Dr. Usman's Cardiology Notes

  Mainly the clinical part of the catalog basics I would be discussing today all of my presentation will be the what are the indications of pediatric target, cat procedures? We would broadly classified as a diagnostic or interventional procedure. The aims and limitations of the diagnostic cardiac catheterization, the complications associated with it, the case selection and planning the basic calculations of cardiac output. Ps, the pulmonary and systemic muscular resistance and These are the things I would be covering in today's topic. So, first jumping with the indications Basically, we classify any cardiac categorization as a diagnostic cardiac catheterization or an interventional procedure. So, in a diagnostic cardiac catheterization, we are primarily aiming at defining the physiology or the hem of the cardiac anomaly with addition, We even try to define the anatomy of the congenital heart defect if in case it di...

A 38 year old male smoker and hypertensive presented with severe retrosternal chest pain of 3 hours duration. On examination he was hypertensive with BP = 80/50 sinus bradycardia with HR 40bpm, right sided S3 and chest clear. He recently underwent primary PCI to LAD a month ago, coronary angiogram at that time revealed LAD 90% stenosis, LCX mid 50% stenosis, RCA proximal 60-70% stenosis and Right PDA has 80% osteal stenosis.   ECG on current presentation showed sinus bradycardia and ST depressions more than 2mm in inferior leads. Please give answer of following questions based on guidelines a)       Is TPM indicated, if yes then give justification b)       Name the culprit vessel c)       Do you think revascularization of non-culprit vessel at time of primary PCI would have prevented current cardiac event d)       Name the trials which have studied such scenarios Answers: a. ...