ACS is the most common cardiac emergency . Management of STEMI is relatively straight forward. The only decision that to be taken is the modality of reperfusion. (Primary PCI or thrombolysis.) There is no need to risk stratify STEMI on arrival. All STEMI patients are considered high risk on admission. Whereas NSTEMI consists of [...]
Archive for June, 2008
Is there a time window for intervention in unstable angina /NSTEMI ?
Posted in Cardiology-Coronary artery disese, tagged acc, acs, cardiology, europcr, jacc, nejm, nstemi, pci, ptca, scai, stemi, tctmd, time window for unstable angina, unstable angina on June 26, 2008 | Leave a Comment »
Why should 2b-3a blockers like abciximab or eptifibatide produce thrombocytopenia?
Posted in Infrequently asked questions in cardiology (iFAQs), tagged 2b 3a, abxcimab, cardiology, eptifibatide, pci, platelet on June 20, 2008 | Leave a Comment »
Why should 2b 3a Blockers like abciximab or eptifibatide produce thrombocytopenia ?
After all they are not designed to kill the platelets.
But in reality serious thrombocytopenia occur in a significant number of patients after reopro
That may demand platelet infusion
Answer to this question open for posting
Should Rifampicin be added to all patients with infective endocarditis ?
Posted in cardiology -Therapeutics, tagged Add new tag, cardiology, infective endocarditis, Rifampicin, Tuberculosis on June 20, 2008 | Leave a Comment »
Infective endocarditis remains a major cardiac emergency.
Medical management has an initial role and the many will require some form of surgery
( Mainly valve replacement). But the surgeons request a realtively stable patients to operate upon as
surgical mortality is high in patients with uncontrolled infection and destabilsed CHF.
Even though there are battery of antibiotics, and volumes [...]
Distal coronary artery disease
Posted in cardiology- coronary care, tagged atherosclerosis, cad, coronary, distal coroanry artery disese, distal lad, drsvenkatesan, lcx, proximal lad on June 20, 2008 | Leave a Comment »
Coronary artery disease has a strong predilection to involve proximal segments.
But in a significant population it affects only the dital vascualr bed ! What is the extent of this problem ?
This paper was presented in the annual sessions of Cardiological society of India , Mumbai 2005
Down load presntation
distal-cad-csi-2005
Why Abxicimab is very useful inside cath lab but dangerous outside cath lab ?
Posted in Uncategorized, tagged Abxicimab, acs, coronary, drsvenkatesan, nstemi, pci, stemi on June 18, 2008 | Leave a Comment »
2b -3a antagonists have revolutinised ACS management .
But the irony is Reo pro is approved for use only inside cath lab or on the way to cath lab ! when PCI is done .
If PCI with stenting is planned, then subsequently cancelled due to minimal coronary lesion or spontaneous reperfusion what will be the effect of Abxicimab [...]
Can Ventricular tachycardia conduct with aberrancy ?
Posted in Cardiology - Electrophysiology -Pacemaker, tagged amiodarone, drsvenkatesan, electro physiology, Tachycardia, ventricular on June 18, 2008 | Leave a Comment »
Aberrant cardiac conduction can occur in any of the specialized cardiac conduction tissues. Rate dependent aberrancy is the most common cause of aberrant conduction.
Generally it is thought only supra ventricular impulses can undergo aberrant conduction. But it is not always true.
Many of the ventricular tachycardia which have inherently wide [...]
Practical issues in pacemaker – What are the precautions to be taken when a patient with an implanted pacemaker undero go surgery ?
Posted in Cardiology - Electrophysiology -Pacemaker, tagged diathermy, electrocautery, ICD, pace maker malfunction on June 18, 2008 | Leave a Comment »
Patients with permanent pacemaker can have disastrous consequences if inappropriate sensing of external electrical events during surgery. Electro cautery or diathermy should be used judiciously .
1. Aviod diathermy if possible.
2. If neccessary use only bi- polar diathermy .
3. If bipolar diathermy not available use the indifferent electrode pad away from pacing zone , behind the thigh.
Other [...]
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