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Dr K K Aggarwal

Important differences between women and men in the presentation of heart disease make it more difficult to establish a diagnosis in women, said Padma Shri and Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India. He was addressing a press conference as a curtain raiser to the 5th Dil Ka Darbar to be held on Sunday, 29th September. The event is being organized by the Heart Care Foundation of India at Constitution Club of India in association with Ayush, Department of Health, Government of NCTDelhi, LIC, MTNL, Central Bank ofIndia and GAIL.

Special Guests of Honour were Padma Shri & Rajiv Gandhi Khel Ratna Awardee Yogeshwar Dutt, a Bronze Medalist at the 2012 Summer Olympics in the  60kg Freestyle wrestling, Dronacharya Awardee Yashbir Singh (Wrestling coach) and Arjuna Awardee Dharmendra Dalal, a Bronze Medalist in in 120 Kg Greco-Roman style wrestling at the 2010 Commonwealth Games.

Dr KK Aggarwal said:

1.  Women generally present 10 years later than men and with greater riskfactor burden.

2.  Women are less likely than men to have typical angina.

3. Women in the emergency department with new onset of chest pain are approached and diagnosed less aggressively than man.

4.  Women are more likely to present initially with chest pain than a more clearly defined event such as heart attack.

5.  Symptoms of heart attack in women differ from those in men.

6.Many cases of heart attack in women are unrecognized.

7.  In women, treadmill exercise has a higher false positive rate.

8. Small vessel disease is more common in women than in men.

9.  Established risk factors in women are: Presence of history of heart
blockages; age over 55 years; high LDL (bad) or low HDL (good)
cholesterol, diabetes, smoking, high blood pressure, peripheral artery disease or family history of heart disease.

10.  Risk factors, which are more potent in women than in men are: Smoking is associated  with 50% of all coronary events in women; diabetes confers more prognostic information in women than in men.

 

Prevention in Women

For all Women

  • Moderate intensity physical activity for at least 30 minutes and for 60 to
    90 minutes for weight management on most days of the week.
  • Avoidance and cessation of cigarette smoking and passive smoking
  • Keep waist circumference less than 35 inches.
  • Take a heart-friendly diet.
  • Presence of high triglyceride levels.  One should add Omega 3 fatty acids to diet.
  • Control cholesterol level, high blood pressure and diabetes.
  • Women who smoke should avoid oral contraceptive pills.
  • Aspirin 80 mg in more than 65 years of age should be added
  • Treat underlying depression.

 Women at high risk

  • Aspirin 75 to 150 mg, as prevention
  • Control of blood pressure.
  • No use of anti oxidant vitamin supplement.
  • No use of folic acid support.
  • No Hormone Replacement Therapy.
  • Lowering of LDL cholesterol of less than 80.

 

Co-addressing the Press Conference, Mr GP Sinha GM (Mktg) MTNL said that the best gift we can give to our wives, mothers and sisters is an annual heart check up.  Dr NK Yadav, MHO, South Delhi, Medical Corporation; Dr. PK Sharma, MOH, NDMC; Dr NV Kamat, Director, Health Services, Delhi; and Sr representatives from Central Bank of India in a joint statement said that our concern in women should shift from breast cancer to heart awareness as the lifestyle adopted to prevent heart disease would also prevent breast cancer.

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A dialogue between Krishan Kumar and Dr KK Aggarwal

Today I would like to share with you a little anecdote about how I came to be called Dr KK.

My name was Krishan Kumar till I came to Moolchand Hospital. All my school days and through college I was called Krishan. I joined Moolchand Hospital in the year 1983 and began my professional career with Dr (Col) KL Chopra. His wife said that she could not address me by my name Krishan as that was the name I shared with her husband, Dr KL Chopra. So, she gave me a new name, KK.

And that name has now stuck and it is by this name that I am now known as. To my colleagues I am Dr KK and to my friends, I am simply KK. Krishan Kumar was my name in my pre–Moolchand days and after 1983, I got the name KK.

Below is a conversation between Dr K K, the present me and Krishan, my school and college past and how grateful Dr KK is to Krishan for having lived his life the way he did.

Dr KK: Krishan, why did you not take up smoking?

Krishan: My family values were such that they did not allow me to smoke. Also, I came from a very humble background. We were not financially well off and so also I could not afford to develop such habits. I went to Wardha for my MBBS and MD and there I was greatly influenced by Gandhian ideology.

Dr KK: What about alcohol. Why do you not take alcohol?

Krishan: I never thought of taking alcohol for the same reasons I never started smoking. My family values, financial status and the teachings of Gandhi during my college days were my motivation in not drinking alcohol. They helped me to be strong and resist any peer pressure or such other influences.

Dr KK: Krishan how did you become interested in spirituality?

Krishan: My parents were very religious. So, I think my inclination towards spirituality began right from by childhood. I went to Mahatma Gandhi Institute of Medical Sciences (MGIMS), Sevagram. This was the place where Mahatma Gandhi set up his ashram. We stayed in Bapu’s ashram for 10 days. We also had prayers every Fridaywhile in college. This further fuelled my interest in spirituality. When I began working with Dr (Col) KL Chopra, I was exposed to spiritual teachings. All these contributed to my moral make up. Later on, I was greatly influenced by his son, Dr Deepak Chopra.

Dr KK: You had to go far away from home to Wardha to study medicine. Krishan, were you disheartened that you could not secure admission in a medical college in Delhi?

Krishan: No, in fact, this proved to be a blessing in disguise. I topped Nagpur University in the aggregate of all MBBS marks and received two University gold medals. I was declared the Best Graduate of the College in 1979. I returned to Delhi a person of good character and the capability to be a good doctor.

Dr KK: Krishan, I am very thankful to you that through your hard work and perseverance, I became a much better person and so became a good doctor. It is because of the person that you were that I received the prestigious Dr BC Roy National Award and subsequently the Padma Shri, the fourth highest civilian award of our country.

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