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Desire for Subspecialization For physicians who already have a general specialty, such as cardiology or internal medicine, a fellowship offers a route to subspecialization. For example, transitioning from generalcardiology to interventional cardiology or electrophysiology.
We assessed the provision of preconception counselling (PCC) among women of reproductive age attending generalcardiology outpatient clinics over a 12-month period in two large health boards in Scotland. PCC was documented in 10.3% Women were classified according to the modified WHO (mWHO) risk stratification system.
In a case reported by Shinde RS et al, coronary angiography documented total occlusion of left coronary artery and the patient underwent emergency coronary artery bypass surgery. But total occlusion being documented on coronary angiography is extremely rare as many of them do not survive. References Sen F et al.
Those who are in a hurry could go through the 2024 Hypertrophic Cardiomyopathy Guideline-at-a-Glance which is a five page document which summarises top ten take home messages from the guidelines. Balaji is originally from Tamil Nadu, South India.
Ventricular arrhythmias during exercise can be documented in congenital long QT syndromes as well as in catecholaminergic polymorphic ventricular tachycardia. QT prolongation and the occurrence of ventricular arrhythmias with exercise are another important aspect of exercise testing in children.
ECG is recorded periodically during the test in addition to documenting any specific events like arrhythmias. Treadmill Exercise ECG is usually done with a computerized treadmill unit which controls the motor speed of the treadmill as well as monitors the ECG.
Degree of outflow obstruction can be documented along with the classical Brockenbrough-Braunwald-Morrow sign. Holter monitoring Holter monitoring is useful to document nonsustained atrial/ventricular arrhythmias which may not be obvious clinically. The sign is an increased LVOT gradient after a ventricular premature complex.
Though this effect has also been documented with statin therapy, monotherapy using PCSK9 inhibitors or ezetimibe have not been associated with similar reduction in biomarkers of inflammation. There was no increase in new onset diabetes mellitus or worsening of diabetes mellitus. at 6 months compared to placebo.
2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021 Sep 21;42(36):3599-3726. doi: 10.1093/eurheartj/ehab368. Erratum in: Eur Heart J. 2021 Oct 14;: PMID: 34447992.
Pulsed field ablation was shown to be noninferior to conventional thermal ablation with respect to freedom from a composite of initial procedure failure, documented atrial tachyarrhythmia after a three month blanking period, antiarrhythmic drug use, cardioversion or repeat ablation and procedure related serious adverse events, at one year.
The study documented that catheter ablation for AF in patients with heart failure was associated with a significantly lower rate of a composite endpoint of death from any cause or hospitalization for worsening heart failure, than medical therapy.
Tuberculous pericardial effusion can be documented by aspirating the fluid and culturing the fluid for the presence of the bacteria causing tuberculosis (Mycobacterium tuberculosis). An important type of bacterial infection which causes pericardial effusion is tuberculosis.
Spontaneous type 1 ECG has the highest number of points at 3.5, while fever-induced type 1 ECG has 3 points. Type 2/3 ECG which gets converted to type 1 pattern with sodium channel blockers have 2 points.
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