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EDITORIAL
Year : 2017  |  Volume : 5  |  Issue : 4  |  Page : 137-138

Preface to fourth issue of Heart India 2017


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

Date of Web Publication28-Dec-2017

Correspondence Address:
Alok Kumar Singh
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/heartindia.heartindia_39_17

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How to cite this article:
Singh AK. Preface to fourth issue of Heart India 2017. Heart India 2017;5:137-8

How to cite this URL:
Singh AK. Preface to fourth issue of Heart India 2017. Heart India [serial online] 2017 [cited 2018 Jan 21];5:137-8. Available from: http://www.heartindia.net/text.asp?2017/5/4/137/221869



In this issue of “Heart India,” we are publishing two editorial commentaries, two original research articles, and two case reports. Hypertension (HTN) is a public health menace contributing up to 45% of cardiovascular disease (CVD) deaths and 51% of stroke deaths.[1] Perhaps the most visible and radical change has been the reclassification of HTN. A new category of “Elevated BP” has been added, and previously defined stages of HTN have been changed. The previously used classification of “Pre-HTN” (systolic blood pressure [SBP], 12–139 mmHg/diastolic blood pressure [DBP], 80–89 mmHg) has been abolished. Henceforth, SBP >130 mmHg or DBP >80 mmHg would be categorized as HTN in the latest version of ACC/American Heart Association (AHA) guidelines of HTN. Pradhan et al. in editorial commentary in very comprehensive, yet in concise manner have elaborated the journey of HTN from the concept of essential HTN to the latest classification of B.P.

This year, 2017, marked a paradigm shift in pricing policy of coronary stents. In February, the National Pharmaceutical Pricing Authority of India dramatically cut the prices of coronary stents by up to 85%. In my opinion, in accordance with Gaurav in the second editorial commentary, this will help the poor patients of Indian subcontinent those were not able to afford stenting, but the government has to be proactive in promoting newer technology as well.

Meditation is a mind and body practice for increasing calmness and physical relaxation, improving psychological balance, coping with illness, and enhancing overall health and well-being. Many studies have already been carried out to see the effect of yoga, pranayama, meditation, and Sudarshan Kriya on physiological parameters, but till date, there is no single study which shows the cumulative effect of yoga, pranayama, and meditation along with Sudarshan Kriya on physiological parameters. The authors of this study have concluded that advanced meditation program has its positive effects on electrocardiogram (ECG), BP, and stress level. Thus, it can be considered as one of the important nonpharmacological methods for prevention of stress, anxiety, and CVD.

Plasma N-terminal pro-brain natriuretic peptide (NT pro-BNP) has been used as both diagnostic and prognostic tools, and it was hypothesized that it may prove useful in acute renal failure (ARF) without overt carditis. The study was undertaken to measure the plasma levels of NT pro-BNP in patients of ARF who did not have overt clinical carditis and to correlate the same with echocardiographic parameters of subclinical myocardial involvement. The mean plasma NT pro-BNP levels were significantly higher in patients with subclinical carditis (509.16 ± 282.9 pg/ml) compared to those without subclinical carditis (109.33 ± 82.95 pg/ml). In the third research article, Mehrotra et al. have concluded that elevated levels of NT pro-BNP may be used to diagnose subclinical myocardial involvement in patients of ARF without overt clinical carditis.

Whereas the latest European Heart Association and AHA guidelines do not recommend thrombolysis of de Winter, the majority publications on the subject are arriving from the western countries where the management is done with perccutaneous coronary intervention (PCI). In the first case report, Shergill et al. reported a case of acute coronary syndrome presenting with de Winter's pattern and successfully thrombolyzed with streptokinase.

Most common ECG findings of myocardial ischemia are ST segment deviations and T wave (ST-T) alterations. However, multiple other conditions can cause ST-T changes mimicking ischemia including ventricular hypertrophy, bundle branch block, electrolyte imbalance, drugs, and channelopathies. Uncommonly, incorrect placement of limb leads can also produce ST-T changes leading to diagnostic dilemma. In the last case report, Manghera et al. reported a case of erroneous limb-lead placement in a 45-year-old male mimicking ischemic ECG changes.



 
  References Top

1.
World Health Organization. Global Status Report on Noncommunicable Diseases 2010. Geneva: World Health Organization; 2011.  Back to cited text no. 1
    




 

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