DM / DNB Cardiology Entrance New Test Series 5
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Source: Cardiophile MD - August 6, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 4
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Source: Cardiophile MD - January 18, 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
DM / DNB Cardiology Entrance Mock Test 2
This study reported 32 arrhythmic episodes in 24 patients. There was spontaneous recovery with abstinence from alcohol.
Reference
1. Ettinger PO, Wu CF, De La Cruz C Jr, Weisse AB, Ahmed SS, Regan TJ. Arrhythmias and the “Holiday Heart”: alcohol-associated cardiac rhythm disorders. Am Heart J. 1978 May;95(5):555-62.Question 14Diagnosis based on the echocardiogram:
AEbstein’s anomaly of tricuspid valveBNone of the aboveCEndomyocardial fibrosisDIdiopathic dilatation of right atriumQuestion 14 Explanation: Endomyocardial Fibrosis (EMF) is a type of restrictive cardiomyopathy. It is characterised by fibros...
Source: Cardiophile MD - January 16, 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
Spinal cord ischemia in TEVAR – Cardiology MCQ
Measures to prevent spinal cord ischemia in TEVAR (thoracic endovascular repair of aortic aneurysm):
a) Avoiding blockage of left subclavian
b) Surgical graft to left subclavian before TEVAR
c) Pre procedure drainage of CSF (cerebrospinal fluid)
d) All of the above
Correct answer: d) All of the above
Spinal cord ischemia manifesting as paraplegia is one of the important complications of TEVAR (thoracic endovascular repair of aortic aneurysm). Avoiding blockage of left subclavian which gives branches which eventually supply the spinal cord is a preventive option in elective setting. In cases in which left subclavian nee...
Source: Cardiophile MD - November 4, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Angiography and Interventions Cardiology MCQ DM / DNB Cardiology Entrance Peripheral Interventions Source Type: blogs
Penetrating aortic ulcer (PAU)
is one of the three important acute aortic syndromes, the other two being acute aortic dissection and intramural hematoma. Majority of the PAU occur in the descending thoracic aorta, which contributes to about sixty percent while nearly one third occur in the abdominal aorta [1]. Only around six percent are seen in the aortic arch. About half of the ulcers are isolated, without any associated intramural hematoma or saccular aneurysms. Nearly one fourth have associated saccular aneurysms while about a seventh of them have associated intramural hematoma.
Important complications of penetrating aortic ulcer include aortic in...
Source: Cardiophile MD - June 13, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Source Type: blogs
Most common complication of EVAR – Cardiology MCQ
Most common complication of EVAR (endovascular aortic repair):
a) Aortic rupture
b) Device migration
c) Endoleak
d) Infection
Correct answer: c) Endoleak
Type I and III endoleaks needs immediate attention. Spontaneous sealing off may occur half of the type II endoleaks. Vascular injury rates are low with EVAR because of meticulous preprocedural planning with the aid of three dimensional imaging and is in the range of zero to three percent. Incidence of stent graft infection is also low at around a percent, but if it occurs, the mortality rate is high.
The post Most common complication of EVAR – Cardiology MCQ appe...
Source: Cardiophile MD - June 8, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Measures to tackle spinal cord ischemia in TEVAR
Spinal cord ischemia manifesting as paraplegia is one of the important complications of TEVAR (thoracic endovascular repair of aortic aneurysm). Avoiding blockage of left subclavian which gives branches which eventually supply the spinal cord is a preventive option in elective setting. In cases in which left subclavian needs to over stented, a hybrid procedure with a surgical graft to the vessel likely to be blocked being placed before TEVAR is an option. Pre procedure drainage of CSF (cerebrospinal fluid) can be useful as it has been proven useful in aortic surgery for protection of spinal cord. CSF drainage is an immed...
Source: Cardiophile MD - June 7, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Source Type: blogs
Endoleak in TEVAR – Cardiology MCQ
An insufficient proximal seal in TEVAR (thoracic endovascular repair) is:
a) Type I endoleak
b) Type II endoleak
c) Type III endoleak
d) Type IV endoleak
Correct answer: a) Type I endoleak
Read more on types of endoleak (I – V) and a few tips on EVAR. TEVAR is being preferred over surgical repair of aortic aneurysms and aortic dissections in several cases. In case of aortic dissection, entering the true lumen may be challenging as it is often smaller than the false lumen.
The term endoleak is used to denote leakage of blood into the aortic disease which was excluded from the blood stream by the stent graft. This co...
Source: Cardiophile MD - June 7, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Pictures Can Be Worth More Than Words
And they stick in the mind much longer.
This elderly patient was sent to the ED after an ultrasound for a pulsatile mass. The CT tells the story better than words can. What’s the diagnosis?
The CT showed an 8.6 cm AAA, and the patient underwent endovascular aortic repair (EVAR).
EVAR is performed by deploying a stent across the aneurysm site. The site is usually accessed through the femoral artery. EVAR has significantly decreased peri-operative mortality and morbidity because the patient is not subjected to open repair with clamping of the aorta. In fact, it has been reported tha...
Source: Lions and Tigers and Bears - February 2, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Pictures Can Be Worth More Than Words
And they stick in the mind much longer.
This elderly patient was sent to the ED after an ultrasound for a pulsatile mass. The CT tells the story better than words can. What’s the diagnosis?
The CT showed an 8.6 cm AAA, and the patient underwent endovascular aortic repair (EVAR).
EVAR is performed by deploying a stent across the aneurysm site. The site is usually accessed through the femoral artery. EVAR has significantly decreased peri-operative mortality and morbidity because the patient is not subjected to open repair with clamping of the aorta. In fact, it has been reported that more than ha...
Source: Lions and Tigers and Bears - January 30, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Where is the Aortic blind spot for TEE ? How to over-come it ?
Meticulous Aortic imaging is vital for assessing atherosclerotic plaques in stroke evaluation , aneurysms of aorta ( Both dissecting and non dissecting.) and during aortic surgeries. Peri procedural aortic imaging has become mandatory in many of the complex aortic endovascular repair as well .
TEE is an extremely useful investigation and has revolutiolised our appraoch to aortic disorders .
However , we have an issue .
How to overcome it ?
During peri-operative TEE a simple but innovative idea is to displace the tracheal air with saline filled balloon and capture the aortic arch with ultra sound . What a way to ...
Source: Dr.S.Venkatesan MD - December 1, 2014 Category: Cardiology Authors: dr s venkatesan Tags: Aortic diseases Aortic stent grafing echocardiography TEE-Transesophageal echocardiography aortic arch blind spot in tee aortic imaging in dissection dissecting aneurysm of aorta ascending aorta blind spot in tee what is the blind spot in te Source Type: blogs
The Beginnings of Endovascular Abdominal Aortic Aneurysm Repair (EVAR)
Today was day one of the 41st Annual Veith Symposium in New York City. The whole field of endovascular repair and intervention has grown exponentially since the first endovascular repair of an abdominal aortic aneurysm (EVAR) was performed by Dr. Juan Parodi in 1990, but it took quite some time to be accepted as a standard of care. Today the endovascular approach is the preferred procedure to repair an AAA and this is because of the advances in medical device design and manufacturing and the dedication of physicians to this less invasive non-surgical approach, physicians who will be attending this year's Veith Symposium. (...
Source: Burts Stent Blog : The Voice in the Ear - November 18, 2014 Category: Medical Equipment Source Type: blogs
Vascular Surgery and the Battlefield: Honoring Our Veterans
Today is Veterans Day in the U.S., honoring the soldiers who fought in the country's wars. Last week was the VIVA 14 meeting, presenting the latest advances and techniques in endovascular repair and therapy of blood vessels. These two events are actually closely aligned: the development and advances made in vascular surgery, and now endovascular therapies, were pioneered on the battlefield. (Source: Burts Stent Blog : The Voice in the Ear)
Source: Burts Stent Blog : The Voice in the Ear - November 11, 2014 Category: Medical Equipment Source Type: blogs
