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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.


Dr Ashok Walia
, Minister of Health Government of Delhi, in his message to the 4th Dil ka Darbar said that telecardiology should now become a part of the facilities in every hospital.

The Darbar was organized by Heart Care Foundation of India in association with Department of AYUSH and various Departments under Health Ministry, Government of Delhi on Sunday at Talkatora Stadium, New Delhi.

 Messages were also received from many dignitaries.

 Shri M. Veerapa Moily, Union Minister of Law said that non-governmental organizations should play an important role in healthcare of poor patients who are unable to meet hospital bills and consultation fees.

 Shri Beni Prasad Verma, Union Minister of Steel, expressed confidence that this endeavor of the Foundation would provide a platform to thousand of heart patients to avail facilities like free checkups, etc.

 Shri Bhoopinder Singh Hooda, Chief Minister of Haryana, said that priority of the government should be to provide free medicines to those people who cannot afford them. Shri Narendra Modi, Chief Minister, Gujarat said that changing lifestyle, stressful event and competitive environment are responsible for most heart diseases. Shri Lal Thanhawla, Chief Minister of Mizoram said that the time has come for the medical fraternity to educate general masses about healthy living.

 Shri Akhilesh Yadav, Chief Minister Uttar Pradesh, said that the efforts of the Foundation to provide facilities of free check-ups to the heart patients and interaction with top cardiologists during the programme are highly commendable.

 The Chief Minister of Kerala, Mr. Oommen Chandy said that in our country where cases of heart ailments are on the rise, the activities of Heart Care Foundation of India are truly inspiring.

 Shri Raj Kumar Chauhan, Minister of PWD, said that NGOs should come forward to organize free health checkup camps for the public. Prof. Kiran Walia, Minister of Social Welfare, Government of Delhi said that telecardiology consultations should also be used for free health checkup camps.   Shri Arvinder Singh Lovely, Minister of Education, Government of Delhi, said that heart awareness should be the priority of every individual.

Inaugurating the Darbar, Shri B Mandal, General Manager, Central Bank of India said that one should follow the laws of nature to prevent cardiac diseases. He said that wild animals do not get heart attack.

Presiding over the function, Shri AK Ganeriwala, IAS, Joint Secretary, AYUSH, said that the death prevention heart care is when you combine allopathy with other systems of medicines.

Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India, who is also the Vice President-Elect of National Indian Medical Association, said that everyone after the age of 30 should get their risk of getting heart attack in the next 10 years evaluated and take precautions if the risk is more than 10%. He also demonstrated and conducted a workshop on “How to revive a dead patient.” He said that within 10 minutes of death, it is possible to revive a dead person’s heart by following the formula of 10 i.e. within 10 minutes of death, for the next 10 minutes, one should compress the chest of the deceased person 100 times (10 x 10).

 Guest of Honour, noted singer and composer Ms Shibani Kashyap, said that music is good for recovery of the heart patients. Chanting various sounds is similar to doing meditation.

Dr Ishwar VB Reddy, Director, Morarji Desai National Institute of Yoga, Dr Ramesh Babu Devalla, DG CHRS, Dr Surender Verma, DG, Dept. of Homeopathy in a joint statement said that blockages in the heart is lifestyle disorder and can be prevented utilizing all systems of medicines.

Dr PK Sharma, MOH NDMC and Dr NK Yadav, Director Health MCD South in a joint statement said that one should not consume trans fats in diet and reduce amount of salt intake to prevent future heart diseases.

 Shri Satish Upadhyay, Chairman, Standing Committee on Education, MCD South said that prevention of heart diseases should start right in school age.

Dr NV Kamath, DHS, Shri PK Jaggi, Head of Office Drug Controller Department of Government of Delhi said that one should believe in natural pharmacy and take medicines only when they are required. Others who were present were Hakim Javed-ul-Haq Director General Central Council for Research in Unani Medicine (CCRUM), Dr RK Manchanda, Director General, CCRH, Dr Surender Verma Dy. Director Dept.of ISM & Homeopathy, Dr PK Sharma Medical Officer Health NDMC, Dr NK Yadav Director (Health) MCD South, Director ISM & H, Govt. of NCT of Delhi and Dr NV Kamat Director Health Services.

Eminent faculty on the dais included : Dr RK Manchanda, Dr PK Sharma, Dr Rajesh Malhotra, Dr NK Bhatia, Dr. SV Tripathi, Dr HK Chopra, Dr Manju Gupta, Dr Anupam, Dr Praveen Chandra, Dr Subhash Manchanda, Dr Sameer Srivastava, Dr Yugal Mishra, Dr Praveen Bhatia, Dr Sujay Shad, Dr Neelam Mohan, Dr Ajit Saxena, Dr Saurabh Juneja, Dr BN Sinha, Dr RK Tuli, Dr ZS Mehrwal, Dr JC Katoch, Dr Ishwar V Basava Reddy and  Dr Ramesh Babu Devalla.

Over 2000 heart patients were given consultations and checkups.