Daily Archive: November 23, 2011

Nov 23

Know Your International Faculty

Mathew Staff Photo

Verghese Mathew Profile M.D., F.A.C.C. Professor of Medicine, Mayo Clinic College of Medicine Consultant, Division of Cardiovascular Disease and Department of Radiology Mayo Clinic, Rochester, MN Education & Training:  Northwestern University BA, Chemistry 1983 – 1986 Loyola University & Stritch School of Medicine MD 1986 – 1990 Mayo Medical School Residency, Internal Medicine 1990 – …

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Nov 23

Prosthetic heart valves Follow up as important as surgery itself

Prosthetic heart valves – Follow up as important as surgery itself Rahul Mehrotra, Manish Bansal, Ravi R Kasliwal Patients undergoing prosthetic valve surgery need meticulous follow up in the post-operative period. Thorough understanding of the structure of different prostheses, their thrombogenic potential, durability and hemodynamics is imperative for proper management during this period. The treating …

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Nov 23

CSPF the cause of ASCS in patients with normal coronary arteries

Coronary slow flow phenomenon or delayed distal vessel pacification in the absence of significant coronary artery pathology might be a form of atherosclerosis. The CSFP in one study was shown to be associated with high LDL cholesterol level (89+_10.2 in control Vs 110+_17.5 in CSF group), ‘p’< 0.05. The commonest presentation of CSFP was ACS (65%) requiring …

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Nov 23

Complete versus incomplete revascularization in CABG

In a single-center registry report of 514 patients undergoing CABG for multivessel coronary artery disease, there was no significant difference between the two strategies at five year follow-up in the adjusted rates of death or the composite of death, myocardial infarction, or stroke (Circulation 2011; 123:2373).

Nov 23

Ticagrelor and aspirin dosing

PLATO trial: When aspirin is used in conjunction with ticagrelor for the treatment of ACS, it be administered only at a daily dose of ≤100 mg, including patients who undergo stenting. (Circulation 2011; 124:544)

Nov 23

New test to measure PAH prognosis

For patients with pulmonary arterial hypertension (PAH), the risk of clinical worsening can be predicted in a heartbeat. Measure the difference between the heart rate at the end of a six-minute walk test and the rate 60 seconds later. Normal > 16 beats\ Slower heart rate recovery: If the difference is less than 16 beats …

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Nov 23

Early surgery for endocarditis

 Infective endocarditis outcome is better with straight to surgery rather than waiting to see if antibiotics will resolve the infection. Early surgery yielded a composite rate of in hospital death and clinical embolic events, such as stroke or heart attack, of only 3% compared with 23% with the conventional antibiotics-first strategy (one patient of 37 …

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Nov 23

Facts and Figures in Cardiology

Premature or early heart attacks mean if a man gets it under age 55 or a woman under age 65. Premature heart attack the mean age is 53-54 yrs. Heart attack under age 55 increases the risk by 33% in the progeny. Heart attack in two relatives increases risk by 50% in the progeny.