Integrated Management of Cardiovascular Disorders: Pathological Basis, Surgical Advances, and Medical Therapies

Authors

  • Marvelous Popoola Calvary Adelaide Hospital, Adelaide, Australia.
  • Zarina Naz National University of Medical Sciences, Rawalpindi, Pakistan.
  • Hamza Basheer Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
  • Bushra Nawaz Islamic International Medical College, Rawalpindi, Pakistan.
  • Muhammad Hamza Goraya Abwa Medical College, Faisalabad, Pakistan.
  • Irtaza Tahir Azra Naheed Medical College, Lahore, Pakistan.
  • Nida Zaid Khan Al Kawthar University College of Nursing Karachi Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v3i10.2441

Keywords:

Cardiovascular Disorders, Integrated Management, Pathophysiology, Surgical Advances, Minimally Invasive Interventions.

Abstract

This study investigates the integrated management of cardiovascular disorders by examining the pathological basis, surgical advancements, and medical therapies among patients in Punjab, Pakistan. A quantitative, cross-sectional design was employed, involving 400 cardiovascular patients selected through stratified random sampling. Data were collected via structured questionnaires and hospital records, then analyzed using SPSS version 26 through descriptive statistics, correlation, and regression models. The analysis revealed that elevated cholesterol, LDL, BMI, and C-reactive protein (CRP) levels significantly contributed to disease severity (R² = 0.47, p < 0.001), highlighting the dominant role of inflammatory and lipid-driven mechanisms in cardiovascular pathology. Furthermore, patients undergoing minimally invasive and hybrid interventions such as PCI and TAVI demonstrated markedly shorter recovery times and improved outcomes compared to traditional open-heart surgeries (F = 45.72, p < 0.001). These findings underscore the necessity of integrating surgical precision with medical therapy to enhance patient recovery and reduce hospital burden. The study concludes that an evidence-based, multidisciplinary framework combining pathology, surgery, and pharmacology is essential for improving cardiovascular outcomes in developing healthcare contexts such as Punjab

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References

1. Billroth, T. D. (2022). General surgical pathology and therapeutics. BoD–Books on Demand.

https://doi.org/10.1097/00000441-187107000-00030

2. Folpe, A., & Nielsen, G. P. (Eds.). (2022). Bone and Soft Tissue Pathology E-Book: A Volume in the Foundations in Diagnostic Pathology Series. Elsevier Health Sciences.

3. Leon-Ferre, R. A., & Goetz, M. P. (2023). Advances in systemic therapies for triple negative breast cancer. Bmj, 381.

https://doi.org/10.1136/bmj-2022-071674

4. Ogasawara, C., Philbrick, B. D., & Adamson, D. C. (2021). Meningioma: a review of epidemiology, pathology, diagnosis, treatment, and future directions. Biomedicines, 9(3), 319.

https://doi.org/10.3390/biomedicines9030319

5. Baxi, V., Edwards, R., Montalto, M., & Saha, S. (2022). Digital pathology and artificial intelligence in translational medicine and clinical practice. Modern Pathology, 35(1), 23-32.

https://doi.org/10.1038/s41379-021-00919-2

6. Compérat, E., Amin, M. B., Cathomas, R., Choudhury, A., De Santis, M., Kamat, A., ... & Witjes, J. A. (2022). Current best practice for bladder cancer: a narrative review of diagnostics and treatments. The Lancet, 400(10364), 1712-1721.

https://doi.org/10.1016/s0140-6736(22)01188-6

7. Joshi, S. S., & Badgwell, B. D. (2021). Current treatment and recent progress in gastric cancer. CA: a cancer journal for clinicians, 71(3), 264-279.

https://doi.org/10.3322/caac.21657

8. Hoffman, R., Benz, E. J., Silberstein, L. E., Heslop, H., Weitz, J., & Salama, M. E. (Eds.). (2022). Hematology E-book: basic principles and practice. Elsevier Health Sciences.

9. Kong, X., Gao, P., Wang, J., Fang, Y., & Hwang, K. C. (2023). Advances of medical nanorobots for future cancer treatments. Journal of Hematology & Oncology, 16(1), 74.

https://doi.org/10.1186/s13045-023-01463-z

10. Hoda, S. A., Rosen, P. P., Brogi, E., & Koerner, F. C. (2020). Rosen's breast pathology. Lippincott Williams & Wilkins.

https://doi.org/10.1097/00004347-199910000-00021

11. Bland, K. I., Copeland, E. M., Klimberg, V. S., & Gradishar, W. J. (2023). The breast-E-Book: Comprehensive management of benign and malignant diseases. Elsevier Health Sciences.

12. Bendtsen, L., Zakrzewska, J. M., Heinskou, T. B., Hodaie, M., Leal, P. R. L., Nurmikko, T., ... & Maarbjerg, S. (2020). Advances in diagnosis, classification, pathophysiology, and management of trigeminal neuralgia. The Lancet Neurology, 19(9), 784-796.

https://doi.org/10.1016/s1474-4422(20)30233-7

13. Barber, S. M., Sadrameli, S. S., Lee, J. J., Fridley, J. S., Teh, B. S., Oyelese, A. A., ... & Gokaslan, Z. L. (2021). Chordoma—current understanding and modern treatment paradigms. Journal of clinical medicine, 10(5), 1054.

14. Curti, B. D., & Faries, M. B. (2021). Recent advances in the treatment of melanoma. New England Journal of Medicine, 384(23), 2229-2240.

https://doi.org/10.1056/nejmra2034861

15. Ogawa, R. (2022). The most current algorithms for the treatment and prevention of hypertrophic scars and keloids: a 2020 update of the algorithms published 10 years ago. Plastic and reconstructive surgery, 149(1), 79e-94e.

https://doi.org/10.1097/prs.0000000000008667

16. Petagna, L., Antonelli, A., Ganini, C., Bellato, V., Campanelli, M., Divizia, A., ... & Sica, G. S. (2020). Pathophysiology of Crohn’s disease inflammation and recurrence. Biology direct, 15(1), 23.

https://doi.org/10.1186/s13062-020-00280-5

17. Nabhan, F., Dedhia, P. H., & Ringel, M. D. (2021). Thyroid cancer, recent advances in diagnosis and therapy. International journal of cancer, 149(5), 984-992.

18. Brown, Z. J., Tsilimigras, D. I., Ruff, S. M., Mohseni, A., Kamel, I. R., Cloyd, J. M., & Pawlik, T. M. (2023). Management of hepatocellular carcinoma: a review. JAMA surgery, 158(4), 410-420.

https://doi.org/10.1001/jamasurg.2022.7989

19. Odell, E. W. (2024). Cawson's Essentials of Oral Pathology and Oral Medicine-E-Book: Cawson's Essentials of Oral Pathology and Oral Medicine-E-Book. Elsevier Health Sciences.

20. Barone, N., Safran, T., Vorstenbosch, J., Davison, P. G., Cugno, S., & Murphy, A. M. (2021, August). Current advances in hypertrophic scar and keloid management. In Seminars in plastic surgery (Vol. 35, No. 03, pp. 145-152). Thieme Medical Publishers, Inc.

https://doi.org/10.1055/s-0041-1731461

21. Balaji, S. M., & Balaji, P. P. (2023). Textbook of Oral and Maxillofacial Surgery-E-Book: Textbook of Oral and Maxillofacial Surgery-E-Book. Elsevier Health Sciences.

22. Frech, F. S., Hernandez, L., Urbonas, R., Zaken, G. A., Dreyfuss, I., & Nouri, K. (2023). Hypertrophic scars and keloids: advances in treatment and review of established therapies. American journal of clinical dermatology, 24(2), 225-245.

https://doi.org/10.1007/s40257-022-00744-6

23. Dominguez-Oliva, A., Hernández-Ávalos, I., Martinez-Burnes, J., Olmos-Hernandez, A., Verduzco-Mendoza, A., & Mota-Rojas, D. (2023). The importance of animal models in biomedical research: current insights and applications. Animals, 13(7), 1223.

https://doi.org/10.3390/ani13071223

24. Sakai, T., & Morimoto, Y. (2022). The history of infectious diseases and medicine. Pathogens, 11(10), 1147.

https://doi.org/10.3390/pathogens11101147

25. Adejuyigbe, B., Kallini, J., Chiou, D., & Kallini, J. R. (2023). Osteoporosis: molecular pathology, diagnostics, and therapeutics. International journal of molecular sciences, 24(19), 14583.

26. Maggio, I., Franceschi, E., Tosoni, A., Nunno, V. D., Gatto, L., Lodi, R., & Brandes, A. A. (2021). Meningioma: not always a benign tumor. A review of advances in the treatment of meningiomas. CNS oncology, 10(2), CNS72.

https://doi.org/10.2217/cns-2021-0003

27. Watanabe, M., Otake, R., Kozuki, R., Toihata, T., Takahashi, K., Okamura, A., & Imamura, Y. (2020). Recent progress in multidisciplinary treatment for patients with esophageal cancer. Surgery today, 50(1), 12-20.

28. Grotta, J. C., Albers, G. W., Broderick, J. P., Kasner, S. E., Lo, E. H., Sacco, R. L., ... & Day, A. L. (Eds.). (2021). Stroke e-book: Pathophysiology, diagnosis, and management. Elsevier Health Sciences.

29. Jankovic, J., & Tan, E. K. (2020). Parkinson’s disease: etiopathogenesis and treatment. Journal of Neurology, Neurosurgery & Psychiatry, 91(8), 795-808.

30. Markham, M. J., Wachter, K., Agarwal, N., Bertagnolli, M. M., Chang, S. M., Dale, W., ... & Westin, S. N. (2020). Clinical cancer advances 2020: annual report on progress against cancer from the American Society of Clinical Oncology. Journal of Clinical Oncology, 38(10), 1081.

https://doi.org/10.1200/jco.19.03141

31. Hochstetler, A., Raskin, J., & Blazer-Yost, B. L. (2022). Hydrocephalus: historical analysis and considerations for treatment. European journal of medical research, 27(1), 168.

https://doi.org/10.1186/s40001-022-00798-6

32. Simpson, A. K., Lightsey IV, H. M., Xiong, G. X., Crawford, A. M., Minamide, A., & Schoenfeld, A. J. (2022). Spinal endoscopy: evidence, techniques, global trends, and future projections. The Spine Journal, 22(1), 64-74.

https://doi.org/10.1016/j.spinee.2021.07.004

33. Angerilli, V., Galuppini, F., Pagni, F., Fusco, N., Malapelle, U., & Fassan, M. (2021). The role of the pathologist in the next-generation era of tumor molecular characterization. Diagnostics, 11(2), 339.

https://doi.org/10.3390/diagnostics11020339

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Published

2025-10-20

How to Cite

Popoola, M., Naz, Z., Basheer, H., Nawaz, B., Goraya, M. H., Tahir, I., & Khan, N. Z. (2025). Integrated Management of Cardiovascular Disorders: Pathological Basis, Surgical Advances, and Medical Therapies. Indus Journal of Bioscience Research, 3(10), 79-85. https://doi.org/10.70749/ijbr.v3i10.2441