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  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04); Editor in Chief IJCP Group of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR


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eMedinewS Presents Audio News of the Day

Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of Workshop on Stress Management and How to be Happy and Healthy

  Editorial …

4th May 2012, Friday

New Drug for ED

A new PDE–5 inhibitor avanafil (Stendra) is now FDA approved.

  • After treatment for 12 weeks, men randomized to the PDE–5 inhibitor had significantly greater improvement in the three principal endpoints of erectile dysfunction, vaginal penetration, and successful intercourse.
  • Increased receptor selectivity and a shorter half–life are the key features distinguishing avanafil from other members of the PDE–5 inhibitor class: sildenafil, tadalafil and vardenafil.
  • Men take avanafil on an as–needed basis 30 minutes before sexual activity.
  • In one study, men achieved erections as soon as 15 minutes after taking the drug. The rate of erections sufficient for intercourse increased from less than 15% to as much as 57% with avanafil versus 27% with placebo.
  • Most commonly reported side effects in clinical trials of avanafil were headache, flushing, nasal congestion, nasopharyngitis, and back pain.
  • A 40–week extension study involving patients from two of the randomized trials showed no increase in the frequency or severity of adverse effects associated with avanafil.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

New Drug for ED

Audio PostCard
    Photo Feature (From HCFI Photo Gallery)

World Earth Day 2012

Students of Delhi Public School, Mathura Road spreads the message "Say No to Polyags" through a lovely Skit. On the occasion of World Earth Day

Dr K K Aggarwal
    National News

Health Ministry faces fund crunch

Notwithstanding the government’s commitments on increased resources for public health, the department of health and family welfare has actually received Rs 10,500 crore less than the original proposal from the finance ministry. The shortfall, according to the Parliamentary Standing Committee on Health, was baffling because of the government’s commitments to raise expenditure on health from one per cent of GDP at the moment to 2.5 per cent of GDP by the end of 12th Plan. The Centrally–sponsored schemes on non–communicable diseases, mental health programme and establishing trauma care centres next to the highways are the casualties of the drastic fund cut. While the Union Finance Ministry approved only Rs 130 crore to the national mental health programme as against the proposed Rs 704 crore, the trauma care project received only Rs 100 crore from the original proposal of Rs 656 crore. The national programme for non–communicable diseases like cancer, diabetes, heart diseases and stroke too received only Rs 300 crore as against the original proposal of Rs 1,024.95 crore.

According to the World Health Organisation estimates, almost 53 per cent of total deaths in India – 55 lakh in absolute terms – are caused by chronic diseases. The figure is projected to rise to 60 per cent by 2015. As India’s population ages in the next 25 years, there will be a significant increase in death due to chronic diseases. Deaths caused by cancer is projected to rise from 7,30,000 in 2004 to 1.5 million in 2030 while deaths from heart diseases would shoot up to four million from 2.7 million in the same time span, researchers reported in the journal "Lancet" recently. (Source: Deccan Herald, May 1, 2012)

For comments and archives

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology: Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

    International News

(Contributed by Dr Monica and Brahm Vasudev) 

FDA requests more data on alogliptin

The US Food and Drug Administration (FDA) has requested more data before rendering a decision on new drug applications for alogliptin and fixed–dose combination alogliptin and pioglitazone, Takeda Pharmaceutical Company announced last week. (Source: Medscape)

For comments and archives

In early, aggressive RA, combo initially better than MTX

The question of how best to deploy biological vs disease–modifying antirheumatic drug (DMARD) regimens and step–up vs immediate combination therapy in early, aggressive rheumatoid arthritis (RA) is being addressed in the Treatment of Early Aggressive Rheumatoid Arthritis (TEAR) study. Two–year data reported by the TEAR investigators online April 16 in Arthritis & Rheumatism indicate that the less expensive triple DMARD regimen (methotrexate (MTX)/sulfasalazine/hydroxychloroquine) is generally as effective as etanercept/MTX and that starting patients on MTX monotherapy with a switch to a combination regimen at 6 months if more control is needed does not jeopardize long-term outcome. (Source: Medscape)

For comments and archives

CHA2DS2–VASc score gives best prediction of stroke risk in AF

Another study has suggested that the newer CHA2DS2–VASc score may be more suitable than the CHADS2 score for assessing risk of stroke and thromboembolic events in AF patients, particularly in those at lower risk. Lead author Dr Jonas Bjerring Olesen (Copenhagen University Hospital Gentofte, Hellerup, Denmark) explained that while there is no doubt that high–risk AF patents require anticoagulation, there is a conflict over the definition of low–risk patients who do not require anticoagulation in guidelines from different countries. The US guidelines classify low risk as a score of 0 on the CHADS2 scale, while the European guidelines have adopted the newer CHA2DS2–VASc score, which further subdivides the CHADS2 0 score into several risk categories.

Olesen noted that a CHADS2 score of 0 included CHA2DS2–VASc scores of 0 to 3 and that a CHADS2 score of 1 included CHA2DS2–VASc scores of 1 to 4. Results, published online April 3, 2012 in Thrombosis and Haemostasis, showed that the CHA2DS2–VASc score gave a much more accurate prediction of risks than the CHADS2 score, with risk increasing with each point on the CHA2DS2–VASc scale. (Source: Medscape)

For comments and archives

Drug screens show high degree of noncompliance

The majority of patients whose doctors order a urine screen to monitor prescription drug use –– usually pain meds, central nervous system agents, and amphetamines –– are not using them as prescribed, a report from one of the nation's largest diagnostic laboratories showed. (Source: Medpage Today)

For comments and archives

   Twitter of the Day

@DrKKAggarwal: Smoking and obesity do not go together.

@DeepakChopra: You will find inner ecstasy when you can be reckless in love

    Spiritual Update

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinews)

Anger Management

Anger is the reaction of the body and the mind to the interpretation of a known situation. Managing anger involves either changing the situation or the interpretation or preparing the body with yoga and pranayama in such a way that anger does not harm the body.

  1. Changing the situations: for this one needs to identify the triggers and change them. Anger as per Vedic Sciences is the resu

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

Is D&C safe?

Most of the time, D&C is safe. Occasionally, complications do occur during or right after surgery. The possible complications include:

  • Uterine perforation is when a hole is accidentally made in the uterus by a surgical instrument. the uterine perforation is not always obvious at the time of the D&C, and then you may need additional surgery to look inside the lower belly. The laparoscope is a small instrument attached to a camera that is placed through small incisions in your abdomen or belly to see if the organs around your uterus, such as intestines, bladder, or blood vessels, are injured. If any of these organs are injured, they must be repaired with surgery.
  • Infections can occur after a D&C. It may be related to a sexually transmitted infection, such as chlamydia or gonorrhea, or due to normal bacteria that pass from the vagina into the uterus during or after the procedure. The symptoms can consist of vaginal discharge, uterine cramping and pain, and fever.
  • Scar tissue formation in the uterus is an uncommon complication in women who have had a D&C. This is referred to as "Asherman’s Syndrome." You are at greater risk of scar tissue formation when a D&C is performed after a miscarriage, during pregnancy, or shortly after delivery of a baby. The most common symptom is very light or missed periods. To treat this condition, scar tissue is surgically removed. This type of surgery is performed with a hysteroscope.
  • Other rare complications of a D&C include tears in the cervix, uterine bleeding, and reactions to anesthesia. These complications usually occur at the time of surgery.

For comments and archives

    Tat Tvam Asi………and the Life Continues……

(Dr Sanjay Chaudhary, Medical Director, Chaudhary Eye Centre, Dr Pallavi Sugandhi, Consultant Ophthalmologist, Cornea & Refractive surgeon, Chaudhary Eye Centre)

Is it necessary to transport the donor to the hospital after death for donating eyes?

No. The eye bank personnel will go to the donor’s residence and remove the eyes. The procedure takes approximately 20 to 30 minutes.

For comments and archives

   An Inspirational Story

(Ms Ritu Sinha)

A Place to Stand

If you have ever gone through a toll booth, you know that your relationship to the person in the booth is not the most intimate you’ll ever have. It is one of life’s frequent non–encounters: You hand over some money; you might get change; you drive off. I have been through every one of the 17 toll booths on the Oakland–San Francisco Bay Bridge on thousands of occasions, and never had an exchange worth remembering with anybody.

Late one morning in 1984, headed for lunch in San Francisco, I drove toward one of the booths. I heard loud music. It sounded like a party, or a Michael Jackson concert. I looked around. No other cars with their windows open. No sound trucks. I looked at the toll booth. Inside it, the man was dancing.

"What are you doing?" I asked. "I’m having a party," he said. "What about the rest of these people?" I looked over at other booths; nothing moving there. "They’re not invited."

I had a dozen other questions for him, but somebody in a big hurry to get somewhere started punching his horn behind me and I drove off. But I made a note to myself: Find this guy again. There’s something in his eye that says there’s magic in his toll booth. Months later I did find him again, still with the loud music, still having a party.

Again I asked, "What are you doing?" He said, "I remember you from the last time. I’m still dancing. I’m having the same party." I said, "Look. What about the rest of the people." He said. "Stop. What do those look like to you?" He pointed down the row of toll booths. "They look like toll booths." "Noooo imagination!"

I said, "Okay, I give up. What do they look like to you?" He said, "Vertical coffins." "What are you talking about?"

"I can prove it. At 8:30 every morning, live people get in. Then they die for eight hours. At 4:30, like Lazarus from the dead, they reemerge and go home. For eight hours, brain is on hold, dead on the job. Going through the motions."

I was amazed. This guy had developed a philosophy, a mythology about his job. I could not help asking the next question: "Why is it different for you? You're having a good time."

He looked at me. "I knew you were going to ask that," he said. "I’m going to be a dancer someday." He pointed to the administration building. "My bosses are in there, and they're paying for my training."

Sixteen people dead on the job, and the seventeenth, in precisely the same situation, figures out a way to live. That man was having a party where you and I would probably not last three days. The boredom! He and I did have lunch later, and he said, "I don’t understand why anybody would think my job is boring. I have a corner office, glass on all sides. I can see the Golden Gate, San Francisco, the Berkeley hills; half the Western world vacations here and I just stroll in every day and practice dancing.

Abraham Lincoln said, "Most people are about as happy as they make up their minds to be." I would tend to agree.

For comments and archives

   Cardiology eMedinewS

Testosterone In Heart Failure Read More

Vascular Age High in AMI Read More

Lack Of Sleep Can Lead To Diabetes Read More

Macular Degeneration Tied To Stroke Risk Read More

   Pediatric eMedinewS

Benzodiazepines Safe During Lactation Read More

Epicondylar Fragmentation in Young Ball Players Can Be Managed Conservatively Read More

Bevacizumab As First–Line Therapy For Retinopathy Of Prematurity
Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient came with subclinical hypothyroid state.
Dr. Bad: No treatment is required.
Dr. Good: You need treatment.
Lesson: Treatment of subclinical hypothyroidism with thyroid extract is associated with fewer coronary heart disease events.

For comments and archives

Make Sure

Situation: A patient missed his second dose of Hepatitis B vaccine and developed Hepatitis B.
Reaction: Oh my God! Why was the v accine not given between 1–2 months?
Lesson: Make sure that all patients who missed their second dose of vaccine at one month are given the same upto second month (1–2 months).

For comments and archives

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    Legal Question of the day

(Prof. M C Gupta, Advocate & Medico–legal Consultant)

Q. What is insurance medicine?



Physicians practicing Insurance Medicine work within the fields of life, health, disability and long term care insurance. They analyze medical records of applicants to determine insurance risk and to evaluate life and disability claims. Insurance Medicine also provides opportunities for doctors to take on administrative roles, perform analytical research, and provide training for non–physician underwriters. Some doctors are involved in product development and the marketing aspects of their company’s product line. Doctors practicing Insurance Medicine must be well versed in primary care and need expertise in interpretation of electrocardiograms (especially necessary for Life Insurance). A number of doctors have specialty training in Internal Medicine subspecialties such as cardiology, oncology and pulmonary medicine. In addition to a fund of general medical knowledge, doctors receive training on life expectancy estimation and risk assessment. Based upon current health assessment, a doctor predicts the probability of survival many decades into the future.

In the US, there are about 500 doctors practicing Insurance Medicine in the life and disability fields. Beginning salaries vary and corporate benefit packages can add 25–30% or more to total compensation. A career in Insurance Medicine provides an intellectually stimulating job where a physician sees a spectrum of unusual diseases and disorders that they may never have had the opportunity to see in practice. More difficult to quantify but easy for any practicing physician to embrace, is the benefit of having no night, holiday and weekend call.

Openings in the field are limited and frequently, the hiring companies seek physicians experienced in the field of Insurance Medicine. Occasionally, there are opportunities for a practicing clinician to work part time for an insurance company while training in Insurance Medicine.


I. General insurance and insurance medical principles, practices, law and ethics in each of the following areas:

A. Life insurance underwriting and claims
B. Disability income underwriting and claims
C. Structured settlements
D. Long term care insurance
E. Health insurance underwriting and claims
F. Critical illness insurance

II. Mortality and morbidity analysis, including an understanding and working knowledge of:

A. Life tables
B. Survival curves and life expectancy
C. Select and ultimate mortality
D. Common patterns for diseases and other health–related conditions, and rating approaches
E. Sensitivity, specificity and predictive values
F. Value and limitations of examinations, laboratory testing and other diagnostic methods
G. Protective value studies
H. Use of external standards for comparative mortality/morbidity (i.e. Observed and expected mortality)

III. Medical Information Bureau (MIB): function, legal aspects and medical director responsibilities

IV. Health–related conditions and behaviors, and the effectiveness of current therapy, including each of the following subject areas:

• Epidemiology (including who is at risk and relative importance and age specific considerations)
• Condition specific mortality patterns
• Risk factors
• Genetic factors
• Screening techniques (availability and effectiveness)
• diagnostics (the physical examination, laboratory and other diagnostic studies–availability, accuracy and limitations)
• Impact of therapy
• Prognostic factors The subjects listed under the following headings highlight commonly encountered conditions. This is not an all-inclusive list.

A. Genetics

1. Basic principles of genetics and molecular biology 2. Genetic testing: basic methodology; clinical applications; ethical, legal and social issues 3. The application of genetics in underwriting

B. Infectious diseases

1. HIV 2. Other

C. Cardiovascular

1. EKG, stress test, imaging and invasive test interpretation 2. Hypertension 3. Atherosclerotic disease, including risk factors and impact of medical, interventional and surgical therapy a) Coronary artery disease b) Peripheral arterial disease c) Cerebrovascular disease
4. Valvular heart disease 5. Cardiomyopathies 6. Congenital heart disease 7. Venous thromboembolism

D. Endocrine/Metabolism

1. Diabetes mellitus 2. Thyroid disorders 3. Pituitary disorders 4. Lipid disorders 5. Obesity

E. Gastrointestinal

1. GI bleeding 2. Inflammatory bowel disease 3. Liver enzyme abnormalities 4. Chronic hepatitis 5. Hemochromatosis 6. Barrett’s esophagus

F. Genitourinary

1. Proteinuria and albuminuria 2. Chronic renal insufficiency 3. Adult polycystic kidney disease 4. Glomerulonephritis 5. Neurogenic bladder 6. Renal transplantation

G. Hematology/Oncology

1. Anemias 2. Leukemias 3. Myeloproliferative disorders 4. Breast cancer 5. Prostate cancer (including PSA interpretation) 6. Colon polyps and cancer 7. Lymphoma 8. Skin cancers, including melanoma 9. Bladder cancer 10. Endometrial cancer 11. Cervical neoplasia 12. Lung cancer 13. Monoclonal gammopathy 14. Second malignancies 15. Bone marrow and stem cell transplantation

H. Musculoskeletal/Rheumatology

1. Connective tissue disorders a) Rheumatoid arthritis b) Systemic lupus erythematosus
2. Osteoporosis 3. Cervical and lumbar disc disease 4. Osteoarthritis 5. Fibromyalgia 6. Chronic fatigue syndrome 7. Back pain

I. Neurology

1. Developmental disorders 2. Cerebral palsy 3. Mental retardation 4. Seizure disorders 5. Parkinson’s disease 6. Multiple sclerosis 7. Spinal cord injuries 8. Dementias

J. Psychiatry

1. Affective disorders 2. Anxiety disorders 3. Schizophrenia and other thought disorders 4. Attention deficit/hyperactivity disorder 5. Suicide risk

K. Respiratory

1. Asthma 2. COPD 3. Sleep apnea 4. Sarcoidosis and other inflammatory/infiltrative lung disorders

L. Substance Use

1. Alcohol 2. Tobacco 3. Illicit drug use 4. Prescription drug misuse/abuse

M. "Non–medical" Factors

1. Sports 2. Aviation 3. Foreign travel 4. Military service 5. Occupation

3. A seminar was organised in 2009 (Insights on Insurance Claims on 29th May 2009 at Taj Lands End, Bandra Mumbai) where I also spoke. Details can be had from by Dr. C H Asrani, organiser, who has been practicing insurance medicine for many years—


(NOTE—1 and 2 above were contributed by Dr. Sandeep Sharma drsandeepsharma@yahoo.com)

For comments and archives

  Quote of the Day

(Dr GM Singh)

Often the difference between a successful man and a failure is not one’s better abilities or ideas, but the courage that one has to bet on his ideas, to take a calculated risk, and to act. Maxwell Maltz

    Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC)

Recent study shows decline in youth obesity in higher–income children

Recent studies have shown that after decades of rising youth obesity rates, the numbers seem to be leveling off or declining, according to a report in the journal Pediatrics. However, the slight decline may depend on the income level of a child’s household. Researchers who were studying Boston–area obesity rates and how they compare to the national average found that after holding steady between 1999 and 2003, the obesity rate began to fall after 2004 for children who were patients at Boston–area pediatric offices. By 2008, just under 9% of boys were obese, compared with almost 11% between 1999 and 2004. Among girls, the obesity rate declined from over 8% to just over 6%.

Two national databases noted a similar trend nationwide, the researchers found. Just over 10% of 2– to 6–year–olds in the United States were obese in 2008, down from 14% in 2004. However, the rate among children younger than 2 remained at 9.5%, the study reported. The researchers saw little change in the obesity rate of lower–income children in the Boston area who were on Medicaid—11.5% were obese in 2008, down from just over 12% in 2004. Greater awareness of the problem and pediatric screening for obesity could be playing a role in the decline, Dr. Xiaozhong Wen, of Harvard Medical School and the Harvard Pilgrim Health Care Institute in Boston, told Reuters Health. Wen said further study is needed to determine why the obesity rate among higher–income children seems to be declining while the rate for lower–income children is not.

For comments and archives

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Serum gastrin

  • To detect an overproduction of gastrin
  • To help diagnose Zollinger–Ellison syndrome
  • To monitor for recurrence of a gastrin–producing tumor (gastrinoma)
    Mind Teaser

Read this…………………

What color is a purple finch?

Yesterday’s Mind Teaser: The Canary Islands in the Pacific are named after what animal ?

Answer for yesterday’s Mind Teaser: Dogs

Correct answers received from: Sudipto Samaddar, Dr Valluri Ramarao, Yogindra Vasavada, Dr PC Das, Raju Kuppusamy, Dr Chandresh Jardosh, Dr Jainendra Upadhyay, Dr Avtar Krishan.

Answer for 2nd May Mind Teaser: A. 110/70.
Correct answers received from: Dr S P S Grover, Dr M Nagamallika, Dr Sushma Chawla.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Good Night, Good Bye

A father put his three year old daughter to bed, told her a story and listened to her prayers – which she ended by saying "God bless Mommy, God bless Daddy, God bless Grandma, and good–bye Grandpa."

The father said, "Why did you say good–bye to Grandpa?" The little girl said, "I don’t know, Daddy, it just seemed like the thing to do."

The next day Grandpa died. The father thought it was a strange coincidence. A few months later the father put the girl to bed and listened to her prayers, which went like this –– "God bless Mommy, God bless Daddy, and good–bye Grandma." The next day the grandmother died.

My goodness, thought the father, this kid is in contact with the other side.

Several weeks later when the girl was going to bed the Dad heard her say, "God bless Mommy and good–bye Daddy."

He practically went into shock. He couldn’t sleep all night and got up at the crack of dawn to go to his office. He was nervous as a cat all day, had lunch sent in and watched the clock. He figured if he could get by until midnight he would be OK. He felt safe in the office, so instead of going home at the end of the day he stayed there, drinking coffee, looking at his watch and jumping at every sound.

Finally midnight arrived, he breathed a sigh of relief and went home. When he got home his wife said, "I’ve never seen you work so late, what’s the matter?"

He said, "I don’t want to talk about it, I’ve just spent the worst day of my life."

She said, "You think you had a bad day, you'll never believe what happened to me. This morning the mailman dropped dead on our porch."

    Medicolegal Update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

What is any hurt which causes the victim to be in severe bodily pain or unable to follow his ordinary pursuits for a period of 20 days?

A grievous injury

The 8th clause of Indian Penal Code 320 defines such hurts, which cause the victim to be in severe bodily pain for a period of 20 days as

  • Any hurt which prevents the victim from following his ordinary pursuits for a period of 20 days
  • Ordinary pursuits means the patient cannot be able to go toilet, to brush the mouth, bath cannot eat himself, cannot walk and to carry on such daily pursuits require mandatory help of other person for 20 days
  • The length of time during which an injured person is in pain, disease or is not able to pursue his ordinary daily routine work must be meticulously and satisfactorily observed by the doctor himself before certifiying the injury as a grievous injury.
  • It is employed not only in cases where violence has been used but also in cases where hurt has been caused without any assault, e.g., by administration of drugs, the digging of pitfalls. The setting of traps etc. the extent of hurt and the intention of the offender are considered for giving punishment.
  • It is difficult for a doctor to prove that an injured person was in severe bodily pain for 20 days but it is easier to prove that he was unable to follow his ordinary profession/pursuits due to the hurt.
  • A mere stay of 20 days in the hospital doesn’t make an injury grievous unless the person was in severe bodily pain or unable to follow his ordinary pursuits for a period of 20 days. Certifying doctor must rule out and document the feigned illness in medicolegal report.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Repeated CT scans are risky to life

Talking to a gathering of doctors, Dr. Nikhil Kapoor, Chief Radiologist, Moolchand Medcity and Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, in a joint statement said that CT scan involves x–ray radiation and can be harmful to the body. Unless it is essential for any diagnostic procedure, one should not undergo repeated CT scans on annual basis for diagnosis of certain cancers. On the other hand, ultrasound and MRI are safe and carry no radiations. They were speaking in a seminar organized by Homeopathic Cardiologists of India along with Board of Medical Education, Moolchand Medcity.

The experts said that MRI and CT scan are not inter–changeable diagnostic procedures.

Dr. Anupam Sethi Malhotra, President, Homeopathic Cardiologists of India, said that it has now become important for homeopaths to understand all about imaging modalities and their interpretations.

Contrast imaging which was earlier used with x–ray is now available for ultrasound and echocardiography. Thirty per cent of patients do not have a good heart window of routine echocardiography. In these cases, using special ultrasound contrast can prevent angiography and other cath procedures.

    Readers Response
  1. Dear Sir, Your are giving fabulous informations. Regards: Dr Piyush
    Forthcoming Events
Dr K K Aggarwal

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

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