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QUICK BASIC MURMUR cheatsheet‼️🫀🩺

[ murmur , cardiology , basics , clinical examination , medicine , clinical cases , cvs case , systolic murmur , diastolic murmur ]

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Story of average Indian medical student or a resident!

This is going to a bit personal cause we all lived some version of it including me & although it is true,

I actively found some protocols, systems and breaks to redefine residency and break the pattern.

Featuring @mafatlal.medfits : super comfortable and functional for daily work and OTs.

Comment : ‘Book’ below and I’ll send you the link right away of the book ‘The art of Residency’.

#doctor #medicine #residency #book #india

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WHAT IF?😳

Know about what exactly sudden collapses can be about! And it can definitely happen in some of your fittest known person‼️🫀🚨

#hearthealthawareness #suddencollapse #cardiacaxis #heartattack #cpr

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🫀 When the valve area says SEVERE, but the gradient says MODERATE… Which one is right?

Low-flow, low-gradient (LFLG) aortic stenosis is one of the most challenging scenarios in echocardiographic assessment. A small aortic valve area (AVA ≤1.0 cm²) with a mean gradient <40 mmHg creates diagnostic discordance that requires a systematic, multimodality approach.

🔎 Step 1: Confirm the measurements.
Reassess LVOT diameter and VTI, ensure accurate Doppler alignment from multiple windows, and optimize blood pressure, particularly in patients with preserved LVEF.

📊 Step 2: Identify the phenotype. ▪️ Classical LFLG AS: LVEF <50%.
▪️ Paradoxical LFLG AS: LVEF ≥50%.
Both are characterized by a stroke volume index (SVi) ≤35 mL/m².

💉 Step 3: Use dobutamine stress echocardiography when appropriate.
In classical LFLG AS, increased flow with a persistently small AVA supports true severe stenosis. An AVA increasing above 1.0 cm² suggests pseudo-severe AS. Inconclusive studies require further assessment.

🩻 Step 4: Consider CT aortic valve calcium scoring.
When echocardiographic findings remain discordant, CT provides complementary evidence. The 2025 ESC/EACTS guideline uses sex-specific thresholds: >2,000 Agatston units in men and >1,200 in women support severe AS.

⚠️ The key message: A low gradient does not exclude severe aortic stenosis. Accurate measurements, flow assessment, ventricular function and multimodality imaging must be integrated before making treatment decisions.

For eligible patients with confirmed severe, symptomatic LFLG AS, timely Heart Team evaluation is essential.

📚 Guidelines • 2025 ESC/EACTS Guidelines for the Management of Valvular Heart Disease.
• 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease.

💬 Clinical question: In a patient with AVA 0.8 cm², mean gradient 28 mmHg and preserved LVEF, what would be your next diagnostic step?

#AorticStenosis #StructuralHeartDisease #Echocardiography #Cardiology #ValvularHeartDisease 🫀 When the valve area says SEVERE, but the gradient says MODERATE… Which one is right?

Low-flow, low-gradient (LFLG) aortic stenosis is one of the most challenging scenarios in echocardiographic assessment. A small aortic valve area (AVA ≤1.0 cm²) with a mean gradient <40 mmHg creates diagnostic discordance that requires a systematic, multimodality approach.

🔎 Step 1: Confirm the measurements.
Reassess LVOT diameter and VTI, ensure accurate Doppler alignment from multiple windows, and optimize blood pressure, particularly in patients with preserved LVEF.

📊 Step 2: Identify the phenotype. ▪️ Classical LFLG AS: LVEF <50%.
▪️ Paradoxical LFLG AS: LVEF ≥50%.
Both are characterized by a stroke volume index (SVi) ≤35 mL/m².

💉 Step 3: Use dobutamine stress echocardiography when appropriate.
In classical LFLG AS, increased flow with a persistently small AVA supports true severe stenosis. An AVA increasing above 1.0 cm² suggests pseudo-severe AS. Inconclusive studies require further assessment.

🩻 Step 4: Consider CT aortic valve calcium scoring.
When echocardiographic findings remain discordant, CT provides complementary evidence. The 2025 ESC/EACTS guideline uses sex-specific thresholds: >2,000 Agatston units in men and >1,200 in women support severe AS.

⚠️ The key message: A low gradient does not exclude severe aortic stenosis. Accurate measurements, flow assessment, ventricular function and multimodality imaging must be integrated before making treatment decisions.

For eligible patients with confirmed severe, symptomatic LFLG AS, timely Heart Team evaluation is essential.

📚 Guidelines • 2025 ESC/EACTS Guidelines for the Management of Valvular Heart Disease.
• 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease.

💬 Clinical question: In a patient with AVA 0.8 cm², mean gradient 28 mmHg and preserved LVEF, what would be your next diagnostic step?

#AorticStenosis #StructuralHeartDisease #Echocardiography #Cardiology #ValvularHeartDisease

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10/ 10 medical student path!

This isn’t absolute, and as you can see I didn’t mention about clinical efficiency, studying, learning and understanding mortality on a more humane plane. That’s expected off of everyone.

Yes you have to study like your patients life depends on it, and yes yours too.
You have to see, practice, learn and unlearn a lot of Concepts, guidelines and treatment shifts along the way.

Yes the absolute guide is the one which makes you a better person, better doctor and ultimately better spiritual being just a little better than yesterday.

If you make ‘RANK’ as the ultimate goal, that’s planning to fail, the realistic goals is to build systems which drive discipline, integrity and growth for everyday.

Your college, degree, background, rank becomes meaningless when you’re on a path fueled by abundance and growth.

Learn and adapt, stay humble, love people, be kind and more human, understand laws of power, create and don’t consume,
The beauty of medicine is in applying what you’ve Learnt and sharing it with others.

One life saved or changed, is much more meaningful than extra degree, rank, extra money or any other personal interests.

We are indeed here to serve, thrive, grow and enjoy.
Explore life beyond medicine too, you’re a whole being.
AND NOT JUST A DOCTOR.

Get your book and start applying the principles.

#doctor #medicine #physician #cardiology #hearthealth

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Husband’s cry mourning wife’s death.

Background to the POEM :

A middle-aged woman was admitted to the ICU when I used to work at KEM, Mumbai with autoimmune encephalopathy.
Her only companion: a husband, while their two young children stayed home with grandparents.
He was her caregiver, her nurse, her anchor. He fed her, cleaned her, maintained her dignity. He slept on the corridor floors, alert at all hours, never once asking for pity, never once complaining.
Slowly, she regained strength — weaning off the ventilator, moving to the ward. But then, a sudden hospital-acquired infection consumed her, and despite all our efforts, she slipped away.
When I declared her passing, her husband froze. Every cell in his body seemed numb. His mourning was raw, wordless, infinite.

We are quite fortunate to experience life full of Love, cause once it slips, all of our materialistic achievements turn worthless.

#doctor #medicine #life #love #poem

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The whole pathophysiology of heart failure and the mechanistic changes that occur

Follow @aliakhanm.d for more educational content

#cardiology #heartfailure #heartdisease #studywithme #img

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Story of Nobel laureates and the beauty of optogenetics.

It’s just fascinating to know the story and the world that optogenetics has opened up!

Congratulations to Karl Deisseroth — Stanford University, USA, Peter Hegemann : Germany, Georg Nagel : Germany, Can’t wait for it to become next decades and centuries treatment modulator.

Science is beautiful.

#doctor #medicine #physician #cardiology #hearthealth

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Upgrading CV, one step at a time!

Challenging neuroplasticity : moment by moment.

#doctor #medicine #physician #lifestyle #abs

2k

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You, Now
CALL FOR SPEAKERS | CARDIOLOGY 2027

Be part of the 6th World Cardiology and Cardiovascular Diseases Conference 2027, bringing together cardiologists, researchers, surgeons, healthcare professionals, and experts from around the world.

📅 June 23–24, 2027
📍 Dubai, UAE

Present your research, share your expertise, build global connections, and explore new opportunities in cardiovascular medicine.

Register Now: https://cardiology.ucgconferences.com/registration
WhatsApp: https://wa.me/971551792927

#CardiologyUCG #CardiologyConference #Cardiology2027 #CardiovascularDiseases #CallForSpeakers #CallForAbstracts #DubaiConference #CME #CPD #Cardiology #HealthcareConference #MedicalResearch

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CALL FOR ABSTRACTS

Be part of the 6th World Cardiology and Cardiovascular Diseases Conference 2027 and share your latest research, clinical findings, innovations, and insights with a global community of cardiovascular professionals.

23–24 June 2027
Novotel, Al Barsha, Dubai, UAE

Submit Your Abstract & Showcase Your Research!
Connect with leading cardiologists, researchers, healthcare professionals, and experts from around the world.

Submit your abstract : https://cardiology.ucgconferences.com/submit-abstract
WhatsApp: https://wa.me/971551792927

#CardiologyConference #Cardiology2027 #CallForAbstracts #CardiovascularDiseases #Cardiology #HeartHealth #CardiovascularMedicine #InterventionalCardiology #MedicalConference #HealthcareProfessionals #CardiologyUCG #DubaiConference #MedicalResearch #ResearchPresentation #CME #CPD

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