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...

In Memoriam – Dr. Ali Massumi

This week, a dear friend and mentor, Dr. Ali Massumi, died from a long battle with cancer.   Dr. Massumi was a giant in Electrophysiology at the Texas Heart Institute and his impact on the field and over 200 trainees was immense.  He will be sorely missed by all of...

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...

Merry Christmas

Merry Christmas to everyone !  I am just now getting over the flu, but to stay positive I am thinking about what I’m most thankful for this Holiday season: my wife and kids, my parents/in-laws, and many friends who make life joyful and not “so...

My First Blog Post

Ok so this is my first foray in to blogging.  I’ve been thinking about getting online for years but due to the busy nature of my work as a cardiac electrophysiologist, I have delayed getting into writing online until now.  What has really motivated me to start a...