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Today , September 29th is the World heart federation, backed official World Heart day. Reclaiming the Soul of World Heart Day Have you ever wondered why cardiologists, physicians, and big hospitals celebrate World Heart Day in a most sacred way as if it is festival of Diwali, Dussehra, or Onam? The scale of these celeb
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In the clinical practice of cardiology, some times, we are compelled to check our foundational concepts and refresh or reset the knowledge. Here is a two question challenge. The first question was in fact asked by one of my patients. Does negative TMT rule out CAD ? I thought it was a routine question, and […]
Wellens’ syndrome represents a unique pathophysiological subset in ACS. While typical ACS is characterized by dominant thrombotic luminal occlusion, Wellens’ syndrome is a prototype for a low-thrombus-load .Curiously it can even be termed as “Zero thrombus” ACS. This is not a new revelation. It was underscored by de Zw
Cardiogenic shock occurs in 5% to 10% of all STEMI cases. The prefix “cardio” bothers us for all the wrong reasons. Though the shock component is initially triggered by primary cardiac pump failure, it soon spirals downward into a tissue level shock threatening the body’s 30 trillion cells. As cardiologists, we repeate
Nothing happens without energy cost both in physics and biology. How much is the metabolic cost of an extra systole ? While an occasional VPD is benign and has a negligible effect, a high burden of VPDs can consume extra energy and drain its metabolic reserves. Three ways it can happen Molecular basis of energy […]
Heart disease in pregnancy is the third important cause for maternal mortality in most part of the world. (Apart from Bleeding, Infection and obstetrical complications) We know pregnancy is hemodynamic stress test for any mother and obviously it is a challenge in a compromised heart. Most heart disease encountered are
Final message While the term “pre & post capillary pulmonary hypertension” is useful for hemodynamic understanding , it creates a false impression biologically. Pre-capillary PH is a pan-vasculopathy where the capillary bed is routinely remodeled, congested, or even entirely destroyed. Please mind, this happens in almo
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