Louis-Philippe David

Cardiologist @ICMtl, teaching, structural Echo and CMR enthusiast.

[Louis-Philippe David @LP_DavidMD]

@KemalogluOz We also use 10 mm in our institution…don’t have a reference. However, after hundreds and hundreds of CMR and echos…10 mm seems about right

[lamarche caroline @lamarchecaroli1]

Tonic-signaling CARs can induce exhaustion in Tregs ! Here are our results if you want to learn about the phenotype, transcriptome, metabolism and epigenetism of those cells. https://t.co/tInML3nVEj @mklevings @PNASNews

[Louis-Philippe David @LP_DavidMD]

@ydaryani @SCMRorg @chiarabd @purviparwani @PushpaShivaram @AmroAlsaid @danilorenzatti @Kfarooqi @RayRcnita @JStojanovskaMD @DrJenniferCo_Vu @OKhalique @BSCMR I was trained to add 4 chamber long axis as well for this particular reason: apical short axis slice is sometimes more towards mid and can miss the true apex and apical cap. I believe this defect is very real and beyond Gibbs

[Michelle Kittleson MD PhD @MKIttlesonMD]

#TipsForNewDocs

Wrong: "noncardiac chest pain"

Right: "chest pain not c/w angina based on ____; more likely due to ____ based on _____"

Don't stop at excluding a diagnosis- do your best to identify the cause of the symptoms.

#kittlesonrules

[Louis-Philippe David @LP_DavidMD]

@EGarciaSayan @SNagueh @DermotPhelanMD @iamritu @purviparwani @ASE360 @JournalASEcho @Kfarooqi @DocStrom @NadeenFaza @GWhalleyPhD @boegel_kelly @ash71us @rajdoc2005 @DavidWienerMD @onco_cardiology Totally agree with everything that has been said. Would only add that for apical HCM, sticking with the cutoff of 15 mm will potentially lead to missed diagnosis. Lack of decreased LV wall thickness from base to apex should raise concerns between 10-15 mm

[Michelle Kittleson MD PhD @MKIttlesonMD]

#TipsForNewDocs

There are 2 kinds of docs: those who have checklists and those who forget stuff.

Checklists aren’t just for interns!

Establish a system that works for you and you’ll use it throughout your career.

#kittlesonrules

[Michelle Kittleson MD PhD @MKIttlesonMD]

#TipsForNewDocs

Sinus tachycardia is the delirium of cardiology.

Delirium --> it's (basically) never the brain's fault.

Sinus tach --> it's (basically) never the heart's fault.

Don't be distracted by the wrong organ in search of the right answer!

#kittlesonrules

[Louis-Philippe David @LP_DavidMD]

@EuniceOnwordi @dr_benoy_n_shah @DavidTLinker @argulian @UHS_valveclinic @CGMihosDO @NMerke @DrRajeshG1 Definitely noticing more and more of those double envelop MV CW Doppler tracings…especially with Philipps Epic and X8-2T probes. Majority of the time, there is minimal MAC…I suspect it has something to do with the harmonics…

[David McNamara @davidmcnam]

Interventional echocardiographers have 3- and 11-fold greater radiation exposure than interventional cardiologists during LAAO and MitraClip cases. Important implications for the structural heart team. Check out our work at https://t.co/rlJ1Rh1jtM @JAMANetworkOpen @JAMANetwork

[Louis-Philippe David @LP_DavidMD]

@LilyLeiZhang1 @NMerke @echo_stepbystep @ASE360 @iamritu @hahn_rt @dr_benoy_n_shah @BSCImaging @AJamilTajik @ovidiogarciav @denisamuraru @cardiopole @vonBardelebenRS @rajdoc2005 @fiore_corrado @KardiologieHH @schaefers_hans @alexsfelixecho @alessia_gimelli @JGrapsa @GE_IanMc Definitely agree with this. Either number of leaflets is sometimes overcalled or the description of the type varies from person to person. I find pap muscle visualisation to differentiate from ant/post not always that obvious

[Lily Zhang @LilyLeiZhang1]

TR etiology is complex, mild to moderate has higher risk for CHF/Death.45cc regurgeV (less than MR) is considered severe. massive/torrential grading in the 2022 ESC position doc. Catch patients earlier! Imaging is at the center @hahn_rt @EGarciaSayan @OKhaliqueMD @ASE360 #tvt2022

[Louis-Philippe David @LP_DavidMD]

@rabihmgeha @DxRxEdu 1)acquired lond QT (totally biased)

[Charlie M. Wray, DO, MS @WrayCharles]

Inpatient medicine things I've learned over the years:
1. never interrupt nursing sign out
2. let the patient sleep
3. notes aren't that important
4. Let people call you by your first name
5. rounds should be done by lunch
6. respect every member of your team

[Alice Soohyun Chang, MD @AliceSoohyun]

3D of the MV and a Type 0 bicuspid AV right above (~10% of all BAVs). No significant AS or AI ➡️ valve sparing Ao root replacement. @ZuyueWangMD @HeartPlano @EchofirstB #3Decho #CardioTwitter #cardiacimaging

[Laurie-Anne Boivin-Proulx @ProulxBoivin_LA]

Saviez vous que plus de 50% des femmes ne reconnaissent pas leurs symptômes d’infarctus? ➡️
C’est le temps d’en apprendre plus avec nos expertes @JessicaForcillo & @cpachecoMD #TLMenRouge #ElleNousTientÀCoeur

[Dr. Purvi Parwani @purviparwani]

Keys to diagnosing #ARVC or #AC on #whyCMR #SCMR22 @RadiologyEditor
1. DON'T OVERDIAGNOSE RV WALL MOTION
2. IGNORE DISTAL RV APEX
3. DON'T GET 4 CH CINE
4. BEWARE OF NEWER CONCEPTS
@HeartDocSubha
@chiarabd @AmroAlsaid @cshenoy3 @danilorenzatti @vineetao17 @rajdoc2005

[Anna Giulia Pavon @AnnaGiuliaPavon]

💥💥Mitral Regurgitation in CMR:

#echofirst is the primary imaging modality
#whyCMR has an emerging role
💥https://t.co/ZYsMIuXFad

Here is a tweetorial on MR in CMR:
👉Morphological characteristics
👉MR quantification
👉Role of tissue characterization
👉Hint on research

[Anna Giulia Pavon @AnnaGiuliaPavon]

#SCMR22 #whyCMR
My little highlights of this great start:

👉4D flow is a key player in CHD (@Kfarooqi )
👉 Mind that CMD is NOT a diagnosis-->CMR to the rescue! (@cshenoy3 )
👉Mind the location when quantify AR (shafkat anwar)

🚩if you miss it, contens will soon be ondemand!

[Prof. Feynman @ProfFeynman]

Students don't need a perfect teacher. Students need a happy teacher, who's gonna make them excited to come to school and grow a love for learning.

[Peter G. Guerra @PeterGGuerra]

The future’s so bright, I gotta wear shades! Great article about my colleague @G_MarquisGravel Who has been working for a year and a half as an interventionalist and researcher @ICMtl https://t.co/3u5dCsOHn8