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Year : 2017  |  Volume : 5  |  Issue : 2  |  Page : 53-54

Preface to second issue of Heart India 2017

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

Date of Web Publication20-Jun-2017

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.208563

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How to cite this article:
Singh AK. Preface to second issue of Heart India 2017. Heart India 2017;5:53-4

How to cite this URL:
Singh AK. Preface to second issue of Heart India 2017. Heart India [serial online] 2017 [cited 2018 Jun 22];5:53-4. Available from: http://www.heartindia.net/text.asp?2017/5/2/53/208563

In this issue of “Heart India,” we are publishing one review article, two original research articles, and ten case reports. Enhanced external counterpulsation (EECP) is a technique that can be used to improve symptoms in chronic stable angina. However, the role of EECP has also been investigated following positive outcomes in patients with both angina and heart failure in multicenter studies. We performed a systematic review of the evidence of the clinical effectiveness of EECP. EECP has been approved by the United States Food and Drug Administration for the management of refractory angina (Class IIb). In 1953, Kantrowitz demonstrated that coronary blood flow can be increased 20%–40% by increasing diastolic blood pressure.[1] A First review article by Sanjay Kumar et al. have reviewed the EECP in comprehensive yet in a concise manner. A first original research article by Hasan et al. have studied time to exacerbation of heart failure is longer in Malaysian population on dipeptidyl peptidase-4 inhibitor. Three hundred and twenty-three patients with diabetes were screened and 307 fulfilled the inclusion criteria. Fifty-four were on linagliptin, 115 were on vildagliptin, and 154 were on saxagliptin. Majority of patients (87.6%) had uncontrolled diabetes at baseline (glycated hemoglobin, %) (8.9 ± 2.07). Authors of this study have concluded that higher cardiovascular (CV) events were seen in diabetic patients with known coronary artery disease treated with DPP4i between 20 and 30 weeks of therapy and occurred earlier in patients with chronic kidney disease.

In second original research article by Sanjay et al. have analyzed the use of HeartMate II left ventricular assist device (LVAD) implantation in ischemic cardiomyopathy versus nonischemic cardiomyopathy (NICM). One-year mortality was 39% for ICM and 19% for NICM (P = 0.14). On multivariate analysis, ICM emerged as an independent predictor of mortality (odds ratio: 3.19). Variables such as serum creatinine, inotropic or vasopressor requirement, intra-aortic balloon pump use, or complex operations involving aortic or tricuspid valves at the time of LVAD placement did not impact mortality.

In first case report, Sulaiman et al. reported a case of hyperacute bilateral parotitis, where the patient developed bilateral parotid swelling within minutes, following administration of low-osmolar iodinated contrast agent. The condition often called “iodide mumps” usually has a late onset ranging from hours to days. Recognition of early onset of the condition is important to avoid unnecessary investigations as the condition usually follows a benign course. In second case report, Chhabra et al. reported a case of a young male with familial human embryonic stem presenting as acute coronary syndrome (ACS) and discussed diagnostic and therapeutic clinical management. In third case report, Zainal et al. reported an interesting case of an elderly male who presented with typical angina symptom and a positive exercise stress test. Coronary angiogram failed to identify arterial course due to the presence of extensive collaterals. Images from cardiac computed tomography angiography provided the correct diagnosis and guided treatment. He was treated with medical therapy and remained asymptomatic on follow-up. Spontaneous coronary artery dissection (SCAD) is a rare condition and uncommon cause of ACS which is associated with high acute phase mortality with an estimated prevalence of approximately 0.7%. SCAD is known to occur more commonly in young women during pregnancy or postpartum period, and in most cases, it involves a single coronary artery. It has also been reported in patients with atherosclerosis. SCAD is generally treated by percutaneous intervention and stenting. In fourth case report, Varghese et al. have discussed the practical issues with the percutaneous treatment of SCAD in the cardiac catheterization laboratory. In fifth case report, Majumder et al. have reported an extremely rare association of single coronary artery with Takayasu's arteritis. Unilateral absence of a pulmonary artery (UAPA) is a rare defect. It may be associated with other congenital CV malformations which present at an early age. Isolated UAPA (IUAPA), i.e., without any other CV malformations, usually is asymptomatic and presents in adulthood. In infancy, IUAPA may be suspected by the presence of recurrent respiratory infections and pulmonary hypertension. In sixth case report, Patil et al. reported a child with IUAPA who presented with intermittent cyanosis which is unusual. Left atrial appendage aneurysm (LAAA) without the involvement of mitral valve is a rare anomaly caused due to dysplasia of atrial muscles. Patients may be asymptomatic or may present with palpitations, dyspnea, atypical chest pain, or thromboembolic complications. Treatment usually consists of surgical resection of the aneurysm, and prognosis postsurgery is very good. In seventh case report of this issue, Goyal et al. reported a case of a 4-year-old child who presented with palpitations and found to be having LAAA. In eighth case report, Sulaiman et al. reported a case of acquired multiple coronary microfistulas between left anterior descending coronary artery and left ventricle following myocardial infarction, revealed after coronary angioplasty. In ninth case report, Ramachandran et al. reported a case of Takotsubo cardiomyopathy in a 51-year-old female who was admitted with subarachnoid hemorrhage secondary to aneurysmal rupture of the anterior communicating artery. Complete heart block is a medical emergency managed by insertion of cardiac pacemakers. Most common reversible causes of atrioventricular (AV block) are drug induced and metabolic and endocrine causes. The metabolic causes of AV blocks are hyperkalemia and hypermagnesemia. Hyponatremia is the most common electrolyte disturbance seen in intensive care patients, but it causing cardiac conduction defects is very rare. In tenth case report, Badrinath et al. reported a case of 60-year-old female with third-degree (complete) AV block caused by hyponatremia who reverted to sinus rhythm after correction of hyponatremia.

  References Top

Kantrowitz A. Experimental augmentation of coronary flow by retardation of the arterial pressure pulse. Surgery 1953;34:678-87.  Back to cited text no. 1


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