Ultra-rapid reviews, first test results
In conclusion, this is early days and our first testing steps.  The results have been very encouraging and when our new system is out it'll be even better.  But much more testing is required!Oh yes, the time taken - if you're interested, then scroll down.With the exception of the second to last result they all took around 2-3 minutes.  The second to last one took approximately 5 minutes (as I had to scroll through around 55 results to select the 17 that we used).  (Source: Liberating the literature)
Source: Liberating the literature - August 2, 2013 Category: Technology Consultants Source Type: blogs

ABI during Treadmill Exercise Testing
Significant change in ankle brachial index (ABI) with treadmill exercise test: a) Increase in 25% or more b) Decrease in 25% or more c) Decrease in 15% or more d) Increase in 15% or more Correct Answer: Decrease in 25% or more A decrease of 25% or more of ABI measured immediately after exercise in a person with claudication is suggestive of significant peripheral arterial disease. As peripheral vascular resistance falls with exercise, the pressure distal to a stenosis falls with exercise. Hence there is mismatch between the increase in brachial pressure with exercise and the ankle pressure. Ref: Braunwald’s Heart Dis...
Source: Cardiophile MD - July 21, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

Cardiology MCQ Test 6
Cardiology MCQ Online 6 Time limit: 0 Quiz-summary 0 of 25 questions completed Questions: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 You are welcome to try this MCQ set and share it among your friends. Answer key with explanation appears after you complete the test and submit it and press on the view questions button. W...
Source: Cardiophile MD - July 16, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

Vascular Plumbing: A Visit to Mt. Sinai’s Cath Lab in Manhattan (w/video)
Dr. Prakash Krishnan snaking a catheter through the femoral artery to the site of the occlusion while wearing a ZeroGravity suit and using a Siemens fluoroscope. Minimally invasive interventions have opened a whole new way to treat a variety of cardiac and vascular conditions that were otherwise risky and required a great deal of traditional surgical work. The change is so drastic that cath labs look and feel different, and are often operated separately, from the rest of interventional cardiology, radiology and vascular surgery departments. There are no scalpels, very little blood, clinicians are wearing lead-lined suits, ...
Source: Medgadget - July 2, 2013 Category: Technology Consultants Authors: Gene Ostrovsky Tags: Cardiac Surgery Cardiology Medgadget Exclusive Vascular Surgery Source Type: blogs

Ramipril improves symptoms of intermittent claudication
http://rdd.me/5pdkv9aqInteresting study which showed that treatment of intermittent claudication  with the drug ramipril (an ACE inhibitor known to lower BP and be beneficial in diabetics to help prevent kidney damage) has been shown to significantly improve symptoms. While the drug in this small study did seem to help patients, it was by no means a miracle drug. At the end of the study, patients could walk 4.25 seconds farther. Other known therapies that can help IC include Pletal and a walking program. Maybe the combination of all three would be most beneficial. Hopefully this approach will be formall...
Source: Dr Portnay - March 3, 2013 Category: Cardiology Authors: Dr Portnay Source Type: blogs

‘Somebody has finally twigged that the heart and the lungs are joined up to each other and live in this space called the chest…’
Here are a few gems from Richard Lehman’s weekly cardiovascular literature review. Read the whole thing on CardioExchange. On a JAMA study showing that ramipril increases walking time in patients with intermittent claudication: This is the kind of trial that makes nobody millions of dollars, but which we should all be doing in our fields of interest. It took just three interested hospitals in Southern Australia. On a NEJM study studying rivaroxaban in acutely ill medical patients: Rule One for selling reprints is that you make the conclusion of the Abstract as favourable as possible, because this More… (Source: CardioBrief)
Source: CardioBrief - February 12, 2013 Category: Cardiology Authors: Larry Husten Tags: People, Places & Events Policy & Ethics Prevention, Epidemiology & Outcomes Journal of the American Medical Association Lancet new england journal of medicine Richard Lehman Source Type: blogs