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Mechanism of spontaneous closure of ASD by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Spontaneous closure of VSD is  a well recognised  phenomenon, than ASD  though both happen in equal frequency.The simple reason being VSD is a noisy disease , ironic ... Read on »
Current Indication for IVC filter by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health IVC filter usage has increased many fold in recent years.Please note , it is not indicated in every case of recurrent DVT/or PE. There are specific indications. ... Read on »
Fractional flow reserve : A sinking concept ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Fractional flow reserve(FFR) is an  Intra coronary hemodynamic  parameter  promoted recently to assess the physiological impact of a coronary lesion . Though it soun ... Read on »
Over-Indulgence in private health care is a backward thinking ! by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Shall I begin with provocative quote (My own !) Inability to think beyond  self , family, private life  reflects a backward and immature  state of human mind ... Read on »
Best solution to all your complex medical problems ! by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Take Our Poll Answer While our brain perceives  whatever option  we  choose is the best for the patient  , in reality it is rarely true ! The ... Read on »
Guessing games with prosthetic valve gradients ! by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health   A 40 year old  women came  with acute dyspnea who had a prosthetic mitral valve implanted 2 years ago for RHD  . An emergency  echo showed  a peak gradient ... Read on »
How to decide operablity in “Right to Left” shunt in 3 minutes ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health If O2 saturation is > 90 % consistently  there is likely to be significant  left to right shunt  .Closure is to strongly considered If 02  satur ... Read on »
“Half-truth” is same as “Half- lie” : New French lessons in primary... by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Many  readers  of this site might have wondered  , about a  series of biased articles  pulling down the  superiority of pPCI in STEMI. This  French  study (FAST ... Read on »
Why Nobel prize in medicine is not given for clinical science ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Why not Nobel prize for clinical  science ? Take Our Poll   Nobel prize was constituted  to reward people or organisation  who make a  ... Read on »
When medical morality . . . becomes a casuality ! by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Not from  exotic  infectious agents , bird flu  or  mosquito  fevers Not from  epidemic of cardio vascular disease Not from  thousands of  published  di ... Read on »
ACC/AHA Cholesterol guidelines 2013 : An one minute extract ! by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health I share my thoughts after going through this  85 page  land mark document ! In whatever way I look at it  ,It  keeps  both physicians and their patient popu ... Read on »
What happens to diastolic blood pressure in severe Aortic stenosis ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health What happens to diastolic blood pressure in severe Aortic stenosis ? Traditional answer: The diastolic BP remain unchanged. Only systolic BP falls as it is relat ... Read on »
Is there an entity called Ischemic RBBB ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health A 76 year old man with history of recent stroke presented with acute chest pain  and his ECG  showed , It was diagnosed as Anterior STEMI .Since he had co ... Read on »
Should we measure LV EF in the early hours of STEMI ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health LV ejection fraction (EF) is the most commonly used  LV systolic functional index.Since , it is an  easily acquired parameter,  it’s popularity has zoomed among both ... Read on »
ACE Inhibitors in CKD with CHF : Cardiologist proposes … Nephrologist disposes ! by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health I used to tell my students ,the relationship between the heart and kidney  is so close , it is never justified for  the  two departments of Nephrology and Cardiolog ... Read on »
Can we measure diastolic blood pressure by palpation ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Learned physicians will agree, BP recording by classical auscultatory   method  is  not always an  easy task ! Such an important clinical sign is left to the whi ... Read on »
TPA is fibrin specific . . . still result in more stroke than streptokinase , why ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health We know  streptokinase  is a non fibrin specific   agent that   results in systemic lytic state and hence more chance of bleeding. TPA is fibrin specific  and it ... Read on »
Needle to Balloon time (NBT) : A new paradoxical time window in STEMI ! by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Pharmaco Invasive approach (PIA)  is the new mantra in the management of ACS.It simply means the intention to do PCI   should always  be the  driving force in every ... Read on »
Failed thrombolysis in diabetes : What is the mechanism ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Diabetes mellitus is a pro-coagulant state,especially so in severe uncontrolled states.(1) This is mediated by increased  levels of   plasminogen  activator I ... Read on »
Air pollution joins the privileged coronary league ! by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Diabetes , smoking , hypertension , dyslipidemia are the  leading cause of cardiac morbidity and  mortality . Now air pollution the(  passive atmospheric smok ... Read on »