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Today we're tackling the most lethal condition in acute cardiology: cardiogenic shock. A patient arrives in the emergency room grey, cold and confused, with a blood pressure of seventy and a failing heart. Despite all the advances of modern medicine, around four or five in every ten such patients still die in hospital. What can we do in the emergency room and the intensive coronary care unit to change that? What do the latest trials and guidelines tell us?
Guest: Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D., Senior Interventional Cardiologist, author, educator and founder of the Academy of Elite Doctors.
Host: Samantha
Cardiology Course FM is the station for doctors, students, nurses and everyone who looks after the heart.
Learn more:
• Cardiology books: https://cardiologybooks.com
• Mentorship with the Academy of Elite Doctors: https://academyofelitedoctors.com
• Online cardiology courses: https://cardiologycourse.com
• World Elite Doctors: https://worldelitedoctors.com
For medical education only. This episode is not a substitute for individual medical advice.
In our last episode, we talked about patients with chest pain and no significant blockages. Today we turn to the opposite situation, and one of the commonest in every cardiology clinic: the patient with proven, obstructive coronary artery disease — a known blockage, or a previous stent or bypass — who has only occasional symptoms. Maybe a little chest tightness when climbing stairs quickly, or during a brisk walk in the cold. Does every blockage need a stent? Which medicines really protect the patient? And how should we follow them over the years?
Guest: Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D., Senior Interventional Cardiologist, author, educator and founder of the Academy of Elite Doctors.
Host: Samantha
Cardiology Course FM is the station for doctors, students, nurses and everyone who looks after the heart.
Learn more:
• Cardiology books: https://cardiologybooks.com
• Mentorship with the Academy of Elite Doctors: https://academyofelitedoctors.com
• Online cardiology courses: https://cardiologycourse.com
• World Elite Doctors: https://worldelitedoctors.com
For medical education only. This episode is not a substitute for individual medical advice.
Today's topic is one of the most frustrating situations in cardiology — for patients and doctors alike. A patient has recurrent chest pain. The stress test is abnormal, or the symptoms are typical of angina. They have a coronary angiogram, and the report says: "No significant blockages" or "non-obstructive coronary artery disease". The patient is told everything is fine — and yet the pain keeps coming back. What's going on, and how should we manage it?
Guest: Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D., Senior Interventional Cardiologist, author, educator and founder of the Academy of Elite Doctors.
Host: Samantha
Cardiology Course FM is the station for doctors, students, nurses and everyone who looks after the heart.
Learn more:
• Cardiology books: https://cardiologybooks.com
• Mentorship with the Academy of Elite Doctors: https://academyofelitedoctors.com
• Online cardiology courses: https://cardiologycourse.com
• World Elite Doctors: https://worldelitedoctors.com
For medical education only. This episode is not a substitute for individual medical advice.
Today we're talking about a condition that walks into every outpatient clinic, every single day, and that is one of the biggest drivers of heart disease in the world: diabetes. In particular, the patient whose sugar just won't come under control. They're stable, they're not in an emergency, but their HbA1c is nine, ten, eleven percent, visit after visit. How should the doctor approach them? Which medicines should be used, how do they work, and what side effects should we watch for?
Guest: Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D., Senior Interventional Cardiologist, author, educator and founder of the Academy of Elite Doctors.
Host: Samantha
Cardiology Course FM is the station for doctors, students, nurses and everyone who looks after the heart.
Learn more:
• Cardiology books: https://cardiologybooks.com
• Mentorship with the Academy of Elite Doctors: https://academyofelitedoctors.com
• Online cardiology courses: https://cardiologycourse.com
• World Elite Doctors: https://worldelitedoctors.com
For medical education only. This episode is not a substitute for individual medical advice.
Today we're talking about cardiac arrhythmias — one of the commonest reasons patients come to the doctor, and one of the commonest reasons for anxiety among doctors themselves. Palpitations, skipped beats, a racing heart, a slow pulse, fainting. Some of these are completely harmless. Others can cause sudden death. How do we tell the difference? How do we diagnose them, and how do we treat them — both in the emergency room and over a lifetime?
Guest: Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D., Senior Interventional Cardiologist, author, educator and founder of the Academy of Elite Doctors.
Host: Samantha
Cardiology Course FM is the station for doctors, students, nurses and everyone who looks after the heart.
Learn more:
• Cardiology books: https://cardiologybooks.com
• Mentorship with the Academy of Elite Doctors: https://academyofelitedoctors.com
• Online cardiology courses: https://cardiologycourse.com
• World Elite Doctors: https://worldelitedoctors.com
For medical education only. This episode is not a substitute for individual medical advice.
In our last episode we talked about complications in the cath lab. Today we go deeper into the most demanding situations of all — high-risk angioplasty. The elderly patient with a weak heart and left main disease. The diabetic patient with three-vessel disease who has been turned down for surgery. The patient whose last remaining artery is now narrowing. How do expert operators make these procedures safe, and above all, how do they prevent death?
Guest: Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D., Senior Interventional Cardiologist, author, educator and founder of the Academy of Elite Doctors.
Host: Samantha
Cardiology Course FM is the station for doctors, students, nurses and everyone who looks after the heart.
Learn more:
• Cardiology books: https://cardiologybooks.com
• Mentorship with the Academy of Elite Doctors: https://academyofelitedoctors.com
• Online cardiology courses: https://cardiologycourse.com
• World Elite Doctors: https://worldelitedoctors.com
For medical education only. This episode is not a substitute for individual medical advice.
Today we step inside the catheterisation laboratory — the place where modern cardiology saves lives every hour of every day, and also the place where things can go wrong in seconds. How do expert operators prevent complications? And when a complication does happen — a perforation, a dissection, a sudden drop in blood pressure — what do they do in the first minute?
Guest: Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D., Senior Interventional Cardiologist, author, educator and founder of the Academy of Elite Doctors.
Host: Samantha
Cardiology Course FM is the station for doctors, students, nurses and everyone who looks after the heart.
Learn more:
• Cardiology books: https://cardiologybooks.com
• Mentorship with the Academy of Elite Doctors: https://academyofelitedoctors.com
• Online cardiology courses: https://cardiologycourse.com
• World Elite Doctors: https://worldelitedoctors.com
For medical education only. This episode is not a substitute for individual medical advice.
Today's episode is about the moments every clinician remembers for the rest of their life: cardiac emergencies. The cardiac arrest in the ward at three in the morning. The young man with a heart attack in a small hospital far from a catheterisation laboratory. The patient whose blood pressure suddenly falls after a procedure. How should we face these moments — calmly, safely, and in a way that gives the patient the best chance of life?
Guest: Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D., Senior Interventional Cardiologist, author, educator and founder of the Academy of Elite Doctors.
Host: Samantha
Cardiology Course FM is the station for doctors, students, nurses and everyone who looks after the heart.
Learn more:
• Cardiology books: https://cardiologybooks.com
• Mentorship with the Academy of Elite Doctors: https://academyofelitedoctors.com
• Online cardiology courses: https://cardiologycourse.com
• World Elite Doctors: https://worldelitedoctors.com
For medical education only. This episode is not a substitute for individual medical advice.
In an earlier episode, we learned how to turn echocardiography values into clinical decisions. Today we look at the other side of the coin — what goes wrong. Where do mistakes happen when an echo is performed, when it's interpreted, and when it's reported? And how do we prevent them?
Guest: Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D., Senior Interventional Cardiologist, author, educator and founder of the Academy of Elite Doctors.
Host: Samantha
Cardiology Course FM is the station for doctors, students, nurses and everyone who looks after the heart.
Learn more:
• Cardiology books: https://cardiologybooks.com
• Mentorship with the Academy of Elite Doctors: https://academyofelitedoctors.com
• Online cardiology courses: https://cardiologycourse.com
• World Elite Doctors: https://worldelitedoctors.com
For medical education only. This episode is not a substitute for individual medical advice.
In our very first episode, we learned a systematic way to read an ECG. Today we go one step further, into the traps. Why do even experienced doctors misread ECGs? Which mistakes happen most often — in recording, in interpretation, and in the way we think? And how should an ECG be taken properly in a busy outpatient clinic?
Guest: Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D., Senior Interventional Cardiologist, author, educator and founder of the Academy of Elite Doctors.
Host: Samantha
Cardiology Course FM is the station for doctors, students, nurses and everyone who looks after the heart.
Learn more:
• Cardiology books: https://cardiologybooks.com
• Mentorship with the Academy of Elite Doctors: https://academyofelitedoctors.com
• Online cardiology courses: https://cardiologycourse.com
• World Elite Doctors: https://worldelitedoctors.com
For medical education only. This episode is not a substitute for individual medical advice.
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