Congestive Heart Failure 3D Animation
(Source: Cardiac Forum)
Source: Cardiac Forum - August 31, 2013 Category: Cardiology Source Type: forums
do beta blockers get a 'bum rap' in heart failure?
I've just been reading anarticle in heart wire about a metanalysis on beta blocker side effects in heart failure. The authors make the point that a number of 'beta-blocker' side effects arise from the disease process , something else including the power of suggestion. Is the fear of side effects one of the reasons that beta-blockers are underutilized in heart failure and how do you tell your patients about possible side effects?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - July 22, 2013 Category: Cardiology Authors: sadian Source Type: forums
can we predict heart failure?
JAMA have just published the STOP-HF trial addressing this issue in which almost 1400 people were randomised to BNP testig followed by intensive investigation and treatment. The intervention group had 7 patients with symptomatic heart failure versus 14 in the control group. It seems that we can prevent heart failure but at what cost?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - July 14, 2013 Category: Cardiology Authors: sadian Source Type: forums
heart failure question
I know the drugs that decrease mortality in heart failure (systolic), but are we supposed to put patients on all of them? If the b-blocker is controlling their BP well and they are not complaining of symptoms like swelling and SOB, should I still add on the ACE and spironolactone at low doses because they decrease mortality as well? I have been told yes and no so I'm confused????
huh, thanks- (Source: Student Doctor Network Forums)
Source: Student Doctor Network Forums - July 4, 2013 Category: Universities & Medical Training Authors: jok200 Tags: Family Medicine Source Type: forums
How low should we go?
Well at least in relation to salt (and probably water) restriction in heart failure. I've just been reading this editorial in Hearthttp://heart.bmj.com/content/early/2013/05/31/heartjnl-2012-303266.extractI can recall my boss always 'prescribing ' salt and fluid restriction 20 years ago but I very rarely if ever do the same. The editorial to me highlights the flaws in the evidence on which our guidance is based. It reminds me of the other thing he used to say - all things in moderation! Do you ever restrict salt or water in heart failure? (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - June 5, 2013 Category: Cardiology Authors: sadian Source Type: forums
serca gene therapy for heart failure
I attended a session on advanced heart failure at the BCS meeting - one of the presentations was on serca gene therapy for heart failure - seehttp://www.guardian.co.uk/science/2013/apr/30/gene-therapy-trials-heart-patientsthe first patient has just been treated at the Brompton and this therapy has been 20 years or so in development. Someone once said that gene therapy is all hype and hope - do we think the same of this?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - June 4, 2013 Category: Cardiology Authors: sadian Source Type: forums
Do you recognise aldosterone escape?
I have a colleague who is very into the physiology (or should I say pathology?) of heart failure. He and I were discussing a patient with severe tricuspid regurgitation and right heart failure and the concept of aldosterone escape came up. I'm not sure however we meant the same thing by the term and our reg absolutely did not! Do you recognise the term ?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - May 23, 2013 Category: Cardiology Authors: sadian Source Type: forums
Has BNP revolutionised the diagnosis of heart failure?
The print BMJ carries an article this week on the rational testing and diagnosis of heart failurehttp://www.bmj.com/content/346/bmj.f2442I was at a meeting two weeks ago where this was discussed and the comment was made that BNP testing in primary care has revolutionised this pathway. Is this statement correct or is it that we have simply rationalised and rationed the use of an expensive resource -ie echocardiography?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - May 15, 2013 Category: Cardiology Authors: sadian Source Type: forums
Please - check out journal club for new perspectives on Heart failure
Houck PD. Evolution of heart failure: Crotchety old cardiologist. OA Medical Hypothesis 2013 May 01;1(1):7.Houck PD. Alternative view of congestive heart failure exacerbations: Role of lymphatic function and inflammation. OA Medical Hypothesis 2013 May 01;1(1):6These two articles are available as a provisional PDF file at the following open access website.http://www.oapublishinglondon.com/oa-medical-hypothesis (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - May 14, 2013 Category: Cardiology Authors: Houckster Source Type: forums
Advanced Clinical Course in Cardiology
Tomorrow I will be participating in the ACCC (Advanced Clinical Course in Cardiology), on 30th April 2013, at Nagpur, the Central India. ACCC, organized in collaboration with Cleveland Clinic is a unique knowledge sharing & skill enhancement programme that has been envisaged to enrich us with the latest in the field of cardiology. The whole day of enriching scientific sessions will focus on wide array of topics like Impact of HTN on Cardiovascular Mortality, Status and Use of Biomarkers in Heart Failure, What does a stable CAD Patient Need – Stents or Bypass or Medications, etc.; to name a few along with panel ...
Source: Doc2Doc BMJ Cardiology - April 29, 2013 Category: Cardiology Authors: Dr. K. Ashutosh Source Type: forums
Cardiology from the Grand Round
(A) Which of the following, affect plasma level of Digoxin :-1/ St John's wort 2/ Gaviscon 3/ Sulfasalazine 4/ Amiodarone (B) 60 year old man comes to see you with shortness of breath. You take a careful and detailed history, perform a clinical examination, and suspect heart failure. He has never had a previous myocardial infarction. His serum natruritic peptide came back very high ( BNP 610 pg/ml ), what should you do next ?1/ Make a routine referral to a cardiologist 2/ Refer urgently, to have transthoracic Doppler 2D echocardiography and specialist assessment within two weeks 3/ Check his ECG, CXR, B...
Source: Doc2Doc BMJ Cardiology - March 23, 2013 Category: Cardiology Authors: alaminium Source Type: forums
Clinical question of the week: do we need specialists to manage heart failure?
This week's clinical question is from cardiology champion sadian ... (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - March 21, 2013 Category: Cardiology Authors: Sabreena Source Type: forums
NICE, Heart Failure & BNP
NICE recently released their Chronic Heart Failure Guidelines and have advocated that measuring serum natriuretic peptides (B-type natriuretic peptide [BNP] or N-terminal pro-B-typenatriuretic peptide [NTproBNP]) should play a prominent role in diagnosing heart failure in patients without a past history of MI. How many of you actually have access to BNP and/or NTproBNP via your local labs? I for one certainly don't. (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - March 2, 2013 Category: Cardiology Authors: Tauseef Mehrali Source Type: forums
