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EDITORIAL |
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Year : 2023 | Volume
: 11
| Issue : 1 | Page : 1-2 |
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Preface to the first issue of Heart India 2023
Alok Kumar Singh
Department of Cardiology, Alok Heart Clinic, Varanasi, Uttar Pradesh, India
Date of Submission | 05-Apr-2023 |
Date of Acceptance | 05-Apr-2023 |
Date of Web Publication | 12-Apr-2023 |
Correspondence Address: Alok Kumar Singh Department of Cardiology, Alok Heart Clinic, Varanasi, Uttar Pradesh India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/heartindia.heartindia_30_23
How to cite this article: Singh AK. Preface to the first issue of Heart India 2023. Heart India 2023;11:1-2 |
In this issue of “Heart India,” we are publishing eight original research articles and one letter to editor. Right ventricular (RV) performance is an important determinant of clinical status and long-term outcomes in preterm and term neonates with cardiopulmonary pathology. RV mechanics begin to undergo maturational changes in the early postnatal period that have long-term influence on cardiac function.[1],[2] In the first original research article, Das et al. have done the echocardiographic evaluation of right heart pressure changes in healthy newborns and its follow-up till 12 weeks of life. The authors of this study have concluded that the changes in pulmonary velocity acceleration time and RV pressure with time from birth to 3 months of age will aid in the early diagnosis of persistent pulmonary artery hypertension of newborns (PPHN) or pulmonary arterial hypertension.
Aortic arch surgeries were first performed in 1950 by Dr. Michael De Bakey, E. Stanley Crawford, and Denton A. Cooley. It was very well understood that the key to success in transverse aortic surgery lies in protecting the function of the brain.[3] In the second original research article, Nayak et al. studied the technique of direct innominate artery (IA) ostial cannulation using retrograde cardioplegia cannula in Type A dissection. The authors of this study have concluded that direct vision cannulation of the true lumen of the IA using a retrograde balloon-tip cannula is a cost-effective and time-saving method. It evades the limitations of well-established antegrade cerebral perfusion (ACP) techniques such as direct d IA cannulation using Seldinger's technique which is a blind procedure and also has no local complications of the cannulating right axillary artery.
Heart failure (HF) is a complex and progressive disease, in which the heart fails to pump or fill blood adequately. In the third original research article, Boro et al. studied the clinical characteristics, risk factors, and thyroid profile of patients admitted with acute left ventricular HF from a tertiary hospital in northeast India. The authors of this study have concluded that thyroid dysfunction can cause significant adverse effects on the heart. Early diagnosis and treatment of thyroid abnormalities can reduce and/or prevent the development of serious cardiac problems including HF.
The coronavirus disease 2019 (COVID-19) pandemic associated with severe acute respiratory syndrome has taken a heavy toll of people all over the world in the last 2 years. In the fourth original research article, Tiwaskar et al. studied the impact of COVID on hypertension management. Cannulation strategies in ascending aorta and arch surgeries are a matter of immense discussion. Majority of the time deep hypothermic circulatory arrest is the preferred strategy, but it does come with its set of demerits. In the fifth original research article, Patel et al. studied the double-arterial cannulation strategy in patients presenting with Type A aortic dissection. The minimally invasive right thoracotomy approach is being increasingly used for aortic valve surgeries. It has several benefits in terms of decreased blood loss and length of hospital stay as compared to the conventional sternotomy technique. Selected patients requiring aortic root and ascending aorta surgery can be operated on using a similar approach. In the sixth original research article, the authors of this study have shared their experience of Bentall procedure through a right minithoracotomy.
Rheumatic heart disease is a significant cause of cardiovascular morbidity and mortality in developing countries with varied geographic distribution. In the seventh original research article, Ghosh et al. studied the clinical and demographic profile of patients of rheumatic valvular heart disease. Tetralogy of Fallot (TOF) is one of the common cyanotic congenital heart diseases. Of all infants born with congenital heart disease, 3%–5% have TOF. In the eighth original research article, Gohil et al. studied the comparison of postoperative outcomes of milrinone versus dobutamine in TOF with transannular patches. In the last, in letter to editor section, Mr Jariwala has reported a rare case of the aberrant continuation of the long or second left anterior descending artery from the ramus intermidius: A novel variant of the Group I dual left anterior descending artery.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
References | |  |
1. | Levy PT, Dioneda B, Holland MR, Sekarski TJ, Lee CK, Mathur A, et al. Right ventricular function in preterm and term neonates: Reference values for right ventricle areas and fractional area of change. J Am Soc Echocardiogr 2015;28:559-69. |
2. | Lewandowski AJ, Bradlow WM, Augustine D, Davis EF, Francis J, Singhal A, et al. Right ventricular systolic dysfunction in young adults born preterm. Circulation 2013;128:713-20. |
3. | de Bakey ME, Cooley DA. Successful resection of aneurysm of thoracic aorta and replacement by graft. J Am Med Assoc 1953;152:673-6. |
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