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Year : 2016  |  Volume : 4  |  Issue : 3  |  Page : 83-84

Preface to third Issue of Heart India 2016

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

Date of Web Publication16-Sep-2016

Correspondence Address:
Alok Kumar Singh
Department of Cardiology, Heritage Hospital, Varanasi, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2321-449x.190723

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How to cite this article:
Singh AK. Preface to third Issue of Heart India 2016. Heart India 2016;4:83-4

How to cite this URL:
Singh AK. Preface to third Issue of Heart India 2016. Heart India [serial online] 2016 [cited 2022 Sep 29];4:83-4. Available from: https://www.heartindia.net/text.asp?2016/4/3/83/190723

In this issue, we are publishing three original article, five case reports, and journal watch. In first original article Islam et al. from Bangladesh studied the prevalence of tobacco use and its contributing factors among adolescents in Bangladesh.

Tobacco use among adolescents is considered as priority health risk behaviors that contribute to leading causes of morbidity and mortality among youth and adults and are often established at a young age, extend into adulthood and are preventable. The overall prevalence of ever cigarette smokers in Bangladeshi students was about 9%, which was more than 3 times higher in boys compared to girls (15.8% vs. 4.8%). Almost four in ten students start smoking before the age of 10. In addition, another 6% of students reported to use other tobacco products. About 70.7% students reported that they desired to stop smoking, and 85.0% tried to stop smoking during the past year but failed. About 42.2% students were exposed to smoke from other people in public places. Among current smokers, 97.8% reported that they were not refused cigarette purchase because of their age. Authors of this study suggest that implementation and enforcement of tobacco control act are an urgent public health priority in Bangladesh.

In the second original article Aliyu et al. from Nigeria have studied the common electrocardiographic (ECG) pattern among Healthy Nigerian Children. Early repolarization changes were recorded in the 12-15 years age group. The presence of ECG variants such as T-wave inversion in precordial leads V1-V3 was reported and left axis deviation was documented in 0.4% of the 5-7 years age-group. Type I morphology was common in leads I, II, aVF, V5, V6. Type II morphology was common in leads I, II, V4R, V5, V6, while Type III morphology was common in leads V4R, V5, V6 but Type IV morphology was seen mostly in V1. ST-segment elevation in the right precordial leads is a common finding in the pediatric ECG among Nigerian children; furthermore, T wave inversion is also common in the right precordial leads and may extend way beyond precordial lead V2 unlike in Caucasians.

In third original article, Sharma et al. have done the comparative evaluation of clinical profile, risk factors, and outcome of acute myocardial infarction (AMI) in elderly and nonelderly patients. Between June 2011 and June 2012, 206 patients were enrolled in this study. Total of 97 (47.1%) patients were of ≥60 years of age designated as elderly with a mean age of 69.28 ± 5.72 years, and 109 (52.9%) patients were nonelderly with a mean age of 50.54 ± 7.16 years. Family history of coronary artery disease (CAD) and dyslipidemia was significantly higher as a risk factor in nonelderly whereas other conventional risk factors of CAD were equally present in both groups. Atypical pain chests, non-ST segment elevation MI along with post-MI complications and in hospital mortality was significantly higher in the elderly age group of the study population. The profile of CAD differs in elderly as compared to young patients. This study highlighted that atypical presentation of AMI as well post-MI complications and mortality is more common in elderly patients as compared to nonelderly patients. In the first case report Divya et al. reporting a rare case of glandular myxoma. Among primary tumors of the heart, myxoma is the most common tumor. However, glandular differentiation in myxoma is rare. Mitral balloon valvuloplasty (MBV) is the safest procedure and one of the frequent procedures observed in cardiac catheterization laboratory especially in developing countries where the incidence of rheumatic fever is high. Although it is safe procedure few complications like post-MBV mitral regurgitation, cardiac tamponade are observed. In the second case report Raghu et al. reporting a rare association of pericardial effusion secondary to MBV in HIV patient.

Significant left main coronary artery (LMCA) disease, defined as 50% narrowing of LMCA diameter is found in 4%-6% of all patients who undergo coronary angiography. [1] Coronary angiography by right radial artery route using Optitorque Tiger catheter is on the rise given the low rate of local complications and feasibility to perform it as a daycare procedure. Majumder et al. reporting a case of coronary angiography performed using Optitorque Tiger catheter (5 French) which resulted in a diagnostic error, missing the ostio proximal left main CAD which was later detected using EBU 3.5 guide catheter (7 French) while performing angioplasty.

Pheochromocytoma is a rare, catecholamine-secreting tumor derived from chromaffin cells. It usually presents with palpitations, diaphoresis, headache, and paroxysmal hypertension. Rarely, it may associate with acute MI and other cardiovascular complications. Here, Rajesh et al. are reporting a case of a 40-year-old male with adrenal pheochromocytoma presented with a history of repeated episodes of acute pulmonary edema along with ECG changes and serum cardiac marker elevation, suggestive of MI, with a complete reversal of these abnormalities after surgical removal of the tumor. The Kounis syndrome is described as an acute coronary syndrome after Hymenoptera stings or exposure to environmental toxins or drugs. Bee sting may cause hypersensitivity reaction ranging from simple allergic reaction to life-threatening anaphylactic reaction, sometimes leading to death. Although rare, cardiac involvement is a possible complication, varying from vasospasm to acute ST elevation MI. Mundhe et al. reporting a case of honeybee (Apis cerana indica) sting causing Kounis syndrome. A 36-year-old female, beekeeper in a farm with known allergy to bee venom without any significant cardiovascular risk factors and history had stung by a honeybee on the neck. She presented with features of anaphylaxis and acute inferior wall MI, which was transient and responded to therapy of anaphylaxis. Angiography revealed normal coronaries and patient responded to the standard treatment of anaphylaxis.

In the last, I am discussing the salient finding of five good original research articles from leading journals which will have an impact on future cardiology practice in significant ways.

  References Top

Ragosta M, Dee S, Sarembock IJ, Lipson LC, Gimple LW, Powers ER. Prevalence of unfavorable angiographic characteristics for percutaneous intervention in patients with unprotected left main coronary artery disease. Catheter Cardiovasc Interv 2006;68:357-62.  Back to cited text no. 1


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