Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; 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); Editor in Chief IJCP Group of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR


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eMedinewS Presents Audio News of the Day

Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of 1st Mega Ajmer Health Camp 2012

  Editorial …

27th February 2012, Monday

India Live 2012


  csi Vulnerable Plaque - Renu Virmani
  csi Cath Imaging Other Than Angiograpgy - Gary Mintz
  csi C Technical Issues In Stenting - Dr Praveen Chandra
  csi Bio-Absorbable Stents (Alexandre A Abizaid)
  csi IABP Before Stenting - Dr Ravi Nair
  csi Radial Stenting (Dr Rony Mathew, Dr S Chugh, Dr M KW Krucoff)
  csi Thrombus Management in AMI - Dr Praveen Chandra
  csi  No Flow After PCI - Dr K K Sethi
  csi Reusing Catheters - Dr Sudhir Vaishnav
  csi Drug Eluting Balloons - Dr. Martin Unverdorben (Germany)
  csi Optimal Medical Treatment For Chronic Stable Angina
  csiCoarct Closure - Dr Savitri Srivastav
  csi Large ASD Closure - Bharat Dalvi
  csi Chronic Total Occlusion - Dr Uedoi Kinzo
  csi Bifurcation Lesions - Ashok Seth
  csi PCI in Diabetes - Adnan K
  csi DES Re-Stenosis - Ron Waksman
  csi OCT - G Mintz
  csi Protection Devises - K Uedo
  csi Stent - R Zambahari
  csi Drug Eluting Balloons - Dr. Martin Unverdorben (Germany)
  csi Lesion Revascularization - Dr G Mintz
  csi Syntax Score - Dr Dev Pahlajani
  csi Rheumatic Heart Disease - Ted Feldman
  csi TAVI -Ted Feldman
  csi Future of CAD and PCI India - Dr Kirti Punamiya
  csi Catheter-Based Radiofrequency Ablation Of Renal Sympathetic Nerves - Dr Sharad Shetty (Australia)
  csiFFR Based Stenting And Bypass Surgery - Dr U Kaul
  csiCalcified Coronaries - Dr S Mathew
  csi Chronic Total Occlusion - Dr Uedoi Kinzo
  csi LMCA - Dr B Chavalier
  csi Hybrid Revascularization Dr Praveen Chandra
  csi Renal Angiography - Dr Sanjay Tyagi
  csi Chronic Total Occlusion - Dr A B Mehta
  csi LMCA: CABG vs PCI - Marc Silvestia Vs Naresh Trehan
  csi Primary PCI Ten Tricks - Dr Sameer Mehta
  csi STEMI Facilitated PCI / Pharmacoinvasive Strategy - Dr Satyavan Sharma
  csi Multi Vessel PCI or Culprit Vessel PCI in STEMI - Thomas Alexender
  csi Focus of Future Stents - Dr Adnan Kastrati ( Germany)
  csi Balloon Mitral Valvotomy - Dr C N Manjunath


For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

Vowel chanting produces aspirin in my body

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

1st Mega Ajmer Health Camp 2012

First Mega Ajmer Health Camp – Distribution of devices

11,700 devices were distributed including hearing aids, spectacles, crutches, wheel chairs, tricycles and walking sticks etc.

Dr K K Aggarwal
    National News

India closer to eradication of polio

From two lakh cases being reported in a year in the late 80s to no case reported in the last one year, India’s Pulse Polio programme has come a long way. Prime Minister Manmohan Singh will inaugurate a two–day Polio Summit 2012 in the Capital on February 25, organized by the union health ministry and Rotary International to celebrate this achievement and to focus on the risks and way forward for complete eradication of the disease. "We have proved wrong all the predications that said India will be the last country to get rid of polio. In the light of this background, the achievement has been impressive," said Anuradha Gupta, additional secretary, ministry of health. "But the war is not yet over; we need to continue our momentum for the next two years to be declared a polio–free country. The Summit isn’t only to celebrate our achievement but to take stock of the challenges ahead," she added. World Health Organisation certifies a country polio–free after no case of the disease is reported from there for at least three consecutive years. (Source: Hindustan Times, February 24, 2012)

For comments and archives

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology: Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

    International News

MRSA from farm animals has human roots

A form of methicillin–resistant Staphylococcus aureus (MRSA), which is often seen in farm workers and others exposed to livestock, appears to have originated in humans, but acquired antibiotic resistance in animals, a study suggested. (Source: Medpage Today)

For comments and archives

FDA skeptical of hypotension drug

An FDA staff review of droxidopa (Northera) for treating neurogenic orthostatic hypotension in patients with certain neurological diseases has recommended against its approval, according to documents released Tuesday. The review, released in advance of a Thursday meeting of the agency’s Cardiovascular and Renal Drugs Advisory Committee, cited lack of evidence that droxidopa is effective for longer than four weeks and "worrisome safety signals" seen in clinical trials. (Source: Medpage Today)

For Comments and archives

Open windows could prevent infections

London: Air conditioning and the ultra–sterile environment in places like hospitals may actually contribute to infections, say experts. Friendly bacteria found outdoors could be recruited to fend off the potentially deadly microbes that cause hospital–acquired infections, according to Jack Gilbert of Argonne National Laboratory in Chicago and head of the Earth Microbiome Project, a global database of microbial species. He said the idea is supported by a study showing that open windows influence the composition of microbial communities found on handles and surfaces, but did not increase the numbers of dangerous pathogens – the sort of antibiotic–resistant superbugs which infect patients. "Open windows let bacteria in from outside and you will either dilute out the pathogens, or you are not allowing the pathogens to establish themselves because there is too much competition for the nutrients and energy that the bacteria need to survive," Gilbert told the American Association for the Advancement of Science. (Source: Hindustan Times, February 21, 2012)

For comments and archives

FDA OKs first drug–eluting stents for use in MI

Two drug–eluting stents from Boston Scientific have become the first to be approved by the FDA for treating patients with acute myocardial infarction (AMI), the company announced. The paclitaxel–eluting Ion and Taxus Liberté stents gained approval for AMI primarily on the strength of the evidence from the HORIZONS–AMI trial. (Source: Medpage Today)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: I uploaded a @YouTube video http://youtu.be/K6PhLep_T4Q?a neelam.wmv

@DrKKAggarwal: When you perceive existence as a perpetual surprise you will be thrown into joy

    Spiritual Update

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

What are the four types of students or devotees?

The best description of four types of devotees comes from Bhagwat Gita where Krishan says to Arjuna (7.16)

"Chaturvidha bhajante mam janah sukrtino rjuna.
Arto jiijnasurarthasthi jnani cha bharatasabha:

This means that there are four types of beings who worship me: those who are unhappy, those who are desirous to have knowledge, those who desire worldly objects, and those who have acquired knowledge. In the next shloka, Krishna says that among them only those who have acquired knowledge (wisdom) are the best because they are always engrossed in worshipping me. He said those who have a knowledge love me, and I love them.

For comments and archives

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What are the causes of hirsutism?

  • Cushing’s syndrome refers to overproduction of cortisol by the adrenal glands. Women with Cushing’s syndrome are often obese with a red facial rash, rounded face, muscle weakness, diabetes, and irregular menses. Features of Cushing’s syndrome may also be found in women who are taking chronic steroid therapy. It is a serious but rare disease.
  • Ovarian or adrenal tumors: Rarely, an androgen–producing tumor may develop in the ovaries or adrenal glands. This tumor may produce extremely high androgen levels. Symptoms, such as hirsutism, usually appear suddenly and progress quickly. Very high androgen levels may cause male–like balding, deepening of the voice and increased muscle mass.
  • Menopause: Around the time of menopause, the ovaries stop producing estrogen but continue to produce androgens. The decreased estrogen levels may allow the androgens to have a greater impact, leading to an increase in the number of dark terminal hairs, especially on the face.
  • Medication side–effects: Drugs with characteristics of androgens may cause hirsutism. Anabolic steroids, used for increasing the muscle mass of chronically ill and debilitated people, and by some bodybuilders, are chemically related to androgens. Other medications associated with increased hair growth include danazol, phenytoin, minoxidil and diazoxide. Patients on these medications develop acne more frequently than hirsutism

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

Success is 99% Failure: The Story of Soichiro Honda

Who is a true winner? We may be very familiar with Honda Motors. They’re everywhere, from cars to motorcycles. But do you know the real story of how challenging it was for Mr. Soichiro Honda to establish Honda Motors?

Like most other countries, Japan was badly hit by the Great Depression of the 1930s. In 1938, Soichiro Honda was still in school, when he started a little workshop, developing the concept of the piston ring. His plan was to sell the idea to Toyota. He labored night and day, even slept in the workshop, always believing he could perfect his design and produce a worthy product. He was married by now, and pawned his wife’s jewelry for working capital.

Finally, came the day he completed his piston ring and was able to take a working sample to Toyota, only to be told that the rings did not meet their standards! Soichiro went back to school and suffered ridicule when the engineers laughed at his design.

He refused to give up. Rather than focus on his failure, he continued working towards his goal. Then, after two more years of struggle and redesign, he won a contract with Toyota.

By now, the Japanese government was gearing up for war! With the contract in hand, Soichiro Honda needed to build a factory to supply Toyota, but building materials were in short supply. Still he would not quit! He invented a new concrete–making process that enabled him to build the factory.

With the factory now built, he was ready for production, but the factory was bombed twice and steel became unavailable, too. Was this the end of the road for Honda? No!

He started collecting surplus gasoline cans discarded by US fighters – "Gifts from President Truman," he called them, which became the new raw materials for his rebuilt manufacturing process. Finally, an earthquake destroyed the factory.

After the war, an extreme gasoline shortage forced people to walk or use bicycles. Honda built a tiny engine and attached it to his bicycle. His neighbors wanted one, and although he tried, materials could not be found and he was unable to supply the demand.

Was he ready to give up now? No! Soichiro Honda wrote to 18,000 bicycles shop owners and, in an inspiring letter, asked them to help him revitalize Japan. 5,000 responded and advanced him what little money they could to build his tiny bicycle engines. Unfortunately, the first models were too bulky to work well, so he continued to develop and adapt, until finally, the small engine ‘The Super Cub’ became a reality and was a success. With success in Japan, Honda began exporting his bicycle engines to Europe and America.

End of story? No! In the 1970s there was another gas shortage, this time in America and automotive fashion turned to small cars. Honda was quick to pick up on the trend. Experts now in small engine design, the company started making tiny cars, smaller than anyone had seen before, and rode another wave of success.

Today, Honda Corporation employs over 100,000 people in the USA and Japan, and is one of the world’s largest automobile companies. Honda succeeded because one man made a truly committed decision, acted upon it, and made adjustments on a continuous basis. Failure was simply not considered a possibility.

For comments and archives

    Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC)

Exercise "prescriptions" are increasing but still remain too low

The CDC have recently shared their findings from the most recent National Health Interview Survey, conducted in 2010. The research shows that although exercise "prescriptions" by physicians are increasing, they are still much lower than they should be. Currently, doctors only recommend exercise to approximately one–third of their patients, while experts estimate that over double this number of patients should be receiving advice directly from their doctor to be more active.

The results of the national survey are based on interviews with over 60,000 Americans, and the interviews are randomized so they are representative of the U.S. population. 32 percent of people who saw a physician or other health professional in 2010 and were advised to exercise is a large increase from 23 percent in 2000, but there is still much room for improvement. The survey did find that doctors were more likely to mention exercise to people who were overweight or had heart disease, cancer or diabetes, which is positive. However, if that advice were given to everyone, exercise could be used more as a preventive tool and the incidence of those diseases would likely decrease. Efforts are currently underway to increase doctors’ awareness of the importance of prescribing exercise directly to their patients.

For comments and archives

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  Cardiology eMedinewS

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

Chronic Total Occlusion – Dr A B Mehta

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LMCA: CABG vs PCI – Marc Silvestia Vs Naresh Trehan

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Primary PCI Ten Tricks – Dr Sameer Mehta

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STEMI Facilitated PCI/Pharmacoinvasive Strategy–Dr Satyavan Sharma

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Multi Vessel PCI or Culprit Vessel PCI in STEMI–Thomas Alexender

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  Pediatric eMedinewS

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

Drug May Protect Kids After Stem Cell Transplant

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Signs Of Autism Show Up On MRI At 6 Months Of Age

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Heart CT Cuts Tots’ Radiation Exposure

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    IJCP Special

Dr Good Dr Bad

Situation: A patient came with severe secondary MR with refractory end–stage heart failure.
Dr. Bad: Go for mitral valve repair.
Dr. Good: Try biventricular pacing.
Lesson: As per 2005 ACC/AHA heart failure guidelines, effectiveness of mitral valve repair or replacement for severe secondary mitral regurgitation in refractory end–stage HF is not established (Circulation 2009;119:e391)

For comments and archives

Make Sure

Situation: A 13–year–old girl complained of epigastric pain, fatigue and anorexia. Elevated serum gastrin level (900 mIU/l) raised the suspicion of gastrinoma.
Reaction: Oh my God! Why did you not put her on triple therapy for H. pylori infection?
Lesson: Make sure to remember that H. pylori infection is the most important cause of hypergastrinemia other than gastrinoma in childhood.

For comments and archives

  Quote of the Day

(Dr GM Singh)

Life is a succession of lessons which must be lived to be understood. Ralph Waldo Emerson

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

The American Diabetes Association (ADA) has recommended HbA1c as the diagnostic test for diabetes.

    Mind Teaser

Read this…………………


Yesterday’s Mind Teaser:  ha ir
                                       ha ir

Answer for Yesterday’s  Mind Teaser: Split Hair

Correct answers received from: Prof. Chetana Vaishnavi, Dr. Anupam Sethi Malhotra, Dr. Amit Kochar, Raju Kuppusamy, Dr. T. Samraj, Dr.Neelam Nath, Dr.Chandresh Jardosh, Dr. Thakor Hitendrasinh G, Dr Vijay Kansal, Muthumperumal Thirumalpillai, Ajith Sevanthi, Dr Ankita Kanathia, Anil Bairaria

Answer for 25th February Mind Teaser: b) Pseudocyst of the spleen
Correct answers received from: Muthumperumal Thirumalpillai , Ajith Sevanthi, Dr Ankita Kanathia, Anil Bairaria, Prof. Chetana Vaishnavi, Dr. Deepali Chatterjee

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

How to quit smoking

Peter, at a New Year’s party, turns to his friend, Ken, and asks for a cigarette. "I thought you made a New Year’s resolution to quit smoking," Ken responds. "I’m in the process of quitting," replies Peter with a grin. "Right now, I am in the middle of phase one."

"Phase one?" wonders Ken. "Yeah," replied Peter, "I’ve quit buying."

    Medicolegal Update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

Simulated suicide by hanging

  • Fast and painless death by hanging is easily achieved by using cheap and easily available materials.
  • Cases of homicidal strangulation and the simulation of suicide by hanging a victim previously killed or made unable to resist by other means are regarded as extremely rare events, but have been reported. Example: A 23–year–old student strangled his 58–year–old father with an electric cable until he ceased to show any signs of life. Then he hanged the victim at the handrail of the staircase with a running noose.
  • From the forensic point of view the following clues pointed to homicide: presence of massive signs of facial congestion in spite of the "typical" situation of hanging, horizontal ligature mark in addition to the noose mark, skin injuries at the head and the upper extremities, traces of blood near the place where the body was found.
  • The case history presented emphasizes again that for differential diagnosis the possibility of a dissimulated homicide has to be considered in all cases where a body is found suspended.

(Ref: Institut für Gerichtliche Medizin der Universität Tübingen, Germany).

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Guidelines about Eating

Malnutrition and wrong dietary habits have been identified as major risk factors for ill health, including heart attacks. Most people below the poverty line suffer from malnutrition due to lack of calories, proteins and vitamins in their food. In the affluent society overeating or eating wrong food results in over nutrition, a form of malnutrition leading to heart blockages.

In this context Heart Care Foundation of India has formulated guidelines about eating, said Padma Shri and Dr B C Roy Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India.

These include:

  1. Eat only when you are hungry.
  2. Do not eat for pleasure, social obligations or emotional satisfaction.
  3. Eat at a slow pace
  4. Eat less; dinner less than lunch.
  5. Take small mouthfuls each time, chew each morsel well, swallow it and only then take the next morsel.
  6. Do not eat while watching television, driving a car or watching sports events. The mind is absorbed in these activities and one does not know what and how much one has eaten.
  7. Do not talk while eating and never enter into heated arguments. The stomach has ears and can listen to your conversation. It will accordingly send signals to the mind and heart.
  8. Plan and decide in advance what and how much food you will be eating.
  9. Use low fat or skimmed mild dairy products. For cooking, use oils which are liquid at room temperature.
  10. Do not take red meat and if you are a non–vegetarian, you may take poultry meat or fish.
    Readers Response
  1. Dear Sir, Thanks a lot for providing the main points of India Live 2012. Regards: Dr Shikha
    Forthcoming Events
Dr K K Aggarwal

Dr K K Aggarwal

National Summit on "Stress Management" and Workshop on "How to be happy and Healthy"

Date: Saturday 2PM–Sunday 4PM, 21–22 April 2012
Venue: Om Shanti Retreat Center, Bhora Kalan, on Pataudi Road, Manesar
Course Directors: Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal and BK sapna
Organisers: Heart Care Foundation of India, Prajapati Brahma Kumari Ishwariya Vidyalaya and eMedinewS
Fee: No fee, donations welcome in favour of Om Shanti Retreat Center
Facilities: Lodging and boarding provided (One room per family or one room for two persons). Limited rooms for first three registrants.
Course: Meditation, Lectures, Practical workshops
Atmosphere: Silence of Nature, Pyramid Meditation, Night Walk,
Registration: Rekha 9899974439 rekhapapola@gmail.com, BK Sapna 9350170370 bksapna@hotmail.com

Study Camp on ‘Mind–Body Medicine and Beyond’

16–23 June 2012, Nainital Centre (Van Nivas)

Sri Aurobindo Ashram – Delhi Branch will organize the 5th Study Camp on ‘Mind–Body Medicine and Beyond’ for doctors, medical students and other health professionals at its Nainital Centre (Van Nivas) from 16–23 June 2012. The camp, consisting of lectures, practice, and participatory and experiential sessions, will help the participants get better, feel better, and bring elements of mind–body medicine into their practice. The camp will be conducted by Prof. Ramesh Bijlani, M.D., former Professor, AIIMS, founder of a mind–body medicine clinic at AIIMS, and the author of Back to Health through Yoga and Essays on Yoga. For more details, send an e–mail to the Ashram (aurobindo@vsnl.com) or to Dr. Bijlani (rambij@gmail.com).

BSNL Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

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    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta