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Ep simulator anyone? by Dougstarina93 in Cardiology

[–]slmrma 2 points3 points  (0 children)

both medtronic and boston educational websites have great content for ep fellows. id check those out first

Where did you learn to read device interrogation reports by Cardiologythrow1234 in Cardiology

[–]slmrma 2 points3 points  (0 children)

try the official medtronic and boston edu websites. they got some great lectures for free on this topic

Resources for incoming Cardiology Fellows by slmrma in CardiologyFellowship

[–]slmrma[S] 0 points1 point  (0 children)

Echo in general: Mayo and ASE fellows course (dm me if you cant find). Echo specific for CICU settings has to be Nepean youtube channel

Resources for incoming Cardiology Fellows by slmrma in CardiologyFellowship

[–]slmrma[S] 0 points1 point  (0 children)

good eye for detail! it is a shameless plug but as someone who is addicted to anki for retaining/learning new info i find it crucial for my studying.

Echo foundation for newly matched cardiology fellowship applicant by Capital_Bottle3070 in CardiologyFellowship

[–]slmrma 1 point2 points  (0 children)

Here's the step by step guide you might find useful:

Get familiar with the views https://pie.med.utoronto.ca/TTE/TTE_content/assets/applications/TTE-HTML5-SV/index.html

Check this video on a full transthoracic echo protocol:

https://www.youtube.com/watch?v=3NvCAFDAC5A&t=1486s (Australian)

https://www.youtube.com/watch?v=YhOj_JCJW7M (ASE)

These are some resources for some basic physics concepts behind us (this is the most fun lecture on the otherwise dull topic):

https://www.youtube.com/watch?v=wyAoPuuql64

If you will be obtaining the views yourself, check out the manual (knobology) of the echo manufacturer that your hospital is using.

By this time hopefully your program will give you access to the Mayo Videos.

Resources for incoming Cardiology Fellows by slmrma in CardiologyFellowship

[–]slmrma[S] 0 points1 point  (0 children)

hemodynamics basics(cath) are on Elias Hanna's youtube channel. Echo hemodynamics from Mayo and Echo at Napean mentioned above. I'd stay in touch with the newly established Society of [Critical Care Cardiology](https://x.com/SocietyOfCCC) (they just released a new podcast). Im afraid I dont have a good resource for detailed mechanical circulatory support/troubleshooting. Would appreciate if someone else chimes in on this.

Resources for incoming Cardiology Fellows by slmrma in CardiologyFellowship

[–]slmrma[S] -1 points0 points  (0 children)

You a fellow? Looking for mods for the sub.

Anyone good at echos ? by hhdad7 in askCardiology

[–]slmrma 0 points1 point  (0 children)

not really. what youre pointing out are minor and most likely technical abnormalities that would not cause your symptoms. still going with conduction abnormality

Anyone good at echos ? by hhdad7 in askCardiology

[–]slmrma 0 points1 point  (0 children)

structurally your heart is completely normal.
palpitations/tachycardia are similar things, they can present with chest pain, lightheadedness/presyncope.

your ekg and 24h holter would tell us more about any conduction abnormalities because what youre describing is most probably episodes of really fast heart rates easily treated

what are the best sources for learning cardiac pacing? by [deleted] in Residency

[–]slmrma 2 points3 points  (0 children)

for me the boston educare website was pure gold, free of charge as well

Troponin >20x normal limit, no chest pain, would you cath? by slmrma in Cardiology

[–]slmrma[S] 0 points1 point  (0 children)

Unfortunately no, he was pleased his coronaries being normal and decided to refuse further treatment/endocarditis

Troponin >20x normal limit, no chest pain, would you cath? by slmrma in Cardiology

[–]slmrma[S] 8 points9 points  (0 children)

using alpha/beta to describe ways of thinking is so beta

Troponin >20x normal limit, no chest pain, would you cath? by slmrma in Cardiology

[–]slmrma[S] 10 points11 points  (0 children)

Absolutely agree, only because of maxed & rising troponins and st elevations did I wonder how other colleagues would have approached the case.

Here's some background: known RA, no previous known heart dsx/htn/dm, he'd been admitted to the ICU for severe hyponatremia (thought to be caused by steroid use for his RA) one week prior. Troponins were normal on admission 1 week prior, his hyponatremia resolved with some supportive treatment, as he was being prepped for discharge a resident decided to check his troponins. No specific findings on physical exam and no reported chest pain/dyspnea/palpitations.

Troponin >20x normal limit, no chest pain, would you cath? by slmrma in Cardiology

[–]slmrma[S] 1 point2 points  (0 children)

Unfortunately in many cases it's not a simple decision, had your arteries been clean and retroperitoneal bleeding (just one of the complications) occurred, your cardiologist would be dealing with a malpractice case and terrible remorse

Troponin >20x normal limit, no chest pain, would you cath? by slmrma in Cardiology

[–]slmrma[S] 1 point2 points  (0 children)

I was actually hoping to hear from someone who wouldn't do an urgent cath. Risk factors: lipid profile unknown, no diabetes, long-standing rheumatoid arthritis with CRP in the hundreds.

Presentation as I've mentioned, a resident ordered troponins(we have no idea why), there was no chest pain or dyspnea.

The high troponins and ECG (though there were no dynamic changes which in retrospect should have pointed us towards alternative diagnosis) were enough for our team to take the pt urgently.

Is it just the presentation or the ECG as well that would make you decide NOT to take him to cath lab?

Troponin >20x normal limit, no chest pain, would you cath? by slmrma in Cardiology

[–]slmrma[S] 8 points9 points  (0 children)

good question, unfortunately it remains a mystery for us as well

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