Heart India

EDITORIAL
Year
: 2019  |  Volume : 7  |  Issue : 3  |  Page : 91--92

Preface to the third issue of Heart India 2019


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

Correspondence Address:
Dr. Alok Kumar Singh
Department of Cardiology, Opal Hospital, Varanasi, Uttar Pradesh
India




How to cite this article:
Singh AK. Preface to the third issue of Heart India 2019.Heart India 2019;7:91-92


How to cite this URL:
Singh AK. Preface to the third issue of Heart India 2019. Heart India [serial online] 2019 [cited 2019 Nov 17 ];7:91-92
Available from: http://www.heartindia.net/text.asp?2019/7/3/91/268172


Full Text



In this issue of “Heart India,” we are publishing six original research articles. Rheumatic heart disease is the most common cardiac disease during pregnancy in India, with mitral valve being most commonly affected.[1] It is an important cause of maternal mortality in India.[2] In the first original research article, Pradhan et al. have reported their experience of combined cesarean section and mitral valve replacement in severe symptomatic mitral valve disease with unfavorable valve anatomy for percutaneous interventions.

Inferior wall myocardial infarction (IWMI) accounts for 40%–50% of cases of acute myocardial infarction (MI). There is 19% incidence of high-degree atrioventricular (AV) block complicating acute IWMI. In the second original research article, Iragavarapu et al. have studied the biventricular dysfunction and angiographic correlates of IWMI with high-degree AV blocks.

The coronary angiography (CAG) is used as the standard for diagnosis of coronary artery disease. As electrocardiogram (ECG) is noninvasive, relatively cheap, readily available, and reliable diagnostic tool, it is used as an initial investigation in almost all cardiac diseases. In the third original research article, Dyna et al. have studied the correlation between the diagnostic accuracy of the ECG and CAG in localization of occluded artery in acute ST-elevation MI.

Inflammation and healing after vascular injury during the procedure and other factors may be theoretically associated with a risk of coronary artery aneurysm (CAA) formation after drug-eluting stent (DES) implantation. Very few studies have provided the epidemiological features and proposed causative factors of CAAs after DES implantation. In the fourth original research article, Vijay et al. have retrospectively studied the incidence, morphological features, and proposed causative factors of CAAs noted after DES implantation at a tertiary care cardiac center over a period of 3 years (2015–2018). Over 3 years (2015–2018), seven cases (incidence 0.52%) of CAAs were noted after DES implantation with 1340 coronary angioplasty and stenting procedures done during this period for any indication. Association of diabetes and high-pressure postdilation was seen in five (71.4%) cases. Male sex and left anterior descending artery predilection were noted, and all incriminated stents were durable polymer stents. Dissection during predilatation of the lesion was seen in two (28.5%) patients.

Transaxillary approach for the surgical management of thoracic outlet syndrome (TOS) has the advantage of minimal manipulation of brachial plexus and lesser perioperative and postoperative complications. In the fifth original research article, Kumar et al. have studied the clinical presentation and transaxillary surgical excision of the first rib in TOS at his center. As per the authors of this study, transaxillary resection of the cervical/ first rib has excellent results, with less morbidity. It is efficient in relieving symptoms and gives cosmetically acceptable scar. It is proposed that whenever any patient presents with acute upper limb ischemia, he/she must be evaluated for cervical rib as a cause of TOS.

Congenital heart disease (CHD) is the most common congenital abnormality and accounts for 28% of all congenital malformations.[3] It remains a significant cause of neonatal morbidity and mortality in the world. In the sixth original research article, Yadav et al. have studied the spectrum of antenatally diagnosed cardiac anomalies in a tertiary referral center of North India. A total of 782 fetal malformations were observed during the study period, of which 211/782 (26.9%) fetuses were found to have cardiac malformation. 165/211 (78.2%) were isolated CHD and 46/211 (21.8%) had associated anomalies. The most common defect was ventricular septal defect (37/211, 17.5%) followed by fetal arrhythmias (29/211, 13.7%), hypoplastic left heart syndrome (27/211, 12.8%), tetralogy of Fallot (21/211, 9.9%), AV septal defect (18/211, 8.5%), and double-outlet right ventricle (14/211, 6.6%). 96/211 (45.5%) couples opted for prenatal invasive testing, of which 14/96 (14.5%) fetuses were found to have abnormal genetic studies, most common being Down's syndrome.

References

1Bhatla N, Lal S, Behera G, Kriplani A, Mittal S, Agarwal N, et al. Cardiac disease in pregnancy. Int J Gynaecol Obstet 2003;82:153-9.
2Konar H. Medical disorders in pregnancy – Who should see the women? J Indian Med Assoc 2004;102:131.
3Ramegowda S, Ramachandra NB. An understanding the genetic basis of congenital heart disease. Indian J Hum Genet 2005;11:14-23.