January 17 2016, Sunday


Renewed Guidelines Issued for Heart Transplant Candidacy Dr SS Aggarwal and Dr KK Aggarwal



The International Society for Heart and Lung Transplantation has just issued updated guidelines for physicians to know when candidates would be suitable for heart transplantation, published in the Journal of Heart and Lung Transplantation in collaboration. The guidelines are a result of a joint effort among the Pediatric, Infectious Disease Councils and the International Society for Heart and Lung Transplantation (ISHLT).

Breakthrough differences with previous guideline versions have been revision of BMI of 30 or less (as opposed to 35 as per 2006 norms) in heart failure patients for consideration for transplant, and the inclusion of hepatitis, Chagas disease, tuberculosis and HIV patients. A revision involving the Heart Failure Survival Score (HFSS) states that its accuracy should be questioned, and that undertaking transplantation based solely on this score should only happen in the case of unclear prognosis.

Mechanical circulatory support is also now to be considered in patients with reversible or treatable conditions, and re-evaluation is recommended before any decision is reached. Physicians are also urged to maintain income class discretion and select individuals who would comply with outpatient care requirements and transplantation has been discouraged in patients with severe cognitive disabilities.




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Ethical start-ups can play an important role in finding solutions to the major problems being faced by the Indian healthcare system at large

New Delhi, January 16, 2016: The past few years have witnessed the rise of several healthcare start-ups, which are tirelessly working towards making healthcare delivery more accessible, accountable and efficient. Promoting ethical healthcare start-ups in the country is something that the government, medical associations and influencers must all work together on for solutions to the various problems faced by the sector today.

The Indian Medical Association (IMA) welcomes the launch of the Start-up India campaign by the Honorable Prime Minister Shri Narendra Modi and believes that it will encourage young doctors and entrepreneurs working in the healthcare sector to turn into reality their vision and ideas aimed at making India a healthier and disease-free nation.

Speaking about this, Dr SS Agarwal National President IMA and Padma Shri Awardee ands Dr KK Aggarwal Honorary Secretary General IMA and President Heart Care Foundation of India in a joint statement said, “We fully support the government’s ‘Start-up India’ initiative and believe that young companies in India providing ethical services are the future of the Indian healthcare needs. They can help solve basic fundamental problems being faced in our country including accessibility, quality care and affordability. They can also help make healthcare delivery more efficient by enabling medical practitioners with the right tools and technology needed to make their day-to-day practice easier and faster”.

Healthcare startups can also play a key role in awareness generation and making people more aware of lifestyle diseases, their prevention and management. India presently faces a diabetes and heart disease crisis with the incidence rising by the day. It is important that more people come forward to provide solutions in this regard. Those working in the non-healthcare segment must also find ways to help reduce the health burden caused due to pollution, lack of sanitation and other environmental factors. Young people are the future of our country and IMA will support the government and also do its bit to promote those with good ideas in terms of mentorship and execution