Challenging guidelines
A fascinating article in the BMJ (apologies if you're not a subscriber) describes efforts to challenge European Society of Cardiology guidelines on initiation of perioperative beta blockers in patients with ischaemic heart disease having high risk surgery.
The guidelines were based on trials which have been discredited because of research misconduct. However, the authors who pointed out this misconduct have found it nigh-on impossible to get the guideline withdrawn and have questioned the society's insistence that events occurring within development guidelines should be kept "secret and confidential." (A bit Chatham Hous...
Source: Doc2Doc BMJ Cardiology - September 8, 2014 Category: Cardiology Authors: AnneG Source Type: forums
chronic atrial fib
i have a case female incidentally discovered her chronic atrial fib(normal lab value and echo) as a screen with pasthistory of hypertension on betablocker and ccb with occasionally lower limb oedema most likely adverse effect of ccb the questions are 1st shoud she take anticoagulation
2nd is betablocker good for her blood pressure and chronic atrial fib as she has 61 old
3rd what is the alternative therpay for her essentail hypertension
thank u (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - September 1, 2014 Category: Cardiology Authors: amr0100 Source Type: forums
what caused this cardiac arrest?
Its almost the end of august and the time when our newest qualified doctors have been in post for about a month. One of this brigade is my cousin and he has just been to see me this afternoon to discuss this case -which to be fair I struggle with. Here are the details he recounts
95 year old lady admitted with urosepsis treated appropriately and apparently getting better, noted to be in AF on admission, echo shows good lv function
seen on the ward round on wednesday - no concerns
seen on thursday ward round- nursing staff report poor urine output, BP stable Heart rate 105bpm , ecg requested by ward team
...
Source: Doc2Doc BMJ Cardiology - August 30, 2014 Category: Cardiology Authors: sadian Source Type: forums
Exciting opportunity for a cardiologist on doc2doc
Doc2doc is looking for a cardiology clinical champion. The role involves posting ideas and content onto the relevant doc2doc discussion forums, answering clinical questions and signposting tools and studies that would be useful to primary and secondary care clinicians.
The ideal candidate should have a strong cardiology background - senior trainee or higher - and be an enthusiastic user of social media and networks. The role is a good way of learning more about the work of journals, as well as keeping on top of developments in your field.
The role attracts a small honorarium and would take up no more than one to two ho...
Source: Doc2Doc BMJ Cardiology - August 14, 2014 Category: Cardiology Authors: AnneG Source Type: forums
can we save a million hearts?
medscape has this article this week and the title refers to saving a million lives by better control of cardiovascular risk factors particuarly the control of hypertension.
Do you agree?
You can read the article here
http://www.medscape.com/viewarticle/829193?nlid=63163_2566&src=wnl_edit_medp_card&uac=183832CK&spon=2
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - August 13, 2014 Category: Cardiology Authors: sadian Source Type: forums
more hype and hope?
Someone (and I can't remember who) said that stem cell therapy is more about hype and hope than actual benefit and certainly lots of cardiology stem cell trials have been negative.
This news bite on the bbc website caught my eye?
http://www.bbc.co.uk/news/health-28694656
more of the same?
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - August 10, 2014 Category: Cardiology Authors: sadian Source Type: forums
Cardiologist Needed for Medicare Application
Hello,
We are a IDTF (Independent Diagnostic Testing Facility) that needs a Cardiologist to sign off on our Medicare application as a Non-Onsite Supervising Physician. You will serve only as a consultant for just a couple of hours per year ensuring that our Holter Reports are legitimate. We will pay you directly per quarter for your time. Again, you do not have to be on-site and you may reside in any state.
Please let me know if anyone is interested.
Thanks,
Holter Labs, Inc (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - August 7, 2014 Category: Cardiology Authors: Holter Labs Source Type: forums
Cardivascular CME conference question
Has anyone else heard of the The Heart Course? I am looking for a CME conference focusing on acute cardiovascular problems, and came across this conference. It sounded interesting and has a good speaking panel. I was just wondering if any fellow doctors are attending or if anyone has attended a Heart Course conference before.
Here is the link if anyone wants to take a look at the conference. https://theheartcourse.com/ .
Thanks! (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - August 1, 2014 Category: Cardiology Authors: mj3224 Source Type: forums
doing the right thing
I've jsut been reading this regarding culturally sensitive heart health care for the Hispanic population of the US
http://www.bmj.com/content/349/bmj.g4891
In the article it states that some individuals are persuaded by the concept of doing the right thing for the family.
What do you thik of this idea?
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - July 31, 2014 Category: Cardiology Authors: sadian Source Type: forums
our mind inside the heart not the brain
first .. all of us know the the heart has it's automaticity through A_S node , and can completely act and beat without any CNS connection for some period .
that means that the initial impluse is generated form the heart itself
second .. I think that when we recieve a very bad news our response initiat from the heart not brain
like the spinal reflex .. when we touch a candle our muscle contracts by an order from the spinal cord not the brain .. then the brain realize that we touched a hot thing afterall .
so this is the heart .. we recieve a bad news .. our heart starts to response ( e.g. Tachycardi...
Source: Doc2Doc BMJ Cardiology - July 26, 2014 Category: Cardiology Authors: meggz Source Type: forums
what do you think of dabigatran?
I have just been looking at the article on dabigatran in this weeks journal
http://www.bmj.com/content/349/bmj.g4670
personally I have not prescribed much dabigatran . Has anyone had enoguh experience to understand the bleeding risk?
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - July 26, 2014 Category: Cardiology Authors: sadian Source Type: forums
final nice guidance on statins released
we have discussed the draft nice guidance on statins before that suggests reducing (potentially) the threshold for statin prescription to a 10% 10 year CV risk (currently 20% 10 year risk).
The final guideline is just published
http://www.bmj.com/content/349/bmj.g4694
and sticks with this threshold giving an estimated number needed to treat of 77 people to avoid one death/stroke/non-fatal MI after 3 years.
What do you think?
sadian
(Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - July 20, 2014 Category: Cardiology Authors: sadian Source Type: forums
Abnormal ECG?
Hi all,
Sorry to bother you, I'm not a doctor but work in Healthcare... Anyway cutting the story short our new Obs Machines come with 3 Lead ECG...
So keen to practise to learn how to use the equipment we had a practise on each other... One of the ECG's I have enclosed as a weblink to the photo,
It shows a little notch I've not seen before (3 lead of person in 20's with no known cardiac history)
http://i1368.photobucket.com/albums/ag165/dgurd025/Mobile%20Uploads/image_zps4434a256.jpg
any idea how serious?
thanks (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - July 18, 2014 Category: Cardiology Authors: Dgurd025 Source Type: forums
Cardiology Specialty Doctors looking for a new opportunity
Are you interested in working in the UK?
Are you GMC Registered? If not, I can advise you how to apply.
If you are registered with the GMC, what Grade are you looking to work at?
And finally, how soon are you able to start? (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - July 15, 2014 Category: Cardiology Authors: Kiranplaha Source Type: forums
devices for the treatment of snoring.
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Source: Doc2Doc BMJ Cardiology - July 15, 2014 Category: Cardiology Authors: smith4321123 Source Type: forums
