•Installation ceremony of Csi indore branch.
•Guest speakers
•Dr Amol Banerjee president elect CSI delivered guest lecture on Current management of Atrial fibrillation
•Dr P K Deb Secretary General CSI delivered guest lecture on Antiischemic therapy
•Dr Amol spoke on latest advancement in diagnosis,medical,interventional & surgical treatment of this arrythmia.
•He stressed the importance of history & clinical examination by which we can classify AF as Paroxysmal,chronic persistent, Or lone fibrillation.Clinical examination will tell you about associated valvular lesions,hypertension.ECG will help in noting Ass BBB,preexcitation,QT interval etc.
•He spoke on Rythm vs Rate control with recent trials Like AFFIRM,
•Necessity of antiplatelet & anticoagulation therapy in mild ,moderate & high risk individual by CHADS (CCF,HT,AGE>70,DIABETES & STROKE).
•Digitalis has been mainstay of drug therapy for long time but it is unable to control exercise related fast ventricular rate while target should be not more than 110% of THR for that age.
• He gave a brief overview of new drugs like selective atrial antiarrythmic drugs in pipeline.
• He outlined the indications,advantages & disadvantages of radiofrequency ablation,microwave,cryoablation.Thoracoscopic & surgical maize procedure are other options
•Dr PK deb spoke on Antiischemic therapy.He started with characteristics of cardiac metabolism where 80 to 90 % energy (ATP) is generated by fat Metabolism .Fat metabolism is more effective in organ like beating heart were you need continuous energy.
He outlined various class of drugs like late Na channel blockers like Ranolazine,K channel activator like Nikorandil & IF channel activator like Ivabradine.New drug like Fasudil (RO inhibitor )was discussed.
