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Clinical Medicine: Circulatory, Respiratory and Pulmonary Medicine

Synopsis: An open access, peer reviewed electronic journal that covers circulatory, respiratory and pulmonary medicine.


Indexing: 5 major databases. Pubmed indexing for NIH-funded research.

Processing time: Decision in 2 weeks for 90% of papers.

Visibility: Most popular article read 900+ times.

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About this journal

ISSN: 1178-1157


Aims and scope:

Clinical Medicine: Circulatory, Respiratory and Pulmonary Medicine is an international, open access, peer reviewed journal which considers manuscripts on all aspects of circulatory, respiratory or pulmonary medicine. The journal welcomes articles on all aspects of the prevention, diagnosis and management of all associated disorders in addition to related genetic, pathophysiological and epidemiological topics.

The following topics are of specific, but not exhaustive, interest:

  • Lung diseases, including asthma, chronic obstructive pulmonary disease, cystic fibrosis, infectious diseases, interstitial lung diseases and lung tumors
  • Genetics
  • Lung development
  • Occupational and environmental factors
  • Pulmonary circulation
  • Pulmonary pharmacology and therapeutics
  • Respiratory critical care
  • Respiratory immunology
  • Respiratory physiology
  • Sleep
  • Circulation

Editorial standards and procedures:

Submissions, excluding editorials, letters to the editor and dedications, will be peer reviewed by two reviewers.  Reviewers are required to provide fair, balanced and constructive reports.  

Under our Fairness in Peer Review Policy authors may appeal against reviewers' recommendations which are ill-founded, unobjective or unfair.  Appeals are considered by the Editor in Chief or Associate Editor.

Papers are not sent to peer reviewers following submission of a revised manuscript. Editorial decisions on re-submitted papers are based on the author's response to the initial peer review report.

Indexing:

This journal is indexed by the following services:

  • Google Scholar
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  • DOAJ
  • SCOPUS
  • Embase

SPARC Europe Seal award winner:

This journal has been awarded a SPARC Europe Seal. The Seal is an initiative of SPARC Europe (Scholarly Publishing and Academic Resources Coalition) and the Directory of Open Access Journals (DOAJ) which is awarded to journals applying a Creative Commons CC-BY copyright license and that make journal metadata accessible to DOAJ.  

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National Institutes of Health Public Access Policy compliant:

As of April 7 2008, the US NIH Public Access Policy requires that all peer reviewed articles resulting from research carried out with NIH funding be deposited in the Pubmed Central archive.

If you are an NIH employee or grantee Libertas Academica will ensure that you comply with the policy by depositing your paper at Pubmed Central on your behalf. 



Editor in Chief's call for papers
 
 
 


Evaluation and Management of Syncope

Authors: Paveljit S. Bindra, Francis E. Marchlinski and David Lin
Publication Date: 17 Jun 2008
Clinical Medicine: Circulatory, Respiratory and Pulmonary Medicine 2008:2 85-97

Paveljit S. Bindra, Francis E. Marchlinski and David Lin

Electrophysiology Section, Division of Cardiology (Drs. Bindra, Marchlinski and Lin); University of Pennsylvania Health System.

Abstract

Context: Syncope is a commonly encountered by primary care physicians and cardiologists. Etiology is frequently not apparent, and patients may undergo unnecessary tests. Treatment must be tailored to the likely etiology. Complexities of diagnosis and treatment often warrant referral to a specialist.

Objective: To highlight the evolving recommendations for managing syncope in a clinically and cost effective manner.

Evidence Acquisition: An electronic literature search was undertaken of the Medline database from January 1996 to April 2006, using the Medical Subject Heading syncope, defibrillators, pacemakers, echocardiogram, cardiomyopathy, long QT syndrome, Arrhythmogenic right ventricular dysplasia, and Brugada syndrome. Abstracts and titles were reviewed to identify English-language trials. Bibliographies from the references as well as scientific statements from the Heart Rhythm Society, American Heart Association, and American College of Cardiology were reviewed.

Evidence Synthesis: A methodical approach to syncope can improve diagnosis, limit testing, and identify patients at risk of fatal outcome. A thorough history, physical exam and electrocardiogram are critical to the initial diagnosis. Presence of heart disease determines the extent of work-up and treatment. A trans-thoracic echocardiogram should be performed in patients with an unclear diagnosis and a positive cardiac history or an abnormal ECG. Ventricular arrhythmias are the most common cause of syncope in patients with structural heart disease. Patients with an ejection fraction less than 30 percent should receive an implantable defibrillator with few exceptions. An electrophysiology study may assist risk stratification in syncopal patients with borderline ventricular function. In patients without structural heart disease, the presence of a well defined arrhythmia syndrome consistent with a genetically determined risk of sudden death must be sought. The 12-lead electrocardiogram, family history and clinical presentation will identify most high-risk patients. Patients without structural heart disease can often be managed conservatively with well defined strategies for preventing neurocardiogenic syncope.

Conclusions: Managing syncope requires a methodical approach. An understanding of the limitations of the diagnostic tools and treatments is important. Lethal causes of syncope make it imperative to recognize the appropriate timing of refer- ring patients to specialists.



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