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Total 576 results found since Jan 2013.

If Breast Cancer Doesn ' t Kill You, Heart Failure Might
File this in the category of the stuff we should have been told but weren ' t. Many women diagnosed with breast cancer, are given chemotherapy as part of their treatment. One of the drugs commonly used is calledDoxorubicin, also known Adriamycin or Rubex, or as us patients have been known to call it ' red devil ' , which carries a significant cardiac risk.When you are given it in chemo the nurses put on masks and special gowns to protect them. No thought of the patients. I was told it could cause some cardiac issues but now I am learning that the danger is very real and very concerning." “Both breast cancer and cardiovas...
Source: Caroline's Breast Cancer Blog - February 2, 2018 Category: Cancer & Oncology Tags: breast cancer treatment cardiac chemotherapy Source Type: blogs

Tolvaptan: Vasopressin Antagonist
Tolvaptan is vasopressin antagonist which acts on the V2 receptors in the renal tubules. Activation of V2 receptors increases water permeability in the renal collecting duct resulting in passive reabsorption of water. V2 receptor antagonism causes aquaresis or free water clearance. Syndrome of inappropriate anti-diuretic hormone secretion (SIADH), heart failure and cirrhosis can be associated with increased secretion of arginine vasopressin (AVP). This leads to water retention or inadequate water excretion and hyponatremia (dilutional hyponatremia). The drug binds to V2 receptors and induces excretion of electrolyte-fre...
Source: Cardiophile MD - January 11, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Source Type: blogs

Gold standard for cardiac allograft rejection – Cardiology MCQ – Answer
 >>>Available Here with Free Look Inside Option Correct Answer: 3. Endomyocardial Biopsy Original methods to detect cardiac allograft rejection were signs of heart failure and ECG abnormalities. But these were quite insensitive. Endomyocardial biopsies are taken from the right ventricular aspect of the interventricular septum using bioptomes introduced through right internal jugular vein. Back to question
Source: Cardiophile MD - January 4, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

Gold standard for cardiac allograft rejection – Cardiology MCQ
Gold standard for detection of cardiac allograft rejection: HLA Antibody estimation Signs of heart failure Endomyocardial biopsy ECG Echocardiography Please post your answer as a comment below. Correct answer will be published on: Jan 4, 2018 @ 21:20
Source: Cardiophile MD - January 2, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

How value-based pay can worsen patient outcomes
Results of a study released JAMA Cardiology demonstrated that lower readmission rates among hospitalized heart failure patients, a key focus of recent Medicare value-based payment efforts, were associated with increased patient mortality. In other words, patients admitted to the hospital for heart failure are being re-admitted less frequently, but dying at higher numbers. Value-based pay, as it turns out, where monetary incentives and penalties are tied to the results of various quality metrics, may cause more harm than good. More troubling still is that Medicare has made such programs the centerpiece of its payment reform...
Source: Kevin, M.D. - Medical Weblog - December 28, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/matthew-hahn" rel="tag" > Matthew Hahn, MD < /a > Tags: Policy Cardiology Public Health & Source Type: blogs

Orbiting ORBITA
By ANISH KOKA, MD I’m sitting amidst a number of cardiologists to go over the most recent trials presented at the interventional cardiology conference in Denver.  The cardiology fellow presenting goes quickly through the hors de oeuvres until finally getting to the main course – ORBITA. ORBITA sought to test the very foundations interventional cardiology was built on – the simple idea that opening a stenosed coronary artery was good for patients.  The trial was a double blind randomized control trial of patients with tightly stenosed arteries who either had a stent placed or had a sham procedure.  Before the resul...
Source: The Health Care Blog - December 4, 2017 Category: Consumer Health News Authors: anish_koka Tags: Uncategorized Anish Koka cardiology Orbita Source Type: blogs

Soft Robotic Cardiac Assist Device for One-sided Heart Failure
Researchers at Boston Children’s Hospital have developed a novel robotic cardiac assist device designed to assist patients with one-sided heart failure. The device combines soft actuators with a rigid brace that penetrates into the heart’s intrav...
Source: Medgadget - November 27, 2017 Category: Medical Devices Authors: Conn Hastings Tags: Cardiac Surgery Cardiology Source Type: blogs

InterAtrial Shunt Device from Corvia Medical Shows Promising Results in Diastolic Heart Failure
At the recent American Heart Association Scientific Sessions, researchers have announced positive results in a clinical study of the InterAtrial Shunt Device (IASD) from Corvia Medical, which allows blood to travel between the atria of the heart, to ...
Source: Medgadget - November 27, 2017 Category: Medical Devices Authors: Conn Hastings Tags: Cardiac Surgery Cardiology Radiology Source Type: blogs

New high blood pressure guidelines: Think your blood pressure is fine? Think again …
The American College of Cardiology and the American Heart Association certainly grabbed the attention of us busy primary care physicians with the recent release of their updated blood pressure guidelines. These organizations had piqued interest by declaring the release date and labeling it as “highly anticipated.” I pooh-poohed all that drama, but upon reading through the 114-page executive summary PDF with 21 authors and almost a thousand references, I have to say, I am duly impressed. The definition of the diagnosis of high blood pressure and the decision-making process surrounding treatment have traditionally been q...
Source: Harvard Health Blog - November 17, 2017 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Health Heart Health Hypertension and Stroke Prevention Source Type: blogs

Myocardial viability assessment
The term viable myocardium is applied to myocardium with a potentially reversible contractile dysfunction in patients with coronary artery disease. It can be divided into stunned myocardium and hibernating myocardium. Stunned myocardium has prolonged contractile dysfunction after a transient ischemic episode and coronary reperfusion. This automatically recovers over a period of time. Stunned myocardium is commonly noted after thrombolysis and primary percutaneous coronary intervention. Hibernating myocardium has reduced contractile function due to persistently impaired coronary blood flow. Hibernating myocardium regai...
Source: Cardiophile MD - November 16, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

DAPT score – Dual Antiplatelet Therapy Score
DAPT score (Dual Antiplatelet Therapy Score) was developed to dichotomize patients after percutaneous coronary intervention [PCI] into those who will benefit from prolonged DAPT (score 2 or more) and those who are more likely to be harmed by DAPT (score less than 2). A recent study evaluated DAPT with aspirin and clopidogrel given for 2 years vs 6 months in 1970 patients undergoing PCI [1]. Primary efficacy outcomes were death, myocardial infarction or cerebrovascular accident. Primary safety outcome was significant bleeding. In this retrospective study they concluded that prolonged DAPT resulted in harm in patients with l...
Source: Cardiophile MD - November 14, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

BREAKING NEWS: Definition of High Blood Pressure Drops
Just yesterday, the American Heart Association and the American College of Cardiology announced new guideline for hypertension. Below is an excellent summary of this new report. Please discuss the following with your doctor. By Dennis ThompsonHealthDay ReporterMONDAY, Nov. 13, 2017 (HealthDay News) -- Nearly half of all adult Americans will be considered to have high blood pressure under new guidelines issued Monday by the nation ' s top heart health organizations.The new guidelines lower the diagnostic threshold for stage 1 high blood pressure to 130/80, down from the previous level of 140/90, according to a joint st...
Source: Dr Portnay - November 14, 2017 Category: Cardiology Authors: Dr Portnay Source Type: blogs

Anterior ST Elevation with Elevated Troponin, but with low T/ST ratio, 2 Cases
Case 1This case was sent by Michael Masias (EMCurious, Twitter handle: @EMedCurious), an ultrasound fellow in the Department of Emergency Medicine at UC San Diego.He sent this ECG with the following inquiry:  "What do you think about this? 21 year old with chest pain. I am getting a result of " STEMI " by using the 3-variable formula, and " no STEMI " with the 4-variable. "Computerized QTc = 418Here was my immediate answer:" Tough one! There is a very low T/ST ratio. That is to say, the J-point is very elevated in V3 and V4 but without a tall T-wave. That is unusual for both early repol and LAD occlusion, and sug...
Source: Dr. Smith's ECG Blog - November 8, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs

How can you persuade your cardiologist to take a Non-STEMI patient to the cath lab emergently?
This case was sent by Joseph Ryan (@DocJoseph08), chief resident from Corpus Christi ' s EM residency program.  This middle-aged patient complained of acute chest pain and called 911.He had the following 12-lead ECG in the ED at time zero:There is ST depression diffusely.This is diagnostic of ischemia.There is a Q-wave in V2 and a possible hyperacute T-wave.It is now clear the patient has acute coronary syndrome.It is not clear that there is, or is not, a complete coronary occlusion.The patient was treated with aspirin and sublingual NTG on arrival, which did not relieve his pain.Cardiology was called but th...
Source: Dr. Smith's ECG Blog - November 6, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs

A Middle-Aged Man with crescendo angina
A middle-aged male with several comorbidities including DM presented with chest pain.  It had been on and off all day, then constant for 2.5 hours.  It was central without radiation, sharp but also tight, and was 9/10.   There was some cough, but no SOB; he reports COPD and has been using his inhalers without improvement. He also reports diaphoresis and tingling of his hands since the worsening of pain at 1700.His BP was 160/90.He was given aspirin and nitro via EMS with good improvement in his chest pain.First ED ECG at 2:40 after chest pain became severe.Sinus rhythm.Slight left axis deviation (mostly...
Source: Dr. Smith's ECG Blog - November 1, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs