Best excercise for optimal BP control : A meta-analysis & a surprise conclusion !
Lifestyle modifications and non-pharmacological modalities should be started in every hypertensive individual before starting them on long-term drugs. This is one of the foundational lessons in the therapy of hypertension. (Please mind, in no way, it conveys a meaning that we can give less importance to them after starting drugs.)
Exercise prescription has become a big-ticket event in hypertension clinics in recent times. Though any physical activity in adequate quantity is good, we have classified exercise into complex subtypes and found fancy ways of its administration.
Traditional belief gets a kick-back
We (A...
Source: Dr.S.Venkatesan MD - August 26, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs
Hypertension therapeutics: A meta-analysis and a mega-surprise!
Lifestyle modifications and non-pharmacological modalities should be started in every hypertensive individual before starting them on long-term drugs. This is one of the foundational lessons in the therapy of hypertension. (Please mind, in no way, it conveys a meaning that we can give less importance to them after starting drugs.)
Exercise prescription has become a big-ticket event in hypertension clinics in recent times. Though any physical activity in adequate quantity is good, we have classified exercise into complex subtypes and found fancy ways of its administration.
Traditional belief gets a kick-back
We (A...
Source: Dr.S.Venkatesan MD - August 26, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs
A simple tip for peace of mind … for the modern patient
Preamble
A patient who had a PCI some time back , asked me in one of his recent visit.
Doctor what is microvascular endothelial dysfunction and erosison ? Am I at risk of developing it ?
What am I supposed to answer ? Yes, I some how managed .” Don’t worry , it is a complex biological phenomenon. you need not go deeper into that. Take medicines regularly” He wasn’t happy with my answer is a different story.
A simple tip for peace of mind … for the modern patient
If the current generations of patients , equipped with hyper-knowledge engines, insist to understand 100% about the...
Source: Dr.S.Venkatesan MD - August 20, 2023 Category: Cardiology Authors: dr s venkatesan Tags: patient education ai in medicine faith trust in doctors patient behaviour patient empowerment technology in mediine Source Type: blogs
What does statin do to Cholesterol absorbtion from Intestine ?
A.Reduces
B Increases
C.No effect
D. Iam not sure
Does this sound a difficult question ?
Many felt so. Hence, I decided to ask the all too popular AI machine.
It became a brief little chat with GPT, that surprised me .
https://chat.openai.com/share/6b96c54e-ad52-472a-9ebd-b7b1e1c762be
Statin: Some untold story.
Last century’s rockstar drug, statin do stimulate Cholesterol abosorbtion as well as hepatic synthesis.We must be aware, It is a less popularised truth (Intentionally ? ) among the cardiolgy community,
Ofcourse LDL comes down, at the cost of residual pre -choleterol particles th...
Source: Dr.S.Venkatesan MD - August 19, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs
I am 49 … not out, how about you TAVI ?
This post was written after coming across a case report Oxford medical case report.
What is the life of a prosthetic Aortic valve?
The standard answer needs to be, mechanical valves can last up to 25 years or more. But, we are in a techno-conflict era. Instead of working on the longevity of the valve, ( with concerns for long-term OAC ) we fell for the biological valves. Curiously, this has made the durability of the valve, a less relevant discussion in many centers. We get excited when some company brings out a long-lasting bio-prosthetic valve that can live up to a maximum of 15 years.
Now, ...
Source: Dr.S.Venkatesan MD - August 1, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized prosthetic aortic valve starr edwards valve tavi valve Source Type: blogs
Spouse behavior as a coronary risk factor ?
This is a re-blog from 2010 pages of this site.
Hope we have more updates.Spouse behaviour as significant CAD risk factor, is still a valid research concept that shall lead to more productive social “cardiac Interventions” and prevent CAD burden outside the much glamorised cathlab
Dr.S.Venkatesan MD
American journal of epidemiology in a land mark analysis has found , spouses share the same profile of coronary risk factors .This is a huge finding , considering the fact that , genetic factors are not involved here . So , it is something to do with family diet ? domestic issues, sibling effect ?
It is well-k...
Source: Dr.S.Venkatesan MD - July 24, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs
Does true vegetarians carry less risk of developing CAD ?
Exclusive plant based diet protects heart and vasculature. Is it true ?
“Yes it is.“
“No, It doesn’t.“
“Yes, a little bit”
So, the answer is not stright-forward. Then as a scientist what should we do ? Do some good studies.
Do we have it ? Ofcourse, we have far too many to confuse us.
Which study showed vegetarians has less risk of CAD than non vegetarians?
There have been several studies that have explored the association between vegetarian diets and the risk of coronary artery disease (CAD) compared to non-vegetarian diets. While not all studies show consist...
Source: Dr.S.Venkatesan MD - July 19, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs
What is your top three high & low value cardiac Intervention?
High value
1.Pacemaker
2.Heparin in Acute coronary syndrome
3.Diuretic therapy for Cardiac failure & Pulmonary edema
Low value
1.PCI> 24 hrs after STEMI
2.Most CTO Interventions
3.AF ablation
Strong contenders for high value Interventions
1.PTMC
2.Thrombolysis & DAPT
3.Diet and excercise modulation
Strong contenders for low Value Intervention
1.TAVI in young & SAVR eligible population
2.Mitra clip
3.LAA appendage closure
Final message
Unfortunately, most of us are blinded (Artificially though!) to quality check, outcome assessment, and comparativ...
Source: Dr.S.Venkatesan MD - July 19, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized ethics in cardiology What is Interventional cardiology Source Type: blogs
Cardiology Image quiz : A diagnosis no one wants to make !
What is the lesion?
It looks like an Intracardiac tumor, a myxoma ? a variant of HCM ? Is it a hydatid cyst, ?
No it’s not. I can give one clue. This is a man-made condition.
Oh ok, did this happen inside the cath lab ?
Yes, you got it, right. But need a diagnosis.
Can you give me one more clue?
This patient was undergoing PCI for chronic total occlusion.
So, it must be a complication. Then I need to know the list of complications during CTO PCI.
Yes, but you may not find this one in the conventional list. Let me come out with the answer.
...
Source: Dr.S.Venkatesan MD - July 10, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs
What is the half-life of knowledge & Intelligence?
(Source: Dr.S.Venkatesan MD)
Source: Dr.S.Venkatesan MD - July 8, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized medcial education venkat quotes what is intelligence and wisdom Source Type: blogs
What is the half-life of knowledge & Intelligence ?
(Source: Dr.S.Venkatesan MD)
Source: Dr.S.Venkatesan MD - July 8, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized medcial education venkat quotes what is intelligence and wisdom Source Type: blogs
Its time, the definition of “ professional Incompetence ” needs an amendment !
If you think this quote is too brutal, please visit the Nobel laureate Initiative “Lown Institute” website and spend some time, to find solutions to rescue the medical profession, which is rapidly drowning in a sea of ethical dysfunction. (Source: Dr.S.Venkatesan MD)
Source: Dr.S.Venkatesan MD - July 8, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs
Its time, the defintion of “ professional Incompetence ” needs an amendment !
If you think this quote is too brutal, please visit the Nobel laureate Initiative “Lown Institute” website and spend some time, to find solutions to rescue the medical profession, which is rapidly drowning in a sea of ethical dysfunction. (Source: Dr.S.Venkatesan MD)
Source: Dr.S.Venkatesan MD - July 8, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs
What happens to FFR after stenting ?
A simple question with mammoth repercussions in the revascularization world.
How was the question ? Was it difficult ?
Don’t worry, it wouldn’t be the same even for elite cardiology experts worldwide. It is not a Himalayan task, though, to find an answer. All it requires is a simple FFR run through pre and post PCI (Now RFR, iFR, QFR). Surprisingly, very few inquisitive minds wanted to do this. I can find 5 related papers. The fifth one is very specific: REPEAT-FFR study. Go through at least that one paper and find the answer yourself.
Cardiology fellows it is worth reading about this important stud...
Source: Dr.S.Venkatesan MD - July 8, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized acc aha bari 2 d courage study eapci epicardial myocardial dissociiation es guideinnedmt ffr ffr rfr qfr ffr vs oct ISCHEMIA trial medical management for cad myocardial revascularisation ORBITA study Source Type: blogs
An Immortal painting that defines the essence of our profession!
No medical painting Impacted us this much. “The Doctor“ “was exhibited in 1891 by Sir Luke Fildes and Presented by Sir Henry Tate in 1894 in London. I am sure most of us are aware of this painting. Sharing it for future generations. Wish, this painting is embedded permanently in every young medico’s nimble brain.
This painting soulfully pours the silent and sacred bond between a helpless doctor and his dying patient, , which happens to be a lovely child.
Further reading: https://www.tate.org.uk/art/artworks/fildes-the-doctor-n01522
(Source: Dr.S.Venkatesan MD)
Source: Dr.S.Venkatesan MD - July 6, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs
