FROM THE EDITOR’S DESK

Ayob and colleagues (page 178) ask pertinent questions about our ‘clients’, our patients and the public, and their grasp of the entities we are managing them for and our advice given. They tracked down studies from Cameroon, Kuwait, Tanzania, South Africa, USA, Malaysia, Australia, Ghana and Uganda, which is a wide spectrum. The conclusion was that there is generally little grasp of what cardiovascular disease is about: poor risk- factor awareness, not buying into lifestyle modification and not appreciating the need for monitoring and for medication compliance.

Phanzu and co-workers (page 147) took an unconventional approach and reasoned that the left ventricular mass, calculated by echocardiography according to Devereux’s formula, has different contributing components. They asked to what extent insulin resistance and/or hyperinsulinaemia are associated with average left ventricular mass or with components of Devereux’s formula, and also separately analysed parameters of left ventricular diastolic function. The article makes interesting reading as it presents sophisticated work incorporating lateral thinking.

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Featured in this issue of CVJA:

• The association between CHA2DS2-VASc score and aortic valve sclerosis
• Long-term experience of the modified David V re-implantation technique for valve-sparing aortic root replacement
• Effect of insulin resistance on left ventricular remodelling in essential hypertensives: a cross-sectional study
• Impact of the COVID-19 pandemic on cardiology fellowship training in a sub-Saharan African training centre: an African perspective
• Is the transradial approach associated with decreased acute kidney injury following percutaneous coronary intervention in patients not complicated by major bleeding and haemodynamic disturbance?

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