eMedinewS 25th June 2013, Tuesday

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

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 (March 10-13); 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.facebook.com/Dr KKAggarwal

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.”

Ringtone - CPR 10 Mantra Hindi

Ringtone - CPR 10 Mantra English

From the Desk of Editor in Chief

New European High Blood Pressure Guidelines

  • The European Society of Hypertension and the European Society of Cardiology have come out with new guidelines for the management of high blood pressure.
  • In patients with diabetes, the lower blood pressure should be kept below 85 mm Hg
  • The new recommendation is that all blood pressure patients should be treated to keep the upper blood pressure lower than 140 mm Hg.
  • In patients with diabetes, the lower blood pressure should be kept below 85 mm Hg
  • In patients younger than 80 years, the upper blood pressure can be kept 140-150 mm Hg
  • Blood pressure higher than 140/90 increases the risk of cardiovascular disease.
  • The salt recommendation is 5 to 6 gram per day.
  • Reducing salt to 5 gram per day can reduce upper blood pressure by up to 2 mmHg in normal persons and 4 to 5 mmHg in patients with high blood pressure.
  • Loosing 5 kg of weight can reduce upper blood pressure (systolic) by 4 mmHg.
    • Regular aerobic exercise training in high blood pressure patients can reduce upper blood pressure by 7 mmHg.
  • Drug therapy should be started typically within a few weeks if diet and exercise are ineffective in higher-risk patients. Low or moderate risk patients may be given a trial of lifestyle modifications for few months. Read More ….

sprritual blogShould doctors detach themselves?

While dealing with patients, the traditional Patient-Doctor relationship model has been that doctor should remain cool, calm and collected at all times.

A Doctor’s approach needs to be strictly scientific, logical, objective, methodical precise and dispassionate. This model has been since the era of William Osler, the father of modern medicine. The term used is imperturbability, which means coolness and presence of mind under all circumstances. ...Read More

Dr K K Blogspot

cardiology news
pediatrics news
wellness blog

Honey excellent for Cough

A spoonful of honey can quieten children’s’ night time cough and help them — and their parents — sleep better. .... Read More


Situation: A 20-year-old male sexually assaulted a 13-year-old girl
Dr. Bad: This is a sexual play.
Dr. Good: This is sexual abuse.

Lesson: Sexual abuse occurs when there is asymmetry in age or development among the participants, with a coercive quality to the event. Read More

press release

ACE inhibitors better ARBs in new meta–analysis in hypertensives


Why do doctors not live long? (Dr K K Aggarwal)

When I was the President of Delhi Medical Association in 2005, we wanted to make a list of doctors who were 80 years ...Read More

Eating fast food can cause liver damage

Quoting a Swedish study by Dr. Fredrik H. Nystrom of University Hospital of Linkoping, published in the medical journal Gut, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA., said that eating aleast two fast foods meals every day and restricting levels of physical activity to no more than 5,000 steps a day can lead to signs of liver damage or weight gain.

At the end of the 4 weeks, the fast food eaters had put on an average of 6.5 kilograms (14.3 pounds). After just 1 week on the fast food diet, blood tests showed sharp increases in a liver enzyme called SGPT. SGPT levels were more than quadrupled over the 4-week study period. Increased SGPT levels are used to diagnose liver disease before symptoms develop. In 11 fast food dieters, SGPT rose to levels suggestive of liver damage. The SGPT increases were linked to weight gain and higher sugar and Carbohydrate intake.

Sutra: Eating 2 fast food meals a day, walking < 5000 steps a day can cause liver damage or gain weight as per a Swedish study. ...Read More

News Around The Globe

High dose of statins do not cause acute kidney injury.

Of late there has been a concern that some high potency statins can increase the risk of acute kidney injury but a recent study from Boston presented by American Heart Association's Webinar has shown that for post acute heart attack patient’s high dose statins does not lead to higher risk of acute kidney injury then compared to low dose regimen. There was no difference in kidney functions in the study. ....Read More

Clopidogrel of no help in cyanotic heart disease

Children with cyanotic congenital heart disease derive no benefit from prophylactic clopidogrel for shunt thrombosis, as per large randomized trial published in New England Journal of Medicine. ........Read More

Post traumatic stress disorder

Post traumatic stress disorder affects 23% of patients with paralysis within first year as per a Meta analysis published in .... Read More

Depressive symptoms and use of anti-depression

Depressive symptoms and use of anti-depression are associated with marker linked to risk of diabetes and cardiovascular disease as per study published in American Journal of Public Health. .... Read More

H7N9 flu: Worse than pandemic, better than H5N1

The novel H7N9 avian flu appears to be less severe than the highly pathogenic H5N1 avian flu but more severe than the 2009 pandemic H1N1 flu, researchers reported. (Source: Medpage Today) Read More

ADA: Intensive Tx yields long-term gain in type 1 diabetes

Benefits seen with intensive therapy for type 1 diabetes in a large epidemiological study persist through extended follow-up, according to the latest data from the Diabetes Control and Complications Trial (DCCT) and Epidemiology of Diabetes Interventions and Complications (EDIC) trial. (Source: Medpage Today) Read More

ADA: Drug combo beats step-up Tx in new T2D

Starting newly-diagnosed type 2 diabetes patients on triple combination therapy rather than progressing step-wise up from metformin keeps glucose lower for longer, a randomized trial showed. (Source: Medpage Today) Read More

New DCCT data: HbA1c matters today, tomorrow, and 20 years on

Dramatic reductions in diabetes complications achieved with intensive glycemic control in the landmark Diabetes Control and Complications Trial (DCCT) are still being seen — although to a somewhat lesser degree — nearly 2 decades after the study's end. (Source: Medscape) Read More


today emedipics

Heart Care Foundation of India organized a CPR 10 camp at EPFO (Employees Provident Fund Organization), Wazirpur on 30th May 2013

Valvular Heart Disease Update

Left atrial appendage: Determination of left atrial appendage function has a complementary role to spontaneous echo contrast in assessing embolic risk. Those in atrial fibrillation at highest risk have maximum left atrial appendage contractile velocities below 0.25 m/second. These patients also tend to have appendage thrombi.

(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)

Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

How are sexual dysfunction and infertility inter-related?

Sexual dysfunction may cause problems getting pregnant (infertility). The right time for sexual activity is when the egg is released from the ovary (ovulation). Determine the time of ovulation by your partner's menstrual history or by the use of a urine test that becomes positive when the hormone that triggers the egg to be released can be detected. If you cannot or do not have sex near that time, the woman is less likely to get pregnant. If you only have sex once in a while because of low sexual desire or pain during sex, you may miss that important time for pregnancy. Men who have erectile dysfunction or ejaculatory dysfunction will not be able to get their partner pregnant.

Rabies Update (Dr. A K Gupta)

If the pet is immunized, do family members need pre-exposure vaccination?

A dog effectively vaccinated against rabies ordinarily will not suffer and transmit rabies. But it is very difficult to say with certainty that a particular dog immunized with specific vaccine is immune against rabies, more so in a rabies-endemic area.

Animal lovers and pet owners are always at high risk of rabies, and therefore, pre-exposure vaccination is recommended for all the family members.

medicolegal update

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

What is somatic death?

For many years it was accepted that death occurred if respiration and circulation ceased for more than 10 minutes. Now it is possible to stop the heart and respiration for an hour or longer and restart them again at will by Read More

ijcp book of medical records
medicolegal update

Can an action be taken against a frivolous complaint?

A: Section 10 (f) of the Delhi Medical Council Act has the provisions by which the council can take action against frivolous complaints.

DMC 10 (f): ““to revive complaints from public Including patients and their relatives against misconduct or negligence by a medical practitioner, Read More

dr good dr bad

Situation: Once the TSH is stable on treatment, when should it be measured again for maintenance?
Dr. Bad: Every month.
Dr. Good: Once in a year.
Lesson: After identification of the proper maintenance dose, the patient should be examined and serum TSH measured every year or more often if there Read More

make sure

Situation: A patient with rheumatoid arthritis was not responding.
Reaction: Oh my God! Why was smoking not stopped?
Lesson: Make sure that all patients of RA stop smoking. It is a major preventable factor contributing to the development of antibody–positive rheumatoid arthritis in genetically susceptible individuals.

quote of the day

Never fear shadows.... that always means there is a light shining somewhere. Jonathan Santos

twitter of the day

Dr KK Aggarwal: Smoking leads to cardiovascular ageing http://bit.ly/14JxRjo #Health

Dr Deepak Chopra: Our society has a fixation, waiting for the next pill to cure every ill. 5 Steps for Creating Healthy Habits http://tinyurl.com/m9r7v5r

emedinews humor

Long Life

I recently picked a new primary care physician. After two visits and exhaustive lab tests, he said I was doing "fairly well" for my age. A little concerned about that comment, I couldn't resist asking him, "Do you think I'll live to be 90?" Read More

reader response

When Will IMA and DMA in particular will declare obesity as illness to prevent , at least, Thul Thul Cancers (Breast, Endometrial and Prostate)
Please help to achive this goal in order to crb the rising incidence of these cancers in the metropolitan towns. Prof. Manoj Sharma

An Inspirational Story

Sitting on your talent

There was a man played piano in a bar. He was a good piano player. People came out just to hear him play. But one night, a patron told him he didn't want to hear him just play anymore. He wanted him to sing a song.

The man said, "I don't sing."

But the customer was persistent. He told the bartender, "I'm tired of listening to the piano. I want that guy to sing!"

............Read More

eMedi Quiz

Read this…………………

The most common cutaneous manifestation with APS...

A. Livedoid vasculitis
B. Warfarin
C. Aspirin
D. Hydroxychloroquine

Yesterday’s Mind Teaser: "Thinkuact"

Answer for yesterday’s Mind Teaser: Think before you act

Correct answers received from: DR.BITAAN SEN & DR.JAYASHREE SEN, Dr. T. Samraj,, Ritu Sinha, Dr Pankaj Agarwal, Dr.(Maj. Gen.) Anil Bairaria, Dr Jainendra Upadhyay, Dr. Thakor Hitendrsinh G, DR AVTAR KRISHAN

Answer for 23rd June Mind Teaser: "It’s a small world after all."

Correct answers received from: Dr Jainendra Upadhyay, Dr. Thakor Hitendrsinh G, DR AVTAR KRISHAN

Send your answer to ijcp12@gmail.com

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Forthcoming Events

Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

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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