Best Cardiology Quotes

"If you measure heart rate in standard ways that cardiologists measure heart rate and you stimulate over this left dorsolateral, you get a deceleration of the heart rate and it's very time locked to the stimulation."

Dr. Andrew Huberman

"If you yourself had a first-degree relative... who's had an unexplained death, it's extremely recommended you see a cardiologist."

"Your heart is capable of regenerating itself."

"What is that called whenever there's...during the relaxation phase? That's called the preload."

"So the preload is going to drop in the left ventricle, if preload goes down, what does that do? Your stroke volume, it drops."

"Ace inhibitors have been shown to reduce cardiac remodeling especially in patients who have had myocardial infarctions."

"The goal for door to balloon time is less than or equal to 90 minutes."

"The preferred treatment for patients with STEMIs and unstable angina refractory to therapy is PCI."

"Two kinds of cardiologists: vegans and those who haven't read the data."

"We have 12 leads telling us about the electrical activity of the heart: bipolar limb leads, augmented unipolar limb leads, and precordial chest leads."

"Sinus rhythm is confirmed by observing upright P waves in lead II and inverted P waves in aVR."

"Reciprocal changes, seen as ST depressions, can help determine if a person is experiencing a true STEMI."

"If I see a y qrs what do I need to be thinking about? You got to have a differential."

"Low voltage qrs complexes really be on high alert."

"What else could be very significant to pick up as an abnormality is pathological q waves."

"You want to be thinking about signs of atrial enlargement."

"Tetralogy of Fallot: VORP - Ventricular septal deviation, Overriding aorta, Right ventricular hypertrophy, Pulmonary outflow tract obstruction."

"The final form of congenital heart disease, the cyanotic form, the ones with a ventricle switched and the aorta or pulmonary artery switched and so forth are very complex."

"There's excellent catheter and surgical treatment for these patients, they all have very specific findings on physical exam and EKGs and echoes."

"Cardiology deals with conditions of the heart and cardiovascular problems."

"The period of collapse has begun for the Russian army in all areas."

"The first heart sound is the first sound heard at the onset of ventricular systole."

"Vibrations initiated by valve closure are transmitted through tissues to be heard as the first heart sound."

"P.S.V.T. is an abnormally fast heart rhythm that causes palpitations, lightheadedness, sweating, and shortness of breath."

"Resveratrol helps the heart stay young, both in performance and genetic expression."

"The overwhelming majority of SVTs are one of three rhythms: avnrt, avrt, or atrial tachycardia."

"So much has changed in the field of heart rhythm management. It's a very technical field with lots of medical breakthroughs and changes in technology." - Dr. Navin Sani

"The most common cause for this is going to be heart failure."

"It is so important to understand how the normal heart works, including anatomy and electrical properties of normal AV conduction."

"Phase zero is the voltage-gated calcium channels are the l-type calcium channels."

"That is called our net QRS vector."

"The entire ventricular myocardium is completely depolarized."

"...these make up a 12 lead EKG system that gives you a very, very significant three-dimensional view of the heart in both a frontal and horizontal plane."

"...to get a very significant large view of the heart from multiple different planes, including the frontal and horizontal plane."

"Just remember, a normal ejection fraction is above 50%."

"Acute cardiac failure: another cause is acute infective endocarditis, where vegetations form over the aortic valve leaflets, leading to aortic regurgitation."

"Acute cardiac failure: one of the very common causes is massive myocardial infarction. A large area of myocardial infarction in the left ventricle can dramatically drop cardiac output."

"...a normal QTC for man is actually considered to be less than 450 milliseconds."

"It seems like in the past three years I see at least one amyloid case a month, and we're getting more and more awareness of this because now we have some treatments, and it's a very exciting open new field in cardiology."

"Some patients actually have a swallow-induced atrial fibrillation."

"Dr. Blaha is an associate professor of cardiology and epidemiology and serves as the director of clinical research for the Johns Hopkins Ciccarone Center for Prevention. He is really a true leader in the field of preventive cardiology."

"The diastolic augmentation helps to increase that perfusion and oxygen delivery to the ischemic cardiac muscle as well as the reduction in afterload decreases that workload of the heart, decreasing that myocardial oxygen demand."

"The presence of a pathologic Q wave is indicated by any of the following: a duration of 30 or more milliseconds, a presence in leads V1, V2, or V3, or when the depth of the Q wave is equal to or exceeds either one-third or one-fourth of the R wave height."

"Assessing left ventricular systolic function is central to the evaluation of cardiac disease, playing an essential role in guiding management and predicting outcomes."

"Global longitudinal strain is a better predictor of death and allows for better classification of left ventricular dysfunction."

"The longer people are in atrial fibrillation, the more their heart changes over time. Afib begets afib, causing more damage to the heart and making it harder to bring back normal rhythm."

"The goal of atrial fibrillation ablation is to isolate these muscle fibers from the heart so that when they give electricity off, it can't enter the atrium and put it into fibrillation."

"For the most part, it's something that we do to help control symptoms; however, recent data has fairly consistently shown that people who are younger and those with heart failure actually have a survival benefit, meaning that they live longer with atrial fibrillation ablation."

"The indications for transcatheter aortic valve replacement are expanding as we have had multiple randomized trials that have shown the benefit."

"The availability of TAVR has expanded the number of patients for aortic valve stenosis, and I think we'll continue to expand it significantly in the years to come."

"Tropen I is correct here because troponin I levels rise rapidly and can be detected within 1 hour of cardiac damage involving myocardial injury."

"Ventricular fibrillation is a very dangerous arrhythmia."

"Asystole means without contraction."

"So asystole is a non-shockable rhythm."

"Last but not least let's talk buddy normal sinus."

"Stress testing is a test... it's basically an EKG that's gonna be done while the patient is under stress."

"Cardioversion doesn't address the underlying cause of atrial fibrillation but restores normal rhythm."

"I think this case sort of highlighted a very common scenario that we see as cardiologists."

"In order to become a cardiologist in the United States you have to, again, complete four years of med school, three years of internal medicine, and another three years of a cardiology fellowship."

"From a three to one mobitz type two block, to a two to one mobitz type two block."

"Excessive RV afterload or impedance is one condition where RV failure occurs."

"When cardiac output is increased, systolic blood pressure will be increased."

"An inferior wall MI will be seen on what leads on an EKG? It's going to be 2, 3, and aVF. Remember that one."

"If you follow the echo literature at one time even before the days of tissue doppler one of the things that was favored was doing a balsalva."

"...we go from having irrelevant PVCs that are asymptomatic or maybe cause minor palpitations to PVCs that can actually kill the patients and become a true clinical challenge."

"Sinus pauses: the SA node intermittently stops its pacing, causing a pause in electrical activity."

"Assessing diastolic function is integral to a complete echocardiographic study."

"Almost 50 percent of heart failure patients have normal systolic function, making diastolic assessment crucial."

"Nitroglycerin decreases preload and myocardial O2 demand; crucial for unstable angina treatment."

"In modern Cardiology, you do not see very many things that have an absolute reduction of 27% in mortality."

"...atrial depolarization is represented by the P wave, ventricular depolarization is represented by the QRS complex, and the T wave represents ventricular repolarization."

"...the heart becomes more efficient, less beats but with every contraction more blood is ejected out."

"Afterload is a resistive force that the heart needs to overcome to eject the blood out, okay?"

"Beta blockers help to relax the heart and therefore reduce the workload of that heart."

"We can predict with high accuracy whether an individual will have a heart attack or stroke in the next three to five years by analyzing the health of their retina."

"The heart has four chambers: the left atrium, right atrium, left ventricle, and right ventricle."

"The systole is the contraction of the heart muscles, and diastole is the relaxation of the heart muscles."

"The cardiac cycle: the sequence of events that takes place between one heartbeat and the next."

"Advanced CTO PCI techniques are very effective and having exceptionally low complication rates."

"Regular use of FFR, intracoronary imaging with IVUS and OCT, and stent optimization are critical in giving our patients the best results possible."

"It's important that we all remember to do a heart care team approach, and to neglect that is really a disservice to your patients."

"Finally, I think one of the funnest parts of the talk is to help to increase your familiarity with the cath lab where we work to treat patients with heart attack."

"Jugular venous pressure is the most sensitive sign of cardiac tamponade."

"...as you stretch the cardiac muscle initially it responds with a more powerful contraction."

"The structural imager is an integral part of the heart team."

"Understanding the anatomical nuances of a septal defect is very important for a successful intervention."

"We have some theories, the most important one and the one we target a lot is the pulmonary vein triggers."

"Atrial fibrillation is bad per se; it makes you feel bad, you can have clots, you can have strokes, but it's a marker of mortality as well."

"This is probably the most important slide: what is going to help when you have somebody just diagnosed with atrial fibrillation, what is causing it."

"Cardiology is not an older man's sport. You have to really think about risk prevention early on."

"ST segment elevation... tells us the patient requires emergent angioplasty in the cardiac cath suite."

"This is anterior wall STEMI... precisely the patterns that we're looking for."

"I'm an interventional cardiologist, which means I'm a plumber, so I like to open arteries, and it's fun to do; that's why I do it."

"Hemodynamic monitoring is really needed to assess the patient's heart function."

"Central venous pressure measures the right ventricular preload, which can really also be called the stroke volume."

"Pulmonary artery wedge pressure measures the left ventricular end diastolic pressure."

"He's an integrative cardiologist, which means he integrates 40 years of traditional cardiology with complementary alternative medicine."

"Stroke volume times heart rate equals cardiac output."

"Heart failure means the heart can't pump enough blood to meet the body's needs."

"Stents have revolutionized how we treat heart artery narrowings and blockages; they have markedly reduced our reliance on open heart surgery."

"The most dangerous causes of fainting are having a heart rhythm disorder or too low blood pressure."

"The first is to check for the hemodynamic significance of lesions to determine whether revascularization is needed."

"The second one is after PCI is completed to ensure that an optimal result has been achieved."

"Normal stroke volume will vary; it's between 40 to 120 ml per beat."

"RVSP will equal tricuspid regurgitation pressure plus the estimated RA pressure."

"Real-time cine clips are important, specifically for sweeps and watching the heart, as the heart is a dynamic moving structure."

"The most fundamental part of performing fetal echo to identify congenital heart disease and abnormalities within the fetal heart is morphologic assessment of structures."

"The heart is a pump and that pump may be diseased either from birth or over a period of time."

"The studies that are done in a pediatric format make it easier for the pediatric cardiology surgeon to interpret because they are anatomically correct."

"It's key to react to that one single most important moment in radial catheter left coronary engagement."

"When you take a deep breath, the aorta gets elongated... that catheter becomes more coaxial with the left main and can engage it."

"The three vessel view has really become very useful in our lab to refine and detect more congenital heart disease."

"Phenylephrine might be helpful to patients with coronary artery disease because it improves coronary perfusion."

"An ECG during the palpitations is extremely helpful."

"When we think of cardiac infections, we should think of the layers of the heart."

"The best first diagnostic step is an echocardiogram."

"Endocarditis prophylaxis is therapy to prevent the development of endocarditis."

"The most common arrhythmia that you will ever encounter is atrial fibrillation."

"Ventricular fibrillation is an emergent life-threatening issue."

"We're seeing all kinds of things like this... encouraging signs that we may be improving cardiovascular health at least in a subset of our population."

"Cardiac glycosides produce a positive inotropic action, increasing the force of myocardial contraction."

"A positive inotropic effect means stronger contraction of the heart."

"I'm going to make you understand this in the next hour at most; it's very easy."

"The purpose of these presentations is to inform and educate on the latest advances in cardiovascular medicine."

"Pulmonary hypertension is defined by a mean pulmonary arterial pressure of greater than 25."

"The mean pulmonary arterial pressure is really made up of the pulmonary vascular resistance to flow and the passive back pressure from the left atrium."

"It's not an infarct but rather ischemia."

"Cardiology is lucky in that we've really had a lot of imaging advances over the last 30-40 years."

"So you want to be an interventional cardiologist. You love doing procedures and have the ego of a surgeon but don't want to go through the hassle of surgical residency."

"An interventional cardiologist is a cardiologist who has completed additional training in minimally invasive procedures of the heart."

"Interventional cardiologist's scope extends beyond coronary artery disease as well."

"If you love practicing medicine and are willing to dedicate the time and effort to treat the arguably most important organ in the human body, interventional cardiology might be for you."

"So just take the challenge, I think all cardiologists can find amyloid."

"Cardiac syncope has a concern for high mortality across the age spectrum."

"Electrocardiogram can be helpful for risk stratification."

"If you find abnormalities on an EKG, that increases the chance that this was a cardiac syncope."

"Prolonged EKG monitoring is for people who have some structural heart disease or a family history of unexplained heart death."

"He's always been interested in the heart."

"Cardiac output is heart rate times the stroke volume."

"Years earlier he'd written one of the most respected clinical reports of the time related to cardiology."

"I guarantee you by the end of this lesson you will never have a problem with heart blood flow again, ever again."

"Whenever there's problems with the left side of the heart, the patient has lung issues."

"The main advantage of double kiss crush over the single crush is the ability to rewire the side branch and do final kissing inflation after double stenting even through three stent layers."

"The heart is a pump and its goal is to only pump blood forward."

"The echocardiogram is truly the gold standard for diagnosing mitral valve disease."

"The procedure is not invasive, meaning that it doesn't require open-heart surgery."

"TAVR is a fantastic procedure that has sort of come on to the scene the past 10-20 years."

"The three vessel view is very helpful as it's able to detect abnormalities in the upper mediastinum."

"It's entirely possible for a person to be in full-blown cardiogenic pulmonary edema and yet be total body euvolemic or hypovolemic."

"Impulses leaving the AV node and headed to the Purkinje fibers will cross the right and left bundle branches."

"In 1887, Waller invented a machine to record the heart speed, and it was the first time that we had this kind of time series that shows the activity of our heart."

"Obstructive sleep apnea really taxes the heart and it can lead to serious complications, even death in some severe cases."

"When you have a thickened intima-media thickness, you know the patient has an increased risk of heart attack and stroke."

"I work in bioinformatics and I'm trying to develop machine learning methods that will help us understand better cardiomyopathies."

"Plaque volume predicts outcomes and changes in volume predict outcome."

"Intraplaque neovascularization correlated with vulnerable plaque and adverse clinical outcomes."

"The most recent guidelines from the European Society of Cardiology actually included arterial plaque burden performed by ultrasound for risk stratification."

"The presence and degree of atherosclerosis in one part of the vascular tree helps estimate a patient's cardiovascular risk."

"We now have a paradigm shift in the field where it is thought that carotid plaque assessment may in fact be a better tool than CIMT for CV risk stratification."

"Anatomy is normal, the pulmonary valve is actually anterior and slightly superior to the other semilunar valve, which is the aortic valve."

"The heart's pumping action is regulated by an electrical conduction system that coordinates the contraction of the various chambers of the heart."

"A pacemaker is a device that is placed in the chest or abdomen to help control abnormal heart rhythms."

"A defibrillator can also shock your heart if it detects a dangerous rhythm."

"The American Heart Association classification of recommendations and level of evidence."

"The biggest enemy is calcium; calcified tortuosity is an extremely tough case to cross."

"I'm going to give that patient nitroglycerin to decrease preload to help that heart relax."

"I think I've broken SVT twice with vagal maneuvers."

"She blends her expertise in cardiology with her knowledge of Ayurveda, yoga, Vedanta, and the direct path in her approach to healing."

"Great paper, Reduce AMI, two thumbs up for me."

"Learning objectives for today is to review the components of a normal pediatric echocardiogram, identify common critical cardiac defects, and to recognize red flags requiring immediate communication."

"Pericardiocentesis: put a needle in that heart under the xiphoid process, pull out a fluid, and the heart will expand."

"Pericarditis is a functional disease; tamponade is a hemodynamic disease; constrictive pericarditis is an anatomic disease."

"Usually, the patient has left-sided heart failure, and it develops into right-sided, so the whole heart fails, but usually, it starts at the left."

"The P wave represents atrial depolarization."

"The QRS complex is where our ventricles are depolarizing, our ventricle is contracting."

"The T wave represents your ventricle relaxing."

"In patients with chest pain, it is very valuable to have a 12-lead ECG tracing from the earliest possible after the onset of chest pain."

"Aortic stenosis presentation triad: ASH - Angina, Syncope, and Heart failure."

"For the first time, he invented the balloon system and did for the first time balloon angioplasty for this patient."

"Every P wave should be followed by a QRS, every QRS should be preceded by only one P wave, and the P axis should be between 0 and plus 90 degrees at all ages."

"The QRS axis represents the overall mean direction of ventricular depolarization and is important in supporting a diagnosis of ventricular hypertrophy and other conduction disturbances or congenital heart lesions."

"We have three classic EKG features of pre-excitation: a short PR interval, a Delta wave, and a prolonged QRS interval."

"The WPW syndrome is when the EKG features of pre-excitation are present in a patient with symptoms."

"Atrial fibrillation is not just a curiosity on the EKG; it's a very relevant phenomenon because it leads to increased stroke and mortality."

"It's just a huge resource to be able to evaluate things like how do you know if somebody has a large left atrium or a large right atrium."

"The hallmark feature of restrictive cardiomyopathy is that the atria are huge."

"Clinical trials in cardiology are a very important source of new information."

"I can quickly get an assessment of their left ventricular size function, look for an infusion, etc., really quickly, right at the bedside."

"Transposition of great arteries is one of the commonest cyanotic diseases which presents in the initial period."

"The characteristic feature of transposition of great arteries is ventricular arterial discordance."

"The systemic venous blood returns back into the aorta and the pulmonary venous blood returns back into the pulmonary artery, resulting in parallel circulation."

"All patients with transposition of great arteries have a uniformly poor natural history if no surgical intervention is done."

"Adequacy of interatrial communication is very important for maintaining the oxygen saturations in a patient with transposition of great arteries."

"We want Congenital Heart Academy to reach every country, every place."

"Intravascular ultrasound leads to larger stent sizes and lumen dimensions are usually bigger, which indirectly leads to better outcomes down the line."

"For stent optimization and sizing, intravascular ultrasound has very strong data."

"FFR is an excellent way for hemodynamic assessment of a significant stenosis."

"FFR optimizes the benefits of PCI, improves clinical outcomes, and is particularly used for driving decisions of doing PCI in intermediate stenosis."

"The heart view is like a map; it tells you many stories, you have to know how to read it."

"There was a 20% reduction in the risk of the primary endpoint in the LCZ group compared with the enalapril group."