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EDITORIAL
Year : 2013  |  Volume : 1  |  Issue : 3  |  Page : 65-66

Preface to third issue of heart India


Department of Cardiology, Heritage Hospital, Varanasi, Uttar Pradesh, India

Date of Web Publication7-Dec-2013

Correspondence Address:
Alok Kumar Singh
Editor in chief, Heart India, Department of Cardiology, Heritage Hospital, Varanasi - 221 005, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2321-449x.122777

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How to cite this article:
Singh AK. Preface to third issue of heart India. Heart India 2013;1:65-6

How to cite this URL:
Singh AK. Preface to third issue of heart India. Heart India [serial online] 2013 [cited 2020 Jul 7];1:65-6. Available from: http://www.heartindia.net/text.asp?2013/1/3/65/122777

I am delighted to present to you the third issue of Heart India. We would like to take this opportunity to extend our thanks to our valued readers, authors, and reviewers for their continuing interest in Heart India, and to every member of the Editorial Board Member for their dedication to this scientific endeavor.

Heart failure (HF) imposes huge morbidity and mortality on society. In recent times, HF with preserved ejection fraction has emerged as the predominant form of HF syndromes. Natriuretic peptides [B-type natriuretic peptide (BNP) and N-terminal (NT) pro-BNP] have now emerged as preferred biomarkers for diagnosis and guiding further therapy in HF. Ivabradine and eplerenone are now approved for HF patients who are symptomatic despite optimal therapy. Tolvaptan has been shown to improve hyponatremia associated with HF as well as improving dyspnea. Coronary bypass grafting has demonstrated a decrease in cardiovascular death and HF hospitalization in patients with HF. In first review article DR Pradhan have extensively covered the studies in last year which will have impact in the management of HF in coming years.

Coronary heart disease (CHD) though primarily considered being man's disease; it is also a leading cause of mortality and morbidity in middle-aged women throughout world. Coronary manifestations occur approximately 20 years later in women as compared with men and may have atypical presentations. The poor prognosis in women due CHD has been attributed to advanced age, concomitant medical illnesses, late presentation because of atypical presentations, ignorance of seriousness of the disease and delayed treatment. Sahni et al., in first original article studied the clinical and epidemiological profile of female myocardial infarction patients admitted in tertiary care centre.

People involved in taking care of chronically ill bedridden patients are likely to undergo a lot of physical and mental stress, thus affecting their autonomic status. The negative consequences of stress as a risk factor for cardiovascular disease and reduced human performances are well-studied. [1] Stress is known to change the balance existing between the sympathetic and parasympathetic divisions of the autonomic nervous system (ANS). Caregivers of chronically bedridden patients are likely to suffer from mental and physical exhaustion leading to stress. Heart rate variability (HRV) is a noninvasive study of variation over a period of time between consecutive heart beats and has been proved to be a reliable marker of ANS activity. HRV analysis is one of the best parameter available today for evaluation of stress. This is important in view of the prevailing socioeconomic as well as the healthcare system available in a developing country like India. HRV analysis using short term electrocardiogram recording was used to detect changes consequent to this stress. Pakkalla et al., in second original article have measured HRV among this special group of population who give care to long-term bedridden patients. It was found that almost all HRV parameters measuring heart rate complexity were decreased in the period of care giving.

In first case report, Prashanth has reported a rare case of large aortic root pseudoaneurysm occurring late after aortic root repair and valve replacement for endocarditis. Previous case review suggests that few preventive steps during initial management of destructive aortic valve (AV) endocarditis can decrease the incidence of this complication, specifically early diagnosis, early institution of antibiotics, and early high quality surgery.

M-mode technique involves aligning the M-mode cursor through the mitral valve leaflets, atrial, or ventricular walls and it permits visualization of the relationship between atrial and ventricular contractions. The role of M-mode echo in assessment of arrhythmia is limited in adults. But this technique is very useful in assessment of fetal cardiac arrhythmias. Semilunar and atrioventricular valve opening and closing points, ''a'' waves and ventricular wall motion can be used for timing purposes and helps in the determination of heart rate and rhythm. [2] Sajeer et al., in second case demonstrated the usefulness of M-mode echo in the diagnosis of complete heart block with atrial tachycardia.

Scrub typhus, caused by Orientia tsutsugamushi, is endemic in the so-called "tsutsugamushi triangle." There is a wide spectrum of presentation of the disease ranging from uncomplicated febrile illness to life-threatening sepsis with multiorgan dysfunction. Bharathi et al., are reporting a case of scrub typhus causing myocarditis and acute respiratory distress syndrome in an adult female with no previous comorbid illness who recovered fully with prompt treatment in spite of prolonged ventilator support, emphasizing the need for early diagnosis, and prompt treatment with antirickettsial antibiotics in a patient presenting with features of scrub typhus.

 
  References Top

1.Schubert C, Lambertz M, Nelesen RA, Bardwell W, Choi JB, Dimsdale JE. Effects of stress on heart rate complexity - a comparison between short term and chronic stress. Biol Psychol 2009;80:325-32.  Back to cited text no. 1
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2.Allan LD, Anderson RH, Sullivan ID, Campbell S, Holt DW, Tynan M. Evaluation of fetal arrhythmias by echocardiography. Br Heart J 1983;50:240-5.  Back to cited text no. 2
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