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How common is the combination of pannus and thrombus in prosthetic valve obstruction ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Prosthetic valve obstruction is becoming a common clinical issue .It can be either acute, sub-acute or chronic . The pathology is usually thrombus formation , scar t ... Read on »
Can mild Aortic stenosis trigger severe LV dysfunction ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Degenerative Aortic stenosis  of either normal or  congenitally bicuspid valve contributes to the major chunk of  aortic valve surgeries (AVR) and interventions (TAV ... Read on »
What are the 4 components of myocardial viability ? How will you test for it ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health An attempt is made to look for individual components of cell viability .See the table below. It is a generalized statement for understanding purpose only. Various im ... Read on »
Medical Ignorance : Just Ignore it . . . move on , lets live the moment ! by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health It is believed  (assumed ?), medical science is propelled by constant quest for knowledge and improvement in basic and clinical science that eventually would transfo ... Read on »
A Radial Trick : Strictly for advanced Interventional cardiologists ! by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Radial coronary interventions has become a global norm .Even complex procedures are being accomplished with ease adding on to the patient comfort and low risk for ac ... Read on »
A new marker and prognosticator for uremic LV dysfunction by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Heart and kidney work in tandem and share a close functional relationship  during health and disease.Progressive cardiac failure causes kidney function to deteriorat ... Read on »
When does an ATO become a CTO following a STEMI ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health STEMI occurs due to acute occlusion of a coronary artery  (ATO) which needs emergency opening at the earliest, ideally within  3 hours , or up to 12h . The opening s ... Read on »
What is the effect of Inspiration on JVP and blood pressure ? by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health That’s  normal . . . what happens during pathological states ? There are important diseases  that  restricts entry of blood into right heart chambers. They can ... Read on »
Physiological Interventricular de-synchrony : Right ventricle contracts like an Intestine ! by Dr. Sangareddi V. Medical Doctor Posted in: Blog Posts in Heart Health Right ventricle,being a venous chamber has distinct anatomical and physiological features to carry out this function.RV has a complex shape, its triangular in long a ... Read on »
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 »