The science of medicine has evolved over 2000 years since the stone age days.It has currently reached a glorious era with cutting edge scientifc technology .Today one can map the entire human genetic blue print and intervene in the disease even before they manifest .One can keep dying people alive for years with multi organ transplantation. Modern medicine has [...]
Archive for November, 2008
What do we mean by conservative management” ? Why it is often considered as an inferior form of treatment in Medicine ?
Posted in Cardiology - Clinical, Cardiology -Interventional -PCI, Infrequently asked questions in cardiology (iFAQs), cardiology -Therapeutics, cardiology- coronary care, tagged annals of internal medicine, conservative management, davidson, ethics, first do no harm, harrisons, hippocrates, history of medicine, jama, lancet, medicine, nejm, primum non nocere on November 30, 2008 | Leave a Comment »
What is intracoronary and intracerebral hypertension ?
Posted in Cardiology - Clinical, Infrequently asked questions in cardiology (iFAQs), cardiology -Therapeutics, cardiology- coronary care, tagged aging, blood pressure, bmj, cardiac output, drsvenkatesan, intra cerbral hypertension, intra coronary hypertension, jacc, jama, kaplan, lancet, nejm, peripheral vascular resistance, renal hypertension, systemic hypertension, venous system on November 14, 2008 | Leave a Comment »
A normally functioning circulatory system is vital for our survival . We have about 6000 ml of blood, circulating all over the body in an approximate time of 15-20 seconds.The pressure at which this blood moves across the body is called the blood pressure . Hypertension or simply , high blood pressure is an undesirable hemodynamic [...]
Can stable angina occur at rest ?
Posted in Cardiology - Clinical, Cardiology -Interventional -PCI, Infrequently asked questions in cardiology (iFAQs), cardiology -Therapeutics, cardiology- coronary care, tagged acc.aha, angina grading, angina pectoris, beta blockers, braunwwald, canadian cardiovascualr society classifcation, cardiology, ccsc, chronic stable angina, drsvenkatesan, heberdeen, intermediate coronary syndrome, jacc, jama, lancet, nejm, nstemi, post infarct angina, post pci angina, ptca, rest angina, stable angina, stemi, unstable angina on November 11, 2008 | Leave a Comment »
Angina pectoris , classically occur on exertion and gets relieved on rest .This is called typical chronic stable angina as described by Heberden (CSA ) . Unstable angina(UA), the term originally described by Noble O Fowler in early 1970s. ( Also being referred as intermediate coronary syndrome , preinfarction angina etc).The definition for unstable angina has evolved over the years and currently refers to .
1.All [...]
Why is LIMA graft superior to saphenous venous graft in CABG ?
Posted in Infrequently asked questions in cardiology (iFAQs), cardiac surgery, tagged annals of cardio thoracic surgery, beating heart surgery, bmj, bye pass surgery, bypass surgery, cabg, cardaic surgery, cass study, ctsnet, ctsnet.org, edrf, endothelium derived relaxing factor, gastro epiploic artery, graft, jama, lancet, lima, live graft, nejm, nitnitric oxide, opcam, radial artery, saphenous venous graft, triple vessel disaese on November 6, 2008 | Leave a Comment »
During CABG arterial grafts are always preferred over venous grafts , for the simple reason the grafted vessel has to carry arterial blood and not the venous blood. Saphenous veins are tuned to carry venous blood at low pressure.The mean coronary arterial pressure is around 40mmhg and this will damage the saphenous venous endothelium more quickly. [...]
Great papers in cardiology
Posted in Uncategorized, tagged libanoff, liv hatle, mitral stenosis, mitral valve, pressure half time on November 5, 2008 | Leave a Comment »
This is a hemodynamic concept paper by Libanoff in 1968 published in circulation.This paper elegantly proved that the rate of fall of pressure across the mitral valve will predict the mitral valve orifice. This key paper formed the foundation on which Liv hatle developed the echocardiographic pressure half time .This pressure half time derived [...]
Systemic hypertension: The untold story !
Posted in Cardiology - Clinical, Cardiology-Land mark studies, Infrequently asked questions in cardiology (iFAQs), tagged allhat, amlogard, ascot, cardiology, hyper tension, jacc, jama, journal of hypertension, lancet, lancet. nejm, nejm, pharma insustry, shep, systemic hypertension, tomh, tone study on November 3, 2008 | Leave a Comment »
Is it true , once a patient is labelled as a hypertensive he remains hypertensive life long ? Is it possible to withdraw antihypertensive drugs permanently ?
Systemic hypertension is the most common clinical entity and it forms the bulk of the physician consultations world over.
The anti hypertensive drugs are one of the most commonly prescribed [...]
What is the link between hypertension and coronary artery disease ?
Posted in Cardiology -Interventional -PCI, Infrequently asked questions in cardiology (iFAQs), cardiology -Therapeutics, cardiology- coronary care, tagged acs, auto regulation, bmj, coronary angiogram, coronary risk factor, failed thrombolysis, hypertension, intra cerbral hemmorhage, intra coronary hypertension, intra coronary pressure, jacc, lancet, left ventricualr hypertrophy, myocardium, nejm, nstemi, stemi, streptokinase, stroke, systemic hypertension. cva, thrombolysis on November 2, 2008 | Leave a Comment »
Hypertension is considered a major cardiovascular risk factor.Hypertension can have multiple physiological and pathological effects on heart . The common response to raised arterial pressure is the hypertrophy of the left ventricle ( LVH). This can increase the risk of heart failure in few ( Mainly diastolic failure) It is a leading cause for stroke and less often [...]
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