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It looks like adult cardiologist should avoid doing pediatric echocardiograms !
A cardiologist is a physician who has trained himself in a special way to deal with any problem of heart.Ironically , it exists only on paper.The field has developed so vast no one can master everything .There is no such “Pan or global cardiology expert” .In fact it would be shortly become unethical to try to become one !
Pediatric cardiology has developed into such a big field , doing a echo in newborn or infant has become a comprehensive job and requires special talent .This unique and excellent study from Narayana Institute , Bangalore published in the prestigious Annals of pediat...
Source: Dr.S.Venkatesan MD - February 14, 2015 Category: Cardiology Authors: dr s venkatesan Tags: bio ethics Cardiology -Therapeutic dilemma cardiology-ethics adult vs pediatric echo report echocardiography expertise required errors in echo report errors in echocardiography ethical issues in cardiology inadequate echocardiogram incom Source Type: blogs
Syncope evaluation : Clinical cardiology at it’s new low !
Recently , I came across a young women who underwent the following three tests for one episode of syncope after witnessing her pet dog bleeding with an Injury !
Carotid doppler
Holter monitoring and event monitors
Brain MRI /MR angiogram
This was followed up by Head up tilt(HUT) in a premier hospital
After 1 week of investigation ,a diagnosis of Neurocardiogenic syncope was made and she was reassured and no drugs were prescribed.
(The collective yield of the above three investigation in fixing a specific diagnosis is less than 10 % of all known causes of syncope )
To diagnose common syncope . . . we...
Source: Dr.S.Venkatesan MD - December 19, 2013 Category: Cardiology Authors: dr s venkatesan Tags: cardaic physiology Cardiology - Clinical Cardiology -guidelines Cardiology -Mechnisms of disease Cardiology -unresolved questions Clinical cardiology general medicine Syncope Tutorial in clinical cardiology event monitors in syncope he Source Type: blogs
The Heart of The Matter: Technology In The Future of Cardiology
Sound, rhythm, rate, structure, function – countless features of the heart are measured to keep it healthy for as long as possible. Recently, an army of digital health technologies joined the forces of traditional preventive tools in cardiology to counter stroke, heart attack, heart failure or any other cardiovascular risks. In the future, minuscule sensors, digital twins, and artificial intelligence could strengthen their ranks. Let’s see what the future of cardiology might look like!
Fitness trackers, chatbots and A.I.
against heart disease
Let’s say 36-year-old Maria living in Sao Paulo in
2033 decides one d...
Source: The Medical Futurist - March 12, 2019 Category: Information Technology Authors: nora Tags: Artificial Intelligence in Medicine Future of Medicine Health Sensors & Trackers Portable Diagnostics cardiology cardiovascular cardiovascular diseases digital digital twin health trackers heart heart health heart rate heart soun Source Type: blogs
History of cardiology : Great women cardiologist of our times : Jane Somerville
The field of cardiology has seen great men over the centuries. Few women have permanently stamped their presence in that history .Jane Somerville can be termed mother of pediatric cardiology along with Maude Abbott She has a fascinating life history , having worked in Royal Brompton , Imperial and Guys London.She was mentored by pioneers like Paul wood , Blalock and others .She is primarily interested in the pediatric cardiology especially congenital heart surgeries .The classification of pulmonary atresia with VSD goes with her name.
Dr. Jane Somerville : British cardiologist , (b-1933 )
She carries th...
Source: Dr.S.Venkatesan MD - February 7, 2016 Category: Cardiology Authors: dr s venkatesan Tags: congenital heart disease history of cardiology Jane somerville pulmonary atresia jane somerville Source Type: blogs
ACE Inhibitors in CKD with CHF : Cardiologist proposes … Nephrologist disposes !
I used to tell my students ,the relationship between the heart and kidney is so close , it is never justified for the two departments of Nephrology and Cardiology are physically away by two blocks in our institute .
Kidneys are vital to maintain the volume and pressure of body fluids and heart is responsible for keeping this fluid circulating.
In clinical setting it is a well known secret ,most deaths in patients who are on dialysis is cardiac while most deaths in patients with CHF are renal.
It remains a mystery why kidneys were ever considered as a circulatory organ , when our medical pundits ...
Source: Dr.S.Venkatesan MD - March 31, 2014 Category: Cardiology Authors: dr s venkatesan Tags: cardiac failure cardiac physiology Cardiology -Therapeutic dilemma cardiology -Therapeutics chf is a ckd equivalent CHF is CKD equivalent Intra renal edema Source Type: blogs
A chill in Cardiologist’s spine : Unnecessary intervention becomes a definite crime !
The irony of modern medical care is 9/10 times medical negligence is defined in terms of acts of omission in required level of care . In reality most medical negligence acts are related to knowingly overdoing a futile diagnostic or therapeutic modality.
This irony was never understood by the public, the professionals or even the judiciary .This remains the most dangerous issue facing modern medicine !
Finally some light is appearing in the horizon . A Missouri Cardiologist is suspended for overdoing things he knows best . . . namely coronary stenting !
This may bring chills over many cardiologis...
Source: Dr.S.Venkatesan MD - February 28, 2013 Category: Cardiology Authors: drsvenkatesan Tags: Cardiology -guidelines Cardiology -Interventional -PCI cardiology-ethics Uncategorized acts of commision is also a medical negligence cardiology ethics hippocrates inappropriate medical care medical ethics Source Type: blogs
Heros of electrocardiology : Sodi pallares the great Mexican cardiologist !
In the early 20th century , Waller invented the ECG machine. Wilson created leads and methods to record it. Eienthoven formulated the concepts the electrical theory behind ECG.
Between 1940-197os one man ruled supreme in the world of electro cardiography . He is Dr Sodi pallares from Mexico. His deep insights revolutionised and helped us understand how the cardiac electricity is generated and propagated in various pathological states that is the beginning new age electrocardiography! It adds much to his credit , as in those days scientists from non American and European countries were hard to...
Source: Dr.S.Venkatesan MD - March 23, 2013 Category: Cardiology Authors: drsvenkatesan Tags: cardiology -ECG Great websites in cardiology history of cardiology sodi pallares ecg mexican cardiologist Source Type: blogs
Heros of electrocardiology : Sodi pallares -The great Mexican cardiologist !
In the early 20th century , Waller invented the ECG machine. Wilson created leads and methods to record it. Eienthoven formulated the concepts the electrical theory behind ECG.
Between 1940-197os one man ruled supreme in the world of electro cardiography . He is Dr Sodi pallares from Mexico. His deep insights revolutionised and helped us understand how the cardiac electricity is generated and propagated in various pathological states that is the beginning new age electrocardiography! It adds much to his credit , as in those days scientists from non American and European countries were hard to...
Source: Dr.S.Venkatesan MD - March 23, 2013 Category: Cardiology Authors: drsvenkatesan Tags: cardiology -ECG Great websites in cardiology history of cardiology sodi pallares ecg mexican cardiologist Source Type: blogs
Why 90 % of cardiologists suffer from coronary blindness ?
Note :This is a copy of my earlier blog on coronary micro-circulation published few years ago.Recently this got numerous hits .Hence I have just reposted it with slight modification.
Human coronary circulation stands unique among others as it is a life-sustaining circulation.It is indeed a great medical achievement to visualise the right and left coronary artery system by coronary angiogram. Actually, what we see is only a fraction of the surface area of coronary circulation .The surface area of epicardial coronary arteries constitutes less than 5 % of entire coronary vascular tree .
And . ...
Source: Dr.S.Venkatesan MD - February 12, 2014 Category: Cardiology Authors: dr s venkatesan Tags: cardaic physiology cardiac physiology Cardiology -Coronary collateral circulation Cardiology quotes coronary angiogram coronary blindness coronary micro circulation Source Type: blogs
Mature cardiologists should never trust BMS !
This study done with over 9000 patients concluded like this . . .
The DES industry was (is) so powerful it could easily shrug the challenge of truth that came out briefly in early 2000s when DES got hit with increased acute complications.
Now, in 2016 NORSTENT study again showed us BMS is as good as DES in all walks of CAD. Let us see what happens , still its very unlikely mature cardiologists do not trust BMS.
*I have a belief (Paranoid or not time will tell !) one of the reasons DES are strongly promoted is to sustain DAPT market alive and kicking for a long haul !
Scenerio in India is frighteni...
Source: Dr.S.Venkatesan MD - April 22, 2017 Category: Cardiology Authors: dr s venkatesan Tags: cost effectiveness in cardiology Ethics in Medicine innovations in cardiology Newer hardwares in cardiology Technology Emerging bms vs des malapposition of stent norstent Source Type: blogs
History of cardiology : Robert F Rushmer, a cardiac scientist par excellence .
Few individual’s works mattered more than others in the field of cardiology. Here was a man born in Utah, studied at Rush university trained in Mayo, settled in Seattle as a pediatrician. But his passion drove him to become a specialist cardiac physiologist with an urge to find the answers to all those lingering queries that arise as a practicing clinical cardiologist. He built an exclusive animal lab to study the mechanics and physics of circulation and cardiac pumps.
He can be called new age, Harvey. He seemed to always bother, how is it that the 6 liters of blood traverse from he...
Source: Dr.S.Venkatesan MD - February 1, 2021 Category: Cardiology Authors: dr s venkatesan Tags: Basic sciecne Basic science -Physiology Best books in cardiology bio ethics great cardiologists best books in cardiac physiology best cardiology books cardiovascular physiology famous Seattle doctors Great Men in cardiology history of Source Type: blogs
Cardiologs Cloud-Based Software FDA Cleared to Spot Arrhythmias in ECGs
Cardiologs, a company based in Paris, France, won FDA clearance for its software that analyzes electrocardiograms (ECG) for signs of cardiac arrhythmias. The system is based on a neural network, an artificial intelligence technique, that was trained ...
Source: Medgadget - July 13, 2017 Category: Medical Devices Authors: Editors Tags: Cardiology Informatics Source Type: blogs
Difficult calls in cardiology : Be ready for DC cardioversion during pregnancy !
This report from Taiwan reassures there is no adverse effect by measuring umbilical artery flow (Yu-Chi Wang European Journal of Obstetrics & Gynecology and Reproductive Biology 126 (2006) 268–274)While we consider DC shock during pregnancy is safe for the fetus, still, shock pads close to the abdomen, amniotic fluid being a good conductor of electricity at least one mother showed a sustained contraction of the uterus and fetal distress. This was possibly attributable to DC shock Eleanor J. Barnes BJOG 2003 https://doi.org/10.1046/j.1471-0528.2002.02113.
Final message Most cardiac arrhythmias in pregnancy ...
Source: Dr.S.Venkatesan MD - May 11, 2020 Category: Cardiology Authors: dr s venkatesan Tags: cardiology women Pregnancy and heart Uncategorized amiodarone verapamil in pregnancy avnrt avrt during pregnancy cardioversion during pregnancy dc shock during pregnancy fetal distress during dc shock peripartum cardiomyopathy vt vpd managem Source Type: blogs
