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 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 and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; 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 of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR

 

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eMedinewS Presents Audio News of the Day

Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of Doctor’s Day Celebration

 
    Health Videos …

Nobility of medical profession: Aamir Khan Controversy (Video 1 to Video 9)
Health and Religion: Bharatiya Vidya Bhavan and Heart Care Foundation of India(Video 1 to Video 7)
Take Care Holistically, DD India health series, Anchor Dr KK Aggarwal (Video 1–2)

 
  Editorial …

24th July 2012, Tuesday

Polypill may help reduce blood pressure, LDL cholesterol in older patients

Wolfson Institute of Preventive Medicine in London doctors tested a polypill consisting of amlodipine, losartan and hydrochlorothiazide and simvastatin and found that during a three-month period, a single polypill significantly lowered blood pressure and cholesterol levels in 84 study participants who were age 50 and older and had no history of cardiovascular disease. The research was published in the PLoS One.

At 3 months, the reductions were 17.9 mm Hg for systolic blood pressure, 9.8 mm Hg for diastolic pressure, and 54 mg/dL for LDL cholesterol.

Sustained reductions at those levels would be expected to reduce rates of ischemic heart disease events and stroke by a relative 72% and 64%, respectively.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

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

Carotid neck untrasound the only way to check regression of heart blockages

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Seminar on Health and Happiness

Prof. Sunil Kumar was honoured at the recently concluded Seminar on Health and Happiness organised jointly by Heart Care Foundation of India and Bharatiya Vidya Bhavan at Bharatiya Vidya Bhavan on 5th July 2012

 
Dr K K Aggarwal
 
    National News

"Doctors threaten to stop conducting pregnancy ultrasound tests" .

(Dr.C. Srinivasa Raju)

Radiologists across India are contemplating a nation-wide strike on August 1 to demand rollback of amendments introduced in the sex determination prohibition Act. (source:IMA AP -HOSPITAL BOARD OF INDIA Fully endorses the decision of IRA and extends its solidarity & support.)

For comments and archives

My Profession My Concern

High Court stays bar on clinic visit of sonologists

Rosy Sequeira,TNN | Jul 21, 2012, 02.22AM IST
MUMBAI: Questioning the rationale behind it, the Bombay high court on Friday stayed an amendment to the Pre-Conception and Pre-Natal Diagnostic Techniques (PCPNDT) Rules, which restrict the practice of radiologists and sonologists to only two centres in a district.

A division bench of Chief Justice Mohit Shah and Justice Nitin Jamdar was hearing a petition by filed Dr Rajeev Zankar who runs a diagnostic clinic at Lalbaug and is attached to three other clinics and nursing homes. He challenged the June 4 amended Rule 3 of PCPNDT Rules and June 29 notice issued by the BMC to him to declare he would practise in two only clinics, as per the amendment. Zankar's advocate Deepa Chavan said he had been practising for three decades at the four centres. "Obstetrics and foetal sonography is part of my client's activities. He diagnoses other ailments too. It is not necessary that all his patients are pregnant women," said Chavan.

To the court's query if the petitioner tried to find out the reason behind the restriction, Chavan replied that it was due to "inhuman infringement of the Act". To it, additional government pleader G W Mattos said, "The government found that the Act was being violated" to the hilt." The judges observed while "instructions are necessary to achieve the object of the Act but they must have some rationale". According to Chavan, the amendment made it compulsory for radiologists and sonologists to specify their consultation timings at each centre. "If my client moves away, he can be penalized under the Act. The amendment has been brought on the statute without complete knowledge of sonography technique. It is a restriction to my client's right to undertake profession," she said. The judges said before the rules were amended "such things should have been looked into".

But BMC's advocate Priti Purandare said the amendment "is only in respect to sex determination" and not others". Justice Shah replied, "You are proceeding assuming they are exclusively gynaecology centres, which is not the reality. What is the rationale? Can you restrict the number of clinics?" Mattos conceded that "radiology centres are not gynaecology centres and to say so is incorrect."

Staying the operation of Rule 3 of PCPNDT and the BMC notice, the judges directed that sonologists/radiologists must specify their consultation hours and said it would not prevent them from undertaking USG at other centres. Admitting the plea, the judges directed the state and Centre to their replies and posted hearing to September 3.

(Contributor: Dr. Harkanwaljit Singh Saini)

For comments and archives

Maharashtra appoints 750 doctors in its health facilities

PUNE: The state government appointed 750 doctors, including 465 specialists, to fill up vacancies in primary health centres, rural and civil hospitals last week. This was claimed to be the first time when the state government created 1,000 posts of specialist doctors and filled 465 posts immediately. The remaining posts of specialist doctors are likely to be filled in another six months. "The aim is to provide specialized medical services to masses at district level. The remaining posts will be filled in the next six months," said state health minister Suresh Shetty. The newly recruited 465 specialists include gynaecologists, paediatricians, physicians, orthopaedic surgeons, chest physicians, skin specialists, anesthetists and radiologists. Civic hospitals in cities see tremendous rush from rural areas. "If we have highly qualified doctors in rural areas, the load on doctors at civil or district hospitals will ease," said civil surgeon Vinayak More of Audh Civil hospital The doctors have started joining their assigned workplaces. A total of 55 doctors were recruited at state-run hospitals in Pune circle, including at the Aundh Civil Hospital. "Three specialists, including one physician and two gynaecologists, joined us two days ago," More said. The state health department has eight circles across the state. They are Mumbai, Pune, Nashik, Aurangabad, Nagpur, Nashik, Akola, and Latur. (Source: TOI, Jul 23, 2012)

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

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

HIV treatment should begin as early as possible

New recommendations for antiretroviral therapy (ART), issued here on opening day of AIDS 2012: XIX International AIDS Conference, say that ART should be offered to all adult patients who are HIV-positive as soon as possible, regardless of CD4 cell count. The earlier it is offered, the better the outcome, Melanie A. Thompson, MD, of the AIDS Research Consortium of Atlanta, Georgia, told meeting delegates. Dr. Thompson headed the 2012 Recommendations of the International Antiviral Society–USA Panel (IAS-USA). Their conclusions are in a special edition of the Journal of the American Medical Association, to be published July 25. (Source: Medscape)

For Comments and archives…

Radioactive skin patch effective against basal cell carcinoma

Basal cell carcinoma, the most common type of skin cancer, can be effectively treated with a radioactive skin patch containing phosphorus 32, researchers said here at the SNM 2012 Annual Meeting. The new skin patch treatment "opens a new dimension in the field of therapeutic nuclear medicine and dermatology, especially for the treatment of skin malignancies," (said) senior author Rakesh Kumar, MD, PhD, from All India Institute of Medical Sciences in New Delhi. (Source: Medscape)

For Comments and archives…

FDA approves everolimus for advanced breast cancer

The US Food and Drug Administration (FDA) announced today that everolimus (Afinitor, Novartis) has been approved to be used with exemestane (Aromasin, Pfizer) to treat postmenopausal women with advanced hormone receptor (HR)-positive, HER2-negative breast cancer. The drug combination is intended to be used in patients with recurrent or progressive disease after failure of treatment with either letrozole (Femara, Novartis) or anastrozole (Arimidex, AstraZeneca). (Source: Medscape)

For Comments and archives…

Erythropoietin provides significant benefits in acute myeloid leukemia

Erythropoietin reduces transfusions and improves quality of life for patients with acute myeloid leukemia (AML) after chemotherapy or allogeneic hematopoietic stem cell transplantation (HSCT), researchers say. (Source: Medscape)

For Comments and archives…

Doctors to be re-assessed in UK

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

General Medical Council has prepared a scheme to re-assess the licensed doctors every year to ensure they are fit to practice. At present, doctors can go for their entire carrier without facing any formal assessment of their competency once they have qualified. But from early December this year they will have to revalidate to make sure they are still fit to stay on the medical register. This would take the form of an annual appraisal with a more comprehensive checking every five year if the scheme is approved by the Health Secretary. Many doctors in UK feel such validation is bureaucratic, tedious and ineffective and would demoralise the profession. (Courtesy: GMC website & Daily Mail UK )

 
    Twitter of the Day

@DrKKAggarwal: In Chat with Dr KK Dr Vandana Chaddha on Foetal Medicine
http://www.youtube.com/watch?v=qatVJFSMmts

@DeepakChopra: If your mind is always on the past & future you are living in a dream.

 
    Spiritual Update

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

Ego in Mythology

For spirituality, one needs to control two things, firstly, lust and lastly, the ego. In Kama, Krodha, Lobha, Moha and Ahankara, ego and lust both are slow poisons and do not allow one to be spiritual healthy. There are many examples of how to control ego in mythology. Fundamentally, it is said that one should learn to kill ego of oneself and never hurt the ego of others.

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 is hyperprolactinemia tested?

If you have absent or irregular periods, produce milk from the breasts, or experience problems getting pregnant, especially if you or your partner has any symptoms of high prolactin production, you will undergo a blood test to measure blood levels of prolactin. If those levels are high, your doctor generally will conduct a second test while you're fasting and when you are not stressed. If levels are still high, your doctor will obtain tests to rule out thyroid and kidney problems. If the thyroid and kidneys are functioning normally, magnetic resonance imaging (MRI) or computed axial tomography (CT scan) can identify any tumor of the pituitary gland that could cause this condition.

For Comments and archives…

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

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

Blood Grouping systems & Principles, Blood Group Discrepancies & their possible solutions

Genetic

  • Blood group genes are inherited in pairs.
  • Blood group systems have 2 (three) major genes:
    • 2 identical Genes homozygous: (Lea+Leb-)
    • 2 different Genes heterozygous: (Lea+Leb+)

For Comments and archives…

 
    An Inspirational Story

(Mr Vivek)

The situation

In Washington, DC, at a Metro Station, on a cold January morning in 2007, this man with a violin played six Bach pieces for about 45 minutes. During that time, approximately 2,000 people went through the station, most of them on their way to work. After about 3 minutes, a middle-aged man noticed that there was a musician playing. He slowed his pace and stopped for a few seconds, and then he hurried on to meet his schedule.

About 4 minutes later:

The violinist received his first dollar. A woman threw money in the hat and, without stopping, continued to walk.

At 6 minutes:

A young man leaned against the wall to listen to him, then looked at his watch and started to walk again.

At 10 minutes:

A 3-year old boy stopped, but his mother tugged him along hurriedly. The kid stopped to look at the violinist again, but the mother pushed hard and the child continued to walk, turning his head the whole time. This action was repeated by several other children, but every parent - without exception - forced their children to move on quickly.

At 45 minutes: The musician played continuously. Only 6 people stopped and listened for a short while. About 20 gave money but continued to walk at their normal pace. The man collected a total of $32.

After 1 hour:

He finished playing and silence took over. No one noticed and no one applauded. There was no recognition at all.

No one knew this, but the violinist was Joshua Bell, one of the greatest musicians in the world. He played one of the most intricate pieces ever written, with a violin worth $3.5 million dollars. Two days before, Joshua Bell sold-out a theater in Boston where the seats averaged $100 each to sit and listen to him play the same music.

This is a true story. Joshua Bell, playing incognito in the D.C. Metro Station, was organized by the Washington Post as part of a social experiment about perception, taste and people's priorities.

This experiment raised several questions:

In a common-place environment, at an inappropriate hour, do we perceive beauty?

If so, do we stop to appreciate it?

Do we recognize talent in an unexpected context?

One possible conclusion reached from this experiment could be this:

If we do not have a moment to stop and listen to one of the best musicians in the world, playing some of the finest music ever written, with one of the most beautiful instruments ever made.

How many other things are we missing as we rush through life?

Enjoy life NOW. It has an expiration date!!!!!

For comments and archives

 
   Cardiology eMedinewS

Stressful jobs bad for woman’s heart Read More

Ticagrelor gets equal billing to other antiplatelets Read More

 
   Pediatric eMedinewS

FDA bans BPA in baby bottles Read More

Markers may ID kids who can overcome milk allergy Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A 45–year–old came with first-onset diabetes.
Dr Bad: Start Pioglitazone.
Dr Good: Start Metformin.
Lesson: In the absence of contraindications, metformin is considered the first choice for oral treatment of type 2 diabetes (Diabetes Care 2009;32:193).

For comments and archives

Make Sure

Situation: A patient with suspected MI died after receiving sublingual nitrate.
Reaction: Oh my God! Why was a history of intake of Viagra drug not taken?
Lesson: Make sure to take a history of Viagra drug intake before giving nitrates, because co–administration of the two drugs can cause a fatal fall in blood pressure.

For comments and archives

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  Legal Question of the Day

(Dr MC Gupta)

Q. Who signs the death certificate in anesthetic deaths? Is it the surgeon, anesthetist or both?

Ans.

  1. There is nothing like an ‘anesthetic’ death. This is not a clearly defined entity. This term should be best avoided. Since many cases of death related to anesthesia are likely to go to the court with an allegation of medical negligence, it would be most illogical and unfair on the part of any doctor to label a death as anesthetic death. Such labeling amounts to pre-judging the issue and holding the anesthetist guilty even before the trial commences.
  2. The following research article is important in this regard. Whang HS and Chon SU published an article titled—“Evaluation of Cardiac Arrest Cases - Past 10 year experience” in the Korean J Anesthesiol 1979 Dec;12(4):149-157, wherein it was stated as follows:

    “Central to the question of anesthetic risk is the definition of an anesthetic death. This is yet to be defined within any reasonable limits. A number of factual and philosophical considerations complicate attempts to derive a precise definition. Since anesthesia is usually administered only to permit or facilitate a diagnostic or therapeutic procedure, anesthesia risk is largely confounded with surgical risk and a second set of persons and procedures. For most death, assignment of the relative roles of anesthesia, surgery and patient disease is based on retrospective assumptions, hindsight judgment, bias, and incomplete information.”
    http://koreamed.org/SearchBasic.php?RID=1011KJAE%2F1979.12.4.149
    &DT=1&QY=%22Korean+J+Anesthesiol%22+(JTI)++AND+1979+(DPY)
  3. Let us have a look at the Registration of Births and Deaths Act, 1969. It does not have the words “Death certificate”. It talks of only two things:
    a. Notification of death;
    b. Certificate as to the cause of death.
  4. The provisions of the Act concerning these two terms are reproduced below: “10. (1) It shall be the duty of –

    (i) the midwife or any other medical or health attendant at a birth or death,
    (ii) the keeper or the owner of a place set apart for the disposal of dead bodies or any person required by a local authority to be present at such place, or
    (iii) any other person whom the State Government may specify in this behalf by his designation, to notify every birth or death or both at which he or she attended or was present, or which occurred in such areas as may be prescribed, to the Registrar within such time and in such manner as may be prescribed.”
    10 (2) In any area, the State Government, having regard to the facilities available therein in this behalf, may require that a certificate as to the cause of death shall be obtained by the Registrar from such person and in such form as may be prescribed.
    10 (3) Where the State Government has required under sub-section (2) that a certificate as to the cause of death shall be obtained, in the event of the death of any person who, during the last illness, was attended by a medical practitioner, the medical practitioner shall, after the death of that person, forthwith, issue without charging any fee, to the person required under this Act to give information concerning the death, a certificate in the prescribed form stating to the best of his knowledge and belief the cause of death; and the certificate shall be received and delivered by such person to the Registrar at the time of giving information concerning the death as required by this Act.”
  5. The above means that in areas covered by section 10(2), the so called death certificate actually means, in terms of the Act, “Notification of death and certificate as to the cause of death”. In other areas, what is required is merely a notification or information of death.
  6. In terms of the above, the certificate has to be issued by the medical practitioner who last attended upon the deceased. As long as the patient is in the OT, he is under the care of the treating doctor, which means the surgeon. Hence, he should sign the certificate. If it occurs when the patient has come out of the OT but while he is under care of the anesthesia, it should be signed by the anesthetist. If the patient is last attended by some other doctor, then that doctor should sign the certificate.
  7. In many hospitals, the “death certificate” is issued by the medical superintendent of the hospital.
  8. There is no harm if somebody else also signs the certificate additionally.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

The willingness to accept responsibility for one's own life is the source from which self-respect springs. Joan Didion

 
  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Lactate dehydrogenase (LD or LDH)

Increase of LD activity in serum may occur in any injury that causes loss of cell cytoplasm. More specific information can be obtained by LD isoenzyme studies. Also, elevation of serum LD is observed due to in vivo effects of anesthetic agents, clofibrate, dicumarol, ethanol, fluorides, imipramine, methotrexate, mithramycin, narcotic analgesics, nitrofurantoin, propoxyphene, quinidine, and sulfonamides. Decrease of serum LD is probably not clinically significant.

There are two main analytical methods for measuring LD: pyruvate–>lactate and lactate–>pyruvate. Assay conditions (particularly temperature) vary among labs. The reference range for the assaying laboratory must be carefully studied when interpreting any individual result.

Many European labs assay alpha–hydroxybutyrate dehydrogenase (HBD or HBDH), which roughly equates to LD isoenzymes 1 and 2 (the fractions found in heart, red blood cells, and kidney).

 
    Mind Teaser

Read this…………………

A client, who is suspected of having Pheochromocytoma, complains of sweating, palpitation and headache. Which assessment is essential for the nurse to make first?

A. Pupil reaction
B. Hand grips
C. Blood pressure
D. Blood glucose

Yesterday’s Mind Teaser: The nurse is preparing her plan of care for her patient diagnosed with pneumonia. Which is the most appropriate nursing diagnosis for this patient?

A. Fluid volume deficit
B. Decreased tissue perfusion
C. Impaired gas exchange
D. Risk for infection

Answer for Yesterday’s Mind Teaser: C. Impaired gas exchange.

Correct answers received from: Dr Prabha Sanghi, Dr PC Das, Yogindra Vasavada, Anil Bairaria,
Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Raju Kuppusamy, Dr Chandresh Jardosh, Dr Thakor Hitendrsinh G, Dr Avtar Krishan, YJ vasavada.

Answer for 22nd July Mind Teaser: C. Lower the oxygen rate
Correct answers received from: Dr Prabha Sanghi, Dr Chandresh Jardosh, Dr Thakor Hitendrsinh G,
Dr Avtar Krishan, YJ vasavada.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Gorgeous, intelligent, kind, sweet, charming, witty, hilarious, friendly...well enough about ME! How are you?

 
  Medicolegal Update

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

Hotson v East Berkshire Health Authority case– (1987) 2 All ER 909

This was a case of alleged medical negligence and compensation where the extent of the hip injuries to a 13 year–old boy was not diagnosed for five days. At the age of 20 years, there was deformity of the hip joint, restricted mobility and permanent disability. The judge found that even if the diagnosis had been made correctly, there was still a 75% risk of the plaintiff's disability developing, but that the medical staff’s breach of duty had turned that risk into inevitability, thereby denying the plaintiff a 25% chance of a good recovery.

Damages included an amount of £11,500 representing 25% of the full value of the damages awardable for the plaintiff's disability. On appeal to the Lords, the question was whether the cause of the injury was the fall or the negligence of the health authority in delaying treatment, since if the fall had caused the injury the negligence of the authority was irrelevant in regard to the plaintiff’s disability. Because the judge had held that on the balance of probabilities, even correct diagnosis and treatment would not have prevented the disability from occurring, it followed that the plaintiff had failed on the issue of causation. It was therefore irrelevant to consider the question of damages.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Sudden Cardiac Death

It is easy to anticipate and identify people at risk of sudden cardiac death, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India. The following people are at risk of sudden cardiac death:

  • People who have survived a past cardiac arrest.
  • Heart patient with pumping action of the heart less than 30%
  • ECG showing wide QRS conduction of more than 120 msec.
  • Inability to climb two flights of stairs without symptoms.
  • Inability to walk 2 kms on level ground without symptoms.
  • Inability to do exercise in the bed with the partner without symptoms. Patient with uncontrolled blood pressure, diabetes, smoking and people who drink more than 5 pegs of alcohol in one hour or 6 pegs of alcohol in one day.
  • People who have uncontrolled snoring.

He said that a campaign should be started all over the country and awareness should be created to the general public about the following messages:

  • Sudden cardiac death is preventable – Learn chest compression CPR
  • Revival from cardiac arrest is possible in the first 10 minutes. Earlier the better.
  • Sudden cardiac death is common in the first hour of acute heart attack.
  • Most heart attacks occur in the early hours of the day.
  • Chewing a tablet of water-soluble aspirin at the onset of the heart attack reduces the chance of death by 22%.
  • Heart attack can be reversed within three hours of chest pain with clot-dissolving drug or by angioplasty.
  • All heart patients should know their ejection fraction; if less than 30%, they need further evaluation.
  • Sudden cardiac death is preventable – quit smoking today.
  • Sudden cardiac death is preventable – keep your blood pressure under control.
  • Sudden cardiac death – keep your diabetes under control.
  • A 5 mm reduction of blood pressure can reduce chances of heart attack
  • All group residential colonies should keep an automatic external defibrillator to tackle a cardiac arrest.
  • If you are a heart patient with less than 30% ejection fraction, talk to your doctor about an automatic Implantable Cardioverter Defibrillator (AICD) – an internal electric shock device.
  • All heart patients should know their QRS duration on ECG (should be < 120 ms).
  • Heart patients with QRS duration of more than 120 ms on ECG need further evaluation.
  • To reduce sudden cardiac death, all post heart attack patients should be on beta blockers, if not contraindicated.
  • To reduce sudden cardiac death, all post heart attack patients should be given cholesterol-lowering drugs.
  • To reduce sudden cardiac death, all post heart attack patients should be on lifelong aspirin.
 
    Readers Response
  1. I am really thankful to you and your colleagues for starting emedinews to keep us updated. This is ‘News in Nutshell’. Regards: Dr Deepshikha.
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal


Dr K K Aggarwal


Dr K K Aggarwal

IYCNCON 2012

All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
http://www.heartcarefoundation.org

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

 
    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)

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  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

 
    Our Contributors

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