Cardiology

I became eager to learn more about cardiology, so I applied for an internship position in Dr. David J. Sahn’s cardiac research laboratory at OHSU. Through this internship, I learned how to build heart models of different cardiovascular diseases. I was intrigued when I modeled the disease I…

The patient is a 95-year-old gentleman who presents to the ED complaining of chest pain. The first episode was at 3 PM the day prior to admission, pressure-like described as left-sided, and pressure-like it resolved without intervention and then reoccurred again at 3 AM in the morning of presentation to the hospital. His chest pain had resolved prior to arriving in the ED. His medical history is significant for atrial fibrillation, congestive heart failure, hypertension and he has age related…

respectively. Mr. U continuously complaints of left sided chest/rib pain which was thought due to pleurisy from infection. Discharge plan of care for him was to consume doxycycline for 5 days and regarding his low ejection fraction he must have cardiology appointment after 2 weeks and an outpatient medical follow up after 4…

Throughout history, there are different guidelines set on the topic of exercise testing. Two organizations that handle these changes are the American College of Cardiology (ACC) and the American Heart Association (AHA). These organizations set guidelines for exercise testing in 1997 but then revised these guidelines again in 2002. In 2002, they modified ten categories from the 1997 guidelines. These ten guidelines that were changed include: ST heart rate adjustment, unstable angina, older…

echocardiography to some degree in their clinical practices. Over the years, pediatric echocardiography has proven to be an indispensible tool. Two-dimensional echocardiography, with M-mode and color-flow Doppler, had a great affect on pediatric cardiology since the 1980’s in the diagnosis and treatment of congenital heart disease (Noonan, 2004). Recently there have been several major advancements in the field of pediatric echocardiography that may prove to be essential to sonographers…

By Daniel Ratliff, DO As a cardiologist, I focus on prevention and treatment of heart disease. However, I am often reminded when I see patients that cardiovascular health involves more than just treating the heart: It involves treating the blood flow of the entire body, from head to toe. Typically people’s attention centers on symptoms of the chest and chest pain. However, there are clues that if spotted early, may allow us to detect cardiovascular disease early. Symptoms including…

He is too fluid overloaded to tolerate cardiac catheterization at this time. Please set up a followup appointment with Cardiology Clinic after a month when he has lost 10 pounds so we consider cardiac catheterization. 4. Please order a 24 or 48-hour Holter monitor so we can look at the atrial flutter burden but also determine whether he is going in and out of atrial fib…

Back in the 1950’s a cardiologist by the name of Meyer Friedman starting piecing together some clues he observed in the waiting area of his cardiology practice. Searching for some sort of cause for so many patients having high cholesterol and high blood pressure, and determining that there hadn’t been any change in diet in the general population, he made an observation. He noticed that some of the chairs had worn in awkward locations, like the front of the armrests. He concluded that it must be…

grandmother is she should increase her physical activity (8). Exercise has shown to improve health-related quality of life and decrease the number of hospital admissions of patients with heart failure (7). It is recommended by The European society of cardiology to regularly undertake aerobic exercise (3). It is significant for Aala’s grandmother to maintain a healthy diet as being over-weight or obese leads to increased risk of heart disease. To achieve this Aala’s grandmother should sustain a…

closure, estimate cavity size, prove mitral valve obstruction, and estimate valve gradients using only M-mode (Noonan, 2004). Two-dimensional echocardiographs and color-flow Doppler developed in the 1980s, and made a big difference in pediatric cardiology. Before the development of ultrasound, the only way to diagnoses heart disease…