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Oct 12, 2026 44 min

How Experts Think — Approaching Complex and Challenging Cases in Cardiology

from Cardiology Course FM Hosted by Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D.

How Experts Think — Approaching Complex and Challenging Cases in Cardiology Over 58 episodes we have studied diseases. Today we study how an expert thinks. How do you approach the complex, challenging case that does not fit the textbook — the patient with a heart attack, kidney failure and a bleeding history all at once? We cover the four types of complexity, stabilising before thinking, applying trials wisely (is my patient the trial patient?), the Heart Team, cognitive traps such as anchoring and the oculostenotic reflex, risk scores, physiology and intravascular imaging, managing complications, shared decision-making and practice in resource-limited settings — with worked cases drawing on SYNTAX, EXCEL, ISCHEMIA, REVIVED, CULPRIT-SHOCK, DanGer Shock, AUGUSTUS, PIONEER AF-PCI, PARTNER, COAPT and STREAM. Guest: Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D., Senior Interventional Cardiologist, author, educator and founder of the Academy of Elite Doctors. Host: Alexander Wood Cardiology Course FM is the station for doctors, students, nurses and everyone who looks after the heart. Learn more: • Cardiology books: https://cardiologybooks.com • Mentorship with the Academy of Elite Doctors: https://academyofelitedoctors.com • Online cardiology courses: https://cardiologycourse.com • World Elite Doctors: https://worldelitedoctors.com For medical education only. This episode is not a substitute for individual medical advice.

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This episode was published on October 12, 2026.

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