John O'Shea

[John O'Shea @drjohnoshea]

@ParrasJorge2 Endocarditis, with a vegetation on the ventricular side of the anterior AV leaflet?

[John O'Shea @drjohnoshea]

@DrDamluji @NEJM Treating HCM before outflow obstruction isn’t treatment, it’s prevention. We all know statins make a difference, but if we folllow the patients up for 48 months we won’t see the effect. We need a proper 10 year follow up RCT before we draw any conclusions

[John O'Shea @drjohnoshea]

@praneet_manekar @argulian @Drakhil_cardio @DrRajeshG1 @KostekMilan @ParrasJorge2 @escardio Great case, it’s a VAR. Everyone is born with a vessel connecting the conus to the prox LAD. In the first few days of life, it closes in most patients. However in a small amount of patients, it stays open.

[John O'Shea @drjohnoshea]

@NEJM That being said, I would think this is enough to stop indiscriminately beta blocking all acs patients. Keep in mind that the evidence to do so was sketchy at best to begin with. Amazing work @njem and team

[John O'Shea @drjohnoshea]

@NEJM I use Reddit mostly to dispute the intrinsic validity of published trials. I have to say, this RCT is actually bullet proof. The only flaw I could find is on the ext validity in that these are all Spanish European patients.

1/2

[John O'Shea @drjohnoshea]

@DrDamluji @NEJM Can we see the actual raw numbers of ischaemic stroke across the groups? Any doc worth their salt won’t accept ‘no significant difference’ from an abstract

[John O'Shea @drjohnoshea]

@SkyHelpIreland the sky broadband in our place at Conyngham Road in Islandbridge, Dublin 8 has been constantly going out the last few days. Is this going to keep happening? Is there a reason for it?

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

Abelacimab versus Rivaroxaban in Patients with Atrial Fibrillation: @NEJM

🥸Summary

👇👇👇

[John O'Shea @drjohnoshea]

@OGdukeneurosurg Cat-astrophic ICH

[John O'Shea @drjohnoshea]

@radRounds Make sure gastro send the specimen to path to differentiate Micky from Minnie

[John O'Shea @drjohnoshea]

@caffeinemedic I’ll leave this here

[Intensive Care Medicine @yourICM]

What's new in cardiac #ICU??
🫀 Valvular procedures in interventional cardiology
🔓 https://t.co/Ohuw386WKS
🫀 Cardiogenic shock
🔓 https://t.co/xwG573LiSG
🫀 Mechanical support in children with severe cardiac failure #PedsICU
🔓 https://t.co/O8k2dgFqr0
All free to read #FOAMcc

[John O'Shea @drjohnoshea]

Complete Heart Block drives mortality in patients with Immune Checkpoint Inhibitor Myocarditis. Full text here https://t.co/eSO4p7ukk0

[John O'Shea @drjohnoshea]

@DrEricLevi The poor neurologists get told so many long stories about penises and they’re always too polite to cut you off, even when they realize you probably asked the switchboard for urology

[John O'Shea @drjohnoshea]

@NMerke @drahmedmohsen85 Todays echo inconclusive due to BMI of 75. Please repeat urgent.

[John O'Shea @drjohnoshea]

@kmadass @farkomd @LessneVIR @t_intheleadcoat @limbsalvagedr @JayMathewsMD @FadiSaab17 @SIRRFS @VascularSVS @Watts_IR @keithppereira @drochohan My thoughts and prayers are with your right paw today ❤️

[John O'Shea @drjohnoshea]

@drgarethroberts Muscles of the forearm with their tendon insertions and blood supply. Let surgeons learn that post graduate and leave the rest of us alone please x

[John O'Shea @drjohnoshea]

@mmamas1973 @GHCardiology The look on this guys face tells me the procedure may not have gone so smoothly?

[John O'Shea @drjohnoshea]

@jsmarques_MD @drvishalg Using in plain ultrasound you could confirm the intimal plate is correctly positioned and not snagged on the sheath?

[John O'Shea @drjohnoshea]

@mmamas1973 @GHCardiology Playing devils advocate here not looking to argue; the post says as first operator and not senior clinician. My guess is he had a structural consultant as second operator?