DM / DNB Cardiology Entrance Mock Test 9
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Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 9.
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Source: Cardiophile MD - January 27, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 7
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Click on the 'Start' button to begin the mock test. After answering all questions, click on the 'Get Results' button to display your score and the explanations. There is no time limit for this mock test.
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Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 7.
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Source: Cardiophile MD - January 23, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 3
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Source: Cardiophile MD - January 17, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Source Type: blogs
Should Fluoro be Your New Go-To?
Part Three in a Three-Part Series
This is the third and final part of our series on foreign bodies and fluoroscopy. Click here for part one and here for part two.
This month, we walk you through a step-by-step guide with bonus video footage to aid in your technique. This progressive procedure is absolutely significant to your practice, and we hope you all get a chance to try it.
The Approach
n Identification of foreign body on plain film or ultrasound
n Saphenous or posterior tibial nerve block
n Enlargement of the wound or entrance site using incision...
Source: The Procedural Pause - January 4, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Is there hemodynamic advantage for co-dominant coronary circulation ?
Co-dominant coronary circulation is defined as , when posterior crux of the heart receives twigs from both right and left system making this water shed area with advantage of twin innervation.They essentially supply inferior and posterior aspect of both left and right ventricle including the posterior aspect of interventricular septum.
Image courtesy modified from :http://www.meddean.luc.edu/lumen/meded/mech/cases/case1/image4.JPG
Traditionally inferior and basal aspects of heart are perceived (wrong tough !) as less important than anterior surface of heart.Infero posterior MI can be extensive and cause significa...
Source: Dr.S.Venkatesan MD - December 20, 2015 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs
Pharmaceutical Pricing – A Reminder of the Value Equation
We previously wrote about the actions Congress is taking to "combat rising prescription drug prices," and the rhetoric politicians of all stripes are using in an attempt to force public opinion on their side. HHS has announced a pharmaceutical pricing forum set for November 20, Congress has committees on both sides working toward a "solution," and Hillary Clinton has said that if she is elected president, she would "demand a stop to excessive profiteering and marketing" by the drug industry.
Often left out those discussions includes the value of medications, PhRMA has recently released a forty-deck slideshow that addresse...
Source: Policy and Medicine - November 25, 2015 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
FFR with CT angiography
Brief Review
Fractional flow reserve (FFR) is usually estimated invasively using a Doppler flow wire introduced into the coronary artery and measuring the pressure drop across the coronary stenosis during maximal hyperemia induced by adenosine. FFR has been shown to be of great significance while assessing the severity of borderline coronary stenosis in deciding the need for coronary angioplasty. Fractional flow reserve estimated by computerized tomographic angiography (FFRCT) is a novel technique of getting similar information non invasively. FFRCT has been shown to be superior to conventional CT coronary angiography and ...
Source: Cardiophile MD - November 24, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiac CT scan FFR FFRCT Noninvasive Fractional Flow Reserve Source Type: blogs
DOJ: Nearly 500 Hospitals Pay United States Over $250 Million to Resolve False Claim Act Allegations Related to Implantation of Cardiac Devices
The Department of Justice announced on Friday, October 30, that they have reached 70 individual settlements involving 457 different hospitals in 43 states, totaling over $250 million. These settlements are related to allegations that cardiac devices were implanted in Medicare patients in violation of Medicare coverage requirements. The list of hospitals and health systems which settled with the government comprise some of the country's largest and well known health systems including Adventist Health, Ascension, Tenant, HCA, Scripts Health, and Emory Health
The settlements revolve around a device known as an implantable ca...
Source: Policy and Medicine - November 2, 2015 Category: American Health Authors: Policy and Medicine Writing Staff Source Type: blogs
An episode of low-value care delivered to my father
My father recently visited his internist with complaints of vague chest symptoms and was referred to a cardiologist who recommended coronary CT, ultrasonography, and angiography. A cardiac workup would seem to be a reasonable course of action given that he has a history of coronary artery disease (CAD) with prior angioplasty.
However, upon further exploration, I felt that his chest symptoms were due to stress and were not of cardiac origin. He exercises regularly without symptom provocation. A few months ago our family went on a cruise, and my father would walk on the treadmill for hour-long sessions to pass time whi...
Source: Kevin, M.D. - Medical Weblog - October 30, 2015 Category: Journals (General) Authors: Victor Lee, MD Tags: Physician Heart Source Type: blogs
Anterorlateral STEMI? Old Anterior MI? But cath shows RCA thrombotic stenosis.
This case is from a frequent contributor, Brooks Walsh. With additions and edits by me.A 68 year-old man had been having chest discomforts intermittently for the past 2 weeks. About 18 hours prior to presentation, his pain began to worsen. He developed nausea, and 911 was called after he vomited once. EMS obtained an ECG:There is subtle ST depression in II, III, and aVF. There is ST elevation in V2 – V5, with Q waves in V2 – V4. This is all but diagnostic of anterior MI.Is it acute? subacute? Old MI with persistent ST elevation?EMS requested cath lab activation. The patient was given nitroglycerin 3 times, ...
Source: Dr. Smith's ECG Blog - October 25, 2015 Category: Cardiology Authors: Steve Smith Source Type: blogs
Not All News Needs to Be Gloomy
One of the joys of working on the subject of human progress is learning about the many ways in which the world is becoming a better place. Keeping up with all of the scientific and technological breakthroughs is, of course, impossible. And so, here is a sliver of the good news that caught my eye last week.
We are one step closer to solving the problem of organ shortages
Harvesting organs from animals may provide the solution to the shortfall of human donors. However, two technical obstacles need to be overcome before animal-human transplants can become a medical reality. One is that human immune systems often reject foreig...
Source: Cato-at-liberty - October 19, 2015 Category: American Health Authors: Marian L. Tupy Source Type: blogs
Factors predicting stroke after CABG – Cardiology MCQ
Factors predicting stroke after CABG:
a) Presence of intracerebral and extracerebral atherosclerotic disease
b) Demonstration of previous stroke by imaging
c) Atheromatous disease of the aorta
d) All of the above
Correct answer: d) All of the above
Aortic plaques have a high chance of embolization while cannulating the aorta for cardiopulmonary bypass. Avoiding cardiopulmonary bypass with off pump CABG (OPCAB) may have an edge over conventional on pump CABG in this situation. Previous history of stroke or transient ischemic attacks (TIA) within the previous six months is an important risk factor for perioperative stroke. ...
Source: Cardiophile MD - October 15, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiac Surgery Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Recannalised IRA : When God’s hand is natural aspiration catheter . . . better show restraint .
“Oh , it’s a well recannalised IRA and its flowing TIMI 3 as well. Now, what shall we do sir” ?, An apparently worried senior resident queried after a second look at the images from a 8 hour old STMEI .Why you sound unhappy man ? As if recanalisation is an untoward event” ! I teased my resident !
and went on to ask . . .
What we mean by recannalised IRA ? (Recan-IRA)
It is akin to natural or pharmacological angioplasty (or combination of the two )
It can be complete or incomplete from the IRA perspective.
It can either result in partial or fully salvaged myocardium.
It should be ...
Source: Dr.S.Venkatesan MD - October 2, 2015 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs
Think twice before having carotid artery surgery
Hundreds of thousands of people have undergone surgery or stents to “fix” blockages in their carotid arteries. (The left and right carotids are the main arteries to the brain.) Most of the these people (about 90%) reported no complaints. We say they are asymptomatic. The blockages were discovered on exam or by ultrasound of the neck.
The idea is that major blockages can progress to full blockages and cause stroke. Since it’s best to prevent stroke, patients with blockages get referred to surgeons and surgeons operate. The fix entails cleaning out the blockage, which we call endarterectomy. More recently, ...
Source: Dr John M - October 1, 2015 Category: Cardiology Authors: Dr John Source Type: blogs
