API CTS holds Anti Coagulation “IMPACT” Summit “Integrated Management of Patients on Anti-Coagulation Therapy”

Association of Physicians of India, Cardio Thoracic Society, Nagpur and educational partner Abbot jointly conducted a Continuing Medical Education programme on Anti Coagulation.  At the outset, Dr. Pawan Solanke, Regional Medical advisor, gave introductory remarks.

Anticoagulation medicines have served as the principle therapy to prevent thrombosis for a variety of cardiovascular diseases over many years. Recently there have been significant developments in the field of Oral anticoagulation, however theses have also led to many debates.

Increase in the use of the new oral anticoagulants which are the non-vitamin K antagonist oral anticoagulants (NOACs) and has prompted considerable discussion in the medical community even as Vitamin K Anticoagulants remain the mainstay of therapy.

Dr. S.K Deshpande President, Cardiothoracic Society made welcome speech and highlighted why the topic is important to physicians. Dr. Kashif Syed, briefly gave the history of anticoagulants from rat poison to saving life of a President.  When there were deaths due to bleeding in cattle in Seattle after consuming sweet clover hay in 1928.

World started to research the cause and in 1941 Wisconsin Alumni Research Foundation found a link separated, named the drug “WARFARIN” ARIN after Coumarin. In 1951 a young naval officer attempted suicide by consuming warfarin, over multiple doses of the drug for a period of 5 days.

And made uneventful recovery after treatment with VIt. K.  USA President D. Eisenhower in 1952, developed acute chest pain, diagnosed with myocardial infarction. Initially treated with heparin and then started on a dose of 35mg/week on Warfarin.  IMPACT is a Fundamental concept of integrated care model.

The task is delegated from specialists to general physicians, from Physicians to allied health
professionals.  Anticoagulation therapy is given for long term, therefore needs adequate supervision.  Role of physicians and health care professionals is important to   anticoagulation therapy and integrate care management.  Similar to other domain of medicine, to manage patients on anticoagulants require good communication and cooperation between Patients, Physicians/GPs, Vascular specialists, Cardiovascular / Cardiac surgeons, Neurologists and Orthopaedicians.

This will be necessary for optimal patient management by patient involvement, multidisciplinary teams, Technology tools and access to all treatment options. Second session was devoted to “Valvular Heart Disease Anticoagulation management TALK Perspective” A lecture was delivered by Dr. Swapnil Deshpande on: Anticoagulants in Valvular Heart Disease Change in Concept “Expanding Horizons”.  It was chaired by Dr. Nikunj Pawar and
Dr. P.K.Deshpande.

Next session was on Stroke Prevention in atrial fibrillation (SPAF). Dr. Pankaj Harkut Consulting Cardiologist, discussed cases of AF with High CHADVASC and High HASBLED – “Physicians dilemma: Confusion to Clarity” and “AF Post PCI; One drug Two, or Three?” and discussed digital apps in smartphone Controversy or Consensus. The lecture was chaired by Dr. Vinod Khandait and Dr. Sangeeta Kumbhalkar. Third session was on Stroke Management in AF.

Dr. Pankaj Raut discussed AF with embolic stroke and cerebral micro bleed the way forward. Dr. Sanjay Jain and Dr. Sharad Deshmukh chaired the talk. Session 4 was on Deep Vein thrombosis and Pulmonary Embolism. Dr. Rohit Gupta discussed Recurrent DVT on Warfarin – Light at the end of tunnel? & presented guideline brainstorming DVT/PE management – the dawn of new era.

At the end a panel discussion on “New NOVACS: Evolving practices, problems and paradigms was held and dealt with renal outcomes in NOVACs, AF in MI, NOVACs and drug interactions, switching of NOVACs and VKAs. All The speakers namely Dr. Swapnil Deshpande, Dr. Pankaj Harkut Dr.Pankaj Raut, Dr. Rohit Gupta were panelists and answered
the queries of moderator Dr. Kashif Syed and the audience.

Dr. Aamol Meshram, Secretary API proposed the vote of Thanks. Members of API, Cardio thoracic Society attended the programme in large numbers. Dr. Pawan Solanke highlighted the Abbot Company’s patient support and educational programmes and smart phone based app to monitor and interact with treating team.

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