eMedinewS
30th October 2014, Thursday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and National Science Communication Awardee. Limca Book of Record Holder (CPR). Gold Medalist

Dr KK Aggarwal

President, Heart Care Foundation of India; Senior Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, Senior National Vice President, Indian Medical Association; Member Ethics Committee Medical Council of India, Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Limca Book of Record Holder in CPR, 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.twitter.com/DrKKAggarwal, www.facebook.com/Dr KKAggarwal

Formula of 80 to Prevent Heart Attack upto the Age of 80

I teach my patients that 80% of heart attacks upto the age of 80 can be prevented by learning the Formula of 80 as below.

  • Keep your lower blood pressure, fasting sugar, abdominal circumference, resting heart rate and LDL cholesterol levels all below 80.
  • Walk 80 minutes each day; brisk walk 80 minutes a week with a speed of 80 steps per minute.
  • Eat less, not more than 80 gm/80 ml of caloric food in one meal.
  • Do not eat carbohydrate-based refined cereals 80 days in a year to reduce chances of heart attack.
  • Take vitamin D through sunlight 80 days in a year.
  • Do not drink alcohol and if you drink, take less than 80 ml of whiskey in a day or less than 80 gm of whiskey in a week.
  • Do not smoke or be ready for placement of stent costing Rs. 80,000/-.
  • Give 80 minutes to yourself in a day.
  • When clapping, clap 80 times.
  • If you are a heart patient, ask your doctor to give 80 mg of aspirin and 80 mg of atorvastatin.
  • Donate blood 80 times in a lifetime to reduce chances of heart attack.
  • Avoid an atmosphere of more than 80 db of noise pollution.
  • While on treadmill, try to reach 80% of your heart rate.
Mela 2014

News Around The Globe

  • There has been a lot of excitement about nonpharmacologic modulation of the autonomic system in heart failure, primarily because there is evidence that the sympathovagal balance of the autonomics are totally dysregulated in heart failure. By finding some mechanism to modulate them, you can help reverse the modeling in these patients.
  • Diet and lifestyle changes may play an important role in cancer pathogenesis. Yang and fellow American Cancer Society investigators analyzed the role of calcium, vitamin D, and dairy product intake before and after diagnosis of nonmetastatic colorectal cancer. The study population comprised 2284 participants in a prospective cohort study. In multivariate analysis, post-diagnosis total calcium intake was inversely associated with all-cause mortality (relative risk (RR) for those in the highest relative to the lowest quartiles, 0.72; 95% confidence interval (CI), 0.53-0.98; Ptrend = .02). An inverse association with all-cause mortality was also observed for postdiagnosis milk intake (RR, 0.72; 95% CI, 0.55-0.94; Ptrend = .02), but not for vitamin D intake. Prediagnosis intakes were not associated with mortality. (J Clin Oncol. 2014;32:2335-2343)
  • A compound released by gut microbes as they digest red meat appears linked to heart failure (HF) and its prognosis. Fasting plasma levels of trimethylamine-N-oxide (TMAO) were higher among HF patients than in healthy controls Stanley Hazen, MD, PhD, of the Cleveland Clinic, and colleagues found. Levels above the median were associated with 75% higher 5-year all-cause mortality risk in HF, independent of traditional risk factors and estimated glomerular filtration rate as a measure of renal function, the researchers reported in the November issue of the Journal of the American College of Cardiology.
  • The Canadian Task Force on Preventive Health Care has released updated guidelines that say the prostate-specific antigen (PSA) test should not be used to screen for prostate cancer. This recommendation is based on evidence that shows an increased risk for harm and uncertain benefits, and it applies to all men (all those without a previous diagnosis of prostate cancer). The new guideline is published online October 27 in the Canadian Medical Association Journal.
  • Key measures of continuous electroencephalography (EEG) may offer important insights into patient consciousness that might otherwise not be evident with the more traditional measures of the Glasgow coma scale (GCS) in the acute care setting, suggests new research presented at the American Neurological Association (ANA) 2014 Annual Meeting.

Dr KK Spiritual Blog

Search for happiness in the present moment

Happiness should not be considered as being synonymous with pleasure. Pleasure is transient and is always associated with pain later. Any transient addiction to any of the five senses will either lead to pleasure or pain. Pleasure leads to attachment resulting in more intense and greater desires, and if these are not fulfilled, they cause pain which manifest as anger, irritability or even a physical disease. This type of transient pleasure is chosen by the individuals who attach themselves not to the actions only, but also to its results.

The soul, which is an energized field of information and energy, is controlled by the person’s action, memory and desire. With every action, a memory is created which either gets stored or is recirculated again as an action. If one does not control the desires, the recurrent actions may cause more problems than happiness.

True happiness, on the other hand, is internal happiness or the happiness of the soul or of the consciousness. It is often said, “You are what you eat; you are what you think; and you are what you do.” Hence, your own internal happiness will vary with what you eat, think, and do.

Living in the present moment leads to true happiness. If one is constantly lamenting about the past or fearing the future, he/she will never be able to live in the present. Not living in the present is bound to cause unhappiness. One should learn to live and enjoy the present which can only be done by attaching oneself to the actions and not to its results.

Doing one’s duty with devotion and discipline helps one to remain in the present. Performing good action is important, but it is equally important to maintain the purity of the mind at the same time. Because any intention in the thought creates the same chemical reaction as when the actual deed is done, abusing a person in thought is the same as abusing him in person. Cultivating positive actions in day-to-day life, like, giving or sharing etc., helps in acquiring internal happiness.

Thoughts ultimately get metabolized into various chemicals and hormones changing the internal biochemistry of the person; hence by thinking about cancer all the time, one can actually induce it over a period of time. And similarly, cancers can be cured by thinking positive over a period of time.

Internal happiness gives a deep feeling of satisfaction and is not associated with any transient chemical changes which are generally associated with bodily pleasure activities. People who are internally happy are always contented and are devoid of jealousy, anger, irritability, greed and ego.

One should learn to disassociate from, both, external pain as well as pleasure, and only then can one acquire true internal happiness.

Inspirational Story

The Mango Tree

Once upon a time, there lived a big mango tree. A little boy loved to come and play around it every day. He climbed to the tree top, ate the mangoes, and took a nap under the shadow… He loved the tree and the tree loved to play with him.

Time went by… The little boy grew, and he no longer played around the tree. One day, the boy came back to the tree with a sad look on his face. “Come and play with me,” the tree asked the boy.

“I am no longer a kid, I don’t play around trees anymore.” The boy replied, “I want toys. I need money to buy them.” “Sorry, I don’t have money… but you can pick all my mangoes and sell them so you will have money.” The boy was so excited. He picked all the mangoes on the tree and left happily. The boy didn’t come back. The tree was sad.

One day, the boy grown into a man returned. The tree was so excited. “Come and play with me,” the tree said. “I don’t have time to play. I have to work for my family. We need a house for shelter. Can you help me?” “Sorry, I don’t have a house, but you can chop off my branches to build your house.”

So the man cut all the branches off the tree and left happily. The tree was glad to see him happy but the boy didn’t come back afterward. The tree was again lonely and sad. One hot summer day, the man returned and the tree was delighted. “Come and play with me!” The tree said.

“I am sad and getting old. I want to go sailing to relax myself. Can you give me a boat?” “Use my trunk to build your boat. You can sail far away and be happy.” So the man cut the tree trunk to make a boat. He went sailing and didn’t come back for a long time. Finally, the man returned after he had been gone for so many years.

“Sorry, my boy, but I don’t have anything for you anymore. No more mangoes to give you.” The tree said. “I don’t have teeth to bite,” the man replied. “No more trunk for you to climb on.” “I am too old for that now,” the man said.

“I really can’t give you anything… the only thing left is my dying roots,” the tree said with sadness. “I don’t need much now, just a place to rest. I am tired after all these years,” the man replied. “Good! Old tree roots are the best place to lean on and rest. Come sit down with me and rest.”

The boy sat down and the tree was glad and smiled.

The tree in the story represents our parents. When we are young, we love to play with them. When we grow up, we leave them and only come back when we need help. Parents sacrifice their lives for us.

Rabies News (Dr A K Gupta)

Do antibodies from rabies vaccination cross an intact blood–brain barrier?

No. Antibodies from vaccination do not cross an intact blood–brain barrier.

Cardiology eMedinewS

  • A population-based study among Ontario patients with chronic CAD found differences in use of laboratory testing and apparent access to physicians in rural vs. urban dwellers, yet these did not affect rates of hospitalization or 1-year survival. The study is published online October 28 in Circulation: Cardiovascular Quality and Outcomes.
  • A new study supports increased platelet activation as a mechanistic link between community-acquired pneumonia (CAP) and MI but raises some doubt on whether aspirin alone would be an effective measure for lowering the MI risk. The study is published in the November 4 issue of the Journal of the American College of Cardiology.

Pediatrics eMedinewS

  • Children with irritable bowel syndrome have a unique breathprint that could be used to diagnose the syndrome simply, cheaply, and noninvasively, suggest preliminary findings presented recently at the American College of Gastroenterology 2014 Annual Scientific Meeting.
  • Agave nectar, or placebo, are better than nothing for nighttime coughs in infants and toddlers, suggest new findings published online October 27 in JAMA Pediatrics.

Quote of the Day

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

Wellness Blog

Prevention strategy relies on lifestyle

Stenting may not always be the answer to treating heart disease with stable coronary artery disease.

A German study has shown that patients with stable coronary artery disease who were put on an exercise regimen had significantly higher rates of event-free survival than those who had undergone percutaneous coronary intervention (PCI). In the study, 70% of patients in the exercise program had event-free survival -- no stroke, heart attack, or death -- compared with 50% of stented patients after four years.

Exercise is an important part of any type of prevention, and it should be instituted for "anyone with stable coronary heart disease."

The study on stenting versus exercise come was a continuation of a pilot study first reported in 2004 in the journal Circulation. That study of 101 male patients found that after one year, 88% of patients who exercised had event-free survival compared with 70% of stented patients.

The updated data reflect an additional 100 patients, who performed moderate intensity exercise for two weeks under hospital supervision, and then were given an exercise bike to continue their regimen at home.

Patients with stable angina exercised at 80% of their threshold, and that after four weeks of exercising, their angina threshold increased.

The clear message for patients is to get 30 to 60 minutes of moderate-intensity aerobic activity every day, noting that 30% of heart disease could be prevented by 2.5 hours of walking per week.

ePress Release

Diabetic or hypertensive: get your albumin check up done

Microalbuminuria or presence of albumin in the urine in micro amounts is a sign of early kidney damage. This predicts the increase in the risk of major cardio or cerebrovascular events and even death.

Current guidelines advocate annual screening in patients with diabetes and wherever possible in non-diabetic patients with hypertension, said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association. Early detection of high-risk patients allows selection of aggressive treatment to slow disease progression.

Antihypertensive agents providing angiotensin II blockade are recommended for the treatment of hypertensive patients with microalbuminuria, regardless of diabetes and/or early or overt nephropathy. Treatment with these drugs provides effective reduction of microalbuminuria and blood pressure, and long-term prevention of CV events beyond blood pressure reduction.

Even very low levels of microalbuminuria strongly correlate with cardiovascular risk. Albumin excretion rates as low as 4.8 µg/min, well below the microalbuminuria thresholds stated in current clinical guidelines, are associated with increased risk of cardiovascular and cerebrovascular disease, independent of the presence of other risk factors.

eMedi Quiz

The following separation technique depends on the molecular size of the protein:

1.Chromatography on a carboxymethyl (CM) cellulose column.
2.Iso-electric focusing.
3.Gelfiltration chromatography.
4.Chromatography on a diethylaminoethly (DEAE) cellulose column.

Yesterday’s Mind Teaser: An enzyme involved in the catabolism of fructose to pyruvate in the liver is:

1.Glyceraldehyde-3-phosphate dehydrogenase.
2.Phosphoglucomutase.
3.Lactate dehydrogenase.
4.Glucokinase.

Answer for yesterday’s Mind Teaser: 1.Glyceraldehyde-3-phosphate dehydrogenase.

Correct answers received from: Dr Jainendra Upadhyay, Dr K V Sarma, Dr Avtar Krishan.

Answer for 28th Oct Mind Teaser: 3. Presence of food enhances the absorption of hydrochlorothiazide.

Correct answers received from: Dr Jainendra Upadhyay, Dr Poonam Chablani, Dr K V Sarma, Dr Abbas Vakil, Dr Avtar Krishan.

Send your answer to email

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21st Perfect Health Mela 15th October 2014

Self-Assessment-Quiz

 

expert_choice
press release

Osteoporosis Part 2

video of day video of day

Other Blogs

Video Library

Sameer Malik Heart Care Foundation Fund

The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number +91 9958771177 or by filling the online form.

Madan Singh, SM Heart Care Foundation Fund, Post CAG

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF

Total CPR since 1st November 2012 – 101090 trained

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 10×10 i.e. 100 per minute."

CPR 10 Success Stories

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

cpr 10 mantra
VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

 

IJCP Book of Medical Records

IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.

If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us on :

 

Dr Good and Dr Bad

Situation: A patient had mandibular respiration
Dr Bad: It is normal in asthma
Dr Good: It is a bad terminal sign
Lesson: Five of the signs that emerged mostly during the last three days of life had both high specificity (i.e., >95% chance that the patient would not die within three days if the symptom was absent) and high positive likelihood ratios, including pulselessness of the radial artery; respiration with mandibular movement; decreased urine output; Cheyne-Stoke breathing and death rattle. However, sensitivity was limited; these signs were present in fewer than 27% of the patients who died (Hui D, dos Santos R, Chisholm G, et al. Clinical signs of impending death in cancer patients. Oncologist 2014;19:681).

Make Sure

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.

eMedinewS Humor

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.

Twitter of the Day

Dr KK Aggarwal: Monsoon reduces the immunity of the body
Dr Deepak Chopra: Why models of reality, whether scientific, theological or religious, cannot give us direct access to reality?

medicolegal update

(Dr. K K Aggarwal, Padma Shri and Dr. B C Roy National Awardee; Editor eMedinewS and President Heart Care Foundation of India)

Choosing the best option in the judgment of the doctor is not medical negligence

In the case of Charan Singh vs Healing Touch Hospital And Ors on 24 April, 2003 (III(2003) CPJ 62 (NC)), the National Consumer Disputes Redressal Commission observed “it is a settled law when two choices are available, exercise of one, which is the best in the judgment of the doctor and anything else is available to contradict this, doctor in such circumstances cannot be held negligent.

medicolegal update
  1. Dear Sir, Thanks for providing the information. Regards: Dr Karan

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