Funtabulously Frivolous Friday Five 287
Dr Neil Long Funtabulously Frivolous Friday Five 287
It's Friday. Boggle your brain with FFFF challenge and some old fashioned trivia. Funtabulously Frivolous Friday Five 287 (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - July 26, 2019 Category: Emergency Medicine Authors: Dr Neil Long Tags: FFFF Anything goes Atrial septal defect Bignami Cocaine Cole Porter Kibyo Leonardo da Vinci Marchiava mercury Micheli Minamata disease Renoir Rheumatoid arthritis Strübing Source Type: blogs
GORE CARDIOFORM Approved by FDA to Treat Atrial Septal Defects
The GORE CARDIOFORM Septal Occluder has been approved by the FDA to treat ostium secundum atrial septal defects (ASD) via percutaneous closure procedures. In a clinical study of the device in 125 patients with ASD, ranging in age from 2 to 84, all who successfully received the implant maintained the closure when evaluated six months later.
The GORE CARDIOFORM is made of two discs that make contact with the tissue walls on both sides of the opening and, when activated, come together to block the passage of blood between the atria. It was approved by the FDA last year for patent foramen ovale closures, as a way of reducing ...
Source: Medgadget - June 7, 2019 Category: Medical Devices Authors: Medgadget Editors Tags: Cardiac Surgery Cardiology Radiology Source Type: blogs
Perventricular VSD closure
Perventricular VSD closure
Perventricular VSD closure is a hybrid procedure in which the cardiac surgeon opens the chest and the cardiologist passes a sheath through the right ventricle to achieve a device closure of the ventricular septal defect (VSD). Hybrid procedures are done in hybrid suites with facility for both open heart surgery and radiographic equipment for cardiac catheterization and angiography (hybrid of open heart surgery theatre and cardiac catheterization laboratory or cathlab). Heart is exposed through a lower partial sternotomy. The advantage is that cardiopulmonary bypass is not needed. Intra ope...
Source: Cardiophile MD - March 10, 2019 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Angiography and Interventions Cardiac Surgery device occluder guide wire Perventricular closure of ventricular septal defect Perventricular closure of VSD TEE guidance trans esophageal echocardiographic guidance Source Type: blogs
Medicine MCQ Test Series 1
This Medicine MCQ Test Series contains 20 questions which can be attempted over 40 seconds each. After submission, answers and discussion will be displayed.
Medicine MCQ Test Series 1
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Source: Cardiophile MD - January 27, 2019 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Medicine MCQ - CVS Source Type: blogs
Gun control is our lane: Physician opinions on guns matter
We ’re very fortunate in anesthesiology. We’re seldom the physicians who have to face families with the terrible news that a patient has died from a gunshot wound. But all too often we’re right there in the operating room for the frantic attempts to repair the bullet hole in the heart before it s tops beating, or […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 20, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/karen-s-sibert" rel="tag" > Karen S. Sibert, MD < /a > Tags: Policy Public Health & Source Type: blogs
The Doctor Who Thwarted the Charge of the General Medical Council – Part 1
By SAURABH JHA
After Dr. Hadiza Bawa-Garba was convicted for manslaughter for delayed diagnosis of fatal sepsis in Jack Adcock, a six-year-old boy who presented to Leicester Royal Infirmary with diarrhea and vomiting, she was referred to the Medical Practitioners Tribunal (MPT). The General Medical Council (GMC) is the professional regulatory body for physicians. But the MPT determines whether a physician is fit to practice. Though the tribunal is nested within the GMC and therefore within an earshot of its opinions, it is a decision-making body which is theoretically independent of the GMC.
The tribunal met in 2017, 6 ...
Source: The Health Care Blog - August 5, 2018 Category: Consumer Health News Authors: at RogueRad Tags: NHS #BawaGarba @roguerad Source Type: blogs
Grief as a Hole in the Heart
Today, I was speaking with a friend/colleague who has been a long time addictions specialist, thanatologist and grief counselor. Dr. Yvonne Kaye is an outspoken advocate for those who are living with loss. One of her specialities is working with bereaved parents, regardless of the age of the child or the reason for their death. She has been in the trenches with them for decades and never ceases to be amazed by their resilience in the face of what is considered to be “out of the natural order of things.”
Compassionate Friends is one of the organizations with which she is involved and to which she refers family m...
Source: World of Psychology - July 29, 2018 Category: Psychiatry & Psychology Authors: Edie Weinstein, MSW, LSW Tags: Books Grief and Loss Inspiration & Hope Interview Bereavement grieving Source Type: blogs
Heart disease in pregnancy: Risk stratification
It is needless to say that heart disease in pregnancy is a challenge for the obstetrician and the cardiologist. Hemodynamic changes in pregnancy and labour can adversely affect many of the significant cardiac lesions. Increase in blood volume and heart rate are the important factors during pregnancy. In general stenotic lesions and pulmonary hypertension are poorly tolerated, while regurgitant lesions are better tolerated. Specific risks like aortic dissection and rupture are there for coarctation of aorta. Several risk stratification schemes have been developed for assessing the risk of pregnancy with heart disease over ...
Source: Cardiophile MD - May 27, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology CARPREG II risk scoring CARPREG risk stratification mWHO classification ZAHARA risk score Source Type: blogs
What are the sites of vegetations in VSD with endocarditis?
Locations of vegetations in endocarditis depends on direction of the blood flow jet which causes jet lesions at the site which it impinges, causing damage to the endothelium. It is at this region that small thrombi can form and become a nidus for vegetations. In ventricular septal defect (VSD), there is a left to right jet from the left ventricle to right ventricle. The smaller the size of the VSD, higher the pressure gradient between the two ventricles and greater the velocity of the jet and chance for jet lesion. For the same reason, endocarditis is more common in small VSD and rare in large VSD.
When there is a jet, th...
Source: Cardiophile MD - May 25, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Source Type: blogs
What are the factors which can produce right heart failure following ASD surgery?
What are the factors which can produce right heart failure following ASD surgery?
Age at surgery: The more the age at ASD surgery, the greater the chance of heart failure later. This is related to the extend of pulmonary vascular disease which has already developed prior to surgery. If significant pulmonary vascular disease is present prior to surgery, it may progress even after surgery and lead on the right heart failure.
Atrial flutter: Atrial flutter and other macro re-entrant tachycardias can originate in relation to the atrial scar after ASD (atrial septal defect) surgery. Persistent atrial flutter with fast ventr...
Source: Cardiophile MD - May 24, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiac Surgery Source Type: blogs
ECG Quiz Answer: Complete heart block and right ventricular hypertrophy
Complete heart block and right ventricular hypertrophy
Cardiology MCQs from Cardiophile MD
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ECG Quiz Answer
Complete heart block and right ventricular hypertrophy: There is significant variation in the PP interval from 720 to 960 ms, indicating exaggerated sinus arrhythmia. RR interval is rather fixed at around 1120 ms. PR interval is varying, overall indicating complete heart block. Right axis deviation of QRS complexes (rS in I, aVL) with tall R waves in V1 and deep S in V5, V6 indicate right ventricular hypertrophy. Tall peaked P waves in inferior leads indica...
Source: Cardiophile MD - April 17, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: ECG / Electrophysiology ECG Library Source Type: blogs
GORE CARDIOFORM Septal Occluder Approved by FDA for PFO Closure
The FDA has approved the GORE CARDIOFORM Septal Occluder for patent foramen ovale (PFO) closure procedures that have shown to reduce the chance of stroke in some patients. The CARDIOFORM is already being used in the U.S. for closing of atrial septal defects up to 17 millimeters in size.
The catheter-delivered device consists of two discs that make contact with the tissue walls on both sides of the PFO and come together to block the passage of blood between the atria.
“The soft and conformable design of Gore’s device is ideal for providing long-term repair of PFOs of any shunt size,” said John Rhodes, MD, Medical...
Source: Medgadget - April 6, 2018 Category: Medical Devices Authors: Editors Tags: Cardiac Surgery Cardiology Radiology Source Type: blogs
Right bundle branch block
Right bundle branch block
Right bundle branch block (RBBB) is characterised by an RSR’ pattern with the R’ being slurred, producing a QRS duration of 120 msec or more. This delayed right ventricular activation is reflected as a delayed and slurred S wave in leads oriented to the left ventricle, viz. lead I, aVl, V5 and V6. The same pattern if it occurs with a QRS duration of less than 120 msec, it is generally designated as incomplete right bundle branch block (IRBBB). Mild ST segment depression and inverted T waves in anterior leads are associated with RBBB.
Unlike left bundle branch block which often co-exists with ...
Source: Cardiophile MD - January 13, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: ECG / Electrophysiology ECG Library Source Type: blogs
Cardiomegaly in Eisenmenger syndrome – Cardiology MCQ
Cardiomegaly (on X-ray chest PA view) is seen in:
VSD (ventricular septal defect) Eisenmenger
ASD (atrial septal defect) Eisenmenger
PDA (patent ductus arteriosus) Eisenmenger
VSD and PDA Eisenmenger
Post your answer as a comment below with explanation. (Source: Cardiophile MD)
Source: Cardiophile MD - November 6, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
University of Michigan ’s Hybrid OR: High Tech Surgical Gadgetry Inside One Room
The University of Michigan in Ann Arbor sports one of the finest medical centers in America. We won’t even mention the football team. One of the reasons U of M’s clinics are at the forefront of what they do is because the university gives physicians the freedom to seek new ways of doing things. This includes building new facilities designed to handle the kind of medical practices that are expected to take place in the near future. One such facility is the recently built hybrid operating room at the Frankel Cardiovascular Center, a room which combines a high-end cath lab with a traditional open-chest surgical en...
Source: Medgadget - October 27, 2017 Category: Medical Devices Authors: Editors Tags: Cardiac Surgery Cardiology Exclusive Source Type: blogs
