Carlos A Gonzalez L

Interventional Cardiology & Structural Heart Disease @CCIndianRiver, #patientsfirst, #radialfirst

[Cleveland Clinic Florida @CleveClinicFL]

According to the @CDCgov, #Florida has the counties with the highest cardiac dysrhythmia hospitalization rates.

Carlos Gonzalez Lengua, MD shares details about WATCHMAN, an implant that permanently reduces your risk of #stroke.

✅Learn more: https://t.co/JWxHEvCSUg

[SCAI @SCAI]

SCAI is studying the various models of Cath Lab #STEMI Call Team composition and expectations. If you are a Cath Lab Director or take call at a US hospital that performs after-hours emergency #PCI, please take our survey today!
➡️ https://t.co/xQFWkIcggE

[Davide Capodanno @DFCapodanno]

In this multicenter registry of 10,872 patients undergoing TAVI, baseline ejection fraction was ≤30% in 914 (8.4%) patients. Of them, the left ventricle recovered in 59.5%, including 26.7% patients whose left ventricle function normalized completely.

No recovery was associated with a significant increase in 3-year mortality (adjusted hazard ratio 1.32; p<0.001).

Three variables were associated with a higher likelihood of left ventricle recovery following TAVI: no previous myocardial infarction, estimated glomerular filtration rate >60 mL/min, and mean aortic valve gradient >40 mmHg before TAVI.

Teams caring for patients with severe aortic stenosis and severe left ventricle dysfunction should assess the likelihood of left ventricle recovery following TAVI. This information and its prognostic implications should be discussed with the patients.

Article: https://t.co/q6uvu21crE

Editorial: https://t.co/cdONHjwDiC

[Dr Roxana Mehran @Drroxmehran]

This matters!!!! @JoeBiden @CMSGov @US_FDA @DrCaliff_FDA
Physicians are exhausted!!

[Carlos A Gonzalez L @GonzalezLenguMD]

@argulian Did @abelcasso cath the patient ?

[Carlos A Gonzalez L @GonzalezLenguMD]

@SVRaoMD Wondering what back in the days means😋?? I was a fellow no long time ago 😂😂😂

[Luay sayed @LuaySayed]

OOOPS the pusher was not pulled back 😳😳. #cardiotwitter @ekgpdx @RajTayal2
⁦@heartdoc45⁩ @DrAmirKaki
#ACCFIT @HadyLichaaMD@DrJayMohan
@chadialraies @BaoGTran ⁦@AKassier⁩ ⁦@dr_rothschild⁩ ⁦@raatassi⁩ ⁦@ramymandoMD⁩ ⁦@ShariqShamimMD⁩

[Evandro Martins F. MD @evandrofilhobr]

Halloween case ?? 👻

Patient with hx of SAVR with metallic prosthesis 20y ago. Presented in ER with hx of acute onset of shortness of breath and cardiogenic shock (80x40) and EKG showing LBB (interpreted as new one). Referred for emergent cardiac catheterization. (findings above)

Case shared by: @fabioccarvalho

[Cleveland Clinic Florida @CleveClinicFL]

We're proud to announce that Cleveland Clinic Indian River Hospital has been recognized by @ACCinTouch for Cardiac Cath Lab Accreditation, Electrophysiology Accreditation, and Transcatheter Valve Certification. Learn more: https://t.co/yOUvcBLuxu https://t.co/yOUvcBLuxu

[Carlos A Gonzalez L @GonzalezLenguMD]

@CleveClinicFL @ACCinTouch So proud of this team, good job everyone!!! @MistyBlueMD @LuisDVelazcoDa1 @JoseNaviaMD @JerryEstepMD

[Carlos A Gonzalez L @GonzalezLenguMD]

@MusaSharkawiMD @MCGCardFellows Musa, how old the TAVR? Would you consider Balloon first ?

[Sunil V. Rao @SVRaoMD]

The @ABIMFoundation now lists those who have paid for, taken, &amp; passed the certification exam as "not certified" if they don't pay the MOC fee(s).

Anyone find this defensible?

[Carlos A Gonzalez L @GonzalezLenguMD]

Thank you to @DrStroke for a great talk about stroke in patient with NVAF, love the concept of the 3rd door with the #LAAO, #watchmanFXD, @BSCCardiology

[Carlos A Gonzalez L @GonzalezLenguMD]

Real life example of a good commissural alignment, CTA showed excellent alignment that was confirmed with easy coronary access during cath. Thank you @GilbertTangMD for teaching us it was possible. @CCIndianRiver @TAVRBot @MDT_Cardiac @PopmaJeffrey

[Carlos A Gonzalez L @GonzalezLenguMD]

@adnanalkhouli iFR? No angina but maybe angina equivalent ? Guess the patient has symptomatic AS, can you be 100% all the symptoms are from AS or 0% from CAD. Conclusion we know so little …..

[Carlos A Gonzalez L @GonzalezLenguMD]

@DrJayMohan @w_jyg @csi360 It works just like the single op Rota technique, in the video I am walking out the device, with my left hand I am pulling out the device and with my right I am pushing the wire, all in small bites with the device in GlideAssist.

[Carlos A Gonzalez L @GonzalezLenguMD]

Our version of single operator technique with GlideAssist for Diamondback CSI360 Orbital Atherectomy. #radialfirst, @csi360

[Carlos A Gonzalez L @GonzalezLenguMD]

Another great milestone for the @CCIndianRiver HVTI, our team completed 100 LAAOs procedure. Thank you to all team members for all your efforts to make our program very successful! @CleveClinicFL @CleClinicHVTI @MistyBlueMD

[Pablo Salinas @pabl0salinas]

Rota-shit happens #scarymovie
(how to prevent, how to solve)
@Dchipayog @HennesseyBreda

Transvascular Balloon Occlusion: A Novel Bailout Strategy in Large Lef... https://t.co/oG2xrJqLgQ

[Carlos A Gonzalez L @GonzalezLenguMD]

@will_go @evandrofilhobr @DebbieNercolini @eduardopdemelo @phcraveiro @KovacicMihajlo @mirvatalasnag @GreggWStone @dantheman6559 @esbrilakis @mmamas1973 Medical treatment only