Adithya Mathews MD, MBA

Interventional, Endovascular, and Structural Cardiologist in Brooksville FL. IC at Jefferson-Deborah Heart‘23. USF MD'16, USF MBA’15. Traveler, Photography

[Adithya Mathews MD, MBA @adithm13]

The Shark Fin Sign: concern for acute coronary occlusion as the QRS and T wave merge secondary to extreme ST elevation. It may get confused for hyperkalemia. #ACS #ECG #EPeeps #cardiotwitter #radialfirst

[Adithya Mathews MD, MBA @adithm13]

Iliac artery CTOs were previously a surgical fem-fem bypass, but now we are reconstructing legs without the need for open surgery. Dual femoral access, human floss, shockwave lithotripsy and Viabahn endograft. One hour of work. Outpatient procedure
#endovascularfirst #savinglimbs

[Adithya Mathews MD, MBA @adithm13]

Before Angioseal and Mynx, it was this guy. #sandbag #cardiotwitter #groin #cathlab #radialfirst

[Adithya Mathews MD, MBA @adithm13]

“Every time we step in to save a life, we are exposing ourselves to potential harmful effects of ionizing radiation.” -David Rizik, on PBS special on cath lab radiation. #CardioEd #CardioTwitter #cath #cathlab #Cardiology

https://t.co/NOBugRlBO2

[Adithya Mathews MD, MBA @adithm13]

Chest X-rays are powerful tools and often overlooked in era of CT imaging. Kerley B lines suggest CHF and or mitral stenosis. Termed by Irish radiologist James Kerley in 1933. And I got to treat one of his family members. #history #medtwitter #CardioTwitter #CXR #CHF #smallworld

[Adithya Mathews MD, MBA @adithm13]

NPO after midnight for a heart cath may soon be outdated business. We don't do it for STEMI patients. Study shows no harm and happier patients https://t.co/QXOPAruAlL #radialfirst #PCI #CardioTwitter #Cardiology #catheterization #NPO

[Matthew J. Chung @MatthewChungMD]

Great #TEER case with TSP facilitated with first #SafeCross use in Virginia! Steerable balloon tipped catheter with RF energy puncture. Safe, simple, speedy and successful.

Thank you @eastendmedical @brijmaini for bringing this ingenious device to market!

#CardioTwitter

[Adithya Mathews MD, MBA @adithm13]

Mortgage interest rate passed 8%, highest levels seen since late 2000. #market #news

[Adithya Mathews MD, MBA @adithm13]

I'd also add insulin to the kit. 10u regular. One time I had a hyperglycemic passenger. Hydration was all I had to offer.
You can ask other passengers for medications in last ditch efforts. FoodForThought. Be aware. Care for your fellow human beings. Volunteer when they need you

[Adithya Mathews MD, MBA @adithm13]

According to the Centers for Diseases and Control Prevention (CDC), around 1 in every 604 flights will have a medical emergency, ranging from simple nausea to diversions for major conditions such as cardiac arrest. I've used the EMK box onboard. #LearnCPR #ImproveMedKits #Educate

[Claudia Lama von Buchwald, MD @claulamavb]

This 6mm beauty was my first PCI as an attending.

[TerraMysteria @terramysteria]

Goodbye little friend. Fare well and hope to see you again someday!😥
#xitter #RIPTwitterBird #RIPTwitter #ufoX

[Adithya Mathews MD, MBA @adithm13]

CMS finally states "CAS and CEA are similarly effective in patients with either standard or high surgical risk, and who are symptomatic with carotid artery stenosis ≥ 50% or asymptomatic with stenosis ≥ 70%" There's a place for TCAR, CEA and CAS. https://t.co/DiNsoWNS0i

[Adithya Mathews MD, MBA @adithm13]

Evolut vs Sapien. Dr Shah's algorithm for valve selection for #TAVR #cardiotwitter #radialfirst #cardioED #echofirst #BWH #wondrmedical

[Andreas Gevaert @AndreasGevaert]

Kidney 👏 function 👏 in 👏 acute 👏 HF 👏 is 👏 determined 👏 by 👏 CVP 👏 not 👏 cardiac 👏 output

NEVER give IV fluids to a HF patient with renal failure unless you’ve checked congestion (echo cath Swan whatever)

[Adithya Mathews MD, MBA @adithm13]

Good morning Seattle! Here for the CRF Complications course! @Adam_Hafeez #radialfirst #CardioTwitter

[Adithya Mathews MD, MBA @adithm13]

Whoa, when the RV lead goes through the PFO into the LV 😂 #EPeeps #PFO #echofirst #radialfirst #cardioEd #CardioTwitter

[SREEVATSA NADIG DM FSCAI FESC @nadig_cardio]

I bet you won’t see this a lot #CardioTwitter : DDDR done at a different centre 3 months back where is the lead

[Shaun Smithson, MD FACC FSCAI @miamiheartdr]

Happy to announce I performed Jamaica’s first ever #Tavr for treatment of aortic stenosis. Looking forward to continue to bring new minimally invasive cardiac therapies to the Caribbean. @MDT_StructHeart @Medtronic @MDT_Cardiac @JamaicaObserver @miamiheartdr #jamaica #doctor

[Adithya Mathews MD, MBA @adithm13]

Leadless cath lab suits! #radialfirst

[Alan Lumsden, MD, CV Chairman/Director @AlanLumsdenMD]

Looks like lead! But it isn’t! Equivalent radiation protection with barium sulfate, bismuth oxide impregnated fabric. Lighter washable why didn’t I know bout this?

[Jo Chikwe @JoChikweMD]

🧵1/ With patient permission. This is one of our I6 PGY2s (right) doing a mitral repair, a superb PA (left) is assist and an attending is 2nd assist. A resident anesthesiologist is at bedside.

Many patients wonder how residents participate in their care.
One asked this week:

[Adithya Mathews MD, MBA @adithm13]

A robot can technically do steps of a #TAVR, but to have the ability to critically think, evaluate, predict complications, treat complications, and take long term responsibility is another level. TAVR is an advanced #cardiac procedure for trained doctors, not ARNPs #CardioTwitter

[Mamas A. Mamas @mmamas1973]

@GHCardiology this is so inappropriate on so many levels. Being a TAVR operator is not just about deploying a valve, but working up the pt for the optimal mx of their AS, managing the patient prior to procedure and dealing with complications. This is not safe for patients particularly given that there are numerous TAVI trained medically qualified operators in UK. You have also taken away training opportunities for medical / surgical trainees. @ncurzen @Ryvetsprog @pomyers @SVRaoMD @GreggWStone @VictorDayan1 @Hragy @mirvatalasnag @tavrkapadia @TAVRBot @TheBJCA @BCIS_uk @TCTMD @ajaykirtane @EAPCIPresident @alaide_chief