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Cardiology MCQ Test 5
Time limit: 0 Quiz-summary 0 of 20 questions completed Questions: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Information This test series requires login for attempting. You can login easily with your Facebook account (Use the CONNECT WITH icon on the upper part of right sidebar displaying t...
Source: Cardiophile MD - October 22, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Cardiology MCQ Test 4
Time limit: 0 Quiz-summary 0 of 20 questions completed Questions: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Information This test series requires login for attempting. You can login easily with your Facebook account (Use the CONNECT WITH icon on the upper part of right sidebar displaying t...
Source: Cardiophile MD - October 21, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Hemodynamics of sudden “ Toilet deaths ” following STEMI !
The age old  statistics , 30 % of deaths following STEMI happen even before patients reach the hospital may still be true. But ,there is an untold story that happen regularly in the rehabilitation phase .Its ironical many  apparently stabilised STEMI patients still lose their life just before they get discharged or within 30 days .More often than not this happens in the toilet when they strain for defecation. At least a dozen deaths I have witnessed in the last few years. Of course we have resuscitated many near deaths as well. What exactly happens to these ill-fated patients inside the toilet  ? Straining is often an ...
Source: Dr.S.Venkatesan MD - October 1, 2017 Category: Cardiology Authors: dr s venkatesan Tags: acute coroanry syndrome Cardiology -Interventional -PCI cardiology -Preventive Cardiology -unresolved questions acs hemodynamics in LAD following valsalva predischarge stress test primary pci stemi Sudden cardaic deaths in bath room toil Source Type: blogs

Ignorance based Primary PCI : A landmark article that couldn ’ t correct our coronary Intellect !
How often you assess the success of Primary PCI with degree of  ST segment regression or resolution ? I posed this query to a  freshly hatched , Intelligent and energetic cardiologist in an upscale dedicated heart care center. He said, “No, we don’t .We always go with TIMI flow in IRA .TIMI 3 flow with less than 30% narrowing of IRA is success, that’s it ! He continued ,very often ,we don’t even Insist to take serial ECGs after the procedure .  . . forget about analysing ST segment  !  His body language seemed to suggest,  he didn’t expect such a question (Silly !)  from me , talking ...
Source: Dr.S.Venkatesan MD - September 29, 2017 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized pPCI primary pci stemi st segment regression more important than ira patency st segment regressionafter ppci timi blush score timi three flow Source Type: blogs

Masimo ’s Slim and Portable Rad-97 Pulse CO-Oximeter FDA Cleared and Now Available
Masimo won FDA clearance and just announced full market release of its Rad-97 Pulse CO-Oximeter. It’s available as is, or with either a built-in blood pressure cuff or a capnography (CO2) attachments. The monitor comes with Masimo’s well ...
Source: Medgadget - September 20, 2017 Category: Medical Devices Authors: Editors Tags: Anesthesiology Cardiology Critical Care Emergency Medicine Pediatrics Source Type: blogs

Flavors of DVI
I just completed (a rather long) Day 4 at Aga Khan Hospital, here in Dar es Salaam, Tanzania (in case you didn ' t know where I was). As usual, time flies when you ' re having fun, and I really am enjoying my time here.Today was a day of many hats. In the morning, I played " real doctor " and attended an OB Gyn lecture series beamed over from the Aga Khan University Hospital in Nairobi:The full title was " Female Sexual Dysfunction and its Effects upon Fertility " and it was quite well done. While the lecture will have little impact upon my medical practice, I ' m trying to get the staff used to me hanging around, and I ha...
Source: Dalai's PACS Blog - August 24, 2017 Category: Radiology Source Type: blogs

Masimo ’s EU Approved Super Sensor Monitors Variety of Physiologic Parameters
Masimo just announced receiving European approval for its new rainbow Super DCI-mini sensor, a pulse oximeter that can simultaneously monitor arterial oxygen saturation (SpO2), hemoglobin (SpHb), carboxyhemoglobin (SpCO), methemoglobin (SpMet), plet...
Source: Medgadget - July 10, 2017 Category: Medical Devices Authors: Editors Tags: Anesthesiology Cardiology Critical Care Emergency Medicine Pediatrics Source Type: blogs

Calon Cardio ’s MiniVAD Left Ventricluar Assist Device Set for 2018 Clinical Trials
Working with the University of Swansea, Calon Cardio, a Welsh firm, has created the first UK-developed Left Ventricluar Assist Device (LVAD). The MiniVAD is scheduled to begin a 50 patient clinical trial in late 2018, with a full clinical rollout pl...
Source: Medgadget - June 27, 2017 Category: Medical Devices Authors: Tom Peach Tags: Cardiac Surgery Cardiology Source Type: blogs

BIOTRONIK ’s Pacemakers Get 3 Tesla MR-Conditional Approval in Europe
BIOTRONIK won European regulatory approval allowing its Edora, Evity, and Enitra series of pacemakers to be safe for 3 Tesla full body scans, as long as certain precautionary measures are taken. This approval will allow more patients to take advantag...
Source: Medgadget - June 14, 2017 Category: Medical Devices Authors: Editors Tags: Cardiology Radiology Source Type: blogs

Shockwave ’s Lithoplasty System Now Cleared in EU for Coronary Artery Disease Treatment
Shockwave Medical out of Fremont, California won the European CE Mark to introduce its Coronary Lithoplasty System for helping to place stents into coronary arteries in patients that have substantial calcified plaque. Lithoplasty is Shockwave’s...
Source: Medgadget - May 18, 2017 Category: Medical Devices Authors: Editors Tags: Cardiology Source Type: blogs

Masimo ’s TFA-1 Forehead Pulse Oximeter Cleared by FDA
The FDA has given Masimo clearance to introduce the TFA-1 disposable forehead sensor that lets clinicians get pulse oximetry readings from the forehead instead of the fingertip. The device uses Masimo’s proprietary SET Measure-through Motion...
Source: Medgadget - January 3, 2017 Category: Medical Equipment Authors: Editors Tags: Anesthesiology Cardiology Critical Care Emergency Medicine Pediatrics Source Type: blogs

Miniature Sensor Measures Velocity of Blood Flow Below Skin
Kyocera Corporation out of Kyoto, Japan has announced the development of a tiny optical sensor for measuring blood flow within subcutaneous tissue. Readings from such a device may help assess how injured tissue is healing, produce evidence of dehydra...
Source: Medgadget - December 21, 2016 Category: Medical Equipment Authors: Editors Tags: Anesthesiology Cardiology Critical Care Diagnostics Medicine Space Medicine Sports Medicine Source Type: blogs

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!
CONCLUSION:The variables that interplay in cases of severe aortic stenosis are what cause these patients to be so difficult to manage, and specific therapies targeted to fix one issue often worsen the effects of another issue. If someone is in respiratory distress, their airway and breathing needs to be secured, either through non-invasive or invasive means. Next, the patient ’s blood pressure needs to be stabilized. Oftentimes the most appropriate agent will be a positive inotrope, with consideration of a vasoactive agent in persistent hypotension. Once a patient is stabilized, determining the extent of damage to their ...
Source: Dr. Smith's ECG Blog - November 18, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs

Chest Pain and Cardiogenic Shock with Profound ST Depression & STE in aVR. Activate the Cath Lab?
A middle-aged woman with known severe coronary disease had onset of substernal chest pain while at dialysis. 911 was called. A prehospital ECG was similar to the first ED ECG, which is shown below. The patient arrived with a systolic blood pressure of 90 mm Hg, too low to administer nitroglycerine. An initial lactate was elevated at 5.5.She was given aspirin, heparin, and ticagrelor.Here is her initial ED 12-lead ECG:There is atrial fibrillation with a rate of approximately 114.There is extreme ST depression in multiple leads and ST elevation in aVR, suggesting left main and/or 3 vessel disease ischemia...
Source: Dr. Smith's ECG Blog - November 15, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs

Bridging collaterals
are a feature of chronic total coronary occlusions (CTO). They bridge between the proximal and distal parts of a coronary artery which is chronically occluded in between. Presence of bridging collaterals, though physiologically useful for providing distal perfusion, could create problem during attempted percutaneous coronary intervention (PCI). A guidewire passed from the proximal segment, instead of passing into the occluded segment, is likely to take the easy way out into the bridging collaterals. The coronary angiogram shows bridging collaterals in a post coronary artery bypass right coronary CTO. Sternal wires indica...
Source: Cardiophile MD - November 12, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Angiography and Interventions Cardiology Source Type: blogs