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Year : 2014  |  Volume : 2  |  Issue : 3  |  Page : 63-64

Preface to third issue of heart india 2014

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

Date of Web Publication5-Sep-2014

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

DOI: 10.4103/2321-449x.140227

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How to cite this article:
Singh AK. Preface to third issue of heart india 2014 . Heart India 2014;2:63-4

How to cite this URL:
Singh AK. Preface to third issue of heart india 2014 . Heart India [serial online] 2014 [cited 2020 Aug 12];2:63-4. Available from: http://www.heartindia.net/text.asp?2014/2/3/63/140227

The present issue of the Heart India includes three original research articles and four interesting case reports from across India.

In first orignal article authors have studied the Clinical Characteristics, Angiographic Profile and in Hospital Mortality in Acute Coronary Syndrome Patients in South Indian Population. A total of 1562 patients of ACS were analyzed for various risk factors, angiographic pattern and severity of coronary heart disease, complications and in hospital mortality at Sri Jayadeva Institute of Cardiovascular Research and Sciences, Bengaluru, Karnataka, India. Sharma et al., have concluded that left anterior descending was most commonly involved, left main (LM) coronary artery was least common with near similar frequency of right coronary artery and left circumfl ex involvement across the spectrum of ACS patients. STEMI was most common presentation. ACS occurred a decade earlier in comparison to Western population. Smoking was most prevalent risk factor. Diabetic patients had more of multivessel disease. Complications and in hospital mortality was higher in females and elderly population.

In second original research article Rao et al., have studied Risk Factors for Acute Myocardial Infarction in Coastal Region of India. Various studies have shown that people of Indian origin have an increased risk of ischemic heart disease (IHD) compared with most other ethnic groups. This increased risk has been attributed to multiple risk factors related to lifestyle. Authors have concluded in this study, the most important predictor of acute myocardial infarction (AMI) was high low-density lipoprotein, history of hypertension and of overt diabetes mellitus were also independent risk factors. Low high-density lipoprotein was found to have no significant association with AMI. Heavy drinkers were found to have a high-risk, while moderate drinkers were found to have protection.

Congenital heart disease (CHD) is one of the major causes of mortality and morbidity in the pediatric population of both the developing and developed countries. Variability in incidence and prevalence of CHD from various countries of Indian subcontinent and rest of the world could be because of genetic, cultural, and environmental factors. In third original article Wani et al., have studied the Prevalence and Spectrum of Congenital Heart Diseases in Children. A total of 877 patients out of 767,921, were found having CHDs measuring a prevalence of 1.12/1000. About 777 (88.5%) were the acyanotics, and 100 (11.5%) were cyanotic heart patients. Among the acyanotic heart diseases ventricular septal defect was the most frequent lesion seen in 241 (31.2%), followed by patent ductus arteriosus in 184 (24.3%) children. Among the cyanotic heart diseases tetralogy of Fallot was the most frequent cyanotic heart disease seen in 48 (48.0%) patients.

In first case report Banerjee et al., have reported an intereseting case of intracavitory cardiac metastasis secondary to adenocarcinoma of lung. Metastatic cardiac tumors are more common than the primary ones and they most commonly involve the pericardium or myocardium. Echocardiography and histopathological study clinched the diagnosis. Gross calcific change of the tricuspid valve (TV) is usually rheumatic and usually associated with the changes of aortic and mitral valve. Isolated rheumatic tricuspid valvular disease is a recognized but extremely rare entity. Calcification in dysplastic tricuspid valve is common but gross calcification is usually not present. Though dysfunction of bioprosthetic valve after implantation at tricuspid position is known but is quite uncommon. Rheumatic pathology of tricuspid valve and development of acquired dysfibrogenemia in the post operative period is unusual. Development of acquired dysfibrogenemia and the formation of pannus as early as 3 months suggest that his body has reacted strongly to valvular tissue and warrants documentation. Sharma et al., have reported this unusual presentation of isolated tricuspid valve disease in second case report.

In third case report Hegde et al., have reported an interesting case of giantc cell arteritis (GCA) causing annuloaortic ectasia.Giant cell arteritis (GCA) is a rare cause of ascending aortic aneurysm. A 50-year-old patient who was clinically diagnosed with annuloaortic ectasia,successfully treated by Bentall's operation. GCA should be suspected when older women presented with aortic aneurysm. Diagnosis of GCA should be confirmed histologically.

In fourth case report Lakhotia et al., have reported pericardial effusion in severe Iron deficiency anemia in two patients. With the correction of iron deficiency anemia, pericardial effusion disappeared in both patients. Transudative pericardial effusion occurs in a situation of heart failure, valvular heart disease, myocardial infarction, primary hypothyroidism, nephrotic syndrome, liver failure, malnutrition, and other states associated with chronic salt and water retention (e. g., pregnancy). Moderate pericardial effusion occurring with severe anemia has not been described in the literature.


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