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Abstaining from Tobacco and Encouraging Existent Users to Seek Help Annual Scientific th 15 Symposium JIC 2019 24th Year of Academics January 4-6, 2019 LOCAL ORGANIZING COMMITTEE Conference Patron : Dr. Nitin Vora GMERS, Sola, Ahmedabad Conference Chairman : Dr. Keyur Parikh CIMS Hospital, Ahmedabad Chairman, Scientific Committee : Dr. Milan Chag CIMS Hospital, Ahmedabad Organizing Secretary : Dr. Satya Gupta CIMS Hospital, Ahmedabad Conference Advisor : Dr. Ajesh Desai GMERS, Sola, Ahmedabad Dr. H.R. Jadav GMERS, Sola, Ahmedabad ASSOCIATION OF PHYSICIANS OF AHMEDABAD Dr. G. R. Badlani President (APA) Dr. Kamlesh Fatania Hon Secretary (APA) CONFERENCE DIRECTORS & CO-ORDINATORS CARDIOVASCULAR SYMPOSIUM CRITICAL CARE IN CHRONICALLY ILL SYMPOSIUM NEURO SYMPOSIUM Dr. Hemang Baxi Dr. Gunvant Patel Dr. Sagar Betai Dr. Mayank Patel Dr. Amit Patel Dr. Bhagyesh Shah Dr. Parindra Desai Dr. Shalin Shah Dr. Niren Bhavsar Dr. Divyesh Sadadiwala Dr. Nitesh Shah Dr. Kalpesh Panchal Dr. T.K.B. Ganapathy Dr. Amit Chandan Dr. Vineet Sankhla Dr. Deven Zaveri Dr. Vipul Thakkar Dr. Pranav Joshi Dr. Anish Chandarana Dr. Urmil Shah Dr. Amit Chitaliya Dr. Dhiren Shah ONCOLOGY UPDATE Dr. Hiren Dholakia Dr. Shaunak Shah CARDIOVASCULAR HIGH RISK PREGNANCY Dr. Vipul Kapoor Dr. Chintan Sheth Dr. Darshan Bhansali Dr. Jayesh Patel OB SYMPOSIUM Dr. Devang Bhavsar Dr. Tarang Patel Dr. Pranav Modi Dr. Kashyap Sheth Dr. Maulik Bhensdadia Dr. Ashok Patel Dr. Ajay Naik Dr. Sneha Baxi Dr. Purna Patel Dr. Chirag Desai Dr. Natoo Patel Dr. Dhaval Naik Dr. Devang Patel Dr. Prapti Patel Desai Dr. Malhar Patel Dr. Tejas V. Patel Dr. Rahul Jaiswal Dr. Chintan Shah ORGANIZING COMMITTEE Dr. Keyur Buch Dr. Abhinav Jain Dr. Jitendra Nayak Dr. Vivek Patel Dr. Kirtan Shah Dr. Umakant Shah Dr. Parvin Chandarana Dr. Vikramjit Singh Kanwar Dr. Chintan Parekh Dr. Uday Patel Dr. Krati Shah Dr. Nimish Sharma Dr. Dipak Desai Dr. Surabhi Madan Dr. Maulik Parmar Dr. Mayur Patil Dr. Manisha Shah Dr. Reena Sharma Dr. Smita Dheer Dr. Sandeep Makani Dr. Tejendrasinh Parmar Dr. Nupur Patel Dr. Pranav Shah Dr. Rachit Sheth Dr. Manish Gandhi Dr. Chintan Mehta Dr. Chandni Patel Dr. Bhavini Shah Dr. Rechal Shah Dr. Samip Sheth Dr. Vrushti Gandhi Dr. Uma Mehta Dr. Krunal H. Patel Dr. Deepa Shah Dr. Rupesh Shah Dr. Puja Shrivastav Dr. Sneha Gohil Dr. Reedham Mehta Dr. Mayank Patel Dr. Gautam Shah Dr. Sanket Shah Dr. Kunal Soni Dr. Parth Goyal Dr. Ankita Midha Dr. Satish Patel Dr. Hemal Shah Dr. Sanjay Shah Dr. Bhavesh Thakkar GMERS ORGANIZATION TEAM Dr. Jignasa Bhalodia Dr. H.R. Jadav Dr. Krina Patel Dr. Falguni Shah Dr. Neena Bhalodiya Dr. Rajesh Mehta Dr. Nehal Patel Dr. Somesh Singh Dr. Parul Bhatt Dr. Prakash Mehta Dr. Ila Patel Dr. Deepika Singhal Dr. Pranav Chakravarty Dr. Nehal Naik Dr. Sunil Patni Dr. Nidhi Sood Dr. Ajesh Desai Dr. Dharmesh S. Patel Dr. Kiran Rami Dr. Mukesh Vora Jointly Organized by GMERS Care Institute Medical Society for Research and Medical College , Education (CIMSRE) & GMERS Medical College, Sola, Sola, Ahmedabad and in association with Ahmedabad Association of Physicians of Ahmedabad. 01 Annual Scientific th 15 Symposium JIC 2019 24th Year of Academics January 4-6, 2019 Visit : http://www.gujarattourism.com/hub/destination/1/1 SABARMATI ASHRAM AHMEDABAD AKSHARDHAM TEMPLE WORLD HERITAGE KANKARIA LAKE CITY SCIENCE CITY ADALAJ VAV SIDI SAIYAD MOSQUE 02 Annual Scientific th 15 Symposium JIC 2019 24th Year of Academics January 4-6, 2019 FROM DESK OF ORGANIZING COMMITTEE “Develop a passion for learning. If you do, you will never cease to grow.” – Anthony J. D'Angelo We proudly announce JIC 2019 (January 4-6, 2019) in Ahmedabad, India. Year after year, we make great herculean efforts to create a great learning experience for all the delegates who come to us. For we, believe, there is no greater force than learning to impact your profession. This year, we proudly announce the Highest Number of Lectures ever at JIC… more than 300 lectures over a span of just 3 days. A multiple array of Symposiums and Satellite Sessions over 3 days to ensure an exhaustive learning experience for all who attend. We are glad to see the number of attendees rising each year which inspires us to take this forum to better heights year after year. This year the Conference is highly case-based creating an interactive experience for all delegates. Discussions and debates lend an enthusiastic fervor to the academic ambience perpetuating our commitment to deliver the best knowledge to you all. We really would like to thank the entire medical fraternity for their support all these years. Your eager participation and interaction has inspired us to once again bring you JIC 2019. Bigger and Better. We look forward to meeting you at JIC 2019. Dr. Keyur Parikh Dr. Milan Chag Dr. Satya Gupta Conference Chairman Chairman, Scientific Committee Conference Secretary CONFERENCE INFORMATION CONFERENCE VENUE PANDIT DINDAYAL UPADHYAY AUDITORIUM Rajapth Club Road, Ahmedabad 03 Annual Scientific th 15 Symposium JIC 2019 24th Year of Academics January 4-6, 2019 INTERNATIONAL FACULTY CARDIOVASCULAR SYMPOSIUM Dr. Bhavin Dalal Prof. Uri Elkayam Dr. Ashit Jain Dr. Samir Kapadia Dr. Mikhail Kosiborod Dr. Peter Lin Oakland University William University of California Hospital Cleveland Clinic Saint Luke’s Mid Canadian Heart Beaumont School of Medicine Southern California Medical Corporation (USA) America Heart Institute Research Centre (USA) (USA) (USA) (USA) (CANADA) Dr. Neil Mehta Dr. Steven Nissen Dr. Anuj Shah Dr. E. Murat Tuzcu Dr. Pranay Vaidya Cleveland Clinic Cleveland Clinic Foundation Hackensack Cleveland Clinic Hackensack University Medical Centre (USA) (USA) (UAE / USA) University Medical Centre (USA) (USA) INTERNATIONAL FACULTY ONCOLOGY UPDATE Dr. Ashok Shaha Dr. Jatin Shah Memorial Sloan-Kettering Cornell University of Cancer Center Medical College (USA) (USA) NATIONAL FACULTY Dr. P. Arun Dr. Roop Gursahani Dr. Hrishikesh Kumar Dr. Jayanta Roy Dr. Shamit Chopra Dr. Shalaka Joshi Dr. Somshekar S. P. Dr. Jayprakash Shah Dr. Manjiri Dighe Dr. J. Kalita Dr. Parthamesh Pai Dr. Manjari Tripathi Dr. Mehul Damani Dr. Vikram Kekatpure Dr. Hemant Patel Dr. Y. K. Oza Dr. Alpesh Gandhi Dr. Dheeraj Khurana Dr. Sanjay Pandey Dr. Firoz Ghanchi Dr. Chaityanand Koppiker Dr. Gouri Pantvaidya Dr. Pawan Gupta Dr. Rahul Kulkarni Dr. Hygriv Rao 04 Annual Scientific th 15 Symposium JIC 2019 24th Year of Academics January 4-6, 2019 10 New Emerging Cardiovascular Technologies in 2019 Dr. Keyur Parikh Care Institute of Medical Sciences, Ahmedabad, India Corresponding E-mail id: [email protected] The new emerging cardiovascular technological advancements, such as the stents, intravascular catheters, heart-lung machine and prosthetic valves have increased treatment options for patients and have created exceptional growth for hospitals and cardiac specialists. The point of highlighting the aforementioned opportunities is not to state that all of these patients will be treated with new devices but rather to emphasize that many patients remain underserved. Ultimately, the number of patients treated will be determined by the relative patient benefit and risk. By developing 10 new emerging technologies (STEMI, CHIP, TAVR, TMVR, TTVR, TEVR, PE, LAAO, Imaging-CTA and MRA and Artificial Intelligence), cardiac physicians/surgeons can meet the needs of many of these patients. Cardiovascular physicians are in a unique position to lead the decision-making and treatment process for a number of reasons. First, cardiac physician and surgeons are most familiar with the relevant anatomy and pathophysiology. Second, cardiac physicians and surgeons can deliver the invasive procedure and operations that will continue to be important treatment options. Third, cardiac surgeons have the available capacity to perform these procedures. Finally, cardiovascular physicians are best suited to handle complications related to these treatments. Pre-Hospital ECMO Study (APACAR2) in France 05 Annual Scientific th 15 Symposium JIC 2019 24th Year of Academics January 4-6, 2019 Although initially posing a challenge to cardiovascular physicians, emerging technologies also represent a significant opportunity. Patients with structural heart disease will benefit from multiple treatment options offered by a multidisciplinary team that is led by uniquely skilled cardiovascular physicians. Given this new treatment paradigm, the future is promising for both cardiovascular physicians and their patients. Fig. 1: Mechanical Support for STEMI Fig. 2: From ECMO to eCPR 06 Annual Scientific th 15 Symposium JIC 2019 24th Year of Academics January 4-6, 2019 Clinical Course : • Rapid clinical decompensation during case with severe cardiogenic shock • Impella CP or ECMO inserted • Transient arrest requiring vasopressors, continued severe hypoxemia and shock • Intubated and VA ECMO instituted • RPL and OM1 recanalization and DES placement • ECMO decannulated post-procedure day 2 • Extubated post-procedure day 3 • No further complications • Pre-discharge echo: MR 1-2+ and EF 45% • Discharged post-procedure day 10, fully ambulatory and w/o symptoms • First clinic visit: wo complications or symptoms • Planned LAD revascularization 07 Annual Scientific th 15 Symposium JIC 2019 24th Year of Academics January 4-6, 2019 TEVR Percutaneous Pulmonary Embolus EVAS-Endovascular : Mechanical Thrombectomy Level of Value : Artificial Intelligence : 1. Important goal for current and future healthcare economy 2. Cost of therapy, available technology practice patterns highly dynamic 3. Costs associated with unintended harm or complications 4. Evaluation of burden of
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