Ventricular tachycardias , especially incessant ones not controlled by drugs are very troublesome . Radio frequency ablation is the treatment of choice currently. Principles of electrophysiology would demand acccurate localisation of the tachycardia focus and then ablate it with RF energy .This requires induction of the clinical arrhythmia on the EP table, mapping , [...]
Archive for August, 2009
What is primary RF ablation for ventricular tachycardia ?
Posted in Uncategorized, tagged primary rf ablation on August 31, 2009 | Leave a Comment »
The reverse knowledge cycle in cardiology !
Posted in Uncategorized on August 28, 2009 | Leave a Comment »
It is often said life is a cycle , time machine rolls without rest and reach the same point again and again . This is applicable for the knowledge cycle as well .
We live a life , which is infact a “fraction of a time”(<100years) when we consider the evolution of life in our planet [...]
How to tunnel your way into the CTO and create your own coronary artery !
Posted in Uncategorized on August 27, 2009 | Leave a Comment »
Opening the chronically occluded coronary(CTO) artery gives the ultimate sense of achievement and satisfaction for the cardiologist. Of course , the patient may or may not share the same feeling . . . ! There are simple and complex CTOs . Some CTOs are opened in few minutes , some fail even after hours of [...]
Why ECG is greatly influenced by serum potasium levels and least affected by serum sodium levels?
Posted in Uncategorized on August 26, 2009 | Leave a Comment »
ECG is the summated recording of individual myocyte electrical activity from the body surface .The single cell action potential represent the classical description of ionic flows within and outside the cardiac myocyte. ECG is nothing but the electrical recording of systematic flow of ionic currents. When one looks at qrs complex we should mentally see [...]
Why UA/NSTEMI often occurs without wall motion defect ?
Posted in Uncategorized on August 25, 2009 | 1 Comment »
Regional wall motion defect is the sine qua non of STEMI. Whenever there is sudden occlusion of a coronary artery the segment , it supplies is expected to go in for mechanical dysfunction. This is the fundamental principle of ischemic cascade .But , in NSTEMI ,wall motion defects are not a consistent feature. In fact [...]
Unusual seminars in cardiology :Ten simple ways to waste cardiology resources !
Posted in Cardiology -unresolved questions, Cardiology hypertension, Cardiology-Arrhythmias, Cardiology-Coronary artery disese, cardiology- coronary care, tagged ARBS, bmj, bnp, cardiology, chronic total occlusion, coronary care units, cost effectiveness, cpk mb, CRT, cto, ebm, ethics, ethics in cardiology, ethics in medicine, evidence based medicine, fondaparinux, heparin, hippocrates, hypertension, jacc, jama, jnc6, jnc7, lmwh, nejm, nstemi, pci, ptca, rescue pci, seminars in cardiology, stemi, troponin on August 19, 2009 | Leave a Comment »
Do 64slice MDCT in all patients who has a coronary event and follow it up with catheter based CAG.
Use liberally the new biochemical marker , serum B-naturetic peptide (BNP) to diagnose cardiac failure in lieu of basal auscultation.
Advice cardiac resynchronisation therapy in all patients who are in class 4 cardiac failure with a wide qrs [...]
What are the reversible forms of dilated cardiomyopathy
Posted in Uncategorized, tagged alcoholic cardiomyopathy, cardiomyopathy, DCM, ischemic dcm, peripartum cardiomyopathy, reversible cardiomyopathy on August 19, 2009 | Leave a Comment »
The term cardiomyopathy generally denotes a progressive disease in clinical cardiology.There was a time diagnosis of dilated cardiomyopathy (DCM ) was synonymous with a delayed death sentence ! Of course , the situation has vastly improved over the years with the availability of new medical , interventional and surgical management. Still , there is no [...]
Use your hands as an “Artificial heart lung machine” : The greatness of hands only CPR !
Posted in Cardiology - Clinical, Cardiology -Interventional -PCI, cardiology -Therapeutics, tagged acc aha, cpr chest compression only, ilcor on August 17, 2009 | Leave a Comment »
Cardiopulmonary resuscitation (CPR) is the major discovery of last century that has saved many lives over the years. In spite of this , there has been lot of debate over the exact methodology adopted .The much published techniques of Basic cardaic life support (BCLS) which is in vogue for over 2 decades has failed to [...]
What is the real impact of statins on HDL levels ?
Posted in Cardiology -unresolved questions, cardiology -Therapeutics, tagged atorvastatin, hdl, hmg coa, hyperlipidemia, ldl, lovastatin, simvastatin, statin myopathy, statins on August 16, 2009 | Leave a Comment »
Statins are projected to be the saviours of human race against the killer atherosclerosis .Now we have reached a stage soon , where every healthy individual may be administered this drug. There are consistent evidence for statins to reduce , retard , prevent progression of existing atheroscelorosis and possibly prevent future atherosclerosis.
This wonder drug acts [...]
Silent heroes in cardiology : Atropine
Posted in Cardiology -Interventional -PCI, cardiology -Therapeutics, tagged acetyl choline, atropine, av block, bradycardia, cardiology, cath lab, complete heart blcok, m2 receptors, muscarnic receptor blocker, pci on August 15, 2009 | Leave a Comment »
Atropine , the extract from the Belladona plant is an important cardiovascular drug. It’s presence is vital in every crash carts . This unassuming molecule probably has saved more cardiac lifes than any other drug . It provides immediate remedy for many of the bradycardias .It works like a magic. The physician buys time [...]
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