Fibrinolytic agents should be given with 30 minutes of arrival to non-PCI capable hospital where transport to PCI capable hospital is not possible or has delay beyond 120 minutes Current recommended regimen is tPA 15 mg bolus followed by 50 mg Intravenously over 30 minutes and 35 mg over the next 30 minutes. In contrast tenecteplaseRead More
#NEETPG #INICET #FMGE 2 min read You have a patient on central Line in ICU who deteriorates suddenly with crashing of BP due to large of amount of air entering right side of the heart. The large air bubbles will crowd and occlude the flow of blood into pulmonary artery. This leads to crashing of BP.Read More
#CausesofTricuspid #TricuspidRegurgitation #TricuspidPrevent Causes of Tricuspid Regurgitation Mnemonic: Functional REP-C Functional dilatation of tricuspid annulus due to RVF R: Rheumatic heart disease, Radiation E: Endomyocardial fibroelastosis and Ebstein anomaly (Lithium teratogenicity) P: Pulmonary artery hypertension severe causing RVF P: Pacing lead induced damage C: Carcinoid syndrome Clinical features Effort intolerance due to less pulmonary bloodRead More
Tricuspid stenosis Key pick up points – Large a waves in JVP – Blunted Y descent in JVP – Mid-diastolic murmur – Pulsations in liver Tricuspid stenosis can coexist with mitral stenosis and usually manifests after the Percutaneous mitral valvotomy has been done. Patient will develop features of right sided heart failure. Symptoms Ankle edema AbdominalRead More
#NEETPG #FMGE #INICET Criteria used for diagnosis are NADAS criteria Major Criteria Blue baby with noise in heart is having failure Cyanosis due to R- L shunting. It is central cyanosis non-responsive to oxygen administration Diastolic murmur Systolic murmur grade III or more Congestive heart failure due to L-R to shunting that causes overloading of lungRead More
#NEETPG #FMG #INICET 1 min read Sudden cardiac death is defined as death occurring within 1 hour of the onset of cardiac symptoms or 24 hours of last being seen healthy and alive. Men are at higher risk. Leading cause if Coronary artery disease Differences in physical finding in Sudden cardiac arrest vs Myocardial ischemiaRead More
#NEETPG #FMGE #INICET #COPD 1 minute read Long term oxygen therapy is the only pharmacological intervention that is demonstrated to reduce mortality in patients of Chronic obstructive lung disease. So here is a quick look at indications for LTOT @1L/min for 15 hours per day. Resting sp02 of less than 88% or p02< 55 mm HgRead More
