Angelina Lim reports.
In our previous episode of Future Doctors under the theme “When Heart Attack Strikes”, we were lucky to have Mr S. Devandiran, Mr Senthilraj Retinasekharan and Mr Alan Na spare a few minutes of their time to present their respective topics.
Mr S Devandiran started the session with his topic “Angina Pectoris: The Differentials”. He differentiated stable from unstable angina and also touched lightly on the other forms such as Variant Angina and Syndrome X. He highlighted that eventhough there is a ST depression, particularly an ascending depression, in an ECG, it is NOT necessarily a sign of ischemia.
Click Here toView the Presentation “Angina Pectoris: The Differentials”
Next we had Mr Senthilraj Retinasekharan who gave us a brief overview of the risk factors, clinical picture, diagnosis, management, treatment and complication of ST-elevated Myocardial Infarction (STEMI). He compared the management guidelines given by Malaysia and Russia, concluding that they were similar with minor differences like giving statins in Russia which is not practiced in Malaysia whereas in Malaysia we use Clopidogrel which can replace aspirin in cases when aspirin is contraindicated. He elaborated a great deal on the medications used, their indications and contraindications.
On the "Diagnosis and Management of Non ST-elevated Myocardial Infarction" (NSTEMI) , Mr Alan Na based his presentation on the Malaysian Clinical Practice Guideline. He went through with us step by step from clinical symptoms to how we can come up with a final diagnosis of NSTEMI. He also stressed that the ONLY way we can differentiate Unstable Angina from NSTEMI was by cardiac markers.
Generally, all 3 presenters were very informative and well-versed with their respective materials despite the time restriction of 20 minutes.
Do join us in our final session of Future Doctors next week.
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