Heart pearls!

For all cardiology enthusiasts! Bonjour! Click on the title above to go to site index so that you can browse the articles!

Site index

Jan 3

Posted by Dr Jayachandran Thejus MD in Uncategorized

  1. Congenital heart disease
    1. History and physical examination in congenital heart diseases
    2. Atrioventricular septal defects
    3. Ventricular septal defect
    4. Patent ductus arteriosus
    5. Patent ductus arteriosus in the term infant
    6. Patent ductus arteriosus in the pre-term infant
    7. Cyanosis in the newborn
    8. TGA
    9. Double outlet right ventricle – part 1, part 2, part 3, part 4
    10. Tetralogy of Fallot with absent pulmonary valve
    11. Tetralogy of Fallot – part 1, part 2, part 3, part 4
    12. Tetralogy of Fallot
    13. Tetralogy of Fallot- a presentation
    14. Tricupsid atresia
    15. Tricuspid atresia- a presentation
    16. Total anomalous pulmonary venous connection
    17. Corrected transposition of great arteries
    18. Pompe’s disease and the heart
    19. Short topics-
      1. TOF- acquired
      2. Development of interatrial septum
      3. Indications for VSD repair
      4. Cyanosis in ASD and VSD
      5. ASD- genetic causes
      6. Aortic cusp prolapse in VSD
      7. Mechanisms of VSD closure
      8. Persistent truncus arteriosus and single ventricle- hemodynamics
      9. D-TGA pathophysiology
      10. Atrioventricular and ventriculoarterial relations
  2. Arrhythmias
    1. Specific types of VT
    2. Narrow complex tachycardia- how to quickly come to a diagnosis from the ECG?
    3. Short QT syndrome
    4. AV block
    5. Decreased automaticity leading to bradycardia
    6. Ventricular tachyarrhythmias
    7. Ventricular tachycardia
    8. Accelerated idioventricular rhythm
    9. Ventricular premature complexes
    10. Amiodarone induced pulmonary toxicity
    11. SVT with aberrancy- ECG features
    12. AV dissociation to distinguish tachycardias
    13. Cardiac pacemakers
  3. Ischemic heart disease
    1. Approach to myocardial infarction- simplified protocol
    2. ST elevation MI- pathology and clinical features
    3. Sgarbossa criteria
    4. Drugs that affect lipid metabolism
    5. Secondary causes of dyslipidemia
    6. LMCA disease – ECG features
  4. Other topics-
    1. Acute rheumatic fever
    2. Acute rheumatic fever
    3. Second heart sound
    4. Vertebral artery occlusive disease
    5. Carotid artery disease
    6. Rheumatic fever
    7. Cardiac catheterization- analysis of hemodynamic data
    8. Aortic dissection    
    9. Pulmonary embolism
    10. Diastolic dysfunction – mitral Doppler evaluation
    11. Heart failure with normal ejection fraction
    12. Takayasu’s arteritis
  5. Interesting EKGs
    1. Torsades de pointes ECG
    2. Complete heart block ECG
    3. Indeterminate axis ECG
    4. Ectopic atrial rhythm ECG
    5. Hyperkalemia- sine waves ECG
    6. Right ventricular hypertrophy ECG
    7. Dextrocardia ECG
    8. Complete heart block ECG
    9. Digoxin toxicity ECG
    10. Ventricular bigeminy ECG
    11. Hyperkalemia ECG
    12. Atrial flutter ECG
    13. Cardiac tamponade ECG
    14. Atrial tachycardia ECG
    15. Atrioventricular reentrant tachycardia ECG
    16. Acute pericarditis ECG
    17. Arrhythmogenic right ventricular dysplasia ECG
    18. Preexcitation through left lateral pathway ECG
    19. Right ventricular outflow tract ventricular tachycardia ECG
    20. Belhassen’s tachycardia (posterior fascicular ventricular tachycardia)
    21. Arm lead reversal ECG
    22. Alternating bundle branch blocks ECG
  6. Interesting echocardiograms
    1. Mitral stenosis with left atrial clots echo
    2. Bicuspid aortic valve echo
    3. Mitral stenosis echo
    4. PDA with pulmonary artery vegetations echo
    5. Left ventricular endomyocardial fibrosis echo
    6. Severe mitral regurgitation echo
    7. Supravalvular pulmonary stenosis echo
    8. Ventricular septal rupture echo
    9. Right atrial mass echo
    10. Kawasaki disease echo
    11. Tetralogy of Fallot echo
  7. Intersting cardiac catheterization images
    1. Severe coronary artery disease- videos
    2. Coronary sinus venogram
    3. Kissing balloon dilation
    4. Bovine aortic arch
  8. Interesting chest roentgenograms
    1. Supracardiac TAPVC- snowman appearance
    2. Coarctation of aorta- rib notching- chest X-ray
  9. Case studies
    1. A therapeutic dilemma- whether to revascularize or not.
  10. Miscellaneous
    1. Dynamic LVOT obstruction- causes
    2. Grades of clubbing
    3. Random points 1
      2
      3
    4. Basics of hemodynamics
  11. Journal watch
    1. Recent cardiology trials- November 2009
    2. Hospitalizations After Heart Failure Diagnosis: A Community Perspective
    3. A Meta-Analysis of Remote Monitoring of Heart Failure Patients
    4. CASPER registry
    5. TRANSCEND trial
    6. CARDIA study
    7. TRANSFER- AMI trial
    8. STAR trial
    9. TIMIC trial
    10. FAMOUS trial
    11. JACC JULY 07, 2009- original articles
    12. ATHEROMA trial
    13. PHIRST trial
    14. RECORD trial
    15. TIMACS trial
1 Comment

Tetralogy of Fallot- cardiac catheterization and angiography

Feb 21

Posted by Dr Jayachandran Thejus MD in Uncategorized

Cardiac catheterization study was performed in this patient with tetralogy of fallot. The aim was to assess the status of the pulmonary arteries.

Pigtail catheter was passed via inferior venacava to right atrium to right ventricle to main pulmonary artery. Injection was taken.

Image

Video

tetralogy of fallot angiogram 1

This shows adequately sized main, right and left pulmonary arteries. In levophase, left sided chambers can be seen filling.

Pigtail catheter was passed through femoral artery to aortic root to left ventricle and injection was made.

Image

Video

This left ventriculogram in LAO view shows aortic override and a large subaortic VSD. Dye can be seen entering the right ventricle.The override is about 50%.

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