eMedinewS11th March 2014, Tuesday

Dr K K AggarwalPadma 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

To screen or not to screen all young athletes with ECG to discover problems hiding within the heart

Guidelines from the American Heart Association (AHA) (endorsed by the American College of Cardiology) and the European Society of Cardiology (ESC), both recommend a screening before sports participation, but the Americans favor a detailed medical history combined with a physical examination only, while the Europeans favor the addition of the 12–lead ECG.

The controversy was evident in the results of a poll conducted during a debate session at the AHA meeting last year, which were published this week in the New England Journal of Medicine by James Colbert, MD, of Harvard Medical School.

Of the audience members who voted –– an unscientific sample, to be sure –– 70% favored some type of screening for cardiac disease in young athletes. And in a scenario where screening was already a foregone conclusion, 60% said it should include an ECG. A similar online poll on the NEJM website was even more informative, showing that the differences in opinion exist on both sides of the Atlantic.

Of the 1,266 people who voted on the site –– again, not a scientific sample –– 18% didn’t want any mandatory screening, 24% wanted screening with a medical history and physical exam, and 58% favored screening that included an ECG. The percentage of voters who endorsed an ECG was higher among Europeans than among Americans (66% versus 45%), but that still indicates a substantial amount of controversy regardless of geography.


Zee News – Health Wealth Show

Dr kk Aggarwal on Zee Show

Cancer Prevention–Health Wealth Zee News Show2
Potbelly Obesity–Health Wealth Zee News Show
Cancer Prevention–Health Wealth Zee News Show1
Vitamin D Health Wealth
Pneumonia–Health Wealth Zee News Show
Sudden Cardiac Death
Can Alcohol be Prescribed as Medicine
Health Wealth: All about Paralysis

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

Holashtak the Best Time to Remove Hatred

sprritual blog

You cannot hate a stranger. Negative thoughts are absence of positive thoughts and hatred is only with drawl of love. The very fact you only ‘hate’ someone you loved once it is easy to bring the love back and remove the hatred. The best period to remove the hatred is the first six months of the year called Uttarayana and in that time the best period is 8 days prior to Holi. This period in mythology is called as Holashtak.

In Hindu mythology it has been said that it takes 4 days (chautha) or 13 days (tervi) to let go of attachments; 18 interactions to let go any doubt ( 18 chapters of Bhagavad Gita), 9 days for mind body and soul purification (Navratri) and eight days for removing hatred (Holashtak).

Once decided one should approach the aggrieved person and try to patch up. It is possible that the aggrieved person my hit back initially as he or she may not be ready for the patch up. Go on trying till you achieve the success and as per experience, science and mythology it may take on an average eight attempts to do the dame.

cardiology news

The Power of Good Words

A group of frogs were traveling through the woods, and two of them fell into a deep pit.

All the other frogs gathered around the pit. When they saw how deep the pit was, they told the unfortunate frogs they would never get out. The two frogs ignored the comments and tried to jump up out of the pit.

The other frogs kept telling them to stop, that they were as good as dead. Finally, one of the frogs took heed to what the other frogs were saying and simply gave up. He fell down and died.

The other frog continued to jump as hard as he could. Once again, the crowd of frogs yelled at him to stop the pain and suffering and just die. He jumped even harder and finally made it out. When he got out, the other frogs asked him, "Why did you continue jumping? Didn't you hear us?"

The frog explained to them that he was deaf. He thought they were encouraging him the entire time.

This story holds two lessons:

1. There is power of life and death in the tongue. An encouraging word to someone who is down can lift them up and help them make it through the day.

2. A destructive word to someone who is down can be what it takes to kill them. Be careful of what you say. Speak life to those who cross your path.

The power of words… it is sometimes hard to understand that an encouraging word can go such a long way. Anyone can speak words that tend to rob another of the spirit to continue in difficult times.

Special is the individual who will take the time to encourage another.

News Around The Globe

  • "Contempt" Petition in SC Brings New Laws Allowing "Non–advocates" To Represent Victims of "Medical Negligence" In Consumer Courts: On Feb. 24, division bench of Justices Mr. T.S. Thakur and Mr. C. Nagappan in the Supreme Court in a contempt petition 158/2002 (People for Better Treatment vs. H.D. Nautiyal, Registrar, NCDRC) ruled that from now on, non-advocates and humanitarian organizations would be able to represent victims of medical negligence in NCDRC and other Consumer Courts across India. New specific guidelines for accreditation of non–advocate/representative/NGO who may represent justice&ndseekers in the Consumer Courts have been posted on the "Consumer Affairs Ministry" Click here
  • Novel cell–free fetal DNA testing, currently used in high–risk pregnant women, gets mixed reviews for use in low–risk women to detect trisomies. While the Royal College of Obstetricians and Gynaecologists (RCOG) sees the use of this technology as a principal screening tool for chromosomal abnormalities in pregnancy in coming times, the Society for Maternal Fetal Medicine (SMFM) defers by saying that the available evidence is not enough to modify the current recommendations of ACOG and SMFM.
  • Injections of cosmetic facial fillers may induce complete loss of vision, reports a study published in JAMA Ophthalmology. Researchers from the Retina–Vitreous Associates Medical Group, Los Angeles, California have reported 3 cases of blindness or near–complete loss of vision following injections of dermal fillers. The cause behind the vision loss in all the 3 patients was the occlusion of central retinal artery. The injections were in the forehead area, which is not an approved site for dermal fillers but is a common off–label use.
  • Hendrik Nolte, the respiratory section head at Merck, presented his findings on the MK–8237 tablet (under development) at the American Academy of Allergy, Asthma & Immunology 2014. The sublingual tablet is expected to enhance tolerance in people allergic to dust mites. The tablet was reported to reduce nasal symptoms by 50% and conjunctivitis by 75% in a phase II clinical trial. The tablets expose the patient to minute doses of the allergen, gradually inculcating desensitization until the patient stops reacting on exposure to the allergen under natural circumstances.
  • The results of a real–world study published online in BMJ state that the quadrivalent human papillomavirus (HPV) vaccine by Merck has the potential to extend significant protection against cervical abnormalities in young women. Three doses of the vaccine provided 46% protection against high–grade cervical abnormalities and extended 34% protection against other cervical abnormalities, reports the study.

CPR 10 success stories

1. Hands–only CPR 10 English

2. Hands–only CPR 10 (Hindi)

3. Ms Geetanjali, SD Public School Successful Story

4. Success story Ms Sudha Malik

5. BVN School girl Harshita does successful hands–only CPR 10

6. Elderly man saved by Anuja

eMedinewS e–gifts to our readers

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Rabies News (Dr. A K Gupta)

How is rabies transmitted?

Rabies is transmitted by infected secretions. Most commonly, transmission to humans takes place through exposure to saliva following a bite by an infected animal. Rabies virus can be excreted in saliva, urine, nasal discharge and respiratory secretions.

cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • Children with attention–deficit/hyperactivity disorder (ADHD) are almost twice as likely to be at an increased risk of becoming obese as teens, reports a new study in the Journal of the American Academy of Child and Adolescent Psychiatry. Alina Rodriguez at the Imperial College London says that children with ADHD do not participate in physical activity and tend to become less active as they get older. These children tend to be overactive in a fidgety way only.
  • Two novel vaccines against enterovirus 71 (EV71) have shown excellent protection against mild to severe hand, foot, and mouth disease and herpangina in infants and young children in phase III trials. The results of the 2 studies investigating the vaccines appear in the New England Journal of Medicine. The vaccines, however, do not extend any protection against other EV71–associated diseases and hand, foot, and mouth disease or herpangina caused by coxsackie A16.
cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • Ingredients in dark chocolate have properties that may prevent against atherosclerosis; however, the flavanol–containing formulations of dark chocolate do not augment the favorable effects. A study published in the FASEB Journal reports that eating dark chocolate improves endovascular function. But the addition of flavanol did nothing more than just affecting the taste of the product and having a negative effect on the motivation to eat chocolate.
  • A recent study published online March 3, 2014 in PLoS One states that eating fatty fish could modulate the profile of HDL particles among men and women with impaired glucose metabolism. The total–, LDL–, and HDL–cholesterol levels did not change; however, an increase in the concentration of large HDL particles, alongside an increase in the average diameter of HDL particles was noted.
cardiology news

Exercise impact on the knee

Different exercises produce different impacts on the knee joints. The best and safest exercises causing minimum impact on the knee for patients post knee replacement or knee arthritis are walking, biking, hiking, riding an exercise bike, riding an elliptical trainer and walking on the treadmill. In sports one can play doubles tennis and not singles. One can also participate in downhill or cross–country skiing.

The maximum stress–producing exercises are jogging and golf swings.


  • Biking generates the least force, producing impact of about 1.3 times the person’s body weight.
  • Treadmill walking was next best, producing forces of 2.05 times the body weight.
  • Walking on level ground generated forces of 2.6 times the body weight.
  • A game of tennis produces forces of 3.1 to 3.8 times the body weight; serving produces the highest impact.
  • Jogging produced forces of 4.3 times body weight.
  • Golf swings produces forces of 4.5 times body weight on the forward knee and 3.2 times body weight in the opposite knee.
cardiology news

Total CPR since 1st November 2012 – 88792 trained

Media advocacy through Web Media

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press release

Excess weight speeds up osteoarthritis

Apart from heart disease and diabetes, being overweight or obese can cause rapid deterioration of the cartilage in the knee, leading to osteoarthritis. With every one unit increase in body mass index (BMI), the chances of rapid cartilage loss increased 11 percent, 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

Osteoarthritis is the most common musculoskeletal disorder with major health and socioeconomic impact in our aging society. Osteoarthritis usually progresses slowly, but some patients experience a more rapid progression.

In a report published in the journal Radiology, researchers recruited 336 patients from a major osteoarthritis study. All were overweight and at risk of osteoarthritis, but had minimal or no loss of cartilage in their knees. During 30 months of follow–up, 20.2 percent of the patients showed a slow loss of knee cartilage and 5.8 percent had rapid cartilage loss. The main risk factors for cartilage loss were pre–existing cartilage damage, being overweight or obese, tears or other injury to the cartilage at the knee joint (meniscus), and severe lesions seen on an MRI. Other factors include inflammation of the membrane lining the joints and abnormal build-up of fluid in the joint.

Weight loss is probably the most important factor to slow disease progression. Danger of developing osteoarthritis is another reason to control weight.

Do not let yourself get heavy. People who are heavy are the ones that are getting worse. Keeping your weight down through diet and exercise or weight–loss surgery –– could prevent the need for knee–replacement surgery

About HCFI : The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National Commemorative stamps and one cancellation stamp, and who has conducted one to one training on" Hands only CPR" of 88792 people since 1st November 2012.

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."

emedipicstoday emedipics

Mega heart checkup camp by Heart Care Foundation of India at Sagar,Madhya Pradesh February 20–23,2014

press release

Weight loss may improve sexual health of obese diabetes

vedio of day

today video of the dayPadma Shri & Dr B C Roy National Awardee,Dr KK Aggarwal on Tackling tension headaches

Hands only CPR 10 Utsav, 15th December 2013

Dr KK Aggarwal receives Harpal S Buttar Oration Award from Nobel Laureate Dr Ferid Murad

eMedi Quiz

Lipodystrophy is most characteristically seen with:

a. Zidovudine
b. Nevirapine
c. Indinavir
d. Tenovir

Yesterday’s Mind Teaser: An early systolic murmur may be caused by all of the following except:

1. Small ventricular septal defect.
2. Papillary muscle dysfunction.
3. Tricuspid regurgitation.
4. Aortic stenosis.

Answer for yesterday’s Mind Teaser: 4. Aortic stenosis.

Correct answers received from: Dr Prakash Khalap, Arvind Gajjar, Anil Tandon, Dr S D Dharmik, Tukaram Pagad, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr Jayashree Sen & Dr Bitaan Sen.

Answer for 9th March Mind Teaser: 1. Transitional

Correct answers received from: Daivadheenam Jella, Dr Shashi Saini.

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update
medicolegal update

Cab Drivers

Two cab drivers met. "Hey," asked one, "why did you paint one side of your cab red and the other side blue?"

"Well," the other responded, "when I get into an accident, you should see how all the witnesses contradict each other.

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: A patient on dialysis and on oral antacid developed aluminum toxicity.
Reaction: Oh my God! You should have put him on magaldrate preparations?
Lesson: Make sure to remember that magaldrate preparations do not cause aluminum toxicity in patients undergoing dialysis.

medicolegal update

Life begets life. Energy becomes energy. It is by spending oneself that one becomes rich. Sarah Bernhardt

medicolegal update

Dr KK Aggarwal: Stress may increase smoking habits http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: What keeps life fascinating is the constant creativity of the soul.

medicolegal update
  1. Padma Shri Awardee Dr K K Aggarwal enters the Limca Book of World Records. Congratulations Dear Dr. K.K. Regards: Dr VKA,

    Dear Dr. K. K. Aggarwal, Please accept my heartiest congratulations on your entering the Limca Book of World Records for your untiring work towards educating people about CPR 10. You truly deserved it. On the occasion of International Women’s Day, I also wish to say that women contact lens wearers, during pregnancy, may find it uncomfortable to keep wearing their contact lenses at the end of the day. This is due to drying up of their lenses because of hormonal changes, and they can continue to enjoy wearing the lenses by curtailing the wearing time, of course, in consultation with their eye doctor. Dr. Narendra Kumar, Ophthacare Eye Centre

Forthcoming events

Date: Saturday 2PM–Sunday 3PM, 26–27 April 2014
Venue: Om Shanti Retreat Centre, Bhora Kalan, Pataudi Road, Manesar
Course Directors: Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal and BK Sapna
Organisers: Heart Care Foundation of India. Prajapati Brahma Kumari Ishwariye Vidyalaya and eMedinews
Facilities: Lodging and boarding provided (one room per family or one room for two persons). Limited rooms for first three hundred registrants.
Course: Meditation, Lectures, Practical workshops
Atmosphere: Silence, Nature, Pyramid Meditation, Night Walk
Registration: SMS– Vandana Rawat – 9958771177, rawat.vandana89@gmail.com
SMS – BK Sapna 9650692204, bksapna@hotmail.com

Note: Donation in Favor of Om Shanti Retreat Centre will be welcomed

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