Editor-in-Chief eMediNexus – Dr KK Aggarwal
11th June 2019

Cardiac arrest during elective stenting

Dr KK Aggarwal, Recipient of Padma Shri

As per a new registry, 2 patients will die per year in centres doing 1500 stentings per year and 4 will have cardiac arrest on the table due to the procedure. The number may be much higher for low volume centres.

(Medscape Excerpts): A European registry has shown high rates of unexpected cardiac arrest and death in patients undergoing elective percutaneous coronary intervention. The analysis of over 113,000 elective cases performed at 11 high-volume PCI centers (> 1500 cases per year) shows that 330 patients arrested during PCI, or one per 344 procedures; of which 162 patients died on the table or during the first 24 hours corresponding to one death per 702 procedures....read more

Nipah Update: No new Nipah cases in Kerala

Dr KK Aggarwal

This page will be daily updated till the Nipah scare is over. Inputs invited in this white paper.

Union Minister of Health and Family, Dr Harsh Vardhan has said that there have been no new cases of Nipah virus disease and the clinical condition of Nipah positive patient is improving further.

According to a Health Ministry press release, as on Sunday, there are 8 patients in the isolation ward and 7 of them were tested negative for the Nipah virus. The sample from the 8th patient is being tested in the point of Care (POC) lab. Four other patients from the isolation were discharged on Saturday as their clinical condition improved....read more

Practice Updates

Telangana health officials put on alert for Nipah virus

HYDERABAD: With Karnataka sounding an alarm over the Nipah virus and neighboring Kerala reporting a confirmed case, health authorities in Telangana are gearing up to prevent the spread of the infection. An internal advisory has been issued directing health officials to be on the lookout for suspected cases and track travel history of patients showing symptoms.... read more

UNICEF ramps up humanitarian assistance to children in Venezuela, delivers 55 tons of health supplies since January

Fifty-five tons of UNICEF health supplies have reached Venezuela since the beginning of the year, the United Nations children's organization said June 7. The items were distributed in 25 hospitals in the most affected states of Caracas, Miranda, Zulia, Bolivar and Táchira. They include midwifery kits, antibiotics and malaria treatment.... read more

High-res snapshot of chikungunya virus may lead to drugs, vaccines

Scientists have snapped high-resolution pictures of the chikungunya virus latched onto a protein found on the surface of cells in the joints, an advance that may pave the way for new treatments against the infection.

Most people who become infected with chikungunya virus develop fever and joint pain that last about a week. A team at Washington University in the US snapped images of chikungunya virus latched onto a protein found on the surface of cells in the joints.... read more

The cost of cancer: 25% of survivors face financial hardship, says report

Cancer can take a toll not only on the body but also on a patient's bank account -- and just how much of a toll has been revealed in a new report. About one-fourth of cancer survivors in the United States say they have had problems paying medical bills and about one-third say they have worried about medical costs, according to the report published in the US Centers for Disease Control... read more

Terrifying Complications in 20 Year Olds with Type 2 Diabetes

Young people who were diagnosed with type 2 diabetes in their early teens had an "alarming" high rate of diabetes-associated complications by the time they were in their mid-20s, reported a new research.

Moreover, among more than 500 young participants in the Longitudinal Outcomes in Youth With Type 2 Diabetes (TODAY-2) study, five died of various causes, mostly related to their diabetes within about 7.5 years of being diagnosed. ... read more

Excess Non-CV Mortality Persists in Gout

Patients with gout not only have a well-recognized increased risk of dying from cardiovascular (CV) disease, but also have higher all-cause mortality and die prematurely from other diseases, a Swedish study indicated. In an analysis that included more than 800,000 individuals, patients with gout had a 17% higher risk of death from any cause compared with those without gout... read more

Medical Voice

Delaying onset of type 2 diabetes by 6 years or more significantly lowers risk of heart disease

People with impaired glucose tolerance (IGT) may significantly lower their risk of cardiovascular disease (CVD) and microvascular disease by delaying the onset of type 2 diabetes (T2D) by six years or more, or by returning to a normal level of glucose tolerance altogether, according to the study presented today at the ongoing 79th Scientific Sessions of the American Diabetes Association in San Francisco.... read more

IDEJ Update

Indian Diabetes Educator Journal (IDEJ), 1st of its kind in India aims to keep the members of diabetes care team abreast with concepts of DSME (Diabetes self-management education) and DSMS (Diabetes self-management support). IDEJ has set a new benchmark in educating the diabetes educators about evolving the concept of DSME- reaching to more than 25000 through Digital and Print Medium..... read more

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Medicolegal Corner
eMedi Quiz
a. Potassium level of 3.5 mEq/L
b. Hematocrit of 35%
c. Blood glucose level of 200 mg/dL
d. White blood cell (WBC) count of 20,000/mm3
Lifestyle Updates
Inspirational Story 1: The Duck and the Devil
Inspirational Story 2: A Pillow and a Blanket
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