August 2017

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JOURNAL OF THE INDIAN MEDICAL ASSOCIATION, VOL 115, NO 8,

AUGUST 2017

Dr K K Aggarwal

Dr R N Tandon

Dr Dilip Kumar Dutta

Dr Kakali Sen

National President IMA

Honorary Secretary General, IMA

Honorary Editor, JIMA

Honorary Secretary, JIMA

CONTENTS Editorial : u Management of acute myocardial infarction in India — status 2017 — Dhiman Kahali...........................................................................................7 Original Articles : u DAPT and HEPARIN non-inferior to lytics within 90 mins of STEMI — Dhiman Kahali, Asit Das, Tanuja De, Maqbul Ahmed ..............................9 u Assessment of ventricular function in patients of atrial septal defect by strain imaging before and after correction — Prashant Kumar, Dhiman Kahali, Achyut Sarkar, Asit Das........................11 Special Articles : u Acute MI — status 2017 — Dhiman Kahali, Asit Das, Tanuja De, Paramita Banerjee, Vivek Singh Rathore ...................................16 u Dilated cardiomyopathy with atrial fibrillation — Dhiman Kahali, Asit Das...........................................................................21 u Medically treated acute coronary syndrome : role of antiplatelet drugs — Dhiman Kahali, Asit Das, T De, Paramita Banerjee ..................................27 u Non-thrombolysed STEMI — Dhiman Kahali, Asit Das, Tanuja De .........................................................32 In Memoriam .........................................................................................................38 Wcomments / Feedback


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JOURNAL OF THE INDIAN MEDICAL ASSOCIATION, VOL 115, NO 8,

AUGUST 2017

JOURNAL OF THE INDIAN MEDICAL ASSOCIATION Founder Hony Editor Hony Editor Founder Hony Business Manager Ex-officio Members

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Hony Secretary Hony Associate Editors

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Assistant Secretary

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Sir Nilratan Sircar Dr Dilip Kumar Dutta Dr Aghore Nath Ghosh Dr Santanu Sen, Hony Jt Finance Secretary, IMA (Hqs), Kolkata Dr Santosh Kumar Mandal, Hony. Joint Secretary, IMA (Hqs), Kolkata Dr Kakali Sen Dr Amitabha Bhattacharya Dr Dipanjan Bandyopadhyay Dr Gopal Das

OFFICE BEARERS OF IMA (HQs) National President Dr K K Aggarwal Honorary Secretary General Dr R N Tandon

IMA CGP (Chennai) Dean of Studies Dr V C Shanmuganandan (Karnataka) Honorary Secretary Dr R Gunasekaran (Tamil Nadu)

National President-Elect (2017-2018) Dr Ravi S Wankhedkar (Maharashtra)

IMA AMS (Hyderabad) Chairman Dr Joseph Mani (Kerala) Honorary Secretary Dr Sadanand Rao Vulese (Telangana)

National Vice-Presidents Dr Roy Abhram Kallivayalil (Kerala) Dr K Prakasam (Tamil Nadu) Dr Mahendra Choudhary (Gujarat) Dr Parmanand Prasad Pal (Bihar)

IMA AKN Sinha Institute (Patna) Director Dr Sarbari Dutta (Bengal) Honorary Executive Secretary Dr Raman Kumar Verma (Bihar)

Honorary Finance Secretary Dr V K Monga (Delhi)

JIMA (Calcutta) Honorary Editor Dr Dilip Kumar Dutta (Bengal) Honorary Secretary Dr Kakali Sen (Bengal)

Immediate Past National President Dr S S Agarwal (Rajasthan)

Honorary Joint Secretaries Dr Vinod Khetarpal (Delhi) Dr Anil Goyal (Delhi) Dr Ashwini Kumar Dalmiya (Delhi) Dr Santosh Kumar Mandal (Bengal) Dr B B Gupta (Delhi) Honorary Assistant Secretaries Dr Dinesh Sahai (Delhi) Dr Amrit Pal Singh (Delhi) Honorary Joint Finance Secretaries Dr Manjul Mehta (Delhi) Dr Santanu Sen (Bengal)

Your Health (Calcutta) Honorary Editor Dr Ashok Kumar Chatterjee (Bengal) Honorary Secretary Dr Meenakshi Gangopadhyay (Bengal) IMA N.S.S.S. (Ahmedabad) Chairman Dr Kirti M Patel (Gujarat) Honorary Secretary Dr Yogendra S Modi (Gujarat)

IMA N.P.P.Scheme (Thiruvananthapuram) Chairman Dr Krishna M Parate (Maharashtra) Honorary Secretary Dr Jayakrishnan A V (Kerala) Apka Swasthya (Varanasi) Honorary Editor Dr Vivek Kumar (Uttar Pradesh) Honorary Secretary Dr Sanjay Kumar Rai (Uttar Pradesh) IMA Hospital Board of India Chairman Dr R V Asokan (Kerala) Honorary Secretary Dr Jayesh M Lele (Maharashtra) IMA National Health Scheme Chairman Dr Ashok SAdhao (Maharashtra) Honorary Secretary Dr Alex Franklin (Kerala) IMA National Pension Scheme Chairman Dr Sudipto Roy (Bengal) Honorary Secretary Dr K V Devadas (Kerala)

JOURNAL OF THE INDIAN MEDICAL ASSOCIATION, VOL 115, NO 8,

AUGUST 2017

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JOURNAL OF THE INDIAN MEDICAL ASSOCIATION, VOL 115, NO 8,

AUGUST 2017

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JOURNAL OF THE INDIAN MEDICAL ASSOCIATION, VOL 115, NO 8,

AUGUST 2017

Activity Report

JOURNAL OF THE INDIAN MEDICAL ASSOCIATION, VOL 115, NO 8, AUGUST 2017

Activity Report

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JOURNAL OF THE INDIAN MEDICAL ASSOCIATION, VOL 115, NO 8,

AUGUST 2017

JOURNAL OF THE INDIAN MEDICAL ASSOCIATION, VOL 115, NO 8,

AUGUST 2017

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