Corona times: Clinical cardiology gets up from graveyard, for a while !

Surprised to see many of my colleagues, physicians and fellows are beaming with a new pride even in this troubled corona times. Paradoxically, I could see some fresh clinical sense in their approach to problems as well. Each one of them had a story to tell. Sir, I could suddenly diagnose heart failure for the first time with my eyes and ears without NT- Pro BNP or E/E’ . I agree with you sir, textbooks seem to be right. There was indeed basal rales and JVP was elevated. I was astonished I could diagnose CHF clinically! Suddenly, I found, I have acquired the rare expertise of giving fitness to an emergency appendectomy just by ECG.Feel proud, I had the rare courage of not asking for a preop Echocardiogram. Oh yes, it was a real flash of bedside brilliance. I did rule out Infective endocarditis without caring to call for a bed side screening for vegetation. I am really proud of my acumen! I realised, Duke criteria is far more deep than our urge to have a glimpse on vegetation. I can’t believe myself, yesterday, I was able to Ignore a 90% LAD lesion, first time in my life, by clinical means without FFR and QFR stuff. This one is again from the Echo lab. I sent home a patient with Aortic stenosis without bothering with all those low flow and high gradient conundrum. I was sure it was severe AS. The dense calcium and LVH were good enough to tell the complete story. Finally, one of my senior colleagues, who lives half his awake time in cath lab, confessed to me. Yes,...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: Uncategorized Source Type: blogs