no COVID-19 thread?
wondering what people's experiences have been. who has taken care of someone with this virus? I have read posts online about viral cardiomyopathy and young healthy people going from healthy to mild illness to vented within short period of time. what's the deal? also if people are walking around asymptomatic for weeks before they get sick.. it's going to be everywhere (Source: Student Doctor Network)
Source: Student Doctor Network - March 14, 2020 Category: Universities & Medical Training Authors: oreosandsake Tags: Internal Medicine and IM Subspecialties Source Type: forums

How would you do this case?
Hey guys heres a case. 65 y.o. 77kg, 5'11" BMI 23, with previous medical history of CAD, MI x3 (last in 2017); s/p DES to OM (6/07); periprocedure thalamic CVA x 2 with right-sided weakness; s/p CABG (LIMA-LAD, SVG-RCA/PDA in 4/2010) and DES x4 (OM1 6/2017, LAD 5/2008 and 2017, LCx 5/2015) with ischemic cardiomyopathy, h/o VT and CHB s/p AICD (pacemaker dependent); infected AICD, lead extraction 4/26/2019 and generator change with leadless single chamber pacemaker; chronic stable angina... How would you do this case? (Source: Student Doctor Network)
Source: Student Doctor Network - October 25, 2019 Category: Universities & Medical Training Authors: DrOwnage Tags: Anesthesiology Source Type: forums

Tandem resuscitative hysterotomy and thoracotomy in peripartum cardiomyopathy-mediated cardiac arrest
A case report published in this month's Annals: young, pregnant woman arrives at an academic center after being intubated for hypoxemic respiratory failure at a referring facility. Arrests on/shortly after arrival. They deliver the fetus, crack mom's chest... both leave the hospital within 3 weeks, without significant deficits... Tandem resuscitative hysterotomy and thoracotomy in peripartum cardiomyopathy-mediated cardiac arrest (Source: Student Doctor Network)
Source: Student Doctor Network - May 23, 2019 Category: Universities & Medical Training Authors: SpacemanSpifff Tags: Emergency Medicine Source Type: forums

Long term adderall side effects
Hi guys, sorry if this isn't the appropriate place to post but I'm seeking more information on the long-term side effects of adderall and am hoping someone here can point me in the right direction. Specifically, my concern is that adderall is similar to cocaine, and I always hear about cocaine and cardiomyopathy, sudden cardiac death, etc, but never with adderall. Is there an actual difference between the two drugs that account for this or does using adderall still put you at risk for these... Long term adderall side effects (Source: Student Doctor Network)
Source: Student Doctor Network - November 24, 2017 Category: Universities & Medical Training Authors: mpompliano Source Type: forums

Diseases not in FA, Uworld, or Pathoma
I am doing Robbins Review of Pathology (the question book) alongside my classes, and I am noticing several diseases that are nowhere to be found in First Aid, Uworld, or Pathoma. For example, "distal acinar emphysema," "arrhythmogenic right ventricular cardiomyopathy," "pulmonary alveolar proteinosis" just to name a few...Should I be learning these (i.e. are they fair game for boards), or is there no chance they can show up? Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - September 28, 2017 Category: Universities & Medical Training Authors: Foot Fetish Source Type: forums

dilated cardiomyopathy with multiple LV thrombi Part 02
dilated cardiomyopathy with multiple LV thrombi 2/2 (Source: Cardiac Forum)
Source: Cardiac Forum - March 30, 2017 Category: Cardiology Authors: Justin Tags: Video Blog Source Type: forums

Adderall side effects
Hi guys, sorry if this isn't the appropriate place to post but I'm seeking more information on the long-term side effects of adderall and am hoping someone here can point me in the right direction. Specifically, my concern is that adderall is similar to cocaine, and I always hear about cocaine and cardiomyopathy, sudden cardiac death, etc, but never with adderall. Is there an actual difference between the two drugs that account for this or does using adderall still put you at risk for these... Adderall side effects (Source: Student Doctor Network)
Source: Student Doctor Network - December 29, 2016 Category: Universities & Medical Training Authors: mpompliano Source Type: forums

step 2CK: digoxin hyperkalemia
This is a question i found on MTB step 2 ck, it said: You have a patient with dilated cardiomyopathy secondary to MI in the past, that comes for routine evaluation, is asymptomatic, but with hyperkalemia. He is on lisinopril, furosemide, metoprolol, aspirin and digoxin. What is the best management? The answer was to change lisinopril (a IECA, so a possible cause of hyperKalemia) for hydralazine + nitroglycerin. This also lowers mortality, like IECAs, in CHF. My question is... I remember... step 2CK: digoxin hyperkalemia (Source: Student Doctor Network)
Source: Student Doctor Network - August 30, 2016 Category: Universities & Medical Training Authors: DrPettans Source Type: forums

Q. why sprironolactone not given in HCM?
Q.Why spironolactone is not given in Hypertrophic cardiomyopathy while other diuretics can help? (Source: Student Doctor Network)
Source: Student Doctor Network - August 27, 2016 Category: Universities & Medical Training Authors: sgsh Source Type: forums

S3 in Restrictive Cardiomyopathy0
Can S3 be heard in Restrictive cardiomyopathy or Dilated cardiomyopathy or in both? (Source: Student Doctor Network)
Source: Student Doctor Network - July 27, 2016 Category: Universities & Medical Training Authors: Sonia usmle Source Type: forums

Clinical question of the week: HCM part 1
A 35 year old patient presented to the emergency department complaining of one episode of syncope while walking. He does not remember details of the episode, but he mentioned full recovery only a couple of minutes after the event. He reported no known diseases, no smoking, drinking or drug use. His family history included an older brother who died suddenly while sleeping at age 38. On physical examination the heart rate was 66 bpm, BP was 140/92 mmHg, respiratory rate 14, temperature 36.2oC. SatO2:97%. Lungs were clear. Heart auscultation a systolic murmur (++/4) was noted on the left sternal border. The ECG show...
Source: Doc2Doc BMJ Cardiology - July 27, 2015 Category: Cardiology Authors: MBittencourt Source Type: forums

Clinical question of the week: HCM part 2
 Which of the following criteria below does not indicate increase risk of sudden death in patients with hypertrophic cardiomyopathy (HCM)? (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - July 27, 2015 Category: Cardiology Authors: MBittencourt Source Type: forums

Clinical question of the week
A previously fit 42 year old woman developed severe chest pain after an argument with her partner. On arrival to A&E her ECG showed marked ST segment elevation in the septal leads. She was transferred for emergent coronary angiography but this demonstrated no obstructive coronary disease. Her chest pain and ecg changes resolved after a few hours with no q waves. and serum troponin was very elevated. Her ECHO showed severe LV impairment with anterior and inferior akinesia immediately after the coronary angiogram but normalised 2 days later. What is the most likely diagnosis ? A) Takotsubo cardiomyopathy B) Self limi...
Source: Doc2Doc BMJ Cardiology - April 6, 2015 Category: Cardiology Authors: heart doc Source Type: forums

Free access to BMJ cardiology content in February
To mark National Heart Month in the UK, BMJ is offering free access to a selection of content from its cardiology journals and products (see full list here) and 15% off the article publishing charge when you publish your cardiology research in one of its open access journals (Open Heart, BMJ Open, Lupus Science & Medicine). To claim the 15% use promotion code ZJ6UJR3 upon payment after your article has been accepted. Here are some of the free modules from BMJ Learning: 10 minute consultation - diagnosis and management of chronic heart failure Chest pain of recent origin - assessment and diagnosis: in as...
Source: Doc2Doc BMJ Cardiology - February 3, 2015 Category: Cardiology Authors: Sabreena Source Type: forums

Interesting clinical case...what's the cause?
This is an actual clinical case that attended my hospital. A 40 year old Afro - American man who's usually fit and well suddenly presents with syncope and is found to be in complete heart block. Echo shows structurally normal heart. He is treated with a pacemaker. All is well until 2 years later when he suddenly complains of palpitations and shortness of breath. On arrival to the emergency department he is in sustained monomorphic ventricular tachycardia and is quickly DC cardioverted as haemodynamically compromised. His recovery ECG shows sinus rhythm with ventricular pacing. He has another echo which now shows severel...
Source: Doc2Doc BMJ Cardiology - November 2, 2014 Category: Cardiology Authors: heart doc Source Type: forums

pericardial effusion in pregnancy
We repeated an echocardiogram yesterday on a lady who is 36 weeks pregnant . She had been scanned about 4 weeks ago as she was complaining of some palpitations and breathelssness and we found her to have a low normal efection fraction of around 50% . We weren't certain if this was peripartum cardiomyopathy and hence the rescan. To my surprise the rest of the echo hasn't changed but she now has a samll global pericardial effusion. Has anyone seen a case like this before? sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - July 9, 2014 Category: Cardiology Authors: sadian Source Type: forums

what to do next for this man?
A colleague rang me this morning about a 65 year old man. background ischaemic cardiomyopathy -angio last week no targets for revascularisation suitable for a bivent ICD as EF 25% and has lbbb on ecg worsening heart failure - put on 3kg over past 24 hours on furosemide 80mg / 40 mg iv, spironolactone 25mg,  ramipril 2.5mg and bisoprolol 5mg BP 120 systolic, creatinine 110 , sodium now 122 (was normal 1 week ago)   what would you do next? sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - December 16, 2013 Category: Cardiology Authors: sadian Source Type: forums

A Diagnosis of Cardiomyopathy: Now What?
(Source: Cardiac Forum)
Source: Cardiac Forum - October 26, 2013 Category: Cardiology Source Type: forums

Med Student needs help with heart sounds - cardiomyopathy
Abnormal heart sounds in congestive (dilated) cardiomyopathy - Is it just S3 (with mitral/tricuspid regurg.) or is S4 present as well? TIA :) (Source: Student Doctor Network Forums)
Source: Student Doctor Network Forums - October 10, 2013 Category: Universities & Medical Training Authors: Brain Bucket Tags: Cardiology Source Type: forums

Audible Heart Sounds in Congestive (Dilated) Cardiomyopathy?
Edit: I'll ask on the cardiology forum. Delete this thread please. (Source: Student Doctor Network Forums)
Source: Student Doctor Network Forums - October 10, 2013 Category: Universities & Medical Training Authors: Brain Bucket Tags: Allopathic Source Type: forums

alcohol intake and AF.
I saw a patient yesterday with likely dilated cardiomyopathy who has or had a high alcohol intake. Conicidentally I have seen this article in Heart this morning http://heart.bmj.com/content/99/15/1093.fullwhich reminds me that the association between poor cardiac outcomes and alcohol really is a J shaped curve. I'm sure that my history taking regarding alcohol consumption needs to be improved - how detailed an alcohol history do you ask for?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - July 6, 2013 Category: Cardiology Authors: sadian Source Type: forums

Anger management
A study has just been published in the American Journal of cardiology linking angry outbursts with an increased risk of MI - I've pasted a link below. I guess this must be a form of stress cardiomyopathy rather than the unmasking of latent coronary disease?   Another reason to design a 'chill pill'!http://ht.ly/1Xfk28sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - June 13, 2013 Category: Cardiology Authors: sadian Source Type: forums

Adult Cardiac Surgery
In our adult cardiac surgery unit, coronary by-pass procedures and surgeries, both classical and minimally invasive, to repair and replace valves and treat aortic aneurisms and rhythm irregularities are performed. In addition, hypertrophic cardiomyopathy, pulmonary thromboembolism (pulmonary thromboenatherectomy) and aortic diseases are areas in which are department specializes._______________Cardiac Doctor Turkey (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - February 27, 2013 Category: Cardiology Authors: Gretchen Hill Source Type: forums

ECG in LVH: Quiz 7
A 46 years old chronic alcoholic entered the hospital in severe left ventricular failure, probably due to alcoholic cardiomyopathy. His ECG showed the following. What is your interpretation?Please click to enlarge the view.   (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - February 6, 2013 Category: Cardiology Authors: Dr. K. Ashutosh Source Type: forums