eMedinewS20th November 2013, Wednesday

Dr K K Aggarwal Padma Shri and Dr B C Roy National Awardee

Dr KK Aggarwal

President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, National Vice President Elect, Indian Medical Association; Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10–13); 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);
For updates follow at
www.facebook.com/Dr KKAggarwal

Health the missing agenda in the current Delhi Election

I was recently called for a dialogue show with BJP CM candidate Dr Harshwardhan. In one full hour show the health as a specific agenda was missing.

Yesterday in one hour recording for head liens today with representatives of BJP Congress and AAP party again health as an agenda was last in the priority.

Health should be a priority for any political party and health anf happiness are the basic need of the society.

Health does not mean management of diseases which affects only 10% of the society, it means prevention of diseases and promoting wellness.

Propagating wellness does not need money or budget but only willingness to do it.

If I was the candidate for the election I would have campaigned the following way

  1. I will implement ban on smoking in public areas.
  2. I will provide safe drinking water to all.
  3. I will make the city dengue free.
  4. I will ban trans fats in restaurants.
  5. I will make available safe, affordable, reachable, quality and transparent health care.
  6. I will make the city “open defecation” free.
  7. I will eradicate jaundice, typhoid and diarrhea, multi drug resistant bugs from the city.
  8. I will make walking tracts all over the city.
  9. I will make emergency care available at the door step.
  10. I will provide and happy and healthy society.

TCT 2013 Update: Cardiology Trials

REPRISE II: Solid results for repositionable TAVR device

A novel second–generation transcatheter aortic–valve replacement (TAVR) device (Lotus, Boston Scientific) significantly improves the mean aortic–valve pressure gradient in patients with symptomatic and severe aortic stenosis, according to the REPRISE II study results.

The Lotus device differentiates itself from current competitors in that physicians can reposition the valve before deployment as well as resheath and remove it if necessary. It also has an adaptive seal designed to minimize the risk of paravalvular leak.

cpr10 Mantra The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

VIP’s on CPR 10 Mantra Video
Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

Love in Ayurveda

sprritual blog

Euphoria, reaction, adjustment and liking are the four fundamental phases of any relationship. When a person gets engaged to a girl, both goes through a phase of euphoria where they can talk to each other for hours. This phase lasts for six months to three years.

The next phase is the phase of reactions and fighting on smaller issues. This phase will end up with adjustment after a variable duration depending upon the family counseling available.

The last phase in any relationship is the real spiritual love and liking for each other.

The first euphoric phase of love relationship is medically called Infatuation. It starts when two persons are attracted to each other and is due to release of adrenaline like neuro–chemicals like phenylethylamine, dopamine and norepinephrine. Dopamine makes them feel good and norepinephrine stimulates the production of adrenaline which makes the heart beat faster. These chemicals also make one feel euphoric, energized, and float on air.

The last chemical oxytocin is the cuddling chemical which makes the women and men calmer and more sensitive to the feelings of others. It plays an important role in romantic love as a sexual arousal hormone that signals orgasm.

The final stage of a relationship usually starts after seven years and is the stage of attachment. The chemicals involve in this are endorphins. These morphine-like opiates calm and reassure with intimacy, dependability, warmth, and shared experiences.

These hormones are not as exciting as phenylethylamine but are more addictive. The longer two people have been in a relationship the more likely it is that they’ll stay in that relationship as they get addicted to the endorphins. It is the absence of endorphins that make long–time partners yearn for each other when apart. Absent endorphins also play a part in grief from the death of a spouse.

Mark Goulston, at the University of California, said "Adrenaline–based love is all about ourselves, we like being in love. With endorphins, we like loving".

The stages in between are the stages of reaction and adjustment and represents the normal reactions of the men or women to stress and strains.

As per Ayurveda a person is made up of body, mind (mind, intellect and ego) and soul. Infatuation is at the level of body and the mind. Attachment is at the level of soul and the reactions and adjustments are at the level of mind, intellect and ego.

From Ayurveda point of view a person can have a Satvic mind (calm and poise), Rajsic mind (aggressive) and a Tamsic mind (inertia and destructive). The first infatuation and the last attachment phases of relationship are all Satvic states and the in between states are Rajsic or Tamsic.

This is one reason why newly wedded couples are given Satvic food for the initial few months including a cup of hot milk with sugar before going to the bed.

The relationship of a person can also be classified at the levels of physical body, mind, intellect, ego and the soul. All depends upon the need and the resultant satisfaction.

Rarely the husband and wife will be able to fulfill the role of all the relationships. They may me physically together but not mentally.

It is quiet common for the partners to have separate relationships to satisfy respective needs. They may have multiple relationships apart from the wife who is only for the physical needs. They may have separate friend to satisfy their mental needs (with whom they can open out and share), another for intellectual needs and a guru for the spiritual needs.

cardiology news


One day I decided to quit…………… i quit my job,my relationship , my spirituality …………… i wanted to quit my life. i want to be woods to have one last talk with GOD.

"GOD," i asked,"can you give me one good reason not to quit?"

His answer surprised me………"look around ," he said," do you see the fern and the bamboo?"

"yes," i replied.

"when i planted the fern and the bamboo seeds, i took very good care of them. i gave them light. i gave them water. the fern quickly grew from the earth. its brilliant green covered the floor. yet after years the fern grwe more vibrant and plentiful. and again , nothing came from the bamboo seed.

"but i would not quit. then in the fifth year a tiny sprout emerged from the earth, just six moth later the bamboo rose to over 100 feet tall. it had spent the five years growing roots. those roots made it stong and gave it what it needed to survive. i would not give any of my creations a challenge it could not handle."

he asked me, "did you know , my child, that all this time you have been struggling, you have actually been growing roots."

"i would not quit on the bamboo. i will never quit on you."

he added, "don’t compare yourself to others. the bamboo had a different purpose than the farn. yet they both make the firest beautiful."

don’t tell the lord how big the problem is, tell the problem how great the lord is!

News Around The Globe


  • Diabetes and Obesity Update
    1. According to the International Diabetes Federation Diabetes kills one person every six seconds and afflicts 382 million people worldwide.
    2. Binge eating may be linked a higher risk of type 2 diabetes in women, regardless of their weight.
    3. Bariatric surgery significantly increases the rate of type 2 diabetes remission over both the short and long term in obese individuals, and also help prevent complications of diabetes as per Dr Lena M. Carlsson. Although the proportion of patients still in remission at 15 years after the surgery had fallen to 31%, this was still much higher than in controls.
    4. Behaviors Associated With “Food Addiction” May Be Closely Tied to Obesity: While it is not officially “an addictive disorder by psychiatric standards, behaviors associated with ‘food addiction’ are closely tied to obesity.” “In an analysis of data from the Canadian province of Newfoundland,”
  • Adopting a habit of "intermittent fasting" that involves foregoing food every other day may eventually lead to weight loss and improve cognition in heavier patients. In a single–center, randomized, pilot study, patients who fasted completely every other day lost about the same amount of weight over 2 months as those who didn’t fast at all.
  • Gland dysfunction is a common contributor to dry eye in postmenopausal women, according to the results of a new study presented at the American Academy of Optometry 2013 Annual Meeting. Healthcare providers should be aware that older women with dry eye are "highly likely to be suffering from some kind of meibomian gland dysfunction as opposed to aqueous–deficient dry eye, although it is important to assess all types of dry eye in clinical practice.
  • Heart disease may be the leading cause of death in women who die during pregnancy according to a study presented at the AHA 2013 annual meeting. The study investigated the cause of death among 732 women in California who died during pregnancy (or within the first year after giving birth) over a three–year–period and found that 209 were pregnancy–related, and of those, more than one-quarter were cardiovascular deaths—as least some of which could have been prevented.
  • Eating vegan or vegetarian may help obese patients lose more weight than dietary patterns that allow limited amounts of meat. In a randomized trial reported at Obesity Week, patients assigned to a vegan diet or a vegetarian one shed significantly more pounds over 2 months than those who followed a typical omnivorous diet –– about 5% of body weight compared with a 2% loss. After those 2 months, patients were allowed to add whatever foods they wanted back into their diets –– and still the vegan and vegetarian groups dropped more weight by 6 months than omnivores (about 8% and 6%, respectively, compared with 3%).

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Rabies News (Dr. A K Gupta)

Can a rabies vaccine be given to a pregnant woman?

Following animal bite, rabies vaccine can be given to a pregnant woman. Medical termination of pregnancy should not be done as a routine clinical practice.

cardiology news

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

  • The Cardiac Surgery Clinical Research Network (CTSN) trial presented at the American Heart Association (AHA) 2013 Scientific Sessions by Dr Michael Acker (University of Pennsylvania Perelman School of Medicine, Philadelphia) found that patients who underwent mitral–valve repair had no difference in left ventricular reverse remodeling or major adverse cardiac or cerebrovascular events (MACCE) at 12 months compared with patients who underwent chordal–sparing mitral–valve–replacement surgery. In addition, the rates of death at 30 days and 12 months were similar in the two treatment arms.
  • Transcatheter aortic valve replacement (TAVR) has been as safe as in the clinical trials, while surgical valve replacement outcomes have been improving among seniors, according to two national studies presented at the AHA annual meeting and reported in JAMA.
    • A post–marketing registry showed a 92% TAVR device implantation success rate with 5.5% in–hospital mortality and stroke in 2.0%, "consistent with prior published trial data and international experience.
    • A separate analysis of Medicare data on surgical replacement showed that 30–day postoperative mortality fell 44.7%, from 7.6% in 1999 to 4.2% in 2011.
cardiology news

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

  • Ubiquitous manmade chemicals known as phthalates, found in some plastics, personal care products, and foods, among other things, are associated with increased preterm births, especially those involving spontaneous preterm deliveries, according to a study published online November 18 in JAMA Pediatrics.
  • A new research published online November 18, 2013, in Pediatrics suggests that having a television or computer in the bedroom is more disruptive to sleep in boys with an autism spectrum disorder (ASD) than it is with typically developing boys or those with attention– deficit/hyperactivity disorder (ADHD).
cardiology news

Natural foods and not supplements prevent heart disease

One should take seasonal and locally grown natural food and vegetables grown out of organic farms. Eat less, dinner lighter then lunch, eat natural and in moderation– are few of the mantras.

Eating food supplements can be harmful. According to the American Heart Association (AHA), supplementation with beta carotene and vitamin E, either alone or in combination with each other or other antioxidant vitamins does not prevent heart disease.

High dose vitamin E supplementation (400 IU/day) may be associated with an increase in all–cause mortality.

Supplementation with vitamin C does not prevent a second heart attack.

Beta carotene supplementation may be dangerous and should be discouraged.

Vitamin E supplementation may be of benefit for only secondary prevention of heart patients with chronic renal failure who are undergoing hemodialysis.

The AHA concluded that current data do not justify the use of antioxidant supplements for the prevention or treatment of cardiovascular disease risk.

The above recommendations apply to supplementation only. Diets that are rich in natural antioxidants are associated with lower cardiovascular mortality.

cardiology news

Total CPR since 1st November 2012 – 71933 trained

Media advocacy through Web Media

The type of food you eat also matters

Everyone needs a mix of proteins, carbohydrates, and fats, plus enough vitamins and minerals for optimal health. But some of the food choices within these categories are better than others, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart care Foundation of India.

  1. Added sugar: Whether it’s white granulated sugar, brown sugar, high– fructose corn syrup, corn sugar, or honey, sugar contains almost no nutrients and is pure carbohydrate and full of empty calories, causing blood sugar to rise and fall like a roller coaster. Soft drinks and other sugar–sweetened beverages are the primary source of added sugar in the diet and a major contributor to weight gain. One extra 12–ounce can of a typical sweetened beverage a day can add on 15 pounds in a year. Those liquid calories aren’t as satisfying as solid food.
  2. Dairy fat. Ice cream, whole milk, and cheese are full of saturated fat and some naturally occurring trans fat both bad for the heart. The healthiest milk and milk products are low–fat versions, such as skim milk, milk with 1% fat and reduced–fat cheeses.
  3. Baked sweets. Cookies, snack cakes, doughnuts, pastries etc are packed with processed carbohydrates, added sugar, unhealthy fats, and often salt.
  4. White carbohydrates. Bread, pasta, potatoes, rice, cookies, cake, or pancakes are bad. One should opt for whole–grain versions. One can choose homemade cookies or bars using grains such as oatmeal, and less sugar and unhealthy fats.
  5. Processed and high–fat meats. Meats like bacon, ham, pepperoni, hot dogs, and many lunch meats are less healthy than protein from fish, skinless chicken, nuts, beans, soy, and whole grains. Fresh red meat should be eaten sparingly and the leanest cuts selected.
  6. Salt. Current dietary guidelines recommend reducing sodium to 1,500 mg per day and not exceeding 2,300 mg per day. But most of us get 1 ½ teaspoons (or 8,500 mg) of salt daily. That translates to about 3,400 mg of daily sodium.

About HCFI : The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National Commemorative stamps and one cancellation stamp, and who has conducted one to one training on" Hands only CPR" of 71933 people since 1st November 2012.

The CPR 10 Mantra is – "Within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

today emedipics

CSR Activity by Heart Care Foundation of India on the Diabetes Day

press release

Daily asprin to prevent heart disease may increase risk of GI or cerebral bleeding

today video of the day20th MTNL Perfect Health Mela Press Conference with Marwadi Yuva Manch, Faridabad

20th MTNL Perfect Health Mela Press Conference at Marwah Studio, Noida

Cultural Evening at IMA

eMedi Quiz

The right coronary artery supplies all of the following parts of the conducting system in the heart except:

1.SA Node.
2.AV Node.
3.AV Bundle.
4.Right boundle branch.

Yesterday’s Mind Teaser: All of the following features can be observed after the injury to axillary nerve except:

1.Loss of rounded contour of shoulder.
2.Loss of sensation along lateral side of upper arm.
3.Loss of overhead abduction.
4. Atrophy of deltoid muscle.

Answer for yesterday’s Mind Teaser: 3.Loss of overhead abduction.

Correct answers received from: Dr Chandresh Jardosh, Dr.K.Raju, daivadheenam jella, Dr Arpan Gandhi, Dr B K Agarwal, Tukaram Pagad, Tukaram Pagad, Dr Ashok Jadon,

Answer for 18th November Mind Teaser: 4.Genitofemoral

Correct answers received from: Dr Jainendra Upadhyay, Dr. shashi saini

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

Teacher: Billy, stop making ugly faces at other students!

Billy: Why, ma’am!

Teacher: Because when I was a child, my parents told me that if I kept making ugly faces my face would stay that way!

Billy: Well, I can see you didn’t listen then!

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient was brought to the ICU in cardiogenic shock.
Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA?
Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of NRMI–2 trial suggest that this intervention is much better than thrombolytic therapy in such patients.

medicolegal update

If we wait until our lives are free from sorrow or difficulty, then we wait forever. And miss the entire point. Dirk Benedict.

medicolegal update

Dr KK Aggarwal: Shorter acting calcium channel blockers linked to breast cancer http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Those who make wise choices in life should wind up happier & more successful http://tinyurl.com/mwjtqcs

Forthcoming events

Pushpanjali Crosslay Hospital, a 350+ bedded NABH & NABL accredited multi super specialty hospital is organizing its 5th Annual Conference "PCCON 2013" in association with Indian Medical Association (East Delhi Branch & West Ghaziabad Branch) on November 23–24, 2013 at Hotel Country Inn, Sahibabad, Ghaziabad.

Chairperson : Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

Day & Date : Sunday, 24th Nov, 2013

Topic : Quality Management in Healthcare Delivery

medicolegal update
  1. I think this news bulletin is an excellent piece of creative and informative work. Dr Jayant

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medicolegal update

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