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  Address:  39 Daryacha, Hauz Khas Villege, New Delhi, India. e-Mail: drkk@ijcp.com , Website: http://www.ijcpgroup.com 

Dr K K Aggarwal

Dr KK Aggarwal
Dr BC Roy Awardee
Sr Physician and Cardiologist,
Moolchand Medcity
President, Heart Care
Foundation of India
Gp Editor-in-Chief,
IJCP Group
Delhi Medical Council
Director, IMA AKN Sinha Institute (08-09)



6th November Friday

Dear Colleague,

ECG not reliable marker for predicting heart disease

Doing an ECG is of little use in predicting future heart problems for people who are examined because of chest pain. Chest pain is the most common reason people seek medical attention for possible heart trouble, and an ECG, is a common test for such people. ECG can be normal in the first six hours even in frank heart attacks. Missing the diagnosis of heart attack on ECG is the commonest mistake done in the emergency rooms.

The most important parameters still remain is the classical history and physical findings.

1.     Chest pain which can be pin pointed by a finger is not a heart pain

2.     Pain lasting less than 30 seconds is not a heart pain

3.     Heart pain is diffuse in the center of the chest lasting more than minutes and manifesting as heaviness, burning, discomfort, heaviness or pain often precipitated by physical or mental exertion.

When in doubt one should do an exercise stress test if not contraindicated and if negative these patients should be reassessed for risk factors.If the patient is at high risk even with negative treadmill he or she should undergo risk reduction management for prevention of future heart attacks.High risk patients are smokers, uncontrolled blood pressure, obesity, high cholesterol and diabetes.

Campaign 100: Just compress it

 Gasping, gurgling, moaning or any other noisy breathing increases the chances for survival when someone is suffering sudden cardiac arrest. Gasping is a sign that there's still blood flow to the brain, and the person can be saved even though the heart has stopped.

 The first aid involves starting compressing the chest, 100 times a minute. A Phoenix study published in Circulation, of 1,218 cases, showed better survival when abnormal breathing, gasping, was noted. After gasping one may have 4 to 5 minutes before the breathing stops and these 4 to 5 minutes are crucial.

 Gasping is present in 40% of the cases of sudden cardiac arrest. After timely CPR as many as 39 percent of the gaspers will survive as against 9.4 percent of the non-gaspers. If no CPR is done 21.1 percent for gaspers and 6.7 percent of non-gaspers survive.

 Dr K K Aggarwal


Patients on Statin may not die of flu

A new study has shown that people on Statin when infected with seasonal flu have reduced mortality when hospitalized. The study was presented at an Infectious Disease Society of America Conference. (Major Dr Prachi Garg)

The five killers

Tackling just five health factors can prevent millions of premature deaths and increased global expectancies by five years as per WHO. These factors are: Poor childhood nutrition, unsafe sex, alcohol, bad sanitation and hygiene and high blood pressure.  They together are responsible for a quarter of the 16 million premature deaths around the world. Poor nutrition involves malnutrition in developing countries and over nutrition in developed countries.

Ultrasound used for healing wounds

A new ultrasound mist device is now available in the US for healing wounds. It looks like blind mister and sprays saline droplets carrying ultrasound energy produced by the device. The ultrasound dilates blood vessels and helps in healing wounds.

Taspeglutide more effective than Exenatide

Roche has launched a new anti diabetic drug Taspeglutide which is more effective than Exenatide in lowering blood sugar.

Aspirin may interact with Ticagrelor

The higher dose of Aspirin may reduce the effectiveness of experimental clot busting drug Ticagrelor.

Work Related stress peaks at the age of 50

Researchers at the University of Nottingham, UK have shown that work related stress levels peak when people reach their early 50s and start to dip as they move towards old age.

FDA grants emergency approval for Swine Flu Test

Gentrobe Inc. has got approval from US FDA for diagnosing kit for Swine Flu. The test can diagnose Swine Flue in as early as three hours while test using throat culture can take weeks.

5.7 million Cases of H1N1 in US

As per a report published in CDC Journal of Emerging Infectious Disease up to 5.7 million cases of Swine Flu hit the United States between April and July. This number comes from a model that estimate with every confirm case of H1N1 flu, there are 79 unreported cases. 

How to look for risk for second heart attack


  1. Lack of exercise
  2. Excessive intake of alcohol
  3. Overweight
  4. Uncontrolled Blood Pressure or High Cholesterol
  5. Smoking
  6. Too much stress

Anabolic Steroids taken by athletes to build muscle and strength can cause kidney stress:

As per a study presented at American Society of Methodology held on 27th October  increasing muscle can be a strain on kidney and steroids themselves may be toxic to kidneys.





Meditation for Breast Cancer


Meditation reduces stress and improves emotional and mental wellbeing of the breast cancer patients as per a study published in the Journal Integrated Cancer Therapies. Emotional and psychological stress contributes to the onset and progression of breast cancer and cancer mortality.



Even one cigarette may harm


Smoking just one cigarette stiffens arteries in adults by 25%. The stiffed arteries have greater risk of heart attack and paralysis. As per Dr. Sdaskalopoulou from Montreal, for non-smokers arterial stiffness decreases by 3.6% after exercise.

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Clinical Implications (DR.G. M. Singh)

  • The current guidelines find insufficient evidence to recommend for or against the routine use of hormonal tests or hormonal treatment among men with ED.
  • The current guidelines recommend PDE 5 inhibitors as first line treatment of ED but find insufficient evidence to recommend a single PDE 5 inhibitor vs another.
  • Both the measles and varicella vaccines can promote rash, which resembles their associated clinical infections, and MMR can promote thrombocytopenia as well as acute arthritis among women. More serious adverse events associated with vaccination, such as encephalopathy with pertussis vaccination or Guillain Barré syndrome after influenza vaccine, are very rare.
  • The current recommendations suggest that the first step in the evaluation of a possible vaccine allergy is skin prick testing with the suspect vaccine, followed by intra dermal testing with the vaccine and its components among patients with a negative prick test result. Vaccination series may even be continued with strong precautions among patients with a positive intra dermal test result.
  • Herpes zoster infection is associated with increased stoke risk in adults.
  • The risk for stroke associated with herpes zoster is in patients 45 years and older, is similar for men and women, and is higher for ischemic vs hemorrhagic stroke.
  • Febrile seizures occur in 3% to 5% of children aged 6 months to 6 years, and the recurrence rate is 20% to 30%.
  • A febrile seizure is a seizure experienced in infancy or childhood that is associated with fever but with no evidence of intracranial infection, epilepsy, or another defined cause of the seizure.
  • Antipyretic agents are ineffective for the prevention of recurrences of febrile seizures and for the lowering of body temperature in patients with a febrile episode that leads to a recurrent febrile seizure.

URL to watch

Type this url and see the wonder (http://www.poodwaddle.com/worldclock.swf


Mr. and Mrs. Carrot were walking down the street when a truck jumped the curb and     ran over Mrs. Carrot. She was rushed to a trauma center and taken to surgery. Finally an exhausted surgeon comes out and says  "Mr. Carrot, your wife is alive but, I'm sorry, she will be a vegetable for the rest of her life."

Some Great Lines

A child's greatest period of growth is the month after you've purchased new school uniforms.

Mistake of the day

Do not order on phone. Isorin and isoptin are sound alike drugs. Giving isoprin stat IV can kill.

Advertising in emedinews

emedinews is a new venture of IJCP Group and is the first daily emedical newspaper of the country. One can advertise with a singe insertion or 30 insertions in a month. For details contact drkk@ijcp.com.

emedinews: revisiting 2009

IJCP Group is organizing emedinews: Revisiting 2009, a day-long medical conference on 10th January, 2010 at Maulana Azad Auditorium. It will be attended by over 1000 doctors. Topics will be top happenings in the year 2009. There will be no registration fee. Advanced registration required.  Top experts will deliver lectures. It will be followed with lively cultural evening, doctors of the year award, dance and dinner. For regiatration mail  emedinews@gmail.com 



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