Best treatment option?
What would be the best treatment option for this person?
Intravenous magnesium
Intravenous lignocaine
Primary angioplasty
Intravenous tenecteplase
Coronary artery bypass grafting
Post your answer as a comment below with reasons in favor of your choice and against other options. (Source: Cardiophile MD)
Source: Cardiophile MD - October 13, 2017 Category: Cardiology Authors: Johnson Francis Tags: Cardiology ECG / Electrophysiology Source Type: blogs
Same day discharge for peripheral arterial procedures in elderly – study in CCI
(Peripheral angioplasty – representative image)
Same day discharge after peripheral arterial procedures have been documented to be safe in younger individuals. Now a new study published early online in Catheter and Cardiovascular Interventions [1] has shown that it can be applied in elderly individuals above 70 years as well. The obvious advantage in elderly individuals is that it avoids the risk of delirium, which is common in elderly and demented individuals after night stay in intensive care units.
The peripheral arterial procedures performed where balloon angioplasty, atherectomy and stenting. The study collec...
Source: Cardiophile MD - October 13, 2017 Category: Cardiology Authors: Johnson Francis Tags: Angiography and Interventions Cardiology Peripheral Interventions atherectomy and stenting balloon angioplasty Source Type: blogs
Ignorance based Primary PCI : A landmark article that couldn ’ t correct our coronary Intellect !
How often you assess the success of Primary PCI with degree of ST segment regression or resolution ?
I posed this query to a freshly hatched , Intelligent and energetic cardiologist in an upscale dedicated heart care center.
He said, “No, we don’t .We always go with TIMI flow in IRA .TIMI 3 flow with less than 30% narrowing of IRA is success, that’s it ! He continued ,very often ,we don’t even Insist to take serial ECGs after the procedure . . . forget about analysing ST segment ! His body language seemed to suggest, he didn’t expect such a question (Silly !) from me , talking ...
Source: Dr.S.Venkatesan MD - September 29, 2017 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized pPCI primary pci stemi st segment regression more important than ira patency st segment regressionafter ppci timi blush score timi three flow Source Type: blogs
Right precordial ST depression in a patient with chest pain
Conclusion:Nobody would miss the precordial ST-depressions in this case. The problem is not in identifying these abnormalities, but rather in identifying their etiology. Patients with Isolated Posterior STEMI often do not receive appropriate reperfusion therapy simply because infarction of this anatomical area of the myocardium may manifests without ST Elevation on standard 12-Lead ECG. Tips for recognizing Acute Posterior STEMI:1. Pattern recognition is one of the most powerful - and often subconscious - mechanisms by which we read ECGs. Remember this classic pattern of Posterior STEMI of Standard 12-Lead ...
Source: Dr. Smith's ECG Blog - August 3, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs
Brand new nontoxic radiopaque glue to seal bleeding and guide surgery
As open surgery procedures have gradually been replaced by minimally invasive and image-guided procedures, tissues adhesives are taking the place of sutures and surgical staples. These have got countless applications, including bleeding embolization, angioplasty, stent insertion, and biopsies, among others. Such new surgical glues are highly desired in healthcare clinics. Researchers at the Center with regard to Nanoparticle Research, within the Institute just for Basic Science (IBS) in collaboration with medical doctors in Seoul Nationwide University Hospital, have created a medical glue that is both adherent plus visible...
Source: My Irritable Bowel Syndrome Story - July 19, 2017 Category: Gastroenterology Authors: Ken Tags: IBS News Source Type: blogs
Choice: The Hidden Curriculum in Palliative Care
By Paul CarrThank you to Dr. Naheed Dosani and the excellent team at William Osler Health Centre for inspiring this post.What three words describe the essence of palliative care for you? When I asked my friends, family, and colleagues, the most common answers are: pain management, personal and spiritual support, and end of life planning. Those are all key components. But what quickly became apparent to me during my palliative care elective is that excellent palliative care providers embrace the role of enabling patients and families to make well-informed choices.I have taken a long and untraditional route to arrive in the ...
Source: Pallimed: A Hospice and Palliative Medicine Blog - July 17, 2017 Category: Palliative Care Tags: choice communication goals palliative paul carr Source Type: blogs
The Most Important Questions About the GOP ’ s Health Plan Go Beyond Insurance and Deficits
By ROSS KOPPEL and JASMINE MARTINEZ
Ending healthcare for those who need it will not make them or their problems disappear. On the contrary, the GOP plan will shatter American families and the economy. Nothing magical happens if we stop caring for the elderly, the ones who need vaccinations, the small infections that can be treated for $2 worth of antibiotics, the uncontrolled diabetics, and those with contagious diseases who clean our schools’ offices and homes. They don’t just get healthy.
As George Orwell said in Down and Out in Paris and London, “the more one pays for food, the more sweat and spittle one is obli...
Source: The Health Care Blog - July 13, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
Ignorance based PCI : Histopathology of “ pinched ” LAD
This article from Circulation Imaging new generation IVUS could reveal histology of pinching
1.Adam J. Brown, Daniel R. Obaid, Charis Costopoulos, Direct Comparison of Virtual-Histology Intravascular Ultrasound and Optical Coherence Tomography Imaging for Identification of Thin-Cap Fibroatheroma Circulation: Cardiovascular Imaging. 2015;8:e003487 (Source: Dr.S.Venkatesan MD)
Source: Dr.S.Venkatesan MD - June 28, 2017 Category: Cardiology Authors: dr s venkatesan Tags: acute coronary syndrome Cardiology -Interventional -PCI Cardiology -unresolved questions coronary pinching haziness in side stent intra coronary lysis streptokinase malapposition plaque prolapse post pci shadows post pci thrombosis thr Source Type: blogs
OrbusNeich Is Bringing Its Sapphire PTCA Balloon Catheters to U.S.
OrbusNeich, a company based in Hong Kong, is releasing in the U.S., following FDA clearance, its Sapphire II PRO and the Sapphire NC Plus PTCA balloon dilation catheters. Both devices are indicated for dilation of coronary artery or bypass graft stenoses in cases of ischemia, and for opening up coronary artery occlusions following an infarct. The Sapphire NC Plus can also be used according to labeling for treating in-stent restenosis and to stretch open stents within the coronary artery.
Both devices were developed for navigating through particularly challenging blockages, while the Sapphire II Pro is particularly good at...
Source: Medgadget - June 14, 2017 Category: Medical Devices Authors: Editors Tags: Cardiology Radiology Source Type: blogs
Cordis Unveil New Interventional Cardiology Products
The RAILWAY Sheathless Access System
Cordis, the interventional vascular arm of Cardinal Health, has announced three new additions to its cardiology portfolio for use in Europe, the Middle East, and Africa. The new products were on show at EUROPCR 2017 in Paris this week and include the RAILWAY Sheathless Access System and two new percutaneous transluminal coronary angioplasty (PCTA) balloon catheters: the Ikazuchi Zero and Raiden3 under the Kaneka brand name.
The RAILWAY Sheathless Access System is indicated for radial artery use and allows direct access to the artery for introducing intravascular devices. The system ...
Source: Medgadget - May 19, 2017 Category: Medical Devices Authors: Tom Peach Tags: Cardiology Radiology Source Type: blogs
Shockwave ’s Lithoplasty System Now Cleared in EU for Coronary Artery Disease Treatment
Shockwave Medical out of Fremont, California won the European CE Mark to introduce its Coronary Lithoplasty System for helping to place stents into coronary arteries in patients that have substantial calcified plaque. Lithoplasty is Shockwave’s name for its technology (aka lithotripsy) that delivers sonic waves via a specialty catheter directly to the plaque lining blood vessels. The vibration pressures help to create cracks within the plaque, allowing a balloon to compress it more and create a wider lumen. This in turn gives more space for a stent to be positioned, allowing more blood perfusion through the treated r...
Source: Medgadget - May 18, 2017 Category: Medical Devices Authors: Editors Tags: Cardiology Source Type: blogs
Florida Has a Transparency Database
We have long been known to deride the national Open Payments database, believing that it does more harm than good. Recently, it was brought to our attention that the State of Florida has their own transparency database. FloridaHealthFinder.gov is a website run by the Florida Agency for Health Care Administration (AHCA) and attempts to provide patients with healthcare provider information. The website has been around since 2000 and has continued to be updated and expanded, gaining national recognition as a leader in health care transparency. Through health care quality comparison tools, the health encyclopedia, and many oth...
Source: Policy and Medicine - May 16, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
Out of hospital cardiac arrest
(OHCA) is a catastrophic event, which is equivalent to demise unless prompt cardiopulmonary resuscitation (CPR) and follow up care are available. Majority of the cardiac arrests occur at home (80%) and some of them at public places (20%). Only one fifth of them are in a shockable rhythm when the emergency medical services (EMS) arrive. There is a 10% decrease in survival on each passing minute after cardiac arrest. Bystander initiated CPR improves the chance of survival as it buys time till the arrival of EMS. The chance of receiving bystander CPR varies widely between countries and locations, with 43% in certain countrie...
Source: Cardiophile MD - May 9, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology AED automatic external defibrillator Bystander CPR bystander initiated CPR cardiopulmonary resuscitation Chain of Survival OCT OHCA Optical coherence tomography PCI Percutaneous coronary intervention public acces Source Type: blogs
Contego Medical ’s Vanguard IEP Cleared in Europe for Safer Balloon Angioplasties
Contego Medical of Raleigh, North Carolina won the European CE Mark to introduce its Vanguard IEP peripheral balloon angioplasty system. The product features the firm’s Integrated Embolic Protection (IEP) technology that captures embolic debris coming off occlusions being treated within the superficial femoral artery.
The IEP looks a bit like a parachute that extends around the distal tip of the Vanguard, covering the arterial lumen, whatever its size, so that just about all the blood flows through its filtrating material. Large objects, greater than the 150-micron pores of the parachute, are captured during ball...
Source: Medgadget - May 2, 2017 Category: Medical Equipment Authors: Editors Tags: Radiology Vascular Surgery Source Type: blogs
Oh, the Things You ’ll See Over an MS Lifetime
I once wrote a toast for a dear couple who were to celebrate their 50th wedding anniversary at the same island hotel where they had honeymooned — well, where they’d spent a weekend after their wedding. As I researched their life together, I realized that some pretty amazing stuff had taken place during the time they’d spent as a couple.
They’d seen the rise and fall of the Third Reich, the Iron Curtain, and the Berlin Wall. Their married life encompassed 11 presidents and five popes, and spanned from the age of propeller planes through to manned space travel and the sending of a man-made object beyond our solar s...
Source: Life with MS - April 13, 2017 Category: Neurology Authors: Trevis Gleason Tags: multiple sclerosis Everyday Health life with MS Living with MS MS and family MS doctors MS in the news trevis gleason Source Type: blogs
