Heart India

EDITORIAL
Year
: 2017  |  Volume : 5  |  Issue : 3  |  Page : 109--110

Preface to third issue of Heart India 2017


Alok Kumar Singh 
 Department of Cardiology, Heritage Hospital, Varanasi, Uttar Pradesh, India

Correspondence Address:
Alok Kumar Singh
Department of Cardiology, Heritage Hospital, Varanasi - 221 005, Uttar Pradesh
India




How to cite this article:
Singh AK. Preface to third issue of Heart India 2017.Heart India 2017;5:109-110


How to cite this URL:
Singh AK. Preface to third issue of Heart India 2017. Heart India [serial online] 2017 [cited 2017 Dec 12 ];5:109-110
Available from: http://www.heartindia.net/text.asp?2017/5/3/109/214428


Full Text

In this issue of “Heart India,” we are publishing two original research articles and five case reports. Minimal access mitral valve surgery (mini-MVS) approaches are becoming increasingly common. They are thought to be associated with less perioperative bleeding and postoperative pain, resulting in shorter hospital length of stay and faster return to daily activities. However, there are concerns that this approach may have inferior surgical results in elderly patients with resultant increasing in morbidity and mortality when compared with conventional MVS. In the first original research article by Sanjay et al have concluded that mini-MVS is safe and feasible with excellent outcomes in the elderly. The world has observed a changing pattern in mortality as cardiovascular diseases (CVDs) have become a leading cause for mortality.[1] About two-third of CVDs are due to ischemic heart diseases, largely apportioning deaths of low- and middle-income countries of South Asia. In the second original research article, Kumar et al. have assessed a change for acute myocardial infarction (AMI) and its risk factors in a rural cohort of a northern state of India. Authors of this study have concluded that the recruited cohort observed a slow rise in the development of known risk factors for CVDs such as obesity, systolic hypertension, and blood sugar, but without overt manifestations of AMI warranting surveillance of risk factors for CVDs.

Percutaneous coronary intervention (PCI) of an anomalous right coronary artery (RCA) from the left sinus of Valsalva is technically challenging as the anomalous origin impedes coaxial arrangement of guiding catheter and there is a lack of adequate backup force for the guiding catheter. Desbandhu et al. reported a novel technique for PCI of an anomalous RCA in which they used a balloon to successfully track the guiding catheter and cannulate the RCA. Rupture sinus of Valsalva (RSOV) is a rare condition. The majority of RSOV drain into the right-sided chambers and rarely to the left. RSOV is an anatomical defect due to failure of fusion between heart and aortic media with an aneurysmal enlargement which ruptures due to elevated pressures at the aortic root, infective endocarditis, trauma, etc., Here, Rajan et al. reported the case of a 57-year-old male diagnosed to have RSOV incidentally.

In the third case report, Sulaiman et al. reported a case of intermittent complete heart block presenting as recurrent pulmonary edema.

Coronary artery fistulae (CAF) are abnormal connections between the coronary arteries and either the cardiac chambers (coronary cameral fistulae) or vascular structures close to the heart (coronary artery or arteriovenous fistulae). CAF are present in 0.002% of the general population and in nearly 0.25% of the patients undergoing cardiac catheterization. Patients usually remain asymptomatic, when symptomatic, they present with features suggestive of myocardial ischemia, myocardial infarction, congestive heart failure, or sudden death. In the fourth case report, Soman et al, reporting a case of CAF as acute coronary syndrome.

Double-orifice mitral valve (DOMV) is an uncommon anomaly characterized by a mitral valve with a single fibrous annulus with two orifices opening into the left ventricle. Subvalvular structures, especially the tensor apparatus, invariably show various degrees of abnormalities. DOMV may usually allow normal blood flow between the left atrium and left ventricle but can sometimes substantially obstruct mitral valve inflow or produce mitral valve regurgitation. Recognition of DOMV and awareness of the anatomic variations are important to achieve good therapeutic results. Treatment is only necessary if significant mitral stenosis or mitral regurgitation is present. In the fifth case report, Khan et al. presented a rare case of DOMV with ventricular septal defect which was detected by two-dimensional echocardiography.

References

1Hoevenaar-Blom MP, Nooyens AC, Kromhout D, Spijkerman AM, Beulens JW, van der Schouw YT, et al. Mediterranean style diet and 12-year incidence of cardiovascular diseases: The EPIC-NL cohort study. PLoS One 2012;7:e45458.