An interesting case
52 yo male scheduled for right thoracoscopy for tumor vs empiema (tough surgery was sure It was on the cancer side) with a history of heavy smoking over 20 years, HBP with no treatment, dilated miocardiopath, heart failure with FEV1 20%, recent onset AF. Current meds are digoxine, furosemide, enalapril and metoprolol. At the OR the patien was unstable with AF all over the place, my attending cancelled the case, but what would be your plan for this patient? (Source: Student Doctor Network)
Source: Student Doctor Network - January 2, 2021 Category: Universities & Medical Training Authors: Sleeplessbordernights Tags: Anesthesiology Source Type: forums

Tough Case: Beach Chair Position
A 74 year old attorney presents for Right Shoulder replacement. He was a civil trial lawyer but retired 6 years ago. HIs main concern is "stroke" from the anesthesia as he was informed by the surgeon his position will be beach chair for 2.5 hours. PMH: HTN CAD One Coronary stent placed 2 years ago; recent stress test from 6/2011 is fine. MI 2004 Obesity Dyslipidemia Mild GERD Gout NIDDM (diagnosed in 2009) PSH: Appy at age 14 CABG X 3 in 2004 Lap Chole in 2008 Meds: Enalapril... Tough Case: Beach Chair Position (Source: Student Doctor Network)
Source: Student Doctor Network - August 1, 2017 Category: Universities & Medical Training Authors: BLADEMDA Source Type: forums

Can we prevent chemo related cardiac damage?
I think this study is very exciting- Enalapril and carvedilol for preventing chemotherapy-induced left ventricular systolic dysfunction in patients with malignant hemopathies: The OVERCOME trial. J Am Coll Cardiol 2013; DOI: 10.1016/j.jacc.2013.02.072. Available here. In patients with haematological maligancies pretreatment with enalapril and carvedilol appears to ameliorate the reduction in LV ejection fractionBUT it is only a small study with a small change in EF so I guess we need  a larger study but certainly appears promising!sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - April 15, 2013 Category: Cardiology Authors: sadian Source Type: forums