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
Education for Cardiology Disease Professionals
Hello Everyone,
Here, Radcliffecardiology group discusses about online an “Education for Cardiology Disease Professionals” to cardiologists, cardiology students and around the word areas people. Radcliffecardiology also has an independent eLearning platform that everyone can review and get journals of Arrhythmia & Electrophysiology Review (AER), Cardiac Failure Review (CFR), European Cardiology Review (ECR), hyperlipidemia, Fractional Flow Reserve, Cholestestrol and Interventional Cardiology Review (ICR).
You can share your cardiology knowledge, live case, videos and more details at here.
Thanks...
Source: Doc2Doc BMJ Cardiology - July 24, 2015 Category: Cardiology Authors: radcliffecardio Source Type: forums
Advanced Clinical Quiz
This is a Coronary angiogrm and ECG of 40 years old man compliaing of chest pain and shortness of breathing, what is the diagnosis ?
(Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - July 12, 2015 Category: Cardiology Authors: alaminium Source Type: forums
Clinical question of the week: nausea, vomiting and generalised weakness
A 36 year old Asian male has a chief complaint of nausea/vomiting and generalized weakness. He also endorses muscle cramps and a history of intermittent fevers at home. He is a non-smoker, denies excess alcohol use, and denies substance use.
He has a past medical history of:
• Extra-pulmonary TB
• HIV diagnosed September 2014
On examination of the paient:
• The only physical exam findings of significance are mild tachycardia (HR-110s-120s) and mild hypoxemia (SpO2-92-93%)
Labs:
• Only ab...
Source: Doc2Doc BMJ Cardiology - July 6, 2015 Category: Cardiology Authors: Heartfelt Source Type: forums
Lay resuscitation DOUBLES survival
I am indebted to UniVadis for bringing this paper to my attention:
http://www.univadis.co.uk/external/exit/?r=http%253A%252F%252Fdx.doi.org%252F10.1056%252FNEJMoa1405796&display_iframe=1&exit_strategy=0&new_window=0
In Sweden, records of over 30,000 out-of-hospital cardiac arrests that happened during twenty years to the end of 2011 were analysed to see the effect of CPR by members of the public before professional services arrived. The answer was that the 30-day survival increased from 4% to just over 10%, so better than doubled.
So why isn't CPR a school subject? And an autodefibrill...
Source: Doc2Doc BMJ Cardiology - June 18, 2015 Category: Cardiology Authors: John D Source Type: forums
Echo question
This Echo is from 35 years old patient C/O shortness of breathing and palpitations
What is the diagnosis ?
(Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - June 8, 2015 Category: Cardiology Authors: alaminium Source Type: forums
MRCP Part 1 practice question from OnExamination: bradycardia, hypotension, and ST elevation
A 56-year-old man presents to the Emergency department with an inferior myocardial infarction. He has a history of smoking and hypertension and is a poor attendee at the GP surgery.
On initial admission he is hypotensive and bradycardic, with clear inferior ST elevation. He is taken to the catheter lab and stented. You are asked to see him a few hours later as he is persistently hypotensive with poor urine output. He has remained pain free since his stenting.
On examination his BP is 90/50 mmHg, his pulse is 69, he has an elevated JVP, but his chest is clear.
Investigations show
Haemoglobin
140 ...
Source: Doc2Doc BMJ Cardiology - June 8, 2015 Category: Cardiology Authors: OnExamination Source Type: forums
MRCP Part 1 practice question from OnExamination: inferior MI
A 56-year-old man presents to the Emergency department with an inferior myocardial infarction. He has a history of smoking and hypertension and is a poor attendee at the GP surgery.
On initial admission he is hypotensive and bradycardic, with clear inferior ST elevation. He is taken to the catheter lab and stented. You are asked to see him a few hours later as he is persistently hypotensive with poor urine output. He has remained pain free since his stenting.
On examination his BP is 90/50 mmHg, his pulse is 69, he has an elevated JVP, but his chest is clear.
Investigations show
Haemoglobin
140 ...
Source: Doc2Doc BMJ Cardiology - June 8, 2015 Category: Cardiology Authors: OnExamination Source Type: forums
basic ECG knowledge questions
Dear colleges,
I'm studying for an ECG exam and have some basic questions.
-LBB or RBB morfology, is this the same as LBBB of RBBB? How do I distinguish them?
-any tips on recognizing fibrillation and flutter? I often don't recognize/distinguish them although the theory is quit simple.
I seem to be missing the point as I go through exercises and examples.
thx and best regards. Hope these questions aren't too simple and stupid, but I'd doing the course in selfstudy and find it quit hard sometimes.
Dr.Bel (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - June 6, 2015 Category: Cardiology Authors: Dr.Bel Source Type: forums
ECG of patient suffering from Tachycardia even after RadioFrequency Ablation
Following is the ECG of 52 yr old female with no previous heart problems.
She has undergone Radio Frequency Ablation just 20 days before the ECG.
Can anyone help with diagnosing what she might be suffering from?
Also, please suggest treatment. All details will be helpful.
Thanks in advance
(Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - June 1, 2015 Category: Cardiology Authors: docwhou Source Type: forums
Screening sporty youngsters for SADS conditions?
Did anyone hear BBC Radio 5 Live’s broadcast on Sudden Cardiac Death in sports on Tuesday 19th May? It’s still available on http://www.bbc.co.uk/programmes/b05xjcmh for another 20 days! It was a good listen.
How many more professional football and other players must die (not to mention the much bigger numbers of the non-famous) before sports grounds and other public places have easily accessible AEDs and enough of the public CPR-trained, that someone gets on and starts CPR? And what about screening sporty folk?
To screen or not to screen? that is the question. This...
Source: Doc2Doc BMJ Cardiology - May 30, 2015 Category: Cardiology Authors: ED Doc Ffion Source Type: forums
Bleeding Risk in Warfarin-Treated Patients with Kidney Disease
Studies have shown that warfarin-treated patients with substantially impaired renal function require lower warfarin doses
http://www.jwatch.org/na37937/2015/05/20/bleeding-risk-warfarin-treated-patients-with-kidney?query=etoc_jwcard (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - May 28, 2015 Category: Cardiology Authors: Mukhtar Ali Source Type: forums
MRCP part 1 sample question from OnExamination - IHD placebo statistics
A publication reports the outcome of a new statin therapy in a placebo controlled primary prevention of ischaemic heart disease in a diabetic population.
1000 patients were randomised to receive the new therapy and 1000 allocated to placebo. The study was completed over a five year period.
In the placebo group there were 150 myocardial infarcts (MI) and in the group treated with the new statin there were 100 myocardial infarcts. (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - May 26, 2015 Category: Cardiology Authors: OnExamination Source Type: forums
MRCP part 1 sample question from OnExamination - placebo statistics
A publication reports the outcome of a new statin therapy in a placebo controlled primary prevention of ischaemic heart disease in a diabetic population.
1000 patients were randomised to receive the new therapy and 1000 allocated to placebo. The study was completed over a five year period.
In the placebo group there were 150 myocardial infarcts (MI) and in the group treated with the new statin there were 100 myocardial infarcts. (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - May 26, 2015 Category: Cardiology Authors: OnExamination Source Type: forums
