Heart Failure Fellowship Application Cycle 2017
Has anyone else applied via ERAS this cycle? Any invitations yet? (Source: Student Doctor Network)
Source: Student Doctor Network - January 28, 2018 Category: Universities & Medical Training Authors: bubblez128 Source Type: forums
Case: Navigational Bronchoscopy
60yoF BMI 51 COPD with bronchodilator and tiotropium, chronic 5L home O2 and BiPAP at night for sleep, asthma, recent TTE HFpEF Grade 1 diastolic heart failure, mild concentric LVH, HTN, HLD, NIDDM2. Has had a chronic dry cough and 1 episode of scant hemoptysis, now RLL lung mass lights up. Undergoing navigational bronchoscopy posted for 5 hours procedural time.
...GO! (Source: Student Doctor Network)
Source: Student Doctor Network - September 28, 2017 Category: Universities & Medical Training Authors: ethilo Source Type: forums
Thoughts on Midwestern programs?
Hey guys,
I'm applying to Cardiology fellowships this year. I've been on the West Coast since college, but my partner and I are both from the Midwest and we need to be closer to home for family reasons. Thus, I've limited my apps to the Midwest. Except for the most well-known programs, I don't know much about the reputation of a lot of programs. I've listed my apps below in a general tier system. I'm interested in an academic cardiology career (general or heart failure or interventional). If...
Thoughts on Midwestern programs? (Source: Student Doctor Network)
Source: Student Doctor Network - September 12, 2017 Category: Universities & Medical Training Authors: OctopusPot2017 Source Type: forums
Re: More patients are surviving heart failure, audit finds
(Source: BMJ Comments)
Source: BMJ Comments - August 13, 2017 Category: General Medicine Source Type: forums
Re: Renin angiotensin system inhibitors for patients with stable coronary artery disease without heart failure: systematic review and meta-analysis of randomized trials
(Source: BMJ Comments)
Source: BMJ Comments - June 26, 2017 Category: General Medicine Source Type: forums
Which is first: HF or HTN?
How to differentiate between:
1. Hypertension causing hypertrophy and eventual heart failure and congestion
and
2. congestive heart failure for another reason causing decreased renal blood flow and increased RAAS leading to HTN?
I came by a Q in UW (qid: 1532) where they show a patient presenting with CHF and HTN and ask about angiotensin II levels in his pulmonary veins.
The answer was increased, because the patient has scenario number 2.
What if it was scenario...
Which is first: HF or HTN? (Source: Student Doctor Network)
Source: Student Doctor Network - May 20, 2017 Category: Universities & Medical Training Authors: HighB Source Type: forums
Thiozolidineiones (Mech of their adverse effects)
Hey everyone,
I have these three questions:
1- Does anybody know the mech. of edema and hepatotoxicity resulting from glitazones (let's call them glit.)?
2- for the fractures, I think it has to do with glit. increasing the level of adiponectin and increase lipid catabolism. Correct me if I am wrong?
3- In regard to the heart failure side effects, I know It can be the result of edema and fluid retention, but it does not make any sense when you think of the increased b-oxidation resulting...
Thiozolidineiones (Mech of their adverse effects) (Source: Student Doctor Network)
Source: Student Doctor Network - May 2, 2017 Category: Universities & Medical Training Authors: codebluewinniethepooh Source Type: forums
Digoxin: INCREASE or DECREASE O2 demand?
conrad fischer in 2010 kaplan videos states to never use digoxin in CHF because it increases myocardial o2 demand (accelerating the disease), however, everywhere else on the web, it says digoxin either has no effect on o2 demand or even decreases o2 demand hence its widely used in heart failure.
so as of 2017, is digoxin used for HF? or do we use RAAS inhibitors like fischer says to? (Source: Student Doctor Network)
Source: Student Doctor Network - April 12, 2017 Category: Universities & Medical Training Authors: Ven0m Source Type: forums
An observation on fluids and heart failure
I have been thinking recently about fluid therapy and heart failure and wonder whether we are sometimes overly cautious. Let me explain my thinking and see if you agree.
Let's suppose we have a healthy bloke who has gastro and has come in dry but hemodynamically stable, and we prescribe him 1L of saline over 30 minutes to start off with. Now take the same situation but make it someone with a poor EF. We might be inclined to go much more slowly. But is this really necessary? Or take the...
An observation on fluids and heart failure (Source: Student Doctor Network)
Source: Student Doctor Network - March 3, 2017 Category: Universities & Medical Training Authors: economycian Source Type: forums
Why does heart failure cause edema?
I'd think that the with less hydrostatic pressure, there'd be enough osmotic pressure to keep much fluid from leaking out of the capillaries (at least on the arterial side). On the venous side, if fluid is leaking out, why isn't it returned back via lymphatics into circulation efficiently? Is the heart's contractions + movement of blood through vessels a type of movement outside of skeletal muscles that helps move lymph and without it, you get edema? (Source: Student Doctor Network)
Source: Student Doctor Network - January 18, 2017 Category: Universities & Medical Training Authors: KungFuPanda123 Source Type: forums
One year pre-cards fellowship?
I have heard in the past of people doing one year post IM fellowships to network prior to going into cardiology. To my knowledge heart failure is now an official fellowship post cardiology. Do some of these one year gigs still exist? If so unified place to find them? Thanks! (Source: Student Doctor Network)
Source: Student Doctor Network - January 11, 2017 Category: Universities & Medical Training Authors: cardshopeful87 Source Type: forums
Re: NSAIDS and Heart Failure. Again, dose and potency determine benefits and risks
(Source: BMJ Comments)
Source: BMJ Comments - October 3, 2016 Category: Journals (General) Source Type: forums
Re: Non-steroidal anti-inflammatory drugs and risk of heart failure in four European countries: nested case-control study
(Source: BMJ Comments)
Source: BMJ Comments - September 29, 2016 Category: Journals (General) Source Type: forums
Case discussion
I want to open a discussion about a case I feel one of the challenging ones I've seen.
81 year old patient came 2 days ago to the ER with renal colic and a hydronephrosis on the right side and urosepsis was diagnosed. Pre-existing ilnesses: chr. renal failure stage 4, chr. heart failure NYHA 2, multiple heart valve insufficiency.
Antibiotics (Cefuroxim) was started after taking blood cultures which showed presence of E.coli.
Yesterday morning noradrenaline per pump with a rate of 0.5...
Case discussion (Source: Student Doctor Network)
Source: Student Doctor Network - August 27, 2016 Category: Universities & Medical Training Authors: Dr-Junior Source Type: forums
afterload in Mitral Regurgitation
Why does the afterload increase in chronic MR (with decompensated heart failure)?
I understand it decreases in acute MR adn may become normal in compensated chronic MR. (Source: Student Doctor Network)
Source: Student Doctor Network - August 15, 2016 Category: Universities & Medical Training Authors: Northerncardinal Source Type: forums
