Talk:Cardiology

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Moved from the article: A network of nerves on the outer wall of the heart guide regular electric pulses that cause the ventricles and auricles to contract at different intervals to maximize the pump action. This is rather misleading, in fact the heart generates its own electric impulses to coordinate it's muscular action; the heart nerves just regulate this electric action to adapt cardiac output to the body's needs. I don't know how to put this into plain English. Anybody? Kosebamse 17:01 Apr 12, 2003 (UTC)

Not sure. :-) It's very misleading and somewhat confusing. Is the author talking about the electrical conduction system of the heart (SA node, AV node, etc.), or external influences on the system (ie: vagal innervation of the heart)??? Also, they're not at different intervals, unless the individual has complete heart block. Ksheka 15:59, Apr 17, 2004 (UTC)

I expanded out this article to make it a bit of a table of contents for cardiology. I think we should get all the cardiology topics linked to directly from this page, if possible. It will help people find stuff, as well as decrease some of the duplicate work that gets done (eg. someone writes a article on HCM, and someone else writes a article on IHSS (They're the same thing.) Ksheka 15:59, Apr 17, 2004 (UTC)

Does anyone have a good way to structure pharmaceutical agents that are commonly used to treat cardiac issues? Other than the antiarrhythmics, I can't really break it down. The problem is that many agents can be used to treat a lot of diseases (ie: Beta blockers, ACE inhibitors, potassium-sparing diuretics). Anyway, this is what I have so far, in case anyone wants to take a stab at it:

Ksheka 19:42, Apr 22, 2004 (UTC)

One might classify by the condition they are meant to treat and by their mechanism of action, despite repetition:

agents used in the treament of risk factors for coronary artery disease
agents used in the treatment of hypertension
angiotensin converting enzyme inhibitors (ACE inhibitor)
alpha blockers
beta blockers
diuretics
carbonic anhydrase inhibitors acetazolamide, dorzolamide
thiazides hydrochlorothiazide]
loop diuretics (furosemide)
potassium-sparing diuretics spironolactone, amiloride
calcium channel blockers
agents used in the treatment of hypercholesterolemia & hyperlipidemia
statins, HMG Co-A reductase inhibitor
agents used in the treatment of coronary artery disease
nitrates
agents used in the prevention of myocardial infarction
aspirin
Plavix (clopidogrel)
agents used in the treatment of myocardial infarction
agents used to treat rhythm disturbances
agents used in the treatment of heart failure
preload reduction
nitrates
afterload reduction
diuretics
contractility enhancement
digitalis, digoxin, digitoxin
heart rate


- (running off, may get the chance to add more later- Nunh-huh 20:05, 22 Apr 2004 (UTC)

[edit] Vascular Medicine ?

Any plans for a section on Vascular Medicine ? Just curious .....
PFHLai 01:54, 2004 May 18 (UTC)

Dropped off my radar. :-) I typically add topics as I think of them. I definitely want a good vascular medicine portion. After all, the field of Cardiology has (in the last few years) been expanding into Cardiovascular Medicine. Please add any topics you feel belong to the vascular disease portion (which I'll create now... :-) ) Ksheka 15:25, May 20, 2004 (UTC)
Great, thanks. I've added a few items already. I look forward to reading more about Vascular Medicine (and wikifying the pages. ^_^ ) Pulmonary hypertension causes hypertrophy in the right ventricle, but I don't quite know where I should put this. I also don't know where to put embolism and stroke. These are relevant topics in Vascular Medicine, but not necessarily in Cardiology. And I suppose having a page on endothelial dysfunction would be a good idea.
PFHLai 10:29, 2004 May 22 (UTC)
Pulmonary circulation should be it's own page. It should describe oxygenation of the blood, and eventually explain the shunting of blood that occurs in fetal development. Under this heading, Pulmonary hypertension and Pulmonary embolism should reside. Left ventricular hypertrophy and Right ventricular hypertrophy should go under diseases of the hyocardium. Not the best solution, but feel free if you have a better one. Ksheka
That Pulmonary circulation page needs to be expanded. You have good suggestions for its content.
Someone has written up the Pulmonary hypertension page today. I found Cor pulmonale there, and added this to your list of cardiology topics under congestive heart failure.
PFHLai 19:58, 2004 May 23 (UTC)
I think a big part of the problem is that to make a proper catagorization of all the diseases, some of them have to show up in multiple places. I have a similar problem with the cardiac pharmacologic agents. Ksheka 13:12, May 22, 2004 (UTC)
I don't see a big need to make perfectly clean-cut categorization of every disease. It's not possible, anyway. A little redundancy seems perfectly alright to me.  :-) It's the internet, where we can click to go to a new page quite easily. We can have internal links to alert readers to See also other actions of a particular drug / hormone / neurotransmitter, and other aspects of a particular disease / syndrome .....etc. This way, I hope, things would be less stressful for Wiki-Doctors like you.  :-)
PFHLai 19:58, 2004 May 23 (UTC)

Can anyone take a closer look to ouabain. strange claims there without valid references. Jeff

[edit] Does anyone mind...?

(disclaimer: this is my first attempt at editing a wiki page...if this message does not reach its intended audience, or is improperly placed, please do not flay me)

Does anyone mind if I attempt to organize the indices that comprise this article into cohesive paragraphs? Flesh them out a little? Synwolf 03:19, 17 October 2006 (UTC)

Having a line or two at the beginning of each section is probably a good idea, as a description of the section. As for converting it all into text, that's really not how I saw this page. The majority of this page should act as a table of contents to direct the reader to more specific information. Ksheka 17:53, 28 October 2006 (UTC)
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