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Dr K K Aggarwal

Don’t Ignore Women’ Health

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Women are not diagnosed or treated as aggressively as men. Even though more women than men die of heart disease each year, women receive only 33% of all angioplasties, stents and bypass surgeries; 28% of implantable defibrillators and 36% of open-heart surgeries, according to the National Coalition for Women with Heart Disease.

Although the traditional risk factors for coronary artery disease — such as high cholesterol, high blood pressure and obesity — have a detrimental impact in men and women, certain factors play a bigger role in the development of heart disease in women.

  1. Metabolic syndrome — a combination of increased blood pressure, elevated blood glucose and triglycerides — has a greater impact on women than men.
  2. Mental stress and depression affect women’s hearts more than they do men’s.
  3. Smoking is much worse for women than men.
  4. A low level of estrogen before menopause is a significant risk factor for developing microvascular disease.
  5. Though women will often have some chest pain or discomfort, it may not be the most prominent symptom. Diffuse plaques build-up and diseased smaller arteries are two reasons why symptoms can be different in women.
  6. In addition to chest pain, pressure or discomfort, signs and symptoms of heart attack in women include: Neck, shoulder, upper back or abdominal discomfort, Shortness of breath, Nausea or vomiting, Sweating, Light-headedness or dizziness and unusual fatigue.
  7. Endothelial dysfunction is more common in women. In this the lining of the artery does not expand (dilate) properly to boost blood flow during activity, which increases the risk of coronary artery spasm and sudden death.
  8. WISE study results suggest that the commonly used treatments for coronary artery disease — angioplasty and stenting — are not the best option for women with more diffuse plaques.
  9. Typical tests for coronary artery disease — angiogram, treadmill testing and others — are not reliable in women.
  10. The WISE study showed that in some women, plaques accumulate as an evenly spread layer along artery walls, which is not visible using traditional testing methods.

The six months of Uttarayana

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1. As per Vedic knowledge, there are two seasons in the country Uttarayana and Dakshinayana.

2. Uttarayana is from mid January to mid July.

3. Dakshinayana is from mid July to mid January.

4. In Uttarayana, sun moves towards the north and days are longer.

5. In Dakshinayana, nights are longer.

6. In Uttarayana, the mind is in positive state.

7. In Dakshinayana, the mind is in negative state.

8.  In Dakshinayana, in the first four months marriages are not held.

9. In Uttarayana, only in holashtak period i.e. 8 days before Holi, the marriages and religious functions are not held.

10.  Most of the detoxification festivals are held in Dakshinayana.

11.  In Uttarayana, the major festival is only Holi which deals with removal of negativity from the mind.

12.  Being a positive state of mind, Uttarayana involves festivals which are positive, full of fun and enjoyment.

13.  Bhishm Pitamah waited for Uttarayana to leave his Prana.

14.  As per Bhagavad Gita, best time to die is Uttarayana, daytime before full moon, and in atmosphere of yagna.

15.  At the time of death, positive state of mind takes one to liberation.

The “Ideal Dose” of Alcohol Prescription

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Keeping in view the Christmas and New Year celebrations,

Alcohol should not be taken in pregnancy or people who have strong family history of alcoholism, previous brain hemorrhage, liver or pancreatic disease, and while operating potentially dangerous equipment or machinery.

Alcohol use should also be limited in patients with active gastritis, esophagitis, premalignant GI lesions such as Barrett’s esophagus, or a strong family history of breast cancer.

For people without these conditions, the social limit has been defined.

1.Men can tolerate more alcohol than women.

2. The ideal dose of alcohol is 5-7 grams per day (about one drink every other day). In women the dose is 4 g/day. (About one drinks every third day).

3. 10 to 15 grams of ethanol is found in one glass of wine, one can or bottle of beer, or one mixed drink.

The Science Behind Addiction

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The three main reasons for any addiction are ignorance, ego and dependence. If you ask people why are they smoking?

Some will say that they were ignorant about its side effects (ignorance)

Others will say that it gave them a status in the society (ego)

And the rest will once they started, they can’t leave it and are now dependant on it (dependence).

The treatment of ignorance is based on education the principle of hearing (suno), listening (samjho), understanding (jaano) and action full of wisdom (karo).

Ego can only be treated by proper counseling. The principles of counseling are well described in Bhagavad Gita and involve 18 sessions over a period of time.

Dependence treatment involves early detoxification followed by counseling and education.

Reduce Weight First If Facing Infertility Problem

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Both obese men and women can face fertility problems unless they reduce their weight. Reducing weight as the first step can bring back their fertility.

• Obese men are more than three times as likely to have low sperm counts compared with their normal-weight peers.

• A study published in the journal Fertility and Sterility showed that the heaviest men were at triple the risk of having a low count of progressively motile sperms, sperms that swim forward in a straight line.

• Increased body fat can also contribute to lower testosterone levels and higher estrogen levels.

• Obese men were also 1.6 times more likely than overweight or normal-weight men to have a high percentage of abnormally shaped sperm.

• There is a trend toward increasing likelihood of erectile dysfunction with increasing BMI.

• Obesity is associated with a greater risk of impotence.

• Obesity is also associated with metabolic syndrome and polycystic ovarian disease (PCOD) in women and associated infertility.

Lord Ram taught us to fight for personal rights. When his wife was abducted by Ravana, he fought to bring his wife back.

Lord Krishna, on the other hand, fought first part of life during childhood for personal and family rights and killed Kansa but in his later part of life, fought for others.  In Mahabharata, he helped Yudhishthir and his brothers to get back the kingdom and take revenge of their wife’s ( Draupadi) insult.

 Lord Buddha, on the other hand, worked for the welfare of the society.

Lord Ram had a personal enemy. Lord Krishna had personal enemy only in the first part of his life, in the later part,Krishnahad no enemy. Lord Buddha had no enemy altogether.

Out of ten incarnations of Lord Vishnu, Ram is 7th, Krishna is 8th and Buddha is 9th.

The evaluation of Avtar means that your life starts with your personal achievements and then you start working for others and then for the society.

 First you learn to take care of your needs, followed by that of others and finally of the society.

 Ramayana and Mahabharata, Rama killing Ravana indicate killing the ego of the self;Krishnahelping killing Duryodhana means helping killing the ego of others and Buddha means creating a egoless society.

In terms of internal

The above interpretation is my own and has nothing to do with hurting sentiments of any religion.

Perceived Stress Linked to Heart Disease

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1. People who feel stressed are at risk for developing coronary heart disease

2. As per a meta-analysis published in American Journal of Cardiology, in pooled results from six studies, individuals who had high perceived stress were 27% more likely to develop coronary heart disease subsequently compared with those who had low perceived stress.

3.The magnitude of the relationship with high perceived stress is equivalent of a 50-mg/dL increase in [LDL cholesterol, a 2.7/1.4-mm Hg increase in blood pressure, or five more cigarettes per day.

4. Perceived stress is defined as the general perception that environmental demands exceed perceived capacity regardless of the source of the environmental demand.

5.     Possibilities include increased activity of the hypothalamic pituitary axis, increased sympathetic outflow, or altered behaviors causing insulin resistance and central obesity.

Suno Samjho Jaano Karo

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Dr. Vijay Langar, our chief anesthetist at Moolchand Hospital once brought a spiritual guru to me. Once I finished my consultation, he asked for consultation fee. I asked him for a seekh (Lesson) and he said, “suno, samjho, jaano, karo” and walked away. This is what the gist of Vedic science is and also clearly defined in Bhagavad Gita by Lord Krishna.

We should hear, listen, understand and convert it into wisdom. Hearing means that you hear anything but listening means that you should learn its meaning. Understanding means you should understand its value in your contest and wisdom means you should practice it, re-practice it and learn intricacies of its implications.

In a conference, most of the people hear, come out of the conference and they do not recall anything.

A section hears and listens and forgets it after a few days.  Only a few of them will not only hear and listen but also understand its importance in their day to day life but do not implement it.

Only a few will actually implement it. When they start implementing it that they find that they have to relearn the intricacies of the subject.

True Bhakt is a person who asks his guru the same question again and again till he understands and implements it.

Heart Patients Beware of Eating Cakes

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Food of animal in origin and saturated foods contain cholesterol. 1% rise in cholesterol raises the chances of heart attack by 2%. Heart Patients should therefore avoid eating cakes during the Christmas and New Year Season. They should distribute fruits & dry fruits instead of cakes.

Beware of the term Low or High Cholesterol on the labels

1.  Cholesterol Free means less than 2 mg cholesterol and 2 grams or less fat.

2. “Low Cholesterol” means 20 mgs or less cholesterol and 2 grams or less saturated fat.

3.  “Fat Free” means less than ½ gram fat;

4.  “Low Fat” means 3 grams or less fat;

5.  “Reduced Fat” means at least 25% less fat than other brands of same food.

Dr. KK Aggarwal awarded ISWA Honorary Fellowship

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Padma Shri & Dr. B C Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India was awarded Dr. RD Sharma ISWA Honorary Fellowship in appreciation and recognition of contribution in the field of science, writing and communication.

In its citation the fellowship said, “A man of many talents, he is dedicated to cause of a healthy and hearty society. Through excellence in medical sciences, devotion to social well-being and innovation in reach and approach, Dr. Aggarwal has scaled many frontiers in the public communication of health sciences too”.

The fellowship was awarded by Indian Science Writers Association.

Mr. LS Rathore, Head of the Meteorological Society gave away the fellowship and Dr. Manoj K Patariya, President, Indian Science Writers’ Association conducted the ceremony.

After receiving the fellowship, Dr. Aggarwal dedicated his fellowship to the learning and teaching of Hands-only CPR 10, a life-saving technique to revive people within 10 minutes of death.

Heart Care Foundation of India today trained 984 students at S D Public School, Pitampura in CPR 10, the hands-only cardiopulmonary resuscitation technique.

Elaborating on this, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India said that for the first time a 90-year-old retired Joint Director from the Directorate of Education, Shri S N Sharma, learned hands-only CPR 10.

The campaign was inaugurated by Chairman of S D Public School Dr Sushil Gupta, Vice Chairman Sh. Kanwar Bhan Goel. Others who participated were Ms Anita Sharma, Principal  & Ms Rekha Gupta. Mr. Gupta said that learning and passing on knowledge about CPR 10 is the best gift one can give to others.

Dr. Aggarwal also said that one should learn and educate at least 10 people about CPR 10. He further cautioned that CPR practical training should be done only on dummies and not on each other. The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute.”

So far the foundation has trained 21845 people.

CPR 10 has been endorsed by many distinguished celebrities: Dr. Deepak Chopra, the New age Guru and noted author; Mr. Sushil Shinde, Union Home Minister; Smt. Sheila Dikshit, Chief Minister of Delhi; Shri A K Walia, Health Minister of Delhi; Prof. Kiran Walia, Education Minister of Delhi; noted poet Ashok Chakradhar; noted dancers Nalini, Kamalini, Uma Sharma; film star Poonam Jhawar and most top cardiologists of India.

 When Swami Chinmayananda was alive, he used to be a patient of my Boss Late Dr. K.L. Chopra. I used to see him along with Dr Chopra and got the opportunity of doing his colour Doppler Echocardiography every time he needed one. I had habit of not charging from spiritual gurus. Whenever Swami Chinmayananda used to come for echo, I used to ask him to give me a spiritual lesson (seekh).

One day I asked him, “Can you describe Bhagavad Gita in one word?” He said, “Lotus” and walked away.

It took me some time to understand what he meant. In Bhagavad Gita Chapter 2  also Lord Krishna described two qualities for achieving spirituality and that is Lotus and Tortoise. Lotus means detached attachment and Tortoise means learning to withdraw.

In Lotus, when a drop of water is poured on its leaf, it becomes like a Pearl (Moti) and when the water is taken out, not even a trace of water is left on the leaf and that is what detached attachment is. My first lesson in the Moolchand Hospital by Dr. K L Chopra was detached attachment. He said, “be attached to your patient but learn to detach yourself if you lose that person otherwise it is going to harm the next serious patient.”

Are Food Additives Bad?

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Of thousands of food additives currently in use, only a small number are implicated in allergic or allergic-like reactions. Symptoms include urticaria and/or angioedema, asthmatic reactions and anaphylaxis. Allergy to a nutritive food is far more likely than allergy to an additive, so this must be considered first in the differential diagnosis.

Clues that a patient may be reacting to a food additive

  • Reactions that occur within minutes to a few hours of eating
  • A convincing history of similar reactions to several apparently unrelated foods
  • Reactions to commercially prepared forms of foods that are tolerated when prepared at home.

Symptoms are not caused by food additives but aggravated by them.

  • Sulfites can cause potentially serious asthmatic reactions in as many as 5 percent of patients with asthma, whereas individuals without asthma are rarely affected. Sulfite-sensitive patients more often have severe and/or steroid dependent asthma.
  • Tartrazine avoidance is not necessary in patients with asthma.
  • The preservative sodium benzoate (E211) and the flavorings spearmint, peppermint, and menthol, have each been implicated in causing asthmatic symptoms
  • Anaphylaxis has been reported to annatto (E160b), carmine (E120), saffron, erythritol, guar gum (E412), psyllium, carrageenan, lupine flour, gelatin and pectin. These “natural” additives are derived from plants, insects, or animals and the reactions are believed to be IgE-mediated.


How to Eat Less And Stay Healthy?

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Vedic science, Ayurveda, Homeopathy, Naturopathy, Allopathy all talk about eating less to stay healthy. Following are the ways to eat less:

1.      The brain gets a signal that you have eaten only after 20 minutes, therefore, chew every bite of food at least 15 times. It not only provides enough hormones for enzymes but also sends signals to the brain. Therefore, the time spent per meal should be 20 minutes.

2.      The taste buds are only on the tip and side of the tongue. If you gulp food, the brain will not get signals. Eating small pieces and chewing them properly also sends the signals through the taste buds.

3.      The size of the fullness of the stomach also decides how much one can eat. The brain gets signal only when the stomach is 100% full. Therefore, one should not overeat and full the stomach to its size. Also if you eat less and over a period of time the size of the stomach will get shrunken.

More Women Than Men Die From Severe Heart Attack In Hospitals

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Winter months are heart attack months.

Men and women have about the same adjusted in-hospital death rate for heart attack — but women are more likely to die if hospitalized for a more severe type of heart attack.

According to a report in Circulation, journal of the American Heart Association:

  • Women are twice as likely as men to die if hospitalized for a type of heart attack known as ST-elevation myocardial infarction (STEMI).
  • Women are also less likely to receive appropriate and timely treatment for heart attack.
  • Women with STEMI have a 12 percent higher relative risk for in-hospital death compared to men.
  • Compared to men, women are 14 percent less likely to receive early aspirin; 10 percent less likely to receive beta blockers; 25 percent less likely to receive reperfusion therapy (to restore blood flow); 22 percent less likely to receive reperfusion therapy within 30 minutes of hospital arrival; and 13 percent less likely to receive angioplasty within 90 minutes of hospital arrival.
  • Women admitted with a STEMI are about twice as likely to die in the first 24 hours of hospitalization as men.