2 ml/kg/min) and later increased to 22±1 ml/kg/min (normal FC). Regarding functional capacity according to METs, this was limited in the first stress test, an average of 5±1 METs can be observed (less than 7 METs is considered high risk for cardiovascular events). In the second stress test, the modifications produced in this variable were highly significant (p=0.000), reaching 8.5±2 METs , for a mean difference of -2.5±0.7 (more than 7 METs are considered low risk for cardiovascular events). The modifications in muscle strength generally evaluated for all muscle groups before and after
ER were highly significant (p=0.00) with an increase in the magnitude of the workload for each muscle group and the subsequent increase in muscular strength and physical capacity of patients averaged from 20.5±11 pounds before rehabilitation to 38±18 pounds after.
The behavior of the physiological safety variables TAS, TAD and HR during resistance training is shown, it is evident that during lifting the load the response in systolic blood pressure was an average of 162 ± 8.80 mmHg , while for DBP the mean was 101±6.83 and for HR it was 113±5.70 (Table 3).
| Variables | Minimum | Maximum | Half | Standard deviation |
| Systolic blood pressure (mph) | 150 | 175 | 162 | 8.80 |
| Diastolic blood pressure (mmHg) | 95 | 110 | 101 | 6.83 |
| Frequency Cardiac (beats/minute) | 110 | 125 | 113 | 5.70 |
Table 3. Physiological safety variables during resistance training
Source: medical examinations of patients
In relation to age and sex, these results coincide with those of Domínguez et al., ( 5) where males predominated and maximum oxygen consumption improved from 15.6 ml/kg/min to 24.3 ml/kg/min. min. In Atef and Abdeen [6] a total of 30 patients were randomly distributed into 2 groups (15 patients/group). No significant differences in age (P = 0.77; P > 0.05), weight (P = 0.71; P > 0.05), height (P = 0.49; P > 0.05), BMI (P = 0.55; P > 0.05) and resting heart rate (P = 0.99; P > 0.05) between groups A and B.
Coinciding with the results of a similar study carried out by Arias et al., [7] functional capacity increased in the incremental stress test (1.76 METS; 95% CI 1.59 to 1.96 p < 0>
In Ortega et al., [8] the male sex was the most prevalent with 64 (87.7%) with an N = 73, and a mean age of 54.5 ± 8.7, a statistically significant decrease was observed. of systolic blood pressure (p= 0.041), but not diastolic blood pressure (p= 0.170). Statistically significant differences were obtained in all stress test parameters (p <0>
In Heyden [9] where a combined phase II cardiovascular rehabilitation exercise program was evaluated, VO2 improved by 7.34% with a magnitude of change of 1 ml/kg/min, p<0>
Główczyńska et al., [10] worked with 850 enrolled patients, 291 (34.2%) patients had MD, 425 patients were assigned to the hybrid comprehensive telerehabilitation (HCTR) group, the Cardiopulmonary Stress Test (CPET) was performed twice before and after the telerehabilitation program in 385 patients, 129 (33.5%) had diabetes mellitus (DM) (HCTR-DM group) and 256 patients (66.5%) did not have DM (group HCTR-no DM), 425 patients assigned to the usual care (UC) group CPET was done twice in 397 patients, 137 (34.5%) had DM (UC-DM group) and 260 patients (65.5%) did not had DM (CU- nod group ). At the time of randomization, the ventilator anaerobic threshold was higher in patients without DM compared to patients with DM either after HCTR (15.9 ± 5.7 vs. 13.6 ± 4.5 [ ml/kg/min], < 0 xss=removed>
Betancourt et al., [11] in their study, oxygen consumption showed an increase of 3.6 ml/kg/min during rehabilitation, finding statistically significant differences in the three measurement moments, but a greater increase was evident between weeks 1 and 6 (p = 0.00), when a change of 2.2 ml/kg/min was recorded. The measurement of initial and final systolic/diastolic blood pressure showed a decrease (p < 0>
Regular physical activity in patients with cardiovascular diseases reduces the risk of death. Physical exercises improve cardiorespiratory function in various situations, which is why it is important to use it as a form of prevention and treatment of ischemic heart disease.
Resistance training complementary to aerobic training in patients with ischemic heart disease undergoing cardiovascular rehabilitation significantly improved the patient's functional capacity according to peak oxygen consumption and according to METs, as well as basal heart rate and enhanced muscle strength without alterations in safety variables or appearance of cardiovascular complications during training. Cardiac rehabilitation programs are beneficial to achieve better control of cardiovascular risk factors, lifestyle changes and functional capacity.
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.
