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EDITORIAL
Year : 2018  |  Volume : 6  |  Issue : 1  |  Page : 1-2

Preface to first issue of Heart India 2018


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

Date of Web Publication27-Apr-2018

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_15_18

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How to cite this article:
Singh AK. Preface to first issue of Heart India 2018. Heart India 2018;6:1-2

How to cite this URL:
Singh AK. Preface to first issue of Heart India 2018. Heart India [serial online] 2018 [cited 2018 Oct 16];6:1-2. Available from: http://www.heartindia.net/text.asp?2018/6/1/1/231342



In this issue of “Heart India,” we are publishing one editorial commentary, three original research articles, and four case reports. In the first editorial commentary, five landmark studies which have published in 2017 have been summarized. In my opinion, these studies will affect cardiology practice in significant ways in the coming year. Numerous studies have shown association between increase in the carotid intima-media thickness (IMT) and the incidental risk of coronary artery disease (CAD).[1] In the first original research article, Vishwakarma et al. have studied the correlation between carotid ultrasonography findings and SYNTAX score in South Asian patients with CAD. Patients with intermediate and high SYNTAX score had significantly higher mean IMT and plaques score as compared to patients with low SYNTAX score. Significant correlation between SYNTAX score and mean IMT and plaque score was reported. Primary percutaneous coronary intervention (P-PCI) is the treatment of choice for patients with ST-segment elevation myocardial infarction (STEMI). About 40%–60% of the patients undergoing percutaneous revascularization have multivessel disease (MVD), which is an adverse prognostic predictor of long-term outcome.[2] In the second original research article, authors have studied the clinical effectiveness of complete revascularization versus infarct-related artery-only percutaneous coronary revascularization for MVD STEMI. The authors of this study have reported that, in patients presenting for P-PCI with MVD, complete revascularization at index admission significantly lowered the rate of the primary composite endpoint at 24 months compared with treating IRA-only. Thalassemia is the most common genetic disorder worldwide. Regular transfusion therapy, while improving patient's quality of life, creates a state of iron overload. Once reticuloendothelial stores saturate, iron deposition increases in the parenchymal tissues such as endocrine glands, hepatocytes, and myocardium. Cardiac iron deposition produces arrhythmias, systolic and diastolic dysfunction, and congestive heart failure in the second or third life decade. Panda et al. in the third original research article concluded that patients with left ventricular dysfunction had a younger age of onset of disease, higher ferritin levels, lower blood pressure, and paradoxically higher body mass index as compared to patients with normal left ventricular dysfunction.

Congenital absence of the left circumflex (LCX) artery is a rare anomaly of the coronary circulation with a prevalence ranging from 0.6% to 1.3%. Kadiyala et al. reported a case of a 33-year-old male who presented with recent anterior wall myocardial infarction, in whom coronary angiography revealed absent LCX artery and stenosed left anterior descending artery. The LCX territory was being perfused by the superdominant right coronary artery (RCA). In the second case report, Muneer et al. report a case of a 65-year-old female patient who presented with quadriparesis and myalgia induced by statins and tried to correlate it with histopathological and electromyographic changes.

Shepherd's Crook (UPSL0PING) RCA is a special situation where RCA origin is not only superiorly oriented but also courses superiorly to some extent before making a U-turn. The presence of Shepherd's Crook RCA along with tortuosity in the coronary artery makes the angioplasty very much technically demanding. Here, in this case, I report a case of non-STEMI presented with 99% thrombus containing lesion in the tortuous and Shepherd's Crook RCA successfully managed with angioplasty. In the last case report, Shewale et al. report a case of coronary cameral fistula arising from the LCX artery draining into the coronary sinus which was apparently silent till the sixth decade of life.



 
  References Top

1.
Rohani M, Jogestrand T, Ekberg M, van der Linden J, Källner G, Jussila R, et al. Interrelation between the extent of atherosclerosis in the thoracic aorta, carotid intima-media thickness and the extent of coronary artery disease. Atherosclerosis 2005;179:311-6.  Back to cited text no. 1
    
2.
Toma M, Buller CE, Westerhout CM, Fu Y, O'Neill WW, Holmes DR Jr., et al. Non-culprit coronary artery percutaneous coronary intervention during acute ST-segment elevation myocardial infarction: Insights from the APEX-AMI trial. Eur Heart J 2010;31:1701-7.  Back to cited text no. 2
    




 

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