Cardiovascular health awareness among school-aged children in a rural district of India

Balancing idealism with realism to safeguard the welfare of patients: The importance of Heart Team led decision-making in patients with complex coronary artery disease

“…Against this backdrop, in this issue of The Indian Heart Journal, are two important, real world, single center registries from India (Ray et al, Goel et al)32, 33 describing outcomes relating to unprotected left main PCI. It is noteworthy that both registries, despite their limited size, support the EXCEL hypothesis as described earlier.…”

“…Another notable observation is that Ray et al 32 demonstrated that impaired left ventricular function to be an independent predictor of adverse outcomes in patients undergoing left main PCI. Such findings were also seen in the SYNTAX Trial during development of the SYNTAX score II, where it was shown that much lower anatomical SYNTAX scores were required for equipoise for long-term mortality between CABG and PCI 23 .…”

“…It is however important to emphasize that the concept of the Heart Team is not yet an accepted part of mainstream practice in India, and as a consequence, left main PCI may be being over utilized (Personal Communication: Professor Sundeep Mishra, Editor-in-Chief, Indian Heart Journal, 5th July 2015). In the two registries described in this issue of the Indian Heart Journal,32, 33 one describes the use of a multidisciplinary Heart Team approach and the other does not. Given the complexity of decision making (Fig.…”