Journal of Clinical and Preventive Cardiology最新文献

{"title":"Editor's Page July, 2023","authors":"Ravi Kasliwal","doi":"10.4103/2250-3528.388163","DOIUrl":"https://doi.org/10.4103/2250-3528.388163","url":null,"abstract":"","PeriodicalId":31371,"journal":{"name":"Journal of Clinical and Preventive Cardiology","volume":"11 1","pages":"77 - 77"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139364683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stent thrombosis after 12 years: Optical coherence tomography reveals uncovered stent","authors":"Dibya Baruah","doi":"10.4103/jcpc.jcpc_6_23","DOIUrl":"https://doi.org/10.4103/jcpc.jcpc_6_23","url":null,"abstract":"","PeriodicalId":31371,"journal":{"name":"Journal of Clinical and Preventive Cardiology","volume":"68 1","pages":"110 - 111"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atherosclerotic cardiovascular disease burden in Ghana: A scoping review","authors":"Francis Agyekum, F. Akumiah","doi":"10.4103/jcpc.jcpc_1_23","DOIUrl":"https://doi.org/10.4103/jcpc.jcpc_1_23","url":null,"abstract":"Background: The global burden of atherosclerotic cardiovascular disease (ASCVD) is high. Documented data on the burden of ASCVD and its mortality in low- and middle-income countries are however limited particularly in Ghana. This study aims to identify the research gaps related to the ASCVD burden in Ghana to provide the recommendations to guide future research. Materials and Methods: We undertook a scoping review of ASCVD, comprehensively searching databases to identify all English-published articles on ASCVD and risk factors in Ghana from inception to 2021. Data on the study characteristics and key findings were independently extracted by two authors. We used a charting approach to synthesize and interpret the data. Results: We included 22 articles in this scoping review out of a total of 160 articles identified. There is a broad spectrum of conditions that are included under ASCVD. The most commonly included conditions were ischemic stroke, coronary artery disease, peripheral artery disease, and aortic disease. Conclusion: This scoping review has shown that ASCVD poses a considerable burden in the Ghanaian population, mostly driven by ischemic stroke. There is a need for an intensified effort by stakeholders, through research and policy, to identify and address the factors driving ASCVD to rise and prioritize prevention.","PeriodicalId":31371,"journal":{"name":"Journal of Clinical and Preventive Cardiology","volume":"69 1","pages":"99 - 109"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients' hospital ratings correlate with 30-day mortality and readmission rates following hospitalization for both myocardial infarction and coronary artery bypass graft surgery","authors":"Irvin Lien","doi":"10.4103/jcpc.jcpc_15_23","DOIUrl":"https://doi.org/10.4103/jcpc.jcpc_15_23","url":null,"abstract":"Introduction: Coronary heart disease is the leading cause of mortality and morbidity world-wide. Mortality and readmission rates following both myocardial infarction (MI) and coronary artery bypass graft surgery (CABG) have improved with advancements in medicine and standardization of treatment, however these improvements have plateaued in recent years. The purpose of this study was to investigate whether overall hospital ratings can indicate patterns of mortality rate and readmission rate following hospitalization for MI and CABG. Methods: Public data from the Centers for Medicare & Medicaid Services was utilized in the study. The 30-day risk standardized mortality rate (RSMR) and readmission rate (RR) following both MI and CABG for hospitals were matched with their overall hospital rating based off the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Hospitals were grouped based on their hospital ratings and their 30-day RSMR and RR were averaged within each group. A Pearson correlation was used to assess for correlation between hospital ratings and their 30-day RSMR and RR for both MI and CABG. Results: There was a strong negative correlation between hospital ratings and their averaged 30-day RSMR for both MI (R= -0.84; P < 0.0001) and CABG (R = -0.70; P < 0.0037). Similarly, there was a strong negative correlation between hospital ratings and their averaged 30-day RR for MI (R = -0.81; P < 0.0002) and CABG (R = -0.83; P < 0.0001). There was no significant difference between any group. Discussion: The correlation between hospital rating and the 30-day RSMR and RR following both MI and CABG suggest that hospital ratings may be one among many factors that can impact patient outcome for MI and CABG. However, this correlation is only present when the 30-day RSMR and RR are averaged. There are likely multiple confounding variables and improving hospital ratings alone would not be expected to significantly improve patient outcomes. Conclusion: Hospital ratings which incorporates patients' perspective of good communications among hospital staff, timely staff responsiveness, quiet/clean hospital environment, and thorough discharge planning, may be factors that contribute to patients' 30-day RSMR and RR for both MI and CABG.","PeriodicalId":31371,"journal":{"name":"Journal of Clinical and Preventive Cardiology","volume":"15 1","pages":"94 - 98"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of life among myocardial infarction patients attending a tertiary care center in Puducherry, South India","authors":"C. Sahanaa, Anil Purty, S. Prabakaran, M. Arokiaraj, Chalawadi Manjunatha","doi":"10.4103/jcpc.jcpc_7_23","DOIUrl":"https://doi.org/10.4103/jcpc.jcpc_7_23","url":null,"abstract":"Background: Coronary artery disease (CAD) is a major cause of mortality and morbidity worldwide. The prevalence of CAD in India is estimated to vary from 2% to 4%. Quality of life (QOL) is an essential component in the assessment and follow-up of CAD patients. The QOL of acute myocardial infarction (MI) survivors improves over time. This study aims to assess the QOL of MI and also find the association between clinico-epidemiological factors and QOL among MI patients attending a tertiary care center. Materials and Methods: This study was a hospital-based cross-sectional study. The study participants include patients attending cardiology outpatient department, who have had MI in the past, i.e. between 3 months and 3 years. The study was conducted between January 2018 and December 2019. The study recruited 330 study participants. The patient's perspective on QOL post-MI was collected using a short form 36 questionnaire. The data analysis was performed using SPSS software version 24.0. Results: The maximum number of participants was 51–60 years of age, and the majority were men. More than 93% underwent invasive procedures such as angioplasty, percutaneous transluminal coronary angioplasty, and coronary artery bypass graft, whereas 6.8% of the participants were medically managed. The physical functioning and energy components had a median score of 70 and 57.5, respectively. Increasing age has a significant association with QOL. The QOL scores in the domains of physical functioning (P = 0.003), physical role (P = 0.017), general health (P = 0.005), energy (P = 0.001), and social functioning (P = 0.047) decrease as age advances. The QOL score was greater in the study participants 1–2 years post-MI (65–100 across all domains), whereas the scores were less in the 3 months to 1 year period (0–64 across all domains) and the 2–3 year period (60–87 across all domains). Conclusion: Quality of life scores had improved, were estimated in one year post myocardial infarction patients.","PeriodicalId":31371,"journal":{"name":"Journal of Clinical and Preventive Cardiology","volume":"24 1","pages":"78 - 85"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting total ischemic time of patients with st-elevation myocardial infarction: A cross-sectional study from a tertiary care hospital in Kerala, India","authors":"K. Avanthika, T. Anish","doi":"10.4103/jcpc.jcpc_9_23","DOIUrl":"https://doi.org/10.4103/jcpc.jcpc_9_23","url":null,"abstract":"Background: Cardiovascular diseases have now become the leading cause of mortality in India. The mortality rate is observed to be higher in primary percutaneous coronary intervention (PPCI) patients with longer total ischemic time (TIT). The lack of awareness about the symptoms of acute coronary syndrome (ACS) delays the identification of this medical emergency and prolongs the TIT. The study of composition of TIT and the reasons for its prolongation will help to improve the outcome of ACS. Objectives: The objectives of this study were as follows: (1) to estimate the mean TIT and the proportion of patients with TIT <1 h (the golden hour), admitted to Government Medical College Thiruvananthapuram, with ST-elevation myocardial infarction (STEMI) who underwent PPCI and (2) to study the factors influencing the TIT as those in the (a) prehospital phase – the time from the onset of chest pain till arrival to the hospital where intervention is being carried out and (b) hospital phase – the time from the arrival at the hospital to the time of intervention. Methodology: The study assessed total ischemic time in STEMI patients who underwent PPCI, through a cross-sectional study investigating mean TIT, influencing factors, and proportion of Patients with TIT <1 h (the golden hour). The calculated sample size, 104, was met using a questionnaire and the case records. The data were entered in Excel and analyzed using SPSS. Results: No patients in the study population arrived within 1 h of symptom onset. The mean TIT was 363.10 min with standard deviation of 156.809 and the median TIT was 330.00 min (interquartile range is 225.00). Unlike other similar studies, there were no significant associations with age, gender, and social and educational status of the patient. Majority of the study population were not aware about the symptoms of ACS. Mode of transport, past history, family history, time of onset of symptoms, and time of arrival at the percutaneous coronary intervention (PCI) center were found to be significantly associated with TIT. Conclusion: This study assessed the major patient-related and system-related factors causing the prolongation in TIT. This will help us to formulate and implement the strategies to significantly shorten the delay in revascularization and improve the outcome of patients admitted with STEMI. For decreasing the patient-related delay, creating public awareness regarding the identification of ischemic symptoms and accessing immediate medical care is paramount The early diagnosis and referral from the first medical contact or non-PCI center and rapid triage at the PCI center improves the system-related delay and will improve the mortality rate and outcomes of the patients.","PeriodicalId":31371,"journal":{"name":"Journal of Clinical and Preventive Cardiology","volume":"28 1","pages":"86 - 93"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of body shape index and heart rate variability in athletes as assessed during treadmill exercise","authors":"Snigdha Sharma, P. Bokariya, R. Kothari, Sujay Srivastava","doi":"10.4103/jcpc.jcpc_58_21","DOIUrl":"https://doi.org/10.4103/jcpc.jcpc_58_21","url":null,"abstract":"Background: Heart rate variability (HRV) is emanating as one of the most effectual techniques for probing the intricate and ever-evolving changes in the oscillations of a healthy heart, allowing us to guard against any abrupt physical threat to homeostasis, such as that which occurs when a person exercises. Aims and Objectives: To study the influence of body shape index with HRV indices in athletic population during treadmill exercise in athletic population. Materials and Methods: It was a cross-sectional study carried out on 120 healthy subjects and 30 athletes in the age range 17-35 years. Short-term HRV (5 min) was extracted from ECG recordings obtained using Power lab system, AD instruments and was analyzed by LabChart software in accordance to the standards set forth by the Task Force of the European Society of Cardiology and North American Society of Pacing and Electrophysiology. Results: Out of 30 athletes, there were a total of 17 (56%) male subjects and 13(44%) female subjects. Out of 120 controls, male subjects were 50 (41.66%) and females were 70 (58.33%). The mean age of males was 21.06±3.02 and that of females was 22.50 ± 6.25. A statistically significant positive (r=0.56) correlation between BSI and HRV on treadmill exercise was observed. Conclusion: Examining HR variations offers a window to evaluate the condition and integrity of ANS. In this study, the extent to which the ANS contributed to obesity was assessed and the relationship of measure of cardiovascular risk, a newly established and pragmatic metric Body Shape Index (ABSI) with the HRV indicators in the athletic population was explored. Background: Heart rate variability (HRV) is emanating as one of the most effectual techniques for probing the intricate and ever-evolving changes in the oscillations of a healthy heart, allowing us to guard against any abrupt physical threat to homeostasis, such as that which occurs when a person exercises. Aims and Objectives: To study the influence of body shape index with HRV indices in athletic population during treadmill exercise in athletic population. Materials and Methods: It was a cross-sectional study carried out on 120 healthy subjects and 30 athletes in the age range 17-35 years. Short-term HRV (5 min) was extracted from ECG recordings obtained using Power lab system, AD instruments and was analyzed by LabChart software in accordance to the standards set forth by the Task Force of the European Society of Cardiology and North American Society of Pacing and Electrophysiology. Results: Out of 30 athletes, there were a total of 17 (56%) male subjects and 13(44%) female subjects. Out of 120 controls, male subjects were 50 (41.66%) and females were 70 (58.33%). The mean age of males was 21.06±3.02 and that of females was 22.50 ± 6.25. A statistically significant positive (r=0.56) correlation between BSI and HRV on treadmill exercise was observed. Conclusion: Examining HR variations offers a window to evaluate the condition and integri","PeriodicalId":31371,"journal":{"name":"Journal of Clinical and Preventive Cardiology","volume":"11 1","pages":"90 - 96"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47212051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editor's Page October 2022","authors":"R. Kasliwal","doi":"10.4103/2250-3528.368362","DOIUrl":"https://doi.org/10.4103/2250-3528.368362","url":null,"abstract":"","PeriodicalId":31371,"journal":{"name":"Journal of Clinical and Preventive Cardiology","volume":"11 1","pages":"85 - 85"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44405903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognostic significance of baseline plasma C-reactive protein levels in patients with acute coronary syndromes: A retrospective observational study","authors":"R. Raina, Mayushi Gupta","doi":"10.4103/jcpc.jcpc_57_21","DOIUrl":"https://doi.org/10.4103/jcpc.jcpc_57_21","url":null,"abstract":"Objective: The objective of this study is to assess baseline plasma C-reactive protein (CRP) levels in patients with acute coronary syndromes and their significance in prognosis. Materials and Methods: The study was carried out at the department of internal medicine in a tertiary health care center. Fifty patients diagnosed with acute coronary syndromes (ACSs) (ST-elevation acute myocardial infarction (STEMI) or unstable angina (UA)/non-STEMI) were admitted and detailed history, clinical examination, and laboratory tests were done on each patient. All routine blood investigations were carried out along with electrocardiography and echocardiography in all patients. Plasma concentrations of CRP were measured with an ultra-sensitive latex immunoassay before reperfusion, 24 h after admission, and at discharge. Results: A total of 50 patients were taken. Thirty-eight cases were found to be male and the remaining 12 were female, of which 35 were STEMI and 15 were UA/NSTEMI. The maximum prevalence of ACS was observed in the age group of 41–50 years. Among all five presenting symptoms, chest pain was the most prevalent, followed by sweating, breathlessness, vomiting, and giddiness. The major risk factors in ACS include smoking being the most common followed by diabetes and dyslipidemia. In 16 patients, left ventricular failure was recorded, which was the most common complication followed by cardiogenic shock and atrioventricular block. ventricular tachycardia/ventricular fibrillation is recorded in five patients who died, 36 patients with complications, and three patients among 40 patients without complications where CRP levels are ≥0.6 mg/dl. Four patients out of 10 patients who showed CRP levels <0.6 mg/dl are known to have complications. Conclusions: It was concluded that the measurement of plasma CRP levels at the time of admission in patients with suspected coronary artery disease may be helpful in the identification of a group of patients with a high risk of cardiac complications.","PeriodicalId":31371,"journal":{"name":"Journal of Clinical and Preventive Cardiology","volume":"11 1","pages":"86 - 89"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44033025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Premature coronary artery disease in young Indians: The hormonal triad of insulin, testosterone, and vitamin D","authors":"J. V. Vijaykumar Reddy, R. Patil, L. Shetty, C. Manjunath","doi":"10.4103/jcpc.jcpc_24_22","DOIUrl":"https://doi.org/10.4103/jcpc.jcpc_24_22","url":null,"abstract":"Background: Cardiovascular diseases (CVDs) are on the rise globally. India, in spite of housing the youngest population, has now been termed the CVD capital of the world. Several independent studies have shown association between low levels of Vitamin D, insulin resistance, and low testosterone levels and coronary artery disease (CAD). However, the presence of this hormonal triad in premature CAD patients in India has not been studied. Therefore, we aimed to explore the role of this hormonal triad in CAD in young Indians. Methods: This was a prospective, case–control, study conducted at a tertiary care center in India. Premature CAD patients were enrolled as cases and healthy individuals were enrolled as controls. Demographic, behavioral, anthropometric and body composition, physiological, and biochemical parameters were recorded/assayed as per standard protocols. Results: A total of 644 individuals were enrolled in the study. Among them, 344 belonged to the case group and 300 to the control group. The mean age did not differ significantly between cases (32.1 ± 5.6 years) and controls (32.5 ± 5.0 years). Significantly lower levels of Vitamin D levels (P = 0.01) and serum insulin (P < 0.001) were observed in the case group compared to the control group. In males, no significant difference was observed between the two groups in terms of serum testosterone level (P = 0.075). Conclusion: Higher fasting insulin levels may be a reliable indicator of premature CAD. Vitamin D levels may not reliably predict premature CAD because 70%–90% of Indians are deficient of Vitamin D. Testosterone levels in females, but not in males, may be a reliable predictor for the same. However, larger studies are required to validate these findings.","PeriodicalId":31371,"journal":{"name":"Journal of Clinical and Preventive Cardiology","volume":"11 1","pages":"97 - 101"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46687696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}