With support of Cardiology
Transcript of With support of Cardiology
With support of Association of Physicians of Ahmedabad (APA)
AhmedabadCARDIO CON
2021
“Cardiodiagnostics”announces
Cardiology20th & 21st February, 2021
supported by SAL Hospital and AFPA
Dr. Kamal SharmaChairman,
Scientific Committee
Dr. Kamlesh FataniaPresident
APA
Dr. Jitendra AnandHon. Secretary
APA
Dr. Abhay DixitPresident
Federation of family physiciansassociation of India
Dr. Dhirendra SanandiaPresident
Ahmedabad familyphysicians association
Dr. Jayesh TrivediMD
Past PresidentAPA
Dr. Mukesh Laddha
Dr. Prashant Vazirani Dr. Neha Sharma
Dr. Kalpesh Hansora Dr. Jignesh Patel
UNIQUE“CASE BASED DEBATE” Format
Click Here to Register
Organising Committee
Event Compere
INTERNATIONAL FACULTY
NATIONAL FACULTY
Dr. A. B. MehtaDr. Abhishek RajpopatDr. Abhishek TripathiDr. Ajay NaikDr. Anil R. JainDr. Anoop GuptaDr. B. C. KalmathDr. Bhavesh RoyDr. Bhupesh D. ShahDr. Bhupesh R. ShahDr. C. K. PondeDr. Chetan ShahProf. Dr. Chirag DoshiDr. Chirag SethDr. D. S. ChadhaProf. Dr. D. S. GambhirDr. Dhaval NaikProf. Dr. Hasit JoshiDr. Jay ShahProf. Dr. Jayesh PrajapatiProf. Dr. Jayesh RawalDr. Jignesh PatelDr. Kalpesh HansoraDr. Kamal SharmaDr. Komal VadgamaDr. L Sreenivasa MurthyProf. Dr. Mohit GuptaDr. Mukesh LaddhaDr. N. K. MaheshDr. Nilesh Patel
Mumbai
Ahmedabad
Ahmedabad
Ahmedabad
Ahmedabad
Ahmedabad
Mumbai
Ahmedabad
Ahmedabad
Ahmedabad
Mumbai
Mumbai
Ahmedabad
Vadodara
Manipal, Manglore
New Delhi
Ahmedabad
Ahmedabad
Ahmedabad
Ahmedabad
Ahmedabad
Ahmedabad
Ahmedabad
Ahmedabad
Ahmedabad
Bengaluru
New Delhi
Ahmedabad
Cochin
Palanpur
Dr. Aaysha CaderDr. Erin D. MichosProf. Dr. Mamas A. MamasDr. Peter O' Kane
Bangladesh
USA
UK
UK
Dr. Purvi ParwaniDr. Rosli Bin Mohd. AliDr. Sandeep BasavarajaiahDr. Shilpi Mohan
USA
Malaysia
UK
Kyrgyzstan
Ahmedabad
Pune
Bhopal
Surat
Mumbai
Ahmedabad
Mumbai
New Delhi
Anand
Anand
Chennai
Ahmedabad
Ahmedabad
Ahmedabad
Ahmedabad
Ahmedabad
Madurai
Ahmedabad
Vadodara
Ahmedabad
Pune
Ahmedabad
Ahmedabad
Vadodara
Mumbai
Ahmedabad
Rajkot
Ahmedabad
Ahmedabad
New Delhi
Dr. Niraj YadavDr. Nitin PatkiDr. P. C. ManoriaDr. Pradeep DalwadiProf. Dr. Prafulla KerkarDr. Prashant VaziraniDr. Rahul GuptaDr. Rajeev AggarwalaDr. Rohan ParikhDr. Rutvik TrivediDr. S. ManojDr. Sameer DaniDr. Sameer RaneDr. Sandarbh PatelDr. Sanjay ShahDr. Sanjeev PhatakDr. SelvamaniProf. Dr. Sharad JainDr. Shomu BohoraDt. Shweta NagarDr. Sonali InamdarDr. Sudhir AdalatiDr. Urmil ShahDr. V. C. ChauhanDr. V. T. ShahDr. Vishal GuptaDr. Vishal PoptaniDr. Vivek AryaDr. Vivek WadhvaDr. Viveka Kumar
05:30PM -06:00PM
Talk 1RED CORNER
45 years old female with Acute Anterior wall MI with history of fever for last 5 days with HRCTshowing CORADS-5 with CT score of 12/25 with RTPCR positive for COVID-19 presented withina window period of 3 hours to a “COVID-19 cath-lab enabled centre” with Killip class 2 withHR 70bpm, BP- 146/76mmHg with SaO2 of 96% with 2 litre/min of oxygen with nasal prongswith ongoing severe rest angina. The best strategy apart from loading DAPT, statin andmedical optimization would be –
BOUT 1. ACUTE ST ELEVATION MI in COVID-19
05:00PM
INAUGURATION
CORE CARDIOLOGYEINTHOVEN HALL (A)
Day 1 (20th February 2021, Saturday)
Dr. Mukesh Laddha(Ahmedabad)
Chief GuestDr. R. K. Patel Hon. Director, UN Mehta Institute ofCardiology and Research Centre,BJ medical college, civil Hospital,Ahmedabad
Guest of HonorShri Rajendrabhai ShahCMD and Owner SAL HospitalsShah Alloys Limited SAL Education Campus
THROMBOLYSIS with any novel lyticagent is best as time is muscle! (7 min)
Talk 2BLUE CORNER
Dr. Kalpesh Hansora(Ahmedabad)
Primary PCI is best strategy for completerevascularization and time delay in thelogistics is not so huge here!
(7 min)
Talk 3YELLOW CORNER
Referees(Chairpersons)
Dr. V. C. Chauhan(Vadodara)
Dr. Gaurav Gandhi (Jamnagar)
Dr. Sanjay Vaghani(Surat)
Dr. Kewal Kanabar(Ahmedabad)
Scorers(Moderators)
Dr. Jitendra Anand (Ahmedabad)
Dr. Devang Shah(Ahmedabad)
Dr. Ronak Shah (Ahmedabad)
rTPA is the preferred agent for lysisin STEMI in COVID-19
TAKE HOME MESSAGE & PANEL DISCUSSION
(7 min)
(8 min)
06:00PM -06:30PM
Talk 4BLUE CORNER
A 66 years old male weight 65 kg. with history of Paroxysmal AF without past history of anyembolic phenomenon with CHADS2VASc2 score of 4 and HASBLEED score of 2 had undergonePTCA to LAD for AWMI with 95% proximal lesion 14 months back. Apart from standardmedical care, Optimal anticoagulation strategy would include -
BOUT 2. ATRIAL FIBRILLATION
Dr. C. K. Ponde(Mumbai)
DABIGATRAN AS NOAC IS THEMOST WIDELY STUDIED (7 min)
Talk 5RED CORNER
Dr. Ajay Naik (Ahmedabad)
RIVAROXABAN AS NOAC IS THE MOSTEVIDENCE BASED THERAPY insuch a scenario
(7 min)
Talk 6YELLOW CORNER
Referees(Chairpersons)
Dr. Jay Shah(Ahmedabad)
Dr. Nikhil Jadhav(Mumbai)
Dr. K. K. Goyal(Ahmedabad)
Dr. Jit Brahmbhatt(Ahmedabad)
Scorers(Moderators)
Dr. Bhavesh Patel(Ahmedabad)
Dr. Smittesh Dutt(Ahmedabad)
Dr. Pragnesh Vora(Ahmedabad)
APIXABAN IS THE SAFEST NOACin this scenario
TAKE HOME MESSAGE & PANEL DISCUSSION
(7 min)
(8 min)
07:30PM -08:00PM
Talk 12RED CORNER
65 year old female with normal QRS duration of 90ms. with normal coronary angiographyhas NYHA Class 3 dyspnea with severe LV DYSFUNCTION with LVEF 25%. Her creatinine is1.8 mg.% with eGFR of 38 ml/mim/m2 .She is on beta blockers, digitalis, diuretics andSGLT2-I .What would be the best option as an add-on for her in the current scenario -
BOUT 5. HEART FAILURE
Prof. Dr. Prafulla Kerkar(Mumbai)
ARNI would be the game changer(7 min)
Talk 13BLUE CORNER
Dr. Rutvik Trivedi(Anand)
Adding ISOSORBIDE DINITRATE WITHHYDRALAZINE as the safest class wouldbe the preferred agent
(7 min)
Talk 14YELLOW CORNER
Referees(Chairpersons)
Dr. Abhishek Rajpopat(Ahmedabad)
Dr. Shalin Thakore(Ahmedabad)
Dr. Dinesh Raj(Rajkot)
Dr. Aalap Patel(Mehsana)
Scorers(Moderators)
Dr. Atul Parikh(Ahmedabad)
Dr. Gyanendra Singh(Ahmedabad)
Dr. Mustafa Rangwala(Ahmedabad)
ACE are less likely to cause hypotensionand other side-effects and can still bechosen ahead of others
TAKE HOME MESSAGE & PANEL DISCUSSION
(7 min)
(8 min)
06:30PM -07:00PM
Talk 7BLUE CORNER
65 years old diabetic, hypertensive weighing 66 kg. with past history of coronary angioplastyto LAD with DES implanted 7 months back on Clopidogrel and Aspirin presents with recurrentmild hematuria but normal hemoglobin which on work up reveals BPH as possible etiology.His eGFR is 60ml/min. The ideal single antiplatelet would be -
BOUT 3. ANTIPLATELETS- HIGH BLEEDING RISK/SINGLE ANTIPLATELET
Dr. Viveka Kumar (New Delhi)
TICAGRELOR is an all season antiplateletwithout higher bleeding risk withhigher efficacy
(7 min)
Talk 8RED CORNER
Dr.Chetan Shah(Mumbai)
PRASUGREL is the preferred Antiplateletgiven for his risk profile! (7 min)
Talk 9YELLOW CORNER
Referees(Chairpersons)
Prof. Dr. Sharad Jain(Ahmedabad)
Dr. Sachin Patil(Nagpur)
Dr. Sunil Gurmukhani(Ahmedabad)
Dr. Kartik Natrajan(Ahmedabad)
Scorers(Moderators)
Dr. Falguni Vora(Ahmedabad)
Dr. Chetan Nayak(Ahmedabad)
Dr. Kamlesh Fatania(Ahmedabad)
Clopidogrel is the safest choice amongstthe three options
TAKE HOME MESSAGE & PANEL DISCUSSION
(7 min)
(8 min)
07:00PM -07:30PM
Talk 10BLUE CORNER
45 years old Male without DM or HTN with strong family history of CAD presents withunstable angina with LMCA – LAD ( A,B, c) (medina 1,1,0) with normal non-dominantLCX and normal RCA on angiography (LM-LAD disease). Best Strategy will be -
BOUT 4. LEFT MAIN CORONARY ARTERY DISEASE
Dr. Anil R. Jain (CVTS) (Ahmedabad)
LIMA is the best option (8 min)
Talk 11RED CORNER
Dr. Kamal Sharma(Ahmedabad)
LEFT MAIN ANGIOPLASTY is best for him(8 min)
Referees(Chairpersons)
Dr. Mridul Sharma (Rajkot)
Dr. V. C. Chauhan(Vadodara)
Dr. Zeeshan Mansuri(Ahmedabad)
Scorers(Moderators)
Dr. Nitin Parikh(Ahmedabad)
Dr. Vimal Prajapati(Ahmedabad)
Dr. Dharmesh Prajapati(Ahmedabad)
TAKE HOME MESSAGE & PANEL DISCUSSION (8 min)
08:00PM -08:30PM
Talk 15BLUE CORNER
A 90kg Male on optimal cardiac medications has DM with HBA1C of 8.2 mg% withBMI 34.5 kg/m2. His LVEF is 30% on echocardiography. He has history of ischemic stroke2 years back. Best SGLT2 Inhibitor apart from lifestyle modi�cation and GDMT would be-
BOUT 6. DIABETES AND HEART FAILURE - SGLT2 INHIBITORS
Prof. Dr. Prafulla Kerkar(Mumbai)
DAPAGLIFLOZIN is the preferred SGLT2i(7 min)
Talk 16RED CORNER
Dr. Sanjeev Phatak(Ahmedabad)
EMPAGLIFLOZIN is the preferred SGLT2i(7 min)
Talk 17YELLOW CORNER
Referees(Chairpersons)
Dr. Pradeep Dalwadi (Surat)
Dr. Dharmesh Solanki(Rajkot)
Dr. Abhishek Rawal(Rajkot)
Dr. Nilesh Purshottam(Surat)
Scorers(Moderators)
Dr. Manish Aggrawal(Ahmedabad)
Dr. Satish Chikhalkar(Ahmedabad)
Dr. Devendrasinh Zala(Sanand / Ahmedabad)
CANAGLIFLOZIN is the preferred SGLT2-Iin view of past history of stroke
TAKE HOME MESSAGE & PANEL DISCUSSION
(7 min)
(8 min)
08:30PM -09:00PM
Talk 18BLUE CORNER
33 years old Male presented with acute IWMI for which he underwent successful PCI to LCX .His lipids show TG of 332mg%, HDL of 33 mg% and LDL of 111 mg%. He is already started on20 mg of rosuvastatin. Apart from optimal medical therapy for ACS and lifestyle modi�cation,best recommended regime for him would be
BOUT 7. DIET AND LIFESTYLE MODIFICATION
Dr. Erin D. Michos(USA)
Mediterranean diet is the most studiedand time tested preposition (7 min)
Talk 19RED CORNER
Dt. Shweta Nagar(Ahmedabad)
Dietary modification using indigenousIndian meals can easily be achieved andare more likely to be accepted
(7 min)
Talk 20YELLOW CORNER
Referees(Chairpersons)
Dr. Shilpi Mohan(Bishkek, Kyrgyzstan)
Dr. Dhaval Doshi(Ahmedabad)
Dr. Nikhila Panchani(Rajkot)
Dt. Poonam Brahmbhatt(Ahmedabad)
Scorers(Moderators)
Prof. Dr. Mahadev Desai(Ahmedabad)
Prof. Dr.Naim Kadri(Ahmedabad)
Prof. Dr. Shivani Patel(Ahmedabad)
How you burn them is more importantrather than what you eat !
TAKE HOME MESSAGE & PANEL DISCUSSION
(7 min)
(8 min)
05:30PM -06:00PM
Talk 21RED CORNER
65 year old male has exertional angina class III with mild COPD well controlled on oralmedication and occasional inhalers has normal coronaries with LMCA “take o�” 5 mm fromthe aortic valve with SEVERE sclerodegenerative Aortic Stenosis with gradient of 88/ 52 mmHgon echo. His STS score is 5 ( intermediate) with suitable lower limb CT. The best strategyfor him would be
BOUT 8. VALVULAR HEART DISEASE
INTERVENTIONAL CARDIOLOGYGRUENTZIG HALL (B)
Day 1 (20th February 2021, Saturday)
Dr. A. B. Mehta(Mumbai)
Transcatheter aortic valve replacementis a better strategy (TAVR) (8 min)
Talk 22BLUE CORNER
Dr. Sudhir Adalati (CVTS) (Ahmedabad)
Surgical Aortic valve replacement(SAVR) remains gold standard (8 min)
Referees(Chairpersons)
Dr. Tushar Shah(Ahmedabad)
Dr. Sunil Thanvi(Ahmedabad)
Dr. Manek Chopra(Ahmedabad)
Scorers(Moderators)
Dr. Sunil Karna(Karamsad)
Dr. Kiran Prajapati(Ahmedabad)
Dr. Kapil Virpariya (Rajkot)
TAKE HOME MESSAGE & PANEL DISCUSSION (8 min)
06:00PM -06:30PM
Talk 23BLUE CORNER
A case of Hyperacute anterior wall MI in 38-year-old Male presents with Pulse of 115 bpm withBP 80/55 on “low dose” of noradrenaline infusion has SaO2 of 94% with bibasal crepts is intubatedand put on mechanical ventilation. His COVID-19 is negative by RT-PCR and has normal HRCT thoraxand is being shifted to Cath- lab for Primary PCI with pH of 7.1 and serum lactate of 9.8 mg%. Echoshows moderate ischemic MR (30-35%) with severe LV dysfunction (LVEF-25%). Preferredmechanical assist device for PPCI in this cardiogenic shock would be-
BOUT 9. CARDIOGENIC SHOCK
Dr. Sanjay Shah(Ahmedabad)
IABP is cost effective in selectedcases and still works ! (7 min)
Talk 24RED CORNER
Dr. S. Manoj(Chennai)
Impella is the way forward !(7 min)
Talk 25YELLOW CORNER
Referees(Chairpersons)
Dr. Dhaval Naik (Ahmedabad)
Dr. Parag Seth(Ahmedabad)
Dr. Harsh Ghonia(Rajkot)
Dr. Ronak Shah (Himmatnagar)
Scorers(Moderators)
Dr. Gaurav Singh(Ahmedabad)
Dr. Ashish Mishra(Ahmedabad)
Dr. Kilol Kaneria (Vadodara)
ECMO is best suited for him looking atthe complexity of the presentation
TAKE HOME MESSAGE & PANEL DISCUSSION
(7 min)
(8 min)
06:30PM -07:00PM
Talk 26BLUE CORNER
A 56 years old Male with new onset of atypical angina has “borderline” stress test (TMT) at8 minutes without symptoms ,on angiography revealed 60%- 70% stenosis on QCA at theLAD ostium with 65% (QCA) of large Diagonal . Best strategy �orthe decision making for himwould be aided by-
BOUT 10. CORONARY IMAGING AND PHYSIOLOGICAL ASSESSMENT
Dr. Selvamani(Madurai)
Imaging (IVUS /OCT) AS SEEING IS BELIEVING!(8 min)
Talk 27RED CORNER
Dr. Peter O' Kane(United Kingdom)
Physiological assessment (FFR /iFR/RFR) ismore appropriate BECAUSE CORONARIESARE NOT RIGID PIPES
(8 min)
Referees(Chairpersons)
Dr. Madhu Sreedharan(Trivandrum)
Dr. Anand Shukla(Ahmedabad)
Dr. Jayal Shah (Ahmedabad)
Scorers(Moderators)
Dr. Subhash Chaudhary(Ahmedabad)
Dr. Mandip Tilara(Rajkot)
Dr. Hiren Anghan(Surat)
TAKE HOME MESSAGE & PANEL DISCUSSION (9 min)
07:30PM -08:00PM
Talk 30BLUE CORNER
55 years old male has unstable angina with 95 % calci�ed, tortuous, long LAD lesion withresting ECG changes in anterior leads with LVEF of 55% with negative biomarkers andpositive TMT at 5 METS. Best Strategy to plaque modi�cation would be -
BOUT 12. PLAQUE MODIFICATION
Prof. Dr. D. S. Gambhir (New Delhi)
ROTABLATION- OLD IS GOLD !(8 min)
Talk 31RED CORNER
Dr. D. S. Chadha(Manipal, Manglore)
IVL is a game-changing option -ByeBye Rota ! (8 min)
Referees(Chairpersons)
Dr.Prakashveer Parikh(Ahmedabad)
Dr. Mihir Tanna(Rajkot)
Dr. Apurva Vasavda(Surat)
Scorers(Moderators)
Dr. Jevin Jhameria(Nadiad)
Dr. Mukesh Jha(Indore)
Dr. Pratik Raval(Ahmedabad)
TAKE HOME MESSAGE & PANEL DISCUSSION (9 min)
Talk 28RED CORNER
Dr. B. C. Kalmath(Mumbai)
Stent design parameters’ ( viz. Strut thickness,trackability, radial strength etc.) are moreimportant parameters
(8 min)
Talk 29BLUE CORNER
Dr. Sameer Dani(Ahmedabad)
Drug platform (dose, elution profile) andpolymer (bio degradable) are moreimportant determinants with availabilityof new delivery systems / catheters
(8 min)
Referees(Chairpersons)
Dr. Kamlesh Thakkar(Ahmedabad)
Dr. Vipul Kapoor(Ahmedabad)
Dr. Tejas V. Patel(Ahmedabad)
Scorers(Moderators)
Dr. Priyank Mody(Surat)
Dr. Nikunj Kotecha(Ahmedabad)
Dr. Ravi Singhvi(Ahmedabad)
TAKE HOME MESSAGE & PANEL DISCUSSION (9 min)
07:00PM -07:30PM
A 50 year old Politician with Diabetes, unstable angina is planned to undergo PTCA totortuous “Shepherd Crook" long 90% RCA lesion. The stent parameter that helps in choosingthis stenting would be –
BOUT 11. STENT SELECTION
08:00PM -08:30PM
Talk 32BLUE CORNER
58 years old lady with degenerative complete heart block with Recent NSTEMI underwentcoronary angiography which shows critical left main with triple vessel disease. Best permanent pacing timing would be
BOUT 13. PACEMAKERS
Dr. Vivek Wadhva (CVTS)(Ahmedabad)
Epicardial pacemaker implantation atthe time of CABG (8 min)
Talk 33RED CORNER
Dr. Sameer Rane(Ahmedabad)
Tranvenous PPI post-CABG later on beforedischarge is a better strategy (8 min)
Referees(Chairpersons)
Dr. Dhammdeep Humane(Mumbai)
Dr. Hitesh Shah(Ahmedabad)
Dr. Chirag Patel(Ahmedabad)
Scorers(Moderators)
Dr. Parshva Vora(Rajkot)
Dr. Keyur Patel(Surat)
Dr. Manjunath Pandit(Mangalore)
TAKE HOME MESSAGE & PANEL DISCUSSION (9 min)
08:30PM -09:00PM
50 year old Male presents with acute inferior wall MI with window period of 5 hours withBP 80/60 mmHg with past history of hypertension and diabetes preloaded with TICAGRELORand aspirin has heart rate of 32 bpm due to complete heart block with giddiness. The preferredroute of PCI would be -
BOUT 14. ROUTE OF INTERVENTION
Talk 34BLUE CORNER
Prof. Dr. Mamas A. Mamas(United Kingdom)
RADIAL - Even if Temporary pacemaker isneeded , even then radial route is the preferred modality
(8 min)
Talk 35RED CORNER
Dr. Bhupesh R. Shah (Ahmedabad)
Femoral route is less cumbersome as thegroin is anyway being punctured forTemporary pacemaker insertion
(8 min)
Referees(Chairpersons)
Prof. Dr. Ajay Mahajan (Mumbai)
Dr. S. Sanghvi(Jodhpur)
Dr. Rasesh Pothiwala(Ahmedabad)
Scorers(Moderators)
Dr. Alok Shinde(Pune)
Dr. Kushal Pujara(Karamsad)
Dr. Amit Patil(Mumbai)
TAKE HOME MESSAGE & PANEL DISCUSSION (9 min)
09:00PM -09:30PM
78 year old Male presents with NSTEMI with BP 170/90 mmHg with past history of hypertensionand diabetes preloaded with Clopidogrel and aspirin has heart rate of 88 bpm shows isolatedshort LAD osteal calci�ed 90% lesion with dominant LCX vessel. The preferred predialationstrategy would be -
BOUT 15. CORONARY “BED” PREPARATION
Talk 36BLUE CORNER
Dr. N. K. Mahesh(Cochin)
High pressure balloon (Balloon in Balloon)is most likely to yield optimal preparation (8 min)
Talk 37RED CORNER
Dr. Bhavesh Roy(Ahmedabad)
Cutting/ scoring balloons are safer andtime tested strategy (8 min)
Referees(Chairpersons)
Dr. Satyam Udhreja(Rajkot)
Dr. Pujan Shah(Rajkot)
Dr. Navin Agrawal(Valsad)
Scorers(Moderators)
Dr. Ritesh Vekariya(Surat)
Dr. Senthil (Ahmedabad)
Dr. Nilesh Chandak(Amravati)
TAKE HOME MESSAGE & PANEL DISCUSSION (9 min)
10:30AM -11:00AM
Talk 38BLUE CORNER
53 years old female with hypertension and dyslipidemia presented with new onset of atypicalangina with nonspeci�c ST-T changes. Her LVEF on Echocardiography is 55% with no evidentRWMA. She has severe bilateral OA knee. The best strategy for CAD evaluation (rather thaninvasive coronary angiography) would be
BOUT 16. STABLE CAD -ISCHEMIA EVALUATION
“ALL WOMEN-IN- CARDIOLOGY” SESSION
CORE CARDIOLOGYEINTHOVEN HALL (A)
Day 2 (21st February 2021, Sunday)
Dr. Sonali Inamdar(Pune)
Pharmacological stress Echocardiographywould be the best choice (7 min)
Talk 39RED CORNER
Dr. Purvi Parwani(USA)
Stress CVMRI would be best strategy(7 min)
Talk 40YELLOW CORNER
Referees(Chairpersons)
Dr. Komal Vadgama (Ahmedabad)
Dr. Aaysha Cader(Bangladesh)
Dr. Prerna Chetri(Gangtok)
Dr. Pooja Vyas (Ahmedabad)
Scorers(Moderators)
Dr. Neha Sharma(Ahmedabad)
Dr. Bhoomi Patel(Ahmedabad)
Dr. Priyal Shah(Ahmedabad)
CT angiography is a safe and reliable option
TAKE HOME MESSAGE & PANEL DISCUSSION
(7 min)
(8 min)
11:00AM -11:30AM
Talk 41RED CORNER
A 55 year old male diabetic, hypertensive, dyslipidemic, strong family history with past historyof CV stroke 2 years back with near complete recovery and post PTCA status with 3 stents1 year back comes for follow up. Apart from medical optimization and lifestyle modi�cationbest strategy for risk reduction would be –
BOUT 17. High risk CAD- Long term strategy
Dr. Nitin Patki (Pune)
RIVAROXABAN 2.5 mg BD with aspirin (7 min)
Talk 42BLUE CORNER
Dr. Rahul Gupta (Mumbai)
TICAGRELOR 60 mg BD with aspirin (7 min)
Talk 43YELLOW CORNER
Referees(Chairpersons)
Dr. Jignesh Patel(Ahmedabad)
Dr. Nirav Bhalani(Vadodara)
Dr. Vineet Sankhla(Ahmedabad)
Dr. Vishal Sharma(Ahmedabad)
Scorers(Moderators)
Dr. Kamlesh Upadhyay(Ahmedabad)
Dr. Dhiren Joshi(Ahmedabad)
Dr. Mukul Oza(Ahmedabad)
Data for clopidogrel with aspirin beyond1 year makes it a cheaper alternative
TAKE HOME MESSAGE & PANEL DISCUSSION
(7 min)
(8 min)
11:30AM -12:00PM
Talk 44BLUE CORNER
35 year old Male with family history of CAD in younger brother presents with 90% lesion in LADwith NSTEMI with LDL of 138 mg%, HDL of 32 mg% and TG of 322mg%. His Lp(a) is 60mg% andhe is already on Rosuvastatin 20mg .The Best strategy post-revascularization to manage hislipids apart from high dose statins and lifestyle modi�cation would be -
BOUT 18. LIPIDOLOGY
Dr. V. T. Shah(Mumbai)
PCSK9 INHIBITORS ARE PROVEN andbetter strategy (7 min)
Talk 45RED CORNER
Dr. Rajeev Aggarwala(New Delhi)
EZETEMIBE is much cheaper & Effectiveto IMPROVE-IT (7 min)
Talk 46YELLOW CORNER
Referees(Chairpersons)
Dr. Urmil Shah(Ahmedabad)
Dr. Amit Chaudhary(Nashik)
Dr. Sanjiv Bhatia(Ahmedabad)
Dr. Tushar Bhatti(Rajkot)
Scorers(Moderators)
Dr. Shashi Mundra(Ahmedabad)
Dr. Raghu Satyanarayan(Ahmedabad)
Dr. Jitendra Patel(Ahmedabad)
Omega 3 has VITAL and ASCENDing datato REDUCE-IT too now !!
TAKE HOME MESSAGE & PANEL DISCUSSION
(7 min)
(8 min)
12:00PM -12:30PM
Talk 47BLUE CORNER
55 years old Male with heart rate of 92 bpm with Grade I asymptomatic MVP without Marfanoidfeatures with mean BP of 152/98 mm on ABPM. Drug of choice would be
BOUT 19. HYPERTENSION
Dr. Rohan Parikh (Anand)
NOVEL BETA BLOCKERS are preferred inview of the clinical profile (7 min)
Talk 48RED CORNER
Dr. Nilesh Patel(Palanpur)
ACEi / ARB is the first choice in youngpatients as per the guidelines (7 min)
Talk 49YELLOW CORNER
Referees(Chairpersons)
Dr. Abhishek Tripathi(Ahmedabad)
Dr. Dharmin Bhalodia(Junagadh)
Dr. Himanshu Meghnathi(Nadiad)
Dr. Hussain Bhatia(Vadodara)
Scorers(Moderators)
Prof. Dr. Parul Bhatt(Ahmedabad)
Dr. Anil Kulshrestha(Ahmedabad)
Dr. Nehal Sadhu(Ahmedabad)
Newer CCB with emerging activity maybe a better choice
TAKE HOME MESSAGE & PANEL DISCUSSION
(7 min)
(8 min)
12:30PM -01:00PM
Talk 50BLUE CORNER
52 year old male patient post PTCA to LAD 3 years with weight of 98 kg with creatinine of1.8 mg% (eGFR = 35 ml/min/m2) on SGLT2 i , metformin and insulin glargine has HBA1C of8.2 mg % with FBS of 165 mg% and PPBS of 289 mg%. His LVEF is 42 % with grade 2 diastolicdysfunction with NYHA class 2. The next line of anti diabetic medication apart from diet, abovemedication and lifestyle modi�cation would be –
BOUT 20. CAD & DIABETES - GLP1a /DPP4/AGI
Dr. P. C. Manoria (Bhopal)
GLP1a are the most proven therapy in sucha high risk patient in such a scenario (7 min)
Talk 51RED CORNER
Dr. Vivek Arya(Ahmedabad)
DDP4i are safe, oral, inexpensive andbetter alternative in such patients (7 min)
Talk 52YELLOW CORNER
Referees(Chairpersons)
Dr. L Sreenivasa Murthy(Bengaluru)
Dr. Banshi Saboo(Ahmedabad)
Dr. Rucha Mehta(Ahmedabad)
Dr. Apurva Parekh(Ahmedabad)
Scorers(Moderators)
Dr. G. R. Badlani (Ahmedabad)
Dr. Surendra Gupta(Palanpur)
Dr. Shabbir Gadi(Ahmedabad)
AGI/ Meglinitide analogue are safer betin view of CKD
TAKE HOME MESSAGE & PANEL DISCUSSION
(7 min)
(8 min)
01:00PM -01:30PM
Talk 53RED CORNER
76 year old female with history of old inferior wall MI due to occluded LCX had underwent CABG8 years back for triple vessel disease, now has occluded SVG to LCX graft but patent SVG to RCA andLIMA to LAD. Stress radionuclear imaging had revealed mild reversible ischemic territory ofLCX (SDS=2). Her LVEF is 35% and patient has class II angina along with class II dyspnea onglycerine trinitrate 2.6 mg twice daily apart from DAPT and high dose statins He is already onMetoprolol 50 mg per day , ACE-inhibitors and diuretics. His resting heart rate is 78 bpm and BP of106/70 mmHg. He has occasional VPC on ECG. The preferred modality of next line ofanti-anginal would be –
BOUT 21. STABLE CORONARY ARTERY DISEASE
Dr. Prashant Vazirani(Ahmedabad)
Ivabradine is the preferred drug in view ofelevated resting heart rate and LV dysfunction (7 min)
Talk 54BLUE CORNER
Dr. Sandarbh Patel(Ahmedabad)
Ranolazine is the preferred antianginal inview of additional anti-arrhythmic benefits (7 min)
Talk 55YELLOW CORNER
Referees(Chairpersons)
Prof. Dr. Jayesh Prajapati(Ahmedabad)
Dr. Tarun Dave(Ahmedabad)
Dr. Lal Daga(Ahmedabad)
Dr. Uttam Chandarana (Ahmedabad)
Scorers(Moderators)
Prof. Dr. B. B. Solanki(Ahmedabad)
Dr. Ashvin Gadhavi(Ahmedabad)
Dr. Mayank Parmar (Mehsana)
Trimetazidine has additional benefit ofischemic remodelling esp. in LV dysfunction
TAKE HOME MESSAGE & PANEL DISCUSSION
(7 min)
(8 min)
10:30AM -11:00AM
Talk 56BLUE CORNER
A 55 years old Male presents with NSTEMI with instent restenosis of 95% in proximal LAD stent4x28 mm implanted 9 months back. His eGFR is 45 ml/min/m2. The preferred mode of imagingduring the revascularization would be -
BOUT 22. IMAGING AND ISR
INTERVENTIONAL CARDIOLOGYGRUENTZIG HALL (B)
Day 2 (21st February 2021, Sunday)
Dr.Chirag Seth(Vadodara)
HD-IVUS is preferred in view of proximallesion with altered renal function (8 min)
Talk 57RED CORNER
Dr. N. K. Mahesh (Cochin)
OCT is preferred modality despite borderlinerenal function and proximal lesion due tohigher efficacy
(8 min)
Referees(Chairpersons)
Prof. Dr. Tejas M. Patel(Ahmedabad)
Prof. Dr. Justin Paul(Chennai)
Dr. Joyal Shah(Ahmedabad)
Scorers(Moderators)
Dr. Parminder Singh(Nanded)
Dr. Tushar Nikam(Aurangabad)
Dr.Prakash Vazirani(Ahmedabad)
TAKE HOME MESSAGE & PANEL DISCUSSION (9 min)
11:00AM -11:30AM
Talk 58BLUE CORNER
A 72 years old Male, post CABG status 7 years back, presented with NSTEMI with patent LIMA toLAD with 90% ISR in previously stented proximal SVG to OM graft size 4.5x 38 mm,6 monthsback with viable territory.
BOUT 23. ISR MANAGEMENT-DRUG ELUTING BALLOON /STENTING
Dr. Sandeep Basavarajaiah (UK)
Drug eluting balloon assisted by imagingis preferred strategy (8 min)
Talk 59RED CORNER
Dr. Prof. Dr. Mohit Gupta (New Delhi)
Being degenerative in nature denovostenting the best solution (8 min)
Referees(Chairpersons)
Dr. Rohit Mathur(Jodhpur)
Dr. Amol Aggrawal(Ahmedabad)
Dr. Sibasis Sahoo(Ahmedabad)
Scorers(Moderators)
Dr. Rushikesh(Nagpur)
Dr. Jayesh Meniya(Surendranagar)
Dr. Girish Bachav(Surat)
TAKE HOME MESSAGE & PANEL DISCUSSION (9 min)
11:30AM -12:00PM
Talk 60BLUE CORNER
A 55 years old Male with large saccular abdominal aortic aneurysm size 8 x 12 x 11 cm withpartial thrombus presents with abdominal angina. The right renal and inferior mesentric arteriesarise from the same. The preferred management would be
BOUT 24. PERIPHERAL VASCULAR DISEASE – ABDOMINAL AORTIC ANEURYSM
Dr. Anoop Gupta(Ahmedabad)
EVAR with side branch protection ispreferred strategy (8 min)
Talk 61RED CORNER
Dr. Vishal Gupta (CVTS) (Ahmedabad)
Surgical Endograft with re-implantation/protection is preferred modality (8 min)
Referees(Chairpersons)
Dr. P. Kamath(Mangalore)
Dr. Tarun Madan(Ahmedabad)
Dr. Jignesh Kothari (CVTS)(Ahmedabad)
Scorers(Moderators)
Dr. Benny Jose (Pune)
Dr. Pramesh Gaidhane(Gondia)
Dr. Manish Juneja(Nagpur)
TAKE HOME MESSAGE & PANEL DISCUSSION (9 min)
12:00PM -12:30PM
Talk 62BLUE CORNER
A 55 years old female presents with NSTEMI with triple vessel coronary artery disease withLVEF 45%. Patient has history of Left sided TIA twice 12 months back and on preoperative workupnow shows 95% stenosis in right ICA with mild disease in Left CA on carotid angiography. Thepreferred sequence of revascularization would be -
BOUT 25. CAD AND CAROTID ARTERY STENOSIS
Prof. Dr. Chirag Doshi (CVTS)(Ahmedabad)
CABG with same sitting RightCarotid endartrectomy (8 min)
Talk 63RED CORNER
Prof. Dr. Hasit Joshi(Ahmedabad)
Carotid PTA prior to CABG wouldmake things easier (8 min)
Referees(Chairpersons)
Dr. Bikramaditya Padhi(Vadodara)
Dr. Gajendra Dubey(Ahmedabad)
Dr. Roopesh Singhal(Ahmedabad)
Scorers(Moderators)
Dr. Tanmay Agrawal(Ahmedabad)
Dr. Tarun Bansal(Lucknow)
Dr. Riyaz Charaniya(Ahmedabad)
TAKE HOME MESSAGE & PANEL DISCUSSION (9 min)
12:30PM -01:00PM
Talk 64BLUE CORNER
A 22 years old unmarried FEMALE presented with exertional fatigue and grade 3 systolic murmurat pulmonary area has large 34x 38 mm ostium secundum ASD with de�cient superior rim andborderline IVC rim but adequate SVC and aortic rim has Qp/Qs of 2.2 with mild PAH.Best strategy would be-
BOUT 26. ADULT CONGENITAL HEART DISEASE
Dr. Vishal Poptani(Rajkot)
ASD Device closure is best strategy (8 min)
Talk 65RED CORNER
Dr. Bhupesh D. Shah (CVTS)(Ahmedabad)
Minimal invasive thoracotomy surgicalclosure is preferable (8 min)
Referees(Chairpersons)
Dr. Amit Mishra (CVTS)(Ahmedabad)
Dr. Swati Garekar(Mumbai)
Dr. Kashyap Seth(Ahmedabad)
Scorers(Moderators)
Dr. Bhavik Champaneri(Ahmedabad)
Dr. Tarun Parmar(Ahmedabad)
Dr. Anil K. Jain (Ahmedabad)
TAKE HOME MESSAGE & PANEL DISCUSSION (9 min)
01:00PM -01:30PM
Talk 66BLUE CORNER
A 55 years old Male with grade II dyspnea shows LAHB with RBBB with QRSd of 120ms with0.22ms PR interval. His 14 days loop recorder yielded VPC burden of 4% of total QRS .There ishistory of “cardiac syncope” twice over last 4years. He has history of old anteroseptal MI withrecanalised coronaries in a recent coronary angiography. His CVMRI shows small apical scar withLVEF of 42%. Apart from medical optimisation
BOUT 27. HEART FAILURE AND DEVICES
Dr. Shomu Bohora(Vadodara)
AICD will be more suitable aspreferred device therapy (8 min)
Talk 67RED CORNER
Dr. Niraj Yadav (Ahmedabad)
DDDR alone shall suffice as of now(8 min)
Referees(Chairpersons)
Dr. Anoop Gupta(Ahmedabad)
Dr. Saurin Shah(Ahmedabad)
Dr. Chirayu Vyas(Ahmedabad)
Dr. Mehul Patel(Palanpur)
Scorers(Moderators)
Dr. Ravish Rawal(Mumbai)
Dr. Abhimanyu Kothari(Ahmedabad)
TAKE HOME MESSAGE & PANEL DISCUSSION (9 min)
01:30PM -02:00PM
Talk 68BLUE CORNER
56 year old Male presents with NSTEMI with Troponin I of 2021 ng% with BP 110/60 mmHg withhistory of hypertension and diabetes is preloaded with Clopidogrel and aspirin. His heart rate is110 bpm with ECG showing deep T inversion in 1, aVL and V5, V6. On coronary angiogram it revealscritical around 18 mm lesion with 95% stenosis in 2.5 mm long Diagonal �rst. The preferredrevascularization strategy would be -
BOUT 28. SMALL VESSEL DISEASE
Dr. Rosli Bin Mohd. Ali (Malaysia)
Drug eluting balloon offers better outcomesin small vessel disease (8 min)
Talk 69RED CORNER
Prof. Dr. Jayesh Rawal(Ahmedabad)
New generation Drug eluting stents mayoffer better outcomes in small vessel disease (8 min)
Referees(Chairpersons)
Dr. Shamik Brahmbhatt(Ahmedabad)
Dr. Kinjal Bhatt (Rajkot)
Dr. Jagjeet Deshmukh(Pune)
Scorers(Moderators)
Dr. Mithlesh Kulkarni(Ahmedabad)
Dr. Vipin Bhangdiya(Nanded)
Dr. Nilay Patel(Valsad)
TAKE HOME MESSAGE & PANEL DISCUSSION (9 min)
A. ECHOCARDIOGRAPHIC ASSESSMENT OF - 1. Mitral stenosis - Dr. Nikunj Kotecha 2. Mitral Regurgitation - Dr. Nilay Patel 3. Aortic Stenosis - Dr. Parshva Vora 4. Aortic Regurgitation - Dr. Kewal Kanabar 5. 3D Echocardiography - Dr. Gajendra Dubey 6. Transesophageal Echocardiography - Dr. Vishal Sharma 7. Tissue Doppler imaging - Dr. Riyaz Charaniya 8. Strain rate imaging - Dr. Gaurav Singh 9. Diastolic function assessment - Dr. Ashish Mishra
B. Covid-19 and Cardiology - 10. Arrythmias in Covid - Dr. Dinesh Joshi 11. NOAC/DOAC approriate indication - Dr. Pratik Rawal 12. Pulmonary Embolism and DVT - Dr. Kartik Natrajan 13. Thrombolytics - Dr. Benny Jose 14. Alteplase as preferred thrombolytic in massive pulmonary Embolism - Dr. Zakia Khan
C. Basics of practical Biostatistics - 15. Calculating sample size – Dr. Komal Shah 16. Net number to treat/Harm - Dr. Kamal Sharma 17. Odds ratio and hazard ratio - Ms. Krutika Patel 18. Relative risk and absolute risk - Ms. Iva Patel
D. Things to rule out in - 19. Refractory angina post- complete revascularization - Dr. Sanjiv Bhatia 20. Recurrent instent restenosis - Dr. Jayal Shah 21. Refractory heart failure - Dr. Roopesh Singhal 22. Recurrent prosthetic valve thrombosis - Dr. Zeeshan Mansuri 23. Recurrent systemic Embolism - Dr. Jit Brahmbhatt 24. Recurrent DVT - Dr. Tarun Madan 25. Very young CAD - Dr. Sibasis Sahoo
E. Basic of Interventional Cardiology - 26. Step-by-step Approach for DK Crush - Dr. D. S. Gambhir 27. Abluminus- A novel DES technology! - Dr. D. S. Gambhir 28. "Magictouch" of drug-eluting balloon - Dr. Sandeep 29. Case examples of DCB use in Coronary Intervention - Dr. Sandeep 30. Winking coronary sign - Dr. Kamal Sharma
# VIGNETTES- LECTURES ON DEMAND !(Knowledge-packed Compact 5 minute revision)
RAJ TANDON HALL (C)
F. ECG interpretation for - 31. Localisation of SVT-AVRT/AVNRT - Dr. Shomu Bohora 32. Localisation of VT - Dr. Sameer Rane
G. Emerging therapies - 33. Colchicine and inflammation in CAD - Dr. Amol Aggrawal 34. Vagal Nerve stimulation/ Baroreceptor autonomic therapy - Dr. Kamal Sharma 35. Pharmacotherapy of heart failure - Dr. Prashant Vazirani
H. Cardio Metabolic Management - 36. CV risk in diabetes : Call for action to CAPTURE the opportunity - Dr. Pravin Kahale 37. Bringing GLP-1 RAs early in conversation: Addressing the outcomes - Dr. Pravin Kahale 38. Multifactorial approach in type 2 diabetes management and where do GLP 1 RA fit in - Dr. Rucha Mehta 39. DBCD & Metafelixibility - Dr. Banshi Saboo
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