Cardiology MCQ Test 4
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Source: Cardiophile MD - October 21, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Anticoagulation not useful in secondary AF? – New study
Anticoagulation in atrial fibrillation (AF) secondary to acute coronary syndrome, acute pulmonary disease or sepsis may not prevent stroke, but may increase risk of bleeding, says an new study published in JACC Clinical Electrophysiology [1]. The authors retrospectively evaluated a cohort of over 2300 patients aged 65 years or more who were hospitalized with acute coronary syndrome, acute pulmonary disease which included worsening of chronic obstructive pulmonary disease, pneumonia, influenza, pulmonary embolism and pleural effusion or sepsis associated with new onset AF during admission. Over a three year follow up, the...
Source: Cardiophile MD - October 17, 2017 Category: Cardiology Authors: Johnson Francis Tags: Cardiology ECG / Electrophysiology Source Type: blogs
Onco-cardiology, or Cardio-oncology
I was at a Cardiology Education Meeting where a case was presented of a patient receiving a monoclonal antibody for melanoma, who may have then developed myocarditis.Onco-cardiology (or cardio-oncology) is the study of the cardiac effects of cancer treatment but also used to refer to patients who are cancer survivors with a cardiac condition or people living with both conditions.Though not a new term, I don ' t remember coming across it before. Here is some introductory reading:Some recent freely available articles (with links to PubMed):Cardio-Oncology: An Update on Cardiotoxicity of Cancer-Related Treatme...
Source: Browsing - July 3, 2017 Category: Databases & Libraries Tags: cancer cardiology Source Type: blogs
Fight Aging! Newsletter, June 5th 2017
Fight Aging! provides a weekly digest of news and commentary for thousands of subscribers interested in the latest longevity science: progress towards the medical control of aging in order to prevent age-related frailty, suffering, and disease, as well as improvements in the present understanding of what works and what doesn't work when it comes to extending healthy life. Expect to see summaries of recent advances in medical research, news from the scientific community, advocacy and fundraising initiatives to help speed work on the repair and reversal of aging, links to online resources, and much more.
This content is...
Source: Fight Aging! - June 4, 2017 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
In Search of Ways to Induce Heart Regeneration
The heart is one of the least regenerative organs in mammals, but this actually isn't the case in every circumstance; some types of injury and stimulus do produce a greater regenerative response, even if nowhere near as large as desired. The suspicion is that the capacity for greater regenerative exists, but is muted in some way, perhaps by cancer suppression mechanisms such as the ARF gene. Thus researchers are hunting for clues in the biochemistry of more regenerative species, such as zebrafish and salamanders, in order to discover whether or not mammalian heart cells can be adjusted to heal injuries more readily. Anothe...
Source: Fight Aging! - May 31, 2017 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
Unusual ST Elevation in V1 and V2, and LVH, in a Patient with Chest Pain
p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 11.0px Helvetica; background-color: #fefefe}This ECG was texted to me:Computerized QRS is 114 msWhat do you think?There is an rSR ' in V1 and a qR in V2, suggesting incomplete RBBB. There is some concordant ST elevation (concordant to the R ' -wave) in both those leads and T-wave inversion in V5 and V6. But V3 is normal without any evidence of STEMI, and with a low voltage T-wave. And there is very large voltage in aVL that is diagnostic of LVH. LVH can produce a wide variety of pseudoSTEMI patterns.Here was my response: p.p1 {margin: 0.0px 0.0px 0...
Source: Dr. Smith's ECG Blog - May 6, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs
Frankly my dear, I do give a damn
LITFL: Life in the Fast Lane Medical Blog
LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka: Paediatric Perplexity 016
An 18 month old girl is brought in by Gran after developing a very red rash over the last 2 days.
She was seen by her GP a few days before with fevers, sore throat and lethargy and was diagnosed as a viral infection.
However the rash then came up the following day and she seemed to deteriorate…
What is the diagnosis?
+ Reveal Answer
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Scarle...
Source: Life in the Fast Lane - May 2, 2017 Category: Emergency Medicine Authors: Johnny Iliff Tags: Clinical Cases Pediatrics paediatric rash scarlet Source Type: blogs
Giant cell myocarditis review
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - April 30, 2017 Category: Internal Medicine Tags: cardiovascular Source Type: blogs
A young man with sudden chest pain
A 30-something with history of 2 pack per day smoking complained of sudden left arm and chest pain while working construction. It was very distressing for him. He presented by private transportation, stating that his pain was decreasing.At triage, he had this ECG recorded:The computer read that there is incomplete right bundle branch block.QRS duration 102 ms.What do you think?No significant abnormalities were seen in triage, and the patient had to wait 2 hours. By the time he was roomed, his pain was gone.A second ECG was recorded, pain free:If you didn ' t see anything wrong with the first one, maybe you c...
Source: Dr. Smith's ECG Blog - March 24, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs
Persistent Chest Pain, an Elevated Troponin, and a Normal ECG. At midnight.
A middle aged male presented at midnight after 14 hours of constant, severe substernal chest pain, radiating to his throat and to bilateral jaws, and associated with diaphoresis. It was not relieved by anything. The pain was not positional, pleuritic, or reproducible. He had no previous medical history. The blood pressure was 110/60. Physical exam was normal and there was no murmur.I delved into his reasons for arriving so late after onset, thinking that perhaps the pain had only recently increased, or that it had been intermittent until now, but he confirmed that it was 14 hours of constant pain a...
Source: Dr. Smith's ECG Blog - December 13, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs
Cardiomyopathy Quiz
Short quiz on cardiomyopathy
Cardiomyopathy Quiz
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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
Fulminant Myocarditis with Combination Immune...
Fulminant Myocarditis with Combination Immune Checkpoint Blockade via Now@NEJMPosted oninfosnack. (Source: Kidney Notes)
Source: Kidney Notes - November 1, 2016 Category: Urology & Nephrology Authors: Joshua Schwimmer Source Type: blogs
Research and Reviews in the Fastlane 151
This study takes data from a trauma registry and shows a survival rate for resuscitative thoracotomy (RT) of 9.7% vs. 37.5% for REBOA. There are a number of issues with this study due to the retrospective design. Additionally, the RT group was more likely to be dead on presentation in comparison to the REBOA group (71% vs. 38% without vital signs). While this data supports REBOA use, a prospective study should be undertaken to gauge the benefit of this modality.
Recommended by: Anand Swaminathan
Retrieval, Pre-hospital and Disaster
Sadek S, et al. Resuscitative endovascular balloon occlusion of the aorta (REBOA) in the ...
Source: Life in the Fast Lane - September 14, 2016 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Cardiology Disaster Education Emergency Medicine Intensive Care Pre-hospital / Retrieval Trauma critical care examination literature R&R in the FASTLANE recommendations research and reviews Resuscitation Source Type: blogs
A 25 year old with Epigastric Discomfort, Worse Supine, Better Sitting Up.
This is another case provided by Mustafa Alwan, an internist from Jordan, on Facebook EKG Club This is a 25 year old male diabetic who presented with epigastric heaviness for 12 hours. The discomfort was intermittent and associated with sweating and dizziness; it was increased increased by lying flat and relieved when sitting up.Here is his initial ECG, with pain and diaphoresis:It is really quite normal.When I first saw it, I did not know the patient still had pain, and I responded on FB:" This is normal. However, the sharp downturn of the T-wave in V4-V5 suggests possible development of Wellens ...
Source: Dr. Smith's ECG Blog - August 20, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs
Patients With Severe Schizophrenia Aren ’t Getting The Help They Need
Even when effectively treated, schizophrenia can be devastating, impairing a person’s social and family life, ability to work, physical health, and quality of life. Those who have schizophrenia often end up alone and impoverished. Yet the effects of this disease are even worse when treatment doesn’t work.
Treatment-resistant schizophrenia (TRS) is formally defined as schizophrenia that is not well controlled despite adequate trials of at least two medications — a definition that applies to between 20 to 30 percent of patients with the condition. An effective treatment exists for TRS: the anti-psychotic clozapine,...
Source: Health Affairs Blog - July 25, 2016 Category: Health Management Authors: Adam Rose Tags: Costs and Spending Drugs and Medical Technology Equity and Disparities Featured Public Health Quality Clozapine Mental Health schizophrenia Source Type: blogs
