Cardiology online

Cardiology online MBBS ✅
MCPS ✅
FCPS 2 Cardiology ✅
Registrar Cardiology

31/01/2026

In pa­tients with a BAV with in­di­ca­tions for SAVR and a di­am­e­ter of the aor­tic si­nus­es or as­cend­ing aor­ta ≥4.5 cm, re­place­ment of the aor­tic si­nus­es and/​or as­cend­ing aor­ta is rea­son­able if the surgery is per­formed at a Com­pre­hen­sive Valve Cen­ter.

31/01/2026

In asymp­tomat­ic pa­tients with a BAV, a di­am­e­ter of the aor­tic si­nus­es or as­cend­ing aor­ta of 5.0 to 5.5 cm, and an ad­di­tion­al risk fac­tor for dis­sec­tion (e.g., fam­i­ly his­to­ry of aor­tic dis­sec­tion, aor­tic growth rate >0.5 cm per year, aor­tic coarc­ta­tion), op­er­a­tive in­ter­ven­tion to re­pair or re­place the aor­tic si­nus­es and/​or the as­cend­ing aor­ta is rea­son­able if the surgery is per­formed at a Com­pre­hen­sive Valve Cen­ter.

31/01/2026

In asymp­tomat­ic or symp­tomat­ic pa­tients with a BAV and a di­am­e­ter of the aor­tic si­nus­es or as­cend­ing aor­ta >5.5 cm, op­er­a­tive in­ter­ven­tion to re­pair or re­place the aor­tic si­nus­es and/​or the as­cend­ing aor­ta is rec­om­mend­ed.

28/01/2026

In se­lect­ed pa­tients with SIHD and sig­nif­i­cant left main steno­sis for whom PCI can pro­vide equiv­a­lent revas­cu­lar­iza­tion to that pos­si­ble with CABG, PCI is rea­son­able to im­prove sur­vival.

27/01/2026

🧠 Acute Ischemic Stroke: Key Updates
in 2026 AHA/ASA Guidelines🧠✨

💉 Tenecteplase endorsed (TNK 0.25 mg/kg or Alteplase)

TNK at 0.25 mg/kg (max 25 mg) is now fully equivalent to alteplase for IV thrombolysis. It’s single bolus, faster to give, fewer errors, and ideal for drip-and-ship or MSU use. Evidence shows similar or better reperfusion and outcomes.

🚫 TNK 0.4 mg/kg NOT recommended

Higher-dose TNK does not improve outcomes and increases bleeding risk, especially intracranial hemorrhage. Therefore, it is Class 3 (No Benefit).

🚑 Mobile Stroke Units (MSU)

MSUs allow CT scan + labs + IV thrombolysis in the field, reducing door-to-needle time dramatically. Where available, they improve functional outcomes, hence strongly recommended.

🩸 Post-EVT BP

Effects of Congestive Heart Failure
26/01/2026

Effects of Congestive Heart Failure

Allen's: Test for patency of ulnar artery primarily prior to placing a radial arterial line or performing ABG's - Occlud...
26/01/2026

Allen's: Test for patency of ulnar artery primarily prior to placing a radial arterial line or performing ABG's - Occlude both arteries --> patient opens/closes fist --> release ulnar a. occlusion and assess color return; 30% of population has complete radial artery dominance.

What is the diagnosis ⁉️
26/01/2026

What is the diagnosis ⁉️

What is the diagnosis?!
26/01/2026

What is the diagnosis?!

What’s the diagnoses ??
26/01/2026

What’s the diagnoses ??

The Cardio Pocket Diary is an excellent pocket ECG reference card that gives a quick, high yield overview of the most co...
26/01/2026

The Cardio Pocket Diary is an excellent pocket ECG reference card that gives a quick, high yield overview of the most common ECG patterns students and trainees need to recognize fast.

It covers AV blocks (1st degree, Mobitz I, Mobitz II, complete heart block), atrial enlargement, ventricular hypertrophy, and key conditions like pericarditis and cardiomyopathy.

It also highlights classic electrolyte and medication related changes (hypo/hyperkalemia, hypo/hypercalcemia, digitalis effects) plus essential ischemia and MI concepts including ST depression patterns, infarct stages, reciprocal leads, and infarct localization.

This is a perfect learning tool because it simplifies complex ECG interpretation into clear visual patterns that can be reviewed repeatedly, especially during busy clinical rotations.

AI can elevate this even further by turning ECG education into interactive learning with rapid practice, instant feedback, and guided explanations, while also supporting clinicians by helping detect high risk patterns earlier and improving patient safety.

Anomalous Origin of the Right Coronary Artery (RCA)originating from the ascending aorta at the level of the sinotubular ...
26/01/2026

Anomalous Origin of the Right Coronary Artery (RCA)
originating from the ascending aorta at the level of the sinotubular junction (STJ), above the left coronary sinus (LCS), With interarterial intramural malignant course.

CT Coronary Angiography was performed for a 45-year-old female patient.

Heart rate : 75 bpm

Weight: 68.5 kg
Height: 160 cm

Contrast Protocol (Bolus Tracking):
Injection flow rate: 5 mL/s
Total contrast volume: 70 mL
Contrast concentration: 370
Followed by 50 mL saline flush

Scanner: Siemens SOMATOM Definition Flash

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Peshawar

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