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Septal myectomy eponym – Cardiology MCQ
Ventricular septal myectomy for hypertrophic obstructive cardiomyopathy (HOCM) is otherwise known as: a) Jatene procedure b) Senning procedure c) Morrow procedure d) Mustard procedure Please post your answer as a comment below. Correct answer will be published on: Apr 26, 2018 @ 19:41 The post Septal myectomy eponym – Cardiology MCQ appeared first on Cardiophile MD. (Source: Cardiophile MD)
Source: Cardiophile MD - April 24, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

Beta blocker in HOCM – Cardiology MCQ – Answer
Which of the following beta blockers is not an ideal choice in the treatment of hypertrophic obstructive cardiomyopathy? Correct answer: d) Carvedilol Non vasodilating betablockers are recommended for the treatment of hypertophic obstructive cardiomyopathy (Class I, Level of Evidence B, as per European Society of Cardiology Recomendations 2014). Other class I drug recommendation when beta blockers are not tolerated is verapamil. Disopyramide has a class I recommendation in combination with betablocker or verapamil. Reference 1. Elliott PM, Anastasakis A, Borger MA, Borggrefe M, Cecchi F, Charron P, Hagege AA, Lafont A, L...
Source: Cardiophile MD - April 24, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

Disopyramide in HCM – Cardiology MCQ – Answer
Disopyramide is a class Ia antiarrhythmic agent which can be used in hypertrophic obstructive cardiomyopathy when beta blockers alone are ineffective. Pick out the WRONG statement regarding disopyramide in this context: Correct answer: c) Should not be combined with verapamil Disopyramide has a negative inotropic action and is useful in reducing left ventricular outflow tract gradients in hypertrophic obstructive cardiomyopathy and does not increase the risk of sudden cardiac death. Dose reduction is recommended when QTc exceeds 480 ms. It should be avoided in those with glaucoma and men with prostatic symptoms in view of ...
Source: Cardiophile MD - April 24, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

HCM exercise BP – Cardiology MCQ – Answer
Abnormal exercise blood pressure response in hypertrophic obstructive cardiomyopathy has been defined as: Correct answer: b) Failure to rise at least 20 mm Hg or fall of at least 20 mm Hg from peak level Abnormal exercise blood pressure response in hypertrophic obstructive cardiomyopathy has been associated with increased risk of sudden cardiac death in younger individuals below the age of 40 years. Progressive increase in blood pressure upto peak exercise is the normal physiological response to exercise. Reference 1. Elliott PM, Anastasakis A, Borger MA, Borggrefe M, Cecchi F, Charron P, Hagege AA, Lafont A, Limongelli G,...
Source: Cardiophile MD - April 23, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Source Type: blogs

Beta blocker in HOCM – Cardiology MCQ
Which of the following beta blockers is not an ideal choice in the treatment of hypertrophic obstructive cardiomyopathy? a) Metoprolol b) Propranolol c) Sotalol d) Carvedilol Post your answer as a comment below. Correct answer will be published on: Apr 24, 2018 @ 19:32 The post Beta blocker in HOCM – Cardiology MCQ appeared first on Cardiophile MD. (Source: Cardiophile MD)
Source: Cardiophile MD - April 23, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

Disopyramide in HCM – Cardiology MCQ
Disopyramide is a class Ia antiarrhythmic agent which can be used in hypertrophic obstructive cardiomyopathy when beta blockers alone are ineffective. Pick out the WRONG statement regarding disopyramide in this context: a) Regular monitoring of QTc is recommended during dose up titration b) Has a risk of fast ventricular rate in those prone for atrial fibrillation c) Should not be used in combination with verapamil d) Should not be combined with other drugs which prolong the QT interval like amiodarone and sotalol Post your answer as a comment below. Correct answer will be published on: Apr 24, 2018 @ 16:55 The post Disop...
Source: Cardiophile MD - April 22, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: ECG / Electrophysiology ECG Library Source Type: blogs

HCM exercise BP – Cardiology MCQ
Abnormal exercise blood pressure response in hypertrophic obstructive cardiomyopathy has been defined as: a) Progressive increase in blood pressure upto peak exercise b) Failure to rise at least 20 mm Hg or fall of at least 20 mm Hg from peak level c) Fall in blood pressure of 30 mm Hg at the onset of exercise d) Failure to achieve a peak systolic blood pressure of at least 160 mm Hg Post your answer as a comment below. Correct answer will be published on: Apr 23, 2018 @ 20:25 The post HCM exercise BP – Cardiology MCQ appeared first on Cardiophile MD. (Source: Cardiophile MD)
Source: Cardiophile MD - April 21, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Source Type: blogs

Level at which left ventricular outflow gradient becomes hemodynamically significant – Cardiology MCQ – Answer
Level at which left ventricular outflow gradient becomes hemodynamically significant: Cardiology MCQs from Cardiophile MD Click here for Volume 2! Volume 3 to be published soon! Correct answer: b) 50 mm Hg. But for defining left ventricular outflow tract obstruction (LVOTO), a peak left ventricular outflow tract (LVOT) pressure gradient of 30 mm Hg or more at rest or during physiological provocative measures like Valsalva manoeuvre, standing or exercise is enough. Symptomatic patients with LVOTO gradient 50 mm Hg or above in spite of maximally tolerated medications will be considered for septal reduction therapies like s...
Source: Cardiophile MD - April 21, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

Differentiation of supravalvar aortic stenosis from valvar and subvalvular variety
Differentiation of supravalvar aortic stenosis from valvular and subvalvular variety Murmur Murmur of subvalvular aortic stenosis is unlikely to radiate to the carotids. Murmur of supravalvar aortic stenosis may radiate more to the right carotid. Murmur of valvular aortic stenosis radiates to both carotids. Ejection click Ejection click is in favour valvular aortic stenosis. Associated aortic regurgitation Supravalvar aortic stenosis is unlikely to be associated with aortic regurgitation, while it can occur in valvular and subvalvular variety. In fact aortic regurgitation may be seen in almost half of those with subvalvula...
Source: Cardiophile MD - January 10, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Anisosphygmia Aortic regurgitation Aortic stenosis subvalvar aortic stenosis supravalvar aortic stenosis Source Type: blogs

Uses of isoprenaline in Cardiology
Isoprenaline is predominantly beta stimulant, a synthetic sympathomimetic amine. Is the isopropyl derivative of norepinephrine. Main use in Cardiology is to enhance the heart rate. It is useful in severe bradycardia where its effect can be titrated by setting up an infusion. Sometimes it can produce hypotension due to systemic vasodilation. It has pulmonary vasodilatory effects as well. Isoprenaline infusion can be used in congenital and acquired complete heart blocks to increase the ventricular rate when pacing is not immediately feasible. Isoprenaline challenge has been used during hemodynamic studies in cathlab to induc...
Source: Cardiophile MD - December 14, 2017 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology Source Type: blogs

MKSAP: 28-year-old pregnant woman with a cardiac murmur
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 28-year-old pregnant woman is evaluated for a cardiac murmur identified on examination by her obstetrician. She is asymptomatic. She is in her 24th week of pregnancy. Medical history is unremarkable, and there is no family history of heart disease. She takes prenatal vitamins and no other medications. On physical examination, she is afebrile, blood pressure is 120/70 mm Hg, pulse rate is 86/min, and respiration rate is 18/min. Cardiac examination reveals a midsystolic ejection click followed by a grade 3/6 ear...
Source: Kevin, M.D. - Medical Weblog - June 24, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Heart Source Type: blogs

Chest pain, Dynamic ST Elevation and T-waves, and High Voltage
A 20-something had sudden severe chest pain while smoking marijuana at a party. After approximately 40 minutes, other people there convinced him to call 911. The patient told the medics that he had had this pain on other occasions and it is because of an " enlarged heart. " He denied SOB, N/V, or other recent illness. His vitals signs were relatively normal.The medics recorded a prehospital ECG which could not be found, but they activated the cath lab based on that ECG.On arrival, the patient was very agitated and would not allow any IVs or blood draws.He stated he had a history of pericarditis and that...
Source: Dr. Smith's ECG Blog - May 25, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs

Why does this young male with chest pain have a tall R in V1, and lateral Q waves?
This is another post written byBrooks Walsh, with some editing by Smith.CaseA teenage male was brought to the ED with 1 week of a left-sided pleuritic chest pain and cough. He had a modest hypoxia, and a temperature of 99.9. He had no documented cardiac disorders.An ECG was obtained:There is borderline sinus tachycardia. The R waves in V1 are abnormally tall, with R/S ratio greater than 1. There are also deep (though narrow) Q waves in I, aVL, V5, and V6.Why does he have these tall R-waves in right precordial leads and Q-waves in lateral leads? Could he have a previous lateral and posterior myocar...
Source: Dr. Smith's ECG Blog - January 3, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs

Parasternal long axis view in normal echocardiogram
RV FW: Right ventricular free wall; RV: Right ventricle; IVS: Interventricular septum; Ao: Aorta; RCC: Right coronary cusp of aortic valve; NCC: Non coronary cusp of aortic valve; LVOT: Left ventricular outflow tract; AML: Anterior mitral leaflet; PML: Posterior mitral leaflet; LA: Left atrium; LV: Left ventricle; LV PW: Left ventricular free wall. Parasternal long axis view is often the first view taken during two dimensional echocardiography. It is taken from the left parasternal region with the ultrasound beam in plan parallel to the base-apex (long axis) of the heart. If the transducer is turned ninety degrees from thi...
Source: Cardiophile MD - December 13, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology Echocardiogram Library Echocardiography Source Type: blogs

Cardiomyopathy Quiz
Short quiz on cardiomyopathy Cardiomyopathy Quiz Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled. If loading fails, click here to try again Congratulations - you have completed Cardiomyopathy Quiz. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rated as %%RATING%% Your answers are highlighted below. Question 1AV block in the presence of features of dilated cardiomyopathy (DC...
Source: Cardiophile MD - December 10, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs