|Year : 2021 | Volume
| Issue : 2 | Page : 93-94
Preface to the second issue of Heart India 2021
Alok Kumar Singh
Department of Cardiology, Opal Hospital, Varanasi, Uttar Pradesh, India
|Date of Submission||20-Aug-2021|
|Date of Acceptance||20-Aug-2021|
|Date of Web Publication||25-Aug-2021|
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 second issue of Heart India 2021. Heart India 2021;9:93-4
In this issue of “Heart India,” we are publishing seven original research articles and six case reports. Inferior wall myocardial infarction (IWMI) accounts for about 40%–50% of all acute myocardial infarctions. It has been estimated that 25%–52% of IWMI patients are complicated by RWMI. In the first original research article, Vankar et al. have done the invasive assessment of fluid therapy in hypotensive patients of post-IWMI complicated by right ventricular infarction. Authors of this study have concluded that early response to fluid therapy within 2 L of normal saline occurred independently of baseline hemodynamic parameters. In the second original research article, Sharma et al. have studied the clinical presentation, management, and in-hospital outcomes of acute coronary syndrome patients in the real-world scenario from the high-volume center from North India. Of all ACS patients, in this study, 39% were STEMI patients and 61% were USA/NSTEMI patients. Overall in-hospital mortality of acute coronary syndrome in this study was 11.5%, while in Kerala ACS registry, it was 8.2%.
Approximately half of the heart failure (HF) patients have HF with preserved ejection fraction (HFpEF) defined as left ventricular ejection fraction (LVEF) ≥50%. Compared to patients with HF and reduced EF, those with HFpEF are older, more likely to be women, and more commonly to have a history of hypertension and atrial fibrillation (AF), while a history of myocardial infarction is less common. In the third original research article, John et al. have studied the clinical, echocardiographic profile, and outcome of patients with HFpEF. As per this study, among hospitalized patients with new-onset HFpEF, the annual mortality rate is as high as 15.4%. Advanced age, hyponatremia, and high E/e' were found to be the independent predictors of mortality.
In the fourth original research article, Srivastava et al. have studied the impact of COVID-19 lockdown on postoperative follow-up of patients with valvular heart disease: An international normalized ratio monitoring in a tertiary health care center. The study comprised 60 patients with valve replacement surgery. 80% of patients faced difficulty in reaching the hospital during the lockdown; however, almost 86% of patients had telephonic conversation with the doctor. Almost 73% of patients did not have the testing facility in their locality. 34% of patients mentioned that they had history of prolonged fever, 14% presented with a history of fullness of abdomen, 10% presented with episode of headache and unconsciousness, and 9% noticed a change in skin color. Author of this study have concluded that point-of-care testing should be encouraged as it will reduce hospital visits and exposure to hospital-acquired infections.
In the fifth original research article, Ali et al. have studied the end-of-life care in advanced HF during cardiology training from Indian perspective. In this survey, almost all the trainees (94%–100%) reported that they were likely to prescribe guideline-directed medical therapy and CRT-D implantation in all the patients. Uncertain responses increased regarding ventricular tachycardia (VT) ablation (21%–24%) and heart transplantation (13%–17%), as did the number of trainees who were unlikely to recommend heart transplantation to themselves (12%).
Aortic stenosis (AS) is a commonly reported valvular heart disease in the elderly population and is associated with significant morbidity and mortality. Patients with severe AS may remain asymptomatic for a long period of time. In the sixth original research article, Yadav et al. have evaluated the left ventricular function using speckle tracking echocardiography (STE) in patients with severe AS with or without symptoms. Authors of this study have reported that patients with severe AS had an abnormal global longitudinal strain and global circumferential strain to begin with, which was not picked by LVEF. Further, there was a significant worsening of these STE parameters at 6 months and those who had a more decline were more likely to develop new symptoms.
In the seventh original research article, Kadiyala et al. have studied the clinical profile of acute pulmonary embolism patients presenting to a tertiary care center. Dyspnea (98.03%) was the most commonly observed symptom. Of patients who underwent bilateral lower limb venous Doppler, deep vein thrombosis was noted in 172 (56.57%). Electrocardiography confirmed the presence of sinus tachycardia and classical S1Q3T3 pattern in 284 (93.42%) and 79 (25.99%) patients, respectively. Chest X-ray showed dilated main and right pulmonary arteries in 170 (55.92%) patients. Right ventricular dysfunction as detected by echocardiography was observed in 241 (79.28%) patients. Thrombolytic therapy was administered in 158 (51.97%) patients (n = 86 [28.29%] were treated with tenecteplase; n = 72 [23.68%] were treated with streptokinase).
The late rising pacing threshold is an alarming situation in which a possibility of lead dislodgement is usually considered first. In the first case report, Kumar et al. reported a case of late rising threshold success fully managed with steroid therapy. In the second case report of this issue, Das et al. reported an interesting case of short dual right coronary artery without obstructive coronary artery disease causing obligatory coronary ischemia. In the third case report, Yadav et al. reported a case of a 52-year-old male who presented with ST-segment elevation secondary to hypercalcemia in a patient with hypertension with osteoporotic vertebral collapse.
In the fourth case report, Das et al. reported a rare case of left ventricular noncompaction in a 23-year-old female with recurrent syncope with electrocardiography documentation of apical septal VT. In the fifth case report, Ganesh et al. reported a case series of left ventricular systolic dysfunction following percutaneous closure of patent ductus arteriosus. In the sixth case report, Rai et al. reported a case of Libman–Sacks endocarditis masquerading as suspected rat-bite fever.
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