Qureshi University, Advanced courses, via cutting edge technology, News, Breaking News | Latest News And Media | Current News
admin@qureshiuniversity.com |
Instructors | Membership | Contact Us
Interventional Cardiology
Submitted to
American College of Physicians
WHO

From
Asif Qureshi
5042 N Winthrop Ave #237
Chicago, IL 60640.

Induced cardiac arrhytmias, case reports, Military Science, political science
Who?
Where?
How?
When?
Why?

Geographic coordinates:
Latitude 34 08 N
Longitude 74 51 E

Latitude 25 00 N
Longitude 45 00 E

Latitude 38 00 N
Longitude 97 00 W

Induced brain haemoraahge other haemorrages Induced case scenerios and reproducable ---- and military applications

A person gives confidential history of political dynamics. Develops sudden onset of spark in the chest. After that gap of some period again develops sudden onset of another spark in the chest. Person explains this as someone giving invisible shocks to him. After that develops vertigo. He is seen by medical doctors and ECG reflects cardiac arrhythmias with heart block. He is put on temporary pacing and doesn't respond. Eventually dies. Similar scenerio is repeated
elsewhere, Latitude 25 00 N
Longitude 45 00 E

The way confidentail history is given in above scenerio, same way same person is called and is asked if he has experienced similar situation elsewhere and same can be repeated in this scenerio.Political dynamics, more details are avialable. This person doesn't repond to pacing and dies.

Medical doctors who apparently managed these cases, were trained in Asia, American board certified and others, in civilian case managements, however were ignorant about military science and political science applications in real world and their harmful applications or benefits. secret Existance of such gagets, American heart association, department of Justice, World health organization, United Nations and others are encouraged to ask George herbert Bush, in case he is unwilling, we can prove this with other methods.

Did these cases help you solve your problem?
Yes
No
Partially
I do not know yet

Did these cases help you solve other similar problems?
Yes
No
Partially
I do not know yet

Did these cases help you prevent other similar problems, worldwide?
Yes
No
Partially
I do not know yet

Do advanced Avionics, Mind control technology, Action potential, Mind reading devices, Pulse modulated mind control, Wide area network high resolution, nanotechnology, space dopplers with range from North pole to South pole, west to east and others bring into question new challenges, mandatory need for Advanced research for Medical Doctors?

Q) Can cardiac arrhythmias be induced? How?
Q) Can heart blockages be induced? How?
Q) Can cardiac arrhythmias be induced via satellite systems? How?
Q) Can heart blockages be induced via satellite systems? How?
Q) Who has these devices?
Q) Are there any case reports describing these situations?
Q) What is electromagnetic interference?
Q) What is radio frequency interference?
Q) How does interference propagate?
Q) What are some common sources of conducted interference?
Q) What are some common sources of radiated interference?
Q) Is there a cardiac Doppler?
Yes
Q) What can a cardiac Doppler do? How?
Q) What types of information does a cardiac ECHO provide?
Q) What is a Doppler-ECHO?
Q) Is there Doppler radar in space?
Q) What types of images does Doppler radar in space show?
The question needs to be answered.
Q) What can Doppler radar in space do? How?
Q) What's the difference between radar and wide area network nano technology space Dopplers?
Q) What is the relation between wide area network nano technology space Dopplers and pulse-modulated mind control?
Q) What is pulse-modulated mind control?
Q) What's the difference between mind control and pulse-modulated mind control?
We will add more proof to the claims.

Worldwide Cardiologists, Intelligence Agencies, Military, Space Scientists.

Can you give better insight to these questions?
Can you give any insight to this problem?
If you don't have any insight, answers, or solutions, at least accept your incompetence.
If you don't have any solutions or remedies, you are too incompetent to handle this job.
Interventional Cardiology

1. Coronary Artery Anatomy for the Interventionalist
2. Cardiac Chamber Anatomy
3. Peripheral Anatomy for the Interventionalist
4. The Coronary Circulation
5. Physiological Evaluation of Renal Artery Stenosis: A Hemodynamic Approach
6. Valvular Pathophysiology
7. Arterial Disease
Questions

Q) What is Coronary Artery Disease?
Q) What is Peripheral Vascular Disease?
Q) Are You At Risk For Heart Disease?
Q) How Can You Reduce Your Risk For Heart Disease?
Q) What is cholesterol?
Q) What affects blood cholesterol levels?
Q) How Does High Cholesterol Increase Your Risk For Heart Disease?
Q) What Affects Blood Cholesterol Levels?
Q) Do All Types Of Fats Raise Blood Cholesterol Levels?
Q) Is Your Blood Cholesterol Level Too High?
Q) What Is High Blood Pressure?
Q) How Does High Blood Pressure Increase Your Risk For Heart Disease?
Q) Is Your Blood Pressure Too High?
Q) How Does Smoking Increase Your Risk For Heart Disease?
Q) Will I gain weight if I quit smoking?
Q) How Does Being More Active Lower Your Risk For Heart Disease?
Q) Are You Active Enough?
Q) Which Types Of Activities Are Best?
Q) How Does Excess Body Weight Increase Your Risk For Heart Disease?
Q) Do You Weigh More Than You Should?
Q) Is excess fat in the upper or lower body more harmful?
Q) How can I Iose weight and keep it off?
Q) Why Do You Need To Exercise?
Q) Are there any dangers with dieting?
Q) Does Stress Increase The Risk For Heart Disease?
Q) What Are The Symptoms Of Stress?
Q) Is stress harmful for you?
Q) Does a diet high in sugar increase the risk for coronary heart disease?
Q) Should I take antioxidant supplements to reduce my risk for coronary heart disease?
Q) Once cholesterol-rich deposits form in my arteries, do they ever go away?
Q) What Is Angina?
Q) What Causes Angina?
Q) Does chest pain always mean a heart problem?
Q) When is angina an emergency?
Q) How Is Angina Diagnosed?
Q) What Type Of Treatment Is Available?
Q) What does "unstable" angina mean?
Q) How do nitroglycerin pills stop angina?
8. Ventricular Pathophysiology
9. Equipment for Percutaneous Coronary Intervention
10. Design and Construction of Stents
11. Adjunctive Devices: Atherectomy, Thrombectomy, Embolic Protections, IUVS, Doppler, and Pressure Wires
12. X-Ray Cinefluorographic Systems
13. Operational Radiation Management for Patients and Staff
14. General Principles of Coronary Artery Brachytherapy
15. X-Ray Computed Tomography and Magnetic Resonance Imaging of the Coronary Arteries
16. Intracardiac Echocardiography in the Catheterization Laboratory
17. Cardiac Catheterization Laboratory Physiologic Recorders
18. Digital Image Formats and Archiving Practices
19. Antithrombin Therapies
20. Antiplatelet Therapies in Contemporary Percutaneous Coronary Intervention
21. Thrombolytic Therapy
22. Radiographic Contrast Media
23. Renal Complications of Contrast Media
24. Patient Sedation in the Cardiovascular Catheterization Laboratory
25. Diagnostic Procedures: Special Considerations
26. Diagnostic Procedures: Peripheral Angiography
27. Adjunctive Diagnostic Techniques
28. Coronary Guidewire Manipulation
29. Coronary Balloon Angioplasty
30. Coronary Stenting, Bare Metal Stents, and Drug-Eluting Stents
31. Rotational Atherectomy: Concepts and Practice
32. Brachytherapy
33. Basic Wire-Handling Strategies for Chronic Total Occlusion
34. Percutaneous Intervention in Chronic Total Coronary Occlusions
35. Directional Coronary Atherectomy
36. Distal Embolic Protection Devices
37. Intervention in Venous and Arterial Grafts
38. Special Considerations: Acute Myocardial Infarction
39. Complex Lesion Intervention: Bifurcation, Left Main Coronary Artery, and Ostial Lesions
40. Special Considerations: Small Vessel and Diffuse Disease
41. Special Patient Subsets: Diabetic and Elderly
42. Inoue-Balloon Mitral Valvuloplasty
43. Aortic Valvuloplasty and Future Solutions to Aortic Valve Disease
44. Balloon Pulmonary Valvuloplasty
45. Percutaneous Closure of Atrial Septal Defect and Patent Foramen Ovale
46. Septal Ablation for Obstructive Hypertrophic Cardiomyopathy
47. Coronary Vein Device Insertion
48. Device Retrieval Systems
49. Percutaneous Treatment of Coronary Artery Fistulas
50. Renal Artery Angioplasty and Stenting
51. Iliac Angioplasty and Stenting
52. Endovascular Abdominal Aortic Aneurysm Repair
53. Carotid and Vertebral Artery Intervention
54. Risk Stratification in Interventional Cardiology
55. Acute Threatened Coronary Closure
56. Subacute Closure
57. Coronary Artery Perforation
58. Embolization and No-Reflow During Percutaneous Coronary Intervention
59. Emergency Surgery
60. Complications of Peripheral Procedures
61. Lipid-Lowering Therapy and the Interventional Cardiologist
62. Hypertension
    Q) Should beta blockers be used as first-line treatment for lowering blood pressure?
    Q) What is high blood pressure?
    Q) How are normal blood pressure, prehypertension, and high blood pressure defined?
    Q) What causes high blood pressure?
    Q) What causes secondary high blood pressure?
    Q) What are the symptoms of high blood pressure?
    Q) What happens if I have high blood pressure?
    Q) What increases my chances of getting high blood pressure?
    Q) What is isolated systolic high blood pressure?
    Q) Who is affected by high blood pressure?
    Q) Can a test detect high blood pressure early?
    Q) Can I prevent high blood pressure?
    Q) What kind of treatment will I need for high blood pressure?
    Q) Will I have to take medicine?
    Q) How is secondary hypertension treated?
    Q) Should I take medicine for high blood pressure?
    Q) How do other health problems affect the choice of high blood pressure medicines?
    Q) How does high blood pressure cause heart disease?
    Q) What lifestyle changes will I have to make?
    Q) Will I need a special diet?
    Q) Are there alternative treatments for high blood pressure?
 Bradycardia
    Q) What is bradycardia?
    Q) What are the types of bradycardia?
    Q) How does the heart's electrical system work?
    Q) What is heart block?
    Q) What causes bradycardia?
    Q) What are the symptoms of bradycardia?
    Q) Who gets bradycardia?
    Q) How can portable (ambulatory) EKG monitors help diagnose bradyarrhythmia?
    Q) How is bradycardia treated?
    Q) What recent advances have been made in pacemaker technology?
    Q) What are the different types of bradycardia, and how are they treated?
    Q) What are the risks of complications with different types of bradycardias?
    Q) How is it treated?
63. Diabetes and Cardiovascular Disease
64. Nontraditional Risk Factors for Atherosclerosis
65. Preclinical Laboratory Functions
66. The Core Laboratory: Quantitative Coronary Angiography and Intravascular Ultrasound
67. How to Read Clinical Trials
68. Cost-Effectiveness
69. Quality Assurance and Quality Improvement in Interventional Cardiology
70. Innovation and Interventional Cardiology: Looking Back, Thinking Ahead
    Q) For what conditions are beta-blockers prescribed?
    Q) What are the side effects?
    Q) Can elderly people take beta-blockers?
    Q) Who should avoid using ACE inhibitors?
71. Principles of Innovation: Transforming Clinical Needs into Viable Inventions
72. Pacemaker
    Q) What is electromagnetic interference?
    Q) What is radio frequency interference?
    Q) How does interference propagate?
    Q) What are some common sources of conducted interference?
    Q) What are some common sources of radiated interference?
    Q) What is heart block?
    Q) What is sick sinus syndrome?
    Q) What is AV block?
    Q) What doctors treat arrhythmias?
    Q) Why do I need a pacemaker?
    Q) What kind of pacemaker will be implanted?
    Q) What is a pacing lead?
    Q) What is a pacemaker?
    Q) Are there different kinds of pacemakers for different activity levels?
    Q) Can pacemaker patients live an active lifestyle? What if they do something that is too strenuous for the pacemaker to handle?
    Q) Can people hear and feel pacemakers tick inside of them?
    Q) Are there any diet restrictions?
    Q) What is a pacemaker identification card?
    Q) How long does a pacemaker last?
    Q) How many can a person expect to have in a lifetime?
    Q) Are there different kinds of pacemakers for different activity levels?
    Q) Can I go back to my normal activities after my implant?
    Q) What does my pacemaker feel like when it's working?
    Q) When should I call my doctor?
    Q) How often should my pacemaker be checked?
    Q) Will my pacemaker ever need to be replaced?
    Q) What should I do to prepare for the procedure?
    Q) How are pacemakers implanted?
    Q) What happens during the procedure?
    Q) What happens after the procedure?
    Q) Will I be able to move around after the procedure?
    Q) How often will I need to see my doctor?
      Pacemaker problems can rarely occur long after the implantation procedure. These "late" complications include generator failure (extremely rare), and lead failure (less rare). Treating doctors, Manufacturers are required to report device failures to the FDA. which will order companies to issue either "advisories" or recalls if a particular model seems prone to failure.
    Q) How is pacemaker sabotage carried out?
    Q) What devices can interfere with pacemakers?
    Q) Who has these devices?

73. Legal & Ethical Issues
    A. Utilization
    B. Reimbursement
    C. Regulation of Herbals & Supplements
    D. Legal & Ethical Issues
    E. How to Integrate Complementary/Alternative Medicine Into Your Cardiology Practice
    F. Cholesterol
    G. Stress
    H. Congestive Heart Failure
    I. Systemic Hypertension
    J. Obesity
    K. Coronary Artery Disease
    L. Sudden Death & Arrhythmias
    M. Sexual activity and cardiology
    N. Estrogen Replacement Therapy
    O. Percutaneous Coronary Interventions
    P. Bioenergetic Techniques
    Q. Acupuncture
    R. The Indo-Mediterranean Diet – A Primer
    S. Integrating Herbs Into Practice
    T. Herbal/Drug Interactions
    U. Quality Control
    V. Reliable Sources of Information For You and Your Patients
    W. Joy, Sadness, & Vascular Biology
    X. Neuroendocrine & Immune Effects
    Y. Spirituality

74. Angioplasty and Valvuloplasty
    Q) What Is Coronary Angioplasty?
    Q) Why Is Angioplasty Done?
    Q) What is variant angina?
    Q) What Are The Advantages Of Angioplasty Over Bypass Surgery?
    Q) Who Does Angioplasty Benefit?
    Q) How effective is this operation/procedure?
    Q) What happens during angioplasty?
    Q) What types of interventional procedures are used in angioplasty?
    Q) What happens after the procedure?
    Q) Can this procedure cure coronary artery disease?
    Q) What kind of stent are you intending to use?
    Q) Why is angioplasty necessary?
      Swab anesthesia at the site of catheterization.
      Q) What is the advantage of swabbing anesthesia at the site of catheterization?
      It prevents painful catheterization during the procedure.
      Q) What questions should the patients be asked after the procedure?
      Q) Did you feel any pain?
      Q) Did you feel any discomfort?
      Interventional Cardiologists.
      Q) What have you done in this regard?
      Q) What are you doing in this regard?
      Q) What are you going to do in this regard?

    ADVANCED CARDIOVASCULAR LIFE SUPPORT
    RHYTHM INTERPRETATION

    1 Ventricular Fibrillation
    2 Sinus Rhythm with PJC's
    3 2nd Degree Heart Block Mobitz Type I
    4 Atrial Fibrillation
    5 Sinus Rhythm with Multifocal PVC's
    7 Sinus Rhythm with Unifocal PVCs
    6 1st Degree Heart Block
    8 Sinus Rhythm with PAC's
    9 Accelerated Junctional Rhythm
    10 Asystole
    11 Junctional Escape Rhythm
    12 Normal Sinus Rhythm
    13 Ventricular Tachycardia
    14 Sinus Bradycardia
    15 Ventricular Bigeminy
    16 Sinus Tachycardia
    17 3rd Degree Heart Block (complete)
    18 Idioventricular Rhythm
    19 Atrial Flutter
    20 2nd Degree Heart Block Mobitz Type II

    a. Airway management
    b. Arrythmias, Defibrillation, and Pacing
    c. IV Access, Resuscitation, Circulatin, and Monitoring
    d. Infant CPR and Ventilation
    e. Review Questions
    f. Appedices: Pharmacology, Algorithm Protocols
    g. Chamber Abnormalities and Intraventricular Conduction Defects
    h. SA and AV Nodal Block
    i. Ischemia and Infarction
    j. Reentrant Supraventricular Tachycardias
    k. Ectopic Supraventricular Tachycardias
    l. Extrasystoles and Pre-excitation Syndromes
    m. Differential Diagnosis of Wide QRS Tachycardias
    n. Medication and Electrolyte Effects, Miscellaneous Conditions
    o. Electronic Pacemakers

    A. Diagnostic cardiac catheterization and angiography
    B. Coronary angioplasty (PTCA)
    C. Cutting balloon angioplasty
    D. Coronary stenting
    E. Intravascular radiation therapy (brachytherapy)
    F. Directional and rotational atherectomy
    G. Intravascular ultrasound (IVUS)
    H. Mitral and Aortic Valvuloplasty (PTAV/PTMV)
    I. Closure of Patent Foramen Ovale (PFO)
    J. Closure of Atrial Septal Defects (ASD)
    K. Ventricular Septal Defect (VSD)
    L. Amplatzer Device
    M. Hypertrophic Cardiomyopathy (HOCM) treatment and Septal Ablation
75. Q: What is Interventional Cardiology?
A: Interventional Cardiology has emerged more than a decade ago as an alternative to traditional cardiac surgery. Through the use of minimally invasive catherter-based techniques and innovative drug therapies and devices, many conditions can now be treated without surgery or lengthy hospital stays.

Q: What are Interventional Procedures?
A: Depending on the patient's specific condition, an inteventional procedure can involve several techniques and devices including the following:

Angioplasty - a 40-minute procedure in which a small balloon is inserted in an artery via a catheter and inflated to open an area of blockage.
Atherectomy - a procedure involving a catheter with a rotating tip that either breaks up calcified plaque into very small particles or removes the plaque.
Stent - a small mesh sleeve, used over an angioplasty balloon an left in place as a framework to keep an area of blockage open. Recent developments of new stents that are coated with drugs to help prevent recurrence of blockage due to formation of scar tissue (restenosis) are revolutionary techniques.
Radiation Therapy - also known as bracytherapy, is used as an adjunct to other treatments to help prevent restenosis or its recurrence following stent implantation.
Drug therapies are also used to enhance the patient's recovery and recuperation while minimizing the chance of the condition's recurrence.

Recent advances in medical imaging, such as MRI (magnetic resonance imaging) and IVIS (intravascualr ultrasound), allow for highly precise views of the interior of the heart and of the blood vessels.

Q: What is Coronary Artery Disease?
A: Coronary artery disease also known as atherosclerosis is a disease of the heart arteries. This is a build up of plaque or fatty deposits inside the artery. This build up of plaque can block the flow of blood to the heart causing chest pain, heart attack, or other symptoms of heart disease. Coronary artery disease can be reduced by changes in diet and lifestyle as well as with some medications.

To diagnose coronary artery disease you may be asked to undergo an angiography procedure (heart catheterization). The angiography is done in the catheterization laboratory at the hospital. During this procedure the patient is sedated and a small sheath (short hollow tube) is inserted through a puncture site in the groin area (femoral artery). Through this sheath a catheter is maneuvered to the heart arteries where a special dye is injected and x-ray pictures can be taken of the heart arteries. If treatment is needed, the interventional or non-surgical procedures can be done through this sheath.

Treatment for coronary artery disease can be done surgically by coronary artery bypass graft surgery (CABGS) or non-surgically by percutaneous coronary intervention (PCI). These non-surgical procedures, which can be done in the catheterization laboratory, are listed in Procedures.

Q: What is Peripheral Vascular Disease?
A: Like the heart arteries plaque can build up in any artery of the body. PVD is plaque build up in the arteries supplying blood to the arms, leg and brain. Risk factors that contribute to PVD are smoking, high blood pressure, family history, high cholesterol, and diabetes. Symptoms of PVD to the legs are claudication (pain in the legs especially when walking that is relieved when resting), numbness or tingling in the legs or feet, coldness in the legs or feet, and/or ulcers of the legs or feet that do not heal. The non-surgical treatment for peripheral vascular disease is balloon angioplasty and stenting.

Q. What do I do before a scheduled procedure?
A: Review the Pre-Procedural Information. If you need further clarification, or if any of the information is unclear, contact your doctor before the scheduled procedure is to take place.

Q: What are the "do's and dont's" after a procedure?
A: Review the Post-Procedural Information. If you need further clarification, or if any of the information is unclear, contact your doctor before the scheduled procedure is to take place.

Q: What are Drug Coated Stents?
A: Drug coated stents, also called medicated stents can be used to treat Coronary Artery Blockages. These stents are coated with a time-released medication which can prevent the occurance of restenosis (development of scar tissue that re-blocks the artery at the original site. These medicated stents are particularly useful for small to medium size arteries. In larger arteries, a non-medicated stent is as beneficial as a medicated stent.

Q: Are there any special precautions with medicated stents?
A: (Do you have better answer)

Q: What is High Risk Angioplasty & Cardiopulmonary Support (CPS)?
A: High-risk angioplasty means angioplasty in patients who have poor LV function alone or with other medical conditions that make them a high risk candidate for angioplasty or even bypass surgery. We mean people who have had previous multiple myocardial infarctions with multiple coronary stenoses. Or they have only one open artery which is also threatening to close. In these high risk patients, one cannot perform angioplasty or any other intervention because their heart will not tolerate the procedure. But with the support of the Percutaneous Cardiopulmonary Bypass Support (PCPS), the procedure can be performed very safely, even in patients in ventricular fibrillation.

Q: What is Percutaneous Transmyocardial Revascularization (PTMR)?
A: (Do you have better answer?)

Q: What is Carotid Stenting?
A: Carotid Stenting basically involves the same technique as for coronary angioplasty. Initially, we dilate the lesion with balloon angioplasty and then place a stent across the blockage. The whole procedure takes only half an hour to 45 minutes and the risks are considerably less than carotid surgery, even though carotid stenting is just evolving. Further refinement in equipment and technique greatly reduces the risks. Carotid artery stenting is done to prevent future strokes in people with a blockage in the carotid artery. See New Stroke Treatment to learn more.

Q: What is Hybrid MIDCAB/PTCA?
A: (Do you have better answer?)


Q: Do you have better answer?
Q: Does anyone else have a better answer?
Q: Would you like to print Dr. Qureshi's research and development in Cardiology?
Q: Would you like to add anything?
Q: What questions do we need to follow up on?
Have an interesting case?
admin@qureshiuniversity.com