Dr. Usman's Cardiology Notes

 

  The missing link in the debate on OAC in dialysis patients is appropriate risk stratification. The CHA2DS2-VASc score is widely employed to stratify the risk of ischaemic stroke in patients with AF, superseding the previously used CHADS2 score because of its better discriminative value. OAC is officially recommended when patients with AF have CHA2DS2-VASc scores ≥2 for men and ≥3 for women [2]. When this criterion is applied to the HD population with AF, nearly all patients qualify for OAC. However, the incidence of stroke appears to be lower in HD patients with AF than in non-dialysis patients with similar CHA2DS2-VASc scores [30], implying that the CHA2DS2-VASc score overestimates stroke risk in dialysis patients. In addition, the high risk of mortality due to bleeding may outweigh the stroke risk in a substantial proportion of dialysis patients with AF.

  This lecture is on Advanced Echocardiography techniques presented beautifully by Guy Lloyd MD FRCP FESC - as part of British Cardiovascular Board Review lectures. He talked about the advanced techniques in routine echocardiography including the following: 00:29 Deformation & Strain Imaging   02:07 Speckle Tracking Imaging  02:55 GLS in Healthy Individual (Global Longitudinal Strain)   03:48 GLS in Disease   05:28 Does GLS predict the Future? Copenhagen Heart Study  06:12 How does GLS perform clinically?   06:58 Deformation Imaging Guidelines  08:02 3D & 4D Imaging  09:32 3D TOE (Trans-esophageal Echocardiogram)  11:17 Contrast Echocardiography   13:45 When to use contrast clinically?   14:30 Stress Echocardiography - Stress Testing in HCM   15:34 Current Indications of Stress Echo   16:21 Take Home Messages   👉 Share this video to spread knowledge 👉 Watch other educational videos here:...

Major Indications of CT Coronary Angiography