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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.

The 19th MTNL Perfect Health Mela is being organised by Heart Care Foundation of India jointly with Department of Health, Delhi Government from 7th to 11th November, 2012 at Constitution Club of India,New Delhi. Various activities will be organised at multiple locations, a week before the event.

Addressing a press conference, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that focus of the Mela this year will be “Prevention of Non-Communicable Diseases”.

Co-addressing the press conference, Mr A K Srivastav GM (Marketing) MTNL Delhi, Mr Deepak Chanduka, GM, MTNL Corporate Office, Dr N K Yadav MHO MCD South Zone and  Sr representatives from DHS, Dept. of Health & FW Govt. of NCT Delhi, NDMC and SAIL said that the Mela will be a unique opportunity for people from all walks of life to get preventive awareness about non-communicable diseases incorporating all pathies and using the medium of exhibition, checkups, competitions, workshops under one roof.

Ms Nalini & Ms Kamalini, eminent Kathak exponents, guests for the press conference, released the theme and logo of the event. A chart containing various activities was also released. The highlight of this year’s Mela will be a series of workshops of all pathies in non-communicable diseases. Ten thousand members of the public will also be trained and certified in compression-only CPR.

Delhi Transport Corporation will also run special buses for the various locations from Mela venue. Over 3000 school children, 1500 nurses and 1000 youth will participate in various events. Over 1000 cardiologists from all pathies, totaling 1000 will participate in various workshops.

Special arrangements are being made and special counters are being made for the residents of Noida,Ghaziabadand Gurgaon.