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Head Office: 39 Daryacha, Hauz Khas Village, New Delhi, India. e-Mail: drkk@ijcp.com, Website: www.ijcpgroup.com | ||
FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA | ||
emedinews is now available online on www.emedinews.in or www.emedinews.org | ||
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Dear Colleague, 31st January, Sunday 2010 Practice Changing Updates: Cardiac resynchronization therapy for heart failure Cardiac resynchronization therapy (CRT) should be given to all at the time of implantable cardioverter-defibrillator (ICD) placement for patients with mild symptoms of heart failure (NYHA class II HF) despite optimal medical therapy who meet the following criteria: sinus rhythm, left ventricular ejection fraction (LVEF) of less than 35 percent, and QRS >150 msec.
Earlier recommendation was that CRT improves symptoms and mortality only in selected heart failure patients who have moderate to severe symptoms (NYHA class III or IV HF) despite optimal medical therapy.
The evidence for benefit in patients with less severe heart failure comes from the MADIT-CRT trial in which 1820 patients with an LVEF of 30 percent, QRS =130 msec, and NYHA class I or II HF were randomly assigned to CRT plus ICD or ICD alone. CRT-ICD produced a decrease in HF events and induced reverse remodeling. The benefit was observed primarily in patients with a QRS duration >150 msec. Reference Dr KK Aggarwal | ||
Question of the Day How is combination therapy effective in combating multiresistant malaria? Suggested readings 1. World Health Organization: Position of WHO' Roll Back Malaria Department on malaria treatment policy. Dr Good Dr Bad Situation: A 34-year-old-woman with PCOS on metformin got pregnant. Make Sure Situation: A patient with pseudomonas meningitis was not responding. Formulae in Imaging British Thoracic Society guidelines define a pneumothorax as small if the distance from chest wall to the visceral pleural line is less than 2 cm or large if the distance from the chest wall to the visceral pleural line is 2 cm or greater. Some clinicians prefer 3 cm as the threshold to distinguish small and large pneumothoraces. (Source: Thorax 2003;58:39) Mistakes in Critical Care Written prescriptions must be legible; printing is usually best. Emedinews Try this It Works "Magic feather" can aid pediatric venipuncture 1. Hand the child an imaginary magic feather and describe it in detail. Milestones in Neurology Samuel Alexander Kinnier Wilson was a British neurologist who specialized in clinical neurology, and made important contributions in his studies of epilepsy, narcolepsy, apraxia and speech disorders. He described hepatolenticular degeneration, which later came to be known as 'Wilson's disease. In this treatise, he is credited for introducing the term 'extrapyramidal' into neurological medicine. Laughter the Best Medicine Gynecologist: Nurse, how is that little boy doing, the one who swallowed ten quarters? Nurse: No change yet. SMS Anemia Neutrophil hypersegmentation is defined as the presence of >5 percent of neutrophils with five or more lobes and/or the presence of one or more neutrophils with six or more lobes. Quote When you pray, rather let your heart be without words than your words without heart. (John Bunyan) Congratulatory Messages for Dr KK Aggarwal 1. Manjuli Bhargava, Manjuli Prakashan: Congratulations on receiving Padmashri award. Wishing you luck and success in all that you do. Public Forum P.P. Jhunjhunwala XXI National Excellence Award Conferred on Dr KK Aggarwal P P Jhunjhunwala Foundation XXI National Excellence Award 2010 was presented to Dr. K.K. Aggarwal, President Heart Care Foundation of India and Chief Editor, Emedinews and Mr. Ravi Singhania, an eminent legal luminary. The Chief Guest was Sh. Sudarshan Aggarwal, Former Governer of Uttarakhand. Dr. Abhishek Manu Singhavi, eminent Parliamentarian and Legal Luminary presided over the award function. Dr. KK Aggarwal, earlier this week was conferred with the Padma Shri for his contribution to the society. Dr Aggarwal who is also a recipient of Dr. B.C. Roy National Award, was given this excellence award for his devoted and profound service in health care of the people. Dr Aggarwal is known for organizing Perfect Health Mela for the last 16 years. He is also a Senior Lifestyle Cardiologist at Delhi's Moolchand Medcity, Member Delhi Medical Council and Past President, Delhi Medical Association. He has also served as the Head of Research and Academic Wings of IMA. Some of the past recipients of the award include Dr. Naresh Trehan, Dr. Yatish Agarwal, Pandit Birju Maharaj, Ms Yamini Krishnamurthy, Dr. SP Bajaj, Dr. PK Dave, Ms Shovna Narayan, Dr. SP Manchanda, Ms Sonal Mansingh, Prof. Ram Gopal Bajaj, Pandit Rajan Sajan Mishra, Ms Madhu Mudgal, Dr. U Kaul, Raja Radha Reddy, Dr. Geeta Chandran, Dr. Amita Chauhan and Dr. Mohan Nair. SILICIC ACID ( SODIUM META SILICATE ) AS IMMUNITY BOOSTER (Advertorial section) eMedinewS-revisiting 2010 The second eMedinewS-revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on 2nd January 2011. The event will have a day long CME, doctor of the year awards, cultural hangama and live webcast. Suggestions are invited. Also, if you like emedinews you can FORWARD it to your colleagues and friends. Please send us a copy of your forwards. Advertising in emedinews BRMS Update TAKING strong exception to the Union Health Ministry's proposal for a rural MBBS course to provide treatment in far-flung areas, the National Human Rights Commission (NHRC) on Friday termed it discriminatory. At a day-long meeting of State Health secretaries, NHRC member PC Sharma said people in rural areas were entitled to treatment from fully-qualified doctors just as in urban areas. Referring to a suggestion of having three and half years of short-term training for deployment in rural areas, Sharma said, "This step would be discriminatory to both the people who get treatment from such half-baked professionals and also to medical students who take eight to ten years to become a specialist." In a bid to combat acute shortage of doctors in rural areas, the gover nment proposed a unique three-and-ahalf-year bachelor course for students from villages. Once the rural doctors get their degrees, they will be allowed to practice only in notified rural areas. NHRC acting chairperson Justice Mathur said that in the absence of recognised medical practitioners, rural and tribal population were dependent on unqualified doctors. By Anandkumar , New Delhi/ NEW INDIAN EXPRESS 30.01.2010/ Posted by Dr. Paul Samuel, e-Communication Committee , JAC | ||
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