Monthly Archive: January 2012

Jan 31

Rheumatic Heart Disease: Dr. R.B Panwar

Significant Regurgitation of Left Sided Valves : An Early And Reversible Marker Of  Rheumatic Heart Disease 1) A survey of school children aged 5-15 years conducted found a high prevalence of rheumatic heart disease (54/1000) as detected by echocardiography. 2) Presence of significant regurgitation of left sided cardiac valves irrespective of the presence or absence …

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Jan 31

A Case of RHD came with signs of CHF and fever with generalized joint pains.

Situation:  A Case of RHD came with signs of CHF and fever with generalized joint pains. Dr Bad: Give treatment for infective endocarditis empirically along with treatment for CHF Dr Good: Do Blood Culture, ASO, CRP to differentiate between acute rheumatic fever and infective endocarditis along with echo before giving empiric treatment of infective endocarditis …

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Jan 31

What Are The Role Of Experts In Any Enquiry?

Difference of opinion is not negligence Error of judgment is not negligence “It is not enough to show that there is a body of competent professional opinion which considers that the decision of the accused professional was a wrong decision, provided there also exists a body of professional opinion, equally competent, which supports the decision …

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Jan 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 theAmericanCollegeof Cardiology.    People with risk factors, such as family or smoking history, being overweight, having elevated LDL cholesterol or hypertension should    make …

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Jan 31

Statins Confer A Small Increased Risk Of Diabetes

A meta-analysis of five randomized trials (n = 32,752) also found an increased risk of incident diabetes with intensive statin therapy compared with moderate statin therapy (OR 1.12) with little or no heterogeneity across trials [JAMA 2011; 305:2556]. This translates into approximately one additional case of diabetes for every 500 patients treated with intensive rather …

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Jan 31

FDA Warning Against 80 Mg Simvastatin

FDA has recommended that patients not be started on simvastatin 80 mg/day because of the high risk of muscle injury and the small marginal benefit of the higher dose; the FDA felt that this dose of simvastatin should only be continued in patients who had already been safely taking 80 mg/day for more than one year.

Jan 31

Now ca MRSA the ‘Killer’ Bacteria

Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal After the scary New Delhimetallo-beta-lactamase-1 or the “super bug” was detected two years ago, the world is now faced with the community-acquired methicillin-resistant staphylococcus aureus (ca-MRSA) bacterium that is resistant to almost all common antibiotics. There is only one antibiotic, septran in high …

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Jan 30

Drinking Does Not Benefit India Hearts

 Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal The UK House of Commons has requested the British to keep away from alcohol for at least two days a week. The lawmakers reason the body needs a break twice a week to repair the liver. This is a climb down from earlier guidelines to …

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Jan 30

Bedtime Dosing of Antihypertensive Medications

In hypertensive patients one should take at least one medication (but not a diuretic) be taken at bedtime rather than taking all medications in the morning. In an open-label trial of 2156 hypertensive patients with or without chronic kidney disease randomly assigned to take all anti blood pressure drugs in the morning or to take …

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Jan 30

3D Echo in Mitral Valve: Dr Navin C Nanda

1.    MS 3D gold standard, 4 chamber view, 2.    TS 3D is a good choice 3.    Most reports of the evaluation of valvular heart disease using 3D echocardiography have focused on the mitral valve. 4.     Volume-rendered 3D displays of transthoracic or transesophageal images enable improved evaluation of the anatomy of the mitral valve and its supporting structures. 5.    3 D …

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