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CSI Cardiology Update 2014
First Edition: 2015
9789351526186
Printed at
5Dedicated to
Our parents, teachers, patients and
All the members of
Cardiological Society of India
7PRINCIPAL CONTRIBUTORS
- A Banerji
- Sr Consultant
- Department of Cardiology
- Command Hospital (NC)
- Kolkata, West Bengal, India
- e-mail: dr.anup.banerji@gmail.com
- Adarsh Kumar
- Professor and Head
- Department of Cardiology
- Government Medical College
- Amritsar, Punjab, India
- e-mail: adarshkumar_27@yahoo.com
- Aditya Kapoor
- Professor
- Department of Cardiology
- Sanjay Gandhi Postgraduate Institute of Medical Sciences
- Lucknow, UP, India
- e-mail: akapoor65@gmail.com
- Ajay Bahl
- Associate Professor
- Department of Cardiology
- PGI, Chandigarh, India
- e-mail: drajaybahl@hotmail.com
- Ajay Kumar Sinha
- Consultant, Interventional Cardiologist
- Suraksha Cardiac Care, PARAS-HMRI Hospital
- Bailey Road, Patna, Bihar, India
- e-mail: sinha_ajaykr@yahoo.co.in
- Ajay Naik
- Cardiac Electrophysiologist and Interventional Cardiologist
- Care Institute of Medical Sciences (CIMS)
- Ahmedabad, Gujarat, India
- e-mail: naikajay@yahoo.com
- Ajit Mullasari
- Director
- Department of Cardiology
- Institute of Cardiovascular Diseases
- The Madras Medical Mission
- Chennai, Tamil Nadu, India
- e-mail: sulu_ajit57@yahoo.co.in
- AK Kar
- Consultant Interventional Cardiologist
- BM Birla Heart Research Centre
- Kolkata, West Bengal, India
- Past President
- Cardiological Society of India (CSI)
- e-mail: doctorkar2002@yahoo.co.in
- AK Pancholia
- Head
- Department of Clinical and Preventive Cardiology and Research Centre
- Arihant Hospital, Indore, MP, India
- EC Member, National CSI
- e-mail: drpancholia@gmail.com
- Alok Mazumdar
- Sr Consultant Cardiologist
- Director Cath Lab and In-charge
- Cardiovascular Sciences
- BR Singh Hospital (Eastern Railways HQ Hospital)
- Kolkata, West Bengal, India
- e-mail: mazumdaralok76@yahoo.co.in
- Amal Kumar Banerjee
- Past President, SAARC Cardiac Society
- Past President, Association of Physicians of India
- Past President, Cardiological Society of India
- Kolkata, West Bengal, India
- Ambuj Roy
- Additional Professor of Cardiology
- All India Institute of Medical Sciences
- New Delhi, India
- e-mail: drambujroy@gmail.com
- Amit Vora
- Sr Consultant Cardiologist
- Kikabhai Hospital, Breach Candy Hospital
- Nanavati Hospital, Lilawati Hospital and Cumballa Hill Hospital, Mumbai, Maharashtra, India
- e-mail: amvora@hotmail.com
- Anil Dhall
- Director
- Department of Cardiology
- Delhi Heart and Lung Institute
- New Delhi, India
- e-mail: dranildhall@gmail.com
- Anil Kumar
- Sr Consultant Interventional Cardiologist
- Bombay Hospital and Medical Research
- Hon Professor of Cardiology
- Grant Medical College and JJ Group of Hospital
- Mumbai, Maharashtra, India
- Past President, National CSI
- e-mail: kumaranil122@vsnl.com
- Anita Saxena
- Professor, Department of Cardiology
- All India Institute of Medical Sciences
- New Delhi, India
- e-mail: anitasaxena@hotmail.com
- Anjan Lal Dutta
- Clinical Director
- Department of Cardiology
- Peerless Hospital, Kolkata, West Bengal, India
- Past President, National CSI
- e-mail: dranjan_dutta@rediffmail.com
- Aparna Jaswal
- Senior Consultant Electrophysiologist
- Fortis Escorts Heart Institute
- Okhla Road, New Delhi, India
- Arati Dave Lalchandani
- Professor and Academic Head
- PG Institute of Medicine
- GSVM Medical College
- Kanpur, UP, India
- e-mail: davelalchandani@gmail.com
- Arup Dasbiswas
- Director, Institute of Cardiovascular Sciences
- Head of the Department – Cardiology ICVS
- IGPMER and SSKM Hospital, Kolkata, West Bengal, India
- Sr Vice President, National CSI
- Asha Moorthy
- Professor and Head of Cardiology
- Cardiac Care Centre
- Sri Ramachandra University
- Chennai, Tamil Nadu, India
- Ashok K Omar
- Director Noninvasive Cardiology and HOD
- Heart Command and Emergency
- Fortis Escorts Heart Institute
- New Delhi, India
- e-mail: omarashok@hotmail.com
- Ashok Seth
- Awarded ‘Padma Shri’
- Chairman
- Fortis Escorts Heart Institute
- Chairman
- Cardiology Council, Fortis Group of Hospitals
- Past President
- Cardiological Society of India
- Vice President
- Asian Pacific Society of Cardiology
- e-mail: ashok.seth@fortishealthcare.com
- Ashwin B Mehta
- Awarded ‘Padma Shri’
- Director
- Department of Cardiology
- Jaslok Hospital and Research Centre
- Mumbai, Maharashtra, India
- Past President, National CSI
- e-mail: drmehta_a@yahoo.com
- Atul Mathur
- Director Interventional Cardiology
- Fortis Escorts Heart Institute
- New Delhi, India
- e-mail: dr.atulmathur@gmail.com
- B Hygriv Rao
- Senior consultant Cardiologist and Electrophysiologist
- Chief Division of Pacing and Electrophysiology
- KIMS Hospitals, Hyderabad, India
- e-mail: hygriv@hotmail.com
- Balaji Pakshirajan
- Sr Consultant Cardiologist
- Institute of Cardiovascular Diseases
- Madras Medical Mission
- Chennai, Tamil Nadu, India
- e-mail: drbalajip@gmail.com
- Binoy John
- Chief, Department of Cardiology and Interventional Cardiology
- MIOT International
- Chennai, Tamil Nadu, India
- e-mail: drbinoyjohndmcard@gmail.com
- BKS Sastry
- Senior Consultant Cardiologist
- CARE Hospitals
- Hyderabad, India
- e-mail: bkssastry@hotmail.com
- BP Singh
- Professor and Head
- Department of Cardiology
- IGIMS, Patna, Bihar, India
- e-mail: bpsingh.igims@gmail.com
- Chetan P Shah
- Consultant Interventional Cardiologist and rhythm specialist
- Lilavati Hospital, Fortis Hospital
- Kikabhai Premchand Cardiac Institute, King Circle
- Director, Cath Lab
- Surana Sethia Hospital
- Director, Heart Rhythm Clinic, Ghatkopar
- Mumbai, Maharashtra, India
- e-mail: chetanshah@hotmail.com
- CM Nagesh
- Associate Professor of Cardiology
- Sri Jayadeva Institute of Cardiovascular Science and Research
- Bengaluru, Karnataka, India
- e-mail: drnageshcm@yahoo.com
- CP Roy
- Director
- Medical Education and Research
- Administrative Coordinator Cardiology
- Max Super Speciality Hospital Saket, New Delhi, India
- e-mail: cproy47@gmail.com
- C Venkata S Ram
- Director, Apollo Institute for Blood Pressure Management/Blood Pressure Clinics
- Professor of Medicine, Apollo Medical College, Hyderabad, India
- Director, Texas Blood Pressure Institute
- Director, Clinical Research and Medical Education, DNA
- Clinical Professor of Internal Medicine
- University of Texas Southwestern Medical Center
- Vice-President, American Society of Hypertension Specialists Program
- Dallas, Texas, USA
- e-mail: drram_v@apollohospitals.com
- Dayasagar Rao
- Senior Interventional Cardiologist
- Krishna Institute of Medical Sciences
- Hyderabad, India
- e-mail: dsrvala@rediffmail.com
- Dev B Pahlajani
- Chief, Interventional Cardiologist
- Breach Candy Hospital, Mumbai, Maharashtra, India
- Past President, National CSI
- e-mail: devpahlajanicard@yahoo.com
- Devi Prasad Shetty
- Chairman
- Narayana Hrudayalaya Hospial
- Bengaluru, Karnataka, India
- e-mail: devishetty@nhhospitals.org
- Dhiman Kahali
- Sr Consultant Interventional Cardiologist
- BM Birla Heart Research Centre
- Kolkata, West Bengal, India
- Dorairaj Prabhakaran
- Executive Director
- Centre for Chronic Disease Control (CCDC)
- Professor of Chronic Disease Epidemiology
- Program Director for the Fogarty International Centre
- New Delhi, India
- e-mail: dprabhakaran@ccdcindia.org
- Geetha Subramanian
- Professor and Head
- Department of Cardiology
- Madras Medical College and Rajiv Gandhi Government General Hospital
- Emeritus Professor of Cardiology
- Tamil Nadu Dr MGR Medical University
- Chennai, Tamil Nadu, India
- e-mail: suwagatham@gmail.com
- Geevar Zachariah
- Chief Cardiologist
- Mother Hospital
- Thrissur, Kerala, India
- e-mail: geevarzachariah@gmail.com
- George Koshy A
- Professor and Head
- Department of Cardiology, Government Medical College
- Thiruvananthapuram, Kerala, India
- e-mail: ageorgekoshy@gmail.com
- George Thomas
- Chief Cardiologist
- Saraf Hospital, Kochi, Kerala, India
- e-mail: dr.georgethomas@yahoo.com
- G Karthikeyan
- Senior Consultant Cardiology
- Tamil Nadu Government Multi Super Speciality Hospital
- Chennai, Tamil Nadu, India
- e-mail: karthikeyancardio@gmail.com
- GN Mahapatra
- Professor and Head
- Department of Nuclear Medicine
- Fortis Raheja Hospital, Mumbai, Maharashtra, India
- e-mail: mahpatrag@rediffmail.com
- GR Kane
- Sr Consultant Cardiologist
- PD Hinduja National Hospital and Research Centre
- Mumbai, Maharashtra, India
- e-mail: kanecardio@yahoo.com
- G Sengottuvelu
- Fellowship in Interventional Cardiology (France)
- Senior Consultant and Interventional Cardiologist
- Apollo Hospitals, Chennai, Tamil Nadu, India
- Adjunct Professor, The TN Dr MGR Medical University
- Chennai, Tamil Nadu, India
- e-mail: drgseng@gmail.com
- GS Sainani
- Director, Department of Medicine
- Jaslok Hospital and Research Centre
- Mumbai, Maharashtra, India
- Past President, National CSI
- e-mail: drgssainani@gmail.com
- Gurpreet S Wander
- Professor and Head, Department of Cardiology
- Hero DMC Heart Institute
- Dayanand Medical College and Hospital
- Ludhiana, Punjab, India
- e-mail: drgswander@yahoo.com
- G Vijayaraghavan
- Vice Chairman and Director
- Medical Services
- Kerala Institute of Medical Sciences
- President, SOCOMER, Trivandrum, Kerala, India
- e-mail: drvijayaraghavan@gmail.com
- Harinder K Bali
- Director, Department of Cardiology
- Fortis Hospital, Mohali, Punjab, India
- e-mail: hkbalipgi@gmail.com
- Harsh Wardhan
- Chairman
- Department of Cardiology
- Rockland Group of Hospitals
- New Delhi, India
- e-mail: hwardhan@hotmail.com
- HK Chopra
- President Elect, CSI-2014
- Chairman, Scientific Committee
- 66th Annual Conference of CSI 2014
- Sr Consultant Cardiologist, Moolchand Medcity
- New Delhi, India
- e-mail: drhkchopra@gmail.com
- IB Vijayalakshmi
- Professor of Pediatric Cardiology
- Sri Jayadeva Institute of Cardiovascular Sciences and Research
- Bengaluru, Karnataka, India
- e-mail: docvj@yahoo.com
- I Sathyamurthy
- Senior Interventional Cardiologist and Director
- Department of Cardiology, Apollo Main Hospitals
- Chennai, Tamil Nadu, India
- e-mail: drismurthy@gmail.com
- Jabir A
- Sr Consultant Cardiologist
- Lisie Heart Institute
- Lisie Hospital, Kochi, Kerala, India
- e-mail: drjabi@yahoo.co.in
- Jagat Narula
- Director, Cardiovascular Imaging Programme
- Mount Sinai Cardiovascular Institute
- Editor-in- Chief, JACC: CV Imaging
- New York, USA
- e-mail: jagat.narula@mountsinai.org
- Jagdish Hiremath
- Chief of Cardiology, Poona Hospital
- Director, Cath Lab - Ruby Hall
- Pune, Maharashtra, India
- Johann Christopher
- Director of Cardiac Imaging
- Care Hospitals
- Hyderabad, India
- e-mail: johannchristopher@yahoo.com
- JPS Sawhney
- Chairman, Department of Cardiology
- Sir Gangaram Hospital
- New Delhi, India
- e-mail: jpssawhney@yahoo.com
- Kajal Ganguly
- Professor and Head
- Department of Cardiology
- NRS Medical College
- Kolkata, West Bengal, India
- e-mail: drkajalganguly@gmail.com
- KC Goswami
- Professor, Department of Cardiology
- AIIMS, New Delhi, India
- e-mail: drkewalgoswami@gmail.com
- KK Aggarwal
- President, Heart Care Foundation of India
- Sr Consultant Physician, Cardiologist and Dean Medical Education
- Moolchand Medcity, New Delhi, India
- Editor-in-Chief, IJCP Group
- National Vice President Elect, Indian Medical Association
- Chairman, Ethical Committee, Delhi Medical Council
- New Delhi, India
- e-mail: emedinews@gmail.com
- KK Kapur
- Senior Consultant
- Department of Non-Invasive Cardiology
- Indraprastha Apollo Hospitals
- New Delhi, India
- KK Sethi
- Padmashree Awardee
- Chairman and Managing Director
- Delhi Heart and Lung Institute, New Delhi, India
- Past President, National CSI
- e-mail: kksethi_dhli@yahoo.com
- KK Talwar
- Chairman, Department of Cardiology
- Max Super Specialty Hospital
- New Delhi, India
- e-mail: kktalwar@hotmail.com
- K Meenakshi
- Professor of Cardiology, Madras medical college
- Member of Board for Superspeciality
- The Tamil Nadu Dr MGR Medical University
- Chennai, Tamil Nadu, India
- e-mail: drmeenaram@gmail.com
- Krishna CK
- Consultant Intensivist
- Moolchand Medcity
- New Delhi, India
- e-mail: drkrishnack@gmail.com
- K Sarat Chandra
- Sr Consultant Cardiologist
- Indo US Hospital
- Ameerpet, Hyderabad, India
- Hon Editor
- Indian Heart Journal
- Hyderabad, India
- e-mail: saratkoduganti@gmail.com
- K Venugopal
- President, CSI
- Professor and Head, Department of Cardiology
- Pushpagiri Institute of Medical Sciences
- Tiruvalla, Kerala, India
- e-mail: venugopalknair@gmail.com
- Lekha Adik Pathak
- Head, Department of Cardiology
- Balabhai Nanavati Hospital- Heart Institute
- Past President, National CSI
- Mumbai, Maharashtra, India
- e-mail: lekhapathak@gmail.com
- Manish Aggarwal
- Sr Consultant Cardiology
- Moolchand Medcity
- New Delhi, India
- e-mail: manishaggl@gmail.com
- Manish Bansal
- Consultant Cardiologist
- Medanta: The Medicity
- Gurgaon, Haryana, India
- e-mail: manishaiims@hotmail.com
- Manoj Agny
- Consultant Cardiothoracic Surgeon
- Hospitals - Saifee, Nanavati, Seven Hills, Breach Candy
- Mumbai, Maharashtra, India
- e-mail: mannoja@yahoo.com
- Manotosh Panja
- Past President, National CSI
- Director, Interventional Cardiologist
- Belle Vue Clinic and AMRI Hospital
- Sr Interventional Cardiologist
- BM Birla Heart and Research Centre
- Kolkata, West Bengal, India
- e-mail: mpanja.sci@gmail.com; mppanja@vsnl.net
- Mark Monane
- Chief Medical Officer
- Cardio Dx, USA
- e-mail: mmonane@cardiodx.com
- Mehta S
- Chairman, Lumen Foundation
- Director, Lumen Global and LATIN
- Voluntary Associate Clinical Professor
- University of Miami, USA
- e-mail: mehtas@bellsouth.net
- M Khalilullah
- Director and Senior Consultant Cardiologist
- The Heart Centre, New Delhi, India
- Past President, National CSI
- e-mail: heartcentre7862002@yahoo.com>; m khalillulah heartcentre7862012@yahoo.com; heartcentre7862012@yahoo.com
- Mohit D Gupta
- Associate Professor of Cardiology
- Department of Cardiology
- GB Pant Hospital, New Delhi, India
- e-mail: drmohitgupta@yahoo.com
- Mona Bhatia
- Head of Department
- Radiology and Imaging
- Fortis Escorts Heart Institute, New Delhi, India
- e-mail: mona.bhatia@fortishealthcare.com
- Mrinal Kanti Das
- Consultant Interventional Cardiologist
- BM Birla Heart Research Centre and Kothari Medical Centre
- Kolkata, West Bengal, India
- e-mail: drmkdas2001@yahoo.co.in
- M Somasundaram
- Sr Consultant Cardiologist
- Apollo Hospitals, Chennai, Tamil Nadu, India
- e-mail: dr.mscsi2008@gmail.com
- Nakul Sinha
- Sr Consultant and Chief Interventional Cardiologist
- Sahara Hospital, Lucknow, UP, India
- e-mail: sinha.nakul@gmail.com
- Narender O Bansal
- Professor and Head, Department of Cardiology
- Grant Medical College and Sir JJ Group of Hospitals
- Mumbai, Maharashtra, India
- e-mail: drnobansal@yahoo.in; bansalnodr@yahoo.in
- Navin C Nanda
- Distinguished Professor of Medicine and Cardiovascular Disease
- University of Alabama, Birmingham, USA
- President, ISCU
- Chairman, Board of Directors, AACIO
- Editor-in-Chief, Echocardiography Journal, USA
- e-mail: navin.nanda@att.net
- Neeraj Pandit
- Head
- Department of Cardiology
- Ram Manohar Lohia Hospital
- New Delhi, India
- e-mail: drneerajpandit@gmail.com
- Nitin Burkule
- Sr Consultant Cardiologist
- Jupiter Hospital
- Thane, Maharashtra, India
- e-mail: burkule.nitin@gmail.com
- NN Khanna
- Sr Consultant, Interventional Cardiology
- Sr Consultant, Vascular Interventions
- Coordinator - Vascular Services
- Advisor, Apollo Group of Hospitals
- Indraprastha Apollo Hospitals
- New Delhi, India
- e-mail: drnnkhanna@gmail.com
- N Trehan
- Chairman and Managing Director
- Medanta-The Medicity
- Gurgaon, Haryana, India
- e-mail: naresh.trehan@medanta.org
- OP Yadava
- CEO and Chief Cardiac Surgeon
- National Heart Institute
- New Delhi, India
- e-mail: op_yadava@yahoo.com
- Pankaj Manoria
- Chief Interventional Cardiologist
- Manoria Heart Care Centre
- Bhopal, Madhya Pradesh, India
- e-mail: pankajmanoria@rediffmail.com
- PB Jayagopal
- Chairman and Director
- Sr Interventional Cardiologist
- Lakshmi Hospital
- Palakkad, Kerala, India
- e-mail: jaigopallakshmi@gmail.com
- PC Manoria
- Director
- Manoria Heart Care and Intervention Centre
- Bhopal, Madhya Pradesh, India
- Past President, National CSI
- e-mail: pmanoria@rediffmail.com
- PC Rath
- Sr Interventional Cardiologist
- Apollo Hospitals
- Hyderabad, India
- e-mail: drpcrath@hotmail.com
- Peeyush Jain
- Principal Consultant Cardiologist
- Fortis Escorts Heart Institute
- New Delhi, India
- P Krishnam Raju
- Consultant Cardiologist
- Care Hospital, Hyderabad, India
- Poonam Malhotra
- Associate Professor
- Department of Cardiac Anaesthesia
- AIIMS, New Delhi, India
- e-mail: drpoonamaiims@gmail.com
- PP Mohanan
- Director and Head
- Department of Cardiology
- West Fort Hi Tech Hospital, Thrissur, Kerala, India
- e-mail: drppmohanan@gmail.com
- Pradeep Nambiar
- Chairman- Department of Cardiothoracic and Vascular Surgery
- Rockland Hospital, New Delhi, India
- e-mail: namb1@hotmail.com
- Prafulla Kerkar
- Head
- Department of Cardiology
- Seth GS Medical College and KEMH Hospital, Mumbai
- Consultant Interventional Cardiologist
- Asian Heart Institute, Mumbai, Maharashtra, India
- e-mail: prafullakerkar@rediffmail.com
- Prakash Deedwania
- Chief Cardiology
- VACCHCS/UCSF, Fresno, Ca
- Professor of Medicine, UCSF School of Medicine
- San Francisco, USA
- e-mail: PDeedwania@fresno.ucsf.edu
- Praveen Chandra
- Chairman
- Interventional Cardiology
- Medanta: The Medicity, Gurgaon, Haryana, India
- Chairman, NIC-2014–15
- e-mail: Praveen.chandra@medanta.org
- Praveen Jain
- Emeritus Professor of Cardiology
- Maharani Laxmi Bai Medical College
- Jhansi, UP, India
- Vice President, National CSI
- e-mail: drpjain01@gmail.com
- Pravin K Goel
- Professor and Head
- Department of Cardiology
- Sanjay Gandhi Postgraduate Institute of Medical Sciences
- Lucknow, UP, India
- e-mail: pkgoel@sgpgi.ac.in; golf_pgi@yahoo.co.in
- P Syamasundar Rao
- Professor of Pediatrics and Medicine
- Director, Pediatric Cardiology Fellowship Programs
- Emeritus Chief of Pediatric Cardiology
- University of Texas-Houston Medical School
- Children's Memorial Hermann Hospital
- Houston, Texas, USA
- e-mail: P.Syamasundar.Rao@uth.tmc.edu
- Purshotam Lal
- Chairman
- Metro Group of Hospitals
- Noida, UP, India
- Rabin Chakraborty
- Senior Consultant Interventional Cardiologist and Electrophysiologist
- Salt Lake City, Kolkata, West Bengal, India
- Chief of Cardiology and Director of Cath Lab
- Director and Head – Apollo Gleneagles Heart Institute
- Chief of faculty and Program Incharge
- Postgraduate Cardiology Training, DNB Cardiology and IGNOU
- Raghu Krishnaswamy
- Sr Consult Cardiologist
- Care Hospital
- Hyderabad, India
- e-mail: nirvarvik@gmail.com
- Rajan Joseph Manjuran
- Professor and Head, Department of Cardiology
- Pushpagiri Institute of Medical Sciences and Research Centre
- Director, Pushpagiri Heart Institute
- Thiruvalla, Kerala, India
- Past President, National CSI
- Rajeev Gupta
- Senior Consultant and Head Internal Medicine
- Department of Internal Medicine
- Fortis Escorts Hospital
- Jaipur, Rajasthan, India
- e-mail: rajeevg@sify.com
- Rajeev Lochan
- Interventional Cardiologist
- Saudi German Hospital
- Dubai, UAE
- Rajiv Bajaj
- Sr Consultant
- Department of Cardiology
- Batra Hospital and Medical Research Centre
- New Delhi, India
- e-mail: cardiobajaj@yahoo.com
- Rajneesh Kapoor
- Director and Interventional Cardiology
- Medanta - The Medicity
- Gurgaon, Haryana, India
- e-mail: rajneesh.kapoor@medanta.org
- Rakesh Yadav
- Professor of Cardiology
- AIIMS, New Delhi, India
- e-mail: rakeshyadav123@yahoo.com
- Ramakanta Panda
- Vice Chairman and Managing Director
- Chief Consultant: Cardiovascular Thoracic Surgery
- Asian Heart Institute, Mumbai, Maharashtra, India
- e-mail: rp@ahirc.com
- Ramesh B Byrapaneni
- Managing Director
- Medwin Hospitals
- Hyderabad, India
- Org Secretary, 66th Annual Conference of CSI-2014
- e-mail: rameshbabubyrapaneni@yahoo.co.in
- Ranjith MP
- Department of Cardiology
- Government Medical College
- Kozhikode, Kerala, India
- e-mail: drranjithmp@gmail.com
- Ravi R Kasliwal
- Chairman, Clinical and Preventive Cardiology
- Medanta-The Medicity
- Gurgaon, Haryana, India
- RK Kotokey
- Professor
- Department of Medicine
- Assam Medical College, Dibrugarh, Assam, India
- e-mail: rkkotokey@yahoo.co.in
- R Krishna Kumar
- Clinical Professor and Head of Department
- Pediatric Cardiology
- Amirta Institute of Medical sciences
- Ponekkara, Cochin, Kerala, India
- e-mail: kumar_rk@yahoo.com
- RK Saran
- Professor and Head
- Department of Cardiology
- KGMU, Lucknow, UP, India
- e-mail: rksaran@sify.com
- Rochita Venkataramanan
- Chief Radiologist
- The Apollo Heart Centre
- Greams Road, Chennai, Tamil Nadu, India
- e-mail: rochitav@yahoo.com
- Rony Mathew
- Senior Consultant of Cardiology
- Head, Department of Cardiology
- LISIE Hospital
- Kochi, Kerala, India
- e-mail: drronymathew@yahoo.com
- Roopa Salwan
- Director- Myocardial Infarction Programme
- Sr Consultant
- Department of Cardiology and Intervention Cardiology
- Max Healthcare, New Delhi, India
- Roxy Senior
- Professor of Clinical Cardiology
- National Heart and Lung Instiute, Imperial College, London, UK
- Consultant Cardiologist and Director of Echocardiography
- Royal Brompton Hospital, London, UK
- Northwick Park Hospital Harrow
- RP Sapru
- Former Head
- Department of Cardiology
- PGI Chandigarh, India
- e-mail: saprurp@yahoo.co.in
- RR Mantri
- Senior Interventional Cardiologist
- Director Cath Lab and Arrhythmia Services
- Sir Ganga Ram Hospital, New Delhi, India
- e-mail: drrrmantri@hotmail.com
- RS Sambi
- Senior Clinical Associate
- National Heart Institute
- New Delhi, India
- e-mail: drsambi@gmail.com
- Sada Nand Dwivedi
- Professor
- Department of Biostatistics
- AIIMS
- New Delhi, India
- e-mail: dwivedi7@gmail.com
- Sameer Shrivastava
- Head
- Department of Noninvasive Cardiology
- Fortis Escorts Heart Institute
- New Delhi, India
- e-mail: sameer_rashmi@hotmail.com
- Sandeep Singh
- Additional Professor
- Department of Cardiology
- Cardiothoracic Sciences Centre
- AIIMS, New Delhi, India
- e-mail: drssandeep@hotmail.com
- Sanjay Chugh
- Chief Interventional Cardiologist
- Head, Department of Cardiology
- Chairman CV Sciences
- Institute of Heart and Vascular diseases
- Jaipur Golden hospital
- New Delhi, India
- e-mail: skchughcardiology@yahoo.com
- Sanjay Tyagi
- Director, Professor and Head
- Department of Cardiology
- GB Pant Hospital
- Maulana Azad Medical College, New Delhi, India
- e-mail: drsanjaytyagi@yahoo.com
- Sanjeev Sharma
- Professor and Head
- Department of Cardiology
- AIIMS, New Delhi, India
- e-mail: meetisv@yahoo.com
- Santanu Guha
- Professor and Head, Department of Cardiology
- Medical College, Kolkata, West Bengal, India
- General Secretary, National CSI
- e-mail: guhas55@hotmail.com
- Satish C Govind
- Director, Department of Noninvasive Cardiac Lab
- Vivus-BMJ Heart Centre, Bengaluru, Karnataka, India
- e-mail: drsatishgovind@yahoo.com
- Satish Kumar Gupta
- Sr Consultant, Cardiologist
- CAD Project Co-ordinator
- RMM Global Hospital and Trauma Center
- Abu Road, Rajasthan, India
- e-mail: 3dhealthcare@gmail.com
- Satyavan Sharma
- Professor and Head, Department of Cardiology
- Bombay Hospital Insitute of Medical Sciences and Consultant Interventional Cardiologist
- Bombay Hospital
- Mumbai, Maharashtra, India
- Past President, National CSI
- e-mail: drsatyavan@gmail.com
- Satyendra Tewari
- Additional Professor
- Department of Cardiology
- Sanjay Gandhi Postgraduate Institute of Medical Sciences
- Lucknow, Uttar Pradesh, India
- Saumitra Ray
- Professor, Department of Cardiology
- Vivekananda Institute of Medical Sciences
- Kolkata, West Bengal, India
- e-mail: drsaumitra@yahoo.co.in
- Savitri Shrivastava
- Director
- Department of Pediatric Cardiology
- Fortis Escorts Heart Institute
- New Delhi, India
- e-mail: savitri_sh@yahoo.com
- SB Gupta
- Sr Consultant Physician Cardiologist
- Asian Heart Institute and Research Centre
- Mumbai, Maharashtra, India
- email: drsbgupta@gmail.com
- SC Manchanda
- Senior Consultant
- Department of Cardiology
- Sir Ganga Ram Hospital, New Delhi, India
- e-mail: dr.doctormanchanda@yahoo.com
- Shashank Joshi
- Sr Consultant Endocrine and Metabolic Physician
- Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India
- President, API
- e-mail: shashank.sr@gmail.com
- Shirish (MS) Hiremath
- Sr Consultant Cardiologist and Director
- Cardiac Cath Lab, Ruby Hall Clinic
- Pune, Maharashtra, India
- e-mail: drmshiremath@gmail.com
- Shuvanan Ray
- Consultant Cardiologist and Chief of Cardiac Intervention
- Fortis Hospitals
- Anandapur, Kolkata, West Bengal, India
- Sivakadaksham
- Senior Interventional Cardiologist
- Siva Cardio Diabetic Care Clinic
- Bharathy Raja Hospital and Apollo Hospital
- Chennai, Tamil Nadu, India
- e-mail: drnsiva@gmail.com
- SK Chutani
- Sr Consultant, Internal Medicine, Cardiology and Cardiac Electrophysiology and Heart Rhythm Management
- New Delhi, India
- e-mail: skcepmd@live.com
- SKD Bhardwaj
- Sr Consultant Cardiologist
- 542 Civil Lines (North)
- Saket Colony Marg, Muzaffarnagar, Uttar Pradesh, India
- e-mail: doctorskd@rediffmail.com
- SK Dwivedi
- Professor
- Department of Cardiology
- King George's Medical University
- Lucknow, UP, India
- e-mail: dr_skdwivedi@rediffmail.com
- SK Kaushik
- Sr Professor and Head, Department of Cardiology
- Principal, RNT Med College and Cont Asso Gr of Hospital
- Udaipur, Rajasthan, India
- e-mail: drskkaushik@gmail.com
- SK Parashar
- Chief Cardiologist
- Metro Hospital and Heart Institute
- Lajpat Nagar, New Delhi, India
- Past President, National CSI
- e-mail: drparashar@yahoo.com
- Smita Mishra
- Senior Consultant Pediatric cardiology
- Fortis Escorts Health Care
- New Delhi, India
- e-mail: smi1@rediffmail.com
- Snehal Kulkarni
- Senior Consultant Paediatric Cardiologist
- Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute
- Mumbai, Maharashtra, India
- e-mail: kulkarnisnehal15@yahoo.com
- SN Routray
- Professor and Head of Cardiology
- MKCG Medical College
- Berhampur, Odisha, India
- e-mail: drsnroutray@yahoo.co.in
- Sonia Arora
- Senior Consultant Nutritionist
- KR Hospital and Diabetes Carte Centre
- Bathinda, Punjab, India
- e-mail: vitullgupta2000@yahoo.com
- Soumitra Kumar
- Professor (Division of Cardiology)
- Department of Medicine
- Vivekananda Institute of Medical Sciences
- Kolkata, West Bengal, India
- e-mail: dr.soumitrakumar@gmail.com
- S Padmavati
- President, All India Heart Foundation
- East of Kailash, New Delhi, India
- Past President, National CSI
- S Ramakrishnan
- Additional Professor, Department of Cardiology
- All India Institute of Medical Sciences
- New Delhi, India
- Joint Secretary, National CSI
- e-mail: ramaaiims@gmail.com
- Sreenivas Kumar Arramjraju
- Chairman, Cardiovascular Sciences and Chief Cardiologist
- Citizens Hospital
- Nallagandla, Hyderabad, India
- e-mail: arramraj@yahoo.com
- S Shanmugasundaram
- Emeritus Professor of Cardiology
- Tamil Nadu Medical University and Cardiologist, Billroth Hospitals, Chennai, Tamil Nadu, India
- e-mail: shan_stan007@yahoo.com
- SS Iyengar
- Sr Consultant Cardiologist
- Manipal Hospital, Bengaluru, Karnataka, India
- e-mail: ssiyengar1945@gmail.com
- SS Mishra
- Professor and Director
- Department of Cardiology
- Hi-Tech Medical College, BBSR
- Sr Consultant Cardiologist
- MED ‘N' HEART CLINIC, Cuttack, Odisha, India
- e-mail: drssmishra@yahoo.com
- ST Yavagal
- Professor and Head
- Department of Cardiology
- KLE University's JNMC
- Belagavi, Karnataka, India
- e-mail: styavagal@yahoo.co.in
- Suman Bhandari
- Director of Cardiology and Cath Labs
- Fortis Escorts Heart Institute
- New Delhi, India
- Sundeep Mishra
- Professor, Department of Cardiology
- AIIMS, New Delhi, India
- Past Chairman, NIC 2012–13
- e-mail: drsundeepmishra@hotmail.com
- Sunil Modi
- Sr Consultant Cardiologist
- Indraprastha Apollo Hospitals, New Delhi, India
- e-mail: kumarsunil88@hotmail.com
- SV Patted
- Professor and Head
- Department of Cardiology
- JN Medical College
- Nehru Nagar, Belagavi, Karnataka, India
- e-mail: drpatted@yahoo.com
- Tiny Nair
- Head, Department of cardiology
- PRS Hospital, Karamana
- Trivandrum, Kerala, India
- e-mail: tinynair@gmail.com
- TK Mishra
- Professor and Head
- Department of Cardiology
- SCB Medical College, Cuttack, Odisha, India
- e-mail: drtkmishra@yahoo.com
- UC Samal
- Ex-Professor of Cardiology and Head, Medicine, PMCH
- Patna, Bihar, India
- Past Member Senate Patna University and Medical Council of India
- Past Member ACC-India Board of Advisers
- Permanent Invitee ICC HFFI, Patna, Bihar, India
- e-mail: samal_pat@yahoo.co.in
- Ulhas Pandurangi
- Sr Consultant Cardiologist and Electrophysiologist
- Madras Medical Mission
- Chennai, Tamil Nadu, India
- e-mail: icvddoctors@mmm.org.in; epulhas@gmail.com
- Upendra Kaul
- Executive Director and Dean Cardiology
- Fortis Escorts Heart Institute and Research Centre
- Vasant Kunj, New Delhi, India
- Past President, National CSI
- e-mail: ukaul@vsnl.com; kaul.upendra@gmail.com
- V Chockalingam
- Emeritus Professor of Cardiology
- Dr MGR Medical University, Chennai, India
- e-mail: drveecee27@ymail.com
- Vidyut Jain
- Sr Consultant Cardiologist
- Choithram Hospital, Indore, MP, India
- e-mail: vidyut.jain213@gmail.com
- Vijay K Trehan
- Professor, Department of Cardiology
- GB Pant Hospital, New Delhi, India
- e-mail: trehanvs@yahoo.co.in
- Vijay Kumar
- Senior Interventional Cardiologist
- Fortis Escorts Heart Institute, New Delhi, India
- e-mail: vijay.kumar@fortishealthcare.com
- Vinod K Shah
- Sr Interventional Cardiologist
- Sir HN Hospital and Research Centre
- Raja Rammohan Roy Road, Mumbai, Maharashtra, India
- e-mail: vkshah45@hotmail.com
- Vinod Sharma
- VCEO and Head of Cardiology Services
- National Heart Institute
- New Delhi, India
- e-mail: drvs1994@rediffmail.com
- Vishal Rastogi
- Senior Interventional Cardiologist
- Head, Advanced Heart Failure Program
- Fortis Escorts Heart Institute, New Delhi, India
- Vitull K Gupta
- Health and Human Rights Activist
- Assistant Professor, AIMSR
- Consultant, Kishori Ram Hospital and Diabetes Care Centre
- Kishori Ram Road, Basant Vihar, Bhatinda, Punjab, India
- Chairman, Association of Physicians of India (Malwa Branch)
- Press Secretary, Cardiological Society of India
- (Punjab and CHD Chapter)
- Chairperson, Organizing Committee, APICON 2014, Ludhiana
- Member, Advisory Board, Indian Heart Journal
- Secretary, Northern Cardiology Network Bhatinda, Punjab, India
- e-mail: vitullgupta2000@yahoo.com
- Viveka Kumar
- Director - Cath Lab
- Sr Consultant Interventional Cardiology and Electrophysiology
- Max Super Speciality Hospital, New Delhi, India
- e-mail: vivekakumar31@yahoo.com
- V Jacob Jose
- Professor of Cardiology
- CMC Hospital, Vellore, Tamil Nadu, India
- e-mail: josecardio@gmail.com
- VK Bahl
- Professor and Head
- Department of Cardiology
- AIIMS, New Delhi, India
- Past President, National CSI
- e-mail: vkbahl2002@yahoo.com
- VS Narain
- Professor
- Department of Cardiology
- King George's Medical University, Lucknow, UP, India
- e-mail: vnarain@yahoo.com
- Yatin Mehta
- Chairman
- Medanta Institute of Critical Care and Anesthesiology
- Medanta: The Medicity, Gurgaon, Haryana, India
- e-mail: yatinmehta@hotmail.com
- Yugal K Mishra
- Director
- Department of Cardiovascular Surgery
- Escorts Heart Institute and Research Centre, New Delhi, India
- e-mail: dryugal@yahoo.com
Cardiovascular disease (CVD) remains the leading cause of morbidity and premature mortality in both the developed and developing nations alike. Coronary heart disease is the leading cause of cardiovascular mortality worldwide with more than 17.5 million deaths. The burden of CVD poses significant challenges in a transforming country like India, with its enormous population of more than 125 billion with different regional, social, and cultural strata. We are already the diabetic capital of the world. By 2025, we will be CVD capital of the world with estimation of 69.8 million CVD cases. Today, CVD accounts for 29% of all deaths in India. Coronary artery disease (CAD) burden is rising rapidly in India. The menace of CAD has risen from 1% in 1960 to 3% in 2003, 7% in 2011, and 14% in 2014 in India's urban population. It has been rightly documented that “To be an Indian, is itself a risk for premature coronary artery disease”, because of genetic predisposition due to high levels of lipoprotein (Lpa) and faulty lifestyle. The disease is often diffuse, premature, and triple vessel with poor distal run off. The risk of CAD in Indians is 3–4 times higher than Americans, 6 times higher than Chinese and 20 times higher than Japanese. CAD affects Indians 5–10 years earlier than any other community in the world. The prevalence of metabolic syndrome is highest in India up to an extent of 60% between the age group of 40 and 60 years with dominance of hypertension, 60% at age of 60 years, 70% at the age of 70 years, and 80% at the age of above 80 years. India faces a double burden of diseases, the newer “modern” ones and the old era disease like rheumatic heart disease (RHD). RHD still remains rampant with a prevalence of 1.6–1.8%. There is no dearth of congenital heart disease in India with a prevalence of 0.4–1% of live births.
The evolution of the management of CAD over the last 50 years has been dramatic. Until the early and mid-1960s, medical therapy though often ineffective was the mainstay of treatment. By the 1970s, with the advent of coronary artery bypass graft surgery, treatment of CAD was revolutionized and the overall strategy became an invasive one. Then there was a shift to a less invasive therapy with the start of percutaneous transluminal coronary interventions in the 1980s and the “stent era” in the early 1990s. In the late 1990s and early years of this century, we have come nearly a full circle with prevention and comprehensive risk reduction therapies becoming the foundation of the management of CAD. Long-term follow-up studies have clearly demonstrated that myocardial revascularization procedures are usually directed at severely stenotic lesions and are highly effective in relieving angina but do not reduce the subsequent risk of major acute coronary events (MACE), such as unstable angina, myocardial infarction, arrhythmias, heart failure, or sudden cardiac death. The differential effect is due to the fact that the culprit lesions for most cases of MACE have an average of 50% stenosis or less, whereas all myocardial revascularization procedures are directed at more than 70% stenotic lesions. The lack of survival benefits, definitely adds to the cost, possible excess risk of stroke and major bleeding requiring transfusions, guides the need to control and restrain our enthusiasm to treat every stenotic lesion irrespective of the degree of angina or exercise tolerance, thus, helping us to probe our minds by evolving intervention era and preventive strategies for curbing CVD burden in the world.
In the new paradigm, myocardial revascularization procedures retain their major role as a part of the comprehensive strategy in the management of acute CAD, and preventive strategies enhance the potential CAD management. Several landmark clinical trials have documented the efficacy of aspirin, statins, beta-blockers, angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, glycoprotein IIb/IIIa inhibitors in CVD protection. The data on lifestyle modification with increased physical activity, reduction in obesity, meticulous control of hypertension, diabetes and cessation of tobacco, stress management, consumption of more fruits, nuts and vegetables are the foundation of the nonpharmacological management in today's preventive cardiology. We must also focus on effective strategies to attack on Heart Attack by pharmacoinvasive approach by using timely tenecteplase at home, in the clinic, in the ambulance, emergency care, primary care hospital followed by coronary intervention in the tertiary care hospital with adequately trained and experienced interventional cardiologists to have the morbidity and mortality benefits.
There is an explosion of rapid advances in the different fields of cardiology with late breaking trials every now and then. It is really a herculean task to remain up-to-date. The axiom of yesterday is the question of today and hopefully the truth of tomorrow. We have really progressed from the era with inactivity advocacy as therapeutic strategy to the most effective pharmacoinvasive approach, where the patient is wheeled into cath lab to identify and open up the clogged arteries with the thrombus burden. Evidence-based medicine is the need of the hour. Keeping all this in mind, we have made a sincere attempt to bring out state-of-the-art “CSI Cardiology Update-2014” to the needs of clinician's quest for knowledge and update, and keeping them abreast with the recent advances in cardiology to help practice clinical cardiology meticulously with CVD morbidity and mortality benefits.
It gives me an immense pleasure and great deal of satisfaction to present to you the enormous contribution by galaxy of eminent authors of international repute and experts in the field of cardiology in this state-of-the-Art “CSI Cardiology Update-2014”, despite their busy schedule. I really thank them from the bottom of my heart and appreciate their enthusiasm and zeal of their contribution.18
The textbook covers wide range of topics from prevention to intervention and intervention to prevention for reducing rising menace of CVD.
We have made every effort to maintain the quality and standard of CSI Cardiology Update-2014. Despite our best efforts, there may be some unintentional errors. Kindly excuse us for the same. I am sure this CSI Cardiology Update-2014 will serve as an important reference guide for postgraduate students, fellows, internists, cardiologists, pediatricians, cardiovascular surgeons, etc.
Bringing up CSI Cardiology Update-2014 is a prodigious task and requires well-structured team efforts with immense dedication, devotion, and coordination.
I express my thanks to Dr K Venugopal (President, CSI), Dr B Ramesh Babu (Organizing Secretary, 66th Annual Conference of CSI-2014), my co-editors Dr S Ramakrishnan, Dr AK Pancholia and Dr Manish Bansal. They played a useful and pivotal role in structuring the CSI Cardiology Update-2014, including planning and editing.
I also express my gratitude to Dr Santanu Guha (General Secretary, CSI HQ), Dr Amal Banerjee (Past President, CSI) and Dr PK Deb (immediate Past President) for their constant guidance.
I dedicate this state-of-the-art “CSI Cardiology Update-2014” to my teachers, all the members of CSI, my parents, my colleagues, my patients, my students and my family, wife Vinita, daughter Karishma, son-in-law Vikramjeet Singh, son Parikshit, daughter-in-law Nidhi and grandson Kabir for being supportive and encouraging throughout in bringing out CSI Cardiology Update-2014.
I also express my thanks to Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Group President), Mr Tarun Duneja (Director-Publishing), and Ms Samina Khan (PA to Director-Publishing) of M/s Jaypee Brothers Medical Publishers (P) Ltd., New Delhi, for their help and guidance in timely completion of this project.
My sincere thanks goes to Mr Soban Singh who worked really hard to keep record of every minor and finer communications.
I hope CSI Cardiology Update-2014 lives up to the expectations of everyone.
Albert Einstein once said:
“The important thing is not to stop questioning. Curiosity has its own reason for existing.”
HK Chopra
The Scientific Committee of 66th Annual Conference of CSI-2014 expresses its sincere gratitude and thanks to
- Lupin Limited (Pinnacle Division)
- Emcure Pharmaceutical Ltd.
- Dr Reddy's Laboratories Ltd.
- Marico Ltd., and
- Zydus
for rendering unrestricted education grant, which made this book possible in its current enhanced form.