Bernhard Unsöld

Arzt / Kardiologe

[Bernhard Unsöld @bwu74]

@Hragy @SyedYNaqvi1 I would suggest TOE to look how the PML is looking. If long enough M-TEER and later re-evaluation of TI would be my choice.

[Jan Verwerft @VerwerftJan]

Small LV in HFpEF 👇

New 🇪🇸 viewpoint 🇧🇪led by @yulnunezvill with @rdelaespriella in @ESCHeartFailure

High EF ≠ strong heart

Small LV → ↓ preload reserve → low SV
Even during exercise

📊 pathophysiology & therapeutic implications

[Bernhard Unsöld @bwu74]

Fall der Woche #cardio #education https://t.co/Ben3hMYr1n

[Carlos El-Tallawi, MD, FACC, FASE @HeartToProve]

Coronary-cameral fistula — complication of septal myectomy

[Bernhard Unsöld @bwu74]

@alex1708ander @Hragy @mmamas1973 @iamritu @CASivaram1 @argulian @ParrasJorge2 A (in you are talking about hyperemic Flow), at rest there is no reduction of flow

https://t.co/tbbYWwP5Vf

Figure from Gould, Am J Cardiology, 1974

[Bernhard Unsöld @bwu74]

Fall der Woche aus Gießen ⁦@KardiologieU⁩ ⁦@UKGM⁩ https://t.co/xldEvPfvWT

[John Mandrola, MD @drjohnm]

I realize beta-blockers have not been shown beneficial in non-obstructive HCM, but, they are commonly prescribed here and in HFpEF. I like this study. It shows clearly that BB worsen exercise capacity.

BB have very selective indications. I am not sure why they are popular

[Bernhard Unsöld @bwu74]

@EM_RESUS ACAOS (RCA from left Sinus) with „malignant“ interarterial course

https://t.co/JwwTnblRj9

[Bernhard Unsöld @bwu74]

@PowerfulMedical @RobertHermanMD @EU_Commission Congratulations!

[Bernhard Unsöld @bwu74]

@RobertHermanMD @smithECGBlog @PendellM @DidlakeDW @The_Nanashi_O @ecgandrhythmRoe @ecgrhythms @EkgHacks @FloydECGs @EM_RESUS @iamritu Oh. I see. The EKG machine.
Probably it should not be trusted

[Bernhard Unsöld @bwu74]

@RobertHermanMD @smithECGBlog @PendellM @DidlakeDW @The_Nanashi_O @ecgandrhythmRoe @ecgrhythms @EkgHacks @FloydECGs @EM_RESUS @iamritu Who said it was normal 😳

[Bernhard Unsöld @bwu74]

@nat_echo

[Bernhard Unsöld @bwu74]

@nat_echo

[Bernhard Unsöld @bwu74]

@ParrasJorge2 Interesting case. Mud-ventricular obstruction and apical aneurysm suggest HCM but visual echo appearance, low-voltage on ecg, RV-involvement and extremely elevated troponin are more suggestive of amyloid-CM. My guess would be atypical CA or combination of HCM and amyloid.

[Bernhard Unsöld @bwu74]

@drAliyor @Obisht Good result. Often less is more. I would probably have chosen the stent a bit longer to cover more of the LMCA (as far as I can see the stent covers only a few millimeters of the LMCA?) to avoid POT balloon expansion in uncovered LMCA.

[Robert Herman, MD, PhD @RobertHermanMD]

New #EKG patterns in acute myocardial infarction due to thrombotic plaque rupture:
❌ STEMI / NSTEMI
✅ State of the coronary artery

Great work by @fabrizioricci @martini_chia!

[Bernhard Unsöld @bwu74]

@DrBIqbal @DrIHHashmi1 That would have also been my suggestion

[𝕭𝖗𝖚𝖉𝖎 𝕮𝖆𝖗𝖗𝖊𝖑𝖑 🍺 @derjansinn]

Ich habe den Stand der Digitalisierung einmal grafisch für euch aufbereitet:

[Bernhard Unsöld @bwu74]

@Obisht - Suboptimal Echo pictures
- MINOCA
- before LV-biopsy

[Holger Nef @HolgerNef]

#IVUSscore vorgestellt von @sinning_jan
#DGKHerztage Signifikant weniger Ereignisse, wenn bei erhöhtem Score rotabliert wurde.
#IVUS #imagingfirst #modernPCI #classIA
@klinki_hh @MarcVorpahl
@TRassafMD @KardiologieHH