CardioNotes
I graduated in 2013 and have been working full-time as a health care professional ever since. Where I See Myself In Future? Its certainly can’t be decided too.
Learning in bits makes a Huge Difference✓
This page is dedicated to Cardiology Education including ECG, Echocardiography, Cardiac Cath, Electrophysiology
Follow for daily learning points. A bit more details about my work and interests:
AslamuAlaikum all, I'm Muhammad Usman Javed, born and raised in Pakistan, I now live in Rawalpindi and work in the vibrant city Islamabad in a well-equipped Tertiary Care Hospital as Consultant Cardiologist, pursuing career in Interventional Cardiology as it can provide me with the intellectual stimulation I desire in a career as well as the personal satisfaction of having a profound impact on the lives of others. One of the things I love most about my job is the people that I get to meet and the opportunity to do something for them as it provides great personal satisfaction by improving their quality of life with my knowledge. In the course of my day-to-day routine, I have met some people to whom my heart gravitates, just for the beauty of the person that they are. In my personal life, I enjoy workouts, traveling, reading books, and writing blog. I grew up loving art and design, pursuing this hobby throughout school into University. Future is really something which can’t be defined and bounded in any boundaries. Yes I have some plans and goals that I have decided for me but its better to keep them a secret for now. Let’s see where life takes me? Yes whatever I shall be doing, I guarantee you that it will be with full passion and dedication. My Approach:
I’m able to tackle new briefs constructively; identifying what is required from me quickly and remain focused and organized throughout a task of providing health care to people. I enjoy keeping up-to-date with new guidelines and technologies through health magazines, blogs and attending conferences & expo’s.
07/10/2026
Cardiovascular Features of Connective Tissue Diseases
Cardiovascular Features of Connective Tissue Diseases Collection of Cardiology Cases, Echocardiography, ECG, Cath, Cardiac CT, Cardiac MR. Learn cardio in a simple way. Dr M Usman Javed Cardiologist.
03/10/2026
Temporary Pacemaker (TPM) Lead Settings and Troubleshooting: A Practical Guide
Temporary Pacemaker (TPM) Lead Settings and Troubleshooting: A Practical Guide Collection of Cardiology Cases, Echocardiography, ECG, Cath, Cardiac CT, Cardiac MR. Learn cardio in a simple way. Dr M Usman Javed Cardiologist.
30/09/2026
Learn Echocardiography | Standard Protocol for Performing Comprehensive Echocardiogram | Explained with Images and Videos
Learn Echocardiography | Standard Protocol for Performing Comprehensive Echocardiogram | Explained with Images and Videos Learn Echocardiography | Standard Protocol for Performing Comprehensive Echocardiogram | Explained with Images and Videos
30/09/2026
2026 AHA Preoperative cardiovascular Risk assessment
https://www.drmusmanjaved.com/2026/09/2026-aha-preoperative-cardiovascular.html
2026 AHA/ACC Guideline for Preoperative Cardiovascular Risk Assessment Before Noncardiac Surgery
The 2026 AHA/ACC Guideline for Perioperative Cardiovascular Management of Patients Undergoing Noncardiac Surgery provides a structured, stepwise approach to evaluating cardiovascular risk before surgery. Importantly, the 2026 guideline is a reaffirmation of the 2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM guideline. After reviewing evidence published during the preceding two years, the ACC/AHA Joint Committee concluded in September 2026 that the 2024 recommendations remain valid and current. The recommendations and supporting material are unchanged.
The central principle is simple: preoperative cardiovascular assessment should identify patients who may benefit from optimization or additional testing without unnecessarily delaying surgery or exposing patients to low-value investigations.
1. Goals of Preoperative Cardiovascular Assessment
The purpose of preoperative cardiovascular evaluation is to:
• Estimate the risk of perioperative major adverse cardiovascular events (MACE)
• Identify unstable cardiovascular conditions requiring treatment before surgery
• Determine whether additional cardiovascular testing is necessary
• Optimize established cardiovascular disease
• Guide perioperative medication and monitoring
• Avoid unnecessary testing and delays in surgery
• Facilitate shared decision-making between the patient, cardiologist, anesthesiologist and surgical team
The guideline emphasizes that cardiovascular screening and treatment before noncardiac surgery should generally follow the same indications used outside the surgical setting. Testing should not be performed simply because surgery is planned.
2. First Step: Define the Surgical Urgency and Risk
The timing of surgery is an important component of cardiovascular assessment.
Urgent surgery
Surgery is required because of a threat to life or limb, but there may still be limited time for cardiovascular evaluation and risk reduction.
Time-sensitive surgery
Surgery can generally be delayed for a period of time to allow appropriate cardiovascular assessment and optimization without adversely affecting the surgical outcome.
Elective surgery
Surgery can be delayed to allow a complete cardiovascular evaluation and optimization.
Surgical risk should then be considered together with patient-specific cardiovascular risk.
The guideline generally considers:
Low-risk surgery → expected MACE risk
2026 AHA Preoperative cardiovascular Risk assessment Collection of Cardiology Cases, Echocardiography, ECG, Cath, Cardiac CT, Cardiac MR. Learn cardio in a simple way. Dr M Usman Javed Cardiologist.
26/09/2026
2025 ESC Guidelines on INR Targets in Mechanical Valves
2025 ESC Guidelines on INR Targets in Mechanical Valves 2025 ESC Guidelines on INR Targets in Mechanical Valves. INR Targets in Patients With Mechanical Heart Valves Updated, guideline-oriented review
23/09/2026
Myocardial Infarction Locations and ECG Leads
Myocardial Infarction Locations and ECG Leads Understanding Myocardial Infarction Locations and ECG Leads Myocardial infarction (MI) occurs when blood flow to a part of the heart muscle is abrupt
22/09/2026
2026 Guidelines for Lpa levels - Everyone should get it done
Lipoprotein(a) — Latest Guidelines (2026 Update) Collection of Cardiology Cases, Echocardiography, ECG, Cath, Cardiac CT, Cardiac MR. Learn cardio in a simple way. Dr M Usman Javed Cardiologist.
22/09/2026
Echo evaluation of PR
Echo evaluation of PR Collection of Cardiology Cases, Echocardiography, ECG, Cath, Cardiac CT, Cardiac MR. Learn cardio in a simple way. Dr M Usman Javed Cardiologist.
21/09/2026
Free ECG Library with answers
ECG Collection of ECG Cases with answers & Explanations to practice for any cardiology exam in Cardiovascular Board Review.
20/09/2026
How to assess a mechanical aortic prosthesis by Echo?
How to assess a mechanical aortic prosthesis by Echo? Collection of Cardiology Cases, Echocardiography, ECG, Cath, Cardiac CT, Cardiac MR. Learn cardio in a simple way. Dr M Usman Javed Cardiologist.
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