What would you like to ask the BMJ Cardiovascular Team of the Year?
For the new doc2doc BMJ Guide to Cardiology, we are interviewing the BMJ Cardiovascular Team of The Year. What questions would you like me to ask them? Please submit your questions below...
Cardiovascular Team of the Year
The Birmingham Atrial Fibrillation Team
University of Birmingham Centre for Cardiovascular Sciences and Sandwell and West Birmingham Hospitals NHS Trust, West Midlands
The team developed a new bleeding risk score specifically for use in Atrial Fibrillation. HAS-BLED provides clinicians with a validated tool to assess bleeding risk, allowing them to identify modifiable ble...
Source: Doc2Doc BMJ Cardiology - October 18, 2013 Category: Cardiology Authors: Matthew Billingsley Source Type: forums
Recurrence of DVT while on newer anticoagulant therapy ( Rivoroxaban 20mg once daily).
Pt did not tolerate warfarin due to very Labile INR with smallest changes in the dose.
Indication :Right MCA infarct with AF with Recurrent DVT's and PE.
Pt has recurrence of DVT while being on Rivoroxaban for 6 wks.
Any comments regarding change in management? (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - October 15, 2013 Category: Cardiology Authors: ajaygupta480 Source Type: forums
Linking strept equinus with bowel malignncy or endocarditis.
does any one know the basis of this association?? (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - October 15, 2013 Category: Cardiology Authors: ajaygupta480 Source Type: forums
Help please
Hy everybody,
I'm a young french cardiologist and I want to come in UK in 1 or 2 years. I have two questions
1) Is it difficult for a french cardiologist to find a job in London ? (NHS system or private)
2) During this 1 or 2 next year again in France, I want to learn a technique and I hesitate with cardiovascular imaging (Coronary TDM and Cardiac MRI) And Pacing (single/dual chamber pacemaker or defibrillator). Which of this do you advise me to have the best "profile" to come to work in UK ?
I will just add that for the readers who aren't from UK, their advice are welcome for your country's practices of origin
R...
Source: Doc2Doc BMJ Cardiology - October 15, 2013 Category: Cardiology Authors: Katon93 Source Type: forums
Would you join SAD?
Minerva covers some research that has recently been published regarding increased mortality and treatment with digoxin and reminding us about SAD (society against digoxin). To be honest I can't remember the last time I prescribed digoxin outside of the context of AF.
http://www.bmj.com/content/347/bmj.f5976
Do you recommend digoxin in the setting of heart failure?
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - October 13, 2013 Category: Cardiology Authors: sadian Source Type: forums
What Would You Do For This Diabetic With These ABPM Results?
A 76 years old man, type 2 diabetic for 10 years, on 1.0 gram of Metformin, HBA1C of 8%, BMI of 28.5, No Microalbuminuria, small right carotid intima thickness but no plaques. He has a healthy Life Style with regular exercises and Diet, taking also 10 mg Atorvastatin, and on Amlodipine 5 mg/day had a 24 hour Arterial Blood Pressure Monitoring requested by his GP because of his Hypertension. These are the Main Results Report:
- Mean 24 hours Systolic BP: 144 mmHg.
- Mean 24 hours Diastolic BP : 84 mmHg.
- Mean Systolic Daytime BP: 146 mmHg.
- Mean Night time Systolic BP 142 mmHg.
- Mean Day...
Source: Doc2Doc BMJ Cardiology - October 13, 2013 Category: Cardiology Authors: Joey Rio Source Type: forums
What Would You Do For This Diabetic With This ABPM Results?
A 76 years old man, type 2 diabetic for 10 years, on 1.0 gram of Metformin, HBA1C of 8%, BMI of 28.5, No Microalbuminuria, small right carotid intima thickness but no plaques. He has a healthy Life Style with regular exercises and Diet, takink also 10 mg Atorvastatin, and on Amlodipine 5 mg/day had a 24 hour Arterial Blood Pressure Monitoring requested by his GP because of his Hypertension. This are the Main Results Report:
- Mean 24 hours Systolic BP: 144 mmHg.
- Mean 24 hours Diastolic BP : 84 mmHg.
- Mean Systolic Daytime BP: 146 mmHg.
- Mean Night time Systolic BP 142 mmHg.
- Mean Dayt...
Source: Doc2Doc BMJ Cardiology - October 11, 2013 Category: Cardiology Authors: Joey Rio Source Type: forums
ace inhibitors and single kidney?
What's your opinion of ace/arb in the treatment of someone who has a single functioning kidney? What are the circumstnaces in which you would consider prescribing these?
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - October 11, 2013 Category: Cardiology Authors: sadian Source Type: forums
ssri + varfarin
Hello to everyone!
It is known from recent researche that ssri antidepressants increase bleeding tendency.
Taking this fact in consideration how do you manage in your daily practice pacients who are concomitantly on ssri + clopidogrel or varfarin regiment ?
Do you think that we should lower the inr target in pacents who are taking varfarin and ssri ? (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - October 8, 2013 Category: Cardiology Authors: ikaros Source Type: forums
Do you consider smoking status when prescribing clopidogrel?
Clopidogrel was a massive earner for its manufacturer while its patent lasted, but like so many drugs which have cost health systems billions in long-term treatment, it may not actually do that much for most people who take it. A meta-analysis of nine trials in patients with established cardiovascular disease, the effect of clopidogrel was highly dependent on smoking status. Those who smoked showed a 25% reduction in a composite outcome of cardiovascular death, myocardial infarction or stroke, compared with a reduction of 8% in non-smokers. This may also apply to the newer agents ticagrelor and prasugrel, though ...
Source: Doc2Doc BMJ Cardiology - October 7, 2013 Category: Cardiology Authors: Richard Lehman Source Type: forums
continue to ask throughout our life.
Do you remember driving with your kids on the family vacation? It seemed like a good idea, but 30 minutes into the trip the kids are bored and they start bugging you with 2 questions; "Mom, how much longer?" and "Are we there yet?" You probably pestered your parents with the same questions when you were a kid. "How much longer?" and "Are we there yet?" are questions we continue to ask throughout our life. You are heading into a new school year. Do you know where you are heading? Where do you want to end up this year? What is your ideal destination? Are you there yet? (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - October 3, 2013 Category: Cardiology Authors: ssfessdd Source Type: forums
Cardiology papers that have changed practice
Like we did for diabetes, we're hoping to include a section on papers that have changed practice in the BMJ Guide to Cardiology ebook.
Please add papers you would like to nominate for inclusion in the ebook on this thread. Please also state how the papers have changed practice in as much detail as possible. (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - October 2, 2013 Category: Cardiology Authors: Sabreena Source Type: forums
Is heart failure the most lethal complication of diabetes?
I've been following a debate at the European Diabetes meeting on this point. The argument is that diabetologists and cardiologists fail to notice that heart failure is the most adverse outcome of diabetes and is killing more patients than we seem to notice. Is this right? And more importantly should we do anything about it?
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - September 30, 2013 Category: Cardiology Authors: sadian Source Type: forums
Medicine in your country: cardiology around the world - have your views published in the BMJ Guide to Cardiology
Following the success of the BMJ Guide to Diabetes ebook (which can be found in the doc2doc elibrary) we are starting work on a BMJ Guide to Cardiology.
As we did for diabetes, we want to dedicate a section to cardiology around the world so please reply to this thread and tell us as much about the cardiology services in your country as you can:
Which aspects of cardiology are taken care of by primary care doctors? When does secondary/tertiary care take over?
Any important cardiology schemes/campaigns initiated by your government's health department?
Any cardiology initiatives your cou...
Source: Doc2Doc BMJ Cardiology - September 25, 2013 Category: Cardiology Authors: Sabreena Source Type: forums
