Michelle Nieves

Cardiology Fellow * Confidently beautiful with a heart ❤️ * Indie Film Actress * CPR Advocate and Trainer

[Domicias Albacite @docdomeng]

A critical appraisal on a recent article on ivermectin with our resident Dr Savellano. Bottomline: among young patients not hospitalized with mild covid19, ivermectin is not effective In reducing 50% of symptoms.

[Michelle Nieves @doc_mikkinieves]

@doc_jdam ABI and Arterial and Venous Duplex scan are the most common ones to diagnose vascular diseases
#CardioBytes

[Michelle Nieves @doc_mikkinieves]

Arterial = Occlusion
My clue would be "no perfusion due to clot means no blood, no oxygen, no nutrients" hence would explain why skin is cold, has skin trophic changes, pallor on elevation, claudication
#CardioBytes

[Jose Donato Magno @doc_jdam]

@anueru432 That is indeed once simple way to help distinguish arterial occlusion from venous types, since the former will inhibit blood flow leading to a "cold" and unperfused extremity while the venous blockage will result in pooling of blood making it "warm."

#CardioBytes #LifeAndLimb

[Michelle Nieves @doc_mikkinieves]

@doc_jdam This is lifted from Bate's
#CardioBytes

[Michelle Nieves @doc_mikkinieves]

@doc_jdam @champ_wayne Yes same sir
#CardioBytes

[Michelle Nieves @doc_mikkinieves]

@doc_jdam @champ_wayne Those people who have high blood cholesterol, diabetes, smokers, hypertensive, inactivity, and overweight/obesity
#CardioBytes

[Michelle Nieves @doc_mikkinieves]

@doc_jdam @champ_wayne Hello po good evening! Michelle here from AUFMC 😊
#CardioBytes

[Michelle Nieves @doc_mikkinieves]

@doc_jdam @docdomeng Most common complications include:
Hematoma, allergy to contrast used, Injury to the catheterized artery, arrhythmias, AKI, bleeding, infection..
#Cardiobytes

[Michelle Nieves @doc_mikkinieves]

@doc_jdam @docdomeng Good evening Sir @doc_jdam and @docdomeng 😊
#Cardiobytes

[Michelle Nieves @doc_mikkinieves]

@Becho2106 @doc_jdam Thank you Dr Rebecca Perry 😊 #CardioBytes

[Michelle Nieves @doc_mikkinieves]

@doc_jdam @EJBL_NukeCardio Thank you for this Mnemonics sir 😀 #CardioBytes

[Michelle Nieves @doc_mikkinieves]

@doc_jdam @EJBL_NukeCardio A1. It is also used for evaluation of cardiac structure and function of adult congenital heart disease
#CardioBytes

[Michelle Nieves @doc_mikkinieves]

@doc_jdam @HeartRhythmMD Thank you po Sir @doc_jdam and @HeartRhythmMD for the learnings as always!
#CardioBytes #TachyTalks #Arrhythmia

[Michelle Nieves @doc_mikkinieves]

@doc_jdam A3. Common vagal maneuvers include carotid sinus massage (CSM), Valsalva maneuver (VM), and diving reflex
#CardioBytes

[Michelle Nieves @doc_mikkinieves]

@doc_jdam @HeartRhythmMD Sir I think from the lecture from ACLS, Wide complex tachycardias should be presumed to be VT until proven otherwise
#CardioBytes

[Michelle Nieves @doc_mikkinieves]

@doc_jdam Got this from ACLS book hehe
#CardioBytes #TachyTalks

[Michelle Nieves @doc_mikkinieves]

@doc_jdam It's great to be back and see our colleagues and friends here at #CardioBytes

[Michelle Nieves @doc_mikkinieves]

A1. fever, infection, anemia, dehydration, hypoxemia, shock, pregnancy, stress,heart failure, medications, caffeine #CardioBytes

[Michelle Nieves @doc_mikkinieves]

@doc_jdam @champ_wayne @mel_cperez @adeltuazon The S1 may be diminished due to the inability of the mitral valve leaflets to close completely
#CardioBytes