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Girl trouble
my title comes from this session at EuroPCRUnusual causes of STEMI in young women It seems that the number of STEMI in young women is increasing and that that there is a worse outcome associated. This seems to me to be in keeping with lots of other observational data that suggests women's heart health is 'neglected'. How can we change this?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - May 24, 2013 Category: Cardiology Authors: sadian Source Type: forums

bed wetting in adults
A 50 years old female visited me at the clinic seeking for advice about her secondary bed wetting, the only positive thing in history is optic glioma that operated on 2 years ago is it related? Please help me. (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - May 23, 2013 Category: Cardiology Authors: Majid Hameed Source Type: forums

Do you recognise aldosterone escape?
I have a colleague who is very into the physiology (or should I say pathology?) of heart failure. He and I were discussing a patient with severe tricuspid regurgitation and right heart failure and the concept of aldosterone escape came up. I'm not sure however we meant the same thing by the term and our reg absolutely did not! Do you recognise the term ?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - May 23, 2013 Category: Cardiology Authors: sadian Source Type: forums

The "catheter ablation business..."
Catheter ablation for afib is a corporate-driven procedure that is riskier and less effective than advertised: http://collateral-damage.net (Source: CardiologyNetwork.com)
Source: CardiologyNetwork.com - May 22, 2013 Category: Cardiology Authors: Dan Walter Source Type: forums

MD Chances?..My Comeback
GPA Breakdown 1st Year: 0.83 ...... (Abysmal...I know) 2nd Year: 1.50 3rd Year: 3.92 4th Year: 3.95 5th Year (Completed this year): 4.0 MCAT: 35S BS: 13 PS: 11 VR: 11 WS: S First year was terrible, mostly due to family problems (parents getting seperated), although im sure they wouldnt take that as an extenuating circumstance. No excuse for second year...I just screwed up. I got suspended after my second year in 2009 for one year. I came back in 2010 continued with my 3rd year..I pulled myself together for my 3rd and 4th year. Studied my ass off for the mcat and did it in 3rd year summer. EC's: Vice president for ...
Source: Student Doctor Network Forums - May 20, 2013 Category: Universities & Medical Training Authors: ZOB Tags: What Are My Chances? Source Type: forums

Does QOF make you overtreat hypertension?
A former president of the RCGP says that a 'side effect' from QOF is that healthy people with borderline blood pressure get overtreated.http://www.pulsetoday.co.uk/20003013.articleDo you agree that this happens. From my perspective in secondary care most people will get treated as they have another cardiovascular indication and I am glad that my targets are largely around access!sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - May 20, 2013 Category: Cardiology Authors: sadian Source Type: forums

ICD programming- do we pay enough attention?
Alaistair Lindsay has covered a JAMA article in his Journal watch section. http://blogs.bmj.com/heart-journalscan/It makes me wonder whether we pay enough attention to prgramming the devices we implant or do we just go with factory settings and hope for the best?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - May 17, 2013 Category: Cardiology Authors: sadian Source Type: forums

Ignorant doctors and blood pressure
Richard Smith says in his blog that blood pressure is everyone's responsibility and that patients need to reclaim it from their ignorant doctors. He also makes an interesting point as to whether high blood pressure is a 'disease' or a risk factor for CV disease. I personally favour the latter approach but I am asking the doc2doc community for their thoughts.http://blogs.bmj.com/bmj/2013/05/16/richard-smith-reclaiming-blood-pressure-from-doctors/ (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - May 17, 2013 Category: Cardiology Authors: sadian Source Type: forums

Effects of hot bath on blood pressure
Hello all, Cardiology is an area of medicine that fascinates me, and hopefully after the long slog of medical school (provided I get in) it is something I would consider specialising in. Over the past few days I've been interested in how hot baths affect blood pressure. I have been taking my blood pressure using a portable BP device before and after a bath and, while admittedly the evidence isn't very scientific as the conditions are far from controlled, there seems to be a correlation. On all of the readings taken after a bath my systolic pressure seems to increase and my diastolic pressure seems to decrease. It lead me ...
Source: Doc2Doc BMJ Cardiology - May 16, 2013 Category: Cardiology Authors: samrneal Source Type: forums

Has BNP revolutionised the diagnosis of heart failure?
The print BMJ carries an article this week on the rational testing and diagnosis of heart failurehttp://www.bmj.com/content/346/bmj.f2442I was at a meeting two weeks ago where this was discussed and the comment was made that BNP testing in primary care has revolutionised this pathway. Is this statement correct or is it that we have simply rationalised and rationed the use of an expensive resource -ie echocardiography?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - May 15, 2013 Category: Cardiology Authors: sadian Source Type: forums

Please - check out journal club for new perspectives on Heart failure
Houck PD. Evolution of heart failure: Crotchety old cardiologist. OA Medical Hypothesis 2013 May 01;1(1):7.Houck PD. Alternative view of congestive heart failure exacerbations: Role of lymphatic function and inflammation. OA Medical Hypothesis 2013 May 01;1(1):6These two articles are available as a provisional PDF file at the following open access website.http://www.oapublishinglondon.com/oa-medical-hypothesis (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - May 14, 2013 Category: Cardiology Authors: Houckster Source Type: forums

Fish oil. a no-go nada effect
in response to the large study on fish oils published in the NEJM this weekRisk and Prevention Study Collaborative Group. n-3 fatty acids in patients with multiple cardiovascular risk factors. N Engl J Med 2013; 368: 1800-1808. This follows on the GISSI and GISSI-HF studies suggesting that there might be a benefit but in this large study with high CV endpoints there is no effect . The study seems to be a timely addition to the discussions we have been having on supplements and foodstuffs!sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - May 10, 2013 Category: Cardiology Authors: sadian Source Type: forums

Doppler Echocardiography Review
Check out this comprehensive review on Doppler Echocardiography: http://dopplercardiology.webs.com/ Bookmark the page for future reference and share with friends. (Source: CardiologyNetwork.com)
Source: CardiologyNetwork.com - May 9, 2013 Category: Cardiology Authors: Dr. George Thomas Source Type: forums

Shuld interventional cardiologists treat ischaemic stroke?
There is an editorial on the BCS website relating to interventional treatment of ischaemic strokehttp://www.bcs.com/pages/news_full.asp?NewsID=19792149Does anyone work in a hospital that offers this kind of service - reviewing the data it seems to me that the editorialist is correct'the phone call from the stroke team seems a long way off'sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - May 8, 2013 Category: Cardiology Authors: sadian Source Type: forums

surviving complex congenital heart disease
The NEJM have just published a case series of 4 patients who survived complex congenital heart disease to go onto develop hepatocellular carcinoma. It makes me think that we need to be more vigilant in those adults who survive such complex operations in childhood. Do we need more specialists in grown-up congenital heart disease?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - May 4, 2013 Category: Cardiology Authors: sadian Source Type: forums

Macrolides & Quinolones and cardiovascular risks
: The recent article published in the NEJM, has pointed out the arrhythmogenic potential not only of azithromycin but also of potential alternative antibacterial drugs, and showed an association between the use of erythromycin/clarithromycin/azithromycin and sudden cardiac death, augmented by concomitant use of inhibitors of the cytochrome P-450 3A isozymes that metabolize erythromycin. http://www.nejm.org/doi/full/10.1056/NEJMp1302726?query=TOC Also, azithromycin use was found to be associated with an increased risk of death from cardiovascular causes among patients at high baseline risk. http://www.nejm.org/doi/full/10....
Source: Doc2Doc BMJ Cardiology - May 2, 2013 Category: Cardiology Authors: Dr. K. Ashutosh Source Type: forums

Clinical question of the week: where should cardiologists put public health resource?
This week's clinical question of the week is from cardiology champion, sadian ...In Heart Wire there are three public health related stories:1. a low glycaemic diet reduces diastolic dysfunction in diabetes2. a mediterranean diet is more expensive3. cardiologists do not know how to help people quit smokingMy question is ... (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - April 30, 2013 Category: Cardiology Authors: Sabreena Source Type: forums

Advanced Clinical Course in Cardiology
Tomorrow I will be participating in the ACCC (Advanced Clinical Course in Cardiology), on 30th April 2013, at Nagpur, the Central India. ACCC, organized in collaboration with Cleveland Clinic is a unique knowledge sharing & skill enhancement programme that has been envisaged to enrich us with the latest in the field of cardiology. The whole day of enriching scientific sessions will focus on wide array of topics like Impact of HTN on Cardiovascular Mortality, Status and Use of Biomarkers in Heart Failure, What does a stable CAD Patient Need – Stents or Bypass or Medications, etc.; to name a few along with panel d...
Source: Doc2Doc BMJ Cardiology - April 29, 2013 Category: Cardiology Authors: Dr. K. Ashutosh Source Type: forums

ESC recommends renal artery denervation for resistant hypertension
The ESC have just published a consensus on renal artery denervation noting that data are available to 36 monthshttp://www.escardio.org/about/press/press-releases/pr-13/Pages/ESC-recommends-patients-centres-renal-denervation.aspx?hit=dontmissdoes this herald a new era in hypertension management ?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - April 29, 2013 Category: Cardiology Authors: sadian Source Type: forums

What heart rate is "normal"?
In the BMJ this week a long-term Danish study is reported ; “After adjusting for age, smoking, alcohol, physical activity, fitness, and other clinical measures, the researchers found that a resting heart rate in 1985-6* of between 51 and 60 beats per minute was associated with a 40% increased risk of death (hazard ratio 1.4 (95% confidence interval 1.1 to 1.9), when compared with a rate under 50, while a rate between 81 and 90 beats per minute doubled the risk (2.1 (1.4 to 2.9)) and one above 90 beats per minute tripled the risk (3.1 (2 to 4.8)).” *The average age in 1985 -6 was 63. I was taught 72 w...
Source: Doc2Doc BMJ Cardiology - April 25, 2013 Category: Cardiology Authors: sken Source Type: forums

Is cardio required to lose weight or can it all be done through anaerobic training?
Forum: Fitness Posted By: civilstudent Post Time: 23-04-2013 at 16:40 (Source: The Student Room)
Source: The Student Room - April 23, 2013 Category: Universities & Medical Training Source Type: forums

Is a high resting heart rate the chicken or the egg?
This study has just been published in Heart http://heart.bmj.com/content/early/2013/03/21/heartjnl-2012-303375.short?g=w_heart_ahead_tablinking a high resting heart rate to an increased risk of death independently of other CV risk factors. It doesn't seem to be related to physical fitness - which would have been one of my explanations. I'm not sure howewer whether the high heart rate picks out people with subclinical heart disease or is itself the driver ? Whatever it is the study was limited to men only so I guess we ladies do not yet need to check our resting pulses!sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - April 18, 2013 Category: Cardiology Authors: sadian Source Type: forums

Beet this!
http://www.theheart.org/article/1529073.do?utm_medium=email&utm_source=20130417_heartwire&utm_campaign=newsletterYet more evidence for the pharamcological actions of food stuffs - beetroot would definitely be a nutraceutical in my eyes.sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - April 18, 2013 Category: Cardiology Authors: sadian Source Type: forums

How do you explain stroke risk and anticoagulation?
I have just seen a referral for a 90 year old lady. The referral says that she would like a second opinion re anticoagulation for AF as she was 'confused ' by the first explanation. The facts will not have changed so to me it seems to be around how the risk was explained. So how do you explain the risk?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - April 16, 2013 Category: Cardiology Authors: sadian Source Type: forums

Can we prevent chemo related cardiac damage?
I think this study is very exciting- Enalapril and carvedilol for preventing chemotherapy-induced left ventricular systolic dysfunction in patients with malignant hemopathies: The OVERCOME trial. J Am Coll Cardiol 2013; DOI: 10.1016/j.jacc.2013.02.072. Available here. In patients with haematological maligancies pretreatment with enalapril and carvedilol appears to ameliorate the reduction in LV ejection fractionBUT it is only a small study with a small change in EF so I guess we need a larger study but certainly appears promising!sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - April 15, 2013 Category: Cardiology Authors: sadian Source Type: forums

The doc2doc cardiovascular team of the year.
The shortlist for the BMJ Group awards cardiovascular team of the year are in! I'm running my own poll as who we on doc2doc would pick as the winner - we will see later if the judges agree with us. The careers section of the journal features more on each team.http://careers.bmj.com/careers/advice/view-article.html?id=20011742&utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+careers%2Frecent+%28Latest+from+BMJ+careers%29 (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - April 13, 2013 Category: Cardiology Authors: sadian Source Type: forums

Do you tell patients there is a cancer risk with amiodarone?
The heart.org are carrying this story about the link with amiodarone and cancerhttp://www.theheart.org/article/1527417.do?utm_medium=email&utm_source=20130411_heartwire&utm_campaign=newsletterIt is made me think about my practice this morning- I don't mention this risk but I mention lots of others! Is the message here not to worry so much about individual risks but to think that given the plethora of risks with it that the use of amiodarone should be very carefully considered?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - April 12, 2013 Category: Cardiology Authors: sadian Source Type: forums

PACES studying partner
hi any PACES studying partner for next exam 2/2013 (Source: New Media Medicine)
Source: New Media Medicine - April 10, 2013 Category: Universities & Medical Training Authors: cardiologest Tags: MRCP Revision Source Type: forums

is hypertension the 'new' epidemic?
The CDC in America have just published some data saying that from 2005 to 2009 nearly every state experienced an increase in rates of self-reported hypertension from 25.8 to 28.3% and also some increase (but not so marked) in taking of antihypertensives. Are we seeing the effects of more measurement and more patient knowledge or the effects of changing lifestyles and demography? Is the US experience reflected worldwide?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - April 8, 2013 Category: Cardiology Authors: sadian Source Type: forums

iphon ecograph
Hello to everyone! I have seen recently some devices that can be connected on the iphon and be used as an ecograph . The idea seems good and cheap! But is it efficient ? Does it works properly ? Has anybody any experience or any opinion on this? (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - April 5, 2013 Category: Cardiology Authors: ikaros Source Type: forums

Should the no-smoking ban be enforced in the NHS?
Walking past people smoking at the hospital entrance whilst hanging onto drip stands/drains/catheters etc is a daily occurrence - right underneath the 'This is a no-smoking site' sign!' Every hospital I've ever been in seems to turn a blind eye to this. NICE now have draft guidance that suggests we should enforce the ban given the increasing evidence linking second hand smoke to bad health. Is this practical or even enforceable?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - April 5, 2013 Category: Cardiology Authors: sadian Source Type: forums

The Emperor's new clothes?
or a revolution in non-invasive ecg diagnosis? I'm certain I've never seen anything quite like it!Would your patients wear this?sadianhttp://www.bbc.co.uk/news/health-21945566 (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - April 1, 2013 Category: Cardiology Authors: sadian Source Type: forums

inkling a pioneering
Messi signed up wreath compress with the Nike assist tag form of Messi brink cleats. At the premature age of 14, he showcased the Nike Quirky Vapor II. By means of the same time, the hulking Brazilian prestige, Ronaldo was showcasing the new fickle vapor by Nike Syracuse vs Marquette live stream (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - March 30, 2013 Category: Cardiology Authors: jackcntce Source Type: forums

Issues with shoulder, neck, collar bone, back and chest.
Discussion Boards)
Source: MD Health Forum - Medical Discussion Boards - March 28, 2013 Category: Consumer Health Advice Authors: Ouch Tags: Muscles and Bones Source Type: forums

ECG Quiz
This is an ECG from a 25 years old manWhat does it show ? (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - March 27, 2013 Category: Cardiology Authors: alaminium Source Type: forums

Any Experience with Azilsartan?
In this study, the reduction in 24-hour mean systolic BP was 2.1mmHg greater with azilsartan medoxomil 80mg than olmesartan medoxomil 40mg (95% CI -4.0 to -1.0; p=0.038), References:1. Edarbi Summary of Product Characteristics, December 2011.2. White WB et al. Hypertension 2011; 57: 413-20.3. Bakris GL et al. J Clin Hypertens 2011; 12: 81-88. (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - March 26, 2013 Category: Cardiology Authors: alaminium Source Type: forums

"Z-Pak" May Raise Risk of Serious Cardiac Arrhythmias
A warning from the FDA has stated that use of Z-Pak may increase the risk of serious, life-threatening cardiac arrhythmias, especially in patients with existing irregular heartbeats. How will this warning affect the way physicians prescribe this widely-used antibiotic? Will you simply avoid prescribing to those with pre-existing conditions, or will you be more mindful in all patients? (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - March 26, 2013 Category: Cardiology Authors: MPotts Source Type: forums

The arterial underground
This is a rather nice depiction of the human arterial systemhttps://www.meducation.net/resources/30212-Arterial-SchematicIt also reminds me that we all learn differently - and pictures are a great way to learn. I was at a session last week where the person leading managed to learn everyone's (15 people ) names by linking the name with another object!sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - March 24, 2013 Category: Cardiology Authors: sadian Source Type: forums

Cardiology from the Grand Round
(A) Which of the following, affect plasma level of Digoxin :-1/ St John's wort 2/ Gaviscon 3/ Sulfasalazine 4/ Amiodarone (B) 60 year old man comes to see you with shortness of breath. You take a careful and detailed history, perform a clinical examination, and suspect heart failure. He has never had a previous myocardial infarction. His serum natruritic peptide came back very high ( BNP 610 pg/ml ), what should you do next ?1/ Make a routine referral to a cardiologist 2/ Refer urgently, to have transthoracic Doppler 2D echocardiography and specialist assessment within two weeks 3/ Check his ECG, CXR, B...
Source: Doc2Doc BMJ Cardiology - March 23, 2013 Category: Cardiology Authors: alaminium Source Type: forums

Clinical question of the week: do we need specialists to manage heart failure?
This week's clinical question is from cardiology champion sadian ... (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - March 21, 2013 Category: Cardiology Authors: Sabreena Source Type: forums

'Performing echocardiographic studies using machines of Major Manufacturers
There is a book being sold on eBay with the title 'Performing echocardiographic studies using machines of Major Manufacturers'.In the description it is written that the book describes working with 11 different US machines. Has anybody used this book, is it a good book? As I am new in echo I think it can be very helpful for me. thanks (Source: CardiologyNetwork.com)
Source: CardiologyNetwork.com - March 20, 2013 Category: Cardiology Authors: Narjis Robab Source Type: forums

How would you improve cardiology outpatients?
or any outpatient service for that matter? Ive just 'volunteered' to look at the outpatient service and to try to improve it. I think the biggest issues are around waiting times and answering of queries hence am aiming to see if we can make it better. What are the biggest issues in your outpatient services?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - March 20, 2013 Category: Cardiology Authors: sadian Source Type: forums

Do we need a REMINDER that low risk is low risk?
The REMINDER study has just been presented at the ACC which is a study of eplerenone at day 1 patients with an MI.The endpoints look like this with most of the difference related to a change in BNP at 1 month. For me the key messages are that eplerenone generally appears to be safe and as the clinical event rate is 2-3% in this study that reducing an already low risk is difficult!sadianEnd point HR (95% CI) Composite primary end point 0.57 (0.44-0.74)b Primary end point components CV mortality 0.52 (0.05-5.99)Rehospitalization/hospitalization extended due to HF0.56 (0.20-1.54)Sustained VT or VF [too few to...
Source: Doc2Doc BMJ Cardiology - March 18, 2013 Category: Cardiology Authors: sadian Source Type: forums

Believing What We Want
Do you ever stop to ask yourself the question, 'Why do I think that?' or 'Why do I believe that?' - I'm not just talking about religion here - the big questions in your life - but rather about everyday choices and dilemmasLIVE STREAMUFC 158 LIVE STREAM watch UFC 158 OnlineUFC 158 LIVE STREAM watch UFC 158 OnlineUFC 158 LIVE STREAM watch UFC 158 OnlineUFC 158 LIVE STREAM watch UFC 158 OnlineUFC 158 LIVE STREAM watch UFC 158 OnlineUFC 158 LIVE STREAM watch UFC 158 OnlineUFC 158 LIVE STREAM watch UFC 158 OnlineUFC 158 LIVE STREAM watch UFC 158 OnlineUFC 158 LIVE STREAM watch UFC 15...
Source: Doc2Doc BMJ Cardiology - March 16, 2013 Category: Cardiology Authors: benjamin88 Source Type: forums

Taking Heart in Adversity
Yesterday, I approached a roundabout from a different direction from the one I normally approach it. This roundabout has a large centerpiece on it - a map of the UAE and the head and shoulders of its first President, the late Sheikh Zayed. Seeing the construction from a different angle - a 90 degree difference, I was unable to recognize what the shapes were supposed to depict.LIVE STREAMUFC 158 LIVE STREAM watch UFC 158 OnlineUFC 158 LIVE STREAM watch UFC 158 OnlineUFC 158 LIVE STREAM watch UFC 158 OnlineUFC 158 LIVE STREAM watch UFC 158 OnlineUFC 158 LIVE STREAM watch UFC 158 OnlineUFC 158 LIVE ST...
Source: Doc2Doc BMJ Cardiology - March 16, 2013 Category: Cardiology Authors: benjamin88 Source Type: forums

Even mummies had atherosclerosis!
an article in the Lancet suggests that atherosclerosis is not as modern as we think it is! Vascular calcification and probable atherosclerosis was found in a third of mummies spanning different cultures and populations that span 4000 years of history!doi:10.1016/S0140-6736(13)60598:XDoes this suggest atherosclerosis is much about about genes rather than environment?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - March 16, 2013 Category: Cardiology Authors: sadian Source Type: forums

stopping smoking increases the risk of diabetes
A poster presented at ACC has linked the stopping smoking with risk of diabetes and increased fasting glucoseIn 1000 patients 43% quit smoking over 3 years with the headline figures'Abstinent subjects gained more weight (+6.5 vs 1.7 kg, p<0.001) and had a greater increase in fasting plasma glucose (+4.5 vs 0.7 mg/dL, p<0.001) than continuing smokers. IFG prevalence increased from 21.4% to 40.1% in abstinent subjects, but only from 20.7% to 22.7% in continuing smokers (p<0.001). Diabetes prevalence increased from 3.1% to 11.4% in abstinent subjects, but only from 7.2% to 10.5% in continuing smokers (p=0.02). 'Of no...
Source: Doc2Doc BMJ Cardiology - March 12, 2013 Category: Cardiology Authors: sadian Source Type: forums

ECG monitoring is not needed in 1 in 4 patients
This is the message from the PULSE stusy presented at the ACC - is this garbage in = garbage out is we select the wrong patients or that as monitoring is noninvasive the tendency is to overuse it?sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - March 11, 2013 Category: Cardiology Authors: sadian Source Type: forums

Heart Surgery Animation Video — Coronary angioplasty…
Heart Surgery Animation Video -- Coronary angioplasty... (Source: Cardiac Forum)
Source: Cardiac Forum - March 9, 2013 Category: Cardiology Source Type: forums

Ivabradine and Myocardial Infarction
In patients with anterior myocardial infarction and early left ventricular systolic dysfunction addition of ivabradine to metoprolol, in comparison with uptitration of metoprolol was associated with improvement of systolic and diastolic left ventricular function and decrease of serum NT-pro-ANP by day 25.Does many hospitals guidelines utilize the benefit of this combination to speed patients recovery and minimize long hospital stay ? (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - March 9, 2013 Category: Cardiology Authors: alaminium Source Type: forums