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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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  Editorial …

9th December 2011, Friday

Non cardiac chest pain may not be benign

Patients discharged with non cardiac chest pain may not always b with low risk as a new study shows a worrying one–year mortality rate of around 4% in this group, which is higher in patients with a previous psychiatric hospitalization. Around one–third of the deaths were cardiovascular, suggesting that a fairly substantial number of patients with heart disease are being missed when presenting to hospitals with chest pain. The study is published in European Heart Journal on December 1, 2011 by Dr Michelle Gillies from University of Glasgow, Scotland.

One should do a thorough review of the diagnostic parameters that lead to a diagnosis of non cardiac chest pain. In patients with negative high–sensitivity troponin and stress tests and in whom a specific non cardiac cause of the chest pain has not been identified, the use of N–terminal pro–brain natriuretic peptide (NT–pro BNP) or the measurement of unbound free fatty acids may be considered, which have shown high negative predictive abilities.

Given the known link between psychiatric and cardiovascular diseases, the best time for intensive cardiac evaluation would be at the initial psychiatric hospitalization or diagnosis of psychiatric illness, rather than at hospitalization for chest pain.

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 on

Dr Navin C Nanda on 3 D echo and pocket
echo machines.

Audio PostCard
    Photo Feature (From HCFI Photo Gallery)

63rd Annual Conference of the Cardiological Society of India, Mumbai

63rd annual CSI conference was inaugurated on 8th December 2011 at Mumbai by his Excellency K Shankar Narayanan. Chief Guest of the function was Mr Shatrughan Sinha, a cine star turn politician and former health minster of India.

Dr K K Aggarwal
    National News

Snake bites kill 46K in India yearly

CHICAGO: Fatal snake bites have become a major public health concern in India. What’s worse, it is vastly under–reported, according to a study presented on Monday. The American Society of Tropical Medicine and Hygiene said in India 46,000 people are dying every year from snakebites against the official figure of only 2,000. More than 2.5 lakh cases of snake bites are reported every year. Those who survive the bite on the spot, subsequently die due to delay, unable to reach a hospital within the crucial golden hour or due to lack of treatment, resulting in overdose of anti–venom. The statistics are shocking, considering India is neither home to the largest number snakes in the world nor is there a shortage of anti–venom in the country. (Source: TOI, Dec 6, 2011)

For comments and archives

Kindly visit Facebook for CSI News. It will cover minute to minute happenings of the 63rd CSI conference at Mumbai 8–11th December

For Facebook Page

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

Sweet news: A sugar that helps protect hearts

Washington: A spoonful of sugar is all you need to keep your heart healthy, according to scientists who claim to have come up with a new type of the sweetener which can prevent cardiac failure. An international team has, in fact, developed the new type of sugar – combination of sugar & seleno – that works by preventing reactive acids from damaging the heart, the ‘Chemical Communications’ journal reported. (Source: TOI, Dec 7, 2011)

For comments and archives

Overweight kids suffer from vitamin D deficiency

Obese kids have lower levels of vitamin D than their slimmer counterparts, regardless of season, sex, or race and ethnicity, researchers reported. In a cross–sectional study, 92% of obese children had inadequate levels of 25–hydroxyvitamin D (25(OH))D), compared with 68% of slimmer kids, according to Michele Hutchison, MD, PhD, and colleagues at the University of Texas Southwestern Medical Center in Dallas. (Source: Medpage Today)

For comments and archives

Telaprevir effective in hard–to–treat cirrhotic HCV

Adding the recently approved protease inhibitor telaprevir to pegylated interferon (peginterferon) plus ribavirin therapy achieved a 47% sustained viral response (SVR) in hard–to–treat patients with hepatitis C virus (HCV) infection and cirrhosis who had previously failed the standard 2–drug regimen. This finding comes from a subset analysis of the phase 3 REALIZE trial, presented at The Liver Meeting 2011: American Association for the Study of Liver Diseases 62nd Annual Meeting. (Source: Medscape Medical News)

For comments and archives

   Cardiology eMedinewS

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

63rd CSI conference at Mumbai 8-11th December. Grab your ecopy of happenings of 8th December Conference.

Conference e-Newsletter

Dr Ajit Bhagwat on Bivaluridin in PCI

For comments and archives

Dr B Majumdar on Ivabridine

For comments and archives

Emerging Evidence in Antiplatelet Therapy

For comments and archives

3rd CSI Conference Live Coverage from Mumbai by Dr KK Aggarwal
8th December 9am: Scientific snippets

For comments and archives

Now Real Time 3D Echo in Cath Lab for Managing Structural Heart Disease (Dr I Kronzon)

For comments and archives

Low Gradient Aortic Stenosis Should Be Operated Early

For comments and archives

   Twitter of the Day

@DrKKAggarwal: Stay Tuned with Dr I Kronzon on 3D Echo. 63rd CSI.MP3http://bit.ly/uhqUzR via @AddThis

@DeepakChopra: Multiple ways of knowing http://bit.ly/vVNHdA

    Spiritual Update

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

Satya As A Way of Life

Today’s stressful lives have woken us up to the need for spiritual wellbeing.

In order to acquire spiritual wellbeing, we need to adopt truthfulness or Satya as a way of life, as exhorted in the Vedic texts. In addition, Yoga–shastras as well as the Yoga Sutras of Patanjali propagate truthfulness as

For comments and archives

   An Inspirational Story

(Ms Ritu Sinha)

The Given Light

Once upon a time a man had heard that in a foreign place, far away, there was a holy flame burning. So he got up and left his home to find the holy flame and bring some of its light back home to his house. He thought: ‘When I have this light, then I will have happiness and life and all the people I love will have it too.’

He travelled far, far away and finally found the holy flame, with which he lit his light. On his way back he had only one worry: ‘That his light could go out.’

On his way home he met someone who was freezing and didn’t have any fire and who begged him to give him some of his fire. The man with the light hesitated for a moment. Wasn’t his light too precious, too holy to be given away for something ordinary like that? Despite these doubts, he decided to give some of his light to the one who was freezing in the darkness.

The man continued his journey home and when he had almost reached his house a terrible thunderstorm started. He tried to protect his light from the rain and the storm, but at the end his light went out.

To return the long way back to the place where the holy flame was burning was impossible, he wouldn’t have had enough strength to go back this far – but he was strong enough to return to the human being whom he had helped on his way home.

………and with his light he could light his own again.

For comments and archives

    Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC, http://www.isfdistribution.com)

Discovery of a New Muscle Repair Gene

An international team of researchers from England and the Charité –– Universitätsmedizin Berlin has presented new findings regarding the function of muscle stem cells, which are published in the current issue of the journal Nature Genetics. The researchers investigated several families with children suffering from a progressive muscle disease. Using a genetic analysis technique known as "next generation sequencing" the scientists identified a defective gene called MEGF10 responsible for the muscle weakness.

For comments and archives

    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

Grip test: Measuring grip strength with a dynamometer can be useful for older drivers who have had a stroke. The general rule is that 35 pounds of strength in the dominant hand is necessary for safe driving.

For comments and archives

    Medicine Update

(Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta)

What is the role of liver transplantation in Glycogen liver disease?

Liver transplantation is indicated in Glycogen storage disease–

  • When cirrhosis develops and is decompensated.
  • Tumors in liver
  • Medical therapy is unable to control symptoms and in uncontrolled hypoglycemia

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A female smoker wanted to know her risk of diabetes.
Dr. Bad: There is no risk.
Dr. Good: You are at high risk.
Lesson: A study published in February 25 issue of the journal ‘Diabetes Care’ has shown that females who smoke more than 20 cigarettes daily have high chances of developing type 2 diabetes.

For comments and archives

Make Sure

Situation: A patient on amlodipine developed severe gum hypertrophy.
Reaction: Oh my God! Why was amlodipine not stopped?
Lesson: Make sure that all patients on amlodipine are watched for gum hypertrophy. Gingival hyperplasia is a known side effect of amlodipine.

For comments and archives

  Quote of the Day

(Dr GM Singh)

True genius sees with the eyes of a child and thinks with the brain of a genie ~ Puzant Kevork Thomajan

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Vitamin B1, Plasma

Thiamine, or thiamin, sometimes called aneurin, is a water–soluble vitamin of the B complex (vitamin B1), whose phosphate derivatives are involved in many cellular processes. Thiamine deficiency can lead to myriad problems including neurodegeneration, wasting and death.

  • A lack of thiamine can be caused by malnutrition, a diet high in thiaminase–rich foods (raw freshwater fish, raw shellfish, ferns) and/or foods high in anti–thiamine factors (tea, coffee, betel nuts) and by grossly impaired nutritional status associated with chronic diseases, such as alcoholism, gastrointestinal diseases, HIV–AIDS, and persistent vomiting.
  • It is thought that many people with diabetes have a deficiency of thiamine and that this may be linked to some of the complications that can occur.
  • Well–known syndromes caused by thiamine deficiency include beriberi and Wernicke–Korsakoff syndrome, diseases also common with chronic alcoholism.
    Mind Teaser

Read this…………………

CSI Quiz of the day

A 65 year old male came with NYHA class II symptoms. EF 55%. Diameter MV = 4 cm, diameter LVOT = 2 cm, TVI (VTI) MV = 10 cm, TVI (VTI) LVOT = 20 cm, V Ao = 1.2 m/s.

What’s next?

a) Operate for MR
b) Operate for AR
c) Observe MR
d) Observe combined AS/AR

Yesterday’s Mind Teaser: time, time

Answer for yesterday’s Mind Teaser: Full time, part time

Correct answers received from: Dr Prabha Sanghi, Dr Sukla Das, Dr PC Das, Sudipto Samaddar, Dr Ravi Shanmugave, Dr Rakesh Bhasin, Raju Kuppusamy, Dr Chandresh Jardosh, Anil Bairaria, Dr NeelamNath, Muthumperumal Thirumalpillai.

Answer for 7th December Mind Teaser: At age 20.
Correct answers received from: Prithipal Sethi, Avula Ramadevi, Dr LVK Moorthy, Dr AK Kela, Dr Ankita Kanathia, Dr Sharad Khanna, Dr S Upadhyaya, Gita Arora, Dr Satyanarayana Akupatni.

Send your answer to ijcp12@gmail.com

    Laugh a While


A guy decides to get a sex change. So he goes to a very famous surgeon and has the whole thing done.
A few weeks after the surgery he is the center of attraction at a party thrown by his old buddies and they are all anxious to know about the surgery.
One of them said, "It must have really hurt when they shot all that silicon into your chest to make your breasts."
The young lady replied "Not really, I hardly felt it." "Well, it must have really hurt when they chopped off your manhood!"
"Nope, I didn’t really feel it either. The only thing that really hurt was when they drilled a hole in my skull and sucked out half my brains."

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    Medicolegal Update

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

The injuries produced by a blunt weapon on tense skin covering the bones, as on scalp, eyebrow, iliac crest, shin, perineum, knee or elbow looks like incised

  • During the preparation of MLC report the doctors should keep in mind that he has to provide clue about the weapon used is sharp edged one or otherwise, the direction of the force, the duration of injury, and the location of the wound which may suggest mode of production i.e. suicide, accident, homicides along with whether the injury is fabricated or otherwise
  • The wounds produced by a blunt weapon or by a fall on the hard surface, object, on tense structures/skin covering the bones, such as the scalp, eyebrow, iliac crest, shin, perineum, knee or elbow when the limb is flexed looks like incised wound however it is lacerated wound also called split laceration caused by blunt force and create confusion in the mind of doctor public and police official about sharp weapon.
  • When the incised looking wounds are examined by doctor under magnifying lens the edges of such wounds are found to be irregular with bruising and wounds are produced by blunt weapon.
  • The wounds which are also produced by pieces of glass, broken crockery has the characteristics of incised wounds but the edges appear parallel with one end of the wound an injury to a finger/body as a neatly incised laceration/split laceration or incised looking wound caused by broken glass "Neatly incised laceration is considered as incised wound and these broken glass as dangerous weapon.
  • An incised wound, cut, slash, and slice is a clean cut through the skin may or may not underlying tissues and structures caused by sharp edged instruments, which is longer than the depth of wound. It is produced by infliction of an object having a sharp cutting edge such as knife, razor, blade, scalpel, sword over the body.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

The holiday season is also the season for heart attack

A look at a U.S. database of 53 million deaths occurring between 1973 and 2001 reveals that deaths from heart disease peak in December/January, with spikes on Christmas and New Year’s Day.

Giving reasons for this, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India, said that:

  1. People with symptoms of heart trouble tend to delay going to the doctor prior to the holidays as they do not want to spoil holiday fun.
  2. They are less likely to see their physicians over this period of time in order to get the acute care they may need.
  3. During the holidays, many people take a break from their diet and exercise programs.
  4. The amount of time spent eating out and eating over at friends and family becomes more than usual.
  5. It becomes easier to find excuses not to stay on an exercise regimen.
  6. Alcohol consumption can increase during the holidays, which can contribute to something called "holiday heart syndrome."
  7. Alcohol has a toxic effect on the heart muscle. It can lead to atrial fibrillation –– an abnormal heart rhythm, which is a classic finding of the holiday heart.
  8. The hectic pace of the holiday season can cause people to forget to take medications such as blood thinners and pills for high blood pressure. Such lapses can lead to acute coronary trouble.
  9. Winter is any way the peak season for heart attacks. Most heart attacks and paralysis due to brain haemorrhage peak during early morning periods of winter season due to sudden rise in BP reading.

For comments and archives

    Readers Responses
  1. Dear Dr Aggarwal, Yo and Your Team is doing a marvelous Job. Regards Dr P Sharma
    Forthcoming Events

CSI 2011

63rd Annual Conference of the Cardiological Society of India

Date: December 8–11, 2011.
Venue: NCPA Complex, Nariman Point, Mumbai 400021

Organizing Committee

B. K. Goyal – Patron
Samuel Mathew – President CSI
Ashok Seth – President Elect & Chairman Scientific Committee
Lekha Adik Pathak – Chairperson
Satish Vaidya & C. V. Vanjani – Vice Chairman
N. O. Bansal – Organizing Secretary
B. R. Bansode – Treasurer
Ajit Desai, Ajay Mahajan, G. P. Ratnaparkhi – Jt. Org. Secretaries
Shantanu Deshpande, Sushil Kumbhat, Haresh Mehta – Asst. Org. Secretaries
D. B. Pahlajani, A. B. Mehta, M. J. Gandhi, G. S. Sainani, Sushil Munsi, GB Parulkar, KR Shetty – Advisory Committee

Contact: Dr. Lekha Adik Pathak, Chairperson, CSI 2011; Dr. Narender O. Bansal, Org. Secretary, CSI 2011 Tel: 91 – 22 – 2649 0261/2649 4946, Fax: 91 – 22 – 2640 5920/2649 4946.
Email: csi2011@ymail.com, csimumbai2011@gmail.com Website: www.csi2011mumbai.com

Lecture on Buddism and Astronomy

By Prof. Trinh X. Thuan

UNESCO Kalinga Awardee, 2009; Prof. of Astronomy, University of Virginia, USA; UNESCO Kalinga Awardee for Popularisation of Science by UNESCO, Kalinga Chair awardee by Department of Science & Technology, Government of India.

Organised by Heart Care Foundation of India in association with Nehru Planetarium on behalf of RVPSP, Dept. of Science & Technology Govt.of India

At Nehru Planetarium Chankyapuri New Delhi on 27th Dec 2011 at 10.30 am

No fee, to register email to drkakroo@gmail.com, 9810301261

eMedinewS Events: Register at emedinews@gmail.com

3rd eMedinewS Revisiting 2011

The 3rd eMedinewS – revisiting 2011 conference will be held at Maulana Azad Medical College, New Delhi on Sunday January 22nd 2012.

The one–day conference will revisit and cover all the new advances in the year 2011. There will also be a webcast of the event. An eminent faculty is being invited to speak.

There will be no registration fee. Delegate bags, gifts, certificates, breakfast, lunch will be provided. The event will end with a live cultural evening, Doctor of the Year award, cocktails and dinner. Kindly register at www.emedinews.in

3rd eMedinewS Doctor of the Year Award

Dear Colleague, The Third eMedinews "Doctor of the Year Award" function will be held on 22nd January, 2012 at Maulana Azad Medical College at 5 pm. It will be a part of the entertainment programme being organized at the venue. If you have any medical doctor who you feel has made significance achievement in the year 2011, send his/her biodata: emedinews@gmail.com

3rd eMedinewS Revisiting 2011

Dr Ajay Kriplani (Surgical management of diabetes); Dr N K Bhatia ( What’s new in transfusion medicine); Dr Kaberi Banerjee (Fertility update); Dr Amit Bahrgava (Cancer update 2011), Onco Radiation update (Rajiv Gandhi Cancer Institute); Dr Ambrish Mithal (Vitamin D update), Dr Praveen Chandra (Interventional Cardiology update); Revisting 2011 (Dr K K Aggarwal), Portfolio management (Central Bank of India); Insurance update (LIC India); General Insurance (Doogar Associates)

    eMedinewS Special

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3. eMedinewS audio lectures (This may take a few minutes to open)

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    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta