cardiovascular subspecialities , how many is enough.!!!!

 PITFALLS IN THE CARDIOVASCULAR SYSTEM


There have been remarkable improvements in the field of technology and it has left its masks in the medical area too

There have been too many advancements in the medical field itself too. the advancing medicine has lead to the emerging of way too many subspecialties in many fields. Those subspecialties provide us with a deeper knowledge of the specified field and thus more and more effective treatment can be given. 

The subspecialties have been giving us better knowledge and treatment opportunities but there are some pitfalls that we cannot neglect.

In the case of cardiology, there are many subspecialties 

Subspecialties of the cardiology field include

 1. cardiac electrophysiology

 2. echocardiography

 3. interventional cardiology

 4. nuclear cardiology.

There are a few reasons that the increase in the number of subspecialties in the cardiovascular field has lead to some consequences. They are as follows-

1.       There are many cases in which the cardiac diseases are caused by non-cardiac symptoms and those are not addressed by a cardiologist and often can be missed.

 For example, the presence of mitral stenosis, patent foramen ovale, and/or transient atrial arrhythmia should be considered in a patient with stroke, or the presence of pulmonary hypertension and cor pulmonale should be considered in a patient with scleroderma or Raynaud’s syndrome.

This diagnosis can be missed by a non-cardiologist.

 A cardiovascular examination should be carried out to identify and estimate the severity of the cardiovascular involvement that accompanies many noncardiac disorders. But due to many subspecialties present the severity of the cardiovascular involvement in non-cardiac disorders gets overlooked.

2.       The cardiologist can sometimes the systemic cause of a cardiac disorder. In the case of unexplained heart failure in an elderly patient or atrial fibrillation can be caused by hyperthyroidism.

Unexplained pericardial effusion can be caused due to the presence of early TB or a neoplasm.

3.       Overreliance on and overutilization of laboratory tests, particularly invasive techniques, for the evaluation of the cardiovascular system. Like coronary arteriogram and coronary catheterization.

Although a great deal of attention has been directed to these examinations, it is important to recognize that they serve to supplement, not supplant, a careful examination carried out with clinical and noninvasive techniques.

Coronary arteriography may establish whether the coronary arteries are obstructed and to what extent, the results of the procedure by themselves often do not provide a definitive answer to the question of whether a patient’s complaint of chest discomfort is attributable to coronary atherosclerosis and whether or not revascularization is indicated.

4.       The laboratory tests are invasive and might cause the patient discomfort even if they have few side effects. Those can cause the patient and the hospital substantial cost. And might put a strain on the medical facilities.

CONCLUSION

 Too much of anything is bad and we must see the body as a whole and put our knowledge in assessing  the whole situation thinking about all the possible causes.

We should also do advanced procedures only if they are to give results that are expected to modify patient management.

As always stay safe and healthy and informed...😊

P.S comment on your views


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