Myocardial Infarction- Third Universal definition and classification

Definition of myocardial infarction Criteria for acute myocardial infarction : The term acute myocardial infarction (MI) should be used when there is evidence of myocardial necrosis in a clinical setting consistent with acute myocardial ischaemia. Under these conditions any one of the following criteria meets the diagnosis for MI: • Detection of a rise and/or […]

AMBITION: Initial Use of Ambrisentan plus Tadalafil in Pulmonary Arterial Hypertension

Data on the effect of initial combination therapy with ambrisentan and tadalafil on long-term outcomes in patients with pulmonary arterial hypertension are scarce. METHODS In this event-driven, double-blind study, patients were randomly assigned, in a 2:1:1 ratio, participants with World Health Organization functional class II or III symptoms of pulmonary arterial hypertension who had not previously […]

Approach to Arrhythmia part 1: Bradycardia

Approach to Arrhythmia part 1: Bradycardia Bradycardia is defined as heart rate <60/min. To understand the cause of bradycardia we have to understand the structures involved in the production and conduction of cardiac impulse. The normal cardiac structures involved in electrical activity of the heart are 1. SA node- It is the pacemaker of the […]

Cardiology MCQ 18.5.15

Q. All of the following are effective in the management of reflex syncope except A. Life style modifications like avoiding triggers B. Physical counterpressure maneuvers C. Beta blockers D. Cardiac pacing in patients with cardioinhibitory reflex syncope Explanation: According to ESC guideline 2009, beta blockers are no longer recommended and have been given class III […]

Revised Jones Criteria for Acute Rheumatic Fever – 2015 guideline

Acute rheumatic fever remains a serious healthcare concern for the majority of the world’s population despite its decline in incidence in Europe and North America. This statement reviews the historic Jones criteria used to diagnose acute rheumatic fever in the context of the current epidemiology of the disease and updates those criteria to also taking into account the […]

Cardiology MCQ 26.4.15

All of the following statements about Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy are correct except A. Pathogenic mutations can be identified in 50% of patients B. The clinical presentation is between 2nd to 5th decade of life C. Left dominant arrhythmogenic cardiomyopathy most commonly involves apical septal segment of left ventricle D.  Left-dominant disease is more commonly seen in […]

Cardiology MCQ 22.4.15

 CARDIOLOGY MCQ & REVIEW Q. All of the following statements about accessory pathways (AP) are correct except A. Majority of APs conduct both antegradely and retrogradely B. Around 50% of patients with preexcitation have bypass tracts that conduct only antegradely. C. Retrograde only conduction is more common than antegrade only conduction via APs D. In […]

Cardiology MCQ 21.4.15

CARDIOLOGY MCQ & REVIEW Q. All of the following statements about atrial flutter – fibrillation in WPW syndrome are correct except A. Atrial fibrillation can precipitate ventricular fibrillation in patients with accessory pathways B. The incidence of atrial flutter and/or fibrillation appears to be higher in patients with A-V bypass tracts than in the normal […]

Cardiology MCQ 20.4.15

Cardiology MCQ & Review Q. Which of the following drugs is found to be useful in idiopathic ventricular fibrillation ? A. Quinidine B. Bisoprolol C. Verapamil D. Sotalol   Explanation: Idiopathic ventricular fibrillation has a high recurrence rate. The recommended therapy is implantation of implantable cardioverter defibrillator. Currently, recommendations for a specific drug therapy are not […]

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