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Total 287 results found since Jan 2013.

Take a break from cardiology : How to debate a complex topic in a forum ?
Pardon ,this video is nothing to do with cardiology. It is from the archives of the United nations library .This can teach some important lessons in art of communication , sharing to all folks, especially medical students. It was recorded in 1959 in Newyork, UN head quarters.Four 17 year old school girls & boys were invited for a debate on a complex topic. Does God exist ? How do you pray ? and what is the purpose of different religions ? I keep wondering , how these youngsters accumulated so much wisdom and express it in such a polite manner too. Mind you, this was recorded , when learning happened with ...
Source: Dr.S.Venkatesan MD - January 16, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized evidence based cardiology medical education religion and god medical profession Source Type: blogs

Department of artifact : Normal “ wall motion defect ” in echocardiography
(This post is about some basics in echocardiography meant for fellows, and echocardiographers. Others can skip please )  This is a 27-year-old woman who was referred for routine* cardiac evaluation. What do you see? What is the diagnosis? This echo clip is from a woman who is 8 months pregnant. What you are seeing is perfectly physiologically and normal. On lying down there is a mechanical push of the diaphragm altering the LV shape and contraction. In the short axis, the left ventricle is contracting well, but the shape is not spherical in systole implying some desynchrony. Further, the  IVS arena is contract...
Source: Dr.S.Venkatesan MD - December 14, 2022 Category: Cardiology Authors: dr s venkatesan Tags: Cardiology -Hemodynamics Echocardiography -Normal measurement Echocardiography-hemodynamics Teaching points cardiology research topic non ischemic wall motion defect in echocardiography wall motion defect in ers wall motion defect in lbbb Source Type: blogs

America, the intolerant
BY ANISH KOKA Historically, the great tension between liberty and authority was between government as embodied by the ruling class and its subjects.  Marauding barbarians and warring city-states meant that society endowed a particular class within society with great powers to protect the weaker members of society.  It was quickly recognized that the ruling class could use these powers for its own benefit on the very people it was meant to protect, and so society moved to preserve individual liberties first by recognizing certain rights that rulers dare not breach lest they risk rebellion.  The natural nex...
Source: The Health Care Blog - November 23, 2022 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy Public Health Anish Koka COVID-19 in-hospital death Source Type: blogs

17 Ways to Become an Awesome EMT
Want to become more awesome in 2022? Here are 17 places you can start: 1) Start Checking Out Your Rig Each Morning Most organizations have a policy in place that states that oncoming EMS crews should complete a thorough checkout process. The reality is that very few of us check out our rig at the beginning of each shift with the proper attention that the task deserves. We know we should, but we get caught up. The signs of an incomplete rig checker are subtle but recognizable. If you open your cabinet or kit on a call and note (for the first time) that you are low or absent a needed supply, you’re not checking o...
Source: The EMT Spot - November 7, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
October 27, 2022 Edition-----In the UK we have a political farce running with only a day or so to run when you read this, with a new PM (Rishi Sunak) in place..In the US the mid-term elections are coming in a week or so, thus some concern as to where the US is going!In China Xi has his third 5 year term so we all wonder how that will turn out!In OZ we have has a Budget with floods, inflation, data leaks, the threat of recession, Medicare concerns and other issues just rolling on! At least the Budget does not seem to have broken anything!Overall an ‘omnishambles’ as they say!-----Major Issues.-----https://www.afr.com/wo...
Source: Australian Health Information Technology - October 27, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Falling in love with the heart
An excerpt from Saving Grace: What Patients Teach Their Doctors about Life, Death, and the Balance in Between. In my third year at LSU Medical School, we dove headfirst into full-time patient care, taking required nine-week rotations on internal medicine, pediatrics, obstetrics and gynecology, and general surgery. In the fourth year there were additional mandated Read more… Falling in love with the heart originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - October 26, 2022 Category: General Medicine Authors: Tags: Physician Cardiology Source Type: blogs

Weekly Overseas Health IT Links –24th September, 2022.
This article makes the case and explains what will be required to make it happen.We hear a lot about “digital health” these days. As data about our health piles up — thanks to sources like electronic health records, personal fitness apps and gadgets, and home genome test kits — weshould understand a lot more than we used to about what ’s wrong with our health and what to do about it. But having a lot of data is not enough. We have to be aware of what we have, understand what it means, and act on that understanding. While the challenges are in some ways more acute in the United States because of its fragmented sys...
Source: Australian Health Information Technology - September 24, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Poignant moments in History of cardiology : James Mackenzie ’ s dying heart !
 1908, Going back on the time machine, more than 100 years ago, world war I was all set to begin, and the great Titanic was being built in the Belfast shipyard. A parallel histroy is being created in cardiology. This is a brief story of Dr. James Mackenzie, a general practitioner from a remote Scottish village who ended up with the title of the father of British cardiology. Dr. Harvey might have invented circulation, but it was Mackenzie who taught the science of arterial pulse and wrote a classic on the topic to the new medical world. He was able to decode the secrets of the jugular venous pulse as well and diagnosed va...
Source: Dr.S.Venkatesan MD - August 14, 2022 Category: Cardiology Authors: dr s venkatesan Tags: history of cardiology Uncategorized Dr James Mackenzie father of british cardiology land mark article in cardiology wisdom papers in cardiology Source Type: blogs

Chest pain, RBBB but “STEMI Negative”: Is this a false cath lab activation, or a false cancellation?
A 90 year old with a history of atrial fibrillation presented with two weeks of intermittent retrosternal chest pain lasting minutes. An hour prior to presentation it became constant and more severe, accompanied by nausea and general weakness, and the paramedics brought them to the ED as a code STEMI. Heart rate was in the 50s and other vitals normal. What do you think?     There ’s atrial fibrillation, a right bundle branch block, normal axis and normal voltages. RBBB should produce secondary ST depression and T wave inversion in the anterior leads with the RsR’ (as it does in V1). But here in...
Source: Dr. Smith's ECG Blog - July 18, 2022 Category: Cardiology Authors: Jesse McLaren Source Type: blogs

New skills in ACS : Lessons from an Immature resident and an Intelligent consultant !
A brief conversation between an elite consultant and his fellow. (Caution: Grade 2 harsh language)  Hey Doc, why is this guy’s name not found in today’s angiogram list? Any Insurance issues? No sir, he has every requirement. Thrombolysis was very successful, ST has regressed well and it is nearly isoelectric and only T is inverted. His LV function is normal. In fact, I am not able to pick up any WMA. Aren’t you aware, that being fine is never a contraindication for a PCI ? Which book teach you like that? No sir, It’s already beyond 48 hrs sir. What is the purpose of know...
Source: Dr.S.Venkatesan MD - July 12, 2022 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized acs management acute coronary syndrome stemi nstemi Source Type: blogs

New skills in ACS : Lessons from a foolish resident and an Intelligent consultant !
A brief conversation between an elite consultant and his fellow. (Caution: Grade 2 harsh language)  Hey Doc, why is this guy’s name not found in today’s angiogram list? Any Insurance issues? No sir, he has every requirement. Thrombolysis was very successful, ST has regressed well and it is nearly isoelectric and only T is inverted. His LV function is normal. In fact, I am not able to pick up any WMA. Aren’t you aware, that being fine is never a contraindication for a PCI ? Which book teach you like that? No sir, It’s already beyond 48 hrs sir. What is the pur...
Source: Dr.S.Venkatesan MD - July 12, 2022 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized acs management acute coronary syndrome stemi nstemi Source Type: blogs

Cardiac Holography : Lets get ready to welcome, in our cath lab soon !
Medical science has evolved over 2000 years and moved far away, from the spiritual cure times at the temple of health at Kos islands to the Imaginations of Davicini. We are now in an era, where we can, not-only take stunning live photographs of individual organs but also go inside, assisted by  X RAYs, Ultrasound, CT  MRI, and Optical fiber. Now, a new kid is entering ie Holography. (We may expect haptics very soon).   How about a cardiologist operating with a virtual  3D beating heart hanging in front of him? Yes, it is possible in a scientific fiction movie . No. it’s real. True view,...
Source: Dr.S.Venkatesan MD - July 7, 2022 Category: Cardiology Authors: dr s venkatesan Tags: Multimodality Imaging Newer cardiac Imaging acc aha esc scai guidelines agumented reality in heart artificial intelligence cardaic 3d printing Cardaic mri cardiac holography carto ep future of cardiology medical Imaging senti AR COMM Source Type: blogs

ST elevation after gunshot to the chest
Conclusion: The ECG in Figure-1 would not be typical for non-traumatic acute pericarditis. However, it could be consistent with traumatic pericarditis (because ECG findings are so variable in traumatic pericarditis).NOTE: The ECG features of acute myocarditis may differ substantially from those of a " pure " pericarditis. There may be a resemblance between these 2 entities — but ST segment deviations (elevation and depression) with myocarditis may not follow the timing seen with pericarditis. In addition, Q waves may develop — so at times it may...
Source: Dr. Smith's ECG Blog - June 8, 2022 Category: Cardiology Authors: Pendell Source Type: blogs

Quiz post - which of these, if any, are OMI? What is the South African Flag Sign? Will you activate the cath lab? Can you tell the difference on ECG?
 Written by Pendell Meyers, additions and edits by Grauer, Smith, McLarenBelow we have 5 cases of adults (ranging from 40-70 years old) who all presented to the ED with acute nontraumatic chest pain that sounded at least somewhat like potential ACS to the provider. You should look at each ECG and decide if it is OMI, not OMI, or something else.Our goal in this post is to compare and contrast OMIs with false positives that mimic them. In this post we will examine the anterolateral distribution that has been described as the " South African Flag Sign. " (SAFS)It is very hard to describe why an ECG expert can easily...
Source: Dr. Smith's ECG Blog - May 11, 2022 Category: Cardiology Authors: Pendell Source Type: blogs

I was reading EKGs on the system and came across this one
ConclusionCardiologs ® 12-lead ECG algorithm improves the interpretation of atrial fibrillation.===================================MY Comment, by KEN GRAUER, MD (3/12/2022):===================================Insightful case presented by Dr. Smith that conveys a number of important teaching lessons. I ' ll add the following points.The ECG diagnosis of AFib (Atrial Fibrillation)  — can at times be deceptively challenging. AFib is an easy diagnosis to make when the rhythm is obviously irregularly irregular — without P waves — and, with coarse  " fib ...
Source: Dr. Smith's ECG Blog - March 20, 2022 Category: Cardiology Authors: Steve Smith Source Type: blogs