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What is a Cardiologist?

A cardiologist is a doctor with special training and skill in finding, treating and preventing diseases of the heart and blood vessels.

When should you see a cardiologist?

If your general medical doctor feels that you might have a significant heart or related condition, he or she will often call on a cardiologist for help. Symptoms like shortness of breath, chest pains, or dizzy spells often require special testing. Sometimes heart murmurs or ECG changes need the evaluation of a cardiologist. Cardiologists help victims of heart disease return to a full and useful life and also counsel patients about the risks and prevention of heart disease. Most importantly, cardiologists are involved in the treatment of heart failure, and serious heart rhythm disturbances. Their skills and training are required whenever decisions are made about procedures such as cardiac catheterization, balloon angioplasty, or heart surgery.

What does a cardiologist do?

Each patient's case is unique.
Cardiology, or the discipline of medicine that specializes in heart disease, is a complex and sophisticated field. Three types of cardiologist medical specialists care for your heart.

A cardiologist is a medical specialist in finding, treating, and preventing diseases of the heart and blood vessels in adults.
A pediatric cardiologist is a medical specialist in finding, treating, and preventing heart and blood vessel disease in infants, children, and teenagers. In some cases, the pediatric cardiologist begins diagnosis and treatment in the fetus and continues into adulthood.
A cardiac surgeon is a medical specialist with special training and skills to perform delicate operations on the heart, blood vessels, and lungs.

What training is required to become a cardiologist?

Cardiology is an internal medicine subspecialty that focuses on the diagnosis and treatment of health problems related to the heart, arteries and veins that comprise the cardiovascular system. Cardiologists work in clinics and hospitals where they assess and treat patients. They may work with patients who have diseases or conditions such as hypertension, pulmonary embolisms, congenital heart disease, arrhythmias, and vascular disease. They may provide emergency care for those suffering heart attacks. And they are also involved when patients undergo hearty surgery or cardiac transplants.

Duties & Tasks

Daily duties and tasks for a cardiologist include:


Assessing patients and recommending treatment plans
Reading and completing medical records
Treating patients in an emergency setting
Consulting with doctors and other health care professionals
Advising patients on healthy lifestyles and proper cardio care
Using equipment and technology such as magnetic resonance and tomography machines to diagnose health problems and administer treatments
Instructing patients on proper use of medications and possible side effects

Areas studied include:
Cardiac catheterization
Echocardiography
Nuclear cardiology
Electrophysiology, and pacemakers
Postoperative care of cardiac surgery patients
Emergency room care
Cardiovascular anatomy
Cardiovascular physiology
Cardiovascular metabolism
Molecular biology of the cardiovascular system
Cardiovascular pharmacology
Epidemiology
Biostatistics
Cardiovascular pathology

Do All Cardiologists Perform Cardiac Catheterizations?

No. Many cardiologists are specially trained in this technique, but others specialize in office diagnosis, the performance and interpretation of echocardiograms, ECGs, and exercise tests. Still others have special skill in cholesterol management or cardiac rehabilitation and fitness. All cardiologists know how and when these tests are needed and how to manage cardiac emergencies.

How Does the Cardiologist Work with Other Doctors in My Care?

A cardiologist usually serves as a consultant to other doctors. Your physician may recommend a cardiologist or you may choose one yourself. As your cardiac care proceeds, your cardiologist will guide your care and plan tests and treatment with the doctors and nurses who are looking after you.

Where Do Cardiologists Work?

Many cardiologists with special teaching interests work in universities where their duties also include research and patient care.
What are cardiology medical emergencies?
How should you do a quick assessment, diagnosis, and treatment of a person reported as a cardiology medical emergency?
Here are further guidelines.
Palpitations

What is the normal heartbeat?
What are symptoms of arrhythmias?
What are the causes of arrhythmias?
How are palpitations evaluated?
How are palpitations managed?
HEART DISEASE
    Angina (Coronary artery disease)
    Arrhythmias / dysrhythmias -(irregular heartbeats)
    Cardiomyopathies (problems with heart muscle)
    Congestive Heart Failure
    Congenital Heart Disease (defects present at birth)
    Heart Murmurs
    Myocardial Infarction (heart attack)
    Valvular Heart Disease - including mitral valve conditions
DISEASE OF BLOOD VESSELS (Arteries and Veins)
    Arterial Disorders

    Aneurysms (abnormal stretching of blood vessels ) Hypertension (high blood pressure)
    Stroke (Brain Attack)
    Venous Disorders
    Deep Venous Thrombosis (DVT)- deep blood clots in the legs
    Varicose Veins
Symptoms of Coronary Artery Disease

The most common symptom of coronary artery disease is angina, or chest pain. Angina can be described as a discomfort, heaviness, pressure, aching, burning, fullness, squeezing, or painful feeling in your chest. It can be mistaken for indigestion or heartburn. Angina is usually felt in the chest, but may also be felt in the shoulders, arms, neck, throat, jaw, or back.

Other symptoms of coronary artery disease include:

* Shortness of breath
* Palpitations (irregular heart beats, skipped beats, or a "flip-flop" feeling in your chest)
* A faster heartbeat
* Weakness or dizziness
* Nausea
* Sweating

Symptoms of a Heart Attack (Myocardial Infarction or MI)

Symptoms of a heart attack can include:

* Discomfort, pressure, heaviness, or pain in the chest, arm, or below the breastbone

* Discomfort radiating to the back, jaw, throat, or arm

* Fullness, indigestion, or choking feeling (may feel like heartburn)

* Sweating, nausea, vomiting, or dizziness

* Extreme weakness, anxiety, or shortness of breath

* Rapid or irregular heartbeats

During a heart attack, symptoms typically last 30 minutes or longer and are not relieved by rest or oral medications (medications taken by mouth). Initial symptoms can start as a mild discomfort that progresses to significant pain.

Some people have a heart attack without having any symptoms (a "silent" MI). A silent MI can occur among all people, though it occurs more often among diabetics.

If you think you are having a heart attack, DO NOT DELAY. Call for emergency help (dial 911 in most areas). Immediate treatment of a heart attack is very important to lessen the amount of damage to your heart.

Symptoms of Arrhythmias

When symptoms of arrhythmias, or an abnormal heart rhythm, are present, they may include:

* Palpitations (a feeling of skipped heart beats, fluttering or "flip-flops," or feeling that your heart is "running away").

* Pounding in your chest.

* Dizziness or feeling light-headed.

* Fainting.

* Shortness of breath.

* Chest discomfort.

* Weakness or fatigue (feeling very tired).

Symptoms of Atrial Fibrillation

Atrial fibrillation (AF) is a type of arrhythmia. Most people with AF experience one or more of the following symptoms:

* Heart palpitations (a sudden pounding, fluttering, or racing feeling in the heart).

* Lack of energy; tired.

* Dizziness (feeling faint or light-headed).

* Chest discomfort (pain, pressure, or discomfort in the chest).

* Shortness of breath (difficulty breathing during activities of daily living).

Some patients with atrial fibrillation have no symptoms. Sometimes these episodes are briefer.

Symptoms of Heart Valve Disease

Symptoms of h eart valve disease can include:

* Shortness of breath and/or difficulty catching your breath. You may notice this most when you are active (doing your normal daily activities) or when you lie down flat in bed.

* Weakness or dizziness.

* Discomfort in your chest. You may feel a pressure or weight in your chest with activity or when going out in cold air.

* Palpitations (this may feel like a rapid heart rhythm, irregular heartbeat, skipped beats, or a flip-flop feeling in your chest).

If valve disease causes heart failure, symptoms may include:

* Swelling of your ankles or feet. Swelling may also occur in your abdomen, which may cause you to feel bloated.

* Quick weight gain (a weight gain of two or three pounds in one day is possible).

Symptoms of heart valve disease do not always relate to the seriousness of your condition. You may have no symptoms at all and have severe valve disease, requiring prompt treatment. Or, as with mitral valve prolapse, you may have severe symptoms, yet tests may show minor valve disease.

Symptoms of Heart Failure

Symptoms of heart failure can include:

* Shortness of breath noted during activity (most commonly) or at rest, especially when you lie down flat in bed.

* Cough that is productive of a white mucus.

* Quick weight gain (a weight gain of two or three pounds in one day is possible).

* Swelling in ankles, legs, and abdomen.

* Dizziness.

* Fatigue and weakness.

* Rapid or irregular heartbeats.

* Other symptoms include nausea, palpitations, and chest pain.

Like valve disease, heart failure symptoms may not be related to how weak your heart is. You may have many symptoms, but your heart function may be only mildly weakened. Or you may have a severely damaged heart, with little or no symptoms.

Symptoms of Congenital Heart Defects

Congenital heart defects may be diagnosed before birth, right after birth, during childhood, or not until adulthood. It is possible to have a defect and no symptoms at all. Sometimes it can be diagnosed because of a heart murmur on physical exam or an abnormal EKG or chest X-ray in someone with no symptoms.

In adults, if symptoms of congenital heart disease are present, they may include:

* Shortness of breath.

* Limited ability to exercise.

* Symptoms of heart failure (see above) or valve disease (see above).

Congenital Heart Defects in Infants and Children

Symptoms of congenital heart defects in infants and children may include:

* Cyanosis (a bluish tint to the skin, fingernails, and lips).

* Fast breathing and poor feeding.

* Poor weight gain.

* Recurrent lung infections.

* Inability to exercise.

Symptoms of Heart Muscle Disease (Cardiomyopathy)

Many people with cardiomyopathy have no symptoms or only minor symptoms, and live a normal life. Other people develop symptoms, which progress and worsen as heart function worsens.

Symptoms of cardiomyopathy can occur at any age and may include:

* Chest pain or pressure (occurs usually with exercise or physical activity, but can also occur with rest or after meals).

* Heart failure symptoms (see above).

* Swelling of the lower extremities.

* Fatigue.

* Fainting.

* Palpitations (fluttering in the chest due to abnormal heart rhythms).

Some people also have arrhythmias. These can lead to sudden death in a small number of people with cardiomyopathy.

Symptoms of Pericarditis

When present, symptoms of pericarditis may include:

* Chest pain. This pain is different from angina (pain caused by coronary artery disease). It may be sharp and located in the center of the chest. The pain may radiate to the neck and occasionally, the arms and back. It is made worse when lying down, taking a deep breath in, coughing, or swallowing and relieved by sitting forward.

* Low-grade fever.

* Increased heart rate.

Because many of the symptoms associated with each type of heart disease are similar, it is important to see your doctor so that you can receive a correct diagnosis and prompt treatment.
What is the importance of having a primary care physician? When should you see a cardiologist? Are you at risk for heart disease? What does a cardiologist do? What does an Interventional Cardiologist do? What do vascular and cardiac surgeons do?
Patient Intake Form
Patient Intake Form
Who should participate in a Preventive Cardiology Program?
What are cardiology medical emergencies?
How should you do a quick assessment, diagnosis, and treatment of a person reported as a cardiology medical emergency?
What types of testing can you do for chest discomfort?
When to Call the Doctor About Heart Disease
Procedures and Treatments
For Cardiologists, Courts, Policy makers, Law Enforcement
What is Cardiology?
Heart
Why is cardiac rehabilitation important?
Why are lifestyle changes important?
Cardiac Medications
Stress Test
What are Holter, event, and transtelephonic monitors?
Arrhythmias
Accelerated Idioventricular Rhythm
Ashman Phenomenon
Asystole*
Atrial Fibrillation
Atrial Fibrillation, Diagnosis and Management
Atrial Flutter
Atrial Tachycardia
Atrioventricular Block
Atrioventricular Dissociation
Atrioventricular Nodal Reentry Tachycardia (AVNRT)
Brugada Syndrome
Carotid Sinus Hypersensitivity
Digitalis Toxicity
Electrical Alternans
Endomyocardial Fibrosis
First-Degree Atrioventricular Block
Heart Block, First Degree*
Heart Block, Second Degree*
Heart Block, Third Degree*
Holiday Heart Syndrome
Junctional Rhythm
Long QT Syndrome
Lown-Ganong-Levine Syndrome
Multifocal Atrial Tachycardia
Paroxysmal Supraventricular Tachycardia
Pediatrics, Tachycardia*
Premature Ventricular Contraction*
Pulseless Electrical Activity
Second-Degree Atrioventricular Block
Sinus Bradycardia*
Sinus Node Dysfunction
Sudden Cardiac Death
Syncope
Third-Degree Atrioventricular Block
Torsade de Pointes
Ventricular Fibrillation
Ventricular Premature Complexes
Ventricular Tachycardia
Wolff-Parkinson-White Syndrome
Atherosclerosis and Risk Factors
Atherosclerosis
Coronary Artery Atherosclerosis
Hypertension*
Hypertension, Malignant*
Hypertensive Emergencies*
Hypertensive Heart Disease
Macroaneurysm*
Metabolic Syndrome
Nephrosclerosis*
Primary and Secondary Prevention of Coronary Artery Disease
Renal Artery Stenosis*
Renovascular Hypertension*
Risk Factors for Coronary Artery Disease
Cancer and the Heart
Atrial Myxoma
Benign Cardiac Tumors
Cardiac Neoplasms, Primary*
Cardiac Sarcoma*
Carney Complex
Congenital Heart Disease in the Adult
Aortic Coarctation
Atrial Septal Defect
Congenitally Corrected Transposition
Cor Triatriatum
Ebstein Anomaly
Eisenmenger Syndrome
Endocardial Cushion Defects
Holt-Oram Syndrome
Lutembacher Syndrome
Patent Ductus Arteriosus
Patent Foramen Ovale
Sinus of Valsalva Aneurysm
Tetralogy of Fallot
Ventricular Septal Defect
Coronary Artery Disease
Acute Coronary Syndromes
Angina Pectoris
Complications of Myocardial Infarction
Coronary Artery Vasospasm
Isolated Coronary Artery Anomalies
Myocardial Infarction
Myocardial Rupture
Pharmacologic Stress Testing*
Right Ventricular Infarction
Saphenous Vein Graft Aneurysms
Treadmill Stress Testing*
Unstable Angina
Ventricular Septal Rupture Following Myocardial Infarction
Electrophysiology Procedures
Catheter Ablation*
Diagnostic Programmed Electrical Stimulation
Implantable Cardioverter-Defibrillators
Pacemaker Malfunction
Pacemaker Syndrome
Pacemaker-Mediated Tachycardia
Programmed Electrical Stimulation
Synchronized Electrical Cardioversion*
Invasive Diagnostic, Interventional, and Surgical Procedures
Aortoiliac Occlusive Disease*
Arteriovenous Fistulas*
Cardiac Catheterization (Left Heart)
Central Venous Access, Subclavian Vein, Subclavian Approach*
Central Venous Access, Subclavian Vein, Supraclavicular Approach*
Comparison of Revascularization Procedures in Coronary Artery Disease
Emergency Bedside Thoracotomy*
Heart Transplantation*
Heart-Lung Transplantation*
Intravascular Stents, Thoracic Aorta*
Percutaneous Transluminal Coronary Angioplasty
Pericardiocentesis*
Pulmonary Artery Catheterization
Superior Vena Cava Syndrome*
Transmyocardial Laser Revascularization*
Tube Thoracostomy*
Tube Thoracostomy, Management*
Venous Air Embolism*
Myocardial Disease and Cardiomyopathies
Acute Coronary Syndrome
Cardiac Cirrhosis and Congestive Hepatopathy
Cardiogenic Shock
Cardiomyopathy, Alcoholic
Cardiomyopathy, Cocaine
Cardiomyopathy, Dilated
Cardiomyopathy, Hypertrophic
Cardiomyopathy, Peripartum
Cardiomyopathy, Restrictive
Congestive Heart Failure, Surgical Options
Cor Pulmonale
Heart Failure
Myocardial Abscess*
Myocarditis
Myopathies*
Pulmonary Edema, Cardiogenic
Shock, Cardiogenic*
Pericardial Disease
Cardiac Tamponade
Pericardial Effusion
Pericarditis, Acute
Pericarditis, Constrictive
Pericarditis, Constrictive-Effusive
Other
Bedside Ultrasonography, Cardiac Evaluation*
Defibrillation & Cardioversion*
Ocular Hypertension*
Portal Hypertension*
Prosthetic Heart Valves*
Shock, Hypovolemic*
Peripheral Vascular Disease
Aneurysm, Abdominal*
Aneurysm, Thoracic*
Aortic Dissection*
Aortitis
Bedside Ultrasonography, Abdominal Aortic Aneurysm*
Bedside Ultrasonography, Deep Vein Thrombosis*
Dissection, Aortic*
Dissection, Carotid Artery*
Dissection, Vertebral Artery*
Peripheral Vascular Disease*
Subclavian Artery Thrombosis*
Subclavian Vein Thrombosis*
Thoracic Aortic Aneurysm*
Valvular Heart Disease
Aortic Regurgitation
Aortic Stenosis
Aortic Stenosis*
Infective Endocarditis*
Libman-Sacks Endocarditis
Loeffler Endocarditis
Mitral Regurgitation
Mitral Stenosis
Mitral Valve Prolapse
Pulmonary Hypertension, Primary*
Pulmonic Regurgitation
Pulmonic Stenosis
Pulmonic Valvular Stenosis*
Rheumatic Fever*
Tricuspid Atresia
Tricuspid Regurgitation
Tricuspid Stenosis
ECG
Echocardiography
Angiography
What are congenital heart defects?
Temporary Pacemakers
Permanent Pacemakers
Cardiology Quiz
"cardiologyworldwide
For Patients
Cardiology Research
Who and where are the manufacturers of catheters and contrast?
Can cardiac arrhythmias be induced?
Rigor mortis
Interventional Cardiology


1. Cardiac Chamber Anatomy
    What is the heart's structure?
    How does the heart pump blood?
2. Coronary Artery Anatomy for the Interventionalist
    Where does your heart get its own oxygen?
3. Congenital Heart Defects
    How are congential heart defects diagnosed?
    How are congenital heart defects treated?
4. The Coronary Circulation
5. Physiological Evaluation of Renal Artery Stenosis: A Hemodynamic Approach
6. Valvular Pathophysiology
7. Arterial Disease

    Q) What is Coronary Artery Disease?
    Q) What is Peripheral Vascular Disease?
    Q) Are You At Risk For Heart Disease?
    Q) How Can You Reduce Your Risk For Heart Disease?
    Q) What is cholesterol?
    Q) What affects blood cholesterol levels?
    Q) How Does High Cholesterol Increase Your Risk For Heart Disease?
    Q) What Affects Blood Cholesterol Levels?
    Q) Do All Types Of Fats Raise Blood Cholesterol Levels?
    Q) Is Your Blood Cholesterol Level Too High?
    Q) What Is High Blood Pressure?
    Q) How Does High Blood Pressure Increase Your Risk For Heart Disease?
    Q) Is Your Blood Pressure Too High?
    Q) How Does Smoking Increase Your Risk For Heart Disease?
    Q) Will I gain weight if I quit smoking?
    Q) How Does Being More Active Lower Your Risk For Heart Disease?
    Q) Are You Active Enough?
    Q) Which Types Of Activities Are Best?
    Q) How Does Excess Body Weight Increase Your Risk For Heart Disease?
    Q) Do You Weigh More Than You Should?
    Q) Is excess fat in the upper or lower body more harmful?
    Q) How can I Iose weight and keep it off?
    Q) Why Do You Need To Exercise?
    Q) Are there any dangers with dieting?
    Q) Does Stress Increase The Risk For Heart Disease?
    Q) What Are The Symptoms Of Stress?
    Q) Is stress harmful for you?
    Q) Does a diet high in sugar increase the risk for coronary heart disease?
    Q) Should I take antioxidant supplements to reduce my risk for coronary heart disease?
    Q) Once cholesterol-rich deposits form in my arteries, do they ever go away?
    Q) What Is Angina?
    Q) What Causes Angina?
    Q) Does chest pain always mean a heart problem?
    Q) When is angina an emergency?
    Q) How Is Angina Diagnosed?
    Q) What Type Of Treatment Is Available?
    Q) What does "unstable" angina mean?
    Q) How do nitroglycerin pills stop angina?
ECG
    Q) What Is an Electrocardiogram?
    Q) Who Needs an Electrocardiogram?
    Q) What Happens During an Electrocardiogram?
    Q) What Does an Electrocardiogram Show?
A Chest x-ray is very valuable in answering the following questions:
    Q) Is the heart enlarged or normal?
    Q) Are there signs of heart failure and fluid overload?
    Q) Does the patient have pneumonia or a collapsed lung?
    Q) Is there evidence of emphysema?
    Q) Are there findings of an aneurysm involving the aorta (the major blood vessel that arises from the heart and supplies oxygenated blood to the body)?
    Q) Is there fluid in the sac that surrounds the lung?
    Q) Is there free air under the diaphragm (the partition that separates the chest from the abdomen) to suggest a hole in the bowel wall?
    Q) Is there a tumor in the lung that could represent cancer?
    Q) Are there changes of bronchitis or emphysema?
Stress Test
    Q) What Is an Exercise Stress Test?
    Q) Why do I need a stress test?
    Q) What happens during the test?
    Q) What is monitored during the test?
    Q) What equipment is used?
    Q) Is there a risk?
    Q) What Types of Stress Tests Are There?
    Q) How Should I Prepare for the Exercise Stress Test?
    Q) What If I Have Diabetes?
    Q) What Should I Wear the Day of the Test?
    Q) What Happens During the Exercise Stress Test?
    Q) How does a Regular Stress Test work?
    Q) How is a Treadmill Stress Test performed?
    Q) How safe is it?
    Q) What is the reliability of the test?
    Q) When is a Regular Stress Test ordered?
    Q) How is a Regular Treadmill Stress Test Performed?
    Q) How quickly will I get the results and what will it mean?
Echocardiography
    Q) What is echocardiography?
    Q) What are the different types of echocardiography?
    Q) What problems can echocardiography diagnose?
    Q) How is an echocardiogram performed?
Computed tomography (CT)
    Q) Is exploring the coronary arteries using computed tomography (CT) almost as good as exploring them directly with a catheter?
    Q) Have you tried this method?
    Q) Isn't this the better method?
    Q) What are the merits and demerits of this method?
Holter
    Q) What Are Holter and Event Monitors?
    Q) Who Needs a Holter or Event Monitor?
    Q) What Does a Holter or Event Monitor Show?
    Q) What Are the Risks From Using a Holter or Event Monitor?
Angiography
    Q) What is Angiography?
    Q) When is coronary angiography required?
    Q) Are there any risks involved?
    Q) What happens during an Angiogram?
    Q) How do you prepare for an Angiogram?
    Q) What will you feel during the Angiogram?
    Q) What is angioplasty?
    Q) What is a stent?
    Q) What are the different kinds of Angiogram?
    Q) What Is a Coronary Angiogram?
      Q) Why do I need this test?
      Q) What happens in the test?
      Q) What might I feel?
      Q) What happens after the test?
    Q) How important or necessary is this test for diagnosis?
    Q) Do any tests need to be done prior to the angiogram?
    Q) What type of angiography will be performed?
    Q) What will happen during the procedure?
    Q) What are the risks?
    Q) What should be expected after the procedure?
    Q) Will any medication be given?
    Q) What are the side effects?
    Q) Will any anesthesia be given?
    Q) What should I do to prepare for my procedure?
    Q) What is my expected recovery time and will I have any activity restrictions?
    Q) Will the procedure be painful?
    Q) What is conscious sedation?
    Q) What are the risks of my procedure?
    Q) What happens after I check in at the hospital?
    Q) What is an angiogram?
    Q) What is an angioplasty?
    Q) Why do I need an angiogram, angioplasty and/or stent?
    Q) What signs should I watch for, following the procedure, which may indicate a problem?
    Q) What is peripheral vascular disease (PVD)?
    Q) What are the symptoms of PVD?
    Q) What are the risk factors of PVD?
    Q) What should I do to prepare for my procedure?
    Q) What is my expected recovery time and will I have any activity restrictions?
    Q) Will the procedure be painful?
    Q) What is conscious sedation?
    Q) What are the risks of my procedure?
    Q) What happens after I check in at the hospital?
    Q) What is an angiogram?
    Q) What is an angioplasty?
    Q) Why do I need an angiogram, angioplasty and/or stent?
    Q) What signs should I watch for, following the procedure, which may indicate a problem?
    Q) What is peripheral vascular disease (PVD)?
    Q) What are the symptoms of PVD?
    Q) What are the risk factors of PVD?
    Q) What is Ultrasound?
    Q) What is an Echocardiogram?
    Q) What is Doppler?
    Q) What information does it provide?
    Q) How safe is it?
    Q) How long does it take?
    Q) How quickly do I get the results and what do they mean?
    Q) What is a Doppler Examination?
    Q) What information does Echocardiography and Doppler provide?
8. Ventricular Pathophysiology
9. Equipment for Percutaneous Coronary Intervention
10. Design and Construction of Stents
11. Adjunctive Devices: Atherectomy, Thrombectomy, Embolic Protections, IUVS, Doppler, and Pressure Wires
12. X-Ray Cinefluorographic Systems
13. Operational Radiation Management for Patients and Staff
14. General Principles of Coronary Artery Brachytherapy
15. X-Ray Computed Tomography and Magnetic Resonance Imaging of the Coronary Arteries
16. Intracardiac Echocardiography in the Catheterization Laboratory
17. Cardiac Catheterization Laboratory Physiologic Recorders
18. Digital Image Formats and Archiving Practices
19. Antithrombin Therapies
20. Antiplatelet Therapies in Contemporary Percutaneous Coronary Intervention
21. Thrombolytic Therapy
22. Radiographic Contrast Media
23. Renal Complications of Contrast Media
24. Patient Sedation in the Cardiovascular Catheterization Laboratory
25. Diagnostic Procedures: Special Considerations
26. Diagnostic Procedures: Peripheral Angiography
27. Adjunctive Diagnostic Techniques
28. Coronary Guidewire Manipulation
29. Coronary Balloon Angioplasty
30. Coronary Stenting, Bare Metal Stents, and Drug-Eluting Stents
31. Rotational Atherectomy: Concepts and Practice
32. Brachytherapy
33. Basic Wire-Handling Strategies for Chronic Total Occlusion
34. Percutaneous Intervention in Chronic Total Coronary Occlusions
35. Directional Coronary Atherectomy
36. Distal Embolic Protection Devices
37. Intervention in Venous and Arterial Grafts
38. Special Considerations: Acute Myocardial Infarction
39. Complex Lesion Intervention: Bifurcation, Left Main Coronary Artery, and Ostial Lesions
40. Special Considerations: Small Vessel and Diffuse Disease
41. Special Patient Subsets: Diabetic and Elderly
42. Inoue-Balloon Mitral Valvuloplasty
43. Aortic Valvuloplasty and Future Solutions to Aortic Valve Disease
44. Balloon Pulmonary Valvuloplasty
45. Percutaneous Closure of Atrial Septal Defect and Patent Foramen Ovale
46. Septal Ablation for Obstructive Hypertrophic Cardiomyopathy
47. Coronary Vein Device Insertion
48. Device Retrieval Systems
49. Percutaneous Treatment of Coronary Artery Fistulas
50. Renal Artery Angioplasty and Stenting
51. Iliac Angioplasty and Stenting
52. Endovascular Abdominal Aortic Aneurysm Repair
53. Carotid and Vertebral Artery Intervention
54. Risk Stratification in Interventional Cardiology
55. Acute Threatened Coronary Closure
56. Subacute Closure
57. Coronary Artery Perforation
58. Embolization and No-Reflow During Percutaneous Coronary Intervention
59. Emergency Surgery
60. Complications of Peripheral Procedures
61. Lipid-Lowering Therapy and the Interventional Cardiologist
62. Hypertension
    Q) Should beta blockers be used as first-line treatment for lowering blood pressure?
    Q) What is high blood pressure?
    Q) How are normal blood pressure, prehypertension, and high blood pressure defined?
    Q) What causes high blood pressure?
    Q) What causes secondary high blood pressure?
    Q) What are the symptoms of high blood pressure?
    Q) What happens if I have high blood pressure?
    Q) What increases my chances of getting high blood pressure?
    Q) What is isolated systolic high blood pressure?
    Q) Who is affected by high blood pressure?
    Q) Can a test detect high blood pressure early?
    Q) Can I prevent high blood pressure?
    Q) What kind of treatment will I need for high blood pressure?
    Q) Will I have to take medicine?
    Q) How is secondary hypertension treated?
    Q) Should I take medicine for high blood pressure?
    Q) How do other health problems affect the choice of high blood pressure medicines?
    Q) How does high blood pressure cause heart disease?
    Q) What lifestyle changes will I have to make?
    Q) Will I need a special diet?
    Q) Are there alternative treatments for high blood pressure?
Bradycardia
    Q) What is bradycardia?
    Q) What are the types of bradycardia?
    Q) How does the heart's electrical system work?
    Q) What is heart block?
    Q) What causes bradycardia?
    Q) What are the symptoms of bradycardia?
    Q) Who gets bradycardia?
    Q) How can portable (ambulatory) EKG monitors help diagnose bradyarrhythmia?
    Q) How is bradycardia treated?
    Q) What recent advances have been made in pacemaker technology?
    Q) What are the different types of bradycardia, and how are they treated?
    Q) What are the risks of complications with different types of bradycardias?
    Q) How is it treated?
63. Diabetes and Cardiovascular Disease
64. Nontraditional Risk Factors for Atherosclerosis
65. Preclinical Laboratory Functions
66. The Core Laboratory: Quantitative Coronary Angiography and Intravascular Ultrasound
67. How to Read Clinical Trials
68. Cost-Effectiveness
69. Quality Assurance and Quality Improvement in Interventional Cardiology
70. Innovation and Interventional Cardiology: Looking Back, Thinking Ahead
    Q) For what conditions are beta-blockers prescribed?
    Q) What are the side effects?
    Q) Can elderly people take beta-blockers?
    Q) Who should avoid using ACE inhibitors?
71. Principles of Innovation: Transforming Clinical Needs into Viable Inventions
72. Pacemaker
    Q) What is electromagnetic interference?
    Q) What is radio frequency interference?
    Q) How does interference propagate?
    Q) What are some common sources of conducted interference?
    Q) What are some common sources of radiated interference?
    Q) What is heart block?
    Q) What is sick sinus syndrome?
    Q) What is AV block?
    Q) What doctors treat arrhythmias?
    Q) Why do I need a pacemaker?
    Q) What kind of pacemaker will be implanted?
    Q) What is a pacing lead?
    Q) What is a pacemaker?
    Q) Are there different kinds of pacemakers for different activity levels?
    Q) Can pacemaker patients live an active lifestyle? What if they do something that is too strenuous for the pacemaker to handle?
    Q) Can people hear and feel pacemakers tick inside of them?
    Q) Are there any diet restrictions?
    Q) What is a pacemaker identification card?
    Q) How long does a pacemaker last?
    Q) How many can a person expect to have in a lifetime?
    Q) Are there different kinds of pacemakers for different activity levels?
    Q) Can I go back to my normal activities after my implant?
    Q) What does my pacemaker feel like when it's working?
    Q) When should I call my doctor?
    Q) How often should my pacemaker be checked?
    Q) Will my pacemaker ever need to be replaced?
    Q) What should I do to prepare for the procedure?
    Q) How are pacemakers implanted?
    Q) What happens during the procedure?
    Q) What happens after the procedure?
    Q) Will I be able to move around after the procedure?
    Q) How often will I need to see my doctor?
      Pacemaker problems can rarely occur long after the implantation procedure. These "late" complications include generator failure (extremely rare), and lead failure (rare). Treating doctors, Manufacturers are required to report device failures to the FDA. which will order companies to issue either "advisories" or recalls if a particular model seems prone to failure.
    While handling such cases, the following questions need to be answered.
    Q) Who is the manufacturer of the pacemaker?
    Q) Who among the regulators were involved?
    Q) How is pacemaker sabotage carried out?
    Q) What devices can interfere with pacemakers?
    Q) Who has these devices?

73. Legal & Ethical Issues
    A. Utilization
    B. Reimbursement
    C. Regulation of Herbals & Supplements
    D. Legal & Ethical Issues
    E. How to Integrate Complementary/Alternative Medicine Into Your Cardiology Practice
    F. Cholesterol
    G. Stress
    H. Congestive Heart Failure
    I. Systemic Hypertension
    J. Obesity
    K. Coronary Artery Disease
    L. Sudden Death & Arrhythmias
    M. Sexual activity and cardiology
    N. Estrogen Replacement Therapy
    O. Percutaneous Coronary Interventions
    P. Bioenergetic Techniques
    Q. Acupuncture
    R. The Indo-Mediterranean Diet – A Primer
    S. Integrating Herbs Into Practice
    T. Herbal/Drug Interactions
    U. Quality Control
    V. Reliable Sources of Information For You and Your Patients
    W. Joy, Sadness, & Vascular Biology
    X. Neuroendocrine & Immune Effects
    Y. Spirituality

74. Angioplasty and Valvuloplasty
    Q) What Is Coronary Angioplasty?
    Q) Why Is Angioplasty Done?
    Q) What is variant angina?
    Q) What Are The Advantages Of Angioplasty Over Bypass Surgery?
    Q) Who Does Angioplasty Benefit?
    Q) How effective is this operation/procedure?
    Q) What happens during angioplasty?
    Q) What types of interventional procedures are used in angioplasty?
    Q) What happens after the procedure?
    Q) Can this procedure cure coronary artery disease?
    Q) What kind of stent are you intending to use?
    Q) Why is angioplasty necessary?
      Swab anesthesia at the site of catheterization.
      Q) What is the advantage of swabbing anesthesia at the site of catheterization?
      It prevents painful catheterization during the procedure.
      Q) What questions should the patients be asked after the procedure?
      Q) Did you feel any pain?
      Q) Did you feel any discomfort?
      Interventional Cardiologists.
      Q) What have you done in this regard?
      Q) What are you doing in this regard?
      Q) What are you going to do in this regard?

    ADVANCED CARDIOVASCULAR LIFE SUPPORT
    RHYTHM INTERPRETATION

    Q) What is cardiac arrhythmia?
    Q) What types of cardiac arrhythmias are there?
    Q) What causes cardiac arrhythmias?
    Q) What're the symptoms of cardiac arrhythmia?
    Q) How is cardiac arrhythmia diagnosed?
    Q) What're the treatments for cardiac arrhythmia?
      1 Ventricular Fibrillation
      2 Sinus Rhythm with PJC's
      3 2nd Degree Heart Block Mobitz Type I
      4 Atrial Fibrillation
      5 Sinus Rhythm with Multifocal PVC's
      7 Sinus Rhythm with Unifocal PVCs
      6 1st Degree Heart Block
      8 Sinus Rhythm with PAC's
      9 Accelerated Junctional Rhythm
      10 Asystole
      11 Junctional Escape Rhythm
      12 Normal Sinus Rhythm
      13 Ventricular Tachycardia
      14 Sinus Bradycardia
      15 Ventricular Bigeminy
      16 Sinus Tachycardia
      17 3rd Degree Heart Block (complete)
      18 Idioventricular Rhythm
      19 Atrial Flutter
      20 2nd Degree Heart Block Mobitz Type II
    a. Airway management
    b. Arrythmias, Defibrillation, and Pacing
    c. IV Access, Resuscitation, Circulatin, and Monitoring
    d. Infant CPR and Ventilation
    e. Review Questions
    f. Appedices: Pharmacology, Algorithm Protocols
    g. Chamber Abnormalities and Intraventricular Conduction Defects
    h. SA and AV Nodal Block
    i. Ischemia and Infarction
    j. Reentrant Supraventricular Tachycardias
    k. Ectopic Supraventricular Tachycardias
    l. Extrasystoles and Pre-excitation Syndromes
    m. Differential Diagnosis of Wide QRS Tachycardias
    n. Medication and Electrolyte Effects, Miscellaneous Conditions
    o. Electronic Pacemakers


    A. Diagnostic cardiac catheterization and angiography
    B. Coronary angioplasty (PTCA)
    C. Cutting balloon angioplasty
    D. Coronary stenting
    E. Intravascular radiation therapy (brachytherapy)
    F. Directional and rotational atherectomy
    G. Intravascular ultrasound (IVUS)
    H. Mitral and Aortic Valvuloplasty (PTAV/PTMV)
    I. Closure of Patent Foramen Ovale (PFO)
    J. Closure of Atrial Septal Defects (ASD)
    K. Ventricular Septal Defect (VSD)
    L. Amplatzer Device
    M. Hypertrophic Cardiomyopathy (HOCM) treatment and Septal Ablation
75.
Q) What is Interventional Cardiology?
Q) What are Interventional Procedures?

Placing an implantable heart device is an invasive procedure, but in cases where it really is indicated, it is life-saving.

Those claiming to perform PTCA and CABG procedures must answer following questions.
What is it?
How is it done?
What are the indications of this procedure?
How many such procedures have you done?
Who among medical doctors witnessed this procedure?
How did you do this procedure?
How does the patient benefit from this procedure?

I do recommend placing implantable heart devices in cases where it really is indicated; It is life-saving.
I do not recommend PTCA and CABG procedures unless the likely advantage to patient is discussed and verified.

What's your diagnosis?
What is a management plan for good care?

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