Hira Ali Cardiactech🫀🩺

BS Cardiology 🩺 | Making cardiology make sense | ECGs • ECHO • HF • Clinical pearls |

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

Hira Ali 🫀
A Cardiology student, currently interning at the hospital
Learning the language of the heart, one ECG at a time
Sharing ECHO, HF and clinical pearls.
Sharing what I learn, not pretending I know it all.
Coffee powered, curiosity driven, forever chasing the rhythm.

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

@SABOURETCardio Lp(a) is finally getting the attention it deserves — still one of the most under-tested risk factors out there given how many patients never get it checked even once in their lives. Glad EAS is putting out a free, structured course on this.

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

@SABOURETCardio @ArkadiaEditore The story of Pietro Antonio Leo is wild — from a peasant kid in Arbus to a Medicine professor in Cagliari, crossing paths with Angioy along the way. Sardinia has produced so many figures history books barely touch

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

@EuroInterventio RBBB + first-degree AV block pre-TAVI = red flag combo for PPM. Makes sense given how close the conduction system sits to the annulus in AR anatomy vs classic AS. Worth flagging these patients pre-op for closer monitoring.

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

@TrackYourHeart Volume overload → septal flattening in diastole, normalizes in systole

Pressure overload → septal flattening in systole, may persist or worsen through the cycle

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

@johnsoncardiol @ArneStroehmann Yes i guess

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

Can anyone spot the cause of this patients chronic fatigue, dizziness, breathlessness and feeling that something is ‘wrong’? Female 40, not obese, doesn’t drink alcohol and has immediate family history of Atrial Flutters

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

@johnsoncardiol @_fwtjay Great job doc

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

“Driver’s Reflex”

Patient in “SVT” Dumping freezing water on patient’s face !!
The sudden blast of freezing water to the face This immediately stimulates the vagus nerve, which sends a signal to essentially "reboot" the heart and slow it back down to a normal, healthy rhythm.

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

@ArneStroehmann U nailed it doc 🙌🏼

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

@koggelnoggel Good work doc

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

Male, 56 years old.
Severe SOBs, screaming/crying out, chest pain cold sweats , DM +ve, post-PCI (02/26) , Rhonchi, pitting edema.
BP: 110/80, SpO2: 75%, Hb: 13, Leukocytes: 19,000, Platelets: 307,000, Blood glucose: 552, Troponin I: 44

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

@_adriane_k_21 Well said doc 🙌🏼

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

@dr_benoy_n_shah Congrats on the relaunch! Interactive format is smart since publishing skills really need hands-on practice, not just passive lecture content.

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

@VerwerftJan 62% falling into early cardiac damage stages is a huge number to leave unstratified. This reframes exercise echo as a tool for timing, not just confirming severity.

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

@VerwerftJan Peak sPAP has always felt like an incomplete snapshot since it ignores flow contribution. mPAP/CO slope finally captures the actual pulmonary vascular response to exercise.

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

@DrRoderickTung @rwolsky93 LVH + Pleural effusion + Severe AS

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

@TrackYourHeart Acute Subdural Hematoma (right-sided) with significant mass effect

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

@AbdullahAlabcha @rajivxgulati @adnanalkhouli @claireraph @MayoClinicCV @JACCJournals @ACCmediacenter 100% procedural success with zero MI, stroke, or death in this cohort is impressive for such a technically demanding retrieval technique. Small N but very promising signal.

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

@TrackYourHeart Aminoglycosides (gentamicin, amikacin, etc.) have poor penetration across the blood-brain barrier, even in the setting of inflamed meninges, due to their large size and high polarity. This makes them generally unsuitable as primary therapy for brain abscess or meningitis.

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

@Heart_BMJ 71.2% hypertension prevalence in this HF cohort is striking, but the 9.8% overlap of all three comorbidities is really the group that needs the most aggressive follow-up.

[Hira Ali Cardiactech🫀🩺 @HiraaliCardio]

@biljana_parapid @mirvatalasnag @mmamas1973 @hvanspall @alxbenevides @parseeam @ChrisMalaisrie @MelfiFranca @OuzounianMD @JessicaLuc1 @Hragy @OPreventzaMD @pomyers @TagliariPaula @BartoszHudzik @pompili_cecilia @SABOURETCardio @valeriaparadies @HawranekMichal @SilbermanManzo @jacqueskpodonu Sex-based outcome gaps after CABG persist despite propensity matching, which really points to biological or referral pattern differences rather than just confounding. Worth digging into which one dominates here.