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Not just two funny quotes . . . but stunning medical truths ! by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health These two quotes  on practice of medicine are close to my heart , one from Voltaire , a non medical man (a French poet )  and  the other from ,one of the greatest me ... Read on »
J waves are not “Jittery” waves . . . they are “Just” another wave in... by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health J point is a critical point in the  ECG  when the ventricles hand over the baton in  the  electrical relay race from depolarization to repolarization .This the time ... Read on »
It is not Brugada for sure , I am just suspecting it . . . what to do ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Have you felt like this query any time in your office ? If “Yes” is your answer, then you are not alone .There was a unique  conference  that  took place  in 201 ... Read on »
What is the mechanism of Mconnell’s sign ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Mconnell’s  sign is a distinct echocardiographic sign that occurs in Acute pulmonary embolism , where RA and RV dilates. RV shows a distinct regional wall motion abn ... Read on »
What is “Stitch phenomenon” during PTMC ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health PTMC involves a critical step , where one has to cross  the IAS to reach the LA.The septal puncture remains  somewhat a blind procedure in fluoroscopy .(Echo can sti ... Read on »
During TMT BP should raise at least by 20-40mmhg by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health During TMT BP should raise at least by 20-40mmhg systolic. Diastolic BP will remain at baseline or show marginal elevation or even a fall. If the systolic BP fal ... Read on »
How common is angina in Ischemic cardiomyopathy ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health We generally believe ischemia and it’s clinical counterpart  angina would  go together .It is not true .Most patients with ischemic cardiomyopathy do not have any si ... Read on »
Genetic basis of facial abnormality in congenital heart disease. by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Human facial configuration  is formed by fusion and absorption of  different  tissue structures in a preplanned genetically programmed planes . The developing cardio ... Read on »
Expandable sheaths and catheters : Does a python act ! by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Interventional cardiologists in one way be labelled as intra-cardiac and intra-vascular civil engineers.Their primary  job is to create ,or close vascular tunnels an ... Read on »
How do you shoot a troubled pacemaker ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health We have been taught right from first year cardiology residency  how to trouble shoot a pacemaker .It has been a real complex thing for us. Now looking  back ,all the ... Read on »
How much Irregular ventricular tachycardia can be ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health We know , any wide QRS tachycardia  would argue us to make a default diagnosis of VT.But,  one has to be extremely cautious to apply this rule if  wide QRS  tachycar ... Read on »
Essential cath lab hardware : Snares and retrieval of foreign bodies by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health We are aware  , modern day cardiologists literally live within the patients coronary artery and vascular system .  It ‘s not at all surprising then , man made cardio ... Read on »
ICD dilemmas : Single or dual chamber ? How to choose ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health ICDs are primarily life saving devices.Whether single or dual chamber  it does this function  effectively.They will also  take care of  bradycardia by  default  back ... Read on »
A crazy cardiology tweet and a wish ! by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health I was recently asked to suggest a topic for debate on STEMI in  a major Indian cardiology conference. I wished , this is what we  should be mulling  over, with a set ... Read on »
Atrial fibrillation during STEMI : Don’t get alarmed by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Atrial fibrillation is the most  common arrhythmia we encounter in clinical cardiology .Ironically it is  uncommon during ACS and extremely rare in association with ... Read on »
I am confused sir , what is the hierarchy of medical advisories ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health In this era of synthesized evidence base,  one of my  intellectually aberrant  student asked  How can we indulge in  a popular coronary procedure   with  class 1 ind ... Read on »
Forward looking IVUS : A catheter with a camera on its leading edge ! by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Cardiologists do magic inside the human coronary artery , that too in a  live beating heart , unlike the surgeons.Blocks are removed , holes are closed, valves are i ... Read on »
Pulse rate in ventricular bi-geminy : A missing link ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Take Our Poll   Answer : Most probably  B . What we feel in peripheral pulse ,  is one weak and the one strong beat in sequence .The later is ... Read on »
Determinants of gradient across coarctation of Aorta by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health The gradient across coarctation  is not  simply (& solely ) determined by degree of obstruction , as one would believe.Understanding the hemodynamics and various fac ... Read on »
Where is the run off in Aortic regurgitation ? Is it central or peripheral ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health We know aortic regurgitation causes  a deluge of   hugely popular peripheral signs of aortic run off  , which are taught  right from 2nd year medical school. ... Read on »