Auxanö Medical | Dr. Julius Kwedhi

🎙Chronic Mesenteric Ischemia | Pt 2 | Dr. Julius Kwedhi | Auxanö Medical PodcastWelcome to Auxanö Medical Podcast with Dr. Julius Kwedhi, your number one Cardiovascular surgery podcast where you grow in your medical knowledge.Email: juliuskwedhi@zoho.comYouTube:Julius Kwedhi MD, MPH@KwedhiMDhttps://www.youtube.com/@KwedhiMDTelegram Channel:Dr. Julius Kwedhi, MD🫀@DrJuliusKwedhihttps://t.me/drjuliuskwedhi

🎙Chronic Mesenteric Ischemia | Pt 1 | Dr. Julius Kwedhi | Auxanö Medical PodcastWelcome to Auxanö Medical Podcast with Dr. Julius Kwedhi, your number one Cardiovascular surgery podcast where you grow in your medical knowledge.Email: juliuskwedhi@zoho.comYouTube:Julius Kwedhi MD, MPH@KwedhiMDhttps://www.youtube.com/@KwedhiMDTelegram Channel:Dr. Julius Kwedhi, MD🫀@DrJuliusKwedhihttps://t.me/drjuliuskwedhi

🎙Acute Mesenteric Ischemia: Extended Deep Dive | Pt 2 | Dr. Julius Kwedhi | Auxanö MedicalWelcome to Auxanö Medical Podcast with Dr. Julius Kwedhi, your number one Cardiovascular surgery podcast where you grow in your medical knowledge.Email: juliuskwedhi@zoho.comYouTube:Julius Kwedhi MD, MPH@KwedhiMDhttps://www.youtube.com/@KwedhiMDTelegram Channel:Dr. Julius Kwedhi, MD🫀@DrJuliusKwedhihttps://t.me/drjuliuskwedhi

🎙Acute Mesenteric Ischemia: A Medical Emergency Deep Dive | Pt 1 | Dr. Julius Kwedhi | Auxanö MedicalWelcome to Auxanö Medical Podcast with Dr. Julius Kwedhi, your number one Cardiovascular surgery podcast where you grow in your medical knowledge.Email: juliuskwedhi@zoho.comYouTube:Julius Kwedhi MD, MPH@KwedhiMDhttps://www.youtube.com/@KwedhiMDTelegram Channel:Dr. Julius Kwedhi, MD🫀@DrJuliusKwedhihttps://t.me/drjuliuskwedhi

Sepsis & Septic Shock | Pt 3 | Dr. Julius Kwedhi | Auxanö MedicalWelcome to Auxanö Medical Podcast with Dr. Julius Kwedhi, your number one Cardiovascular surgery podcast where you grow in your medical knowledge.Email: juliuskwedhi@zoho.comYouTube:Julius Kwedhi MD, MPH@KwedhiMDhttps://www.youtube.com/@KwedhiMDTelegram Channel:Dr. Julius Kwedhi, MD🫀@DrJuliusKwedhihttps://t.me/drjuliuskwedhi

Sepsis & Septic Shock | Pt 2 | Dr. Julius Kwedhi | Auxanö MedicalWelcome to Auxanö Medical Podcast with Dr. Julius Kwedhi, your number one Cardiovascular surgery podcast where you grow in your medical knowledge.Email: juliuskwedhi@zoho.comYouTube:Julius Kwedhi MD, MPH@KwedhiMDhttps://www.youtube.com/@KwedhiMDTelegram Channel:Dr. Julius Kwedhi, MD🫀@DrJuliusKwedhihttps://t.me/drjuliuskwedhi

Sepsis & Septic Shock | Pt 1 | Dr. Julius Kwedhi | Auxanö MedicalWelcome to Auxanö Medical Podcast with Dr. Julius Kwedhi, your number one Cardiovascular surgery podcast where you grow in your medical knowledge.Email: juliuskwedhi@zoho.comYouTube:Julius Kwedhi MD, MPH@KwedhiMDhttps://www.youtube.com/@KwedhiMDTelegram Channel:Dr. Julius Kwedhi, MD🫀@DrJuliusKwedhihttps://t.me/drjuliuskwedhi

Fenestrated & Branched EVAR: Complex Aortic Pathology Made Practical | Part 2 | Dr. Julius Kwedhi | Auxanö Medical PodcastWelcome to Auxanö Medical Podcast with Dr. Julius Kwedhi, your number one Cardiovascular surgery podcast where you grow in your medical knowledge.Email: juliuskwedhi@zoho.comYouTube:Julius Kwedhi MD, MPH@KwedhiMDhttps://www.youtube.com/@KwedhiMDTelegram Channel:Dr. Julius Kwedhi, MD🫀@DrJuliusKwedhihttps://t.me/drjuliuskwedhi

Fenestrated & Branched EVAR: Complex Aortic Pathology Made Practical | Part 1 | Dr. Julius Kwedhi | Auxanö Medical PodcastWelcome to Auxanö Medical Podcast with Dr. Julius Kwedhi, your number one Cardiovascular surgery podcast where you grow in your medical knowledge.Email: juliuskwedhi@zoho.comYouTube:Julius Kwedhi MD, MPH@KwedhiMDhttps://www.youtube.com/@KwedhiMDTelegram Channel:Dr. Julius Kwedhi, MD🫀@DrJuliusKwedhihttps://t.me/drjuliuskwedhi

Hypoplastic Left Heart Syndrome (HLHS): From Hybrid Beginnings to Fontan Futures | Pt 2 | Dr. Julius Kwedhi | Auxanö Medical PodcastWelcome to Auxanö Medical Podcast with Dr. Julius Kwedhi, your number one Cardiovascular surgery podcast where you grow in your medical knowledge.Email: juliuskwedhi@zoho.comYouTube:Julius Kwedhi MD, MPH@KwedhiMDhttps://www.youtube.com/@KwedhiMDTelegram Channel: Dr. Julius Kwedhi, MD🫀@DrJuliusKwedhihttps://t.me/drjuliuskwedhi

Hypoplastic Left Heart Syndrome (HLHS): From Hybrid Beginnings to Fontan Futures | Pt 1 | Dr. Julius Kwedhi | Auxanö Medical PodcastWelcome to Auxanö Medical Podcast with Dr. Julius Kwedhi, your number one Cardiovascular surgery podcast where you grow in your medical knowledge.Email: juliuskwedhi@zoho.comYouTube:Julius Kwedhi MD, MPH@KwedhiMDhttps://www.youtube.com/@KwedhiMDTelegram Channel: Dr. Julius Kwedhi, MD🫀@DrJuliusKwedhihttps://t.me/drjuliuskwedhi

The episode provides an in-depth, evidence-based discussion on Myocarditis covering:✅ Introduction & Wisdom Nugget - Proverbs 4:23 "Guard your heart" ✅ Etiology & Classification - Viral, autoimmune, toxic, ICI-associated causes ✅ Pathophysiology - Three-phase process from injury to recovery/remodeling ✅ Diagnostic Breakthroughs - Lake Louise Criteria, Cardiac MRI advances ✅ Endomyocardial Biopsy - Updated indications for high-risk patients ✅ Targeted Immunosuppression - Giant cell, sarcoidosis, ICI protocols✅ Mechanical Circulatory Support - VA-ECMO for fulminant cases ✅ Clinical Scenarios - Stable vs. fulminant presentation management ✅ Russian Guidelines - Alignment with ESC/ACC recommendations ✅ Clinical Pearls - Key takeaways for practice and board preparationWelcome to Auxanö Medical Podcast with Dr. Julius Kwedhi, your number one Cardiovascular surgery podcast where you grow in your medical knowledge.Email: juliuskwedhi@zoho.comYouTube:Julius Kwedhi MD, MPH@KwedhiMDhttps://www.youtube.com/@KwedhiMDTelegram Channel: Dr. Julius Kwedhi, MD🫀@DrJuliusKwedhihttps://t.me/drjuliuskwedhi

The episode provides an in-depth, evidence-based discussion on Myocarditis covering:✅ Introduction & Wisdom Nugget - Proverbs 4:23 "Guard your heart" ✅ Etiology & Classification - Viral, autoimmune, toxic, ICI-associated causes ✅ Pathophysiology - Three-phase process from injury to recovery/remodeling ✅ Diagnostic Breakthroughs - Lake Louise Criteria, Cardiac MRI advances ✅ Endomyocardial Biopsy - Updated indications for high-risk patients ✅ Targeted Immunosuppression - Giant cell, sarcoidosis, ICI protocols✅ Mechanical Circulatory Support - VA-ECMO for fulminant cases ✅ Clinical Scenarios - Stable vs. fulminant presentation management ✅ Russian Guidelines - Alignment with ESC/ACC recommendations ✅ Clinical Pearls - Key takeaways for practice and board preparationWelcome to Auxanö Medical Podcast with Dr. Julius Kwedhi, your number one Cardiovascular surgery podcast where you grow in your medical knowledge.Email: juliuskwedhi@zoho.comYouTube:Julius Kwedhi MD, MPH@KwedhiMDhttps://www.youtube.com/@KwedhiMDTelegram Channel: Dr. Julius Kwedhi, MD🫀@DrJuliusKwedhihttps://t.me/drjuliuskwedhi

Myocarditis | Pt 1 | Dr. Julius Kwedhi | Auxanö Medical PodcastWelcome to Auxanö Medical Podcast with Dr. Julius Kwedhi, your number one Cardiovascular surgery podcast where you grow in your medical knowledge.Email: juliuskwedhi@zoho.comYouTube:Julius Kwedhi MD, MPH@KwedhiMDhttps://www.youtube.com/@KwedhiMDTelegram Channel: Dr. Julius Kwedhi, MD🫀@DrJuliusKwedhihttps://t.me/drjuliuskwedhi

🎙Pericarditis | Pt 2 | Dr. Julius Kwedhi | Auxanö Medical PodcastWelcome to Auxanö Medical Podcast with Dr. Julius Kwedhi, your number one Cardiovascular surgery podcast where you grow in your medical knowledge.Email: juliuskwedhi@zoho.comYouTube:Julius Kwedhi MD, MPH@KwedhiMDhttps://www.youtube.com/@KwedhiMDTelegram Channel:Dr. Julius Kwedhi, MD🫀@DrJuliusKwedhihttps://t.me/drjuliuskwedhi

🎙Pericarditis | Part 1 | Dr. Julius Kwedhi | Auxanö Medical PodcastWelcome to Auxanö Medical Podcast with Dr. Julius Kwedhi, your number one Cardiovascular surgery podcast where you grow in your medical knowledge.Email: juliuskwedhi@zoho.comYouTube:Julius Kwedhi MD, MPH@KwedhiMDhttps://www.youtube.com/@KwedhiMDTelegram Channel:Dr. Julius Kwedhi, MD🫀@DrJuliusKwedhihttps://t.me/drjuliuskwedhi

Optimal Anticoagulation Therapy in Vascular Surgery | Dr. Julius Kwedhi | Auxano Medical PodcastWelcome to Auxanö Medical Podcast with Dr. Julius Kwedhi, your number one Cardiovascular surgery podcast where you grow in your medical knowledge.Email: juliuskwedhi@zoho.comTelegram Channel: @DrJuliusKwedhiTelegram post: https://t.me/drjuliuskwedhi/1969YouTube:Julius Kwedhi MD, MPH@KwedhiMDhttps://www.youtube.com/@KwedhiMDTelegram Channel:Dr. Julius Kwedhi, MD🫀@DrJuliusKwedhihttps://t.me/drjuliuskwedhi

🎙Acute Coronary Syndrome | Dr. Julius Kwedhi | Auxanö Medical PodcastYouTube:Julius Kwedhi MD, MPH@KwedhiMDTelegram Channel: Dr. Julius Kwedhi, MD🫀@DrJuliusKwedhiTelegram post: https://t.me/drjuliuskwedhi/1969➡️Today's episdoe delivers an in-depth, evidence-based discussion of Acute Coronary Syndrome (ACS) that will serve as an excellent educational resource for medical professionals at all levels, with particular focus on preparing cardiovascular surgeons for national board examinations while maintaining clinical relevance for daily practice.✝️ Doctor Julius' Wisdom NuggetGrounded in Proverbs 6:10-11, thematically linking the danger of delay in clinical action to the spiritual wisdom of diligence — connecting "Time is Muscle" to timeless biblical truth.🫀 Anatomy & EmbryologyCoronary artery development (proepicardial origin, VEGF-guided ostial formation)LMCA, LAD (septal perforators, diagonals), LCx (obtuse marginals), RCA, SA nodal arteryCoronary dominance: right 65-67%, left 10-15%, balanced 20-25%🔬 PathophysiologyAtherosclerosis → vulnerable plaque (thin cap <65µm, large necrotic core >40%)Plaque rupture (55-65%), erosion (30-35%), calcified nodule (2-7%)GP IIb/IIIa platelet aggregation cascadeMINOCA, Type 1-5 MI Universal Definition📊 DiagnosticsECG within 10 minutes: STEMI criteria by lead, de Winter pattern, posterior MI (V7-V9), RV infarction (V4R)High-sensitivity troponin 0h/1h/2h rapid protocolsGRACE score (high ≥140) & TIMI risk score (0-7)💊 Medical Treatment with DosagesAll drugs, routes, durations per international and Russian guidelines:Aspirin 150-300 mg load → 75-100 mg/dayTicagrelor 180 mg load → 90 mg BID (PLATO trial: HR 0.84)Prasugrel 60 mg load → 10 mg/day (TRITON-TIMI 38: HR 0.81)Enoxaparin 1 mg/kg SC q12h; Fondaparinux 2.5 mg SC qd (OASIS-5)Metoprolol 25-50 mg PO; Ramipril 2.5→5 mg BID; Atorvastatin 80 mg/dayEzetimibe 10 mg/day (NEW — 2025 ACC/AHA concurrent initiation option)Aldosterone antagonists for LVEF ≤40% + HF/DM🏥 Treatment AlgorithmSTEMI: Primary PCI ≤90 min (direct) / ≤120 min (transfer); fibrinolysis if PCI unavailable; pharmaco-invasive strategyNSTE-ACS: Immediate (<2h) → Early (<24h) → Invasive (<72h) → Conservative — GRACE score guided🔪 Surgical Pathway & CABGSYNTAX score >32 → CABG preferred over PCITiming: RAPID CABG trial — 2-3 days post-ticagrelor non-inferior to 5-7 daysEmergency CABG: VSR repair, free wall rupture, acute MR from papillary ruptureOperative mortality: 3-7%⚙️ Mechanical Circulatory SupportIABP: IABP-SHOCK II — no mortality benefit; Class IIb; good for mechanical complicationsImpella 2.5/CP/5.0: Class IIa in 2025 update for selected cardiogenic shockVA-ECMO: Last resort; 50-70% in-hospital mortality; major bleeding 38-40%📌 Key Clinical Pearls Embedded"Every 30-minute delay = 7-8% relative increase in 1-year mortality" "De Winter T-waves = LAD occlusion — treat as STEMI equivalent" "In RV infarction: fluids, not nitrates — never nitrates" "MINOCA: don't discharge without cardiac MRI" "Radial access over femoral: reduced bleeding AND death"