Chest pain, resolved. Does it need emergent cath lab activation (some controversy here)? And much much more.
In this study, the major outcomes were the same for both groups, but of 70 patients in the delayed group,4 required emergent intervention for sudden re-occlusion. You can make your own conclusions. I think I would want to intervene before there is risk of re-occlusion.However, one could make a reasonable argument for delaying, especially if you would need to awaken your cath team in the middle of the night. It requires full antiplatelent and antithrombotic therapy, and, in my opinion, if you delay, you should institute continuous 12-lead ECG monitoring. This is why:1. Why we need cont...
Source: Dr. Smith's ECG Blog - April 22, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs
Relation Between Stroke and Heart Disease
Stroke is often due to sudden loss of blood supply to a region of the brain which usually results in paralysis of a part of the body. Stroke could also be due to bleeding into a part of the brain.
Strokes and heart disease are linked together in various ways. In general, risk factors for stroke and some forms of heart disease are similar. Strokes due to blocks in blood vessels, can be seen along with blocks in blood vessels of the heart.
Stroke can occur after a heart attack as well. Heart attack damages a part of the heart muscle. This can lead to damage of the inner lining of the heart in that region. A blood clot can fo...
Source: Cardiophile MD - April 21, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Potential Risk of Serious Bleeding in Patients With AF Using Diltiazem With Apixaban or Rivaroxaban
A potentially serious drug interaction between diltiazem and apixaban or rivaroxaban has been reported in US Medicare patients taking these drugs together for atrial fibrillation. The study has been published as online ahead of print in the Journal of American Medical Asociation [1]. The study compared serious bleeding risk for new users of apixaban or rivaroxaban with atrial fibrillation treated with diltiazem or metoprolol. It was a retrospective cohort study which included US Medicare benefiaries aged 65 years or more with atrial fibrillation and follow up period was one year. Primary outcome was a composite of bleedi...
Source: Cardiophile MD - April 19, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Post-delivery complications: a glimpse into obstetric care
The red climbs up. She just delivered, and the arm of my gown. It seeps under the glove, soaking the cuff. She’s still bleeding. No worries – I call for the postpartum hemorrhage meds in the order I’ve memorized and used successfully hundreds of times before. It’s always stopped before. I trust my training. She
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Post-delivery complications: a glimpse into obstetric care originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 16, 2024 Category: General Medicine Authors: Christina Adams, MD Tags: Conditions OB/GYN Source Type: blogs
Ballooning an obstructed prosthetic Aortic valve : Can be a real tense procedure!
A 76-year-old woman with a history of double valve replacement (Aortic and mitral valves) for rheumatic heart disease, presented with acute dyspnea after a switch from Warfarin to LMWH before a planned bone marrow biopsy.
The investigations revealed a stuck aortic prosthetic valve ,that showed a prohibitive gradient of more than 50 mmhg. Since, she refused further surgery, a rare and risky effort was made to balloon dilate the prosthetic valve leaflet, though it is not a standard approved modality. It was decided to dilate the supero-lateral orifice and the central orifices by simultaneous kissing balloon. The results w...
Source: Dr.S.Venkatesan MD - April 10, 2024 Category: Cardiology Authors: dr s venkatesan Tags: Mitral prosthetic valve-Surgical tips and techniques prosthetic valve dysfunction prosthetic valves prosthetic valves -Technical issues Uncategorized balloon dilatation of prosthetic valve best review article on prosthetic valve obstruction Source Type: blogs
Confronting colon cancer: a daughter ’ s regretful journey
My mother. 63 years old. Colon cancer. She first noticed rectal bleeding. She made excuses. Maybe it’s hemorrhoids. She put her physician on a pedestal. He said, “You’re too young to die,” and there was no need for further tests. Her daughters, both RNs (one an ICU nurse, the other an anesthetist), pleaded with her
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Confronting colon cancer: a daughter’s regretful journey originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 6, 2024 Category: General Medicine Authors: Debbie Moore-Black, RN Tags: Conditions Gastroenterology Oncology/Hematology Source Type: blogs
Excimer Laser Coronary Angioplasty
Transcript of the video: Conventional balloon angioplasty enlarges the vessel a bit as well as plasters the plaque on to the vessel wall, while laser angioplasty is a new technique, also known as laser atherectomy, in which excimer laser, which is a monochromatic source of light, is used to vaporize the plaque or thrombus by producing heat and shock waves. The most important advantage of laser angioplasty or excimer laser angioplasty, is that you need only a standard guidwire, 0.014 inch standard guide wire, unlike the other atherectomy devices which require a bulkier guidewire.
Diagrammatic representation of laser angiopl...
Source: Cardiophile MD - March 21, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
How can Warfarin be safe “ even in ” first trimester of pregnancy ? The story behind the 5 mg cut-off !
The well known pro-coagulant state of pregnancy is an evolutionary protective process to make blood clot quicker, to save fetal loss in early pregnancy and mitigate postpartum bleeding. Still, in many women, this natural adaptive process confers an enhanced thrombotic risk. The molecular mechanisms for this pro-coagulant state are, there is increased factor VII, fibrinogen, reduced protein S. It is interesting to note, while plasminogen levels are elevated, D-dimer is also increased, indicating an ongoing fight between pro & anticoagulant forces, converting the physiological maternal- placental bed a mini harmless DIC ...
Source: Dr.S.Venkatesan MD - March 20, 2024 Category: Cardiology Authors: dr s venkatesan Tags: cardiology -pregnancy Pregnancy and heart pregnancy and heart disease Uncategorized carpreg registry zahara esc acc guidelines on pregnancy and heart disease first trmestr use of oac warfarin heparin switch over lmwh bridge in pregnancy Source Type: blogs
How a ruptured spleen saved a life
Of the many thousand operations I did in my surgical career, most were life-improving rather than life-saving. To me, life-saving implies immediate or imminent risk of death: gunshot wounds, stabbings, gastrointestinal bleeding or perforations, punctured lungs, and cracking a chest in the ER for a stab wound to the heart. Potentially life-saving but less dramatic
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How a ruptured spleen saved a life originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 17, 2024 Category: General Medicine Authors: Sid Schwab, MD Tags: Physician Surgery Source Type: blogs
poem
The Surgical SubspecialtiesBonesVessels TearsBloodInsideOutsideTumorPutrefactionSoftHardInduratedCrepitus PainA different kind of pain MarrowBleeding When all bleeding stops Things that swellThings that contractFixingFulgurating WarRelative value units Gowns MasksLaying on of handsKnife pleaseLooking awayFalling in Amped up Half deadWith careWith loveHeartHeadTouchGlovedAdditionSubtraction2/7/24 (Source: Buckeye Surgeon)
Source: Buckeye Surgeon - February 7, 2024 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
Fight Aging! Newsletter, December 18th 2023
In conclusion, given the relative safety and the favourable effects of aspirin, its use in cancer seems justified, and ethical implications of this imply that cancer patients should be informed of the present evidence and encouraged to raise the topic with their healthcare team.
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Aged Transplant Organs Cause Harm to Younger Recipients
https://www.fightaging.org/archives/2023/12/aged-transplant-organs-cause-harm-to-younger-recipients/
Old tissues are dysfunctional in ways that young tissues are not. This has always been known in the context of organ transplants, but absent me...
Source: Fight Aging! - December 17, 2023 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Meta-Analysis Suggests Aspirin Use Reduces Risk of Cancer Mortality
In conclusion, given the relative safety and the favourable effects of aspirin, its use in cancer seems justified, and ethical implications of this imply that cancer patients should be informed of the present evidence and encouraged to raise the topic with their healthcare team.
Link: https://doi.org/10.1038/s41416-023-02506-5 (Source: Fight Aging!)
Source: Fight Aging! - December 12, 2023 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
What's new in midwifery - 8th December 2023
Guidance and education resourcesRoyal College of Nursing,Genital examination in women: a resource for skills development and assessment (PDF)NHS England,Maternity and neonatal voices partnership guidance, part of theThree year delivery plan for maternity and neonatal services ResearchLabour and childbirthBarriers and facilitators of implementing the practice programme for upright positions in the second stage of labour: A mixed ‐method study Research undertaken in Chinese healthcare settings. Subscription or library access may be needed to see the full text.Impact of discontinuing o...
Source: Browsing - December 8, 2023 Category: Databases & Libraries Tags: midwifery Source Type: blogs
Health care ’ s hidden problem: hospital primary care losses
Health care is constantly evolving, and it’s no secret that many hospitals are bleeding money when it comes to their primary care practices. On the low end, a hospital loses $127,000 per year on a primary care physician. Anecdotally, a rural hospital in Indiana expressed that they lose nearly $500,000 per year! Headlines are filled with
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Health care’s hidden problem: hospital primary care losses originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 5, 2023 Category: General Medicine Authors: Christopher Habig, MBA Tags: Policy Primary Care Source Type: blogs
My Cancer Story
By JEFF GOLDSMITH
On Christmas Eve 2014, I received a present of some profoundly unwelcome news: a 64 slice CT scan confirming not only the presence of a malignant tumor in my neck, but also a fluid filled mass the size of a man’s finger in my chest cavity outside the lungs. Two days earlier, my ENT surgeon in Charlottesville, Paige Powers, had performed a fine needle aspiration of a suspicious almond-shaped enlarged lymph node, and the lab returned a verdict of “metastatic squamous cell carcinoma of the head and neck with an occult primary tumor”.
I had worked in healthcare for nearly forty years when ca...
Source: The Health Care Blog - December 5, 2023 Category: Consumer Health News Authors: matthew holt Tags: Medical Practice The Business of Health Care Cancer Jeff Goldsmith Medicare Advantage Patient Experience Source Type: blogs
