Monthly Archive: December 2011

Dec 31

People with Risk Factors Should Visit Cardiologist

Of the more than 400,000 Americans who died of a heart attack in 2008, a full 50 percent had no prior symptoms of heart disease, says Dr. John Gordon Harold, vice president of the American College of Cardiology. People with risk factors, such as family or smoking history, being overweight, having elevated LDL cholesterol or …

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Dec 31

FDA Approves New Combination for Hypertension

The US FDA has approved azilsartan medoxomil (ARB with chlorthalidone as a fixed drug combination for the treatment of hypertension. Azilsartan medoxomil is already available for the treatment of hypertension in adults. Combining the drug with a diuretic increases its antihypertensive efficacy.

Dec 31

BP and Sugar Control In Diabetes – What Are The Targets

There is ample and clear evidence that a decrease in BP leads to a decrease in the incidence of cardiovascular risk According to recent guidelines it may be prudent to decrease SBP/ DBP to 130-139/80-85 mmhg in all patients In diabetics it may be wise to decrease the SBP to less than 130 mmhg but …

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Dec 31

What are Eight Non Reimbursable Medical Errors?

In the USA the Federal Centers for Medicare and Medicaid Services do not reimburse hospitals for the treatment of eight major preventable errors. The hospitals cannot bill a patient for the cost of fixing these mistakes. Falls Mediastinitis (an infection that can develop after heart surgery) Urinary tract infections resulting from catheters Bed sores Bloodstream infections resulting …

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Dec 31

Top Ten Cardiology Myths As Defines by AHA

Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal I’m too young to worry about heart disease. Even young and middle-aged people can develop heart problems – especially now that obesity, type 2 diabetes and other risk factors are becoming more common at a younger age. I’d know if I had high …

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Dec 31

Dr Good Dr Bad:A patient was found to have A1C 6.7%

Situation: A patient was found to have A1C 6.7% Dr Bad: Get GTT done Dr Good: Its diabetes Lesson:  An International Expert Committee issued a consensus report in June, 2009, recommending that a hemoglobin A1C level ≥6.5 percent be used to diagnose diabetes.

Dec 30

Sodium-Potassium Ratio May Be More Important Than Total Sodium Intake

A study in Archives of Internal Medicine has shown that ratio of sodium (harmful) to potassium (protective) in one’s diet is more important for the heart.

Dec 30

Intervention In Diabetes- Roles Redefined

The real world registry has shown that diabetics had an increased incidence of MACE at 4 years as compared to non diabetics. None of the DES can be singled out as the device of choice Stable CAD:BARI 2D showed that medical therapy is a valuable initial therapy Aggressive cardiovascular prevention is a primary strategy and …

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Dec 30

Drug Therapy to Increase HDL Is Useful For CVD Prevention

Decrease in HDL-C is an important determinant of residual atherogenic activity in a patient on optimum statin therapy HDL may be normal or increased but may be dysfunctional HDL- C has a strong inverse relationship with CAD Niacin substantially increases HDL and when added to statins are seen to decrease LDL and increase HDL and …

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Dec 30

Top Health Stories of The Year (CNN)

Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal     1.    A congresswoman’s recovery: In January shots rang out in a grocery store in Tucson, Arizona. U.S. Rep. Gabrielle Gifford’s, 40, had been shot in the head by a gunman. The bullet passed through the left side of Gifford’s brain, but she …

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