emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  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 & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; National Vice President Elect Elect, Indian Medical Association; 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1–7
DD Take Care Holistically Video 1–7 Chat with Dr KK On life Style Disorders
Health Update Video 1–15 Science and Spirituality
Obesity–Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

22nd September 2012, Saturday

Longer CPR efforts may improve survival chances

A new study published online Tuesday in The Lancet looked into the duration of cardiopulmonary resuscitation in hospitals. The study suggests that many doctors may be giving up too soon in their efforts to resuscitate their patients.

The study found that patients have a better chance of surviving in hospitals that persist with CPR for just nine minutes longer, on average, than hospitals where efforts are halted earlier.

The findings challenge conventional medical thinking, which holds that prolonged resuscitation for hospitalized patients is usually futile because when patients do survive, they often suffer permanent neurological damage.

Patients who survived prolonged CPR and left the hospital fared as well as those who were quickly resuscitated.

The findings suggest that prolonging resuscitation efforts by 10 or 15 minutes might improve outcomes.

On average, hospitals spent 20 minutes on attempted resuscitation before a patient was declared dead. But hospitals that tried longest (those whose efforts averaged 25 minutes) had a 12–percent higher chance of patient response than those whose efforts (average 16 minutes) were shortest.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

How is chronic idiopathic constipation defined?

Chronic idiopathic constipation, also known as functional constipation is generally defined as the persistent difficult or seemingly incomplete defecation and/or infrequent bowel movements (once every 3–4 days or less) in the absence of alarm symptoms or secondary causes. The prevalence varies widely and ranges from 4 to 20% of patients.

For Comments and archives…

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

Longer CPR efforts may improve survival chances

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

A non–stop Interaction between Patients and Cardiologists

A press conference was organized by Heart Care Foundation of India to announce about forthcoming 4th Dil Ka Darbar at Talkatora Stadium on Sunday, 23rd September, 2012 in association with World Fellowship of Religions.

 
Dr K K Aggarwal
    National News

4th Dil Ka Darbar

September 23, 2012, 9:00 AM–6:00 PM , Tal Katora Indoor Stadium, Connaught Place, New Delhi

A non stop question answer–session between all top cardiologists of the NCR region and the public.

Now, films will have to justify smoking scenes

NEW DELHI: Come October 2, directors and producers of all new films will have to show "strong editorial justification" to Central Board of Film Certification (CBFC) for using smoking scenes in movies and TV programmes before it is cleared for public viewing. In case of both old and new films, a 30–second anti–tobacco health spot has to be mandatorily played before and in the middle of the film, if it shows a smoking scene. There also has to be a 20–second audio visual disclaimer prepared by the Union health ministry, which will also have to be shown by the movie theatre owners at the beginning and in the middle of the screening. In all new films, a static anti–tobacco message will also have to flash during a smoking scene. These are the final provisions that have been finalized by the ministry of health and information and broadcasting on the portrayal of smoking in films. The ministry of law vetted these proposals and cleared them for a final notification on Tuesday. The Supreme Court will be informed of these provisions on Thursday by the health ministry. "We will send these final notification for printing in the official gazette on Thursday," a ministry official told TOI.

A study, conducted by World Health Organization (WHO) and health ministry, had revealed that 76% of Indian movies had tobacco use shown in them, and 52.2% of children in India, who had their first smoke were influenced by tobacco use depicted in films. Anti tobacco organization HRIDAY says depiction of smoking scenes in films is a matter of grave concern as studies show a strong association between teenage smoking and portrayal of smoking in films. A study conducted by it had found that students who are highly exposed to tobacco use occurrences in movies have more than twice the risk of being a tobacco user as compared to those with low exposure. India is the world’s largest producer of movies, with more than 1,000 films being made in several languages annually. Another study, conducted by WHO and health ministry, had revealed that 76% of Indian movies showed tobacco use.

In India, 2,500 people die daily due to tobacco use. About 250 million people across the country use tobacco products like gutka, cigarettes and bidis. The health ministry says 40% of health problems stems from tobacco use. Tobacco will be responsible for 13% of all deaths in India. Studies suggest that more than 38.4 million bidi and 13.2 million cigarette smokers may die prematurely because of their addiction. Only 2% of Indian smokers quit successfully. One of the major influences on the uptake of teen tobacco use is the glamorization of tobacco use in movies and on TV.

Backed by evidence that smoking in movies causes youths to want to light up, WHO asked countries to enact enforceable policies that would severely restrict such depictions. WHO had recommended that all movies with scenes of smoking should be given an adult rating, with the possible exception of movies that reflect the dangers of tobacco use or that depict smoking by a historical figure, who was a smoker. Studies show that smoking continues to permeate movies, including those rated as suitable for youth. "Voluntary agreements to limit smoking in movies have not and cannot work," WHO had said. It added, "Logic and science now support enforceable policies to severely restrict smoking imagery in all film media."

Studies show that smoking in movies misleads youths into thinking that tobacco use is normal, acceptable, socially beneficial and more common that it really is. Studies also show that such movies rarely portray the harm of tobacco, instead portraying the product as conducive of a cool and glamorous lifestyle. Dr Douglas Bettcher, director of WHO's Tobacco Free Initiative, had said, "The more smoking adolescents see on screen, the more likely they are to start smoking. These simple policies can save generations of young people from a lifetime of addiction and an early death from tobacco." The WHO report also recommends that movie studios should certify that they received no payoffs from tobacco companies to display tobacco products or their use, stop displaying tobacco brands onscreen and require strong anti–tobacco advertisements before all movies that have tobacco imagery. (Source: TOI, Sept 20, 2012)

For comments and archives

My Profession My Concern

Quality standards for any clinical establishment

Hospital Compare, a quality tool provided by Medicare, currently provides performance data on 31 process measures in 5 clinical areas. These measures are adapted from JCI under "core measure set". (Heart attack, Heart failure, Pneumonia, Surgical care and Children’s asthma care)

Quality measures related to surgical care

  • Prophylactic antibiotic received within one hour prior to surgical incision: The percentage of surgical patients who received prophylactic antibiotics within one hour prior to surgical incision. US National average performance is 93 percent.
  • Prophylactic antibiotics discontinued within 24 hours after surgery end time: The percentage of surgical patients whose prophylactic antibiotics were discontinued within 24 hours after surgery end time. US National average performance is 95 percent.
  • Prophylactic antibiotic selection: The percentage of surgical patients who received prophylactic antibiotics consistent with current guidelines for their particular type of surgery. US National average performance is 97 percent.
  • Venous thromboembolism prophylaxis
    • The percentage of surgical patients with recommended venous thromboembolism (VTE) prophylaxis ordered anytime from hospital arrival to 24 hours after anesthesia end time. US National average performance is 94 percent.
    • The percentage of surgical patients who received appropriate venous thromboembolism (VTE) prophylaxis within 24 hours prior to anesthesia start time to 24 hours after anesthesia end time. US National average performance is 93 percent.
  • Perioperative blood glucose in cardiac surgery patients: The percentage of cardiac surgery patients with controlled 6 A.M. blood glucose (≤ 200 mg/dL) on postoperative day one and postoperative day two. US National average performance is 94 percent.
  • Appropriate hair removal: The percentage of surgical patients with no hair removal or hair removal with clippers or depilatory (and no shaving, which is considered inappropriate). US National average performance is 100 percent.
  • Beta blocker therapy: The percentage of surgical patients who were taking a beta blocker prior to hospital arrival who received a beta blocker during the perioperative period (24 hours prior to surgical incision through discharge from post–anesthesia care/recovery area). US National average performance is 93 percent.
  • Removal of urinary catheter: The percentage of surgical patients whose urinary catheters were removed on postoperative day one or postoperative day two, to reduce the risk of infection. US National average performance is 91 percent.

For comments and archives

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

 
    Valvular Heart Disease Update

When should surgery be avoided in chronic mitral regurgitation?

Asymptomatic patients with severe chronic MR and normal LV systolic function (defined as LV ejection fraction (LVEF) ≥60 percent and LV end–systolic dimension <40 mm) are usually followed and managed conservatively.

(Experts: Dr Bhabha Nanda Das and Dr Ganesh K Mani, Dr. Yugal Mishra, Dr Deepak Khurana, Dr K S Dagar, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

For comments and archives

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Non–pharma, in–home therapies decrease dementia symptoms

Nonpharmacological interventions administered in a home setting can significantly lower the severity and frequency of behavioral and psychological symptoms in patients with dementia, new research suggests. In addition, the metaanalysis showed that the interventions also improved reactions by the caregivers to these often stress–inducing symptoms. (Source: Medscape)

For comments and archives

Zapping renal nerves helps HTN, saves money

Catheter–based renal denervation to relieve drug–resistant hypertension appears to add significant clinical benefit in a cost–effective manner, according to a modeling prediction. (Source: Medpage Today)

For comments and archives

Symptom–based treatment of asthma appears effective

Symptom–based adjustment (SBA) of inhaled corticosteroids appears to be as effective as the use of physicians’ assessment–based adjustment (PABA) and biomarker–based adjustment (BBA). Physicians can thus be assured that SBA of inhaled corticosteroids dose is likely appropriate for most patients with mild to moderate asthma. William J. Calhoun, MD, from the University of Texas Medical Branch in Galveston, and colleagues published the results of the Best Adjustment Strategy for Asthma in the Long Term (BASALT) trial in the September 11 issue of JAMA. The study analyzed adults with mild to persistent asthma controlled with low–dose corticosteroid therapy.(Source: Medscape)

For comments and archives

No QoL hit with long–term finasteride

Long–term treatment with the 5 alpha–reductase inhibitor finasteride (Proscar, Propecia) did not adversely affect men’s health–related quality of life, a new analysis of a large randomized trial showed. (Source: Medpage Today)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: Poor hygiene habits may lead to Typhoid fever

@DeepakChopra: The politics of fear is the real danger to humanity

 
    Spiritual Update

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

Meaningful Coincidences: Synchronicity

If you meet someone you haven’t met for a long time, stop and talk to him or her. Remain aware of a message from the Universe that they might be carrying for you. Follow the coincidence through, and you’ll be amazed to find where it takes you.

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)
  • 4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More
  • The 4th Asia Pacific Vascular Interventional Course begins Read More
  • Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More
  • 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • 4th Asia pacific vascular intervention course Read More
  • 4th Asia pacific vascular intervention course paper clippings Read More
 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

How will my doctor diagnose hydrosalpinx?

There are three ways that your doctor can check if you have hydrosalpinx.

  • X–ray procedure: The doctor will inject a special liquid into your uterus and then take an x–ray (called a hysterosalpingogram or HSG) to see where the liquid goes. If your fallopian tubes are open, the liquid will flow out of the ends of the tube. If the tubes are blocked, the liquid will be trapped and your doctor will be able to tell that you have a hydrosalpinx.
  • Surgery: Your doctor will make a small opening in your belly and insert a special telescope or laparoscope. During this surgery, the doctor can look at your fallopian tubes to see if they are blocked. Usually the doctor inserts a dye through the vagina into the uterus and fallopian tubes to confirm that the dye passes through the ends of the tubes.
  • Ultrasound: Your doctor may do an ultrasound to look at your fallopian tubes.

For comments and archives

 
    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

What about Rh – positive and Rh – negative?

A patient with Rh–negative blood cannot be given Rh–positive blood as the antigen-antibody reactions will result in severe consequences.

In the females who have Rh negative with their husbands being Rh–positive, the first child with Rh–positive may be normal, subsequently she may not conceive or may have repeated abortions. There may be intra uterine fetal death. If the child born is alive, it will suffer from a fatal disease called "erythroblastosis fetalis." Now mothers can be given an injection of anti–D within 24 hours of the delivery of an Rh–positive child and thus protect the next baby from this catastrophe.

For comments and archives

 
    An Inspirational Story (Ms Ritu Sinha)

One Step

Foolish people with all their other thoughts, have this one too: They are always getting ready to live, but never living.

Your success will start when you begin to pursue it. To reach your goal or to attain success, you don’t need to know all of the answers in advance. You just need to have a clear idea of what your goal is. Don’t procrastinate when faced with difficult problems. Break your problems into parts, and handle one part at a time.

Develop tendencies toward taking action. You can make something happen right now. Divide your big plan into small steps and take that first step right away. Everyone who ever got where they are had to begin where they were. Your big opportunity is where you are right now.

A journey of a thousand miles begins with one step. Take it.

For comments and archives

 
  Cardiology eMedinewS

HIV docs may be missing signs of heart disease Read More

Heart Societies refine CRT guidance Read More

 
  Pediatric eMedinewS

Harder exercise tied to lower heart risk in kids Read More

Bedtime strategies for baby are safe Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with positive malaria came with severe thrombocytopenia.
Dr Bad: This is classical malaria.
Dr Good: Also look for dengue.
Lesson: Malaria and dengue may co exist in the same patient.

For comments and archives

Make Sure

Situation: A patient of pulmonary Koch’s on ATT complains of numbness in fingers and toes.
Reaction: Oh my God! I forgot to prescribe vitamin B complex.
Lesson: Make sure that in patients talking ATT (including INH) B–complex vitamins (especially vitamin B6) are prescribed to prevent neuropathy. Addition of antioxidants and multivitamins also boost the immune system.

For comments and archives

 
  Quote of the Day (Dr GM Singh)

Begin challenging your own assumptions. Your assumptions are your windows on the world. Scrub them off every once in awhile, or the light won’t come in. Alan Alda

 
    Ophthalmology Update

(Dr S K Verma, Consultant Ophthalmologist, New Delhi)

Hearing impaired may see sound through glasses

Scientists from the Korea Advanced Institute of Science and Technology have developed glasses that allow a hearing impaired person to see when a loud sound is made and give an indication of where from it came. An array of seven microphones, mounted on frame of glasses, pinpoints the location of such sounds and relays that directional information to the wearer through a set of LEDs embedded inside the frame. The prototype requires the user to carry a laptop in a backpack to process the signal. The lead researcher Yang Hann Kim has stressed that the device is a first iteration that will be miniaturized over the next few year. (Courtesy – TOI, Sep 6, 2012)

 
    Legal Question of the Day (Dr M C Gupta)

Q. A woman was admitted in the special ward of a private hospital for delivery. As per hospital rules, three days admission is a must for delivery patients. This rule was not told to the patient in advance. The patient sought to be discharged after 24 hours of delivery. The hospital insisted on payment for 3 days regardless of the lesser duration of stay. It offered to shift the patient to general ward for the remaining 2 days if they did not want to pay the charges for special ward. The offer was not accepted. The patient stayed in special ward for 3 days. There was a hot dispute about the 3–days bill at the time of discharge. What are your comments?

Ans. My comments are as follows:

  1. It was the hospital’s fault in not displaying clearly the rule about 3–day minimum hospitalisation. As per rules applicable, hospitals have to display the charges at the reception counter.
  2. It was the hospital’s fault in not telling about the charges in writing when taking consent at the time of admission.
  3. It was the hospital’s fault in forcibly and illegally keeping the patient in the hospital when discharge was sought. If the patient was not fit to be discharged, she should still have been discharged after obtaining properly documented discharge consent.
  4. It was the hospital’s fault in not obtaining sufficient advance payment before admitting her to the special ward. Advance deposit should have been taken from the patient and daily bill should have been issued for payment. In case of non–payment, the patient should have been shifted to general ward without waiting for consent for such shifting. No consent for shifting a patient from one bed to another is needed. If there is physical obstruction to such shifting, the police should have been informed. However, this was not needed because discharge from the hospital was sought.
  5. This case is a classic example of doctors’ ignorance and carelessness about laws and legal principles. Every private hospital/nursing home must have on its staff an administrator and a legal advisor on suitable terms and conditions. If they are not prepared to take their assistance, it is their choice but, then, they should be prepared to suffer the consequences.

For comments and archives

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    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

Serum lactate dehydrogenase

Lactate dehydrogenase (LDH or LD) is an enzyme found in almost all body tissues, but only in a small amount in the blood. LDH is found in the bloodstream when cells are damaged. Because of this, LDH test can be used as a general marker of cell damage. Level of LDH may be measured either as a total LDH or as LDH isoenzymes. Elevated levels of LDH may be seen with:

  • Cerebrovascular accident (CVA, stroke)
  • Drugs: anesthetics, aspirin, narcotics, procainamides, alcohol
  • Hemolytic anemia
  • Pernicious anemia (megaloblastic anemia)
  • Infectious mononucleosis (Mono)
  • Intestinal and pulmonary infarction
  • Kidney disease
  • Liver disease
  • Muscular dystrophy
  • Pancreatitis
  • Lymphoma or other cancers
 
    Mind Teaser

Read this…………………

Ms. Sy undergoes surgery and the abdominal aortic aneurysm is resected and replaced with a graft. When she arrives in the RR she is still in shock. The nurse’s priority should be

A. Placing her in a Trendelenburg position
B. Putting several warm blankets on her
C. Monitoring her hourly urine output
D. Assessing her VS especially her RR

Yesterday’s Mind Teaser: A client suffering from acute renal failure has an unexpected increase in urinary output to 150ml/hr. The nurse assesses that the client has entered the second phase of acute renal failure. Nursing actions throughout this phase include observation for signs and symptoms of

A. Hypervolemia, hypokalemia, and hypernatremia.
B. Hypervolemia, hyperkalemia, and hypernatremia.
C. Hypovolemia, wide fluctuations in serum sodium and potassium levels.
D. Hypovolemia, no fluctuation in serum sodium and potassium levels.

Answer for Yesterday’s Mind Teaser: C. Hypovolemia, wide fluctuations in serum sodium and potassium levels.

Correct answers received from: Prabha Sanghi, Dr Parimal Shah, YJ Vasavada, Dr (Maj. Gen.) Anil Bairaria, Dr BB Aggarwal, Dr K Raju, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr Thakor Hitendrsinh G, Dr Kanta Jain, Muthumperumal Thirumalpillai, Dr Avtar Krishan.

Answer for 13th September Mind Teaser: C. Low residue diet
Correct answers received from: Prabha Sanghi.

Send your answer to ijcp12@gmail.com

 
    Fitness Update (Rajat Bhatnagar, MonaVie, www.mymonavie.com/sonraj)

Teen dies after playing basketball

A Michigan teen collapsed Tuesday while playing basketball at a Life Time Fitness center and later died at a nearby hospital.

Bryson Salem, 18, collapsed at 5 p.m. Tuesday at the Life Time in the Detroit suburb of Commerce Township, MI, according to the Oakland County (MI) Medical Examiner’s Office as reported by the Detroit Free Press. Salem was taken to Henry Ford West Bloomfield Hospital, where he was pronounced dead at 6:17 p.m., the newspaper reported. "Our heartfelt condolences, thoughts and prayers go out to the family in light of this tragedy," Jason Thunstrom, vice president of public relations and corporate communications at Life Time Fitness, Chanhassen, MN, said today in a statement to Club Industry. "As you can imagine, it is weighing heavily on our team at this time."

Salem’s father told the newspaper his son had recently undergone a check–up and had no pre–existing medical conditions. An autopsy is pending. Visitation will take place today, and the funeral will be Thursday.

Salem, a Commerce Township native, graduated from Walled Lake Western High School and was a freshman at the University of Detroit studying pre–dentistry, according to the Free Press. "Just pray for him, that’s all," his father told the newspaper this morning

 
    Laugh a While (Dr GM Singh)

Some answers

  1. Antibody – One who hates his body
  2. Artery – Study of Fine Paintings
  3. Bacteria – Back door of a Cafeteria
  4. Coma – Punctuation Mark
  5. Gallbladder – Bladder of a Girl
  6. Genes – Blue Denim
  7. Labour Pain – Hurt at Work
  8. Liposuction – A French Kiss
  9. Ultrasound – Radical Sound
  10. Cardiology – Advanced Study of Playing Cards
 
    Medicolegal Update

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

What is minimally conscious state?

Minimally conscious state is distinguished from vegetative state by the partial preservation of conscious awareness.

  • Some patients with severe alteration in consciousness have neurological findings that do not meet criteria for vegetative state (VS).
  • These patients demonstrate some behavioral evidence of conscious awareness but remain unable to reproduce this behavior consistently the condition referred here as the minimally conscious state (MCS).
  • To make the diagnosis of MCS, limited but clearly discernible evidence of self or environmental awareness must be demonstrated on a reproducible or sustained basis by one or more of behaviors like verbal yes/no responses regardless of accuracy, purposeful behavior, including movements or emotional behaviors that occur in relation to relevant environmental stimuli and are not due to reflexive activity.
  • Some examples of qualifying purposeful behavior include: appropriate smiling or crying in response to the emotional but not to neutral topics, vocalizations or gestures that occur in direct response to the linguistic content, reaching for objects.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

Vegetarian diet and Soya Products help reduce BP

Ingestion of a vegetarian diet may reduce systolic blood pressure by 5 mmHg. A 5 mm reduction in blood pressure may reduce the risk of heart disease by 21%. This was stated by Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India and Dil Ka Darbar to be held on 23rd September 2012 at Talkatora Stadium.

One major feature of a vegetarian diet that may affect blood pressure is the amount of dietary fiber; with an increased amount being associated with decreased systemic pressures. Multiple meta–analyses have shown benefits with dietary fiber intake on blood pressure.
Vegetarians, in general, have lower blood pressure levels and a lower incidence of hypertension and other cardiovascular diseases. Experts postulate that a typical vegetarian’s diet contains more potassium, complex carbohydrates, polyunsaturated fat, fiber, calcium, magnesium, vitamin C and vitamin A, all of which may have a favorable influence on blood pressure.
More significant reductions were observed in older (greater than 40 years) and hypertensive individuals.

Soya is good for high blood pressure because it is naturally high in potassium and low in sodium. Potassium and sodium are electrolytes, and a high–potassium, low–sodium diet promotes a healthy blood pressure.

Soya can be good for high blood pressure when you eat it as an alternative protein source to unhealthy meats. Soya–based meat substitutes, such as veggie burgers, veggie bacon and meatless cold cuts, can be higher in fiber and lower in sodium than animal-based meat products. They can lower your risk for heart disease because they are lower in saturated fat. However, soya does not contain the long–chain omega–3 fatty acids that are found in fatty fish and shellfish; these may lower your blood pressure, according to the Linus Pauling Institute.

Even though soya is low in unhealthy saturated fat, some soya products are high in total fat and calories, and as a result will contribute to weight gain if you eat too much. Losing weight if you are overweight, or maintaining your current weight if you are already at a healthy weight, improves your chances of lowering your high blood pressure.

 
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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