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 & 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 & Hony. Visiting Professor (Clinical Research) DIPSAR


For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1–7
DD Take Care Holistically Video 1–7 Chat with Dr KK On life Style Disorders
Health Update Video 1–15 Science and Spirituality
Obesity–Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

8th September 2012, Saturday

A new drug for diastolic heart failure?

Spironolactone may be useful for patients with heart failure with preserved ejection fraction.
Compared with placebo, spironolactone significantly improved a tissue Doppler derived measure of diastolic function –– E/é –– within 6 months, a benefit that was sustained at 1 year according to Burkert Pieske, MD, of the Medical University of Graz in Austria.

However, that did not translate into gains in exercise capacity, and peak VO2

The improvement in diastolic function coupled with improvements in left ventricular mass, it was concluded that spironolactone can be considered in patients with diastolic heart failure for improving cardiac function and blood pressure control."

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

What are the alarm symptoms in constipation?

Alarm symptoms include rectal bleeding, hemoccult positive stools, obstructive symptoms, recent onset of constipation, weight loss, a change in stool caliber. The presence of these symptoms calls for more extensive evaluation.

For comments and archives

Dr K K Aggarwal
  eMedinewS Audio PostCard

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

PPIs may be associated with a higher risk for clostridium difficile–associated diarrhea

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Seminar on Diet, Health & Religion

An Inter Religion Seminar on Diet, Health & Religion was organized at Bharatiya Vidya Bhavan in association with Heart Care Foundation of India

Dr K K Aggarwal
    National News

Pediatric Surgery Awareness Week from September 5th to 11th, 2012
(Dr Shilpa Sharma, Assistant Professor, Dept. of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi)

The Delhi Chapter of the Indian Association of Paediatric Surgeons will hold a Pediatric Surgery Awareness Week from September 5 to 11, 2012. They would educate the masses on surgeries commonly needed among children. Government hospitals will conduct educational programmes. Many private hospitals will provide free consultations with regards to surgery in children during the week. Consultations will be given free of cost to children at Fortis (Shalimar Bagh), Sunder Lal Jain, Sir Ganga Ram, Jaipur Golden and Maharaja Agrasen hospitals during the week. More hospitals are expected to join in.

Dr Shilpa Sharma, Secretary Delhi Chapter IAPS and Dr Satish Agarwal, President, Delhi Chapter IAPS

For comments and archives

4th Dil Ka Darbar

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

A non stop question answer–session between all top cardiologists of the NCR region and the public.

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

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

    Valvular Heart Disease Update

When should one intervene in patients with chronic MR with symptoms?

Patients with chronic MR who become symptomatic are candidates for corrective mitral surgery, even if symptoms improve with medical therapy or the left ventricle appears to be compensated.
If there is uncertainty about the presence or absence of symptoms, exercise testing may provide objective information that may not be available from the medical history alone.

(Experts: Dr Bhabha Nanda Das and Dr Ganesh K Mani, Dr. Yugal Mishra, Dr Deepak Khurana, Dr K S Dagar, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

For comments and archives

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Intermittent vs continuous ADT similar in earlier prostate cancer

A big question in the treatment of prostate cancer is whether to give androgen deprivation therapy (ADT) continuously, or whether there can be breaks in the treatment without detriment to the outcome. This answer appears to depend on the specific patient population. Results just published in the September 6 issue of the New England Journal of Medicine show that, in earlier disease, there is little difference between the 2 administration schedules. (Source: Medscape)

For comments and archives

Blood sugar levels linked to brain loss

Higher blood glucose levels were associated with brain atrophy among healthy individuals in their early 60s, even when levels remained within the official normal range, an Australian study demonstrated. (Source: Medpage Today)

For comments and archives

Elevated CRP levels need confirmation

An individual patient’s C–reactive protein (CRP) values can vary a great deal with a 2.5–week time frame. Julie K. Bower, PhD, MPH, and colleagues at Johns Hopkins University in Baltimore, Maryland, presented their analysis of the 2001-2002 National Health and Nutrition Examination Survey results in a research letter published online September 3 in the Archives of Internal Medicine. (Source: Medscape)

For comments and archives

Artery size may predict COPD flares

In patients with chronic obstructive pulmonary disease (COPD), unusually large pulmonary artery diameter was strongly associated with future risk of serious exacerbations, researchers said. (Source: Medpage Today)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: DD India’s Take Care Holistically–Pain in the Joints http://youtu.be/7nYMiYcenN8

@DeepakChopra: Understand Karma: No debt in the universe goes unpaid.

    Spiritual Update

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

What is the purpose of a birthday?

A birthday is usually regarded as a special day in a person’s life. But, I believe that each day is a special day in a person’s life…a gift from God.

For comments and archives

    4th Asia Pacific Vascular Intervention Course (APVIC)
  • 4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More
  • The 4th Asia Pacific Vascular Interventional Course begins Read More
  • Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More
  • 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • 4th Asia pacific vascular intervention course Read More
  • 4th Asia pacific vascular intervention course paper clippings Read More
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What is the impact of cigarette smoking on reproduction in men?

Men who smoke cigarettes have a lower sperm count and motility and increased abnormalities in sperm shape and function. The effects of cigarette smoking on male fertility remain inconclusive, the harmful effect of passive smoke on the fertility of female partners and the evidence that smoking adversely affects sperm quality suggest that smoking in men should be regarded as an infertility risk factor.

For comments and archives

    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

What is blood? What is its quantity in a human being?

Blood is the red colored fluid, flowing continuously in our body in the circulatory system. Each healthy individual has about 1/12th of his body weight as blood. On an average about 5 – 6 liters of blood is present in every human being.

For comments and archives

    An Inspirational Story (Dr GM Singh)

Bend but don’t break

One of my fondest memories as a child is going by the river and sitting idly on the bank. There I would enjoy the peace and quiet, watch the water rush downstream, and listen to the chirps of birds and the rustling of leaves in the trees. I would also watch the bamboo trees bend under pressure from the wind and watch them return gracefully to their upright or original position after the wind had died down.

When I think about the bamboo tree’s ability to bounce back or return to its original position, the word resilience comes to mind. When used in reference to a person this word means the ability to readily recover from shock, depression or any other situation that stretches the limits of a person’s emotions.

Have you ever felt like you are about to snap? Have you ever felt like you are at your breaking point? Thankfully, you have survived the experience to live to talk about it.

During the experience you probably felt a mix of emotions that threatened your health. You felt emotionally drained, mentally exhausted and you most likely endured unpleasant physical symptoms.

Life is a mixture of good times and bad times, happy moments and unhappy moments. The next time you are experiencing one of those bad times or unhappy moments that take you close to your breaking point, bend but don’t break. Try your best not to let the situation get the best of you.

A measure of hope will take you through the unpleasant ordeal. With hope for a better tomorrow or a better situation, things may not be as bad as they seem to be. The unpleasant ordeal may be easier to deal with if the end result is worth having.

If the going gets tough and you are at your breaking point, show resilience. Like the bamboo tree, bend, but don’t break!

For comments and archives

  Cardiology eMedinewS

Uncontrolled BP major problem in U.S., CDC says Read More

Common chemical may raise heart risk Read More

  Pediatric eMedinewS

Mother’s smoking may affect child’s craving for fat Read More

Sedation–free MRIs in kids possible with new intervention Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient was found to have high triglycerides.
Dr. Bad: Stop fat intake.
Dr. Good: Reduce refined carbohydrates.
Lesson: Refined carbohydrates, and not fat increase triglyceride levels in the body.

For comments and archives

Make Sure

Situation: A patient was brought to the ICU in cardiogenic shock.
Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA?
Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of National Registry of Myocardial Infarction 2 (NRMI–2) trial suggest that this intervention is much better than thrombolytic therapy in such patients.

For comments and archives

  Quote of the Day (Dr GM Singh)

If we would see the color of our future, we must look for it in our present; if we would gaze on the star of our destiny, we must look for it in our hearts. Canon Farrar

    Legal Question of the Day (Dr M C Gupta)

Q. Does the state medical council have jurisdiction/power upon a doctor who is not in government service?


  1. The SMC has jurisdiction upon all doctors who are registered with it, wherever they may be working—in any part of India; in government service, private service or private practice.
  2. The MCI has no primary jurisdiction upon doctors who are not primarily registered with it. It has only appellate jurisdiction against an order of the SMC.
  3. For the above reason, it would be in the interest of doctors having dual registration with SMC and MCI to get the MCI registration cancelled.
  4. If a doctor is registered only with the MCI, he should get registered with a SMC. After getting registered with the SMC, he should get the MCI registration cancelled.

For comments and archives

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

Photos of Doctor’s Day Celebration

eMedinewS Apps
    Stem Cell Update (Dr S K Verma, Consultant Ophthalmologist, New Delhi)

Did you know that the partially synthetic bacterial cell created at the J Craig Venter’s Institute, had watermark sequences which were coded messages in the form of DNA base pairs to distinguish the synthetic organism from natural organism?

(Courtesy – Journal of Stem cell and Regenerative Medicine; Vol. 3; Issue 13, 15 Aug 12)

    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

Total cholesterol

Total cholesterol has been found to correlate with total and cardiovascular mortality in the 30–50 year age group. Cardiovascular mortality increases 9% for each 10 mg/dL increase in total cholesterol over the baseline value of 180 mg/dL. Approximately 80% of the adult male population has values greater than this, so the use of the median 95% of the population to establish a normal range (as is traditional in lab medicine in general) has no utility for this test. Excess mortality has been shown not to correlate with cholesterol levels in the >50 years age group, probably because of the depressive effects on cholesterol levels expressed by various chronic diseases to which older individuals are prone.

    Mind Teaser

Read this…………………

A post–operative complication of mastectomy is lymphedema. This can be prevented by

A. Ensuring patency of wound drainage tube
B. Placing the arm on the affected side in a dependent position
C. Restricting movement of the affected arm
D. Frequently elevating the arm of the affected side above the level of the heart.

Yesterday’s Mind Teaser: A chemotherapeutic agent 5FU is ordered as an adjunct measure to surgery. Which of the ff. statements about chemotherapy is true?

A. It is a local treatment affecting only tumor cells
B. It affects both normal and tumor cells
C. It has been proven as a complete cure for cancer
D. It is often used as a palliative measure.

Answer for Yesterday’s Mind Teaser: B. It affects both normal and tumor cells

Correct answers received from: Dr BB Aggarwal, Dr KV Sarma, Dr PC Das, Dr (Maj. Gen.) Anil Bairaria, Dr K Raju, Dr Pankaj Agarwal, Dr Kanta Jain, Dr Jainendra Upadhyay, Dr Chandresh Jardosh,
Dr Thakor Hitendrsinh G, Dr Avtar Krishan, Shashi Saini, Dr Thakur Om Prakash Singh, Pravin Patel, Avula Ramadevi, Dr Valluri Ramarao, Dr Ajay Gandhi.

Answer for 6th September Mind Teaser: A. Hypertension
Correct answers received from: Muthumperumal Thirumalpillai, Shashi Saini, Dr Thakur Om Prakash Singh, Dr Ajay Singh, Dr Thakor Hitendrsinh G, Dr Dcmishra, Dr Satya Bhooshan Sood, Rameshwar prasad.

Send your answer to ijcp12@gmail.com

    Laugh a While (Dr GM Singh)

Why are wives more dangerous than the Mafia?

The mafia wants either your money or life… The wives want both!

    Medicolegal Update

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

Prohibition of advertisement relating to pre–natal determination of sex and punishment for contravention

  • No person, organization, genetic counseling center or genetic laboratory or genetic clinic shall issue or cause to be issued any advertisement in any manner regarding facilities of the pre–natal determination of sex available at such center, laboratory, clinic or any other place.
  • No person or organization shall publish or caused to be published any advertisement in any manner regarding facilities of the pre–natal determination of sex available at such genetic counseling center, genetic laboratory, genetic clinic or any other place.
  • Any person who contravenes the provisions of sub–section (1) or sub–section (2) shall be punishable with imprisonment for a term which may extend to three years and with fine which may extend to ten thousand rupees.
  • For the purpose of this section, "advertisement" includes any notice, circular, label, wrapper or other document and also includes any visible representations made by means of light, sound, smoke or gas.

For comments and archives

    Public Forum

Public Forum (Press Release for use by the newspapers)

Dengue patients don’t die of platelet deficiency

According to international guidelines, unless the platelet count is below 10,000 and there is spontaneous active bleeding, no platelet transfusion is required, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal President, Heart Care Foundation of India.

The cause of death in dengue is capillary leakage, which causes blood deficiency in the intravascular compartment, leading to multiorgan failure, he added. At the first instance of plasma leakage from intravascular compartment to extravascular compartment, 20 ml per kg body weight per hour of fluid replacement should be administered to the patient till the difference between upper and lower blood pressure is more than 40 mmHg or the patient passes adequate urine. Giving unnecessary platelet transfusion to the patient can harm the individual.

Dr. Aggarwal has created a ‘Formula of 20’ for family doctors to understand the severity of dengue.

  • Rise in pulse by 20
  • Fall in upper blood pressure by 20 mmHg
  • Pulse pressure is lower than 20
  • Hematocrit increased by 20%
  • Platelet count is less than 20,000
  • More than 20 petechiae in the tourniquet test
    Readers Response
  1. Respected Sir, as you have requested to share scenes in films where unrealistic things are shown about medical profession. I would like to mention one such scene from the film ‘Kambakht Ishq’ where Karisma Kapoor, playing the role of a general surgeon, leaves her wrist watch in the abdomen of the patient (played by Akshay Kumar). How can a surgeon operate with his/her wrist watch on? Thanks. Dr. Satendra Kumar
    Forthcoming Events
Dr K K Aggarwal

Dr K K Aggarwal

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 public. Event will be promoted through hoardings, our publications and the press. Public health discussions



Weekend Retreat for Doctors on
Mind – Body – Medicine

8 (Sat) – 9 (Sun) September 2012 At Brahma Kumaris Om Shanti Retreat Centre NH–8, Bhorakalan, Pataudi Road, Bilaspur Chowk, Distt.-Gurgaon

Visit us at: www.togetherwecan.in
Contact: BK Sister Sapna – M – 9650692204
E–mail: bksapna108@gmail.com

    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)

Activities eBooks


  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

    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