Daily Archive: November 26, 2011

Nov 26

26th Annual CSI Delhi Proceedings

Take Home Messages 1.            Col C P Roy: Stains are safe. The concern about them causing diabetes is of no concern. 2.            Dr Rakesh Yadav: Venous grafts will lose 10% in the first month, another 10% in the firth year and then 2% every year. Bare stents are good enough for graft stenosis. 3.            Dr …

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Nov 26

Recommendations on Follow-up care of patients with prosthetic valves.

Dr Rajiv Bajaj Approximately 10 thousand patients undergo valve replacement in India every year. Patients with metallic valve prosthesis require lifelong follow up and anticoagulant therapy. Unfortunately, a sizeable number of these patients are poor, or hail from remote locations. Shortcomings in follow up care can lead to life threatening hemorrhagic and thrombotic complications.

Nov 26

MS with MR and TR the most common RHD lesion

Echo data of 10,000 consecutive cases at Gandhi Medical college Bhopal has shown that 17.2% had valvular heart disease (M: 7.49%/F9.7%). Most common age group affected was 31-45yrs (5.45% out of 17.2%) with (M/F:2.14%/3.31%). Most common valvular heart disease was MS with MR with TR i.e. 1.97% with (M/F:0.73%/1.24%). Second most common is isolated MS …

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Nov 26

Sildenafil for diastolic heart failure

In a randomized trial of 44 patients with diastolic heart failure and pulmonary hypertension, at 6 and 12 months, significant improvements in pulmonary artery pressure, right ventricular function, right atrial pressure, and quality of life measures were seen in the Sildenafil group but not the placebo group. [Circulation 2011; 124:164]

Nov 26

RHD on decline and CHD on the rise in India

In a largest echocardiography school survey conducted to date in India the prevalence of rheumatic heart disease (RHD) was 1.1/1000 school children and the prevalence of congenital heart disease CHD is 8.5/1000. In the RHD Group, mitral regurgitation was the most common lesion, followed by aortic regurgitation (AR). Among subjects with CHD, ASD was the …

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Nov 26

Drop in PCV after PCI a bad prognostic indicator

Hematocrit at baseline and the drop after PCI should be recognized as important risk factors for adverse outcomes after PCI. The inclusion of hematocrit values in a risk-stratification scheme should be strongly considered. The rate of the 1-year composite end point death/myocardial infarction increased  every time Hematocrit at baseline decreased and/or Hematocrit dropped after PCI …

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Nov 26

Western style fast food more atherogenic

Western-style fast food items such as hamburgers, French fries, pizza, fried chicken and processed meats make a significant contribution to a dietary pattern portending poor cardio-metabolic health in the US. With globalization, this way of eating is becoming more common in developing and recently developed areas of the world as the presence of western-style fast …

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Nov 26

Naproxen the safest NSAID in heart disease

In patients who commonly use NSAIDs as pain relievers especially the elderly population there is increased risk of heart attack and death from cardiovascular risk. A study by Dr G Prakash and group from PG Institute of Medicine, GSVM Medical College, Kanpur UP has demonstrated an increased risk of fatal & nonfatal heart attacks and …

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Nov 26

Facts and Figures in Cardiology

4 to 10 percent of patients with heart attack are less than 40 or 45 years of age.