Year : 2019 | Volume
: 1 | Issue : 1 | Page : 1-
Does clinical cardiology need a journal?
Department of Cardiology, Kerala Institute of Medical Sciences, Trivandrum, Kerala, India
Prof. Govindan Vijayaraghavan
Kerala Institute of Medical Sciences, Trivandrum, Kerala
|How to cite this article:|
Vijayaraghavan G. Does clinical cardiology need a journal?.Ann Clin Cardiol 2019;1:1-1
|How to cite this URL:|
Vijayaraghavan G. Does clinical cardiology need a journal?. Ann Clin Cardiol [serial online] 2019 [cited 2020 Feb 17 ];1:1-1
Available from: http://www.onlineacc.org/text.asp?2019/1/1/1/272998
Numerous medical journals in cardiology fill our desk at the beginning of every month. Along with all the journals in cardiology and its subspecialties, what is the relevance of Annals of Clinical Cardiology?
With the rapid advance in the science of cardiology, clinical cardiology always gets the backbench. However, when a patient comes to a consultant, it is clinical cardiology that comes to the forefront, helping him/her to make a preliminary diagnosis and guide him/her through the numerous investigations which lead him/her to a diagnosis to plan the management strategy. This is clearly evident in the case records of the Massachusetts General Hospital in the New England Journal of Medicine. The emphasis given to clinical cardiology in these case records and the way in which these clinical signs are discussed in the clinicopathological analysis have always fascinated me. These discussions tell us that even in 2019, good case history and detailed clinical examination paves way for the ultimate diagnosis helped by the many investigations available to us.
Recently, a 48-year-old woman came to the casualty for fatigue, body aches, and tiredness for 3 days. She remembered that she had a short febrile episode. She had two episodes of near syncope but had not fallen down. Her heart rate was 96/min with a blood pressure of 90/60 mmHg, and she was not in obvious heart failure. There was neither cardiomegaly nor murmurs. Other systems were normal. Electrocardiogram showed sinus tachycardia of 110/min with nonspecific ST-T changes in the anterior chest leads. She had hs-troponin level of 125 pg/ml. A good local physician who was puzzled by the troponin results in a patient without chest discomfort referred her the nearest cardiology center with a catheterization laboratory. There she was taken to the laboratory and had selective coronary angiogram which was normal. She was discharged on the same day with aspirin and clopidogrel with paracetamol 625 mg twice daily. Next day, she was brought to the emergency department, in the morning at 5.30 a.m. and died of recurrent ventricular tachycardia and fibrillation. In this rapidly moving world, she did not have an echocardiogram to look at the other causes of troponin elevation. The clinical workup was incomplete, and we lost a patient. This case highlights the importance of clinical thinking before advanced investigations. This is what Sir William Osler called “contemplation” after physical examination. This is what will be highlighted in a journal like the present one. It is in this scenario that we need a journal dealing with clinical cardiology.
Doctors in cardiology have moved away from clinical cardiology and have become virtual robots thinking about only coronary artery disease. There are more conferences on coronary artery disease, coronary interventions, dual antiplatelet therapy, and the like. Some of these conferences pay the delegates traveling expenses from home, hotel expenses with lavish entertaining included. But, there are very few events dealing with clinical cardiology.
The Indian Association of Clinical Cardiologists has come forward to publish this new journal with emphasis on day-to-day problems that plague the clinician dealing with heart diseases. They have formed a well-knit team to oversee its publication with the help of Klugger.
The editorial policy of “Annals of Clinical Cardiology” will stress on the importance of scientific quality and principles which govern the ideals of medical research. We will stress the importance of clinical cardiology in day-to-day practice as well as in medical research. We invite plenty of case reports which form the backbone of clinical cardiology. Quality control will become all the more important in selecting articles for publication.
We present to you the inaugural issue of this journal which will be useful to the practicing physicians, postgraduate students, as well as to the clinical research scientist.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
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Conflicts of interest
There are no conflicts of interest.