MedWorm: Cardiology Forums

Do you recognise aldosterone escape?

Doc2Doc BMJ Cardiology — Thu, 23 May 2013 16:24:34 +0100

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)

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The "catheter ablation business..."

CardiologyNetwork.com — Wed, 22 May 2013 04:24:25 +0100

Catheter ablation for afib is a corporate-driven procedure that is riskier and less effective than advertised: http://collateral-damage.net (Source: CardiologyNetwork.com)

MD Chances?..My Comeback

Student Doctor Network Forums — Mon, 20 May 2013 22:22:15 +0100

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 2 clubs, volunteered in a lab as a research assisstant (no publications), volunteered for Heart and Stroke Foundation for a year, volunteered for habitat for humanity for...

Does QOF make you overtreat hypertension?

Doc2Doc BMJ Cardiology — Mon, 20 May 2013 16:26:42 +0100

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)

ICD programming- do we pay enough attention?

Doc2Doc BMJ Cardiology — Fri, 17 May 2013 19:07:03 +0100

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)

Ignorant doctors and blood pressure

Doc2Doc BMJ Cardiology — Fri, 17 May 2013 19:01:06 +0100

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)

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Effects of hot bath on blood pressure

Doc2Doc BMJ Cardiology — Thu, 16 May 2013 19:31:36 +0100

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 to wonder if there was any explanation to this, or whether it is just purely coincidental? It would be interesting to hear your thoughts, Sam (Source: Doc2Doc BMJ Cardio...

Has BNP revolutionised the diagnosis of heart failure?

Doc2Doc BMJ Cardiology — Wed, 15 May 2013 16:33:51 +0100

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)

Please - check out journal club for new perspectives on Heart failure

Doc2Doc BMJ Cardiology — Tue, 14 May 2013 21:48:36 +0100

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)

Fish oil. a no-go nada effect

Doc2Doc BMJ Cardiology — Fri, 10 May 2013 22:28:06 +0100

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)

Doppler Echocardiography Review

CardiologyNetwork.com — Thu, 09 May 2013 04:32:57 +0100

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)

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Shuld interventional cardiologists treat ischaemic stroke?

Doc2Doc BMJ Cardiology — Wed, 08 May 2013 16:33:59 +0100

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)

surviving complex congenital heart disease

Doc2Doc BMJ Cardiology — Sat, 04 May 2013 22:35:52 +0100

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)

Macrolides & Quinolones and cardiovascular risks

Doc2Doc BMJ Cardiology — Thu, 02 May 2013 21:40:19 +0100

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/10.1056/NEJMoa1300799?query=TOC Comment: We, the clinicians should always be aware of the risks and benefits of antibacte...

Clinical question of the week: where should cardiologists put public health resource?

Doc2Doc BMJ Cardiology — Tue, 30 Apr 2013 16:32:44 +0100

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)

Advanced Clinical Course in Cardiology

Doc2Doc BMJ Cardiology — Mon, 29 Apr 2013 16:33:11 +0100

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 discussions & case reviews. I will post the major highlights of this important clinical event the day after tomorrow. (Source: Doc2Doc BMJ Cardiology)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

ESC recommends renal artery denervation for resistant hypertension

Doc2Doc BMJ Cardiology — Mon, 29 Apr 2013 15:45:10 +0100

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)

What heart rate is "normal"?

Doc2Doc BMJ Cardiology — Thu, 25 Apr 2013 10:34:15 +0100

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 was the normal rate but always said that anything above 60 suggests lack of basic fitness. My own resting pulse tends to be low 50s - when it drops below this ectopics see...

Is cardio required to lose weight or can it all be done through anaerobic training?

The Student Room — Tue, 23 Apr 2013 17:11:20 +0100

Forum: Fitness Posted By: civilstudent Post Time: 23-04-2013 at 16:40 (Source: The Student Room)

Beet this!

Doc2Doc BMJ Cardiology — Thu, 18 Apr 2013 10:32:54 +0100

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)

Is a high resting heart rate the chicken or the egg?

Doc2Doc BMJ Cardiology — Thu, 18 Apr 2013 10:32:54 +0100

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)

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How do you explain stroke risk and anticoagulation?

Doc2Doc BMJ Cardiology — Tue, 16 Apr 2013 22:33:43 +0100

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)

Can we prevent chemo related cardiac damage?

Doc2Doc BMJ Cardiology — Mon, 15 Apr 2013 15:09:04 +0100

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)

The doc2doc cardiovascular team of the year.

Doc2Doc BMJ Cardiology — Sat, 13 Apr 2013 22:32:34 +0100

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)

Do you tell patients there is a cancer risk with amiodarone?

Doc2Doc BMJ Cardiology — Fri, 12 Apr 2013 10:34:02 +0100

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)

PACES studying partner

New Media Medicine — Wed, 10 Apr 2013 10:42:02 +0100

hi any PACES studying partner for next exam 2/2013 (Source: New Media Medicine)

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is hypertension the 'new' epidemic?

Doc2Doc BMJ Cardiology — Mon, 08 Apr 2013 16:33:05 +0100

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)

iphon ecograph

Doc2Doc BMJ Cardiology — Sat, 06 Apr 2013 03:17:10 +0100

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)

Should the no-smoking ban be enforced in the NHS?

Doc2Doc BMJ Cardiology — Fri, 05 Apr 2013 16:32:18 +0100

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)

The Emperor's new clothes?

Doc2Doc BMJ Cardiology — Mon, 01 Apr 2013 10:33:18 +0100

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)

inkling a pioneering

Doc2Doc BMJ Cardiology — Sat, 30 Mar 2013 22:33:10 +0100

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)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

Issues with shoulder, neck, collar bone, back and chest.

MD Health Forum - Medical Discussion Boards — Thu, 28 Mar 2013 04:39:28 +0100

Discussion Boards)

ECG Quiz

Doc2Doc BMJ Cardiology — Wed, 27 Mar 2013 16:33:06 +0100

This is an ECG from a 25 years old manWhat does it show ? (Source: Doc2Doc BMJ Cardiology)

Any Experience with Azilsartan?

Doc2Doc BMJ Cardiology — Tue, 26 Mar 2013 20:43:33 +0100

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)

"Z-Pak" May Raise Risk of Serious Cardiac Arrhythmias

Doc2Doc BMJ Cardiology — Tue, 26 Mar 2013 16:34:09 +0100

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)

The arterial underground

Doc2Doc BMJ Cardiology — Sun, 24 Mar 2013 16:33:35 +0100

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)

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Cardiology from the Grand Round

Doc2Doc BMJ Cardiology — Sat, 23 Mar 2013 22:33:18 +0100

(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, Blood Urea and Electrolytes 4/ Start him on ACE inhibitor and B-Blocker5/ Start him on ARB and nitrates(C) A 78 year old man complains of shortness of breath and ankl...

Clinical question of the week: do we need specialists to manage heart failure?

Doc2Doc BMJ Cardiology — Thu, 21 Mar 2013 07:11:36 +0100

This week's clinical question is from cardiology champion sadian ... (Source: Doc2Doc BMJ Cardiology)

'Performing echocardiographic studies using machines of Major Manufacturers

CardiologyNetwork.com — Wed, 20 Mar 2013 22:32:36 +0100

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)

How would you improve cardiology outpatients?

Doc2Doc BMJ Cardiology — Wed, 20 Mar 2013 16:34:26 +0100

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)

Do we need a REMINDER that low risk is low risk?

Doc2Doc BMJ Cardiology — Mon, 18 Mar 2013 16:33:55 +0100

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 estimate]EF <40% after >1 mo1.08 (0.58-2.00)Natriuretic-peptide elevation >1 moa 0.58 (0.44-0.77)c (Source: Doc2Doc BMJ Cardiology)

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Believing What We Want

Doc2Doc BMJ Cardiology — Sat, 16 Mar 2013 22:33:27 +0100

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 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 wa...

Taking Heart in Adversity

Doc2Doc BMJ Cardiology — Sat, 16 Mar 2013 22:33:26 +0100

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 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 1...

Even mummies had atherosclerosis!

Doc2Doc BMJ Cardiology — Sat, 16 Mar 2013 21:18:39 +0100

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)

stopping smoking increases the risk of diabetes

Doc2Doc BMJ Cardiology — Tue, 12 Mar 2013 16:32:58 +0100

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 note the average BMI was 29 at the start of the study - is this just a reflection of the effectsof more weight gain rather than stopping smoking?sadian (Source: Doc2Doc BMJ...

ECG monitoring is not needed in 1 in 4 patients

Doc2Doc BMJ Cardiology — Mon, 11 Mar 2013 14:43:38 +0100

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)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

Heart Surgery Animation Video — Coronary angioplasty…

Cardiac Forum — Sat, 09 Mar 2013 23:32:40 +0100

Heart Surgery Animation Video -- Coronary angioplasty... (Source: Cardiac Forum)

Ivabradine and Myocardial Infarction

Doc2Doc BMJ Cardiology — Sat, 09 Mar 2013 16:36:38 +0100

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)

screening athletes for sudden cardiac death risk

Doc2Doc BMJ Cardiology — Sat, 09 Mar 2013 12:43:13 +0100

I've just been reading this article from Hearthttp://heart.bmj.com/content/early/2013/02/28/heartjnl-2012-302160.full?ath_user=nhsskhan016&ath_ttok=%3CUTrnNaPBy8Yd9XSfpQ%3Eand it reminded me of the Fabrice Muamba who we discussed last year (and he was definitely screened!). it reminds me that the screening argument is not clear cut . From my perspective I think I would offer screening to those who understand that it isn't perfect. Would you do the same?sadian (Source: Doc2Doc BMJ Cardiology)

another meaty story

Doc2Doc BMJ Cardiology — Thu, 07 Mar 2013 22:52:13 +0100

we will all have seen the stories regarding meat in the news recently - this one is on a similar line! Some 10 year data from the EPIC study http://epic.iarc.fr/show that the risk of cardiovascular death and cancer are much higher in people who eat processed meats eg sauasage, bacon and ham. Another reason to aspire to a balanced largely vegeterian diet?sadian (Source: Doc2Doc BMJ Cardiology)

can you diagnose cardiac tamponade?

Doc2Doc BMJ Cardiology — Mon, 04 Mar 2013 11:40:28 +0100

I've been teaching on a course this weekend and one of the things that came up is that in the UK very few junior doctors are confident that they could diagnose tamponade. I think that this is unusual (perhaps something about our overreliance on tests?) -are you confident to diagnose tamponade?sadian (Source: Doc2Doc BMJ Cardiology)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

NICE, Heart Failure & BNP

Doc2Doc BMJ Cardiology — Sat, 02 Mar 2013 14:08:53 +0100

NICE recently released their Chronic Heart Failure Guidelines and have advocated that measuring serum natriuretic peptides (B-type natriuretic peptide [BNP] or N-terminal pro-B-typenatriuretic peptide [NTproBNP]) should play a prominent role in diagnosing heart failure in patients without a past history of MI. How many of you actually have access to BNP and/or NTproBNP via your local labs? I for one certainly don't. (Source: Doc2Doc BMJ Cardiology)

Studying Abroad?

The Student Room — Fri, 01 Mar 2013 02:01:16 +0100

Forum: Studying abroad - Your questions answered Posted By: heart/ Post Time: 01-03-2013 at 01:59 (Source: The Student Room)

Shadowing Question

Student Doctor Network Forums — Fri, 01 Mar 2013 00:43:31 +0100

I currently have about 100 hours in the OR. Most of which are in neuro, then orthopaedics and general. I am quite fond of neurosurgery. I know the surgeon thinks highly of me, and I will probably get a spectacular LOR. I have some options: 1) A hand surgeon 2) A friend's dad -eye surgeon 3) Heart surgeon- I met him in the OR one day. 4) Friend's dad- OB/GYN Should I stay in neuro or get some experience in more fields? (Source: Student Doctor Network Forums)

Electrophysiology and Heart Devices

Cardiac Forum — Thu, 28 Feb 2013 23:05:59 +0100

Dr. Michael Panutich Discusses Electrophysiology and Heart Devices (Source: Cardiac Forum)

Electrophysiology of the heart – UTSW

Cardiac Forum — Thu, 28 Feb 2013 23:05:59 +0100

Electrophysiology of the heart - UTSW (Source: Cardiac Forum)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

Help on route needed!

New Media Medicine — Thu, 28 Feb 2013 21:09:31 +0100

Hello all, I wonder if anyone would be able to offer any advice... in the past few years... due to my own personal involvement with medicine and the NHS and research. I have decided that a career in healthcare is something I want to aim for. My problem is after discussions with universities and in depth research.. I have come to the conclusion, I have several options. 1. I have interviews with certain London colleges for their Access to Medicine courses, so if accepted could enrol on that and try gain access that way. (I have spoken to the likes of Kings College uni who have said they are happy to accept an Access to medicine course on their 6yr degree from a London based College, providing I reach the required grades in the Access course) 2. I go back to college and redo my GCSEs (Ma...

extubation in OR took an hour???

MD Health Forum - Medical Discussion Boards — Thu, 28 Feb 2013 04:46:36 +0100

Discussion Boards)

NICE approves apixaban today

Doc2Doc BMJ Cardiology — Wed, 27 Feb 2013 21:04:35 +0100

NICE has approved apixaban in the UK for the prevention of thromboembolic complications in nonvalvular AF in accordance with its licensed indications. I have often thought apixaban is the most promising of all the novel anticoagulants - eg the ARISTOTLE study showed clear superiority - however it is the third of these new drugs to gain approval - is this just too late in the UK?sadian (Source: Doc2Doc BMJ Cardiology)

Adult Cardiac Surgery

Doc2Doc BMJ Cardiology — Wed, 27 Feb 2013 05:05:23 +0100

In our adult cardiac surgery unit, coronary by-pass procedures and surgeries, both classical and minimally invasive, to repair and replace valves and treat aortic aneurisms and rhythm irregularities are performed. In addition, hypertrophic cardiomyopathy, pulmonary thromboembolism (pulmonary thromboenatherectomy) and aortic diseases are areas in which are department specializes._______________Cardiac Doctor Turkey (Source: Doc2Doc BMJ Cardiology)

Is there anything taxing about SYNTAX?

Doc2Doc BMJ Cardiology — Mon, 25 Feb 2013 13:34:17 +0100

The syntax study is a large study comparing PCI versus bypass grafting in patients with left main stem disease - the 5 year results are outhttp://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)60141-5/fulltextsuggesting that in patients with complex lesions CABG should remain the treatment of choice.Is this just the expected finding? Does this surprise you in any way?sadian (Source: Doc2Doc BMJ Cardiology)

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ECG quiz

Doc2Doc BMJ Cardiology — Sun, 24 Feb 2013 13:05:31 +0100

What Abnormalities you can see in this ECG ? (Source: Doc2Doc BMJ Cardiology)

anything more

Doc2Doc BMJ Cardiology — Sat, 23 Feb 2013 22:05:26 +0100

¿ es correcto utilizar anything more o es preferible anything else? En cualquier caso me gustaría saber si es indistinto o hay ocasiones para utilizar una u otra expresion. Gracias The Walking Dead Season 3 Episode 11Top Gear Season 19 Episode 5Top Gear Season 19 Episode 5The Walking Dead Season 3 Episode 11The Walking Dead Season 3 Episode 11Top Gear Season 19 Episode 5Girls Season 2 Episode 7The Walking Dead Season 3 Episode 11Top Gear Season 19 Episode 5The Walking Dead Season 3 Episode 11 Girls Season 2 Episode 7Top Gear Season 19 Episode 5Ufc 157 live StreamUfc 157 live StreamUfc 157 live StreamUfc 157 live StreamUfc 157 live StreamTop Gear Season 19 Episode 5The Walking Dead Season 3 Episode 11Walking Dead Season 3 Episode 11Ufc 157 live Stream (Source: Doc2Doc BMJ Card...

What's the best antiplatelet regime for patients on wafarin?

Doc2Doc BMJ Cardiology — Sat, 23 Feb 2013 21:05:40 +0100

I often struggle with this for patients in AF who end up having a stent and often find that aspirin plus clopdiogrel plus warfarin can be a very difficult combination particularly when a drug eluting stent has been implanted! I'm pleased to see a trial that supports what I think many cardiologists do in practice which is warfarin and clopidogrel only (plus a PPI!)http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)62177-1/abstractWhat's your antiplatelet regime of choice in this situation?sadian (Source: Doc2Doc BMJ Cardiology)

Is this a new frontier for cardiac CT?

Doc2Doc BMJ Cardiology — Fri, 22 Feb 2013 17:05:03 +0100

or just an increase in unnecessary testing of low risk/well people?http://www.theheart.org/article/1510213.do?utm_medium=email&utm_source=20130221_heartwire&utm_campaign=newslettersadian (Source: Doc2Doc BMJ Cardiology)

How common is undiagnosed AF in 'cryptogenic' stroke?

Doc2Doc BMJ Cardiology — Thu, 21 Feb 2013 13:31:00 +0100

A study was presented at the Stroke Conference last week (EMBRACE study) regarding undiagnosed AF in people over 55 with the headline result as followsEMBRACE: Primary end point End point Repeat Holter monitoring (%) 30-d monitoring (%) p AF >30 s (within 90 d) 316<0.001is in patients assigned to wear a loop recorded rather than repeated holter monitoring there was a absolute difference of 13% in AF detection rates. Do we think that longer cardiac monitoring periods are needed or is there not enough evidence to say that if we do something about these 'unknown' episodes there is benefit?sadian (Source: Doc2Doc BMJ Cardiology)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

an Interesting ECG

Doc2Doc BMJ Cardiology — Tue, 19 Feb 2013 14:05:33 +0100

what diagnosis is it for this ECG? (Source: Doc2Doc BMJ Cardiology)

Low gpa! Need advice! Please help!

Student Doctor Network Forums — Mon, 18 Feb 2013 21:07:36 +0100

Hi everyone, the name's, Lee, and the reason why I'm posting this thread is because I REALLY NEED HELP AND ADVICE WITH WHAT ACTIONS I SHOULD TAKE TO GET INTO DENTAL SCHOOL!! I'm in a world of hurt right now and would REALLY appreciate the advice, feedback & support from other students. Before I start talking about my situation, here's a little bg info about myself:Currently 20 y.o. biochem undergrad (Junior) @ University of the Pacific in Stockton, CA Transferred from a CC in SRING 2012 with a 3.5 overall GPA First generation college student; no family members with jobs in medical field Earned around 30 hours of dental experience (majority of time was shadowing General Dent, others were shadowing Oral Surg. & experience @ a pre-dent club event) Spend around 11 hours/wk (since HS f...

Do you use diclofenac?

Doc2Doc BMJ Cardiology — Fri, 15 Feb 2013 09:06:15 +0100

A study has suggested that there is an increased CV risk of up to 63% with diclofenac. http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001388Is this effect unique to diclofenac or does it just reflect NSAIDS as a class?sadian (Source: Doc2Doc BMJ Cardiology)

Beta-blockers and metabolic acidosis

Doc2Doc BMJ Cardiology — Thu, 14 Feb 2013 19:05:37 +0100

Dear collegues,metabolic acidosis is one of the contraindications of betablockers.I though the reason is beacause both increase the plasma potassium concentration and can cause iperkalemia... or there is anything else?Thanks.M (Source: Doc2Doc BMJ Cardiology)

ECG in LVH: Quiz 8

Doc2Doc BMJ Cardiology — Wed, 13 Feb 2013 17:05:28 +0100

This 80 years old woman with arteriosclerotic and hypertensive heart disease revisited the clinic and was found to have a change in the ECG since her last visit, with the QRS having widened to 0.12 second. What does the ECG now show? Please click to view an enlarged image. (Source: Doc2Doc BMJ Cardiology)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

Re: trans fatty acid

eMediNews - Medical Forum Health Discussion — Tue, 12 Feb 2013 12:35:37 +0100

Discussion)

is a heart attack still a heart attack?

Doc2Doc BMJ Cardiology — Sat, 09 Feb 2013 17:04:52 +0100

NICE have just issued draft guidance on treatment of acute MIhttp://www.nice.org.uk/newsroom/pressreleases/NICEConsultsOnRecommendationsForTreatingPeopleWithAcuteHeartAttack.jspone of the things that struck me is the considerable decline in mortality from around 20% to 5% in 30 years - is this because our pathways are better or is it that the drugs we now use have changed the pattern of disease and infarction we see?sadian (Source: Doc2Doc BMJ Cardiology)

How can the cardiovascular system be closed if it takes up lymph?

Student Doctor Network Forums — Fri, 08 Feb 2013 18:43:15 +0100

Yeah, the cardiovascular system is supposed to be a closed system. That means it should not exchange matter nor energy with the outside environment. One, its MAIN PURPOSE is to exchange matter with the environment (i.e. nutrients) and that alone precludes the possibility of being a closed system. Second, even if you were to look passed this with some wave-handing answer along the lines of "well its not ALOT of exchange," you still run into the fact that the lymph system apparently dumps a bunch of its fluid into the circulatory system at the throacic duct. So, from what I see, the cardiovascular system is just as open as the lymphatic system... Right?!?! (Source: Student Doctor Network Forums)

Free BMJ Group Cardiology content during National Heart Month (February 2013)

Doc2Doc BMJ Cardiology — Fri, 08 Feb 2013 13:33:50 +0100

There is a lot of free cardiovascular content from the BMJ Group to celebrate National Heart Month .You can check out the available topics herehttps://www.rebelmouse.com/Heart/The article on resistant hypertension caught my eye as I am struggling with some patients at the moment.Sadian (Source: Doc2Doc BMJ Cardiology)

Re: need your helps

eMediNews - Medical Forum Health Discussion — Fri, 08 Feb 2013 11:42:41 +0100

Discussion)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

I've been working as a HCA for a year in April, Time to change jobs?

New Media Medicine — Thu, 07 Feb 2013 22:52:22 +0100

I've been working as a HCA (full time) for a year in April, Time to change jobs? or will it be a hindrance to my 2014 application? Background: -BSc Biomedical Science 2.1 (hons) -MSc Biomedical Science with Distinction (just finished) -Worked as a full time HCA on a cardiac ward since April 2012 -Volunteered with the research team (as a research assistant to cardiology registrar) since June 2012 -Name listed on two publications I'm trying to improve my application all the time, however, i really want to switch jobs to a position that will not leave me at a disadvantage when applying in september 2013. Basically, I dont want to look "uncommitted" but i have worked long and hard,;) full time hours along side my masters (by doing nights and weekends) and now I want a c...

Translational or Clinical Research ?

Student Doctor Network Forums — Thu, 07 Feb 2013 15:13:38 +0100

Hello all. I'm an IMG and I'm preparing for IM residency in USA and hopefully a cardiology fellowship afterwards. I have an opportunity to do a basic science research fellowship at Johns Hopkins for a year and a half before my match season. It's in cardiology and it's pretty translational. My main concern is whether or not I should be doing clinical research during that period to help me with the residency match. From what I understood from a lot of applicants and some program directors that this fellowship will not help me much during the residency much, however, it will be very helpful if I apply for a cardiology fellowship later. I just want to hear some of your opinions about the matter and whether or not i'm seeing things the right way. Thank you all. (Source: Student Doctor Networ...

ECG in LVH: Quiz 7

Doc2Doc BMJ Cardiology — Wed, 06 Feb 2013 21:05:31 +0100

A 46 years old chronic alcoholic entered the hospital in severe left ventricular failure, probably due to alcoholic cardiomyopathy. His ECG showed the following. What is your interpretation?Please click to enlarge the view. (Source: Doc2Doc BMJ Cardiology)

Is cardiac rehab a soft target?

Doc2Doc BMJ Cardiology — Wed, 06 Feb 2013 21:05:30 +0100

I was at a meeting recently and learnt that the commissioning of cardiac rehab is moving to Health and Wellbeing boards - I can see some logic in this but for me the commissioning of a complete patient pathway should be overseen by the same group. I'm disturbed therefore to see this articlehttp://heart.bmj.com/content/early/2013/02/05/heartjnl-2012-303341.full?ath_user=nhsskhan016&ath_ttok=%3CURK%2FyKMVgLP6Hua5kw%3Ewhich seems to suggest that cardiac rehab as we know it is not fit for purpose. As someone who spent a few hours trying to get patients to do the same times on a treadmill within a few days to include them in a clinical trial I am certain that outcomes based on exercise time in the real world are doomed. Is cardiac rehab just a soft target in cash-strapped times?sadian...

Echo Quiz

Doc2Doc BMJ Cardiology — Wed, 06 Feb 2013 17:17:40 +0100

For Docs interested in EchocardiographyThis patient presented with shortness of breathing, What does the Echo shows ? (Source: Doc2Doc BMJ Cardiology)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

What will you do for national heart month?

Doc2Doc BMJ Cardiology — Wed, 06 Feb 2013 15:05:41 +0100

February is national heart month. My personal contribution has been (with the absolute assistance of one of my patients) to publicise CPR training locally. The BMJ Group have made cardiovascular content free (check out the link on the doc2doc homepage) - my personal favourite is this articlehttp://heart.bmj.com/content/98/1/69.full?keytype=ref&siteid=bmjjournals&ijkey=aAnCz1H9UQYFQas it is a great topic and the echo images are just beautiful. What is the most interesting thing you have seen for national heart month?sadian (Source: Doc2Doc BMJ Cardiology)

ECG in LVH: Quiz 6

Doc2Doc BMJ Cardiology — Tue, 05 Feb 2013 19:05:27 +0100

This 46 years old woman had been well and without hypertension or knowledge of heart disease until two years before, when she began to develop exertional dyspnoea. Recently, typical congestive heart failure developed. Her blood pressure was found to be 110/70 mm of Hg. Cardiac examination revealed no murmur, but S3 and S4 gallops were present. CXR-PA view showed generalized cardiomegaly and pulmonary congestion. An ECG was recorded and revealed the following- How would you interpret this ECG? (Note that the precordial leads are recorded at half standard)Please click to enlarge the view. (Source: Doc2Doc BMJ Cardiology)

How to interpret an ECG rapidly? Part IV – The Axis

Doc2Doc BMJ Cardiology — Tue, 05 Feb 2013 11:32:39 +0100

Rapid ECG Interpretation Part IV – How to identify the ‘Axis’ quickly There are two easy ways to identify the axis of an ECG, the axis in both the ‘Horizontal’ & the ‘Frontal’ planes. Generally, Axis refers to the ‘Mean Frontal Plane QRS axis’ (or vector) during ventricular depolarization. As we recall when the ventricles depolarize (in a normal heart) the direction of current flows leftward and downward because most of the ventricular mass is in the left ventricle. We like to know the QRS axis because an abnormal axis can suggest disease such as pulmonary hypertension from a pulmonary embolism. Abnormalities of axis can hint at ventricular enlargement, conduction blocks (i.e. hemiblocks) &n...

follow my mind or heart?

The Student Room — Tue, 05 Feb 2013 10:16:24 +0100

Forum: Relationships Posted By: Anonymous Post Time: 05-02-2013 at 01:54 (Source: The Student Room)

ECG in LVH: Quiz 5

Doc2Doc BMJ Cardiology — Mon, 04 Feb 2013 15:32:27 +0100

This 69 years old woman with RHD and MR, was hospitalized with complaints of nausea and vomiting and a change in the heart rhythm. Digitalis toxicity was considered the cause. The following ECG tracing was recorded. What is your interpretation?Please click to view an enlarged image. (Source: Doc2Doc BMJ Cardiology)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

the end of the ACE/ARB combination?

Doc2Doc BMJ Cardiology — Mon, 04 Feb 2013 11:05:11 +0100

Makani H, Bangalore S, Desouza KA, et al. Efficacy and safety of dual blockade of the renin-angiotensin system: a meta-analysis of randomized trials. BMJ 2013; 246: DOI:10.1136/bmj.f360Is this the end of the combination therapy of these drugs or actually is this the end of using surrogate endpoints to prescribe dangerous drug combinations? Has anyone used this combination to good outcomes?sadian (Source: Doc2Doc BMJ Cardiology)

Strengthen Your Application - China California Heart Watch

Student Doctor Network Forums — Mon, 04 Feb 2013 06:57:18 +0100

China California Heart Watch [501(c)3], is seeking students, particularly those interested in future careers in medicine, public health or related fields to participate in one of several global health internships this year. This is a great opportunity to strengthen your application for medical or graduate school. Please find a brief description of our organization and goals below: China California Heart Watch is a non-for-profit public charity whose mission includes medical research, teaching and clinical care in rural Yunnan Province, China. We are seeking students, particularly those interested in future careers in medicine, public health or related fields to participate in one of several internships this year. Our internships afford students first-hand experience of medical problems...

Position Available Global Health Internship - China California Heart Watch

Student Doctor Network Forums — Mon, 04 Feb 2013 06:55:20 +0100

China California Heart Watch [501(c)3], is seeking students, particularly those interested in future careers in medicine, public health or related fields to participate in one of several global health internships this year. This is a great opportunity to prepare for medical or graduate school. Please find a brief description of our organization and goals below: China California Heart Watch is a non-for-profit public charity whose mission includes medical research, teaching and clinical care in rural Yunnan Province, China. We are seeking students, particularly those interested in future careers in medicine, public health or related fields to participate in one of several internships this year. Our internships afford students first-hand experience of medical problemsparticularly cardiov...

Healthcare Organization Global Health Internship - China California Heart Watch

Student Doctor Network Forums — Mon, 04 Feb 2013 06:53:10 +0100

China California Heart Watch [501(c)3], is seeking students, particularly those interested in future careers in medicine, public health or related fields to participate in one of several global health internships this year. This is a great opportunity to prepare for medical or graduate school. Please find a brief description of our organization and goals below: China California Heart Watch is a non-for-profit public charity whose mission includes medical research, teaching and clinical care in rural Yunnan Province, China. We are seeking students, particularly those interested in future careers in medicine, public health or related fields to participate in one of several internships this year. Our internships afford students first-hand experience of medical problemsparticularly cardiov...

Heartburn after cardio

The Student Room — Sun, 03 Feb 2013 04:16:14 +0100

Forum: Fitness Posted By: Anazoth Post Time: 03-02-2013 at 00:12 (Source: The Student Room)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

Help. Heart Surgery?

The Student Room — Sun, 03 Feb 2013 04:16:14 +0100

Forum: Health Posted By: SJC Post Time: 03-02-2013 at 00:41 (Source: The Student Room)

kaplan step 2

Student Doctor Network Forums — Sun, 03 Feb 2013 03:37:14 +0100

How many cardiology videos are there for step 2 kaplans online lecture series? Are they taught by Dr. Fisher? I want to know bc I'm weak in cardio and I need good teacher like Dr. Fisher. Also are there 5 videos or 20? (Source: Student Doctor Network Forums)

can you help me teach the cardiac axis?

Doc2Doc BMJ Cardiology — Sat, 02 Feb 2013 17:05:05 +0100

I've got to give a talk on basic ecg interpretation in a couple of weeks and am making my slides. I've done it before and it goes fine until I have to cover the cardiac axis - any tips on the best way to teach this without bringing in too much maths (the latter seems to send my juniors to sleep!)thankssadian (Source: Doc2Doc BMJ Cardiology)

ECG: Quiz 4

Doc2Doc BMJ Cardiology — Sat, 02 Feb 2013 14:04:23 +0100

- This 22 years young man complained of a rapid, pounding heartbeat. The rapid beating stopped before he sought medical aid. Physical examination was normal but the ECG revealed the following: What is your interpretation? Note that the precordial leads are recorded at half standard.Please click to enlarge the view. (Source: Doc2Doc BMJ Cardiology)

Boy crushed my heart

The Student Room — Sat, 02 Feb 2013 01:01:08 +0100

Forum: Relationships Posted By: Anonymous Post Time: 01-02-2013 at 23:48 (Source: The Student Room)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

Do you know how to diagnose severe aortic stenosis?

Doc2Doc BMJ Cardiology — Fri, 01 Feb 2013 23:04:44 +0100

Hi I am a final year cardiology SpR undertaking an imaging fellowship at the Royal Brompton Hospital, London with a specialist interest in echocardiography and valve disease. Diagnosing severe aortic stenosis is more challenging than just detecting increased gradients on echo. My on-line editorial (http://www.bcs.com/pages/news_full.asp?NewsID=19792127) discusses the criteria that need to be fulfilled to meet the diagnosis according to the latest ESC guidelines. I also discuss paradoxical low-flow low gradient severe AS, and the potential for confusing this new entity with moderate stenosis.I look forward to your commentsNav (Source: Doc2Doc BMJ Cardiology)

ECG in LVH: Quiz 3

Doc2Doc BMJ Cardiology — Fri, 01 Feb 2013 10:04:50 +0100

This 69 years old woman with aortic stenosis was hospitalized because of frequent premature beats and dizziness. While in the emergency room, premature beats were partly suppressed by the use of intravenous antiarrhythmics. She was then started on oral antiarrhythmics. On examination she had an irregular heartbeat, the typical ejection systolic murmur of aortic stenosis and S4 gallop. Her ECG showed the following. What is your interpretation?Please click to enlarge the view. (Source: Doc2Doc BMJ Cardiology)

hearts and brains

Doc2Doc BMJ Cardiology — Thu, 31 Jan 2013 18:06:54 +0100

I'm sure that the referral rate from my colleagues in psychiatry has increased and I think this paper backs that uphttp://www.bmj.com/content/346/bmj.f288One in five patients treated with 'common' antidepressants showed QT prolongation on an ecg. My thoughts are twofold- there is no 'cardiac safe' drug and I wish someone would tell me what I should do about it!sadian (Source: Doc2Doc BMJ Cardiology)

Cadiac Tamponade due to pericardial Effusion

Doc2Doc BMJ Cardiology — Thu, 31 Jan 2013 14:05:33 +0100

Sir,ECG shows -Low voltage complex with electrical alternans and sinus tachycardia.Cold be a case of Cadiac Tamponade with Pericardial Effusion.Dr.Chidambaran (Source: Doc2Doc BMJ Cardiology)

ECG in LVH: Quiz 2

Doc2Doc BMJ Cardiology — Thu, 31 Jan 2013 10:05:52 +0100

This 77 years old woman was admitted to hospital in severe CCF, with slow heart rate and an irregular pulse. She had been taking digoxin and was was indeed found to have digitalis toxicity. She had distended neck veins and pulmonary rales. Cardiac examination revealed a holosystolic murmur at the apex and S3 gallop. Her CXR-PA showed marked cardiomegaly and congestion. Her ECG showed the following. What is your interpretation? (Source: Doc2Doc BMJ Cardiology)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

A note of encouragement

Student Doctor Network Forums — Wed, 30 Jan 2013 16:20:28 +0100

As a first year clinical psychology student, my heart goes out to everyone currently navigating their way through the application, interview and waiting for acceptance process. I remember the interview period being the exciting part, and the waiting for acceptance period as one of the most stressful times of my life. So if you're there right now, I just wanted to say hold on. It gets better. And those of us who are on the other side are cheering you on. Best wishes! (Source: Student Doctor Network Forums)

ECG in LVH: Quiz 1

Doc2Doc BMJ Cardiology — Wed, 30 Jan 2013 13:05:02 +0100

This 65 years old woman had long standing hypertension. She attended the hospital with recurrent episodes of chest pain, suggesting crescendo angina. Her BP was 170/105 mm of Hg. Cardiac examination revealed an S4 gallop. Her CXR showed apparent left ventricular enlargement and no congestion. The ECG tracing is shown below. What is your interpretation? (Source: Doc2Doc BMJ Cardiology)

should we go back to old style tv programming?

Doc2Doc BMJ Cardiology — Mon, 28 Jan 2013 13:31:42 +0100

This study has got me wondering as to whether we should go back to this #http://www.theheart.org/article/1499587.do?utm_medium=email&utm_source=20130128_heartwire&utm_campaign=newsletterthis links tv viewing and habits in adolescence with outcomes much later in adult life. Ok I can hear you all say but we live in a technological world and what will I do with the smart phone / internet etc but my serious point is how do we get kids to exercise more?sadian (Source: Doc2Doc BMJ Cardiology)

Newbie - Student Nurse to Student Doctor?

New Media Medicine — Fri, 25 Jan 2013 20:01:59 +0100

Hello! I've been hankering around this 'site for a while now and I have finally registered (go me!). Here's a little story about me... I was in retail management straight out of sixth form. The company I worked for sent me to University in London to study Business and Human Resource Management. I hated it, to say the least, and found myself returning home before finishing first year. I found myself in another retail management role, but knew that it was healthcare I wanted to have a career in. I worked for 18 months as a domicilary carer and that gave me the experience to get me to where I am now - a second year student nurse at The University of the West of England. I still have 18months left and have been achieving 80+ in my assignments and exams thus far. My A-Levels (from 2009), ...

ivc filters for thromboembolic disease

Doc2Doc BMJ Cardiology — Fri, 25 Jan 2013 07:32:05 +0100

my colleague and i spent about 30mins debating this case yesterday70 year old manpreviously fit and healthydvt and pe post flight to us last may6 months warfarin very breathless - echo mild rv dilatation, right heart cath 3 months in normal pa pressureswarfarin stopped at 6 months and then further dvt and pe 8 days later - now on lifelong warfarinhad episode about 6 weeks ago with further leg swelling and chest pain for 1 day, didn't seek medical advice and no inr recordedwould you recommend an ivc filter in his case? We both had different ideas so I'm keen to hear what others think?sadian (Source: Doc2Doc BMJ Cardiology)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

Interview Question: MD Salaries

Student Doctor Network Forums — Fri, 25 Jan 2013 02:09:41 +0100

At a MD school interview last week, the interviewer asked me: "how much do you think primary care docs earn?" followed by "how much do you think a cardiothoracic surgeon earns?" Any guesses on why he would ask me this? Perhaps I came across as a money-grubbing/ in it for the benjamins-type applicant. But still so weird... I was pretty confident with my answers, which I'm now thinking might have hurt me. It is a very service-oriented school with a mission highly tied to its poverty-stricken community. Is physician salary not a fairly well-known topic among pre-meds who have spent the past 4 years working toward medical school? I'm not saying we're doing it for the money, but like any other opportunity cost we're making a decision about our future where salary must ...

SMP, Post-bac, or PA School, and Advice for Very Likely Re-applicant

Student Doctor Network Forums — Fri, 25 Jan 2013 00:57:24 +0100

Here's my info: cGPA - 3.45 sGPA - 3.35 (as calculated by AMCAS) MCAT - 32L (BS: 12, PS: 10, VR: 10, WS: L) The low WR was likely a result of me not finishing either sample, as I am generally a very strong writer; I was on the last paragraph for both samples. Also, I'm not worried about this as it isn't even on the MCAT anymore. ECs - 2 years as an aid in a psychiatric hospital, 2 years as an aid on a med/surge unit, 3 months (currently employed) as a clinical research coordinator for cardiology, CT surgery, and IR clinical trials, 1 semester as a research assistant in a cognitive neuroscience lab, 2 years as a research assistant in a social psych lab, 40 hours shadowing three physicians in a local ER, 30 hours volunteering at a local high school running brass sectionals and small bras...

Large painful vein

MD Health Forum - Medical Discussion Boards — Fri, 25 Jan 2013 00:26:14 +0100

Discussion Boards)

New CMS ICD App

Doc2Doc BMJ Cardiology — Thu, 24 Jan 2013 23:32:10 +0100

This study cut right to the heart (no pun intended) of this industry and how crucial it is that cardiologists fully understand the specific guidelines set out by CMS (Centers for Medicare & Medicaid Services) for these types of procedures. The CMS guidelines are confusing and difficult to follow - even for the most experienced cardiologists. Although the guidelines for ICD implantation were developed by CMS, based on objective clinical data, they are labyrinthine and nearly impossible for even the most caring and ethical physician to follow for all patients. In response to the astounding percentage of inappropriate and non-compliant ICD, CRT-P, and CRT-D device implantations each year, Think Tank Medical decided that there must be a way to make implantation decisions ...

Undetected signs and symptoms of early ischaemic heart disease?

Doc2Doc BMJ Cardiology — Wed, 23 Jan 2013 21:32:08 +0100

I have recently had two cardiac stents placed. I had no angina symptoms and no sob. I went to the gym twice weekly and kept very active on other days. I believed I was asymptomatic. However on my return home from the procedure my wife noted my colour had improved. I no longer snore, energy is much better, concentration and even memory appear to be improving. I do not feel the cold as I did previously. These were all symptoms I attributed to age - I am 55 yr. I cannot find anything in the literature on what I now believe are subtle signs of ihd. I believe that many patients are likely to have similar symptoms and that general practitioners - I am one, are not aware of the significance. What do you think. (Source: Doc2Doc BMJ Cardiology)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

triptans and cardiovascular risk?

Doc2Doc BMJ Cardiology — Wed, 23 Jan 2013 15:33:55 +0100

A Gp colleague asked me about the cardiovascular risk of triptans - I've no personal experience although I've read the medication summary - has anyone any experience?sadian (Source: Doc2Doc BMJ Cardiology)

compensation models

Student Doctor Network Forums — Mon, 21 Jan 2013 16:41:33 +0100

well training over in another 1.5 years and now the next big ? compensation models seen some jobs with 2 yrs salary and then RVUs anyone with experience in this model vs straight salary? (Source: Student Doctor Network Forums)

New Respiratory Physiology Website, Free open access!

New Media Medicine — Sun, 20 Jan 2013 22:41:14 +0100

Hi Im involved in a project with my university supervisor where we are producing a respiratory physiology website. We have 2 cases up and running at the moment but could really use some feedback and suggestions for improvement. We want to expand the cases to include cardio,resp etc. Natalies Casebook Cheers Edd (Source: New Media Medicine)

What is the action of carvedilol in heart faliure?

Doc2Doc BMJ Cardiology — Sat, 19 Jan 2013 17:28:22 +0100

A patient with heart faliure was given Carvedilol. Is there a special pharmacological basis on doing so/ (Source: Doc2Doc BMJ Cardiology)

Anatomy for Cardiac Electrophysiologists:

CardiologyNetwork.com — Fri, 18 Jan 2013 13:32:21 +0100

A Practical Handbook This highly visual handbook integrates cardiac anatomy and the state-of-the-art imaging techniques used in today's catheter or electrophysiology laboratory, guiding readers to a comprehensive understanding of both normal cardiac anatomy and the structures associated with complex heart disease. http://ebooks.cardiotextpublishing.com/product/anatomy-for-cardiac-electrophysiologists-practical-handbook (Source: CardiologyNetwork.com)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

Letter of Disinterest to the PD

Student Doctor Network Forums — Fri, 18 Jan 2013 07:51:03 +0100

I just had an interview the other day at a program where one of my interviews seemed to enjoy being a prickly pear. For example, he went over where I did my rotations and pointed one of them out and asked my opinion on the experience. I told him it was an excellent experience and one of the best ward months that I had, learned a lot, etc etc to which he followed it with saying that he thought it was a rotation with low educational value and a rotation where students went for an easy schedule. Anyways I followed up with my own questions and he did a rotation at that hospital 12 years ago and it was in an ambulatory setting...not a wards month like I had and he extrapolated those experiences to my rotation. Either way, he persevered on this lame topic for a good 8 minutes and then afterwards...

Interventional Cardiology Interviews 2014

Student Doctor Network Forums — Fri, 18 Jan 2013 06:21:36 +0100

Hi all, This is just a post to get an idea of which programs have already sent out interviews for Interventional Cardiology, so that the rest of us can make decisions on choosing from programs in which we have offers without feeling guilty that we didnt wait for X or Y program. I think the more input we have, the more useful the thread will be. Any info on expected dates will also be useful for decision making especially given that there is no match. So far I have heard of the following programs (in no particular order) offering interviews: 1. Detriot Medical Center 2. MGH 3. Mayo 4. University of Arkansas in Little Rock 5.?Scripps (not sure) 6. Baystate in Springfield Massachussets 7. Mount Sinai in Miami And from what I have heard the following programs are not interviewing as they ha...

Are the new anticoagulants a double whammy?

Doc2Doc BMJ Cardiology — Thu, 17 Jan 2013 13:31:37 +0100

I've been going through my mail this morning and there is an alert around one of the new anticoagulants and patients with mechanical heart valves. As far as I can see prescribing these to postop patients is a bit of a double whammy- more bleeding immediately and then more rebund thrombosis if doses are missed. Has anyone used the new drugs for post-op patients?sadian (Source: Doc2Doc BMJ Cardiology)

when do nuclear board results come back?

Student Doctor Network Forums — Thu, 17 Jan 2013 03:42:25 +0100

anyone know when they come out? (Source: Student Doctor Network Forums)

How many leads are enough?

Doc2Doc BMJ Cardiology — Tue, 15 Jan 2013 11:31:29 +0100

I have just been reading this editorialhttp://www.bcs.com/pages/news_full.asp?NewsID=19792122on the BCS website looking at studies comparing biventricular pacing with LV pacing alone . The studies seem to suggest that LV pacing might be just as good but to me the question is which patients - is it possible to identify these patients by electrical or imaging means or is the risk of bradycardia so great that we should just implant 3 leads anyway?sadian (Source: Doc2Doc BMJ Cardiology)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

Time to think about something else?

New Media Medicine — Sun, 13 Jan 2013 13:11:20 +0100

I'm 43. I've attempted GAMSAT twice, first time not seriously, second time more hopeful. ..but no luck. Science A levels and degree, PGCE with 15+ teaching experience. I've tried telling myself that perhaps medicine is not for me. The time and ability required to prepare for the exam maybe beyond my grasp? So I've looked into Paramedicine, been on open days and spoken to people. My husband says I'd be a great midwife but.....I just can't see myself doing it.. I just really want to be a doctor and have always wanted this, just that life got in the way. My head says apply for midwifery and see what happens. My heart and soul says try GAMSAT once more. ... Anyone else out there been in my position? (Source: New Media Medicine)

Healthy Heart Rate?

The Student Room — Sat, 12 Jan 2013 17:36:25 +0100

Forum: Fitness Posted By: ColouredTights Post Time: 12-01-2013 at 15:14 (Source: The Student Room)

Military doc applying to Cardiology

Student Doctor Network Forums — Sat, 12 Jan 2013 17:05:11 +0100

Hi, I'm new to the forums, but would appreciate some guidance. I am a physician in the U.S Army, board certified in Internal Medicine, graduated from an allopathic medical school and 3 years out from completing an IM military residency program. I'm in my last year of service and looking to apply to Cardiology this year for 2014. Although I am proud to have served w/ no regrets, with no civilian connections or affiliations, I feel handicapped and am at a significant disadvantage compared to my civilian peers. In addition, I have no research experience (2 failed research endeavors due to faculty retiring or PCSing) and I've only published one case in a local medical journal. I would like to train in a more clinically-oriented program, less emphasis on research with high volume of cases and...

Exercise is medicine...

Doc2Doc BMJ Cardiology — Thu, 10 Jan 2013 13:33:30 +0100

Exercise is medicine comes from a viewpoint article in JAMA with the argument being that we don't prescribe it enough . Is this because we don't see it as a high priority in limited clinic time or is it that we don't believe that patients will follow our advice?sadianJAMA 2013; 309:143-144 (Source: Doc2Doc BMJ Cardiology)

Need Some Direction...

Student Doctor Network Forums — Wed, 09 Jan 2013 07:48:37 +0100

Hello all i'm new to the forum and beginning the journey to becoming a Dentist... And I had a few questions... I've just recently graduated with my bachelor's and suddenly have had a change of heart with the career i want to pursue. Now wanting to be a dentist i've realized i have none of the required pre-requisites except for Bio 100 which i got a A in because i've always had a love for science but chose to major in Film and Media to follow a passion/hobby... Am i totally screwed here? So will have to take all the required courses in addition to my degree? How should i go about this.. take class after class until ive finished them all then take the DAT before i apply? Just questions that i needed some help before i start studying the DAT and even think about applying to schools. (Sour...

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

MD Am I still on track as a successful applicant to med schools?

Student Doctor Network Forums — Wed, 09 Jan 2013 07:26:00 +0100

Hey guys, this is my very first post on SDN. I've been browsing through the forum for a few months, so I finally decided to come out from under the bridge... Here's my spiel: I'm a sophomore at tOSU and I just had a bad fall semester (B- for orgo lab, B- for alg-physics, B+ for orgo 1...semester GPA ended up being a 3.247), and this was partly due to the transition from quarters to semesters. This happened after a pretty good freshman year (cGPA 3.75, sGPA 3.67), but now my cGPA is 3.58 and my science and math GPA is a 3.43. I'm really hoping that med school ADCOMs are willing to look past this semester if I do well for the rest of my semesters and do well on the MCAT...though I don't think my sGPA will ever be as high as I would like it to be... Would this past semester (and potentia...

Should this egg study have been published?

Doc2Doc BMJ Cardiology — Tue, 08 Jan 2013 11:32:15 +0100

http://www.bmj.com/content/346/bmj.e8539I've just been skimming through this and to be honest my reaction is so what? Don't we just need to say that all foods should be eaten in moderation rather than you can eat one egg a day without increasing your CV risk?Sadian (Source: Doc2Doc BMJ Cardiology)

Minerva thinks women shouldn't smoke

Doc2Doc BMJ Cardiology — Sun, 06 Jan 2013 19:34:36 +0100

:10.1161/circep.112.975219)and what about men? This reminds me of Professor Peto's lecture on Sir Richard Doll's legacy'smoking kills, stopping works'sadian (Source: Doc2Doc BMJ Cardiology)

How to convince the same medical school second time around?

New Media Medicine — Sun, 06 Jan 2013 15:23:36 +0100

Hi All! My name is Mike and I always wanted to get into med school. My background is Electrical and Biomedical Engineering and I am currently working as an electrical engineer. A year and a half ago I have applied for both med school and law school. Unluckily, med school did not accept me but I got accepted to part-time law school instead. I am on my second year of law school now but I am also trying to get into med school as it was always my biggest interest. If med school continues to not accept me I may end up working as a patent lawyer for medical devices. I am very good in my university biomedical courses and have been involved in a few medical researches in my local hospital. I am also one of the co-author for a medical journal published in the Canadian Journal of Cardiology. I am...

Re: Moderate coffee consumption benefits aging hearts

eMediNews - Medical Forum Health Discussion — Sat, 05 Jan 2013 05:26:14 +0100

Discussion)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

Cardiovascular team of the year 2012

Doc2Doc BMJ Cardiology — Thu, 03 Jan 2013 15:31:41 +0100

In my inbox this morning was an email to remind me that the deadline for the BMJ Group awards ain in particular the cardiovascualr team of the year award are fast approaching (1st Febto be precise!). Who would you nominate for the team of the year and why?sadian (Source: Doc2Doc BMJ Cardiology)

My docs can't figure me out

MD Health Forum - Medical Discussion Boards — Thu, 03 Jan 2013 14:59:10 +0100

Discussion Boards)

Do you listen to heart and lung sounds for every patient?

Student Doctor Network Forums — Wed, 02 Jan 2013 08:13:23 +0100

I mean.. pregnant first trimester bleeding, you know the drill... r/o ectopic, do pelvic and all.. I still listen to heart and lung sounds knowing very well that I am doing it for no reason at all. Seein' the faces of the old timer's doing it on sprained ankles says it all.. What's the point? (Source: Student Doctor Network Forums)

MD & DO Is DO even possible?

Student Doctor Network Forums — Wed, 02 Jan 2013 07:43:08 +0100

I really don't know what has happened to me. Maybe I got burnt out. My GPA is utterly disastrous...I'm at a 2.8 right now and didn't make good enough grades to pull my GPA up from a horrible sophomore year. I don't have any excuses either. My study habits are what need to be fixed, but I don't know how to give myself that daily motivation. In my heart, I have so much passion for medicine, but you'd probably ask me that if I supposedly do, why don't I have the numbers to show for it? I don't want to blame it on the fact that before college, I lived in a very strict and disciplined way and essentially was not allowed a social life. Coming to college, freshman year was great and I ended it at a 3.5 which renders me at average. However, that is not to say that my study habits were that great t...

Stimulus funds are also meant to help

Doc2Doc BMJ Cardiology — Mon, 31 Dec 2012 19:38:10 +0100

companies that can't afford to run the lines on their own. In some parts of Vermont, for example, companies still have to use draught horses in order to haul poles and cables into places that trucks can't get to. Because of the mountains and the various nooks and crannies, it can cost so much to run the cable that companies would have to charge more than residents are willing to pay each month for service.watch the hobbit full movie online free - watch django unchained full movie online free - watch les misérables full movie online free - watch parental guidance full movie online free - watch jack reacher full movie online free - watch this is 40 full movie online free (Source: Doc2Doc BMJ Cardiology)

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Need colon transplant specialist stat can fly tom you

Doc2Doc BMJ Cardiology — Mon, 31 Dec 2012 13:31:05 +0100

AS YOU ARE WONDERING I AM NOT A DOCTOR .I AM SEEKING HELP.I HAVE 1 INCH COLON A BAG ON BELLY THAT IS CONSTANTLY DRAINING HAVE TO TAKE 60 LAMODUMS 30 DIPHENOXYLATES TO TRY TO CONTROL IT .I AM ALSO ON DIALYSIS AND HAD TO CUT BACK TIME AND OCCASIONALLY I LEAK IN CHAIR THEN THEY PULL ME OFF CAN NOT SLEEP I AM RUINING THE BED MY CLOTHES MY HEALTH IS FAILING I KNOW COLON TRANSPLANT ARE BEING DONE SUCCESFULY AND I CAN FLY TO ANY STATE FROM PHOENIX AZ UP TO HOUSTON DALLAS DENVER LOS ANGELAS TUCSON UTAH VEGAS RENO SAN PEDRO NEW MEXICO .I HAVE A NEG BLOOD MY INSURANCE HEALTH NET AMBER PHP ACCCESS LETS DO AWAY WITH REFERALS .IF I DO NOT GET HELP STAT MY LIFE WILL END SOON I KNOW THE RISK BUT IF THIS CONTINUES WELL I WONT BE AROUND MUCH LONGER AND IF YOU TAKE THIS ON AND YOU SUCCEED IT IS NEWS WORTHY ...

Was 2012 the year of the TAVI?

Doc2Doc BMJ Cardiology — Mon, 31 Dec 2012 11:32:06 +0100

I've been reflecting back on the cardiological year of 2012 . I can't decide whether 2012 was the year of the TAVI (both good and bad) or of the NOAC's -the new anticoagulant drugs. What was the defining advance for you?Happy New Year !Sadian (Source: Doc2Doc BMJ Cardiology)

There are so many home business opportunities

Doc2Doc BMJ Cardiology — Sat, 29 Dec 2012 20:03:52 +0100

available during this modern time of technology. The possibilities are limitless for those with satellite broadband high--speed connections. For example, a lover of fashion is able to work from home selling clothes on auction sites. That same person is able to quickly connect with wholesale vendors and have items shipped right to their home. And, in turn, they are able to quickly with the use of high speed internet, ship their own packages out to their customers.ufc 155 live stream free - watch ufc 155 online free - watch the hobbit online free - watch jack reacher online free (Source: Doc2Doc BMJ Cardiology)

And you thought you were a big shot anesthesiologist

Student Doctor Network Forums — Sat, 29 Dec 2012 00:53:30 +0100

.... because you do heart/liver/lung transplants? Have you done one of these? Quote: Fecal transplant from mom cures ailing toddler http://vitals.nbcnews.com/fecal-transplant (Source: Student Doctor Network Forums)

Documenting clearance to stop anti-coagulants

Student Doctor Network Forums — Wed, 26 Dec 2012 19:27:16 +0100

What is your preferred method of documenting that a patient's cardiologist, neurologist or PCP has cleared them to stop their anticoagulants for an elective Pain procedure? 1-Insist upon the patient bringing written documentation from their doctor that he/she has cleared them? 2-A physician-physician phone call with documentation of the call in the record? 3-Have your nurse/MA call the prescribing doctor's office and document the conversation? 4-Leave it up to the patient to contact their physician and document their verbal report of having been cleared? (Source: Student Doctor Network Forums)

MedWorm Sponsor Message: Have a look at The Cardiology Daily, the new MedWorm portal for cardiologists, updated daily with all the latest cardiology news and research.

eplerenone versus spironolactone

Doc2Doc BMJ Cardiology — Sun, 23 Dec 2012 20:42:39 +0100

Do you think there is a significant difference between the MRA's in heart failure or are they the same minus the side effects such as gynaecomastia? sadian (Source: Doc2Doc BMJ Cardiology)

Which is Better for your Hypertensive: ACE-I or ARB?

Doc2Doc BMJ Cardiology — Sun, 23 Dec 2012 20:42:39 +0100

Conclusion: In patients with hypertension, treatment with an ACE inhibitor results in a significant further reduction in all-cause mortality. Because of the high prevalence of hypertension, the widespread use of ACE inhibitors may result in an important gain in lives saved.Comment: Again, the cheaper and generic medication looks better.Any other thoughts?All Best,Joey (Source: Doc2Doc BMJ Cardiology)

Calcium supplements and heart attacks- big rise in risk (86%) but low absolute numbers

Doc2Doc BMJ Cardiology — Sun, 23 Dec 2012 20:42:33 +0100

In Heart this week there is a paper that has been picked up by lots of newspapers. Ifyou take calcium supplements your risk of heart attacks will increase by 86% said some of them. But the increase in real numbers is small as this the ITV's science blogger Lawrence McGinthy points out in his analysis of the paper: They followed 23,000 Germans for 11 years Researchers discovered people who took dietary supplements containing calcium had a much higher rate of heart attacks The risk was about 1 in 350-a-year instead of 1 in 700 He also points out that the study involved recall of diet which is often unreliable- do you remember how much calcium you ate four days ago? The paper is free and here http://heart.bmj.com/content/98/12/920.fullWould you advise patients to stop taking c...

what you give...

Doc2Doc BMJ Cardiology — Fri, 21 Dec 2012 17:33:54 +0100

Arthur Ashe once said, "By what you get, you make a living; what you give, however, makes a life." No truer words were ever spoken, especially when it comes to our role as healthcare providers.This quote comes from this article http://www.theheart.org/columns/melissa-walton-shirley-blog/tis-the-season-12-best-gifts-a-cardiologist-can-regift.do?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%253A+BlogsTheheartorg+%2528Blogs+%2540+theheart.orgENGLiSH%2529sadian (Source: Doc2Doc BMJ Cardiology)

Cardiology Specialty Electronic Medical Record

Doc2Doc BMJ Cardiology — Thu, 20 Dec 2012 14:35:14 +0100

Dear Doctor, Specialty specific Electronic Medical Records that can be used over mobile or internet have become one of the key tools in your practice. Besides you can grab 44000 USD due to ARRA HITECh benefits. Do not leave your money on the table We bring an affordable cost effective ambulatory EMR based on international standards yet that has the flexibility to meet the local needs. We can organize a free demo at your convenient time over internet or in personal meeting on Information Technology in the lives of medical practitioner and its importance in today's era. Please mail us at cloudenvision@gmail.com with a CC to arun@cloudenvision.com to take this further Thanks Arun Director|CloudEnvisionAmbulatory Specialty Electronic Medical Records.pdfhttps://docs.google.com/open?id=0B35H0wBU...

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Re: Whiteboard Cardiology - First attempt at digital reproduction

ekg_club at Yahoo! Groups — Mon, 17 Dec 2012 22:23:25 +0100

HI Christopher. This has GREAT potential. I've sent to your personal e-mail some detailed constructive feedback and thoughts. Hopefully others will do the same (Source: ekg_club at Yahoo! Groups)

Whiteboard Cardiology - First attempt at digital reproduction

ekg_club at Yahoo! Groups — Mon, 17 Dec 2012 17:03:34 +0100

All, I took a stab at reproducing my typical whiteboard drawings digitally over the last week and put together an article detailing its utility in illustrating (Source: ekg_club at Yahoo! Groups)

BROA & Tingling

MD Health Forum - Medical Discussion Boards — Sun, 16 Dec 2012 18:56:02 +0100

Discussion Boards)

National databases have been huge

Doc2Doc BMJ Cardiology — Sun, 16 Dec 2012 14:32:53 +0100

in helping to track down criminals. No longer can criminals try to avoid detection by moving to another state or even to another part of the world. Now, lawbreakers can be easily tracked down thanks to the fact that there are national databases which contain such information and addresses, phone numbers and social security numbers.wwe tlc 2012 live stream free - watch wwe tlc 2012 online free - Giants vs Falcons live stream free - Packers vs Bears live stream free -Redskins vs Browns live stream free - Broncos vs Ravens live stream free - Colts vs Texans live stream free - Jaguars vs Dolphins live stream free - Buccaneers vs Saints live stream free - Vikings vs Rams live stream free (Source: Doc2Doc BMJ C...