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Dr. SC Manchanda: Heart Failure: Devices, Drugs And Lifestyle

Although used as an option of last resort, cardiac transplant is progressing well in India
Dr S C Manchanda, Senior Consultant at the Department of Cardiology at Sir Ganga Ram Hospital,New Delhi on Non-Pharmacological Methods to avoid Heart Attack
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Dr. SC Manchanda

Senior Consultant Cardiologist

Sir Ganga Ram Hospital, New Delhi


Heart failure is on the rise in spite of all the preventive and therapeutic measures. Non-pharmacological treatment for heart failure involves a low-salt diet, regular weight-check and exercise. It has been shown that gradually increasing exercise can reduce incidence of heart failure. If smoking is a habit, then quit it and for the obese, weight loss is priority,” says Dr. SC Manchanda Regarding pharmacological treatment, he says, “While there have been several advances in the treatment of systolic heart failure, there are not many drugs for diastolic heart failure. ACE inhibitors or ARBs, Diuretics of aldosterone antagonist and beta blockers are three classes of drugs which have proven to reduce mortality.” “Cases of resistant heart failure can be improved slightly with weekly dobutamineinfusion. For better results, left or right hear assist devices can also be used but they are very costlyIf ejection fraction is low, use of Implantable Cardioverter Defibrillator (ICD) to prevent sudden death and Cardiac Resynchronization Therapy (CRT) to improve the heart function is recommended,” Dr. Manchanda talks about alternative methods of coping with resistant heart failures. “Cardiac transplant is usually the last resort, but there’s a long waiting list all over the world. There is some progression in the making of an artificial heart as well.” “A dying person can give life to seven people. The Heart, lungs, eyes, kidneys and liver can all be transferred,” Dr. Manchanda gives an encouraging message.


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Could handheld echocardiography replace a stethoscope?

Dr. Hardeep Kaur

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Dr. Hardeep Kaur

Consultant clinical and preventive cardiology

Medanta, The Medicity


Handheld echocardiography cannot really replace a stethoscope but it can definitely help in an emergency for ruling in and ruling out cardiac involvement. Therefore, helps in quick clinical decision making and also reduces the chances of doing unnecessary tests.


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Recent Advances in Echocardiography and their impact on clinical practice

Dr. Navin C Nanda

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Dr. Navin C Nanda

Director of Echocardiography

University of Alabama, USA



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Echo with telemedicine creates a multiple effect

CAD affects 10%of our population over 40 years

Dr. Sameer Srivastava

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Dr. Sameer Srivastava

Head of Non-invasive Cardiology

Fortis Escorts Heart Institute, New Delhi



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