|Year : 2020 | Volume
| Issue : 2 | Page : 39
Editor's Page April 2020
Ravi R Kasliwal MD, DM, FIMSA, MNAMS, FASE
Editor-in-Chief, Journal of Clinical and Preventive Cardiology, Gurugram, Haryana, India
|Date of Submission||13-Jun-2020|
|Date of Acceptance||14-Jun-2020|
|Date of Web Publication||01-Aug-2020|
Dr. Ravi R Kasliwal
Adjunct Professor Cardiology (NBE), Chairman, Clinical and Preventive Cardiology, Medanta - The Medicity, Sector 38, Gurgaon - 122 001, Haryana
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Kasliwal RR. Editor's Page April 2020. J Clin Prev Cardiol 2020;9:39
As I write this Editor's Page from my office at Medanta Heart Institute, the world seems devastated. These are extremely difficult times as the coronavirus disease 2019 (COVID-19) pandemic rages across all the regions of the world, leaving in its wake mortality and morbidity of a scale never experienced through the ages. This is indeed a very sad situation, but I am sure, with our collective courage and determination, we shall overcome this challenge as well!
The first original article “A study of reproductive factors in Indian women predisposing to coronary artery disease in later life” by Lalita Nemani et al. is a retrospective analysis of 500 women with coronary artery disease, and the authors have analyzed woman-specific factors and presented them in a perspective. Early menarche, pregnancy complications, and pregnancy loss may be newly added to the traditional risk factors for women. The authors also suggest that hormonal therapy for menstrual irregularities may not predispose to coronary artery disease in later life.
The second article titled “Utility of neutrophil-to-lymphocyte ratio, triglycerides, and HDL cholesterol in assessing the severity of coronary artery disease” by Dr. Sridhar Mangalesh et al. is an observational study but adds a different dimension to the assessment of coronary artery disease using blood parameters. Worth watching how it pans out in future.
The third article titled “One year clinical outcomes of drug-eluting stents versus bare-metal stents in large coronary arteries” by Rupesh Singhal et al. is an elegantly conducted observational study and reinforces the fact that the use of bare metal stents in large arteries (>3.5 mm) should not be discouraged unless clinically indicated.
The fourth original article titled “Reliability of a jugular venous pressure scale in cardiovascular clinical examination” by Debasish Das et al. is a timely reminder that with the increasing number of heart failure patients and those with multivalvular problems, the value of a carefully measured jugular venous pressure has been and will remain an important tool in the clinical examination of cardiovascular system. The authors of this article seem to be adept at developing a simple tool to facilitate accurate estimation of jugular venous pressure in clinical practice.
The fifth original article “Correlation between earlobe crease and coronary artery disease in an Indian population” by Bhavna Jain et al. clearly indicates that by clinical examination alone one can define so many disease patterns even in the 21st-century digital world.
This issue also includes some interesting and clinically useful reviews. Simardeep Kaur Shina discusses the rationale and advantages of combination therapy in the management of hypertension in an elegant review “Monotherapy vs Combination Therapy for Initial Treatment of Hypertension.” Fixed-dose combinations of two or more antihypertensive drugs definitely improve compliance and may achieve better blood pressure control, the topmost priority in hypertensive individuals. The two other reviews are focused on “the health challenge” that we are facing currently – the COVID-19 pandemic. The different facets of “COVID Cardiology” and the huge psychological impact this disease is creating are discussed in detail.
As we start our work in our own specialty, one cannot help but wonder will the post-COVID-19 world be different and if so, how different? I leave you dear reader with these serious thoughts about the future of the planet earth.