Fábio Augusto Pinton

Interventional Cardiologist 🇧🇷

[Fábio Augusto Pinton @fabio_pinton]

@richardbogle @HTropDis https://t.co/PDPOqYMn7G

[Fábio Augusto Pinton @fabio_pinton]

@slavierojv @KardiologieHH @GreggWStone @evandrofilhobr @jkurtzteixeira @Dutra_1982 @Interve95102266 @sbrugaletta @RicardoPetraco @mmamas1973 @AlesqQuadros @GruentzigG @Antocol17 3.5 or 4.0 SC ballon -> manual thrombectomy -> guide extension thrombectomy (ST01 or Guideliner) -> IC alteplase

[Fábio Augusto Pinton @fabio_pinton]

@CMcNeelyMD @mandeep_mayo https://t.co/X6w362qWL1

[Fábio Augusto Pinton @fabio_pinton]

@CMcNeelyMD @mandeep_mayo https://t.co/Qn4SoJRdQR

[Fábio Augusto Pinton @fabio_pinton]

@DBelardoMD @DrMarthaGulati @khurramn1 @ErinMichos @nstonedoc @HeartOTXHeartMD https://t.co/nDDrpx2aD4

[Fábio Augusto Pinton @fabio_pinton]

@evandrofilhobr https://t.co/Qn4SoJRdQR

[Fábio Augusto Pinton @fabio_pinton]

@ScholnickJoshua @colum_owens @GreggWStone @LAzzaliniMD @GoranEBC @BifurcationClub @mirvatalasnag @mmamas1973 @JEscaned @evandrofilhobr @CMichaelGibson She had a cardiac arrest during a gyn surgery 3 months ago. And wide complex tachycardia last week. Her coronary CT showed severe lesion in ramus.

[Fábio Augusto Pinton @fabio_pinton]

54yo female, HTN, atypical symptoms + palpitations. How would you evaluate this lesion? And how would you treat it? Pool below @GreggWStone @LAzzaliniMD @GoranEBC @BifurcationClub @mirvatalasnag @mmamas1973 @JEscaned @evandrofilhobr @CMichaelGibson

[Fábio Augusto Pinton @fabio_pinton]

How would you treat this lesion if indicated?

[Fábio Augusto Pinton @fabio_pinton]

How would you evaluate this lesion?

[Fábio Augusto Pinton @fabio_pinton]

@SachinGoelMD @aspergian1 @ShariqShamimMD @olcayaksoymd @gtheodosmd @evandrofilhobr @AlpeshShahMD @HMHCardioFellow @SVRaoMD @djc795 Stent Cx->OM1 (provisional). TAP or Culotte if necessary.

[Stephen W. Smith @smithECGBlog]

@ShariqShamimMD @EM_RESUS @Vadeboncoeur_Al @PCRonline @DrRajeshG1 @iamritu @Pooh_Velagapudi @DavidLBrownMD @DrMarthaGulati @DrPascalMeier I would never say it is a STEMI because all of those findings are due to hyperkalemia. I have posted at least a dozen similar ECGs. Here are 2 of them.

https://t.co/NwXrPZKjZa

https://t.co/oQDu6ANiqj

[Fábio Augusto Pinton @fabio_pinton]

@ACREduardo @ECGcorner @smithECGBlog @GreggWStone @gcfmd @mmamas1973 @pedschwartzmann @RenatoDLopes1 @cpgale3 @crisguedesb @AnastasiaSMihai @ErinMichos No role for treatment purposes, just for diagnosis (UA x AMI). Treatment in this case, based on history, is cath as soon as possible.

[Stephen W. Smith @smithECGBlog]

@evandrofilhobr @ACREduardo @ECGcorner @fabio_pinton @GreggWStone @gcfmd @mmamas1973 @pedschwartzmann @RenatoDLopes1 @cpgale3 @crisguedesb @AnastasiaSMihai @ErinMichos Always IF due to ACS! Most STE aVR w diffuse ST depression due to supply demand mismatch. Often confused. Patients with non-cardiac initiating illness (sepsis, GI bleed, etc.) often have cath lab activation based on ECG alone wo correlating clinical factors. Context is critical!!

[Fábio Augusto Pinton @fabio_pinton]

@DFCapodanno IMHO, FAME3 was negative because CABG had the lowest MACCE ever seen in a trial (6.9%). Historically CABG used to have 10-12%. PCI arm had 10.6%, similar to SYNTAX II trial.

[Fábio Augusto Pinton @fabio_pinton]

@GEICC3 @GreggWStone @DavidLBrownMD @rallamee Unstable angina (new-onset angina)? If yes, I would have performed OCT, looking for plaque rupture / erosion or calcified nodule, thrombus. Any signs of unstable plaque in IVUS? If chronic coronary syndrome, you can compare LAD lesion with LAD in previous CAG

[Fábio Augusto Pinton @fabio_pinton]

@BruceBarbosa88 Deve ter sido ideia do Véio da Havan

[Fábio Augusto Pinton @fabio_pinton]

@DavidLBrownMD @VictorDayan1 @evandrofilhobr @mmamas1973 @drptca @GreggWStone @LAzzaliniMD @rallamee @CMichaelGibson @DrMarthaGulati @aspergian1 I agree again, but how can I explain this for legal reasons? I have guidelines saying yes and two trials saying no. One of this published before guidelines and did not change guidelines.

[Fábio Augusto Pinton @fabio_pinton]

70👨🏼‍🦳 doc, HTN, DLP, asymptomatic. CCTA severe lesion LAD/RCA. CS 800. CA and physiology below. CABG, PCI or OMT? @mmamas1973 @GreggWStone @DavidLBrownMD @LAzzaliniMD @rallamee @VictorDayan1 @evandrofilhobr @CMichaelGibson @DrMarthaGulati @aspergian1

[Fábio Augusto Pinton @fabio_pinton]

@DavidLBrownMD @VictorDayan1 @evandrofilhobr @mmamas1973 @drptca @GreggWStone @LAzzaliniMD @rallamee @CMichaelGibson @DrMarthaGulati @aspergian1 I agree. In ISCHEMIA too. But guidelines didn’t change yet.