should all work places have a defibrillator?
The daily mail may not be the most standard source of cardiology research but I think they have a point here.
http://www.dailymail.co.uk/money/news/article-2408349/Workplaces-defibrillator-risking-staff-lives-heart-attacks.html
The new model automated defibs are really easy to use and you can but one for £1000 that will last about 8 years.
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - September 2, 2013 Category: Cardiology Authors: sadian Source Type: forums
Clinical question of the week: is the funding cut to the Framingham Heart Study shortsighted?
This week's featured clinical question comes from our cardiology champion sadian. (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - September 2, 2013 Category: Cardiology Authors: Sabreena Source Type: forums
should all work places have a defibrillator?
The daily mail may not be the most standard source of cardiology research but I think they have a point here.
http://www.dailymail.co.uk/money/news/article-2408349/Workplaces-defibrillator-risking-staff-lives-heart-attacks.html
The new model automated defibs are really easy to use and you can but one for £1000 that will last about 8 years.
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - September 1, 2013 Category: Cardiology Authors: sadian Source Type: forums
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Source: Doc2Doc BMJ Cardiology - August 31, 2013 Category: Cardiology Authors: kellyjena Source Type: forums
do you screen for familial hyperlipidaemia?
or perhaps I should ask do you think about it in clinic? The European heart Journal has just published a paper saying that FH is underdiagnosed and undertreated with a prevalence of the order of 1 in 200. Not at all good for an autosomal dominant condition.
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - August 29, 2013 Category: Cardiology Authors: sadian Source Type: forums
What's the link between hypoglycaemia and arrhythmia?
a Japanese study published online in Diabetes Care suggests a link between Qtc prolongation and severe hypoglycaemia potentially explaining some of the adverse outcome from very tight blood sugar control. I'm not sure however I can unpick this effect from the hyopthermia and the hypokalaemia also observed in this group. Do you think hypoglycaemia alone can cause heart rhythm abnormalities or are other 'mediators' necessary?
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - August 27, 2013 Category: Cardiology Authors: sadian Source Type: forums
Should hypercholesterolaemia be treated to risk or target?
Over in the USA, they treat to a target of HDL-cholesterol: over here, we treat to a target of total cholesterol. Let’s call the whole thing off. Both strategies are stupid. Treat to risk, not to target. Once an at-risk person is taking a maximum tolerated dose of statin—as a personal choice—there is no earthly reason ever to measure their lipids again. (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - August 27, 2013 Category: Cardiology Authors: Richard Lehman Source Type: forums
Would you have the flu jab to reduce your risk of MI?
Heart have just published a study linking recent flu vaccination to protection from acute MI.
http://heart.bmj.com/content/early/2013/08/06/heartjnl-2013-304320.short?g=w_heart_ahead_tab
Will you now be recommending flu vaccination to all patients at increased rosk of an MI or is it just an interesting association?
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - August 22, 2013 Category: Cardiology Authors: sadian Source Type: forums
What Do You Think Of Pharmacogenomics to Restrict Statins Prescriptions?
In my humble opinion Statins is a Multi Billion Dollars Business, and are mostly prescribed for low risk patients with huge and huge NNTs for clinical benefits.
Now, a recent Article suggest Genotype based polymorphisms can be a good guide for Statins Prescriptions. As usual with any statin positive results it is being heavily advertised.
They Do Not mention Epigenetics which can change completely any genetic background under different environment circunstances.
What Do You GuysThink?
Clinical and Pharmacogenetic Predictors of Circulating Atorvastatin and Rosuvastatin Concentration in Routine Clinica...
Source: Doc2Doc BMJ Cardiology - August 19, 2013 Category: Cardiology Authors: Joey Rio Source Type: forums
Do we scattergun statin prescriptions?
My sunday paper this morning has a story covering a Plos One article about statin prescription in primary care saying that up to 4 million people have been wrongly placed on statins in primary care. Is this an effect of the QoF framework distorting prescribing , the worried well effect or that risk prediction however we do it is an inexact science? Personally I'm not sure and reckon it is all 3!
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - August 18, 2013 Category: Cardiology Authors: sadian Source Type: forums
prosthetic heart valve and SAH?
Pat. With prosthetic mechanical mitral heart valve with sinus rhythm and develope subarachnoid hemorrhage. When and who we restart anticoagulant? (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - August 18, 2013 Category: Cardiology Authors: haider77 Source Type: forums
NICE update: does surgery for aortic dissection need improving?
The UK's National Institute for Health and Care Excellence (NICE) is consulting on whether a new device, the E-vita open plus, is suitable for repairing aortic aneurysms and dissections.
They say: "Some people might normally need a two stage repair operation because of the extent of disease or damage affecting their aorta, but using the device could remove the need for a second procedure and the associated risk of serious complications." (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - August 14, 2013 Category: Cardiology Authors: Sabreena Source Type: forums
Is Des Spence right about AF? Is AF case finding and anticoagulation bad medicine?
I often read Des Spence's piece in the print journal and last week he wrote about AF. http://www.bmj.com/content/347/bmj.f4910His argument is that AF case finding and anticoagulation is bad medicine. Mine is that in an average patient on a GP list the stroke risk per year is is 0 or close to because of the demographics and the way that the statistics of risk play out ( a high risk patient with AF has a stroke risk of about 5% per year). In the same edition there is news piece saying that reconfiguration of stroke care in London has saved lives and money - don't we need a public health perspe...
Source: Doc2Doc BMJ Cardiology - August 13, 2013 Category: Cardiology Authors: sadian Source Type: forums
Is Des Spence right about AF?
I often read Des Spence's piece in the print journal and last week he wrote about AF. http://www.bmj.com/content/347/bmj.f4910His argument is that AF case finding and anticoagulation is bad medicine. Mine is that in an average patient on a GP list the stroke risk per year is is 0 or close to because of the demographics and the way that the statistics of risk play out ( a high risk patient with AF has a stroke risk of about 5% per year). In the same edition there is news piece saying that reconfiguration of stroke care in London has saved lives and money - don't we need a public health perspective...
Source: Doc2Doc BMJ Cardiology - August 13, 2013 Category: Cardiology Authors: sadian Source Type: forums
Was President Bush's cardiac stent necessary?
I'm going to say straight off that I have no idea and not for one moment am I criticising any decision made by President Bush or his doctors but the title comes from a piece in the Washington Posthttp://www.washingtonpost.com/opinions/president-bushs-unnecessary-heart-surgery/2013/08/09/c91c439c-0041-11e3-9a3e-916de805f65d_story.htmlwhich raises some very valid points. Is it the case that too much testing leads to too much treatment and once we know something is abnormal we are unable to leave alone both as doctors and as patients?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - August 12, 2013 Category: Cardiology Authors: sadian Source Type: forums
