how long does it take to learn echo?
I've just been on a course teaching how to echo in the context of a cardiac arrest - the recommended number of scans with 4 basic views (pslax, pssax,a4ch, subcostal) is 50. Is this enough to be competent in level 1 echo? personally i'm not sure but I guess if it is the context of an arrest it is less relevant if there is noone more qualified around?
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - December 8, 2013 Category: Cardiology Authors: sadian Source Type: forums
No more stockings?
Compression therapy was supposed to prevent postthrombotic syndromes in DVT.
Now a study performed by Canadian doctors seriously questions this.
Lancet (2013; doi: 10.1016/S0140-6736(13)61902-9)
Patients might rejoice, but it might be too early to jump to conclusions. (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - December 7, 2013 Category: Cardiology Authors: Carolin Source Type: forums
an interesting ECG?
this ECG was recorded in an asymptomatic 59 yrs old gentleman, as part of routine check up. He is suffering from T2DM with previous history of IHD, had an angioplasty 10 years ago which revealed significant stenosis ( no records available), . He doesn't have any signs of Ischemia and is sexually active, denies ED. An overweight guy, has a BP of 120/70 mm Hg, adeqaute periphral pulses. kinldy comment. (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - December 7, 2013 Category: Cardiology Authors: Sachin India Source Type: forums
What is the most likely diagnosis
A 23 years old man was admitted with severe vomiting abdominal pain, and hypervantilation, following vigorous exercise
BP :- 90 / 50, ECG , HR 80 / min, multiple ectopic beats,
Na+ 127, K+ 5.2, Cl- 79, HCO3- 20
PO2, PCO2, Glucose :- normal
What is the most likely diagnosis
(Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - December 5, 2013 Category: Cardiology Authors: alaminium Source Type: forums
For interventional cardiologists: do you use vascular closure devices at PCI puncture sites?
This study looks at 85 048 PCIs done in Michigan from 2007 to 2009. It would be interesting to know how many of them were really needed, but that’s not the point of this study. Just over a third of these patients had a vascular closure device placed over the site of femoral puncture, and these patients had fewer complications and fewer transfusions. If you’re an interventional cardiologist, read on for the subgroup effects, etc. (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - November 25, 2013 Category: Cardiology Authors: Richard Lehman Source Type: forums
Any suggestion?
HI, I need to prepare a seminar, one hour duration. It should be related to a new treatment modality. Any suggestion? (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - November 25, 2013 Category: Cardiology Authors: emagot Source Type: forums
what rhythm is this?
(Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - November 22, 2013 Category: Cardiology Authors: sadian Source Type: forums
pace 4 life
The bbc news website is carrying this story about reusing pacemakers in the developin world.
http://www.bbc.co.uk/news/health-24828244
Is this a good idea with great humanitarian potential or offering substandard devices that we would never accept for ourselves?
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - November 20, 2013 Category: Cardiology Authors: sadian Source Type: forums
new cholesterol guidelines abandon ldl targets
New cholesterol guidelines have just been published in the US and the target based approach appears to have been significantly watered down if not abandoned!
http://www.medscape.com/viewarticle/814152?nlid=38663_2082&src=wnl_edit_medn_card&uac=183832CK&spon=2
Do you agree with this?
(Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - November 18, 2013 Category: Cardiology Authors: sadian Source Type: forums
Clinical question of the week: Do we need specialist valve clinics?
There is an editorial in Heart this week that recommends the setting up of specialist valve clinics . Is this something that you would advocate or is the need only because the rate of valve disease is declining?
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - November 18, 2013 Category: Cardiology Authors: sadian Source Type: forums
Valvular heart disease quiz
Test yourself ...
You are asked to see a 19--year-old woman who is complaining of shortness of breath on exertion. She looks well. On ausultating her chest there is no wheeze but you hear a pan-systolic murmur at the lower left sternal edge and apex.
Pulse is regular and normal. BP is 120/80 mmHg, her JVP is quite hard to see as she has a short neck. (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - November 15, 2013 Category: Cardiology Authors: Dean Jenkins Source Type: forums
is warfarin heading for a comeback?
I was looking at the re-align study of anticoagulation in mechanical valves that compared warfarin with dabigatran. In this group dabigatran was associated with more bleeding and thrombosis complications. Is warfarin heading for a comeback?
http://www.nejm.org/doi/full/10.1056/NEJMoa1300615
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - November 14, 2013 Category: Cardiology Authors: sadian Source Type: forums
have you seen PRES syndrome?
I saw a lady on the ward round on Friday who is mid 70's, has a long history of hypertension that is poorly controlled (BP 180 / 90 -100) and has presented with poor gait, headache and poor memory. A CT head was unremarkable and on discussing it with the neurologist the possibility of PRES came up. She is booked for an MRI but I'm not sure I have ever diagnosed this syndrome and if I have seen it I have failed to diagnose it. How common is this?
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - November 10, 2013 Category: Cardiology Authors: sadian Source Type: forums
what's the 'normal' angiogram rate?
I've just been reading this news article regarding the 'normal' angiogram rate
http://www.medscape.com/viewarticle/812403?t=1
I'm astonished by how high it is in some centres. Is this reflective of other areas and do we need to redefine a testing strategy? Too much medicine or defensive medicine?
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - November 8, 2013 Category: Cardiology Authors: sadian Source Type: forums
ECG: What will you do for a 65 yr old lady diagnosed and treated for Chronic Stable heart failure?
(Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - November 7, 2013 Category: Cardiology Authors: Sachin India Source Type: forums
