Ascending Aortic PSA following type A dissection repair. Quadrupled in size in a couple of months. Compressing the RCA as also seen on IVUS. RCA stent, deployed a 6 mm Amplatzer ASD device while a Lantern MC was in the aneurysm. Deployed Ruby coils then released the ASD device.
From talented EP fellow to rising junior faculty star, @ChauVoMD has made the #AblateVT team better @MUSC_EP w/ her commitment to patient care and comprehension of substrates and mechanism -- as evidenced by another weekend VT case for a storming patient done today:
Note ILAM w/ clustering of low voltage and DZ in area of lateral LV adjacent to paced LV; similarly note clinical VT activation on LV lead with LAT ~0ms relative to FF egm. Maps of two VTs, including the area correlating w/ DZ and adjacent LOBs, shown below thanks to @AbbottCardio mapper @AMatthews0.
Great work by all care team members who selflessly came in for device cases on Saturday followed by this VT on a Sunday. Onward we go @MUSChealth and @MUSCCardFellows.
@docAnneSquared@dhakalbish@rachelkaplanmd@rorydowd@JorgeERomeroMD@utedrow
Through historic snowfall and a city shutdown, our cath lab team stepped up for acute MI patients when it mattered most. Proud to work alongside such dedicated professionals who always put patients first. #CathLabHeroes#SNOwLA#NewOrleans#OchsnerProud#Cardiology
#TipsForNewDocs
When I reach for a loop diuretic infusion in HF:
1) Pt REALLY wet (est > 10L)
2) Poor response (< 2L neg/24h) w/high-dose IV bolus (Lasix 80 IV BID)
If BP, Cr ok, faster = better- every hosp day is a chance to fall out of bed or get C diff
#kittlesonrules
What are we supposed to do with thermodilution in setting of mod-severe TR?
We sought to answer this at @CJCJournals
Compliments to @MaxHockstein for the title
Results in 🧵
Transitioning from #ACHD to #CCC - #CCCES24 continues - excited for the announcement of Society of Critical Care Cardiology with @JasonKatzMD as inaugural president - critical to organize and collaborate to confront the challenges facing our specialty.
I doubt we’ll ever see the score distribution for a pass/fail USMLE Step 1.
However…
…from data revealed in the USMLE cheating scandal, we do know that the mean Step 1 score dropped by nearly 1 SD after the test went pass/fail (from 235 in 2020 to 219 in 2023).
🚨Very excited to report the 1st US case of Pulmonary Arterial Denervation🫁for heart failure♥️ and preserved ejection fraction (HFpEF) and high pulmonary vascular resistance (PVR) using the Gradient System. Desperate need for therapies. Big team effort!
https://t.co/3dQPwPOtqu
Things We Do for No Reason™: Furosemide‐albumin coadministration for diuretic resistance - Vipler - Journal of Hospital Medicine - Wiley Online Library https://t.co/mrmd6KFcz4
@jbcarmody@jbcarmody I’ve been interested in these topics since beginning medical school as a self paying first gen college grad. I’m especially intrigued about how secretive and political it all is, have you ever thought about telling this story to the public at large? Documentary style?