Year : 2016 | Volume
: 5 | Issue : 3 | Page : 77-
From the Editor's desk
Ravi R Kasliwal
Editor-in-chief, Journal of Clinical and Preventive Cardiology
Ravi R Kasliwal
Chairman, Clinical and Preventive Cardiology, Medanta - The Medicity, Sector 38, Gurgaon, Haryana - 122 001, India
|How to cite this article:|
Kasliwal RR. From the Editor's desk.J Clin Prev Cardiol 2016;5:77-77
|How to cite this URL:|
Kasliwal RR. From the Editor's desk. J Clin Prev Cardiol [serial online] 2016 [cited 2022 May 26 ];5:77-77
Available from: https://www.jcpconline.org/text.asp?2016/5/3/77/191097
Cardiovascular risk assessment is the basic tenet of Preventive Cardiology. Only on the basis of such an assessment can decisions regarding future events and current therapy can be instituted for a given patient or alternatively, one can identify persons who may not become a future patient at all. It is a daunting task! Last 60 years have seen a tremendous increase in scientific data in this field and yet a lot of work remains because race, gender, ethnicity, culture, social norms all play a potential role in determining an individual's propensity to develop cardiovascular disease and thus, our ability to predict that risk with reasonable accuracy. It is therefore not surprising that increasing evidence has accumulated to show that risk scores developed in one ethnic group do not work in any other group of individuals. Accordingly, we need ethnic specific risk assessment tools and for that, the first step is to accumulate epidemiological data about various cardiovascular risk factors in different patient subsets belonging to that ethnicity. The original article in this issue is a small yet important step in this direction. The article describes and compares risk factor profile and coronary artery disease pattern in pre-menopausal and post-menopausal Indian women presenting with acute coronary syndrome.
Syncope is generally a frightening symptom from the patient' perspective and a diagnostic dilemma for the physician. Careful history and physical examination are extremely important in the evaluation of syncope but are often neglected. In this context, the review article on approach to a patient with syncope provides the readers an opportunity to learn the nuance of this clinical entity and enable them easily distinguish a simple faint from a complex issue whenever next time they come across such a patient. A must read!
This issue of the journal also presents a summary of some of the recent, clinically highly relevant, landmark trials. The social media, recently, has been quite active in denouncing the role of dietary fat in the causation of cardiovascular disease. Hence, a landmark trial which specifically deals with this issue with solid data is actually timely. Also, the role of obesity in cardiovascular disease has been highlighted in another good analytical trial. And, as the world goes digital, more and more players are entering the vast healthcare field with novel apps that promise to help improve patient adherence to medical advice (medications as well as lifestyle modifications). Their true value, however, is currently under scrutiny and a recent trial provides some more evidence in this direction. But, this is only the tip of the iceberg!