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Other Comments:
We have read through the manuscript and we think that the manuscript seems to show important and major lacking news:
- English should be completely revised by a native English speaker.
- The manuscript is too poor: no data about the population considered, no indications about the influence of each cardiovascular risk factor on the burden of coronary heart disease assessed by the coronary angiography
- The statistical analysis is completely not sufficient. After the data gathering about the population, each parameter should be weighted on CAD severity in order to assess the real impact of coronary heart disease in Nepalese population.
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Competing interests:
no
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Invited by the author to review this article? :
No -
Have you previously published on this or a similar topic?:
Yes
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References:
Ciccone MM, Scicchitano P, Zito A, Agati L, Gesualdo M, Mandolesi S, Carbonara R, Ciciarello F, Fedele F. Correlation between coronary artery disease severity, left ventricular mass index and carotid intima media thickness, assessed by radio-frequency. Cardiovasc Ultrasound. 2011 Nov 16;9:32. Ciccone MM, Marzullo A, Mizio D, Angiletta D, Cortese F, Scicchitano P, Carbonara S, Ricci G, Regina G, Caruso G, Favale S. Can carotid plaque histology selectively predict the risk of an acute coronary syndrome? Int Heart J. 2011;52(2):72-7. Ciccone MM, Niccoli-Asabella A, Scicchitano P, Gesualdo M, Notaristefano A, Chieppa D, Carbonara S, Ricci G, Sassara M, Altini C, Quistelli G, Lepera ME, Favale S, Rubini G. Cardiovascular risk evaluation and prevalence of silent myocardial ischemia in subjects with asymptomatic carotid artery disease. Vasc Health Risk Manag. 2011;7:129-34. Lee CH, de Feyter P, Serruys PW, Saia F, Lemos PA, Goedhart D, Soares PR, Umans VA, Ciccone M, Cortellaro M. Beneficial effects of fluvastatin following percutaneous coronary intervention in patients with unstable and stable angina: results from the Lescol intervention prevention study (LIPS). Heart. 2004 Oct;90(10):1156-61. Balbarini A, Buttitta F, Limbruno U, Petronio AS, Baglini R, Strata G, Mariotti R, Ciccone M, Mariani M. Usefulness of carotid intima-media thickness measurement and peripheral B-mode ultrasound scan in the clinical screening of patients with coronary artery disease. Angiology. 2000 Apr;51(4):269-79. Ciccone M, Federici A, di Noia D, Cipressa A, Epifani M, Losano G, Rizzon P. Tachycardia and coronary blood flow: non-invasive estimation during Valsalva manoeuvre and exercise. Clin Physiol. 1993 Sep;13(5):525-33. -
Experience and credentials in the specific area of science:
Associate Professor in Cardiovascular Diseases, author of hundreds of international publication in atherosclerosis matter and correlation between peripheral artery diseases and coronary heart diseases
- How to cite: Ciccone M M.Coronary Angiographic Findings of Nepalese Patients with Critical Coronary Artery Disease: Which Vessels and How Severe?[Review of the article 'Coronary Angiographic Findings of Nepalese Patients with Critical Coronary Artery Disease: Which Vessels and How Severe? ' by Jaiswal J].WebmedCentral 2012;3(3):WMCRW001635
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Other Comments:
This is a retrospective study. As the authors themselves report the increased diagnostic facilities over time have increased the detection of CAD. But, this study documents the degree of coronary artery involvement in an ethnic population of Nepal. The manuscript would have more value if the risk factors of CAD were also documented, in order to document any peculiarity of risk factor distrubution in this population.
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Competing interests:
none
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Invited by the author to review this article? :
No -
Have you previously published on this or a similar topic?:
No
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References:
None -
Experience and credentials in the specific area of science:
Interventional Cardiologist
- How to cite: Adhyapak S .Coronary angiographic findings in Nepali patients[Review of the article 'Coronary Angiographic Findings of Nepalese Patients with Critical Coronary Artery Disease: Which Vessels and How Severe? ' by Jaiswal J].WebmedCentral 2012;3(3):WMCRW001552
- Other Comments: Sheds light on the issue with angle of expertise well suited to the authors.
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Competing interests:
No
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Invited by the author to review this article? :
No -
Have you previously published on this or a similar topic?:
No
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References:
None -
Experience and credentials in the specific area of science:
Literaturevreview - How to cite: Azimi N A.Azimi[Review of the article 'Coronary Angiographic Findings of Nepalese Patients with Critical Coronary Artery Disease: Which Vessels and How Severe? ' by Jaiswal J].WebmedCentral 2012;3(3):WMCRW001550
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Other Comments:
Good retrospective study first of its kind in Nepal. It shows that
single vessel disease is more common in around 70% of patients and
multi vessel disease is less common whereas in a neighboring country
like India, we do multi vessel angioplasty or bypass is more than half
of our patients. It will be interesting to conduct a study to find out
what percentage of patients have peripheral vascular disease (Carotid,
Renal or limb vessels) in those undergoing angioplasty. -
Invited by the author to review this article? :
Yes -
Have you previously published on this or a similar topic?:
No
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References:
None -
Experience and credentials in the specific area of science:
None - How to cite: Bansal S S.ARTICLE REVIEWED BY DR S S BANSAL: [Review of the article 'Coronary Angiographic Findings of Nepalese Patients with Critical Coronary Artery Disease: Which Vessels and How Severe? ' by Jaiswal J].WebmedCentral 2012;3(2):WMCRW001481
The authors should be applauded for publishing the first retrospective study of angiographic findings in the ethnic population of Nepal. Additional information on the population considered, including demographics and risk factor profile would have been welcome to aid understanding of the observed pattern of disease. A more extensive treatise on the possible underlying factors would also have been appropriate, including the availability and use of primary and secondary prevention medical therapy as well as prevailing referral bias to coronary angiography. The manuscript could be further improved by more careful attention to grammar and orthography. For example, abbreviations are used interchangeably, and sometimes without prior definition (e.g. SVD, DVD) and the section on methods appears to end abruptly in mid-sentence. I suspect the missing information on how lesions were graded was intended to be here. Information on the pattern of disease on patients who underwent coronary angiography but no angioplasty is conspicuous in its absence.
I would encourage the authors to continue to prospectively gather data on their treatment population and track the evolution of risk factor profile and coronary disease patterns over the ensuing years.
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Interventional cardiologist