Cardiac Emergencies Perspective

 
 
  • ECG Challenge: A Post–Cardiac Arrest Pattern As part of his recovery from cardiac arrest, a 69-year-old man is put under a cooling blanket. See if you can spot a signature wave on his ECG.
  • Heart Doc Writes About His 'Front-Row Seat' in Medicine   Cardiologist Haider Warraich discusses his prolific writing career in this episode of Medscape One-on-One with Eric Topol.
  • Mandrola's Top 10 Cardiology Stories of 2019 It's probably no surprise that ISCHEMIA and the EXCEL controversy make John Mandrola's annual list for 2019. He also found good news in heart failure and has words of caution for TAVR expansion.
  • Cardiology 2019: Top Trials in Review   'It's like we're in the '90s again.' Drs Gibson and Harrington review top cardiology trials on revascularization, lipid management, and antithrombotics in part 1 of their annual wrap-up.
  • AI May Help Doctors Be Doctors (and Better Ones, Too)   Cardiologists and bioengineers work together at the Mayo Clinic to develop new innovations in artificial intelligence.
  • Impella vs IABP: Urgent Need for RCT   An RCT data void on Impella vs intra-aortic balloon pump led to two observational studies at AHA showing worse outcomes for Impella. John Mandrola asks the investigators from one study, 'What now?'
  • Chronic Heart Failure: Looks Can Be Deceiving   Heart failure specialists discuss factors that contribute to adverse outcomes in their patients, including mechanisms that underlie the condition.
  • John Spertus, MD, on the Practice-Changing ISCHEMIA Trial   The ISCHEMIA investigator discusses the implications of the gasp-inducing trial comparing an invasive vs conservative medical therapy strategy in patents with stable ischemic heart disease.
  • AHA 2019 Signal of Harm From Impella Has an Easy Answer Two independent observational studies find worse outcomes with the Impella device compared with intra-aortic balloon pump. The time for a randomized controlled trial is now, says John Mandrola, MD.
  • AHA 2019 The ISCHEMIA Trial -- Cardiology Changes Today The AHA late-breaking trial comparing an invasive vs medical strategy for patients with stable ischemic disease validates Nobel prize-winning medical conservative Bernard Lown, writes John Mandrola, MD.
  • From Cow Manure to Sucking Venom: Snakebite Treatment Myths   Drs Robert Glatter and Benjamin Abo discuss how to properly treat snakebites, and whether the development of a universal antivenom is possible.
  • Why This Cardiologist Trained in Critical Care Medicine   Michelle O'Donoghue and Erin Bohula discuss issues in critical care cardiology, such as challenges for trainees and the need for more research to strengthen the lacking evidence base.
  • Not so Fast: How to Avoid Bias Toward Stents in Managing SIHD Channeling Daniel Kahneman's 'Thinking, Fast and Slow,' Dr Jaya Mallidi warns that inherent biases and system 1 thinking, may exaggerate the benefit of stents in SIHD and corrupt shared decision-making.
  • Epinephrine in Cardiac Arrest: Answers or Just More Questions? Dr Amal Mattu asks the question: does a recent study in NEJM resolve the controversy on the use of epinephrine in out-of-hospital cardiac arrest?
  • ESC 2019 Terrorism and Mass Casualty: All Specialties Should Prepare When did you last tie a tourniquet? Melissa Walton-Shirley learns that in the event of a mass casualty attack, anyone may be called upon to be a first responder.
  • Chronic Heart Failure: The Myth of the Stable Patient   Cardiologists discuss persistent hospitalization rates and mortality among heart failure patients, despite treatment advances.
  • Memories of Hahnemann Hospital and an Unforgettable Patient News of the Philadelphia hospital's closing got Dr Andrew Wilner thinking of the crucial role it played in his education, and the strange case of one 'Mr Green.'
  • Is Cardiology Overly Enamored of New Unproven Therapies? A review of many cases where study data reversed a common medical practice highlights the need to be slow to embrace unproven therapies and faster to de-adopt ineffective ones, says John Mandrola, MD.
  • Top 5 Pitfalls in Managing Shock Dr Amal Mattu describes the most classic and common pitfalls when treating patients in shock in the ED.
  • Just Say No to the ICD in Patients With Kidney Disease Little evidence supports the use of ICDs in patients with kidney disease. A bold new study in patients on dialysis suggests that the devices should be avoided. John Mandrola, MD, weighs in.