Posts Tagged ‘interventional cardiologist’
Posted in bio ethics, cardiology-ethics, cath lab tips and tricks, medical quotes, Two line sermons in cardiology, tagged abandoning cath lab procedure, cath lab complications, cath lab tips and tricks, ethics in cath lab, extraordianry interventional cardiologist, interventional cardiologist, invasive cardiologist, pci ptca, primary pci, who is interventional cardiologist on March 4, 2014| Leave a Comment »
Posted in bio ethics, cardiology- coronary care, Cardiology-Coronary artery disese, tagged annals of medicine, cardiologist, coroanry angiogram, cost effectiveness, dr s venkatesan, economics of cardiology, ethics in cardiology, evidence based cardiology, futility in medicine cardiology, inappropriate medicine, interventional cardiologist, jama, madras medical college, nejm, primary pci, ptca, www.drsvenkatesan.com on August 7, 2009| Leave a Comment »
Is he a person in a cosmopolitan hospital who opens up a chronically closed coronary artery , in an asymptomatic patient and live telecasts his achievement trans continentally ?
Is he a person who checks in by the early morning flight and puts multiple wires in an aged patient with class 3 heart failure and make him walk 20 meters extra at a cost of 1000$ / Meter ?
Is he the unknown physician who Intervenes in the natural history of Rheumatic heart disease and arrests immune mediated valve damage by giving the monthly injections penicillin in remote parts of our country ?
Is he the person who Intervenes to prevent young persons from smoking and help maintain their coronary endothelium enriched with nitric oxide & arrest the coronary epidemic ?
Is he the small town doctor who Intervenes to treat a breathless cardiac failure patient with digoxin and frusemide and dramatically alleviate the symptoms and prolong the life of our poor country men?
Is she the village health nurse from an inaccessible health centre located in a hilly terrain , Intervening successfully, by pulling out live babies from severely anemic pregnant mothers with failing hearts ?
What is the simplest possible guideline for doing coronary angiogram following acute myocardial infarction ?
Posted in Cardiology -Interventional -PCI, cardiology- coronary care, Infrequently asked questions in cardiology (iFAQs), tagged acc.aha, acc/aha guidelines for stemi, acute myocardial infarction, cath lab, conservative approach, coronary angiogram, drsvenkatesan, ethics, evidence based cardiology, excercise stress test, guidelines, interventional cardiologist, jacc, jama, lancet, nejm, nstemi, nuclear imaging, pci, pre discharge stress testing, pre discharge tmt, ptca, sestamibi, stemi, stent, streptokinase, sub maximal, thallium, thrombolysis on October 11, 2008| Leave a Comment »
Answer: Do coronary angiogram for all patients who had suffered from an acute myocardial infarction* ( Forget about all those mulitpage ACC/AHA guidelines !).
For an interventional cardiologist , it is often considered a crime to follow a conservative approach !
*Caution : This one line guideline is not based on scientific fact but reality based . Ideally one should identify high risk subsets among the patients who had an AMI .Patients who had complications during the MI get immediate CAG. Others need a focused LV function asessment , pre discharge sub maximal excercise stress test or perfusion studies .But this concept has been virtually replaced by pre discharge coronary angiogram for all , in many of the centres in the world.
Posted in dr s venkatesan -Personal, tagged anna nagar, best cardiologist india, boiler plant high school, bphss, cardiological society of india, cardiologist, cardiologist india, cardiologist madras medical college, cardiologist tamilnadu, chennai, chennai cardiologist, coimbatore, coimbatre medical college, consultant cardiologist chennai, dr s venkatesan, dr venkatesan, famous, india, india cardiologist, india venkatesan, india's famous cardiologist, indian cardiologist, interventional cardiologist, kaniyalampatti, latha venkatesan, leading, madras, madras medical college, mani high school, on line heart care, online cardiologist, pudupatti, shreenila venkatesan, top, top indian cardiologist, top ten cardiologist india, venkatesan assistant professor of cardiology, venkatesan india, venkatesan madras, www.drsvenkatesan.com on October 10, 2008| 1 Comment »
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