Posted in cardiology journals, Cardiology research topics, Cardiology Risk assesment, Great Men in cardiology, Great websites in cardiology, history of cardiology, Land mark articles in cardiology, Top ten in cardiology, tagged epidemic of cad, future of cardiology, global cardiology issues, land mark articles in cardiology, preventive cardiology, promoting global cardiovascular health, top articles in cardiology, valentine fuster on October 4, 2013| Leave a Comment »
Medical research often ventures into a directionless and meaningless exercise with or without intention .The reason is simple , unlike other fields, scientists enjoy the ultimate freedom of expression.
How to find genuine treasures from this chaos ?
We need people like Valentine Fuster ,
Here is link to the article in circulation 2011 which I consider a must read for all cardiologists !
Posted in cardiology innovation, cardiology journal club, Cardiology journal links, cardiology journals, Cardiology teaching websites, Cardiology-Land mark studies, Great websites in cardiology, tagged great learning websites, INTECH open science open mind, OPEN ACCESS JOURNALS, SCIENTIFIC DEMOCRACY on June 28, 2013| Leave a Comment »
I stumbled upon this web site . I think this can be glorified as the standing example for “Democracy of science”
http://www.intechopen.com/subjects/cardiology-and-cardiovascular-medicine
Posted in cardiology -ECG, Great websites in cardiology, history of cardiology, tagged history of cardiology, sodi pallares ecg mexican cardiologist on March 23, 2013| Leave a Comment »
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 come in the global limelight.
Some of his thought processes and Inventions
Please remember , Sodi pallare’s conscience is still largely unexplored .There are lots of hidden truths .We now know fever can influence qrs voltage and febrile illness can trigger ventricular tachycardia as in of Brugada syndromes.
Today’s youngsters can take a few cues from this great man and enlighten the field of electro-cardiology
Demetrio Sodi Pallares (1913-2003 )
If modern-day cardiologist is able to interpret the ECG by a cursory 3 second scan of strip of waves , we are greatly indebted to the knowledge imbibed by this great man from Mexico !
Reference
http://onlinelibrary.wiley.com/doi/10.1002/clc.4960110616/pdf
Posted in Cardiology - Clinical, Cardiology-Land mark studies, Clinical cardiology, Great websites in cardiology, Wintage cardiology, tagged abdominal angina, hiatus hernia and angina, link between cervical spine and ehart, Linked angina, shirley smith bmj 1962 cornelio papp on February 28, 2013| Leave a Comment »
Dr Shirely Smith from charring cross hospital London wrote this masterpiece in BMJ in the year 1962 . He was doing a research about the origin of angina like pain in patients who had upper GI disease or disorders of cervical spine .He found a hidden invisible neural link between heart and it’s neighboring viscera. What he referred it as linked angina . It links the pain from ,Esophagus, gall bladder , duodenum , cervical spine to the heart .
This article I consider as one of the all time classics in clinical cardiology . Here is the link for linked angina (Courtesy of BMJ)
High lights ( Inferred ) from the article
We know angina typically occurs on exertion .If it occurs at rest we call it as unstable angina .
Can it occur at rest other than unstable angina ?
Yes it can . ( Post prandial ,Nocturnal, emotional etc)
Can the heart be the referral site for visceral pain ?
Yes .It seems so .
Can visceral pain be trigger for developing true angina ?
Again possible . A Patient with documented CAD develop a true esophageal pain it is likely to induce a sensation of angina rather than abdominal pain .Similarly , cervical pain may represent a masked angina in a patient with active cervical spondylitis .(Homing in of angina to the nearest non cardiac culprit )
Final message
Those were the times when the brain worked more than hands . Common sense prevailed over machine sense .This article argues for a big debate about the origin of so called atypical angina in a patient with multiple common visceral conditions.Even 50 years later we have little clue about alimentary -cardiac neural spill over !
Reference
http://www.bmj.com/highwire/filestream/276395/field_highwire_article_pdf/0/1425
Postamble
Today we live in a complex and confusing and commercial medical world .We have atleast a dozen chest pain triaging protocols in ER . Still errors are rampant. Errors are acceptable . . . but this one was an absolute shocker . . . “I know a patient with vague chest/epigastric pain , non specific T inversion , documented gall stones , landed in cath lab not by accident but by meticulous planning !”
Posted in Cardiology -Interventional -PCI, cardiology -Therapeutics, Great websites in cardiology, tagged asd device closure best articles, asd rims, lesser known cardiology journals, mexican cardiology journals on December 31, 2012| Leave a Comment »
This article provides you every thing you want to learn about ASD device clsoure .The anatomy , the art of doing TEE in cath lab etc.Do not ever shy away from lesser known journals .It is simply amazing to find hidden treasures .Thanks to Mr Tim Berners–Lee invenor of the Internet !
Posted in cardiology-ethics, Cardiology-Land mark studies, cardiomyopathy, Echo library and gallery, Great websites in cardiology, Uncategorized, tagged pre discharge est, pre-discharge tmt est tredmill, primary pci est, status of pre discharge est, stress test following primary pci, sub maximal stress test on August 20, 2012| Leave a Comment »
The principles of pre-discharge EST
This concept came about 20 years ago (1980s) to risk stratify patients following ACS to triage early coronary angiogram and revascualrisation. Generally patients are discharged by 5-7 days after an MI (May be 3-5 days in some hospitals) . Doing an exercise stress test early within 2 weeks has not been very popular with many cardiologist even though it was recommended by many guidelines.The type of stress recommended here , is heart rate limited sub maximal 70% of THR (Usually around 140 /mt ) is performed . This is due fear of precipitation another ACS.
Still, there are definite advantages for pre-discharge EST .It help us identify high risk subsets of STEMI and reduce the intermediate term mortality .More importantly it gives us an opportunity to exclude inappropriate revascualriations even without an angiogram . (The well known coronary dogma ie if a post STEMI patient performs > 10 METS , his heart carries little risk for future events still holds good !)
With the advent of liberal usage of CAG and improved techniques of revascularistion , most patients directly undergo pre-discharge CAG rather than EST !
Further reading
Does any cardiologist have guts to do a pre- discharge EST after a successful primary PCI ?
Posted in general medicine, Great websites in cardiology, history of cardiology, tagged father of modern medicine, history of medicine, virchow virchow triad on February 8, 2012| 1 Comment »
Some scientists are known for their discovery , few are known for their vision few for their character .Here was a man who had all of them can be termed as father of modern medicine .
Rudolf Virchow - German pathologist( 1821-1902)
Unfortunately the current generation knows him for his concept and theory of blood clotting or lymph node in the neck .
Here is a reviews about this man who single handedly taught the world
He insisted , caring the sick and treating illness is more of a social science than medical one
We have probably not learnt a single lesson yet , from this master teacher is a different story !
Avid listeners to Virchow in Berlin university
My Virchowian thoughts
This man’s understanding of medicine was much . . . much sharper than us – 100 years ago , when cardiology was practiced with out even an ECG and X-ray chest . ( Is itn’t true today we struggle with loads of 3 dimensinal gadolinium enhanced cardiac MRI ! images )
Virchow’s concepts are most relevant in today’s world , where the corporate and capitalist culture has hijacked the noble profession . Inhabitants of this planet are threatened with eccentrically blown up healthcare system where the development of modern medical modalities is completely out phase of with what is required for the people .
We will pay a heavy penalty if this world continues to witness people die for as flimsy reasons like lack of oral re-hydration fluids , while the other section of society is marketing an exotic mitochondrial DNA slicers for prolonging a cancer victim life by few months .
In a global society where social , economic and environmental responsibilities and liabilities are shared , it would be disastrous if one country is simply not bothered about what is happening in other country.
WHO the world health organization came into being exactly for this reason .
We know . . . how it functions . It is the most abused united nation body . It has neither the required power nor the will to tell the world and insist them the righteous route for human health !
If the rich are not bothered about poor , it is certain the rich will also be eliminated from the planet for the same reasons . . . it’s just a matter of time !
Reference
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1305179/pdf/westjmed00323-0041.pdf
Posted in cardiology journals, Great websites in cardiology, Uncategorized, tagged cardiology journals, great journals in cardiology, hamad medical corporation, heart views journal, heartviews, lesser known journals in cardiology, qatar cardiology journal on November 27, 2010| Leave a Comment »
Great people do not boast . While there are thousands of hyped up publications in cardiology ,
This one form Qatar excels , which I stumbled upon recently contains very useful information about wide ranging issues in cardiology .
Let us congratulate the Hamad medical corporation for their unique academic vision .
Posted in echocardiography, Great websites in cardiology, tagged best cardiology website, doppler echocardiography, echocardiography, tee, transesophageal echo on February 21, 2010| Leave a Comment »
Internet is a wonderful gift for for mankind but only occasionally we find great resources .
Hats off to Dr .Pybus from Australia for his efforts
A must read for all cardiologists rather everyone involved with echocardiography
Click on the Image to reach the site
Posted in echocardiography, Great websites in cardiology, Top ten in cardiology, Uncategorized, tagged doppler, doppler austria salzburg christian doppler echocardiography principles of echo doppler shift cos theta vascular doppler on January 19, 2010| Leave a Comment »
A humble tribute to Mr. Doppler : Let us remember this man , every time you hear that hissing Doppler signals , as we put the Doppler probe inside the heart.
Doppler ‘s brief encounter with life
Gave us one of the greatest diagnostic tool .
Born in 1803 in Salzburg, Austria, died in Venice, Italy 1853
Click over the portrait to learn Doppler’s life
Read and enjoy yourself !
Doppler and his principle : By Richard J. Bing, MD Professor of Medicine – USC (Em) – Director of Experimental Cardiology – Huntington Medical Research Institute Visiting Professor in Chemistry – California Institute of Technology – Calif – USA
http://www.dialogues-cvm.org/pdf/51/DCVM51_04.pdf Courtesy Servier
Dr.S.Venkatesan MD 