During a recent medical malpractice lawsuit brought against me, I was forced to confront the fundamentally different ways in which physician scientists and litigation attorneys assess and utilize clinical evidence. The plaintiff alleged that I failed to diagnose myocardial sarcoid in her husband and that my failure to do so resulted in her husband's death. Her case was based largely on the test...

Peripartum cardiomyopathy (PPCM) is a rare but potentially life-threatening condition that occurs in previously healthy women during the last month of pregnancy and up to 5-6 months postpartum. The etiology and pathophysiology remain uncertain, although recent observations strongly suggest the specific role of prolactin cleavage secondary to unbalanced peri/postpartum oxidative stress. PPCM is ...

In recent years, coronary CT angiography (CCTA) has become a widely adopted technique, not only due to its high diagnostic accuracy, but also to the fact that CCTA provides a comprehensive evaluation of the total (obstructive and non-obstructive) coronary atherosclerotic burden. More recently, this technique has become mature, with a large body of evidence addressing its prognostic validation. ...

Cardiovascular Medicine is now a very broad church, incorporating Cardiologists who can be frontline emergency Interventionalists, or experts in cardiac imaging, device implantation, arrhythmia ablation, pharmacology, genetics and research. Above all Cardiologists are clinicians trained in the management of patients with a wide and changing spectrum of heart disease. It is a very practical spec...

background: Drug-eluting stents (DES) have changed contemporary interventional cardiology practice, enabling the approach of increasingly more complex clinical and angiographic scenarios. The objective of this study was to demonstrate the changes observed in the last 10 years in the indication and practice of percutaneous coronary intervention (PCI) at a tertiary private hospital in the State o...

Background Epilepsy is one of the most common neurological diseases. Over the last decades the hypothesis of cardiovascular effects from sudden seizure has been raised, and cardiac rhythm and ECG changes in these patients have been highlighted. The study aimed to evalua...

*Attending Cardiologist, **Consultant Cardiologist, ***Principal Consultant Cardiology, Fortis Escorts Heart Institute, Okhla, New Delhi Received: 12.07.2012; Accepted: 29.10.2012 A picture gallery showing concomitant native mitral and tricuspid valve endocarditis in a 41 year old female from east india who presented with history of one month off and fever and sudden onset involuntary movements...