|Year : 2020 | Volume
| Issue : 3 | Page : 119-120
Preface to the third issue of Heart India 2020
Alok Kumar Singh
Department of Cardiology, Opal Hospital, Varanasi, Uttar Pradesh, India
|Date of Submission||21-Nov-2020|
|Date of Acceptance||21-Nov-2020|
|Date of Web Publication||26-Nov-2020|
Dr. Alok Kumar Singh
Department of Cardiology, Opal Hospital, Varanasi, Uttar Pradesh
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Singh AK. Preface to the third issue of Heart India 2020. Heart India 2020;8:119-20
In this issue of “Heart India,” we are publishing one review article, three original research articles, and five case reports. Rheumatic heart disease causing damage to the cardiac valves is a common disease occurring in the third-world countries including India. In the first review article, Rajvanshi et al. have discussed the value of different scoring systems and echocardiography in the assessment of mitral valve before balloon mitral valvuloplasty. Diabetes mellitus is becoming a pandemic worldwide, including India. Glycosylated hemoglobin (HbA1c) is shown to be a predictor of cardiovascular mortality. In the first original research article, Khan et al. have studied the correlation of HbA1c with coronary flow velocity (CFV) and disease severity in chronic stable angina. Authors of this study have concluded that HbA1c has a significant association with CFV even in the subdiabetic range.
Coronavirus disease 2019 (COVID-19) is capable of human-to-human transmission and was first reported from China at the end of 2019. In the second original research article, Singh et al. have studied the impact of COVID-19 lockdown on catheterization laboratory in Indian perspective. Authors of this study have concluded that there was a fall of 83.9% in admissions of acute coronary syndrome and 62.76% in heart failure admissions during the lockdown period.
Coronary artery bypass grafting (CABG) persists as the standard revascularization strategy in patients with left main coronary artery (LMCA) disease. In the third original research article, Vishwakarma et al. have studied the short-term outcomes of LMCA disease treatment. Authors of this study have concluded that optimal medical therapy did not provide any 6-month survival benefits in patients with LMCA disease. However, CABG and percutaneous coronary intervention present as suitable treatment options for this subset of patients.
Adult patients with interruption of the aorta are an extremely rare occurrence. Interrupted aortic arch and associated cardiac disease are complex situation that requires correction either simultaneously or in stages. In the first case report, Srivastava et al. have reported a case of a 32-year-old male patient diagnosed with interrupted aortic arch Type A, which was managed with single-stage aortic valve replacement and extra-anatomical bypass.
Pulmonary atresia with intact ventricular septum is a rare cause of cyanosis in a new-born. The prognosis and treatment of the condition depend on the pulmonary anatomy as well as the state of the right ventricle. In the second case report, Deshbandhu et al. have reported a case of pulmonary atresia with intact septum, which was successfully managed by emergency pulmonary valvotomy, using coronary wires and balloons, as a life-saving procedure.
CytoSorb is a hemoadsorber made of polyvinylpyrrolidone-coated benzene polymer beads, which are highly porous and biocompatible.
The use of an extracorporeal cytokine hemoadsorber (CytoSorb, CytoSorbents Corporation) removes cytokines and other inflammatory mediators restoring the immune system. In the third case report, Prakash et al. have reported a case of acute septic shock that developed after CABG and was managed by CytoSorb hemoadsorber.
Acute high-risk pulmonary embolism (PE) is defined as PE with either cardiac arrest, obstructive shock, or persistent hypotension at presentation. The incidence of venous thromboembolism (VTE) is lower following spine surgery compared to joint arthroplasty surgeries. The use of anticoagulants after spine surgery for the prevention of VTE is associated with a definite risk of epidural hematoma, resulting in neurologic sequelae. In the fourth case report, Kumar et al. have reported a case of acute high-risk PE following spine surgery, which was successfully managed with pharmaco-mechanical intervention.
Coronary angiogram (CAG) is the gold standard for imaging during coronary interventions, but CAG has many limitations.
Optical coherence tomography (OCT) has the potential to overcome these limitations and optimize the coronary intervention in the form of detecting stent malapposition, suboptimal stent deployment, thrombus, tissue prolapse, and edge dissection. In the fifth case report, Chowdary et al. have highlighted the role of OCT in the management of coronary artery perforation.
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