Neshwan Albarwari

Interventional Cardiologist
Lecturer in Cardiology
Dohuk . Iraq

[Neshwan Albarwari @baramink]

Isolated posterior STEMI is uncommon 3-10% of STEMIs . As suggested usually LCX in dominant system <commonly Ramus as in this case/ or OM . PPCI proximal ramus 2.5x33mm stents .
-50% of cases are not recognised as st dep in v1-3 misread as NSTEMI .
#cardiology #CardiEd

[Neshwan Albarwari @baramink]

Here is uncommon px
62 y old man no PMH non smoker acute chest pain for several hrs in ER mid night
#ECG 1 and 2
1-Dx
2-Culprit aa

#cardiology #CardioEd #medEd

[Neshwan Albarwari @baramink]

@TrackYourHeart 1. Diffuse ST-Segment Elevation in multiple leads
2. PR-Segment Depression
3. PR Elevation and ST Depression in aVRV1.
4. Absence of Reciprocal ST Depression
5. ST/T Ratio in V6 > 0.25 discriminator from early repolarization: measured in lead V6 supports pericarditis.

[Dr. AK 🇮🇳 @docakx]

🤣

[CardiovascularCorner @TrackYourHeart]

1/15
Ventricular fibrillation is a life-threatening ventricular arrhythmia characterized by rapid, chaotic, and disorganized electrical activity within the ventricles.

The result is complete loss of coordinated ventricular contraction and cessation of effective cardiac output

[Neshwan Albarwari @baramink]

@The_Nanashi_O Free floating thrombus ..

[Neshwan Albarwari @baramink]

17 years old boy with hx of idiopathic #DCM for several years , poor compliance with MxRx . Px with severe SOB and #cardiogenic #shock

Limited therapeutic options in resources limited sitting !

#echofirst #CardioEd #Cardiology

[Abad khan,MD/DM @abadkhan2002]

Posting 4 year follow upof Equipment loss ( Guidewire ) (my longest follow up yet ) ..
Backstory .. 70/M , AWMI , had double bifurcation , decided to go provisional for LAD-D1 and Dedicated for LM bifurcation ..
Had jailed wire entrapment and then breakage , cud not retrieve it , Left it and Pasted in LM / LAD .. Decided NOT to stent and paste the wire in Diagonal ..

Who has such follow ups on Wire loss or device in coronaries without a stent and doing ok .. ?
What is Usual t/t protocol done at ur centre for such cases ?

@drAliyor @serioustaurean @DrRajeshVijay @DrRajeshG1 @nadig_cardio @realarainmd @AllanaSalman @mirvatalasnag @PCRonline @mmamas1973 @DrIHHashmi1 @Hragy @IntervnCardio @YMurasato @chip_cto_india @MdM_Ochiai @Prasannasimha @MauroCarlino3 @DrDeepak_Cardio @GilbertTangMD @Laserrman @cto_chip_japan @MohanedEgred @KovacicMihajlo @GopalKkoduru @SyedYNaqvi1 @KPujdak @care4urheart2 @DrAnkushG @AnkurGuptaMD
#cardiotwitter #Cardio_X

[Neshwan Albarwari @baramink]

#Mitral valvotomy for RHD 1984 in the UK .
Pt now is 69 y old . MVA by planimetry 2.65 cm2 . Mild MR .

#Echofirst #cardiology #cardioed

[Neshwan Albarwari @baramink]

@alex1708ander Very interesting never seen one b4 !

[Mr. Jason💡 @jason_coder0]

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Claude just collapsed 5 hours of presentation building into 100 seconds completely free.

10 prompts to go from completely unprepared to completely untouchable in every meeting: 👇

(Save this 🔖 you’ll need it later)

[pushkar soni @pushkersoni72]

🚨 BREAKING: Google Gemini can now completely rewire your brain so you can learn anything at lightning speed.

Here are 7 Gemini prompts to learn anything 10x faster:

[Neshwan Albarwari @baramink]

@ShariqShamimMD Resource limited lab

[Neshwan Albarwari @baramink]

@Nasser_Ghattar I recently had a missed a stent in a calcified mid LAD lesion ( ant STEMI ) , it was stuck on the inside of the femoral sheath !!

[Amitabh Yaduvanshi MD, DM, FACC, FSCAI @IntervnCardio]

1/9
🚨 𝗟𝗲𝗳𝘁 𝗺𝗮𝗶𝗻 (𝗟𝗠) 𝗰𝗼𝗿𝗼𝗻𝗮𝗿𝘆 𝗮𝗿𝘁𝗲𝗿𝘆 𝗱𝗶𝘀𝗲𝗮𝘀𝗲 is one of the most complex subsets for PCI, carrying a high risk of late complications.
The ultimate game-changer for improving patient outcomes? 𝗜𝗻𝘁𝗿𝗮𝗰𝗼𝗿𝗼𝗻𝗮𝗿𝘆 𝗜𝗺𝗮𝗴𝗶𝗻𝗴 (𝗜𝗖𝗜) .
Here is a breakdown of the new EAPCI & EBC consensus statement. 🧵👇

[Zille Huma @Zill_cardio]

❤️‍🔥 Intracoronary imaging for left main PCI: a clinical consensus statement of the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the ESC and the European Bifurcation Club (EBC)

#MustRead #IVUS #OCT #LMPCI

https://t.co/SJ8lIeu3DZ

[Michael Megaly @MichaelMegalyMD]

I would say that the KISS trial @JACCJournals not only proved that you do not need to do routine SB intervention (commonly kissing), rather I would say the most significant change is proving the concept of POT-side-POT (done in 57% of SB interventions and seems to be more favorable than kissing).

I have been recently doing POT-side-POT instead of kissing when I need SBI and that study proved it can be better!

Congrats to the authors and @sbrugaletta for an insightful editorial!

https://t.co/H3m2dHoufQ
#cardioX

[Ankush Gupta @DrAnkushG]

POT is the last step we do in LMBA before coming out, after that nothing. In #IKISSLM trial, we are seeing a lot of LSD at proximal stent edge-both on imaging and stent boost. #CardioTwitter
This was also documented in OCTOBER trial as USD (unintended stent deformation).
@SanyaChhikara @DrRajeshVijay @DrRajeshG1 @drnbajaj76 @mmamas1973 @Dr_AshokSeth @drnbajaj76 @ccijournal @realarainmd @sajannarayanan @adityadoc1 @Pooh_Velagapudi @SrihariNaiduMD @poojaotherwise @ABeneduceMD @BoopathyCardio @ErwMulia @christiankfuku @FeliceGragnano @JoySanyal74 @latchumanadhas @MarciMonteg @JACCJournals @GopalKkoduru @nadig_cardio @DrDeepakKrishn1 @UppalLipi @Sujathavip @yaqoub_lina @gbiondizoccai @cardio1richa @Tesslagra @NishithChandra @SanjogKalra @abadkhan2002 @serioustaurean @ACCinTouch @care4urheart2 @AnkurGuptaMD @AnkurKalraMD @AdityaMandawat @ShariqShamimMD @SachinGoelMD @Hragy @drpkhazra @djc795 @aayshacader

[Zille Huma @Zill_cardio]

#TCTAP2026
#DCB

❤️‍🔥 DCB-PCI in True Left Main Bifurcation PCI: Evidence and Considerations

🎈DCB > POBA for SB in terms of angiographic outcomes.

🎈Theoretically, upfront DCB angioplasty for SB can transform DEFINITION II type bifurcation into EBC-MAIN type bifurcation.

[SREEVATSA NADIG DM FSCAI FESC @nadig_cardio]

Which is your favourite workhorse wire #CardioTwitter

And why is it Sion Blue 💙?

Remarkably versatile , handles majority of everyday lesions
Predictable tactile feedback and excellent trackability
Superb device delivery support
Forgiving , safe tip behavior ; no perf till date across 6k+ PCIs
Especially reliable in tortuous and moderately calcific anatomy

IMO, Japanese wires remain a class apart in terms of feel and engineering.

PS - No financial interest whatsoever for this post , just too much love for this beauty and felt it deserved a mention 🥰