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Ten Key Facts on Heart Disease in Women

1. Every 4 seconds a woman dies of causes attributable to heart disease1.

2. In 2009, one in 30 female deaths was from breast cancer, but one in three was from cardiovascular disease2.

3. Each year new and recurrent MI and fatal CHD will impact an estimated 380,000 women3.

4. Women aged 45 years and older are less likely than men of that age group to survive a year after their first heart attack2.

5. Only about 33% of all percutaneous coronary interventions were performed on women in 20102.

6. Almost two-thirds (64%) of women who die suddenly of coronary heart disease have no previous symptoms4.

7. According to the survey conducted by Mosca et al. in 2006, only 55% of women knew that cardiac disorder is the leading cause of death among women5.

Reference: 1. WHO fact sheet2. Go AS, Mozaffarian D, Roger VL, et. al. Heart disease and stroke statistics—2013 update: a report from the American Heart

Association. Circulation. 2013; 127:e6-e245.3. American Heart Association, Statistical Fact Sheet 2013 Update.4. Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, et al. Heart disease and stroke statistics—2012

update: a report from the American Heart Association. Circulation. 2012;125(1):e2–2205. Mosca L, Mochari H, Christian A, et al. National study of women’s awareness, preventive action, and barriers to cardiovas-

cular health. Circulation. 2006; 113(4):525-534.

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Foreword

The epidemic of cardiovascular diseases in India is advancing rapidly. The state of affairs has been challenged in the recent years by a series of studies, which shows an alarming rise in cases of Cardio Vascular Disease mainly in women.

The Global Burden of Diseases (GBD) study reported estimated mortality from coronary heart disease (CHD) in India at 1.6 million in the year 2000. More women than men now die of heart disease. CVD claims life of more women every year than all forms of cancer combined.

Though CVD is the world’s number one killer but still the facts about Heart Disease are tragically absent from our contemporary public dialogue.

Against this background, the summit is to bring about steadfast management of CVD in women and proposing effective healthcare solutions for growing concerns about the escalating health threats that it poses.

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The VEDNA survey “Visualizing the Extent of heart Disease in INdiAn women”, intended to map the trends of cardiovascular diseases (CVD) in Indian women, covered almost 600 health care professionals of metros and non-metro cities from across the country, exposed shocking facts around women’s heart health in India-

• 54% of cardiologists observed a 16-20% of overall growth rate in cardiovascular diseases among women in the last five years.

• 41% of the doctors claimed an alarming 10-15% growth rate in cardiovascular diseases among the age group of 20-40 years, the category of women which was earlier considered ‘protected’ from heart ailments.

• 83% of the doctors believed that Indian women are ignorant about heart diseases.

• 76% of the doctors observed that women die of heart diseases due to late presentation to the hospital.

• 66% of the doctors cited that CVD death amongst women was due to late diagnosis.

Vedna Survey

Queen of Heart

7Program DirectorsProgram Directors

Dr. Sameer I DaniDirectorDepartment of Cardiology Apollo Hospitals AhmedabadGujarat

Dr. Rajeev GuptaSenior Consultant and Head of Internal Medicine, Clinical Director for Research and Academics Fortis Escorts, Jaipur

Dr. P Ramesh BabuManaging Director & Chief Cardiologist Dr. Ramesh Cardiac and Multispeciality Hospital VijayawadaAndra Pradhesh

Dr. C. G. BahuleyanMBBS, MD(General Medicine), DM(Cardiology)Prof and head of CardiologyAnanthapuri Hospitals and Research Institute Thiruvananthapuram

Dr. Brian Pinto Chief of CardiologyHoly Family Hospital and Director of Cardiac Catheterization laboratoryMumbai

Dr. J. P. S. SawhneyMD, DM, FESC, FACC, Sr. Consultant Cardiologist, Chief of Clinical & Preventive Cardiology, Chairman of Dept. of Cardiology, Member Board of Management & Member of Research & Ethics Committee. Sir Ganga Ram Hospital

Prof. Khurshid IqbalProfessor and Head, Department of Cardiology andChairman, Medicine & Allied specialties and Dean, Faculty of Medicine. Sheri Kashmir Institute of Medical SciencesSrinagar, Kashmir

Dr. B. SomarajuMBBS, MD (CARDIOLOGY)Chairman and Chief of Cardiology, CARE Hospitals, The Heart Institute at Hyderabad.

Queen of Heart

8Program Directors

Dr. Tiny NairConsultant Cardiologist,Head, Department of cardiology PRS HospitalTrivandrumKerala.

DR. S T YavagalDirector, Professor and Head of the Department of Cardiology, Kempegowda Institute of Medical Sciences, Bangalore.

Dr. Narender Om Prakash BansalProfessor and head of Cardiology department, Grant Medical College and J J Group of Hospitals

Dr. Ravi R KasliwalChairman, Clinical & Preventive Cardiology, Community Outreach and Education, Medanta-The Medicity, Gurgaon.

Dr. Anjan Lal DuttaConsultant CardiologistPeerless Hospital & Prof. of Medicine Vivekananda Institute of medical Science and HospitalKolkata

Dr Mullasari Ajit SankardasM.D., D.M. (Cardiology),Director - Cardiology, Institute of Cardio Vascular Diseases, Madras Medical Mission, Chennai

Dr. C N ManjunathProfessor & Head of Cardiology, DirectorSri Jayadeva Institute of Cardiovascular, Sciences & Research, Bangalore

Dr. Ashok JainConsultant Interventional cardiologistNarayana Hrudayalaya HospitalJaipur

Dr. R C Ahuja Former professor and Head, Department of medicine & Former Director KGMCKing George’s Medical University, Lucknow, India

Queen of Heart

10List of Dignitaries

Hon Mr. U T Khader Health Minister of Karnataka

Belonging to an intensely devoted political background, Mr. Khader has already made his mark as an efficient political personality of the Ullal Constituency. A lawyer by profession, Mr. Khader is serving as member K.P.C.C., Additional Chief Organizer Karnataka Pradesh Congress Seva Dal and President Ullal Block Youth Congress, 2001. In past he has successfully led the congress campaigning in the assembly, parliament, gram panchayat and local bodies, has served as President District NSUI and Vice President state NSUI; He has also been elected as MLA from Ullal constituency of Mangalore in 2004. Mr. Khader also has a great interest in social work;

K Srinath Reddy has worked extensively to promote cardiovascular health, tobacco control, chronic disease prevention and healthy living. Formerly head of the Department of Cardiology at the All India Institute of Medical Sciences, Prof. Reddy is a global leader in preventive cardiology. He has been unanimously elected as President, World Heart Federation (2013-14). In 2003 he was awarded the WHO Director General’s Award for Outstanding Global Leadership in Tobacco Control by World Health Assembly, UK. In the same year, he was honored with the Padma Bhushan.

Dr. K Srinath ReddyPresidentWorld Heart FederationPresident, Public Health Foundation of India

Ms. Kiran Mazumdar Shaw is highly respected in the corporate world and has been voted by Nature Biotechnology as the Most Influential in Bio-business person outside Europe and USA. Her pioneering efforts in biotechnology have drawn global recognition for India. She chairs Karnataka’s Vision Group on Biotechnology. She presently serves on the Advisory Council of the Government’s Department of Biotechnology where she has been instrumental to chart a pro-gressive growth path for Biotechnology in India. She is also a founder member of the Society for the formation of “Institute for Stem Cell Biology and Regenerative Medicine”. She was awarded the prestigious national awards, PADMASHRI in 1989 and PADMA BHUSHAN in 2005.

Ms. Kiran Mazumdar ShawChairman & Managing Director of Biocon Ltd.

Dr. H. Sudarshan Ballal has received many gold Medals in his graduation as well as post graduation. He has the distinction of being one of the few to be triple Board certified in Internal Medicine, Nephrology & Critical Care. Dr. Ballal has been an active member of Indian Medical Association and was elected President of Indian Medical Association, Dakshin Kannada. He has published several papers in reputed journals. He has been honored with many awards. He had set up the first postgraduate training Centre in Nephrology in Karnataka and performed the first cadaver kidney transplantation in Karnataka.

Dr. H Sudarshan BallalChairman of Medical Advisory Board and Managing Director of Manipal Health Enterprises Ltd

Queen of Heart

11List of Dignitaries

Dr. H.Sudarshan has achieved remarkable feats in the 33 years he has worked with the Soligas. The Vivekananda Girijana Kalyana Kendra, which he set up in 1981, has blossomed into a sustainable tribal development program. In 1986, he started Integrated Rural Development Project- Karuna trust. He is the founding member and president of Vivekananda Foundation. Dr. Sudarshan has held many positions in his career, prominently as the chairman of the Task Force on Health and Family Welfare organized by Government of Karnataka. He was awarded the Rajyothsava State Award for social work in 1984 by the Government of Karnataka. In 1994, he was lauded with the Right Livelihood Award by Right Livelihood Award Foundation in Sweden. In 2000, he was bestowed with the Padamshree.

Dr. H SudarshanPresidentVivekanand Foundation

Ms. Anupama Shashank Ambe started her career with British Telecom Middle East, Africa, and India in 1996. Anupama has vast industry experience in Global IT Infrastructure Administration. Prior to IBM, she was the General Manager, Remote Infrastructure Managed Services, Microland.She has Started Programs like Tech Gurukul, Cunae and Center of Excellence. Currently she has been driving several Programs like One IBM in India, Client Centric Delivery Programs, Improved Client Interactions, etc to drive better client centricity across Delivery Centers. She is also leading Gender Diversity at IBM India with programs like Sales Elan, Retain and Attract Women into IBM India. She is a trained Master Black Belt and has also received Women&rsquot;s Choice 2010- Women in Leadership award.

Anupama Shashank AmbeChairperson, Women Leadership Council, IBM

Dr. Ramesh is organising secretary Cardiological Society of India and chief Cardiologist, Bhagavan Mahaveer Jain Hospital Heart Centre. He is Chairman & Managing Director of the Vivus Group. He was the first cardiologist in Karnataka to do a Coronary Angiogram (1983) and the first to do a Coronary Angioplasty (PTCA) (1989). He has been instrumental in establishing the Bangalore Chapter of Cardiological Society of India (1983) and is credited with the founding of four Cardiology departments in Bangalore viz. The Departments at St. John’s Medical College, PDH Sindhi Hospital, Yellamma Dasappa Hospital and at the Mallya Hospital.

Dr. S S RameshOrganising Secretary, Cardiological Society of India, Bangalore

She is the President of FOGSI (Federation of Obstetric and Gynaecological Society of India).Dr Hema is a practicing OBGYN consultant with over 30 years of experience. She is acclaimed as an outstanding clinician, a keen researcher and a great trainer. She is the leading Indian Specialist in High Risk Pregnancy Care and Fetal medicine. Established “DIVAKARS SPECIALITY HOSPITAL” in 1990 in Bengaluru, the first private hospital in the State to obtain an ISO 9002 certification for quality standards. I have a keen interest in High Risk Pregnancy Care. And have established speciality clinics for

Recurrent Pregnancy Loss, Fetal malformation, Diabetic Obstetric clinic, Myoma clinic and Well Women clinic.

Dr. Hema Divakar President Federation of Obstetric and Gynaecologi-cal Society of India

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Queen of Heart Summit

Program

DAY 1- Saturday, 27th July, 2013 Session 1: 1830 hrs – 2010 hrs

Key areas of discussion:

• Coronary heart disease in Indian women: Customizing prevention and treatment approaches

• Coronary artery disease in women: Overcoming therapeutic and diagnostic challenges

• Women’s Heart Disease - A big public health challenge in the new millennium

• Empowering & Engaging Communities, families and individuals in preventive lifestyle changes

Session Flow

1830 hrs - 1900 hrs Registration Registration of the delegates and handing over of Delegate kit

1900 hrs - 1905 hrs Introductory Address Ms. Malati Iyer, Times of India

1905 hrs - 1915 hrs Pace Setting Lecture

Dr. S.S. Ramesh, Organising Secretary, Cardiological Society of India, Bangalore• Coronary heart disease in Indian women:

Making a case for a customized treatment strategy

1915 hrs - 2000 hrs Panel Discussion A Public Health Action Plan to impede Heart Disease and Stroke in women

Panelists

1 Dr. S.S. Ramesh, Organising Secretary, Cardiological Society of India, Bangalore

2 Dr. H Sudarshan Ballal, Medical Director & Chairman – Medical Advisory Board, Manipal Hospitals

3 Dr. Hema Divakar, President Federation of Obstetric and Gynaecological Society of India

4 Dr. H Sudarshan, President, Vivekanand Foundation

5 Ms. Anupama Shashank Ambe, Chairper-son, Women Leadership Council, IBM

2000 hrs - 2010 hrs Q & A Session

Program

13Program

Queen of Heart Summit

DAY1- Saturday, 27th July, 2013 Session-2: 2010 hrs - 2120 hrs

Session Flow

2010 hrs - 2015 hrs Welcome Address Ms. Malati Iyer, Times of India

2015 hrs - 2020 hrs Lighting of the lamp Ashwini Nachappa, Accomplished former athlete and Indian film actress

2020 hrs - 2030 hrs Launch of the Queen of Heart Campaign

Ashwini Nachappa, Accomplished former athlete and Indian film actress

• Formal launch of campaign• Release the QOH Brochure

2030 hrs - 2045 hrs Keynote Address

Dr. K. Srinath ReddyPresident, World Heart Federation and President Public Health Foundation of India• Cardiovascular disease in Indian women –

sounding the bugle

2045 hrs - 2100 hrs Special Address

Ms. Kiran Mazumdar Shaw Chairman & Managing Director of Biocon Ltd.• Heart disease in women: A major thrust

area for India’s healthcare industry

2100 hrs - 2115 hrs Biocon Queen of Heart: Call to action

Mr. Sudeep Sheru, Senior Director and Head Cardiology, Biocon Limited• Presentation on Queen of Heart Campaign• Showcasing of Queen of Heart Public

Awareness Video

2115 hrs - 2120 hrs Vote of thanks Ms. Manjari Chandra, Consultant, Heal Foundation

2120 hrs Networking Dinner

Program

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Queen of Heart Scientific Symposium

Program

Time Topic Chairperson Speaker

09:00 Welcome note Dr. Praveen R

09:00-09:25 Burden of Cardiovascular diseases in Women: Trends and Challenges

Dr. M P TripathyDr. Anjan Lal Dutta Dr. J P S Sawhney

09:25-09:40 Hypertension: A closer look at women’s heart

Dr. R C Ahuja Dr. Mullasari Ajit Dr. Sameer Dani

09:40-09:55 Is Diabetes a different disease in women? Dr. Brig Mohan Dr. V S Baldwa Dr. Rajeev Gupta

09:55-10:45

Debate: What does the evidence say? Who are at risk: Men or Women?

Dr. J P S Sawhney, Dr. Rajeev Gupta, Dr. Tiny Nair

Men Women Speakers Speakers

Society Society Dr. Devanu Ghosh Roy Dr. Ramesh Babu

Tobacco Tobacco Dr. Devanu Ghosh Roy Dr. Ramesh Babu

Obesity Obesity Dr. Joy Thomas Dr. Mahesh Shah

Risk score Assessment Dr. J P S Sawhney

10:45-11: 15Let’s clear the Controversies:

Oral contraceptive pill Vitamin D and Cardiac diseases

Dr. Khurshid Iqbal Dr. S T Yavagal Dr. N O Bansal

Dr. Kunhali Dr. A K Pancholia

11:15-11:30 Power Break

Time Topic Chairperson Speaker

11:30-11:50

Myth or reality? Gender considerations in coronary heart disease:

Understanding the clinical symptoms or undertreating them

Dr. V C ChauhanDr. Sunil BaldwaDr. Ramesh Babu

Dr. Rajeev Gupta

11:50-12:10 Congestive Heart Failure:A Woman’s Heart Fails Differently from a Man’s heart

Dr. Anjan Lal DuttaDr. R C Ahuja Dr. Tiny Nair

12:10-12:25Where are we?

Blood LipidsCoronary Artery Calcium

Dr. N O BansalDr. Rajeev Gupta

Dr. Asha MahilmaranDr. M P Tripathy

12:25-12:45Clinical and Angiographic characteristics of

premenopausal women presenting with Acute Coronary Syndromes

Dr. Ashok P JainDr. Brian Pinto Dr. C N Manjunath

12:45-13:00ECHO Corner:

“A young female with chest pain”:Case presentation

Dr. C N ManjunathDr. Khurshid Iqbal Dr. Rakesh Gupta

13:00-13:20 Gender Influenced decisions for Interventions: Catheterization and Stenting in women

Dr. Sameer DaniDr. Brian PintoDr. V K Srinivas

Dr. Mullasari Ajit

13:20-13:40 Way forward Program Directors

DAY2- Sunday, 28th July, 2013

Scientific Symposium I 0900 hrs – 1400 hrs

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