Robin Fernandes

Cardiology fellow at East Carolina University #echofirst #cardiofellow #ACCFIT

[Abdulla A. Damluji, MD, PhD @DrDamluji]

Evolocumab in Patients without a Previous Myocardial Infarction or Stroke: @NEJM @AHAScience #AHA25

🥸VESALIUS-CV - subtilisin–kexin type 9 (PCSK9) inhibitor evolocumab

😱Summary

👇👇👇

[The Heart @ZHeart11768530]

🔴 Pericardial Diseases: 2024 International Position Statement @JACCJournals 🩺⤵️

🔹New Concepts & Advances in Multimodality Cardiac Imaging

🔹 https://t.co/UCHmUJripG
#Echofirst #YesCCT #whyCMR
#Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd

[EHJ Editor-in-Chief @ehj_ed]

The 2024 top 10 papers in heart failure!!!
https://t.co/ZRjH2zplDY
#cardiotwitter, @ESC_Journals, @escardio

[American College of Cardiology @ACCinTouch]

📍 In #heartfailure, electrical disturbances lead to ineffective cardiac contraction.

This infographic 👇 highlights best practice guideline recommendations for Cardiac Resynchronization Therapy. Learn more from ACC's online course: https://t.co/ohMgXpBfnz

#ACCEd #epCRT

[American College of Cardiology @ACCinTouch]

🔑 ATTR-CM is common and under-recognized. With newer targeted therapies available, early recognition and better characterization of this disease utilizing cardiac imaging is important.

Read more key points from a state-of-the-art review: https://t.co/Lhjmv8iSWq

[Cardiac Trials @CardiacTrials]

2023 PRACTICE-CHANGING CLINICAL TRIALS #recap

~~ a thread 🧵 ~~ 👇

[American Society of Echocardiography @ASE360]

The development of strain as a clinical tool over the past 30 years has provided a technique that is accurate and reliable. Explore our Strain Imaging Resources webpage! https://t.co/HN93Jse41E

The resources page features:
❤️ Webinars
❤️ Guidelines
❤️ Cases
❤️ Videos
❤️ Articles

[Chittur Sivaram MD MACP MACC @CASivaram1]

#EchoFirst
🫀3D TEE and TruView images showing relationship of LAA to Mitral Valve ( surgical view)
🫀 Enjoy the echo eye candy
@iamritu
@DrRajeshG1
@Deya_AlkhatibMD
@purviparwani
@mswami001
@ZainAsadEP
@minhaskh
@MohaK92
@DrJMarine

[RTHahnMD @hahn_rt]

Evidence that rhythm control benefits HFpEF! https://t.co/tCFRyEYSkA Rhythm control also benefits MR&TR! https://t.co/zGvuTkfH3N @JACCJournals @ACCinTouch @escardio @CardioNerds #CardioTwitter

[Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 @DrMarthaGulati]

Today we had the amazing @khurramn1 present @CedarsSinaiMed #SmidtHeartInstitute #CardiologyGR
#PowerofZero

Thanks Willie Sutton: “That’s where the money is”…. Response to why he robbed banks… reached medicine too

What diagnostic test will be most likely to provide a dx?

[Ravi J. Shah @theravishah]

Excellent review on genetic testing in #HF by @GeneticHeartDoc #JACCHF #CVgenetics
https://t.co/rgaKef3BKy

🫀inherited dz is a common cause of DCM
🫀truncating Titan mutations are most common
🫀 Lamin mutations have 100% penetrance
🫀post-mortem genetic testing is possible

[FITsOnTheGo @FITsOnTheGo]

📢BMAD Trial: Dr. John Boehmer discusses an external monitor for managing heart failure to reduce readmissions with Dr. Anjali Thakkar @anjalibthakkar @UCSFCardiology @PennStHershey #ACC23 #ACCFIT #LBCT

Quick take aways 👇

[NephroPOCUS @NephroP]

👩‍🏫#POCUS basics: step-by-step guide to obtaining the left ventricular outflow tract velocity time integral (LVOT VTI)
🔗 https://t.co/yT0YTHAOgy
#MedEd #Nephpearls

📖Position the patient in left lateral decubitus with the left arm abducted. Select the cardiac preset on the device, if available. Palpate the apical impulse and place the probe at this location. This is approximately at the anterior axillary line along the inframammary fold in female patients or below the nipple in male patients. Obtain the apical four-chamber view, and then tilt the beam anteriorly and cephalad to include the LVOT. If the view is limited, consider repositioning the patient or placing the probe in a different intercostal space. Other image optimization tips include using more ultrasound gel, applying more pressure with the probe, and instructing the patient to hold their breath in exhalation.
Once an adequate view is obtained, select the PWD button on your device. Place the PWD gate in the center of the LVOT, just proximal to the aortic valve. The PWD gate should be parallel to the direction of the blood flow in the LVOT. Care should be taken to ensure the PWD gate be no more than 20 degrees from the LVOT axis. Once the PWD sampling gate is in the proper position, the PWD button can be activated and a velocity waveform will be visible on the screen. The waveform will include both positive and negative signals. Adjust the baseline up or down so that the negative deflection of the signal is fully captured on the screen. Next, select VTI from the device's measurement button and choose the manual option. Starting from the baseline at the left-most part of the negative deflection, trace inferiorly along the outermost edge of the waveform, extending around the trough, and return to the baseline at the right-most part of the waveform. If there is beat-to-beat waveform variability, an average of three to five consecutive VTI measurements can be calculated.

[Ricky Hansra, MD 🫀 @RickyHansra]

If you loved all the #CriticalCareCardiology at #ACC2023 then the #UMN CCC Summit is for you 🫵🏻

And there’s scholarship 💵for fellows! 👩🏻‍⚕️👨🏻‍⚕️🩺🫀🏥

@AndreaElliottUM @JasonKatzMD @carlosalviar @ChrisBarnettMD @ACCinTouch @DrRobRoswell @PittCardiology @AnnGageMD @JFleitmanMD

[American College of Cardiology @ACCinTouch]

The goal of the CLEAR Outcomes trial was to compare the safety and efficacy of bempedoic acid compared with placebo among patients with or at high risk for CVD and were intolerant of statin therapy. Read more: https://t.co/hVVylN3Lyy #ACC23/#WCCardio

[Kalyan Chitturi, DO, FACC, FSCAI @KalChitturi]

Not sure what events to attend as a fellow at #CRT2023? Conference leadership has put together a Fellows Fast Track program with activities of interest to trainees. #CardioTwitter #ACCFIT #Fellows

[Prakriti Gaba @PrakritiGaba]

Published today in @CircAHA, we show that in FOURIER-OLE, lower LDL-C levels, down to <20 mg/dL, were associated with lower adverse cardiovascular events without significant safety concerns in the long term.

More reassurance to target lower!

@TIMIStudyGroup

[Ashish K. Jha, MD, MPH Archived @AshishKJha46]

Good morning

Over the holidays, you may have heard about Omicron XBB.1.5

It went from 4% of sequences to 40% in just a few weeks

That’s a stunning increase

So what does it mean? Will it cause a wave of serious illness and death?

Here's what we know, don't know

🧵

[Dr G Rajesh (Gopalan Nair Rajesh). @DrRajeshG1]

For fellows. What is the complete diagnosis from this single view

[Robin Fernandes @docrferns]

@kesavan_ps @kadiyala2000 @HamiraniYasmin @WVUHeart @sudarshanballa @ECUCards @WvuCvFellows Congratulations bro!! 👏 Keep up the good work!