Federico Moccetti, MD

Dad, husband, interventional cardiologist, lover of cardiovascular physiology and (translational) research

[Federico Moccetti, MD @FMoccetti]

In this issue of #EHJ. Glad we could make this patient angina-free. https://t.co/2VCD86DZPL
@StToggweiler @WolfrumMathias @ehj_ed @mmamas1973 @mirvatalasnag @DrMarthaGulati @GreggWStone @EuroInterventio @SCAI @PCRonline @jedicath @TCTMD @MatthiasBossard @flocuc #cardiotwitter

[Thomas Pilgrim @ThomPilgrim]

Expansion of Transcatheter Aortic Valve Implantation and Mortality due to Aortic Stenosis Between 2010 and 2019 https://t.co/5JIws0OLHg

[Prof. Feynman @ProfFeynman]

You don't stop learning because you grow old. You grow old because you stop learning. 🧠

[Patrick Badertscher @BadertscherPat]

Which smartwatch is best for my patient? Our Basel Wearable Study is now published in @JACCJournals

👉🏻Find out more:
https://t.co/IcCyQtX4sI

#EPeeps @EPeeps_Bot @CRIBasel #Apple #Fitbit #Samsung #Kardia #AliveCor #Withings

[Federico Moccetti, MD @FMoccetti]

@AmrMans51210762 @JACCJournals Love your drawing!
It is also a rare occurrence of a very big annulus(requiring a big valve) and a tight sinotubular junction (that the embolized valve is able to seal)

[Federico Moccetti, MD @FMoccetti]

When you have to ask your endovascular colleague:

“What’s the biggest stent you got?”

Find out how careful analysis of hemodynamic pressure tracings helped us understand and successfully solve this TAVR complication.
@JACCJournals
https://t.co/t3URyO7iai

[Federico Moccetti, MD @FMoccetti]

@RajeshVenkatar5 @JACCJournals Thank you 🙏

[Federico Moccetti, MD @FMoccetti]

@MichaelMwachu @JACCJournals That’s always a viable option. Pt Was deemed inoperable during heart team discussion that lead to TAVR. We are convinced that this was the best option vs. emergency sternotomy during cardiogenic shock.
Pt is doing well @ 6 month FU

[Federico Moccetti, MD @FMoccetti]

@PedroMDMSc @JACCJournals It’s a rare complication that requires a “perfect storm”
- big annulus requiring an Evolut 34
- tight sinotubular junction (where the “seal” happens)
- mitral prosthesis super close to the annulus
- interaction TAVR-mitral prosthesis during deployment leading to embolisation

[Federico Moccetti, MD @FMoccetti]

@PedroMDMSc @JACCJournals The embolized valve is stuck and interacts with the lower one (which is implanted correctly), tying to force it downwards could compromise the correctly implanted valve. The options were covered stent or surgery.

[Federico Moccetti, MD @FMoccetti]

@evandrofilhobr @JACCJournals Thank you Evandro 🙏

[Federico Moccetti, MD @FMoccetti]

@msztejfman @JACCJournals Thank you Matias! 🙏

[Federico Moccetti, MD @FMoccetti]

@StToggweiler @WolfrumMathias @RichiKobza @MatthiasBossard @GilbertTangMD @adnanalkhouli @SachinGoelMD @azeemlatib @barbanti_marco @G_Tarantini01 @PradeepYadavMD @StevenYakubov @VPanoulas @mirvatalasnag @mmamas1973 #scarymoviecardio #TAVR #cardiotwitter

[Federico Moccetti, MD @FMoccetti]

@drmohansai Hope you can use it in your practice!

[Federico Moccetti, MD @FMoccetti]

Differentiating VT Form SVT on #ECG can be challenging! We developed a user friendly algorithm based on clinical info and 2 leads (II,aVR). In a clinical validation residents and fellows are as proficient as #EPeeps
@JACCJournals
https://t.co/O3ASdE92P9

[Federico Moccetti, MD @FMoccetti]

@ecgrhythms @smithECGBlog @EM_RESUS @BadertscherPat @PhilippKrisai @CSticherling @CRIBasel @senfff @vass_vassiliou @krychtiukmd @g_giustinoMD You are welcome 🙏

[Federico Moccetti, MD @FMoccetti]

@pjkim08 @JACCJournals We did a clinical validation to investigate the algorithms performance she’s used by internal medicine residents, cardiology fellows, attending dogs and EP-specialists (Figure 3)

[Federico Moccetti, MD @FMoccetti]

@ranmiomir @JACCJournals Thank you 🙏 hope it makes you day easier

[Federico Moccetti, MD @FMoccetti]

@adil_rashidk @smithECGBlog @EM_RESUS @BadertscherPat @PhilippKrisai @CSticherling @CRIBasel @senfff @vass_vassiliou @krychtiukmd @g_giustinoMD You are correct. Thats the algorithms weakness: fascicular VT, antidromic AVRT and Mahaim-Fiber. We describe this in supplemental Table 5. Other algorithms perform poorly in these situations as well, as they all rely on the fact that in most VT the initial activation is slow.

[Kalyanam Shivkumar MD PhD @shivkumarmd]

Master teacher & humanist, Prof Brugada citing Marriott, Wellens ( & his classic 1991 paper) "In fact, the approach used in the Basel algorithm, with simultaneous clinical and ECG data, but kept simple, following Ockham’s razor & Bayesian principles should be the right approach."

[Kalyanam Shivkumar MD PhD @shivkumarmd]

Elegant & simple way to approach wide QRS complex tachycardias! Get a history and just look at Leads II and aVR! See editorial by Prof. Pedro Brugada talking about Ockham & Bayes! @uclaCVfellows
From @jaccjournals https://t.co/dPbkwC4I6s