eMedinewS 24th August 2013, Saturday

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; 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

1. Public citizen (Consumer Watchdog) petitioning FDA to at a box of warning to clopidogrel alerting patients to the bleeding risk association with taking clopidogrel on top of aspirin beyond 12 months after drug eluting stent treatment.

As per a report, more than 10 lakhs stents were implanted in 2012 in the US alone and more than 22 lakhs prescriptions for clopidogrel were written in October, 2012. FDA’s current medication guide 2011 says that clopidogrel can cause bleeding which can be serious and tend sometimes leading to death.

2. A remote preconditioning procedure used prior to bypass surgery significantly improved pari–operative heart protection amongst surgical patients treated in single centre in Germany. Patients on a long term follow up had a lower risk of mortality.

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 10x10 i.e. 100 per minute."

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

Ringtone – CPR 10 Mantra English

sprritual blog Spiritual Prescription: Who am I? – Know Your Soul Profile

H"I am not my physical body, as I know, once my body dies, nobody wants to touch it." (Adi Shankaracharya in the Bhaja Govindam)

"I am not my mind as I know whenever I am in trouble; the mind asks the heart for help" (Deepak Chopra in the Seven Spiritual Laws of Success).

"I am my consciousness which is residing in the core of my heart" (Svetasvatara Upanisad 5.8).

"This consciousness is nothing but a web of energized information situated in the void" (Chandogya Upanishad Chapter XII — the Birth of the Gross from the Subtle)

"the consciousness is timeless, has no beginning, no end, weapons cannot cut it, air cannot dry it, water cannot wet it and fire cannot burn it" (Bhagavad Gita 2.23, 24).

Each one of us has a physical profile (as defined by our height, complexion, collar number, waist size, etc.) and has a mental or ego profile. A few examples of ego profile: my bank balance, car, job designation, locality of residence, size of house, contacts, power, clothes’, etc.

Similarly each one of us also has a soul profile. We should give sometime to ourselves for knowing our soul profile and revisit it at least once in a week.

According to Deepak Chopra, to know the soul profile one should ask seven questions to his or her consciousness while sitting in a meditative poise or in state of relaxation. The answer to each question should be either in three words or three phrases.

  1. What is my purpose of life?
  2. What is my contribution going to be for my friends and family?
  3. Three instances in my life when I had my peak experiences.
  4. Names of three people who inspire me the most.
  5. Three qualities which I admire in others the most.
  6. Three of my unique talents.
  7. Three qualities I best express in my relationship.

These twenty one answers will characterize your soul profile or will be your passport for every action you perform in your life.

In day–to-day’s life, one should act from the soul profile and not from the ego profile. Soul profile cannot be manipulated while the ego profile can be.

There are only three ways of improving one’s soul profile and these are:

  1. The choices one makes should be soul–profile oriented and not ego–profile oriented. Whenever there is an opportunity for an action, ask the head for choices, then ask the heart to choose one, and finally order the hand to take action. A soul–based action is the one which is based on the truth, is necessary, and which makes the person and the people around him or her, both happy.
  2. Total clarity of vision of "What do I want" and also "What I don’t want".
  3. Learn to enter into discontinuity of thought processes using "beej mantra" or doing primordial sound meditation 20 minutes in the morning and 20 minutes in the evening.

These can also be equated to the eight limbs of Yoga Sutras of Patanjali, where the "choices I make" represents Yama and Niyama, "what do I want" represents Dharma and the "entering into discontinuity" represents Dhyana and Samadhi.

….Read More

cardiology news

Keep Your Dream

I have a friend named Monty Roberts who owns a horse ranch in San Ysidro. He has let me use his house to put on fund–raising events to raise money for youth at risk programs.

The last time I was there he introduced me by saying, "I want to tell you why I let Jack use my horse. It all goes back to a story about a young man who was the son of an itinerant horse trainer who would go from stable to stable, race track to race track, farm to farm and ranch to ranch, training horses. As a result, the boy’s high school career was continually interrupted. When he was a senior, he was asked to write a paper about what he wanted to be and do when he grew up.

"That night he wrote a seven-page paper describing his goal of someday owning a horse ranch. He wrote about his dream in great detail and he even drew a diagram of a 200–acre ranch, showing the location of all the buildings, the stables and the track. Then he drew a detailed floor plan for a 4,000–square–foot house that would sit on a 200–acre dream ranch.

"He put a great deal of his heart into the project and the next day he handed it in to his teacher. Two days later he received his paper back. On the front page was a large red F with a note that read, ‘See me after class.’ "The boy with the dream went to see the teacher after class and asked, ‘Why did I receive an F?’

"The teacher said, ‘This is an unrealistic dream for a young boy like you. You have no money. You come from an itinerant family. You have no resources. Owning a horse ranch requires a lot of money. You have to buy the land. You have to pay for the original breeding stock and later you’ll have to pay large stud fees. There’s no way you could ever do it.’Then the teacher added, ‘If you will rewrite this paper with a more realistic goal, I will reconsider your grade.’

"The boy went home and thought about it long and hard. He asked his father what he should do. His father said, ‘Look, son, you have to make up your own mind on this. However, I think it is a very important decision for you.’ "Finally, after sitting with it for a week, the boy turned in the same paper, making no changes at all.

He stated, "You can keep the F and I’l keep my dream."

Monty then turned to the assembled group and said, "I tell you this story because you are sitting in my 4,000–square–foot house in the middle of my 200-acre horse ranch. I still have that school paper framed over the fireplace." He added, "The best part of the story is that two summers ago that same schoolteacher brought 30 kids to camp out on my ranch for a week." When the teacher was leaving, he said, "Look, Monty, I can tell you this now. When I was your teacher, I was something of a dream stealer. During those years I stole a lot of kids’ dreams. Fortunately you had enough gumption not to give up on yours."

"Don’t let anyone steal your dreams. Follow your heart, no matter what." ...Read More

News Around The Globe

  1. Levels of a protein in the urine of kidney transplant recipients can distinguish those at low risk of developing kidney injury from those at high risk. The results also suggest that low levels of this protein, called CXCL9, can rule out rejection as a cause of kidney injury. The study appears online Aug. 22 in the American Journal of Transplantation.
  2. Diabetic patients of South Asian or Chinese ancestry –– the two largest ethnic minority groups in Canada –– had a lower risk of cardiovascular complications and death over a 5–year period compared with those with a European background, researchers found. The risk of being hospitalized for coronary artery disease, stroke, or lower–extremity amputation was marginally lower among South Asian patients but substantially lower for Chinese patients according to Dr Baiju Shah, of the Institute for Clinical Evaluative Sciences in Toronto, and colleagues. And the risk of dying through a median of 4.7 years of follow-up was more than 40% lower for both South Asian patients and Chinese patients, the researchers reported in the September issue of Diabetes Care.

Lecture on "Health in Relation to Science of Mythology, Business and Leadership"

Padma Shri & Dr. BC Roy National Awardee, Dr. K K Aggarwal, President, Heart Care Foundation of India, will be delivering a lecture on "Health in Relation to Science of Mythology, Business and Leadership" on 25th August, 2013, Sunday at 9.45 a.m. at Shanmukhananda Hall, Sion East, near Gandhi Market, Mumbai. The lecture is being organized by Indian Institute of Excellence and Consultancy.

In his talk, Dr. Aggarwal will focus on "Spiritual Principles to increase creativity and building leadership qualities".

Dr. KK Aggarwal is an internationally acclaimed motivational speaker who has done tremendous work in the field of integrating Vedic Sciences with Modern Medicine. He is also the Editor–in–Chief of IJCP Group of Publications and eMedinewS, the first national daily emedical newspaper of India, which reaches over 70000 doctors every day. He is also Vice President Elect of India Medical Association; Member, Ethics Committee, Medical Council of India and Past President, Ethical Committee, Delhi Medical Council.

He has authored a book ‘Alloveda’, which talks about integration of Vedic sciences and modern medicine. He also integrates and teaches Homoeopathy and Ayurveda in Allopathic Language.

In his lecture he will also talk about the concept that ‘Life is reversible in the first ten minutes after death when the heart has stopped’ and how the Rishis and Munis could revive a person even after hours of clinical death.

On behalf of Heart Care Foundation of India, we hereby invite you to his lecture in Mumbai.

Medicine Tit Bits

  1. Use honey to soothe a sore throat: A natural antibacterial and antifungal agent, honey can help coat and soothe sore throats and alleviate minor coughs.

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Rabies News (Dr. A K Gupta)

Are pregnancy and lactation contraindications for IDRV?

Pregnancy and lactation are not contraindications for IDRV.

cardiology news

Does good cholesterol still predict heart risk after bad cholesterol is controlled by statin therapy?

Yes, according to a post–hoc analysis of data from the controversial COURAGE trial, appearing in the Journal of the American College of Cardiology. No, according to Dutch researchers whose report on the Secondary Manifestations of Arterial Disease (SMART) study also appears in the journal.

Optimal medical therapy after acute myocardial infarction

Although nearly all heart attack patients leave the hospital on secondary prevention medications, only about a third get appropriate doses, registry data showed. Initial dose was key, because about three–quarters of those who didn’t go home on a dose within 75% of the dose proven effective in landmark trials didn’t get an increase during follow-up care, Suzanne V. Arnold, MD, MHA, of St. Luke’s Mid America Heart Institute in Kansas City, Mo., and colleagues found. "Integration of dose intensity into performance measures may help improve the use of optimal medical therapy after acute myocardial infarction," the group suggested online in the Journal of the American College of Cardiology.

Valvular Heart Disease News

3D is better than 2D in evaluation of tricuspid valvular disease.

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

cardiology news
  • Two research articles published online August 19 in Pediatrics add to evidence that bisphenol A (BPA) and phthalates may be associated with increased health risks for children and adolescent. However, an accompanying commentary casts doubt on the articles because of the measure of exposure used in the studies.
  • A new genetic study suggests that the most common form of gastrointestinal obstruction in infants might be linked to low cholesterol levels. Bjarke Feenstra, PhD, of the Statens Serum Institute in Copenhagen, and colleagues have found a new genetic variant linked to infantile hypertrophic pyloric stenosis (IHPS) on the long arm of chromosome 11. The locus is just 301 base pairs away from the apolipoprotein A–1 (APOA1) gene, which encodes the major protein component of high–density lipoprotein (HDL) in plasma.
cardiology news

Lifestyle choices in controlling blood pressure

  • Try lifestyle management for up to 6 months. It can alone control blood pressure if initial BP is <160/100 mmHg.
  • Lifestyle interventions have effects similar to single drug therapy.
  • Combinations of two (or more) lifestyle modifications can achieve even better results.
  • One should maintain normal body weight. One can achieve a reduction of 5–20 mmHg of BP for every 10 kg weight loss.
  • One should consume a diet rich in fruits, vegetables, and low fat dairy products with a reduced content of saturated and total fat. It can reduce a blood pressure of 8–14 mmHg.
  • One should reduce dietary sodium intake to no more than 100 mmol per day (2.4 g sodium or 6 g sodium chloride). It can alone reduce blood pressure by 2–8 mmHg.
  • One should engage in regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). It can alone reduce blood pressure by 4–9 mmHg.
  • One should limit consumption of alcohol to no more than 2 drinks (1 oz or 30 mL ethanol; e.g., 24 oz beer, 10 oz wine, or 3 oz 80–proof whiskey) per day in most men and to no more than 1 drink per day in women and lighter weight persons. It can alone reduce blood pressure by 2–4 mmHg.
cardiology news

Bruises ulcers do not necessarily indicate elderly neglect but may occur more rapidly if the standard of care for prevention is not adhered to in a patient at risk is willful failure to follow the standard of care is an abuse.

cardiology news

CPR Classes: Persons trained (1200)

21st August: CPR 10 at Ramjas School, R K Puram – 1200

Total CPR since 1st November 2012 – 61766 trained

14th August: CPR 10 at Modern School, Noida (2000)

CPR Classes 61766

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

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, & MTNL Perfect Health Mela.

Talking about sudden cardiac death, Dr Aggarwal, said that the following people are at risk:

  • 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:

  1. Sudden cardiac death is preventable – Learn chest compression CPR
  2. Revival from Cardiac Arrest is possible in the first 10 minutes. Earlier the better.
  3. Sudden Cardiac Death is common in the first hour of acute heart attack.
  4. Most heart attacks occur in the early hours of the day.
  5. Chewing a tablet of water–soluble aspirin at the onset of the heart attack reduces the chance of death by 22%.
  6. Heart attack can be reversed within three hours of chest pain with clot dissolving drug or by angioplasty.
  7. All heart patients should know their ejection fraction; if less than 30%, they need further evaluation.
  8. Sudden cardiac death is preventable – quit smoking today.
  9. Sudden cardiac death is preventable – keep your Blood Pressure under control.
  10. Sudden cardiac death – keep your diabetes under control.
  11. A 5 mm reduction of Blood Pressure can reduce chances of heart attack
  12. All group residential colonies should keep an automatic external defibrillator to tackle a cardiac arrest.
  13. If you are a heart patient with less than 30% ejection fraction, talk to your doctor for AICD (internal electric shock device).
  14. All heart patients should know their QRS duration on ECG (should be < 120 ms).
  15. Heart patients with QRS duration on ECG is more than 120 ms need further evaluation.
  16. To reduce sudden cardiac death, all post heart attack patients should be on beta blockers, if not contraindicated.
  17. To reduce sudden cardiac death, all post heart attack patients should be given cholesterol–lowering drugs.
  18. To reduce sudden cardiac death, all post heart attack patients should be on lifelong aspirin.

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 62966 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

A CPR 10 Training Camp was organized by Heart Care Foundation of India to trained the students of Ramjas School , R K Puram

press release

FDA panel recommends first drug for HIV prevention

today video of the dayDr KK Aggarwal on Costly Treatment

Dr KK Aggarwal on Sleeping Disorder

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, nurse Ernie detects dry mucous membranes and lethargy. What other finding suggests a fluid volume deficit?

a. A sunken fontanel
b. Decreased pulse rate
c. Increased blood pressure
d. Low urine specific gravity

Yesterday’s Mind Teaser: A client is frustrated and embarrassed by urinary incontinence. Which of the following measures should nurse Bea include in a bladder retraining program?

a. Establishing a predetermined fluid intake pattern for the client
b. Encouraging the client to increase the time between voidings
c. Restricting fluid intake to reduce the need to void
d. Assessing present elimination patterns of erythropoietin.

Answer for yesterday’s Mind Teaser: d. Assessing present elimination patterns of erythropoietin.

Correct answers received from: Dr Shashi Saini, Dr VP Thakral, Dr Deepali Chatterjee,
Dr Vishal D Wahane, Anil Bairaria, Dr Jainendra Upadhyay, Dr Santhakumari, Dr Bitaan Sen & Dr Jayashree Sen.

Answer for 22nd August Mind Teaser: b. Fluid intake should be approximately equal to the urine output

Correct answers received from: Dr Ayyavoo Erode, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Dr Shashi Saini, Dr Deepali Chatterjee, Dr PC Das.

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

Kidneys and Livers

Two old men were arguing the merits of their doctors. The first one said, "I don’t trust your fancy doctor. He treated old Jake Waxman for a kidney ailment for nearly a year, and then Jake died of a liver ailment." "So what makes you think your doctor is any better?" asked his friend.

"Because when my doctor treats you for a kidney ailment, you can be sure you’ll die of a kidney ailment.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient died after receiving IV isoprin stat.
Reaction: Oh my God! The order was for IV Isoptin.
Lesson: Make sure while ordering the drug to spell out the name of the medicine correctly and clearly.

medicolegal update

Inventing is the mixing of brains and materials. The more brains you use, the less materials you need. Charles F. Kettering

medicolegal update

Dr KK Aggarwal: Raw milk not safe by Dr. K K Aggarwal http://bit.ly/16wknsh #Health

Dr Deepak Chopra: Why is food that is so delicious so bad for us and yet food that is healthy for us, I just don’t like? http://tinyurl.com/kqlhghj

medicolegal update

Dear Sir, emedinews is very informative. Regards: Dr Shreya

Forthcoming Events

29thSeptember–Dil Ka Darbar at NDMC Convention Centre, CP New Delhi

20th Perfect Health Mela from 18th Oct to 22nd Oct at different locations

20th Perfect Health Mela from 23rd Oct to 27th Oct at Constitution Club of India

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medicolegal update

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