Bruno Marmelo

Interventional Cardiology | Alentejano

[EHJCVI Editor-in-Chief @EHJCVIEiC]

#EHJCVI 🤔 A 73 yo female with systemic lupus erythematosus presents with a syncope. 🫀 #ECG w RBBB and anterior STE. #Echofirst LVEF 58% TAPSE 13 Cath normal. #whyCMR with ⬆️T2 and #RV #LGE What do you think? Vote below 👇

[Physics In History @PhysInHistory]

"Study hard what interests you the most in the most undisciplined, irreverent, and original manner possible."

- Richard Feynman

[Bruno Marmelo @BMarmelo]

@BaoGTran @MurmurMDApp Which was the stent chosen?

[The Cultural Tutor @culturaltutor]

On this day 2,067 years ago Julius Caesar was assassinated in broad daylight in the middle of Rome.

But it wasn't a mob or a popular uprising - Caesar was killed by a group of disgruntled senators.

Here's how it happened, moment by moment, on that fateful day in 44 BC...

[Bruno Marmelo @BMarmelo]

@juliogilpereira @The_Nanashi_O @doctor_roig @DidlakeDW @ecgrhythms @syamkumarmd @DocNikko @TahaMD_EM @EcgOxford @Vadeboncoeur_Al @AslangerE @smithECGBlog @EM_RESUS @EKGest @RobertHermanMD @UlhasDr @DavideMoreira3 @vandadevesaneto @JoaoMSantos13 @CraveiroNuno @Goncalo_RMF @BrunoAlmRodr80 @Luis0F0Santos VT

[Historic Vids @historyinmemes]

Ernest Hemingway in Spain with his chauffeur Adamo Simon sitting in front of the stone bridge in San Ildefonso, Spain. July 1953.

[Bruno Marmelo @BMarmelo]

@WrightEG @JMonteroMD @AJuradoRoman @VDelgadoGarcia @JovenesSec @secardiologia @AgudosSEC @shci_sec @escardio In this case as the intraventricular pressure rises, the flow on the aorta is reduced. In aortic stenosis the obstruction is not dynamic. After PVE the intraventricular pressure won't rise as much and the flow on the aorta will increase.

[Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI @DrJayMohan]

1/ For the fellows and #ACCEarlyCareer!

It’s a coronary thrombus! When to consider thrombectomy? What do you do? Let’s walk through this…#Tweetorial

#Cardiotwitter #Cardiology #STEMI

[Matt Siuba @msiuba]

You’re called to see a patient with rapidly worsening shock.

On the monitor you see the waveform on the left.

An intervention was performed leading to the waveform on the right, within 5 min.

What’s the problem?

What improved it?

#HemodynamicsWaveformChallenge

[Reviewer Number 3 @thirdreviewer]

the middle author on your three-author paper

[Ugur Kucuk @ugurkucuk]

Today we had a massive PE patient with McConnel sign. I explained the pathophysiology of McConnel sign on this👇 glove. It’s all physics. #CardioTwitter #Echo

[Bruno Marmelo @BMarmelo]

I can relate

[Tony Breu @tony_breu]

1/4 - The Mystery

A doctor is on overnight call in the hospital. They are also hooked up to continuous ECG monitoring.

🤔What might cause the following tracing?

[Tony Breu @tony_breu]

1/4 - The Mystery

A doctor is on overnight call in the hospital. They are also hooked up to continuous ECG monitoring.

🤔What might cause the following tracing?

[Gopala Krishna Koduru @GopalKkoduru]

#TipsnTricksPCI floating wire technique @InvasiveCardiol #CardioTwitter @JACCJournals #JACCcasereoprts @MurmurMDApp @EuroInterventio @ESC_Journals @escardio @MyJSCAI #ACCFIT #MedTwitter @PCRonline #PCI @Sujathavip @OPCILive @latambifclub #IVUS @mandeep_mayo @BifurcationClub

[João Santos @JoaoMSantos13]

Wiggle-Wiggle. Never seen anything like this! @juliogilpereira @CraveiroNuno @vandadevesaneto @Luis0F0Santos @BMarmelo @DavideMoreira3 @EchofirstB

[Luís Leite @luispcleite]

Last patent vessel LM/LCx PCI of a 62-year-old male with EF 32%, performed with a pulsatile LV assist device #iVAC2L First use in Portugal @marcocostacard #cardioCHUC

[Bruno Marmelo @BMarmelo]

@vmstrr Qual a percentagem de recém licenciados que saí do país?

[Bruno Marmelo @BMarmelo]

@EM_RESUS Aortic dissection

[João Santos @JoaoMSantos13]

A nice reminder that you should trust your patients - when a female complaining of stabbing chest pain actually has a needle inside her heart 😱 https://t.co/Yi1r9olB82

[Hakeem Ayinde @naijaQRS]

Mechanism? @SergioPinski @narrowQRS @AnandShah_MD @seunadeola @AmoleOjoMD @FaisalMMerchant @melchami99 @DrGregMichaud @jeffrey_vinocur #EPeeps