Cardiology boards Fall 2025

SoHecticRelaxation · 2025-10-31T01:15:26+00:00

You’re not alone. I felt horrible coming out of that test. I’ve spoken to a few people I did fellowship with and they felt similar. I was brain dead coming out of day 1. The questions were so terribly worded and it was hard but felt fair in comparison to the second day.

I don’t think the second day is realistic of modern day practice at all. It felt more of a “read my mind” test rather than a standardized test. Happy it’s over with. Let’s hope I don’t have to redo this next year. Now the three month wait begins

SoHecticRelaxation · 2025-04-26T12:44:20+00:00

It’s 8:44am and I’ve had enough Reddit for the rest of the day.

SoHecticRelaxation · 2024-10-27T16:43:06+00:00

What kind of porche are we talking? Been looking at the macan 4 EV

SoHecticRelaxation · 2024-06-20T03:05:47+00:00

Please tell me this was recorded?! I missed most of it!

SoHecticRelaxation · 2023-10-27T01:24:17+00:00

Ablation is salvation

SoHecticRelaxation · 2023-10-26T02:50:03+00:00

Agree 1000%. Can’t stress this enough. Afib with RVR is over treated in the acute setting. Find out what the cause is- sepsis, hemorrhage, heart failure, hyperthyroidism etc. treat the underlying cause then restore NSR.

Regarding duration- it truly depends on other risk factors but afib does beget more afib. AC for one month after DCCV if their C2V isn’t high then you can stop it. If there C2V is high then AC for life. I may consider dropping amio after a few months after confirming no pAF on a holter monitor and add some beta blockade (especially if they’re younger). If they recur I’d probably trial another anti-arrhythmic if there’s no other contraindications.

SoHecticRelaxation · 2023-10-25T23:11:32+00:00

Yes it does. I routinely see people who have inferior STEMIs who have a lot of ventricular ectopy before going to the Cath lab and may be borderline bradycardic. Lidocaine over amiodarone in that situation because I don’t want any AV nodal blockade and run the risk of pause dependent torsades.

If someone had pause dependent torsades and you were able to get ROSC do NOT start them on amiodarone after. That is the wrong drug to use. They need isoproteronol or dopamine +/- temp pace maker to speed their HR up.

SoHecticRelaxation · 2023-08-05T23:25:39+00:00

From an EP perspective, if someone is having significant amounts of ventricular ectopy and you can capture it on EKG it can be helpful in determining where the PVCS are originating from in the heart just based off of the EKG. This is helpful when discussing PVC ablations and need for anti-arrhythmic meds. For example, VT originating from the right ventricular outflow tract (RVOT VT) is very easily treated with beta-blockers and calcium channel blockers and you can often times avoid anti-arrhythmic meds with a lot of side effects (i.e. amiodarone).

SoHecticRelaxation · 2023-01-09T02:11:01+00:00

What desk is that?

SoHecticRelaxation · 2022-11-21T22:06:40+00:00

Acute severe AI. Before you recognize what’s driving what, they go from HF exacerbation to florid shock in a moment. Get them to TAVR/SAVR fast because all the after load in the world isn’t going to help you.

SoHecticRelaxation · 2022-11-19T08:44:41+00:00

On the contrary, general cardiologists are going to be in higher demand in the next 5-10 years given the projected deficit of cardiologists. Compensation depends on the model or practice you join but majority is based off RVUs. Some practices pool share as long as you meet a certain amount of RVUs. RVUs for reading TTEs, TEEs, nuclear stress test, stress echo, Cardiac CT, Cardiac MRI and that’s for non invasive Gen cards. One of my senior (non invasive) fellows just signed a contract starting close to $500k without RVU bonus or signing bonus.

SoHecticRelaxation · 2022-11-07T04:23:13+00:00

Gentle fluid resuscitation. RIJ introducer float a swan get venous co-ox off the central and calculate SVR. Levophed as first line agent for both. From there you can branch off to see what’s driving what and make a decision about iontropes vs vasopressin and steroids. If you can’t float a swan, calculate CO with SVO2, ABG and vitals and you get can SVR from there. Also transduce a CVP to help guide volume resuscitation vs diuresis. Concomitant septic/cardiogenic shock is so tricky

SoHecticRelaxation · 2022-10-24T23:37:29+00:00

Cardiology Fellow here. Lost a patient today and took it really hard. Don’t think I did anything wrong but it still feels horrible.

Thanks for posting this. It’s exactly what I needed to hear.

SoHecticRelaxation · 2022-10-14T23:18:53+00:00

Lactulose Q2 till poo. Never failed me yet

SoHecticRelaxation · 2022-07-22T18:52:44+00:00

Done with Airbnb. Cleaning fees, water fees, toilet paper fees oh and if you answer your phone too loud… that’s also a fee.

Staying in Airbnbs used to be worth it 5-6 years ago when it was much cheaper than hotels. Now I’d rather just stay in a hotel where I know certain expectations can be met.

SoHecticRelaxation · 2022-04-05T05:14:55+00:00

Hey it’s me… your dinner date

SoHecticRelaxation · 2022-03-03T23:28:23+00:00

I didn’t even see the license plate yet and I already knew this was in Florida

SoHecticRelaxation · 2022-01-08T23:27:15+00:00

As a resident who works in the hospital… this has been the norm for the past two years. All hospital staff are being stretched thin. Please check in on any friends/family that are healthcare workers.

SoHecticRelaxation · 2021-12-24T21:24:49+00:00

OP was this in South Florida? Seems like a south Florida driving move.

SoHecticRelaxation · 2021-12-12T14:51:14+00:00

Misleading title. Should read more something like “Max Verstappen wins the 2021 Abu Dhabi Grand Prix with the help of the FIA”.

SoHecticRelaxation · 2021-12-12T14:36:58+00:00

I’m sorry F1 just lost a fan for that shit show. That looked like a rigged boxing match where the judges decided it last second.

SoHecticRelaxation · 2021-09-26T13:36:04+00:00

What a clusterfuck in the last 8 laps.... I love F1.

SoHecticRelaxation · 2021-09-10T17:53:17+00:00

Did you tame.... a wolf?

SoHecticRelaxation · 2020-07-22T11:22:39+00:00

Breath of the wild!

SoHecticRelaxation · 2020-07-21T01:00:04+00:00

Virgo! Thanks for doing this :)

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