Oxygen step up in right atrium – MCQ
Oxygen step up in right atrium – MCQ
Step up in oxygen saturation on cardiac catheterization in the right atrium is suggestive of:
a) Atrial septal defect
b) Ventricular septal defect
c) Patent ductus arteriosus
d) All of the above
Click here for the correct answer (Source: Cardiophile MD)
Source: Cardiophile MD - March 31, 2020 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Medicine MCQ - CVS Source Type: blogs
Dyskinetic apical pulsation – MCQ
Dyskinetic apical pulsation – MCQ
Dyskinetic apical pulsation can be seen in:
a) Mitral regurgitation
b) Ventricular septal defect
c) Atrial septal defect
d) Left ventricular aneurysm
Click here for the correct answer (Source: Cardiophile MD)
Source: Cardiophile MD - February 25, 2020 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Medicine MCQ - CVS Source Type: blogs
Congenital heart disease and autism: A possible link?
Children born with congenital heart disease (CHD) are now surviving at extraordinarily high rates; for most, their life expectancy may be comparable to that of the general population. However, despite the great advances in medical and surgical care, many people with CHD experience long-lasting neurodevelopmental difficulties. These include problems with attention and executive function skills, learning challenges, and in some cases, lower-than-normal IQs.
Study links congenital heart disease and autism
A recent study published in the journal Pediatrics provides compelling evidence that there may also be an association betw...
Source: Harvard Health Blog - January 2, 2020 Category: Consumer Health News Authors: Johanna Calderon, PhD Tags: Children's Health Heart Health Parenting Screening Source Type: blogs
Persistent Ventricular Fibrillation, ED ECMO, ED TEE, ROSC, Shark Fin ECG (also called " Giant R-wave " ), Postinfarction Regional Pericarditis. What a Case!
A 40-something suffered witnessed ventricular fibrillation, had bystander CPR, but could not be defibrillated after 4 attempts.He was transferred to the ED and put on extracorporeal life support (ECLS, ECMO).A series of ED Transesophageal echos (TEE) was done over 23 minutes before an ECG was recorded. We usually do not get ROSC before angiography in these cases, and recording the ECG is not as important as usual, because we send them all to the cath lab by our ECMO protocol.This is before another defibrillation attempt, during chest compressions:Orientation:The probe is in the esophagus, right next to the left ...
Source: Dr. Smith's ECG Blog - November 21, 2019 Category: Cardiology Authors: Steve Smith Source Type: blogs
Name that murmur
Dr Andrew Robbins Name that murmur
Eponymythology of named cardiac murmurs. Related eponyms, the person behind their origin, their relevance today, and modern terminology. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - November 4, 2019 Category: Emergency Medicine Authors: Dr Andrew Robbins Tags: Cardiology Eponymythology Bruit de Roger George Frederic Still Henri-Louis Roger Maladie de Roger Roger’s murmur Still's murmur ventricular septal defect Source Type: blogs
We Can Stop America ’ s Surge in Opioid-Dependent Babies
By STUART H. SMITH
Imagine a massive public health crisis in the United States that affects tens of thousands of people. Now imagine that the government had a simple tool at its disposal that could prevent this kind of physical and psychological trauma. You might think that I’m writing about America’s deadly outbreak of gun violence, which has made headlines this summer from Dayton to El Paso.
But actually I’m talking about a different crisis that affects even more people – all of them children — and which could be sharply reduced with one simple step that lacks the bitter political animus of the gun debate...
Source: The Health Care Blog - September 18, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Patients Big pharma NAS syndrome Opioid Justice Team Opioid-Dependent Babies Opioids public health Stuart Smith 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
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
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
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
Cardiology MCQ Test 5
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Source: Cardiophile MD - October 22, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Cardiology MCQ Test 3
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Source: Cardiophile MD - October 20, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Echocardiogram in ventricular septal defect (VSD)
Echocardiogram in parasternal long axis view shows the subaortic perimembraneous ventricular septal aneurysm (marked by arrows). There is a small ventricular septal defect at the apex of the aneurysm which is not very clear in the 2D (two dimensional) image. Right panel shows the mosaic (red multicoloured) VSD jet from the apex of the aneurysm into the right ventricle. Other structures seen in the image (not marked are the aorta (with blue colour flow mapping in right panel), left ventricle (to the left and below the VSD jet) and the left atrium (below and to the left of aortic blue jet). Mitral valve in the closed positio...
Source: Cardiophile MD - October 19, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
