The Most Important Articles in Heart Failure (HF)

The Most Important Articles in Heart Failure Below are what I believe to be the most important articles in heart failure in mid-2015.  Most of the ICD trials are actually covered in the EP trials section.  Each trial is divided into categories, and each blue trial...

Aortic Valve Regurgitation (AR)

Aortic Regurgitation (AR) Acute Aortic Regurgitation Acute AR Symptoms: Acute tachycardia Acute dyspnea Acute AR Signs: Tachycardia Severe HF Sx: rales, edema Soft S1 Hypotension Diastolic murmur may be short or inaudible S3/S4 Acute Severe AR Treatment: Urgent...

Mitral Valve Regurgitation (MR)

Mitral Valve Regurgitation (MR)   Acute MR: Acute MR Symptoms: Acute severe shortness of breath “Bolt-upright” position in bed Apical tapping Chest discomfort Acute MR Signs: Hypotension, tachycardia, LV apical tapping Soft, subtle systolic murmur...

Mitral Valve Stenosis (MS)

Mitral Valve Stenosis Symptoms/History: Dyspnea at rest, dyspnea on exertion (DOE) Paroxysmal nocturnal dyspnea R-sided HF symptoms:  slow progressive orthopnea, fatigue, edema Hemoptysis Atrial Fibrillation, palpitations, resultant emboli (stroke/TIA) Potential...

Aortic Valve Stenosis (AS)

Aortic Valve Stenosis (AS) Symptoms:  dyspnea on exertion, dizziness/presyncope, angina, syncope (deadly) Prognosis:  prognosis is worst for HF > syncope > angina Physical Exam: Late-peaking systolic ejection murmur (SEM), crescendo-decrescendo, may radiate to...

What Are the Most Important Cardiology Articles?

With the flood of medical literature in Cardiology, it has become more and more difficult to identify the “most important” articles.  Over the next few weeks, I will attempt to outline what I think are the most important articles in Cardiology, by...

Perioperative Guidelines 2014 Update – Synopsis

Perioperative Guidelines 2014 Update – Synopsis   Wait ≥ 60 days after MI prior to non cardiac surgery in the absence of coronary intervention. Age > 62 yo is an independent risk factor for perioperative stroke.   Perioperative Valvular Disease...