Daily Archive: November 21, 2011

Nov 21

What to do while dealing with typical Angina and normal coronaries?

Dr YOGESH VARMA, Professor and Head Cardiology Department, Gandhi Medical College , Bhopal. Evaluation of chest pain especially angina like symptoms has always been a challenging task for clinicians at all levels, be it an experienced clinician or a Resident in the Emergency room. The concept that all chest pains be considered as related to …

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Nov 21

Old people too getting infective endocarditis now

Compared to developed countries Indian patients with infective endocarditis younger, have more rheumatic heart disease and are more frequently culture negative. However, similar to developed countries the epidemiology is now changing with more prosthetic valve IE, less CHD and older age at presentation. There is also a trend towards increasing incidence of Staphylococcus species causing …

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Nov 21

More Than 20% Of Individuals With Heart Problems Are Not Receiving Statins.

According to a study published in Circulation, more than 20% of individuals with heart problems are not receiving statins. Investigators looked at data on approximately 39,000 individuals who either had had a heart attack or had undergone heart surgery. The researchers found that roughly 8,600 of these people were not given a prescription for statins.

Nov 21

Early versus delayed defibrillation in SCA

Early defibrillation is gold standard. Some suggest CPR before defibrillation. In a study there was no significant difference in the primary endpoint of survival to hospital discharge with satisfactory functional status when patients were randomly assigned to receive 30 to 60 seconds versus 180 seconds of CPR prior to cardiac rhythm analysis and defibrillation (N …

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Nov 21

IV Furosemide dose regimen

The DOSE trial has shown that no single IV dosing regimen for a loop diuretic is superior in treating acute heart failure. In the trial patients were randomly assigned to receive furosemide via bolus versus continuous infusion at either a low dose (equivalent to the patient’s previous oral dose) or high dose (2.5 times the previous …

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Nov 21

Peri-operative myocardial infarction

Patients with atherosclerotic cardiovascular disease, or those with risk factors, are at increased risk for perioperative myocardial infarction. The results of over 8000 patients in the randomized POISE trial has shown the incidence of MI of 5% at 30 days and three-quarters of these occurred within 48 hours of surgery. 65 percent of patients with …

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Nov 21

Use hsTroponin cut off valve as <0.05 ngt.ml

Cardiac troponin is preferred to CK-MB as a biomarker to diagnose myocardial infarction. In a two-phase study of over 2700 consecutive patients with suspected ACS two cutoff levels for the sensitive troponin assay were evaluated: ≥0.20 ng/mL (a typical cutoff for the diagnosis of MI using standard assays), and, in a second phase, ≥0.05 ng/mL. …

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Nov 21

Facts and figures in cardiology

Adolescents should undergo lipid screening for non fasting non-HDL-cholesterol levels or a fasting lipid panel between the ages of 9 and 11 years, followed by another full lipid screening test between 18 and 21 years of age.