Welcome to the Core Cardiology Podcast, your unofficial companion to the European Exam in Core Cardiology! Whether you're tackling tachycardias or brushing up on brady's, Dr Sam Williams is here to keep your morale high and your revision rhythm regular. You can expect a few laughs, a lot of learning, and maybe even a murmur of encouragement! Your revision starts here and success is just a heartbeat away!
Cardiology registrar work requires effective referrals, prioritisation, appropriate delegation and knowing when to seek consultant advice. Specialist training opportunities vary between placements, while career decisions also need to account for personal priorities and life outside medicine.
Adult coarctation decisions combine right-arm ambulatory blood pressure, catheter pressure gradient and anatomical narrowing. Suitable patients may undergo stenting, but successful repair does not end care: hypertension surveillance and lifelong imaging follow-up remain necessary.
Haemodynamic tolerance determines immediate management of sustained wide-complex tachycardia, while recurrent sustained ventricular arrhythmias define electrical storm and prompt consideration of sedation, reversible causes and secondary-prevention defibrillator therapy.
Cardiac tamponade is defined by impaired cardiac filling rather than effusion size alone, with pulsus paradoxus, right atrial diastolic collapse, respiratory Doppler variation and inferior vena cava findings helping identify haemodynamic compromise and the need for drainage.
Preparation for the European Exam in Core Cardiology extends beyond factual recall. Device checks, staged question review, multimodality imaging, detailed management steps and post-exam memory bias shape both performance and later judgement of the result.
New ST4 cardiology registrars are the main audience for BJCA Head Start, which combines practical role preparation, consultant-led subspecialty discussion, skills sessions and interactive cases. The podcast also announces fortnightly releases before weekly examination preparation resumes in spring 2027.
Cardiology trainees, educators and clinicians approaching clinical changeover get a short learning and professional-development update. It connects local orientation, exam-style questions, recent clinical uncertainty, learner feedback, planned rest and sustainable revision with practical cardiology decision-making.
Cardiology and acute medicine teams get a structured approach to recurrent presyncope, sinus node disease and pacemaker troubleshooting. Symptom frequency guides ambulatory ECG choice, while symptomatic sinus pause, DDDR pacing, pacemaker syndrome, lead impedance, insulation breach and loss of capture shape pacing decisions and device review.
Cardiology, acute medicine and primary-care clinicians get a structured approach to unexplained left ventricular hypertrophy, new ejection systolic murmur, palpitations and family history of sudden cardiac death. Dynamic murmur assessment, LVH mimics, ambulatory ECG, atrial fibrillation anticoagulation and HCM Risk-SCD variables are linked to shared ICD decision-making.
An acute STEMI pathway update for emergency, cardiology and acute medicine teams. It connects symptom onset and expected primary PCI delay with fibrinolysis, reassessment at 60–90 minutes, rescue PCI, angiography within 2–24 hours after successful lysis and immediate invasive management for cardiogenic shock.
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