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Dr. PP Mohanan, Dr.NN Khanna: New Anticoagulation Drugs More Effective In Stroke Prevention

Although ten times pricier, these new generation drugs prove to be cost-effective
Dr.H.K.Chopra In Conversation with Dr.N.N.Khanna & Dr.P.P.Mohanan
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Dr. PP Mohanan

Director and HOD of Cardiology

Westfort Hi-Tech Hospital Thrissur, Kerala

Dr. NN Khanna

Interventional Cardiologist

Apollo Hospital, New Delhi

Dr. HK Chopra

President, Cardiological Society of India

Moolchand Hospital


Atrial Fibrillation (AF) is a condition in which the heart doesn’t beat rhythmically. Dr. PP Mohanan attributes its rising prevalence to the elderly population’s vulnerability towards it, which constitutes 12% of India.In this conversation with Dr. HK Chopra, President, CSI, he also discusses different oral anticoagulant drugs available for stroke prevention- the most dangerous consequence of AF. “The newer generation of these drugs, although way more effective than the older ones like warfarin, are priced ten times higher.”But a cost effective analysis shows that, after costs of routine INR monitoring needed in case of warfarin are considered, the new drugs, which do not require INR check ups, are definitely cost-effective. Another issue of importance brought out by Dr. NN Khanna, Chairman of CSI NIC, is the occurrence of aortic disease in South Asian population ten years earlier than in their western counterparts.“Since ECG doesn’t show any discrepancy, its detection is also difficult unless a CT angiograph is done. When not diagnosed and treated, it puts a person at a 40% risk of dying from a stroke.“With regard to method of operation, Dr. Khanna prefers mechanical intervention over surgical intervention because surgery has a higher rate of mortality.


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Multi-Modality Imaging

Dr.HK Chopra Panel: Dr Amal Banerjee, Dr.Satyendra Tewari, Dr. Jagat Narula and Dr.RR Kasliwal

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Dr.HK Chopra

Best Selling Author - STEMI,Chairman, CSI National Affairs,Past President (2015)

Dr. Amal Banerjee

Chairman

CSI International Affairs

Dr. Satyendra Tewari

Sr. Prof. Dept. of Cardiology

SGPGI, Lucknow



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