AUCTORES
Globalize your Research
Chat with us
Research Article | DOI: https://doi.org/10.31579/2641-0419/365
Cardiology Intensive Care Unit. Bellvitge University Hospital 2022, presented at the Congress of the Spanish Society of Cardiology, Mallorca 2022.
*Corresponding Author: Lucía Ferrer Bañolas, Cardiology Intensive Care Unit. Bellvitge University Hospital 2022, presented at the Congress of the Spanish Society of Cardiology, Mallorca 2022.
Citation: Lucía F. Bañolas, Lucía B. Folch, Marina S. Rojas, Roser S. Selva, et.al, (2024), Role of Nursing in the Early Detection and Prevention of Stent Thrombosis in Patients Undergoing Coronary Angioplasty, J Clinical Cardiology and Cardiovascular Interventions, 7(5); DOI: 10.31579/2641-0419/365
Copyright: © 2024, Lucía Ferrer Bañolas. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 12 April 2024 | Accepted: 08 May 2024 | Published: 30 May 2024
Keywords: dravet syndrome; epsilon waves; arrhythmogenic right ventricular dysplasia; sudden unexpected death in epilepsy; scn1a gene
Introduction: stent thrombosis is one of the serious complications after coronary angioplasty. It can present with chest pain and electrocardiographic changes or even sudden death and is characterized by angiographic or postmortem evidence of a newly formed thrombus in a previously stented segment and can occur from intraprocedurally to years after implantation. There are several risk factors, both related to the lesion and the procedure, as well as adherence to antiplatelet therapy and personal history.
The objective of this case is to present a care plan to detect and prevent stent thrombosis in patients undergoing coronary angioplasty.
Material and methods: an assessment is made through the model of the 14 needs of Virginia Henderson and the care plan is prepared with its respective diagnoses (NANDA), objectives (NOC) and interventions (NIC) with the indicators of results and activities. It will be evaluated using the Likert scale.
Results and conclusions: the following diagnoses stand out: decreased cardiac output, ineffective peripheral tissue perfusion and deficient knowledge. Nursing intervenes in the early detection of signs and symptoms that may point us towards stent thrombosis, observing any change immediately, and in its prevention, carrying out health education after angioplasty, highlighting the importance of antithrombotic treatment and in modifying modifiable risk factors.
Stent thrombosis is one of the serious complications after coronary angioplasty, along with intra-stent restenosis. [1]
It can present with chest pain and electrocardiographic changes, or even as sudden or asymptomatic death in the context of collateral vessels [2] and is characterized by angiographic or postmortem evidence of a newly formed thrombus in a segment with a previous stent and can take place from intra-procedure to years after implantation. [3.4]
Although it is not very frequent, its prevalence ranges from <1>
In relation to the role of nursing, the objective was to detect thrombosis early, knowing both the typical signs and symptoms of thrombosis and others that are not so frequent, given the high mortality, low prevalence and rapid clinical and hemodynamic deterioration in these cases. In addition, we wanted to emphasize the importance of nursing in health education for patients who have undergone coronary angioplasty so that they can follow correct adherence to antiplatelet therapy and correct modifiable risk factors. [9,10]
The objective of this case is to present a care plan to detect and prevent stent thrombosis in patients undergoing coronary angioplasty.
Description of the clinical case:
We present the case of a 67-year-old woman allergic to ciprofloxacin and with the following history: former smoker, type 2 diabetes, dyslipidemia, obesity, nephrectomy in 2003 and ischemic heart disease of debut in 2011 with lesions in the proximal anterior descending (PDA) 85%, middle right coronary artery (MDC 85%) and chronic total occlusion in posterolateral (PL CTO), for which percutaneous coronary intervention (PCI) had been performed (there are no reports of it since it was performed in another Later, in the same year, he underwent an internal to anterior descending mammary artery bypass (AMI-DA).
The patient is currently admitted for elective coronary catheterization due to progressive angina and dyspnea on exertion. He is being treated with acetylsalicylic acid, among other drugs.
A first elective catheterization was performed for progressive angina and dyspnea on exertion. Severe lesions were observed in the bisector (85%), so PCI was performed with drug-eluting stent implantation. During the procedure, 85 mg of intracoronary sodium heparin was administered and, at the end of PCI, 30 minutes after implantation, the patient presented with sudden dyspnea and a drop in atrial fibrillation (AF), rapidly progressing to cardiogenic shock. We started vasoactive drugs (noradrenaline and dobutamine) and returned to the ward where a coronary angiography confirmed that there was thrombosis of the previously placed stent. The thrombus is aspirated and simple PCI is performed. An OFDI (optical frequency domain imaging) was performed, which showed a well-placed and expanded stent, so the stent thrombosis was attributed to insufficient antiplatelet/anticoagulation. Intracoronary tirofiban and heparin sodium and 300 mg clopidogrel are loaded orally. In addition, an intra-aortic balloon is placed.
Nursing care. Care planning.
An assessment is carried out through Virginia Henderson's 14 needs model and the care plan is prepared with their respective diagnoses (NANDA), objectives (NOC) and interventions (NIC) with the indicators of results and activities.
Assessment of the 14 needs according to virginia henderson's model:
Nursing diagnoses according to NANDA - NIC - NOC taxonomy
| NANDA [00029] Decreased cardiac output R/C impaired preload, afterload or contractility of the heart, M/P cold and sweaty skin, shortness of breath/dyspnea, anxiety/agitation | |
NOC [00400] Heart Pump Effectiveness Indicators:
Re:1 Re:4 Ro:4
Re:1 Re:5 Ro:3
Re: 2 Re: 5 Ro: 5 | CIN [4254] Management of Cardiac Shock:
diuretics, as appropriate.
as applicable. CIN [4044] Cardiac Care: Acute:
duration).
|
| NANDA [00204] Ineffective peripheral tissue perfusion, R/C, alteration of skin characteristics, decreased peripheral pulses, M/P, absence of pulses, cold and clammy skin. | |
NOC [1101] Tissue Integrity: Skin and Mucous Membranes Indicators:
Re:1 Re:5 Ro:4
Re:1 Re:5 Ro:5
| CIN [3590] Skin Surveillance:
NIC [ 4064] Circulatory Care: Mechanical Assistive Device:
ensure proper operation. |
| NANDA [00126] Poor Knowledge R/C Misinterpretation of Information M/P Request for Frequent Information | |
NOC [1830] Knowledge: Managing Heart Disease Indicators:
Re:2 Re:4 Ro:3
Re:1 Re:5 Ro:5 | IAS [5606] Individual Teaching:
NIC [5602] Teaching: Disease Process:
|
| Legend: RI: initial result RE: expected result RO: result obtainedLikert scales to assess outcome indicators Scale a: 1- Severely compromised 2- Substantially compromised 3- Moderately compromised 4- Slightly compromised 5- Not compromised Scale b: 1- Severe deviation from the normal range. 2- Substantial deviation from the normal range. 3- Moderate deviation from the normal range. 4- Slight deviation from the normal range. 5- No deviation from normal range Scale i: 1- Extensive 2- Substantial 3- Moderate 4- Scarce 5- None | |
Table 1: Nursing diagnoses according to NANDA - NIC - NOC taxonomy
The main problems of collaboration (CP) are described below (Table 2):
| Table 2: Collaboration Issues |
| Ineffective peripheral tissue perfusion s/a balloon counterpulsation carrier |
CIN [2660] Management of Impaired Peripheral Sensitivity
[3590] Skin Surveillance
|
| Hemorrhage s/a balloon insertion |
|
| Infection with a urinary catheter carrier |
|
The patient was admitted to the Cardiac Intensive Care Unit (ICU) after the second PCI and with a balloon counterpulsation, which could be removed 24 hours after implantation. Subsequently, mobilization was initiated and the treatment was adjusted, being possible the discharge to the ward with telemetry one week after admission and the discharge home after 10 days. During admission, the patient presented with paroxysmal AF, so anticoagulation with apixaban was initiated.
The patient did not present other complications to highlight, applying the care plan without incidents, requiring more support from the nursing team during the first days: help in mobilization by being the carrier of a balloon counterpulsation and later, of a femoral compression. From the third day of admission, the patient was practically autonomous in carrying out activities of daily living, waiting to be discharged to the hospitalization ward and adjusting pharmacological treatment. The nursing staff carried out an exhaustive education, both to the patient and to the family, about healthy habits and risk factors that should be modified, and emphasis was placed on the new antiplatelet treatment that she had to continue taking and the importance of not abandoning it, as well as possible signs and symptoms that could warn of a new case of thrombosis and how to act in that case.
Once discharged, the pharmacological treatment was changed to clopidogrel and apixaban, always maintaining acetylsalicylic acid.
The role of nursing in this case consists of the early detection of signs and symptoms compatible with stent thrombosis and the rule out of other possible causes (hypoglycemia, acute pulmonary edema). One of the most important parts would be the constant and accurate assessment of vital signs, such as the monitoring of the patient, being able to observe any change immediately, early electrocardiogram, appearance of the patient and other possible signs of worsening of cardiac function. Also part of this work would be the review of the pharmacological treatment that the patient has received so far, giving greater importance to the antiplatelet treatments administered in the last few hours.
In these procedures it is important to assess and maintain a correct anticoagulation intraoperatively, as well as at the end it is necessary to verify among the medical and nursing staff that is administered to the patient the loading dose of antiplatelet agent, as well as in the following days of hospital admission the correct dose of double antiplatelet therapy must be maintained. Prior to hospital discharge, this new treatment should be used to ensure correct adherence by the patient, also informing family members, if necessary, of the possible symptoms they may present in order to try to avoid stent thrombosis or early detection.
During the case, we encountered several difficulties in relation to the objective described above. Firstly, and in relation to the early detection of thrombosis. Despite the high training of the nursing staff in cardiology and, specifically, in hemodynamics, at first the signs and symptoms presented by the patient led us to other possible diagnoses, such as acute pulmonary edema, having fallen into atrial fibrillation and that the patient did not present chest pain typical of thrombosis. but dyspnea and signs of poor peripheral perfusion.
Another difficulty, in this case in relation to the prevention of thrombosis, was that we found that during the first hours of the patient's admission, it was not possible to carry out an exhaustive health education since she could not provide the necessary attention to understand the importance of the treatment and the healthy habits she had to follow; so it had to be postponed for a few days, when the patient was already on the ward, carrying out the activities of daily living by herself.
The rate of thrombosis and restenosis has decreased over the years after the introduction of drug-eluting stents and the use of intracoronary imaging techniques, in addition to the prolonged use of dual antiplatelet therapy on some occasions(6). Despite this, and although the number of patients who present thrombosis after coronary angioplasty is very low, we know that the outcome can be fatal, so from the nursing point of view we must find effective methods to achieve the involvement of the patient and family members in the continuity of healthy habits and pharmacological treatment.
An effective method could be, from a post-procedure unit, in which patients who undergo an elective coronary angioplasty remain and where possible doubts are resolved, in addition to carrying out such education, through the delivery of an informative leaflet with the importance of the treatment and the care to be followed after the procedure.
The scant current scientific evidence that we find regarding health education for patients undergoing coronary angioplasty is based on literature reviews and from it we can draw several conclusions. [11-14] The education carried out can have beneficial effects on the immediate acquisition of knowledge but they are not sustained over time, so a continuous education, both from the cardiologist consultation and from nursing and primary care medicine, should have long-term effects. On many occasions time is limited and the stress factors that the patient presents at that time make it more difficult to assimilate the changes to follow. Therefore, one avenue to be developed in future research could be the relationship between greater knowledge of the disease and the importance of treatment follow-up by patients, related to the rate of hospital readmissions and complications derived from the same treatment.
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
