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29th December, 2017
ACC Expert Consensus Decision Pathway for Optimization of treatment of HF patients
 

The American College of Cardiology (ACC) has published an expert consensus decision pathway for the optimization of treatment for patients with heart failure with reduced ejection fraction (HFrEF).

The new document complements the 2017 ACC/AHA/HFSA Focused Update of the 2013 ACC/AHA Guideline for the Management of Heart Failure by addressing new medical therapies, prevention and comorbidities relevant to heart failure with reduced ejection fraction for which data are available.

Published online in the Journal of the American College of Cardiology, the statement addresses 10 key issues (as below) encountered in the management of these patients and thus provides a framework for the decision pathway in these areas. .... read more

Special
Top News

Action Plan and Measures taken to eliminate diseases

The government has set target years to eliminate diseases. The target year of elimination for tuberculosis (TB) is 2015, measles 2020, leprosy 2018 and kala azar 2017. As per a press release by the Health Ministry, as of 2016, 85% of the endemic blocks have achieved Kala-azar elimination target of 1 case per 10,000 population at block level.... read more

Practice Updates
US FDA updates the label of nilotinib to include when the drug may be stopped

The US Food and Drug Administration (FDA) has updated the product label for the cancer drug Tasigna (nilotinib) to include information for providers about how to discontinue the drug in certain patients with Philadelphia chromosome positive (Ph+) chronic myeloid leukemia (CML),...read more


Short term exposure to air pollution increases mortality

In a study of more than 22 million deaths published December 26, 2017 in JAMA, each 10-µg/m3 daily increase in fine particulate matter (PM 2.5)and 10–parts-per-billion daily increase in warm-season ozone exposures were associated with a statistically significant increase of 1.42 and 0.66 deaths per 1 million persons at risk per day, respectively.....read more


New ACOG practice bulletin on nausea and vomiting in pregnancy

The American College of Obstetricians and Gynecologists (ACOG) has published practice bulletin on nausea and vomiting of pregnancy in the January 2018 issue of the journal Obstetrics & Gynecology. The statement recommends early treatment of nausea and vomiting to prevent progression to hyperemesis gravidarum. Also,...read more


New guidelines for management of patients following bariatric surgery

New guidelines from the Obesity Management Task Force with regard to the management of patients following bariatric surgery have been published online December 6, 2017 by the European Association for the Study of Obesity in Obesity Facts. Issues such as nutrition,....read more


Steroids increase risk of thromboembolism in patients with IBD

Findings of a systematic review and meta-analysis show that 1.5- to 3-fold increased risk of venous thromboembolic events with the use of systemic steroids in patients with inflammatory bowel disease (IBD). The findings were first published December 6, 2017 in the Journal of Crohn's and Colitis. Treatment with anti-TNFa agents caused a 5-fold decreased risk of VTE vs steroids....read more


Women with restless legs syndrome at higher risk of cardiovascular death

Women with restless legs syndrome have a higher mortality rate due to cardiovascular disease, suggests a study published December 15, 2017 in the journal Neurology....read more

 
eMedi Humor
Medicolegal Corner
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a. 1–4 weeks b. 2–12 weeks
c. 12–24 weeks
d. After 6 months
Lifestyle Updates
 
Inspirational Story 1: :Our Time in History
Inspirational Story 2: The Power of Good Words
IMA Mission Pink Health launched
This mission will incorporate Aao School Chale, Aao Gaon Chale, Anemia-free India, Welcome the Girl Child, and Adolescent health
 
New Delhi, 28 December 2017: The Annual Central Council Meeting of the IMA was held in Mumbai on the 28th of December 2017. The event saw the swearing in of Dr Ravi Wankhedkar as the National President of the IMA for the year 2018. IMA Mission Pink Health was also launched during the event, which went on to address various issues plaguing the medical profession today including the recently approved National Medical Commission (NMC) Bill and the need for professional autonomy.
 
Installing Dr Ravi Wankhedkar as the new National President IMA, immediate Past President of World Medical Association, Dr Ketan Desai, said, “The medical profession is facing the toughest challenge today and the time has come for everyone to introspect.”
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