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Total 84 results found since Jan 2013.

What are atrial switch operations? Cardiology Basics
Atrial switch operations were the initial operations developed for the treatment of transposition of great arteries. In transposition of great arteries, the aorta arises from the right ventricle and pulmonary artery from the left ventricle. Normally aorta originates from the left ventricle and pulmonary artery arises from the right ventricle. Schematic diagram of transposition of great arteries In transposition of great arteries, systemic venous return is pumped back into the body without being sent to the lungs for oxygenation. Blood returning from the lungs is pumped back into the lungs. So, survival is impossible unles...
Source: Cardiophile MD - October 27, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

What is a bidirectional Glenn procedure (BDG)? Cardiology Basics
Bidirectional Glenn procedure is done for children with some types of cyanotic congenital heart diseases.  The classical Glenn procedure is an end to end anastomosis of the superior vena cava to the right pulmonary artery so that the superior vena caval venous blood does not reach the left pulmonary artery. Bidirectional Glenn (BDG) procedure is an end to side anastomosis of superior vena cava to the right pulmonary artery. Main pulmonary artery is then divided and sutured. BDG helps flow into both pulmonary arteries. BDG is usually followed later by a Fontan repair. BDG is performed in patients with anatomical or fu...
Source: Cardiophile MD - October 24, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Balloon aortic valvuloplasty – Cardiology Basics
Balloon aortic valvuloplasty – Cardiology Basics Balloon aortic valvuloplasty is enlargement of a narrowed aortic valve using balloon catheters. It is also known as balloon aortic valvotomy. Balloon aortic valvuloplasty has significant risks and lesser benefits compared other procedures for symptomatic severe aortic stenosis like surgical valve replacement and transcatheter aortic valve implantation or TAVI. Hence it is often considered as a bridge treatment or palliative treatment. Three important scenarios in which balloon aortic valvuloplasty or BAV is considered are: Bridge to decision, bridge to planned treatmen...
Source: Cardiophile MD - October 22, 2022 Category: Cardiology Authors: Johnson Francis Tags: General 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

Weekly Overseas Health IT Links – 23rd July2022.
In this study, researchers sought to determine whether differences in occult hypoxemia treatment existed between people of different races.Occult hypoxemia was defined as arterial blood oxygen saturation of less than 88 percent despite a pulse oximetry reading of 92 percent or more.-----https://healthitsecurity.com/news/security-awareness-and-training-crucial-to-preventing-healthcare-phishing-attacksSecurity Awareness and Training Crucial to Preventing Healthcare Phishing AttacksSecurity awareness and training greatly decreased the likelihood of an employee falling for a healthcare phishing attack, KnowBe4 researchers foun...
Source: Australian Health Information Technology - July 23, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Celebrating Hospice and Palliative Medicine as the Fifth Largest Medical Subspecialty
by Christian Sinclair (@ctsinclair)We have entered a new age! Spread the word!Hospice and palliative medicine (HPM) is the fifth largest medical subspecialty!You may have sensed we have been climbing the ranks, but I bet you are still surprised. A close look at the fellowship match data from Dec 2021, shows that HPM has the fifth highest number of matched applicants, behind the big 4: Cardiovascular, Pulmonary and Critical Care, Hematology and Oncology, and Gastroenterology.When I share this good news with HPM colleagues, few put us anywhere near fifth.I did an informal poll on Twitter and less than half of respondents ran...
Source: Pallimed: A Hospice and Palliative Medicine Blog - July 11, 2022 Category: Palliative Care Tags: fellowship sinclair The profession Source Type: blogs

Reverse Potts Shunt for Pulmonary Arterial Hypertension in Children
Potts shunt was a surgical anastomosis between left pulmonary artery and descending aorta to improve pulmonary blood flow in cyanotic congenital heart disease with decreased pulmonary blood flow. It is a systemic to pulmonary shunt. The report was published one year after the Blalock-Taussig shunt which was also used for a similar purpose [1]. Later Potts shunt like other central aortopulmonary shunts, were discontinued because of higher risk of excessive pulmonary blood flow. A modified Blalock-Taussig shunt is still in use. Reverse Potts shunt is a pulmonary to systemic shunt for relieving pulmonary arterial hypertensio...
Source: Cardiophile MD - August 4, 2021 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiology Source Type: blogs

On the Value of Social Work in Palliative Care
by Vickie Leff (@VickieLeff)Another year, another study proving the value of the palliative care social worker. Edmonds et al (2021) found that when a social worker was involved in a palliative care consultation, whole-person care components were more likely to be addressed, including addressing psychological (82% vs 18%) and spiritual needs (92% vs 8%) and documenting advance directives (90% vs 10%). This adds to what we already knew: involvement of social work impacts quality of care and patient satisfaction (Auerbach, 2007; O ’Donnell et al., 2018).It surprises me that despite much research and team role development, ...
Source: Pallimed: A Hospice and Palliative Medicine Blog - March 22, 2021 Category: Palliative Care Tags: hospice leff palliative care social work social worker Source Type: blogs

Marijuana may be risky for your heart
Now that marijuana is legal for medical or recreational use in many states, growing numbers of Americans — including older people — are imbibing this popular drug. In fact, the percentage of people ages 65 and older who said they used some form of marijuana almost doubled between 2015 and 2018, a recent study reports. Compared with prescription drugs, the health consequences of using marijuana are not nearly as well studied. But converging evidence suggests that the drug may be harmful for the heart, according to a review article in JACC: Journal of the American College of Cardiology. More than two million Americans wi...
Source: Harvard Health Blog - July 1, 2020 Category: Consumer Health News Authors: Julie Corliss Tags: Heart Health Marijuana Source Type: blogs

Pulmonary valvotomy for Tetrology of Fallot : Will soon become a worthy option
Catheter based interventions in TOF  has caught the imagination of  Interventional cardiologists.decades ago. (Quereshi reported first in 1988 Royal Liverpool hospital ) .Somehow it could not develop into a full-fledged modality. The key issue in TOF  is,  RVOT obstruction is infundibular with some degree of valvular involvement. While the valvular component is amenable for easy correction by balloon, the infundibular stenosis requires some form of cutting or splitting. Embryologically,  the malalignment of IVS is the primary mechanism of obstruction. The balloon catheter is will find it difficult to tackle the alignm...
Source: Dr.S.Venkatesan MD - December 24, 2019 Category: Cardiology Authors: dr s venkatesan Tags: cardiology -congenital heart disease cardiology -Therapeutics Interventions -Structural heart disease Tetrology of Fallot balloon pulmonary valvotomy in tof camera tipped catheters cyanotic spell in tof tetrology management emergency balloon Source Type: blogs

Letting go when people let go of their lives
My 83-year-old patient had outlived peoples’ expectations on several occasions. Faced with a critical illness three years ago, she underwent emergency surgery and spent several months in the hospital with a series of complications, including septic shock, renal failure, and hospital-acquired pneumonia. I’d seen her in the office for a new visit soon after she […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - November 5, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/john-a-dodson" rel="tag" > John A. Dodson, MD < /a > < /span > Tags: Physician Cardiology Palliative Care Source Type: blogs

Living an Intentional Life: This is Water
by Bob Arnold (@rabob)I am not sure what led me to go from thinking about data and evidence in the literature to waxing philosophical recently. It may be that I saw Rufus Wainwright in concert and heard him sing “Hallelujah” with his sister, Lucy Roache Wainwright (Google it). It may be that one of our cardiology fellows died suddenly of unknown reasons and everyone at my hospital is a little fragile. Or that I was just on service and trying to balance the existential realities of sadness and dying with teaching learners and dealing with institutional budget cuts. But when I sat down today and tried to think of what ar...
Source: Pallimed: A Hospice and Palliative Medicine Blog - July 22, 2019 Category: Palliative Care Tags: arnold david foster wallace The profession Source Type: blogs

Getting Advocacy Right
by Christian Sinclair (@ctsinclair)Anarticle about end-of-life care has been making the rounds this week by Haider Warraich, MD from the online magazine Vox. Titled, " The way we die will be considered unthinkable 50 years from now " , it is part of a series asking 15 experts to think about how the actions we take now will look like errors in 2070. I have seen people on Facebook and Twitter share it with quotes pulled or superlatives attached. Yet when I read it, I didn ' t feel the same enthusiasm; I felt frustrated.When you read the article, key points seem to be very supportive of palliative care and hospice efforts, bu...
Source: Pallimed: A Hospice and Palliative Medicine Blog - April 7, 2019 Category: Palliative Care Tags: physician sinclair The profession warraich Source Type: blogs

Top Smart Algorithms In Healthcare
As artificial intelligence tools have been invading more or less every area of healthcare, we made a list to keep track of the top smart algorithms aiming for better diagnostics, more sophisticated patient care or further sighted predictions of diseases. Does A.I. beat doctors? Only if you lived under a rock for the last couple of years, could you not have heard about artificial intelligence. Some might have even come across the spread and potential of A.I. in healthcare. Not only smart algorithms themselves but also the hype around A.I. has grown immensely, thus every time a new study about deep learning or machine...
Source: The Medical Futurist - February 5, 2019 Category: Information Technology Authors: nora Tags: Artificial Intelligence in Medicine AI cancer death future Health Healthcare pathology prediction Radiology technology Source Type: blogs