PODCAST · health
Cardiology Course FM
by Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D.
A 45-minute cardiology masterclass for doctors, students, residents, fellows and nurses. Senior Interventional Cardiologist Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D., founder of the Academy of Elite Doctors, joins host Alexander Wood to cover ECG and echo, arrhythmias, pacing and CRT, coronary disease, cardiogenic shock, heart failure, valvular and congenital disease, endocarditis, hypertension, heart disease in pregnancy, cath lab complications, ethics and exam preparation. Each episode reviews current guidelines and landmark trials and closes with real clinical cases.
Episodes
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Familial Hypercholesterolaemia, Dyslipidaemia, Lipoprotein(a), Homocysteine and Fibrinogen — Diagnosis and Management of Hidden Causes of Premature Coronary Disease
Our 100th episode! Long before the first symptom, silent risk factors in the blood build coronary disease — often in young South Asians. In this masterclass Dr. A M Thirugnanam covers the diagnosis and management of familial hypercholesterolaemia, dyslipidaemia, lipoprotein(a), homocysteine and...
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M-TEER and T-TEER: Mitral and Tricuspid Transcatheter Edge-to-Edge Repair — Patient Selection, Methods, Complications and Management
Through a vein in the groin, a small clip grasps the leaflets of a leaking valve and holds them together. Transcatheter edge-to-edge repair of the mitral and tricuspid valves is changing the lives of patients once told nothing could be done. In this masterclass Dr. A M Thirugnanam, author of...
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Cardiac Tumours — What They Are, How to Diagnose Them, Treatment and Management
A mass in the left atrium causing fainting, a stroke in a young adult from a tiny growth on a heart valve, a recurrent pericardial effusion that turns out to be cancer — cardiac tumours are rare, but they test every clinical skill. In this masterclass Dr. A M Thirugnanam explains how to classify...
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Vitamin and Micronutrient Deficiency and the Heart — How to Diagnose, Treat and Manage
Some vitamin and micronutrient deficiencies cause life-threatening heart disease that can be cured within hours — others are linked to heart disease in observational studies, yet supplements have failed trial after trial. In this masterclass Dr. A M Thirugnanam separates the deficiencies that…
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Tropical Heart Diseases — How to Diagnose, Treat and Manage Complications
More than a third of the world lives in the tropics, where heart disease is often caused by infections, parasites, venomous bites, poverty and malnutrition — diseases of the young that are frequently missed, yet often curable. In this masterclass Dr. A M Thirugnanam gives a practical framework…
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Transcatheter Aortic Valve Replacement (TAVR) — Patient Selection, Risk Stratification, Imaging, Implantation Technique and Managing Complications
Transcatheter aortic valve replacement has transformed the treatment of severe aortic stenosis — but every successful TAVR is won in the planning. In this masterclass Dr. A M Thirugnanam, author of "Transcatheter Aortic Valve Replacement: Tricks and Tips", walks through the whole pathway…
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Cardiac Drug Overdose and Toxicity — Recognition, Antidotes, Rescue Therapies, and Good and Poor Outcomes
Cardiac drugs save lives every day — but in the wrong dose, the wrong patient or the wrong combination, they can stop the heart. In this masterclass Dr. A M Thirugnanam covers acute overdose and chronic toxicity of cardiac drugs: the first-hour approach (ECG, glucose, electrolytes, drug history,...
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After a Death or Poor Outcome — Handling Medical Negligence Allegations, Chaotic Relatives and the Consequences
A patient dies or has a poor outcome, grief turns into anger, a crowd gathers in the corridor — and afterwards come complaints, legal notices and sleepless nights. In this honest masterclass Dr. A M Thirugnanam explains how to handle medical negligence allegations, chaotic situations with...
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Refractory Decompensated Heart Failure — Diuretic Resistance, Cardiorenal Syndrome, Low Output and What to Do the Best
The swollen, breathless patient who is not responding to diuretics, whose kidneys are worsening and whose blood pressure is too low for the medicines we want to give — refractory decompensated heart failure carries a very high risk of death. In this masterclass Dr. A M Thirugnanam gives a...
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Primary Angioplasty in Acute STEMI — Stabilise or Go Straight to the Table? Why Patients Die on the Table and How to Prevent It
Primary angioplasty has transformed survival after STEMI — yet the sickest patients still die in the first hours, often on the cath lab table. In this masterclass Dr. A M Thirugnanam answers the hard questions. Topics include why primary PCI is preferred, the 90- and 120-minute targets and the...
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Diagnosing the Missed and Never-Seen-Before Case in Cardiology — Rare, Hidden and Challenging Diagnoses
Every doctor eventually meets the patient who does not fit — the case labelled anxiety, viral or "just age", or the condition you have never seen before. In this masterclass Dr. A M Thirugnanam shares a step-by-step method for finding the hidden diagnosis. Topics include why diagnoses are missed...
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What Makes an Expert Cardiologist — How They Think, Behave and Pursue Perfection in Diagnosis and Procedures
Expertise is built, not born. In this masterclass we explore what separates an expert cardiologist from an experienced one — and how they pursue perfection in everything within their control. Topics include an honest look at "100% success" (aiming for 100% effort, preparation and honesty rather...
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The Best Books from cardiologybooks.com for Cardiologists at Every Level — and How to Use Them in Daily Practice
Which book should you read first — and how do you actually use it on the ward, in the cath lab, in the ICU and in the exam hall? In this special episode, the author takes us on a guided, level-by-level tour of the cardiologybooks.com library. We cover the philosophy behind the books (practical,...
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Perfect Ventilator Settings in Heart Failure and Cardiac Critical Care — Management and Complications
The ventilator is not just a breathing machine — it is a powerful haemodynamic tool. In this cardiac critical care masterclass we cover heart–lung interactions (positive pressure lowers preload and LV afterload but can raise RV afterload); noninvasive ventilation in acute cardiogenic pulmonary...
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Selecting the Right Antibiotic and Preventing Antibiotic Resistance — Complications and Effective Management
Every antibiotic prescription has two sides: it can save a life within hours, or it can harm the patient and breed resistance. In this masterclass we cover a practical, systematic approach to antibiotic selection: deciding whether an antibiotic is needed at all; the five questions — site, likely...
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Myocardial Bridging with Recurrent Angina — Complications and Effective Management
Often dismissed as a harmless variant, a myocardial bridge can cause recurrent angina, MINOCA, ventricular arrhythmias and even sudden death. In this masterclass we cover what a bridge is and how common it is on angiography, CT and autopsy; why it causes ischaemia — delayed diastolic relaxation...
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Inoperable and Non-Stentable Small-Vessel Disease — Drug-Coated Balloons, Lesion Preparation and Debulking
Not every lesion needs a stent, and not every patient can have surgery. In this cath-lab masterclass we cover the "leave nothing behind" strategy for inoperable patients and non-stentable lesions: who these patients are — no-option surgical candidates, small vessels, diffuse disease, in-stent...
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Calcified Left Main Bifurcation PCI — Selection of Materials, Complications and Management
The calcified left main bifurcation combines the three hardest challenges in PCI — the left main, a bifurcation and calcium. In this cath-lab masterclass we cover the Heart Team decision (SYNTAX score, EXCEL, NOBLE and the SYNTAX left main subgroup); pre-procedure planning — angiographic…
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Sudden Cardiac Death with Normal Cardiac Tests — What Has Been Missed
A normal ECG, a normal echo, a normal treadmill test and even a normal angiogram — yet the heart stopped. In this masterclass we explore sudden cardiac death with normal cardiac tests: why routine tests miss the cause, and how to find it. Topics include sudden arrhythmic death syndrome (SADS) and...
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Microvascular Angina and Sudden Cardiac Death — Causes, Complications and Management
A normal angiogram does not mean a normal heart — and many sudden deaths strike people who never had a warning. In this masterclass we cover microvascular angina and the causes, prevention and management of sudden cardiac death. Topics include INOCA and ANOCA; impaired vasodilation versus...
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Acute MI During Cancer Treatment — Complications and Effective Management
An acute myocardial infarction in the middle of chemotherapy — with low platelets, a tumour that could bleed, surgery planned next week, and a cancer drug that may have caused the event. In this masterclass we cover how to diagnose and treat MI during cancer treatment while keeping cancer therapy...
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Acute MI During Labour and Delivery — Complications and Effective Management
A young mother in labour develops crushing chest pain, a fall in blood pressure, or collapses — an acute myocardial infarction in the labour ward, with two lives at stake. In this masterclass we cover how the cardiologist, obstetrician, anaesthetist and neonatologist recognise and manage it...
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Acute MI During Non-Cardiac Surgery — Complications and Effective Management
The monitor shows ST elevation in the middle of a laparotomy, the blood pressure falls, and every heart-attack treatment carries a risk of surgical bleeding. In this masterclass we cover acute myocardial infarction during and after non-cardiac surgery, and how the surgeon, anaesthetist and...
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Acute MI in Patients on Dialysis — Complications and Effective Management
Patients on dialysis carry an extraordinary cardiovascular risk — yet they were left out of almost every major trial. In this masterclass we cover how to diagnose and treat acute myocardial infarction in patients with kidney failure on dialysis, and how to manage the many complications. Topics...
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Haemorrhagic Stroke, Accelerated Hypertension and Acute MI — Effective Management
A bleeding brain, a blocked coronary artery, and a blood pressure through the roof — every treatment that helps the heart seems to harm the brain. In this masterclass we cover how to handle acute intracerebral haemorrhage with accelerated hypertension together with an acute myocardial infarction....
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Acute Haemorrhagic Stroke with Accelerated Hypertension — Complications and Management
A bleed in the brain, a blood pressure of 240/140, and every minute counting. In this masterclass we cover acute intracerebral haemorrhage with accelerated hypertension — and why it is very much the cardiologist's problem. Topics include why hypertension causes deep (putaminal, thalamic, pontine,...
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Acute MI with Cardiogenic Shock When No Cath Lab Is Available — Complications and Management
Most heart attack patients first reach a hospital without a cath lab. In this masterclass for doctors in district, rural and secondary hospitals, we cover how to manage acute myocardial infarction with cardiogenic shock when primary angioplasty is not in the building. Topics include the scale and...
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Refractory Ventricular Arrhythmias in Dilated Cardiomyopathy with Sepsis — Complications and Management
A patient with dilated cardiomyopathy develops sepsis — then shock after shock from ventricular tachycardia and fibrillation that won't stop. In this masterclass we cover how to tame an electrical storm while treating the infection and supporting a failing pump. Topics include the definition and...
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Refractory Atrial Arrhythmias in Normal and Failing Left Ventricle — Complications and Management
Atrial fibrillation, flutter or atrial tachycardia that won't settle — in a patient with a normal left ventricle, and in one whose ventricle has already failed. In this masterclass we cover how the state of the LV changes almost every decision. Topics include whether an arrhythmia is truly...
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Cardiac Arrest in Acute MI with Mechanical Complications — Effective Management
A patient with an acute myocardial infarction survives a cardiac arrest — and the heart is mechanically broken: a ruptured ventricular septum, a torn papillary muscle, or a rupture of the free wall. In this masterclass we cover how to recognise, stabilise and repair these patients while…
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After Bypass Surgery and SAVR — Complications and Management
CABG and surgical aortic valve replacement are among the most effective operations in medicine — but the hours, days and weeks after surgery bring their own complications. In this masterclass we follow the post-operative timeline and show how to recognise and manage each one effectively: telling...
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Cath Lab Complications, Table Deaths and Sudden Death in Hospital — How to Handle Them Effectively
Every interventional cardiologist fears it: a death on the cath lab table, or a patient who was talking in the morning and gone by evening. In this masterclass we examine why table deaths and in-hospital sudden deaths happen — and how many are predictable, preventable or survivable with...
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Post-MI Sepsis, Multiple Organ Failure and DIC — Effective Management
A patient recovering from a myocardial infarction develops sepsis, then multiple organ failure, then disseminated intravascular coagulation — with a fresh stent that needs antiplatelets and a blood that is clotting and bleeding at once. In this masterclass we cover how to handle it safely and...
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Heart Disease with Multiple Organ Failure — Diagnosis and Management
When the heart fails, it rarely fails alone. In this masterclass we cover the patient with heart disease and multiple organ failure — kidneys, lungs, liver, brain and blood — and how to break the vicious circle with a clear plan. Topics include the SOFA score and why mortality climbs with each...
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Heart Disease and Cancer — Cardiac Care During Cancer Treatment
More patients than ever survive cancer — and many have heart disease before treatment or develop it during therapy. In this masterclass we cover cardiac care during cancer treatment, with one goal: keeping life-saving cancer therapy possible. Topics include the 2022 ESC cardio-oncology guideline...
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How to Write a Research Article, Thesis and Case Report — A Guide for UG, PG and Cardiology Fellows
Every doctor sees patients worth writing about — but few are ever taught how to write. In this masterclass for undergraduates, postgraduate residents and cardiology fellows, we cover the complete path from a bedside observation to a published paper: what to aim for at each stage of training;...
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Cardiac Care at 100 and Beyond — Treatment and Management of Centenarians and the Very Old
More patients now live beyond 100 — and most of our guidelines stop at 75 or 80. In this masterclass we cover cardiac care for centenarians and the very old: the physiology of the ageing heart (arterial stiffness, diastolic dysfunction, conduction disease, blunted reserve) and the high prevalence...
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Tertiary Cardiac Care in the Final Days — Treatment and Management of the Dying Cardiac Patient
We cannot always cure, but we can always care. In this masterclass we cover tertiary cardiac care for the critically ill patient in the final days of life: recognising the dying cardiac patient (refractory shock, progressive multi-organ failure, repeated arrests, mechanical support with no exit...
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Recurrent Heart Failure — Diagnosis, Treatment and Management
Every readmission for heart failure is a signal that something has not been fixed. In this masterclass we cover recurrent and worsening heart failure from end to end: the definition of a worsening HF event and the HFrEF, HFmrEF, HFpEF and HFimpEF categories; a systematic search for precipitants...
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ECMO in Cardiac Care — Device Selection, Indications, Maintenance, Medications and Weaning
ECMO buys time — but only if we choose the right patient, the right configuration and a clear destination. In this masterclass we cover the ECMO circuit, choosing veno-venous versus veno-arterial support (and hybrid V-A-V configurations), indications and contraindications, the SAVE and RESP…
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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...
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The Basic Skills That Master Complex and Challenging Cases in Cardiology
The Basic Skills That Master Complex and Challenging Cases in Cardiology In our last episode we explored how an expert thinks. Today we go to the foundation underneath: the basic skills that win complex and challenging cases. We cover the investigative history (tempo, trigger, trajectory,...
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How Experts Think — Approaching Complex and Challenging Cases in Cardiology
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...
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Resistant and Malignant Hypertension: Diagnosis, Current Guidelines, Treatment and Management
In our last episode we covered hypertension and the current guidelines. Today we go deeper into the two most challenging forms: resistant hypertension, where blood pressure stays high despite multiple medicines, and malignant hypertension, a true medical emergency in which severely raised blood...
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Hypertension: Diagnosis, Current Guidelines, Treatment and Management
Today's topic is the single most important modifiable risk factor for death worldwide: hypertension, or high blood pressure. It affects over a billion people, causes strokes, heart attacks, heart failure, kidney disease and dementia — and yet most people with it are either undiagnosed, untreated…
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Leadless Pacemaker Implantation: Treatment and Management
In our recent episodes we've explored conduction disease, pacemaker modes and cardiac resynchronisation. Today we focus on one of the most remarkable innovations in device therapy: the leadless pacemaker. Imagine a complete pacemaker — battery, electronics and electrode — about the size of a…
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Cardiac Resynchronisation Therapy (CRT): Treatment and Management
In our last episode we discussed conduction defects and pacemaker modes. Today we focus on one of the most important device therapies for heart failure: cardiac resynchronisation therapy, or CRT. For the right patient, it can transform breathlessness into an active life, shrink a dilated heart…
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Cardiac Conduction Defects and Pacemaker Mode Selection: Diagnosis, Treatment and Management
Today we're exploring the heart's wiring — the conduction system — and what happens when it fails. Sinus node disease, heart block and bundle branch block can cause dizziness, fainting, heart failure and even sudden death. And the pacemaker, one of the greatest inventions in medicine, can restore…
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Cardiac Ventricular Arrhythmias: Diagnosis, Treatment and Management
In our last episode we explored the atrial arrhythmias. Today we move down to the ventricles, where arrhythmias can be the difference between life and death. Ventricular arrhythmias range from harmless extra beats to ventricular tachycardia, ventricular fibrillation and sudden cardiac death…
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Cardiac Atrial Arrhythmias: Diagnosis, Treatment and Management
Today we're focusing on the atrial arrhythmias — the rhythm disturbances that arise in the upper chambers of the heart. They range from harmless atrial ectopic beats to atrial tachycardia, atrial flutter and, most importantly, atrial fibrillation, the commonest sustained arrhythmia in the world…
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ABOUT THIS SHOW
A 45-minute cardiology masterclass for doctors, students, residents, fellows and nurses. Senior Interventional Cardiologist Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D., founder of the Academy of Elite Doctors, joins host Alexander Wood to cover ECG and echo, arrhythmias, pacing and CRT, coronary disease, cardiogenic shock, heart failure, valvular and congenital disease, endocarditis, hypertension, heart disease in pregnancy, cath lab complications, ethics and exam preparation. Each episode reviews current guidelines and landmark trials and closes with real clinical cases.
HOSTED BY
Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D.
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Frequently Asked Questions
How many episodes does Cardiology Course FM have?
Cardiology Course FM currently has 100 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is Cardiology Course FM about?
A 45-minute cardiology masterclass for doctors, students, residents, fellows and nurses. Senior Interventional Cardiologist Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D., founder of the Academy of Elite Doctors, joins host Alexander Wood to cover ECG and echo, arrhythmias, pacing and CRT, coronary...
How often does Cardiology Course FM release new episodes?
Cardiology Course FM has 100 episodes. Check the episode list to see recent publication dates and frequency.
Where can I listen to Cardiology Course FM?
You can listen to Cardiology Course FM on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts Cardiology Course FM?
Cardiology Course FM is created and hosted by Dr. A M Thirugnanam, MD, MSICP, FSCAI, Ph.D..
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