eMedinewS30th September 2013, Monday

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; Chairman Ethical Committee Delhi Medical Council, 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

DPP-4 Inhibitors Not Linked to Increased Heart Attack Risk

Extreme Exercise May Not Pose Danger to Heart: The Wall Street Journal reported that a study of Tour de France cyclists found that they had longer lives than the general population and were less likely to die from heart troubles.

DPP-4 Inhibitors Not Linked to Increased Heart Attack Risk: The Wall Street Journal reported that research published in the New England Journal of Medicine suggests that DPP-4 inhibitors may not be linked to an increased heart attack risk.

Faster Heart Attack Care Has Not Led to Better In-Hospital Survival: USA Today reported that research published in the New England Journal of Medicine indicates that while hospitals have “shaved 16 minutes off the time it takes to get heart attack patients into treatment from 2005-2006 to 2008-2009, reducing that time from 83 minutes to 67 minutes,” investigators “found that the percentage of heart attack patients who die while in the hospital, about 5%, hasn’t changed.”

Gut Bacteria May Play Role in Determining Weight: The investigators found that mice who received bacteria from the obese twin became fat, while the mice who received bacteria from lean individuals remained lean.

CDC: One in Four Deaths From Cardiovascular Disease Preventable: USA Today reported currently, there are approximately 800,000 deaths annually in the US from cardiovascular disease, but about 200,000 of these deaths “could be prevented if people made healthy changes including stopping smoking, maintaining a healthy weight, doing more physical activity, eating less salt and managing their high blood pressure, high cholesterol and diabetes.

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."

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


sprritual blog

Confession is one of the many ways of detoxifying the mind. It has its roots in Hindu mythology but today it is mainly practiced in Christian religion as a hardcore ritual. Among Christians one usually goes to a Church and confesses to the Bishop without disclosing his or her identity.

In Hindu mythology, confession is a routine spiritual practice. People can confess to their Guru, to their God in the temple or their mentor. Confession can also be done to a plant (Peepal tree), an animal (dog or a cat) or the birds. It is a common saying that taking a dip in Yamuna or Ganga removes all your sins. The dip in water involves a ritual of confessing guilt every time we make a dip.

Giving food to birds is also a way of confession where with each offering one does a confession. The easiest way to confess is 3 minutes of free writing, which can be done every night. One can tear off the paper after writing. This involves writing from the heart and not giving time to the mind to think.

Earlier people used to confess and de–stress their emotions by writing in a diary or making a folder in the computer and writing.

However, the best confession is to meditate which is equivalent to reformatting the hard disk and removing viruses and corrupt files from our body computer. Meditating with intent to get rid of guilt washes them over a period of time.

Confession involves the process of forgiving and forgetting. Forgiving is at the level of mind and forgetting is at the level of heart.

cardiology news

A Message by a Woman

Someone asked me "Are you a working woman or a housewife?

I said: Yes I am a full time working Housewife. I work 24 hours a day I am a Mom, a Wife, Daughter and a Daughter–in–Law.

I am an alarm clock, Cook, Maid, Teacher, Waiter, Nanny, Nurse, Handyman, Security officer, Counselor and a Comforter. I don’t get Holidays, sick leave or days off; I work through Day and Night.

I am on call all hours and get paid with a sentence "What you do all day at home"

News Around The Globe

20th MTNL Perfect Health Mela Programme Brouchure

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  • Chewing betel quid (also known as areca nut or paan) is associated with significant increases in all–cause death, diabetes, cardiovascular disease, and a range of other metabolic conditions, according to the largest meta–analysis to address this subject. The study was presented at the European Association for the Study of Diabetes (EASD) 2013 Meeting. The study highlights the need for better education on the harms of this popular stimulant in a part of the world where both the habit and diabetes are on the rise. While the habit of chewing betel quid is confined to Asian and Western Pacific countries, as many as 600 million people chew betel quid on a regular basis.
  • An implantable device that controls breathing muscles during sleep by electrical phrenic–nerve stimulation significantly cut the prevalence of sleep-apnea episodes, primarily by lowering the rate of central sleep apneas (CSA), in patients with mixed central and obstructive forms of the disorder, many of whom also had chronic heart failure. The benefits were evident after three months of use and persisted to at least six months. Dr William T Abraham from Ohio State University, Columbus, OH presented the study at the Heart Failure Society of America 2013 Scientific Meeting.
  • Calcium supplements significantly improved bone health in postmenopausal women in a double–blind, placebo–controlled, randomized trial, but vitamin D supplements alone did not reduce bone turnover or osteoporosis risk. The trial results are published online September 24 in the Journal of Clinical Endocrinology and Metabolism.
  • A small Danish randomized trial reported in the Sept. 28 issue of The Lancet concluded that the addition of adipose–derived stem cells (ASC) increased the survival of autologous fat grafts. Among ten healthy volunteers, 4 months after injections of fat enriched with ASC and unenriched control injections, mean residual fat volumes were 23 cm3 in the ASC grafts compared with 4.66 cm3 in control grafts, according to Stig–Frederik Trojahn Kolle, MD, of Copenhagen University Hospital, and colleagues. That represented preservation of 80.9% of the injected volume in the ASC group compared with 16.3% in controls.
  • When taken as first–line therapy, sulfonylureas may increase the risk of death in patients with type 2 diabetes. In a retrospective analysis of U.K. data, patients who were initially treated with a sulfonylurea had a 58% higher risk of all–cause mortality than patients given first–line therapy with metformin (95% CI 1.48 to 1.68, P<0.001), Craig Currie, PhD, an epidemiologist at Cardiff University in Wales, and colleagues reported at the European Association for the Study of Diabetes meeting.

Rabies News (Dr. A K Gupta)

What are the common side effects of intra-dermal rabies vaccination?

Cell culture vaccines have proved to be remarkably safe and free of significant adverse events. However, mild symptoms of pain, erythema, irritation or swelling at the intradermal injection sites occur in 3–92% of patients. The most frequent symptom is local irritation in 7–64% of vaccines. Generalized symptoms reported by 3–14% of recipients include headache, fever and influenza–like illness. Transient macular, papular and urticarial rashes are occasionally seen. All these adverse effects are mild, transient and self limiting and rarely call for the use of antihistamines and analgesics.

cardiology news
  • A pacemaker–defibrillator implant with proprietary programming that aims to minimize right ventricular (RV) pacing during cardiac resynchronization therapy (CRT) appeared to cut the prevalence of atrial fibrillation (AF) by about one–half over a 20–month follow–up compared with more traditional echo–optimized CRT, in a post hoc finding from a randomized trial. In its published primary analysis, the device with novel programming (AdaptivCRT, Medtronic) had been noninferior in achieving functional and clinical improvement over six months. Dr David O Martin, Cleveland Clinic, OH said, "A nearly 50% reduction I'd think is clinically relevant. It was an absolute change from 16.2% (with conventional CRT) to 8.7% (with the novel algorithm)."
  • Cardiologists at the European Association for the Study of Diabetes (EASD) 2013 Meeting have urged diabetologists to sit up and take notice: heart failure is killing their patients and is not getting the attention it deserves. Not only is heart failure one of the most lethal—if not the most lethal—complications of diabetes, its role in diabetes is being routinely overlooked by physicians, by journals publishing diabetes research, and perhaps worst of all, by regulators tasked with telling companies what's important for trials of new diabetes drugs. Their pleas come at a time when heart failure has vaulted once again onto the radar of physicians studying and treating diabetes, this time after a signal of increased heart failure was seen in the SAVOR TIMI 53 trial. The results were presented at the recent ESC 2013 Congress meeting and published simultaneously in the New England Journal of Medicine.

Valvular Heart Disease News

In many vaccines with endocarditis, there may be history of localized infection.

(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
  • A study reported August 30 in Arthritis Research & Therapy states that remission of treatment–induced juvenile idiopathic arthritis (JIA) is not the same as restoration of normal immune function, but is a reordering of leukocyte gene transcription so that anti–inflammatory responses balance proinflammatory responses. The data confirm that JIA is a disease of disordered gene regulation, not autoimmunity.
  • Magnetic resonance elastography (MRE) is a new, noninvasive imaging test that accurately detects fibrosis in children, including those who are severely obese, with nonalcoholic fatty liver disease (NAFLD) and other forms of chronic liver disease, according to a case series. The findings of the case series were published online September 23 in the Journal of Pediatrics.
cardiology news

Add fiber to the diet only slowly

Fiber is a plant substance that is required for a healthy diet. Lots of fiber is needed each day to help reduce the risk of heart disease, improve digestion, prevent constipation and maintain a healthy body weight.

Fiber can be found in fruits, whole grains and vegetables. Most adults should eat at least 20 to 35 grams of fiber every day; though the doctors say most people only eat about half as much. It’s best to slowly increase the fiber in your diet instead of piling it on all at once. A sudden increase in fiber intake can cause abdominal discomfort.

Fiber intake should be at least 14 grams per 1000 calories daily; higher fiber intake may improve glycemic control. Saturated fat should be less than 7 percent of calories and there should be minimal trans fat. Total cholesterol should be less than 200 mg daily.

There is an average fall of 1.2/1.3 mmHg blood pressure with average 10 gram intake of fiber.

Certain soluble fibers (psyllium, pectin, wheat dextrin and oat products) reduce bad LDL cholesterol. Every gram increase in soluble fiber reduces LDL cholesterol by an average of 2.2 mg/dL. The message is incorporation of greater amounts of fiber, in which carbohydrate is derived from unprocessed whole foods.

cardiology news

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The 5th ‘Dil Ka Darbar’ inaugurated

Inaugurating the day–long ‘Dil Ka Darbar’ organized by Heart Care Foundation of India in association with Department of AYUSH, Government of India, Health Department, Government of Delhi, MTNL, Central Bank of India and LIC, Dr. Ambrish Mithal, Chairman, Division of Endocrinology and Diabetes at Medanta, the Medicity said that women suffer more from diabetes as compared to men. Therefore, women’s health should not be ignored. He further said that 85% of Indians are Vitamin D deficient and should take Vitamin D supplement and spend more time in sunlight. Vegetarians in India should consume Vitamin B12 as their deficiency can cause multiple symptoms, he added.

In his message Mr. S.Y. Quraishi, Former Chief Election Commissioner of India said that the best way to prevent heart disease is to exercise. One can start with 1000 steps a day with an aim of walking 10000 steps every day. This increment in steps can be gradual.

Delivery the key note address, Padma Shri and Dr BC Roy National Awardee, Dr KK Aggarwal, President, Heart Care Foundation of India said that it is possible to reverse heart disease. He said the first blood pressure check should be done at 4 years of age and the first lipid profile test in high risk patients should be done at age 7.

An adult without risk factor if he or she can walk two kilometers and climb two flights of stairs or enjoy a sexual life without any discomfort or heaviness in the chest needs no further investigation. He said the earliest test to know about heart disease is the thickness of the neck (carotid) artery wall.

In a group statement, Sr. Cardiologists of the city, Dr. H.K. Chopra, President (Elect), Cardiological Society of India, Dr. Sumita Mishra, Pediatric Cardiologist said that sore throat and joint pain in children should not be ignored, especially if the sore throat is not associated with cough or sneezing as it can bite the heart and damage the valves, a condition called rheumatic heart disease.

Doctors from other pathies, which included Dr. B.N. Sinha, Dr. Vishal Tripathi, Dr. Shashi Bala, Dr. Mini Mehta, Dr. Poonam Chiblani, Dr. Nirmaljeet Singh, Dr. S.N. Yadav, Dr. R.K. Tuli said that prevention of heart disease comes under the domain of all the pathies and one should come out with a protocol, which is common to all pathies.

today emedipics

Inaugurating the day–long ‘Dil Ka Darbar’ organized by Heart Care Foundation of India in association with Department of AYUSH, Government of India, Health Department, Government of Delhi, MTNL, Central Bank of India and LIC.

press release

Ventilator–associated tracheobronchitis

today video of the dayDr KK Aggarwal Birthday 5th September

Cultural Evening at IMA

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

What is a healthy blood–pressure level?

A. 110/70
B. 125/85
C. 135/90
D. 140/95
E. 150/95

Yesterday’s Mind Teaser: Which factors may increase your risk of having a stroke?

A. Hypertension and aging.
B. Being female and Caucasian.
C. Being female and African–American.
D. Menopause. E. B and C.

Answer for yesterday’s Mind Teaser: A. Hypertension and aging.

Correct answers received from: Dr Abbas Vakil, Dr.A.K.GAJJAR, soni brijesh, DR.SHRAVAN KUMAR CHINNIKATTI, Dr.K.Raju, Dr Jainendra Upadhyay, DR.BITAAN SEN & DR.JAYASHREE SEN, Dr Pankaj Agarwal, Dr B K Agarwal, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, DR AVTAR KRISHAN, Dr Kanta Jain, Dr ajaygandhi, Dr valluri ramarao, vararao

Answer for 28th September Mind Teaser: C. Yes, and the headaches are more severe.

Correct answers received from:Arvind Gajjar, Tukaram Pagad, Dr Supriya C Chandra

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

A doctor worked at a mental hospital. He wanted to take some patients to a ballgame, worked months to get them to follow simple commands, and finally decided they were ready.

When the star spangled banner played he said: "Stand up nuts" and they stood. When it was over he said: "Sit down nuts" and they sat. When a player got a hit he said: "Cheer nuts" and they cheered. When the umpire made a bad call he said: "Boo nuts" and they booed. He decided it was safe to leave them with his assistant and left to get a hot dog. He came back to a near riot. He asked his assistant what in the world happened. He said: "Everything was fine 'til some vendor came be and yelled ‘peanuts’."

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient with dengue died.
Reaction: Oh my God, why was he not given adequate fluids?
Lesson: Make Sure that all patients with dengue are given fluids to correct intravascular dehydration.

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: Dr K K Aggarwal: Relaxation during work http://bit.ly/15Lvpwx #Health

Dr Deepak Chopra: Why compare yourself with others? No one in the entire world can do a better job of being you than you.

medicolegal update

Dear Sir, emedinews is very informative newspaper.Regards: Dr Fiyaz

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