Heart rate 50/minute at rest, on medications for high BP – Any need to worry?
Medications belonging to the group of beta blockers (e.g. atenolol, metoprolol) and some medications belonging to the group of calcium channel blockers (e.g. diltiazem, verapamil), can reduce resting heart rate. A resting heart of 50/minute alone is not a reason for worry. If you have symptoms like light headedness, greying of vision or fainting of episodes, your doctor may want to reduce the dose of these medications or substitute another for control of your blood pressure. Normal heart rate for an adult is in the range of 60-100/minute. It can go down in sleep and go up with exercise and stress. (Source: Cardiophile MD)
Source: Cardiophile MD - October 16, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin, FRCP London Tags: General Source Type: blogs
Medical Mispronunciations and Misspelled Words: The Definitive List.
Hearing medical mispronunciations and seeing misspelled words are an under appreciated joy of working in healthcare. Physicians often forget just how alien the language of medicine is to people who don't live it everyday. The best part about being a physician is not helping people recover from critical illness. The best part is not about listening and understanding with compassion and empathy. Nope, the best part about being a physician is hearing patients and other healthcare providers butcher the language of medicine and experiencing great entertainment in the process. Doctors c...
Source: The Happy Hospitalist - October 2, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Dissection of a needless hospitalization
If Hattie had but one flaw, it was that she held her doctors in too high esteem. It was not unusual for an eighty-year-old woman of her culture to want to please her cardiologist. So when her blood pressure came up a little high, she was too embarrassed to admit that she had forgotten to pick up the Toprol and hadn’t taken it in over a week.
The cardiologist hemmed and hawed, he buried his head in the computer, and eventually wrote for Norvasc, a new blood pressure medication. What he didn’t do was ask about whether she had regularly taken her pills. He also forgot to tell her that leg swelling is a side effect...
Source: Kevin, M.D. - Medical Weblog - September 13, 2013 Category: Family Physicians Tags: Physician Heart Hospital Hospitalist Source Type: blogs
Beta blocker with additional vasodilatory effect
:
a) Atenolol
b) Metoprolol
c) Carvedilol
d) None of the above
Correct answer: c) Carvedilol
Carvedilol has additional vasodilatory effect and hence one of the best beta blockers found to be useful in heart failure. In stable heart failure, beta blockers have been shown to improve long term survival. But beta blockers should not be started in decompensated heart failure. They should be started only after initial stabilization, that too in small doses which are gradually titrated upwards. (Source: Cardiophile MD)
Source: Cardiophile MD - September 2, 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
The Anatomy Of A Hospital Admission
If Hattie had but one flaw, it was that she held her doctors in too high esteem. It was not unusual for an eighty year old woman of her culture to want to please her cardiologist. So when her blood pressure came up a little high, she was too embarrassed to admit that she had forgotten to pick up the toprol and hadn't taken it in over a week. The cardiologist hemmed and hawed, he buried his head in the computer, and eventually wrote for norvasc, a new blood pressure medication. What he didn't do was ask about whether she had regularly taken her pills. He also forgot to tell her that leg swelling is a side effect of the medi...
Source: In My Humble Opinion - September 2, 2013 Category: Family Physicians Authors: Jordan Grumet Source Type: blogs
Pharmacological stress test
Which of the following agent is not used for pharmacological stress test?
a) Dobutamine
b) Adenosine
c) Dipyridamole
d) Metoprolol
Answer: d) Metoprolol
Dobutamine increases the inotropic state and precipitates ischemia. It is the usual drug used for dobutamine stress echocardiography. Adenosine and dipyridamole are coronary vasodilators useful in pharmacological stress testing and both act in a similar way. Dipyridamole dilates normal vessels and steals blood away from the ischemic territory – coronary steal. Metoprolol is a beta blocker and is used to reverse the effects of dobutamine if the patient becomes too sym...
Source: Cardiophile MD - August 29, 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 3
Cardiology MCQ Online 3
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Source: Cardiophile MD - July 14, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Cardiology MCQ Online 3
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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. We strongly advise you t...
Source: Cardiophile MD - July 14, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Funny Allergy Quotes, Jokes, Stories and a List of Crazy Reactions.
If you're looking for funny allergy quotes, jokes and stories you've come to the right place. I asked my readers from facebook to provide me with their experiences they've had regarding crazy allergy reactions and they did not let me down. They relayed dozens of incidents they've experienced through the years. Over the years I've discovered several funny allergies myself, including allergies to prednisone, diet products and the color red. Some patients have dozens of allergies. My experience is that most of these allergies are not allergies in the physiological sense. The te...
Source: The Happy Hospitalist - July 2, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Cardiology Online Test Series 2
Cardiology Online Test Series 2
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Source: Cardiophile MD - May 22, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Cardiology Online Test Series 2
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Source: Cardiophile MD - May 21, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Study Suggests Benefit For Beta Blockers During Noncardiac Surgery
The use of perioperative beta-blockade for noncardiac surgery has been declining as a result of the controversial POISE study, which turned up evidence for harm associated with extended-release metoprolol in this setting. Now a large new observational study published in JAMA offers a contrary perspective by suggesting that perioperative beta-blockade may be beneficial in low- to intermediate-risk patients. But without better evidence the debate about this topic is unlikely to be resolved. Martin London and colleagues performed a retrospective analysis of 136,745 patients who underwent noncardiac surgery at VA hospitals, 40...
Source: CardioBrief - April 23, 2013 Category: Cardiology Authors: Larry Husten Tags: Interventional Cardiology & Surgery Prevention, Epidemiology & Outcomes beta blockers JAMA Observational study Source Type: blogs
Pulmonary Edema, Hypertension, and ST Elevation 2 Days After Stenting for Inferior STEMI
A male in his 40's who had been discharged 6 hours prior after stenting of an inferoposterior STEMI had sudden severe SOB at home 2 hours prior to calling 911. He had no chest pain. Medications were aspirin, clopidogrel, metoprolol, and simvastatin. He was in acute distress from pulmonary edema, with a BP of 180/110, pulse 110. Here is his prehosptial ECG:There are inferior Q-waves with ST elevation T-wave inversion. There is reciprocal ST depression in aVL and I. There is ST depression in V2 and V3, with biphasic T-waves (down-up). The computer read is: *****Acute MI*****The...
Source: Dr. Smith's ECG Blog - April 12, 2013 Category: Cardiology Authors: Steve Smith Source Type: blogs
#185: Carvedilol superior to metoprolol in MADIT-CRT analysis; FDA approves new diabetes drug, canagliflozin, despite CV concerns; heart-smart diabetes drugs; more beaches, less bureaucracy, say burned out cardiologists
Carvedilol superior to metoprolol in MADIT-CRT analysis; FDA approves new diabetes drug, canagliflozin, despite CV concerns; heart-smart diabetes drugs; more beaches, less bureaucracy, say burned out cardiologists (Source: Blogs@theHeart.org)
Source: Blogs@theHeart.org - April 5, 2013 Category: Cardiology Authors: theheart.org Tags: This week in cardiology from heartwire Source Type: blogs
