Assessment of asymptomatic ischemic heart disease using stress myocardial perfusion imaging in patients with type 2 diabetes mellitus
ConclusionTen percent of patients with T2DM with no clinical evidence of CAD were found to have evidence of asymptomatic ischemia or infarction. (Source: Indian Heart Journal)
Source: Indian Heart Journal - October 13, 2018 Category: Cardiology Source Type: research

Treadmill Stress Tests Should Not be Part of “Routine Health Check Package”
Publication date: Available online 12 October 2018Source: Indian Heart JournalAuthor(s): Prem PaisAbstractA treadmill ECG stress test (TMT) often forms part of the popular health check packages recommended for people who are asymptomatic on the premise that it can detect disease at an early stage and treatment be prescribed to prevent or reduce future morbidity and mortality. Such a recommendation does not take into account the properties of this procedure as a diagnostic test. It has an average sensitivity and specificity of 68% and 77% respectively. However these figures depend on the probability of coronary artery disea...
Source: Indian Heart Journal - October 13, 2018 Category: Cardiology Source Type: research

Tumor necrosis factor-alpha (TNF-α) −308G/A gene polymorphism and novel biomarker profiles in patients with Takayasu Arteritis
Publication date: Available online 10 October 2018Source: Indian Heart JournalAuthor(s): Prattay Guha Sarkar, Mohit Dayal Gupta, Girish MP, Ankit Bansal, Samantha Kohli, Rajni Saijpaul, Sanjay Tyagi, Qadar PashaAbstractBackgroundTakayasu arteritis (TA) is an idiopathic chronic inflammatory disease of the aorta and its branches leading to stenosis, occlusion and aneurysmal dilatation. Tumor necrosis factor-alpha (TNF-α) is a cytokine with pleomorphic actions and plays a pivotal role in inflammation and the serum level of TNF-α genetically determined. However, the literature lacks adequate information on the asso...
Source: Indian Heart Journal - October 10, 2018 Category: Cardiology Source Type: research

Fragmented QRS on surface electrocardiogram as a predictor of perfusion defect in patients with suspected coronary artery disease undergoing myocardial perfusion imaging
Publication date: Available online 10 October 2018Source: Indian Heart JournalAuthor(s): Sepideh Hekmat, Leili Pourafkari, Mojan Ahmadi, Mohammad Reza Chavoshi, Bijan Zamani, Nader D. NaderAbstractBackgroundFragmented QRS (FQRS) on surface electrocardiogram (ECG) is associated with the presence of myocardial scar tissue and may have prognostic value after certain ischemic events. We aimed to examine the anatomical correlation of FQRS with the presence of perfusion abnormalities in patients with suspected coronary artery disease (CAD).MethodsPatients without a known history of CAD, who were referred for myocardial perfusion...
Source: Indian Heart Journal - October 10, 2018 Category: Cardiology Source Type: research

Trans-catheter aortic valve replacement in india – early experience, challenges and outcomes from a single centre
ConclusionOur early data clearly shows that in our country, TAVR is a good alternative for symptomatic severe AS for high surgical risk cases. Large scale multicenter studies are required to study the real impact of TAVR in the Indian scenario. During initial years of implementation of a nationwide TAVR program, it may be prudent to focus on creating TAVR Centers of Excellence by developing an ideal hub and spokes model. (Source: Indian Heart Journal)
Source: Indian Heart Journal - October 7, 2018 Category: Cardiology Source Type: research

Immediate and late clinical outcomes of balloon mitral valvotmy based on immediate post bmv mitral valve area & percentage gain in mitral valve area – A tertiary centre study
Publication date: Available online 6 October 2018Source: Indian Heart JournalAuthor(s): Krishna Kumar Mohanan Nair, Ajitkumar Valaparambil, Bijulal Sasidharan, Sanjay Ganapathi, Arun Gopalakrishnan, Narayanan Namboodiri, Sivasankaran Sivasubramanian, Harikrishnan SivadasanpillaiAbstrcatAimThe aim of the study was to compare the immediate and late clinical outcomes of balloon mitral valvotomy (BMV), based on the immediate post BMV valve area and percentage gain in mitral valve area (MVA).Methods– Clinical data of 818 consecutive patients who underwent BMV in our institute from 2000 to 2008 were analyzed retrospectivel...
Source: Indian Heart Journal - October 7, 2018 Category: Cardiology Source Type: research

Open-labeled randomized controlled trial to evaluate the 1-year clinical outcomes of polymer-free sirolimus-eluting coronary stents as compared with biodegradable polymer-based sirolimus-eluting coronary stents
ConclusionThe 1 year MACE rates are comparable in patients who underwent elective coronary revascularization using sirolimus eluting polymer-free and biodegradable polymer stents. (Source: Indian Heart Journal)
Source: Indian Heart Journal - October 5, 2018 Category: Cardiology Source Type: research

Door-to-balloon time and the determining factors in a tertiary cardiac center in Nepal
ConclusionThe median DTB time in primary angioplasty was less than 90 minutes. The significant determining factors were timing of hospital visit (office vs off time) and type of visit (direct vs transfer). There can be improvement in factors determining DTB time to lower it further. (Source: Indian Heart Journal)
Source: Indian Heart Journal - October 4, 2018 Category: Cardiology Source Type: research

Validation of “left ventricular early inflow-outflow index”: A novel echocardiographic method for quantification of mitral regurgitation in an Indian population with special focus on rheumatic etiology
Publication date: Available online 29 August 2018Source: Indian Heart JournalAuthor(s): Charan Lanjewar, Aniruddha Pawar, Devendra Patil, Madivalaswami Dhavalagimath, Girish Sabnis, Hetan Shah, Prafulla KerkarAbstractBackgroundQuantification of mitral regurgitation (MR) has always required an “integrated approach” as there is no single gold-standard method. We investigated a new Doppler-derived parameter “left ventricular early inflow-outflow index (LVEIO)” for the quantification of MR and its likelihood to predict severe MR in correlation with already established parameters in an Indian popula...
Source: Indian Heart Journal - October 4, 2018 Category: Cardiology Source Type: research

Low power ablation for left coronary cusp ventricular tachycardia—Efficacy and long-term outcome
ConclusionsVT can be ablated from the left coronary cusp close to the left coronary ostium. Ablation with low power is effective in achieving immediate success which is also durable with time while avoiding complications. (Source: Indian Heart Journal)
Source: Indian Heart Journal - October 4, 2018 Category: Cardiology Source Type: research

Internal mammary artery graft failure: Clinical features, management, and long-term outcomes
Publication date: Available online 1 September 2018Source: Indian Heart JournalAuthor(s): Iván J. Núñez-Gil, Emilio Alfonso, Pablo Salinas, Luis Nombela-Franco, Harish Ramakrishna, Pilar Jimenez-Quevedo, Javier Escaned, Nieves Gonzalo, José Alberto de Agustin, David Vivas, Gisela Feltes, Carlos Macaya, Antonio Fernández-OrtizAbstractObjectiveData on long-term outcomes after internal mammary artery (IMA) coronary graft failure are scarce. Our objective was to describe the clinical characteristics, management, and prognosis after angiographically confirmed IMA graft failure following corona...
Source: Indian Heart Journal - October 4, 2018 Category: Cardiology Source Type: research

Three-dimensional echocardiographic systolic dyssynchrony index- what is the correct cut-off?
Publication date: Available online 5 September 2018Source: Indian Heart JournalAuthor(s): Rahul Mehrotra (Source: Indian Heart Journal)
Source: Indian Heart Journal - October 4, 2018 Category: Cardiology Source Type: research

Role of ApoE gene polymorphism and nonconventional biochemical risk factors among very young individuals (aged less than 35 years) presenting with acute myocardial infarction
ConclusionThe lower level of HDL-C and ApoA1 and higher ratios of total cholesterol:HDL-C, LDL-C:HDL-C, and ApoB:ApoA1 are risk factors for MI in young patients. (Source: Indian Heart Journal)
Source: Indian Heart Journal - October 4, 2018 Category: Cardiology Source Type: research

Trends in the utilization and in-hospital mortality associated with pulmonary artery catheter use for cardiogenic shock hospitalizations
Publication date: Available online 5 September 2018Source: Indian Heart JournalAuthor(s): Rajkumar Doshi, Krunalkumar Patel, Pranavi Patel, Perwaiz M. Meraj (Source: Indian Heart Journal)
Source: Indian Heart Journal - October 4, 2018 Category: Cardiology Source Type: research

Thrombolysis is universal option therapeutic in left-sided prosthetic valve thrombosis
Publication date: Available online 25 September 2018Source: Indian Heart JournalAuthor(s): Fidel Manuel Caceres-Loriga (Source: Indian Heart Journal)
Source: Indian Heart Journal - October 4, 2018 Category: Cardiology Source Type: research

Cardiac Autonomic Recovery in Type 2 Diabetes Mellitus and Coexistent Hypertension: Cut-off Values, Dipping Status and Medications
Publication date: Available online 27 September 2018Source: Indian Heart JournalAuthor(s): Sercan Okutucu, Mehmet Kadri Akboga, Ali Oto (Source: Indian Heart Journal)
Source: Indian Heart Journal - October 4, 2018 Category: Cardiology Source Type: research

Correlation of telomere length with type II diabetes mellitus in ischemic heart disease patients
Publication date: Available online 28 September 2018Source: Indian Heart JournalAuthor(s): Shobhit Piplani, Nadezdha Niyarah Alemao, Madhav Prabhu, Sameer Ambar, Yashasvi Chugh, Sanjay Kumar ChughAbstractObjectiveThe study aimed to explore the relationship of telomere length with type 2 diabetes mellitus (DM) among ischemic heart disease (IHD) patients.MethodThis one-year cross-sectional study included 130 male patients diagnosed with IHD through echocardiography and coronary angiography; wherein consecutive IHD patients with type 2 DM (65) and without type 2 DM (65) were selected. Baseline characteristics including age, g...
Source: Indian Heart Journal - October 4, 2018 Category: Cardiology Source Type: research

Two and real-time three dimensional transesophageal echocardiography guided thrombolytic therapy for prosthetic valve thrombosis is crucial
Publication date: Available online 28 September 2018Source: Indian Heart JournalAuthor(s): Ahmet Guner, Semih Kalkan, Mehmet Özkan (Source: Indian Heart Journal)
Source: Indian Heart Journal - October 4, 2018 Category: Cardiology Source Type: research

Letter To The Editor
Publication date: Available online 4 October 2018Source: Indian Heart JournalAuthor(s): Sangeeta Dhir, Viveka Kumar (Source: Indian Heart Journal)
Source: Indian Heart Journal - October 4, 2018 Category: Cardiology Source Type: research

ST2 elevation in heart failure, predictive of a high early mortality
ConclusionIn patients hospitalized for HF, elevated sST2>35 ng/mL at the time of initial hospitalization was associated with significantly high mortality over a 2-year period. The prognostic value of sST2 was incremental to that of NT-proBNP. These findings suggest that a single elevated sST2 value at the time of hospitalization should alert the physicians about the high risk of adverse outcomes and should help facilitate timely intensification of HF treatment. (Source: Indian Heart Journal)
Source: Indian Heart Journal - September 22, 2018 Category: Cardiology Source Type: research

Asymptomatic ischemic heart disease using stress myocardial perfusion imaging in patients with type 2 diabetes mellitus
ConclusionTen percent of patients with T2DM with no clinical evidence of CAD were found to have evidence of asymptomatic ischemia or infarction. (Source: Indian Heart Journal)
Source: Indian Heart Journal - September 21, 2018 Category: Cardiology Source Type: research

Physical activity levels and associated cardiovascular disease risk factors among postmenopausal rural women of Bangladesh
Publication date: Available online 19 September 2018Source: Indian Heart JournalAuthor(s): Lingkan Barua, Mithila Faruque, Palash Chandra Banik, Liaquat AliAbstractObjectivesThe role of physical inactivity in relation to cardiovascular disease (CVD) among postmenopausal women is understudied. The main objective of this study was to measure the physical activity levels (PAL) and evaluate its relation to other CVD risk factors among postmenopausal rural women of Bangladesh.MethodsA cross sectional study was conducted among 265 postmenopausal women aged 40-70 years who visited the outpatient department of a primary health car...
Source: Indian Heart Journal - September 21, 2018 Category: Cardiology Source Type: research

Neutrophil-to-lymphocyte ratio predicts heart failure readmissions and outcomes in patients undergoing transcatheter aortic valve replacement
ConclusionNLR predicts all-cause mortality, MACE, and HF hospitalization 1 year after TAVR. NLR with TAVR risk score improved predictability for MACE. Further studies for prognostication using NLR are warranted. (Source: Indian Heart Journal)
Source: Indian Heart Journal - September 14, 2018 Category: Cardiology Source Type: research

Coronary sinus as a site for stable temporary atrial pacing to tide over premature ventricular complex–triggered recurrent ventricular fibrillation in a patient with severe left ventricular dysfunction after coronary bypass surgery
This report is helpful in drawing attention towards coronary sinus (CS) as an alternate site for achieving stable, temporary atrial pacing during the post-operative period. This site can also be utilized for short term dual chamber pacing if required in post-operative state using transvenous CS site for atrial pacing and intraoperatively placed epicardial wire for ventricular pacing. (Source: Indian Heart Journal)
Source: Indian Heart Journal - September 12, 2018 Category: Cardiology Source Type: research

Risk profiles and One-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry
This report describes data from Indian patients recruited in this registry.Methods and resultsA total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P
Source: Indian Heart Journal - September 12, 2018 Category: Cardiology Source Type: research

Prognostic significance of fragmented QRS in patients with ST-elevation myocardial infarction undergoing revascularization
Publication date: Available online 17 August 2018Source: Indian Heart JournalAuthor(s): Sridharan Umapathy, Rakesh Yadav, Kewal C. Goswami, Ganesan Karthikeyan, Neeraj Parakh, Vinay K. Bahl (Source: Indian Heart Journal)
Source: Indian Heart Journal - September 10, 2018 Category: Cardiology Source Type: research

A step-by-step guide to mastering retrograde coronary chronic total occlusion intervention in 2018: The author's perspective
Publication date: Available online 18 August 2018Source: Indian Heart JournalAuthor(s): Debabrata DashAbstractChronic total occlusion remains one of the most challenging subsets and represents the “last frontier" of percutaneous coronary intervention. Retrograde recanalization is one of the most significant amendments of the technique and has become an important complement to the classical antegrade approach. It yields a high success rate even in most complex patients. With emergence of important iterations, this approach has become safer, faster, and more successful. The author proposes a step-by-step guid...
Source: Indian Heart Journal - September 9, 2018 Category: Cardiology Source Type: research

Impact of pharmacogenetics on statin-induced myopathy in South-Indian subjects
ConclusionOur results clearly demonstrate that the frequency of CYP3A5*3 splicing variant is higher in myopathy group than in the tolerant group. We did not find significant association of genetic polymorphisms in CYP3A5, COQ, and SLCO1B1 with atorvastatin- or rosuvastatin-induced myopathy. (Source: Indian Heart Journal)
Source: Indian Heart Journal - September 7, 2018 Category: Cardiology Source Type: research

Open labeled Randomised controlled trial to evaluate the 1 year clinical outcomes of polymer free sirolimus eluting coronary stents as compared to biodegradable polymer based sirolimus eluting coronary stents
Publication date: Available online 7 September 2018Source: Indian Heart JournalAuthor(s): Sunitha Viswanathan, Kiran Gopinath, George Koshy A, Prabha Nini Gupta, Praveen Velappan (Source: Indian Heart Journal)
Source: Indian Heart Journal - September 7, 2018 Category: Cardiology Source Type: research

The thyroid in ischemic heart disease: An autopsy study
In this report, we studied the cases with pathologically evident ischemic heart disease (IHD) at autopsy and correlated with the absence or presence of thyroid disease. In a 5-year retrospective autopsy-based study, cases with IHD in whom the thyroid gland was dissected at autopsy were analyzed. The thyroid gland was available for assessment in 181 of the 255 autopsied cases with IHD. The majority were males with a mean age of 59.9 years. Thyroid pathology was noted in 58 patients (32.0%) in the form of uninodular or multinodular goiter (56.9%), lymphocytic thyroiditis (37.9%), and Hashimoto's thyroiditis (5.2%). Based on ...
Source: Indian Heart Journal - September 6, 2018 Category: Cardiology Source Type: research

Three-dimensional echocardiographic evaluation of mechanical dyssynchrony in systolic heart failure with narrow QRS complex
Publication date: Available online 5 September 2018Source: Indian Heart JournalAuthor(s): Dr. Rahul Mehrotra (Source: Indian Heart Journal)
Source: Indian Heart Journal - September 6, 2018 Category: Cardiology Source Type: research

Role of apo E gene polymorphism & non-conventional biochemical risk factors among very young individuals (age less than 35 years) presenting with acute myocardial infarction
ConclusionThe lower level of HDL-C and ApoA1 and higher ratios of total cholesterol:HDL-C, LDL-C:HDL-C and ApoB:ApoA1 are risk factors for MI in young patients. (Source: Indian Heart Journal)
Source: Indian Heart Journal - September 5, 2018 Category: Cardiology Source Type: research

Physician Heal Thyself
Publication date: Available online 5 September 2018Source: Indian Heart JournalAuthor(s): Anoop Agrawal (Source: Indian Heart Journal)
Source: Indian Heart Journal - September 5, 2018 Category: Cardiology Source Type: research

Trends in the Utilisation and In-hospital Mortality Associated with Pulmonary Artery Catheters Use for Cardiogenic Shock Hospitalisations
Publication date: Available online 5 September 2018Source: Indian Heart JournalAuthor(s): Rajkumar Doshi, Krunalkumar Patel, Pranavi Patel, Perwaiz M. Meraj (Source: Indian Heart Journal)
Source: Indian Heart Journal - September 5, 2018 Category: Cardiology Source Type: research

ST2 elevation in heart failure-predictive of a high early mortality
ConclusionIn patients hospitalized for HF, elevated sST2>35 ng/mL at the time of initial hospitalization was associated with significantly high mortality over a two-year period. The prognostic value of sST2 was incremental to that of NT-proBNP. These findings suggest that a single elevated sST2 value at the time of hospitalization should alert the physicians about the high risk of adverse outcomes and should help facilitate timely intensification of HF treatment. (Source: Indian Heart Journal)
Source: Indian Heart Journal - September 1, 2018 Category: Cardiology Source Type: research

Low Power Ablation for Left Coronary Cusp Ventricular Tachycardia – Efficacy and Long Term Outcome
ConclusionsVentricular tachycardia can be ablated from the left coronary cusp close to the left coronary ostium. Ablation with low power is effective in achieving immediate success which is also durable with time while avoiding complications. (Source: Indian Heart Journal)
Source: Indian Heart Journal - September 1, 2018 Category: Cardiology Source Type: research

Internal mammary artery graft failure: clinical features, management and long-term outcomes
Publication date: Available online 1 September 2018Source: Indian Heart JournalAuthor(s): Iván J. Núñez-Gil, Emilio Alfonso, Pablo Salinas, Luis Nombela-Franco, Harish Ramakrishna, Pilar Jimenez-Quevedo, Javier Escaned, Nieves Gonzalo, José Alberto de Agustin, David Vivas, Gisela Feltes, Carlos Macaya, Antonio Fernández-OrtizAbstractObjectiveData on long-term outcomes after internal mammary artery (IMA) coronary graft failure are scarce. Our objective was to describe the clinical characteristics, management and prognosis after angiographically confirmed IMA graft failure following coronar...
Source: Indian Heart Journal - September 1, 2018 Category: Cardiology Source Type: research

Sodium-glucose cotransporter-2 inhibition for the reduction of cardiovascular events in high-risk patients with diabetes mellitus
Publication date: Available online 1 September 2018Source: Indian Heart JournalAuthor(s): A.K. PancholiaAbstractPatients with type 2 diabetes mellitus (T2DM) exhibit an increased risk for cardiovascular (CV) events. Hyperglycemia itself contributes to the pathogenesis of atherosclerosis and heart failure (HF) in these patients, but glucose-lowering strategies studied to date have had little or no impact on reducing CV risk, especially in patients with a long duration of T2DM and prevalent CV disease (CVD). Sodium glucose cotransporter-2 (SGLT2)-inhibitors are the new class of glucose lowering medications that increase urin...
Source: Indian Heart Journal - September 1, 2018 Category: Cardiology Source Type: research

Evaluation of thrombotic left main coronary artery occlusions; old problem, different treatment approaches
Publication date: July–August 2018Source: Indian Heart Journal, Volume 70, Issue 4Author(s): Murat AkcayAbstractThrombotic left main coronary artery (LMCA) occlusions usually manifest as acute coronary syndrome (ACS) with cardiogenic shock, acute pulmonary edema, cardiac arrest, fatal arrhythmias or sudden cardiac death. There is no clinically predictor for LMCA thrombosis and no consensus regarding the optimal treatment. In the current literature, treatment options include emergency coronary artery bypass grafting (CABG), stent implantation, intracoronary thrombolysis, anticoagulation with heparin or glycoprotein II...
Source: Indian Heart Journal - August 29, 2018 Category: Cardiology Source Type: research

Familial hypercholesterolemia supravalvular aortic stenosis and extensive atherosclerosis
Publication date: July–August 2018Source: Indian Heart Journal, Volume 70, Issue 4Author(s): Rajpal Prajapati, Vikas AgrawalAbstractFamilial hypercholesterolemia is an autosomally dominant disorder caused by various mutations in low-density lipoprotein receptor genes. This can lead to premature coronary atherosclerosis and cardiac-related death. The symptoms are more severe in the homozygous type of the disease. Premature malignant atherogenesis leading to aortic root abnormalities causing supravalvular aortic stenosis is rare. Our case demonstrates the diagnostic imaging findings of the phenotype of patients who hav...
Source: Indian Heart Journal - August 29, 2018 Category: Cardiology Source Type: research

Single patch closure of multiple VSDs through right atrial approach
We report our experience with single patch closure of multiple VSDs in 4 children with a median weight was 5.6 kg. VSDs were closed via right atrium with a single Goretex patch with no operative death and short mean intensive care stay. To conclude, surgical approach to multiple VSDs is still a challenge, but a select approach to septate through right atrium adds to the surgical armamentarium to handle this difficult problem. (Source: Indian Heart Journal)
Source: Indian Heart Journal - August 29, 2018 Category: Cardiology Source Type: research

Win Thy Heart
Publication date: July–August 2018Source: Indian Heart Journal, Volume 70, Issue 4Author(s): Mrinal Kanti Das (Source: Indian Heart Journal)
Source: Indian Heart Journal - August 29, 2018 Category: Cardiology Source Type: research

Learning to think like Machines
Publication date: July–August 2018Source: Indian Heart Journal, Volume 70, Issue 4Author(s): Muhammad J. Khalil, Marco Piccirilli, Partho P. Sengupta (Source: Indian Heart Journal)
Source: Indian Heart Journal - August 29, 2018 Category: Cardiology Source Type: research

Evaluation of serum cathepsin D concentrations in coronary artery disease
Publication date: July–August 2018Source: Indian Heart Journal, Volume 70, Issue 4Author(s): Amir Hooshang Mohammadpour, Zakieh Salehinejad, Sepideh Elyasi, Mohsen Mouhebati, Seyed Reza Mirhafez, Sara Samadi, Majid Ghayour-Mobarhan, Gordon Ferns, Amirhossein SahebkarAbstractBackgroundCoronary artery disease (CAD) cannot be sufficiently explained by the presence of traditional risk factors. Cathepsin D has been proposed to serve as a surrogate marker of atherosclerosis but its alterations in CAD patients have not been studied.ObjectiveTo evaluate serum cathepsin D concentrations in relation to the presence and severit...
Source: Indian Heart Journal - August 29, 2018 Category: Cardiology Source Type: research

Tricuspid valve endocarditis in non-drug abusers: A case series from India
ConclusionsTVE is rare and can occur in different clinical scenarios. Indiscriminate use of antibiotics modifies the clinical picture causing delay in diagnosis and referral to speciality care. Echocardiography remains the main modality and should be used serially to facilitate early diagnosis. The prognosis is guarded. Early surgery is recommended in pacemaker lead, fungal endocarditis, persistent sepsis or hemodynamic instability for favorable prognosis. (Source: Indian Heart Journal)
Source: Indian Heart Journal - August 29, 2018 Category: Cardiology Source Type: research

A study on the glycemic, lipid and blood pressure control among the type 2 diabetes patients of north Kerala, India
ConclusionThe mean blood sugar values are found to be high, which will lead to a predictable increase in vascular disease, which in turn will affect the quality of health and productivity of the individual and the economic growth of the society as a whole. Studies suggest that therapeutic interventions to improve glycemic control may reduce the risk of cardiovascular disease and microvascular disease.This study shows that the level of diabetes control in Kerala is unsatisfactory. We need more medications, better strategies and more emphasis on glycemic management than we are currently able to apply. (Source: Indian Heart Journal)
Source: Indian Heart Journal - August 29, 2018 Category: Cardiology Source Type: research

Moderate intensity exercise improves heart rate variability in obese adults with type 2 diabetes
ConclusionThis study suggests that thrice-a-week moderate intensity aerobic exercise for six months improves cardiac rhythm regulation as measured by HRV in obese adults with type 2 diabetes (Source: Indian Heart Journal)
Source: Indian Heart Journal - August 29, 2018 Category: Cardiology Source Type: research

Statins everyday versus alternate days: Is there a difference in myalgia rates?
ConclusionsADD regime was better tolerated by the patients than EDD regime. Alternate day therapy, with or without vitamin D supplementation, may be used by the physicians for troublesome muscular complains. (Source: Indian Heart Journal)
Source: Indian Heart Journal - August 29, 2018 Category: Cardiology Source Type: research

Acute effects of diets rich in almonds and walnuts on endothelial function
ConclusionBoth walnut and almond diets improved FMD and sVCAM and there was no significant difference in physiological and biochemical markers between the two diets. (Source: Indian Heart Journal)
Source: Indian Heart Journal - August 29, 2018 Category: Cardiology Source Type: research

Prehypertension is associated with peripheral arterial disease and low ankle-brachial index
Publication date: July–August 2018Source: Indian Heart Journal, Volume 70, Issue 4Author(s): Alberto F. Rubio-Guerra, Ana K. Garro-Almendaro, Jose J. Lozano-Nuevo, Karla C. Arana-Pazos, Montserrat B. Duran-Salgado, Herlinda Morales-LópezAbstractPatients with prehypertension suffer endothelial dysfunction and are at increased cardiovascular risk. Ankle-brachial index (ABI) constitutes an efficient tool for diagnosing peripheral arterial disease; but also an ABI 
Source: Indian Heart Journal - August 29, 2018 Category: Cardiology Source Type: research