Medicine Review: Cardiology (with Dr. Andrew Jenzer)

Dr. Andrew Jenzer joins us today as we kick off our series focused on medicine by doing a deep dive into cardiology and some of the most important aspects that all levels of residents and practicing surgeons need to know about. This episode and the ones that follow in the same vein are designed to maximize learning, and as such, we explore some of the most useful terms on the subject, safety precautions for medication, and related conditions and concerns. We delve into managing hypertension, issues with blood pressure, EKG interpretation, atrial fibrillation, and more, with Dr. Jenzer taking the time to approach these areas in theory and in practice. Towards the end of today's chat, Dr. Jenzer also gives some attention to the important ideas of cardiac risk, congestive heart failure, and cardiomyopathy, so make sure to stay tuned right to the end to catch all of that too!

Key Points From This Episode:

• Introducing the electric system of the heart.  
• Five important technical terms and becoming familiar enough with them to communicate effectively around cardiac medications. 
• Tips and recommendations for the basics of EKG interpretation. 
• Extra care that is required when prescribing Zofran. 
• An explanation and a few vital notes on atrial fibrillation.
• Different degrees of heart blocks and reasons for their occurrence.
• Final comments on the electrical concerns of the heart.
• Dr. Jenzer's thoughts on how this subject figures into study plans. 
• Unpacking the hormones involved in cardiology.
• Assessing hypertension and the steps that can be taken in response. 
• Defining and explaining ischemic cardiac disease, acute coronary syndrome, and more.
• Weighing the benefits of the use of various opioids, morphine, and Toradol.  
• How to go about defining cardiac risk and using “major adverse cardiac events.”  
• Classifications of congestive heart failure. 
• An understanding of the different types of cardiomyopathy and how they impair the heart. 

Links Mentioned in Today’s Episode:

KLS Martin — https://www.klsmartin.com/en/

Dr. Andrew Jenzer — https://surgery.duke.edu/profile/andrew-clark-jenzer

Rapid Interpretation of EKG's — https://www.amazon.com/Rapid-Interpretation-EKGs-Sixth-Dubin/dp/0912912065

MDCalc — https://www.mdcalc.com/

MACE Calculator — https://www.mdcalc.com/calc/1752/heart-score-major-cardiac-events

RCRI — https://www.mdcalc.com/calc/1739/revised-cardiac-risk-index-pre-operative-risk

NSQIP — https://riskcalculator.facs.org/RiskCalculator/

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ 

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ 

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059