Peter A. Bleszynski

Director of Cardiology | Structural & Interventional | TAVR, MitraClip, Watchman, complex PCI | Vegas via Vancouver 🇨🇦 | Rochester-trained |

[Peter A. Bleszynski @ICPeteB]

@agtruesdell I just use everything that comes in kit, take a look with US, mark spot, clean, then go parasternal or apical approach blind, enter, so bubbles with echo tech taking pictures subcostal, confirm, dilate, place drain

[Peter A. Bleszynski @ICPeteB]

#scai #CardioTwitter

[Peter A. Bleszynski @ICPeteB]

Thoughts? 50 yo M with hx of afib & s/p On-x MVR 2016, unknown size, admitted with afib RVR and newly depressed LVEF 35%, clean cors, PCWP 30, LVEDP 10. TEE without obvious thrombus/pannus. Mean gradient 7.5, PHT 61, peak E 1.6. HR 110 during TEE.

[Peter A. Bleszynski @ICPeteB]

Fluoro showed decreased leaflet movement of one leaflet. Is there significant prosthetic stenosis? Control afib / cardiovert and everything will get better? Lysis protocol?

[Peter A. Bleszynski @ICPeteB]

@BruckelJeffrey Yea did shockwave

[Peter A. Bleszynski @ICPeteB]

First solo PCI as an attending, NSTEMI RCA culprit, took 2 hrs with IVUS, guideliner, IVL and a Megatron stent post dilated to 5.0. Tortuousity and calcium made things tough. Things I learned, use a more supportive wire earlier on. #scai #CardioTwitter

[Peter A. Bleszynski @ICPeteB]

@Tagamitr @SyedYNaqvi1 @DrJayMohan @evandrofilhobr @arun_kahlon @jeff_parkmd @BeaumontCards @ShariqShamimMD @Babar_Basir @HadyLichaaMD @DrAmirKaki @AdrianMercadoMD EDP is high and ESRD, on dialysis? Anyway to get extra fluid off with dialysis or optimize before hand? Only reason I ask is because LVEF is 50%, and calcific vessels would make me think twice if mechanical support is truly necessary despite it being high risk intervention

[Peter A. Bleszynski @ICPeteB]

@FiedlerAmy @purviparwani @UCSFCTSurgery @UCSFCardiology @HeartUCSF @UCSFSurgery @tomcnguyen as mentioned above by OP, the patient gave permission, the phone is held by someone not involved in the sterile field, yes it’s the OR but that doesn’t mean they aren’t paying attention or being safe. There are times that you can safely take a “breather” in the OR.

[Peter A. Bleszynski @ICPeteB]

@jbcarmody What do you do with IMG residents that aren’t allowed to moonlight or receive additional income?

[Peter A. Bleszynski @ICPeteB]

@kjdelay1 @mkterris Elevated troponin in the setting of GI bleed

[Peter A. Bleszynski @ICPeteB]

@SrihariNaiduMD @SVRaoMD @ajaykirtane @purviparwani @DrMarthaGulati @mmamas1973 @yourheartdoc1 @CMichaelGibson @djc795 @docbhardwaj @mmartinezheart @AnkurKalraMD @agtruesdell @Babar_Basir @PerwaizMeraj @herbaronowMD Wake up at 4:30 am, gym at 5 am, done at 6:15, showered and ready to work by 7. Doing it since residency and unless in a case havnt missed a day

[Francisco Soto, MD, MS, MBA @FSotoMD]

[1] #Hemodynamics Tweetorial #2

Heart failure pt in ICU is -3.5L after 2d of aggressive diuresis. On day 3, urine output is ⬇️and BUN/Cr is ⬆️

You personally wedge #PAC at bedside and obtain a mean wedge 17 mmHg (a normal mean wedge is 6-10 mmHg). Admission wedge was 24

[Peter A. Bleszynski @ICPeteB]

Proud of my brother; both of us finishing fellowship the same year in completely different specialties!

[Michael Bleszynski @mikeblez]

Amazing graduation dinner last night. Time goes quickly, what a phenomenal 2 years. Thank you Toronto! @TorAbdTxFlwshp @TorHPBFlwshp @BAmirSayed @shwaartz @sapisochin @MarkusSelzner @sgallinger1 @moultonca @BrianZekeMD @Eyadissa

[Peter A. Bleszynski @ICPeteB]

@mikeblez @TorAbdTxFlwshp @TorHPBFlwshp @BAmirSayed @shwaartz @sapisochin @MarkusSelzner @sgallinger1 @moultonca @BrianZekeMD @Eyadissa Congratulations!!!!

[Michael Bleszynski @mikeblez]

High MELD liver transplant outcomes in Western Canada https://t.co/dslpjnqIIT #livertwitter

[Peter A. Bleszynski @ICPeteB]

@mikeblez Congrats! Great work, excited for more to come

[Peter A. Bleszynski @ICPeteB]

@evandrofilhobr Yikes!