Dr Fatah Hamid

Dr Fatah Hamid Ulitmate Medical Guide for All Health Care Professionals (Doctors, Nurses,Medical Students, Pharmacis
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Coronary Blood Supply🩸
05/09/2025

Coronary Blood Supply🩸

Type of J point 🫀
04/09/2025

Type of J point 🫀

Save and share this amazing ECG cheat sheet
03/09/2025

Save and share this amazing ECG cheat sheet

stroke_notes_SOM.....✍️
02/09/2025

stroke_notes_SOM.....✍️

Thousands of citizens have been killed or injured in Kunar; ゚viralシfypシ゚
01/09/2025

Thousands of citizens have been killed or injured in Kunar;
゚viralシfypシ゚

liver_function_test_notes_SOM.....✍️
31/08/2025

liver_function_test_notes_SOM.....✍️

🔴🔴2025 AHA/ACC Hypertension Guideline – Key Clinical Insights for Practice 1️⃣ BP
31/08/2025

🔴🔴2025 AHA/ACC Hypertension Guideline – Key Clinical Insights for Practice


1️⃣ BP

31/08/2025

🚨 ESC 2025 Pregnancy & Heart Disease 🚨

🫀 Pregnancy Heart Team

Mandatory for all mWHO II–III and above, from pre-pregnancy through postpartum.

mWHO IV: Team must counsel on extreme risks, including possible pregnancy termination with full psychological support.

📊 Heart Failure & Biomarkers

BNP/NT-proBNP: measure before and during pregnancy in women with prior HF, PPCM, cardiomyopathies, or PAH.

PPCM: continue HF therapy ≥12 months after recovery; genetic testing should be considered.

💊 Pharmacology Highlights

Beta-blockers: continue in all cardiomyopathies, LQTS, CPVT, and HTADs (Marfan, etc.). Nadolol/propranolol preferred in channelopathies.

Flecainide: add for CPVT breakthroughs or AF rhythm control.

Avoid ACEIs/ARBs/ARNIs/MRAs/ivabradine/SGLT2i and myosin inhibitors (mavacamten).

Pregnant women with coronary stents should receive DAPT (aspirin and clopidogrel) for the same duration as non-pregnant women, with adjustments based on ischemic and delivery bleeding risks.

Statins may be continued in established ASCVD (case-by-case).

❤️ Delivery & Intervention

Vaginal delivery recommended for most cardiomyopathies; caesarean only for obstetric or defined cardiac indications (include EF under 30 or NYHA III–IV, uncontrolled arrhythmia, severe LVOTO 50 mmHg or more, or in labour on VKAs.).

Severe AS unresponsive to meds: balloon valvuloplasty or TAVI may be considered.

Bioprosthetic valves recommended for young women planning pregnancy; mechanical valves need individualized anticoagulation plan (VKA vs. LMWH).

🩸 Arrhythmias

AF with high stroke risk: LMWH anticoagulation recommended.

Catheter ablation: consider in drug-refractory SVT/VT, prefer non-fluoro systems.

🫁 Aortopathies & PAH

Marfan/HTAD: beta-blockers throughout pregnancy and postpartum.

Aortic dissection history: extended counselling, surgery if Marfan aorta >45 mm.

PAH: very high risk, 30% maternal mortality—multidisciplinary shared decision.

⚡ Emergencies

VTE suspicion: immediate validated diagnostic tests; treat with LMWH.

Chest pain: always exclude PE, ACS/SCAD, or aortic syndromes.

Cardiac arrest ≥20 wks: continuous left uterine displacement + IV above diaphragm. Do not withhold ACLS drugs.

📉 Blood Pressure & Pre-eclampsia

Target

Chest X-ray - Lung cancer - Mass v Consolidation ゚
30/08/2025

Chest X-ray - Lung cancer - Mass v Consolidation

゚

Chest Pain Evaluation🫀
30/08/2025

Chest Pain Evaluation🫀

🔴Deadly ECG Patterns⤵️1️⃣ Third Degree AV Block ⚠️ •Complete AV dissociation. •Risk: Cardiac arrest.2️⃣ Pericard...
30/08/2025

🔴Deadly ECG Patterns⤵️

1️⃣ Third Degree AV Block ⚠️
•Complete AV dissociation.
•Risk: Cardiac arrest.

2️⃣ Pericardial Effusion 💧
•Low voltage QRS, electrical alternans.
•Risk: Cardiac tamponade.

3️⃣ STEMI ❤️
•ST elevation in 2 contiguous leads.
•Risk: Myocardial infarction.

4️⃣ Peaked T Waves 🔺
•Causes: Hyperkalemia, ischemia.
•Risk: Cardiac arrest.

5️⃣ Wide QRS Interval ⚡
•Causes: Hyperkalemia, conduction disease.
•Risk: Ventricular arrhythmias.

6️⃣ Brugada Syndrome 💔
•STE in V1–V3.
•Risk: Sudden death.

7️⃣ Inverted T Waves ↔️
•Leads: aVR, V1.
•Risk: Acute ischemia, PE.

8️⃣ HCM (Hypertrophic Cardiomyopathy) 🏋️
•LVH, dagger Q waves, deep T inversions.
•Risk: VT/VF arrest.

9️⃣ ST Depression 🔽
•Leads: Anterior (posterior MI), lateral (LVH, ischemia).
•Risk: ACS.

🔟 ARVD (Arrhythmogenic Right Ventricular Dysplasia) 🌀
- Epsilon wave, QRS abnormalities.
- Risk: Sudden death.

1️⃣1️⃣ WPW (Wolff-Parkinson-White) 🕒
- Delta wave, short PR, wide QRS.
- Risk: Arrhythmias.

1️⃣2️⃣ QTc Prolongation ⏳
- QTc > 500 ms.
- Risk: Torsades, sudden death.

Address

Dubai

Telephone

+93787852155

Website

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