First National Daily eMedical Newspaper of India
Nobody Reports News Better Than Us  
Editorial (Dr SS Agarwal, Dr K K Aggarwal)
To Read the full story on emedinexus.com, or download our Android app or iOS app
15th September 2016
A novel screening tool to diagnose silent MI in type 2 diabetes
 
Researchers from the UK have devised a novel and practical 4-component screening tool to diagnose silent myocardial infarction (MI) in patients with type 2 diabetes, which had significantly superior diagnostic accuracy than current ECG criteria to detect silent MI in asymptomatic patients. The test had an 82% sensitivity and 72% specificity for silent MI.
The study included 100 patients with type 2 diabetes who had no history of known heart disease and were asymptomatic. These patients underwent electrocardiogram (ECG), echocardiography, biomarker assessment and cardiac MRI including assessment of left ventricular ejection fraction (LVEF) and late gadolinium enhancement. 
 
The four parameters included in the screening tool were age, E/A ratio, GLS and NT-proBNP. The optimum cutoff measures for these components were: Age ≥62 years, E/A ratio ≤0.7, global longitudinal strain (GLS) of at least 18.4% and NT-proBNP > 29 ng/L.
 
Seventeen patients with no history of heart disease had silent MI defined by late gadolinium enhancement in an infarct pattern on cardiac MRI. Only four patients with silent MI had Q waves on ECG. All patients who scored 0 or 1 were free of MI. Of the 16 patients who scored 4, seven had experienced a silent MI and nine had not.
Patients with silent MI were older, had lower E/A ratio, lower GLS and higher amino-terminal pro brain natriuretic peptide levels.
To Read More or Comment, Click Here
Top News
Practice Updates
eMedi Humor
Medicolegal Corner
eMedi Quiz
 
A. An anaphylactic transfusion reaction 
B. An allergic transfusion reaction 
C. A hemolytic transfusion reaction
D. A pyrogenic transfusion reaction
Webcasts 
Lifestyle Updates
 
Inspirational Story 1: Socrates philosophy
 Inspirational Story 2: 5 steps to lower Alzheimer's risk 
Press Release
Heart Care Foundation of India's (HCFI) annual flagship event - the MTNL Perfect Health Mela to be held from October 25th to 29th at the Talkatora Indoor Stadium
 
Commemorating 25 years of its inception, the theme for this year's event will be 'One Health'
 
New Delhi, 14th September 2016: HCFI, a leading national non-profit organisation committed to making India a healthier and disease-free nation, today announced the dates and program of its flagship event, the MTNL Perfect Health Mela 2016. An annual event curated to spread mass health awareness using entertainment as a medium; the theme for this year's event is "One Health". The mela will be organised from October 25-29, 2016 at the Talkatora Indoor Stadium, New Delhi jointly with Health & F.W. Dept. NCT Delhi, MTNL, NDMC & other Central & Delhi state Government department. The Indian Medical Association will be extending its full support towards the event this year.
To Read More or Comment, Click Here
IMA Updates