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Angiography and Interventions
GRACE registry suggested that BMS was better than DES in acute MI situation. But recent data with sirolimus eluting stents show promise.
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ECG / Electrophysiology
ICD in post myocardial infarction LV dysfunction: SCD rates in those with previous MI is 4-6 times that in general population; more so with LV dysfunction.
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Angiography and Interventions
Routine PCI after thrombolytic therapy: PCI after thrombolysis is considered under three headings: facilitated, rescue and systematic.
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Angiography and Interventions
Timely performed PCI in an experienced high volume centre is better than thrombolysis. If it cannot be performed, thrombolysis has to be considered.
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Angiography and Interventions
Coronary revascularisation in patients with renal dysfunction: When the GFR comes down below 60 ml, mortality steadily increases.
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Cardiac Surgery
Role of echo in surgery for mitral regurgitation: Various measurements like tenting and tethering of leaflets and ischemic segments can be obtained by echo.
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General Cardiology
Antiplatelet drug resistance: Females, those with metabolic syndrome and high triglyceride levels are known to have higher clopidogrel resistance.
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ECG / Electrophysiology
Atrial fibrillation with WPW syndrome is a potentially life threatening arrhythmia. Being a wide QRS tachycardia, it is often mistaken for VT.
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ECG / Electrophysiology
Atrial flutter in mitral stenosis: Atrial flutter is less common than atrial fibrillation in mitral stenosis.
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ECG / Electrophysiology
ECG showing RBBB and LVH (right bundle branch block and left ventricular hypertrophy).
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