Top Tweets for #WednesdayAnswer
#JACCCaseReports #WednesdayAnswer: LAAC
#Ibrutinib might interfere with platelet activity and rarely cause bleeding especially in patients on #NOAC. LAAC is a valuable strategy for #stroke prevention in this setting. https://t.co/QIJ9wjB4NM
#CardioTwitter #AFib #CardioOnc #CLL
#JACCCaseReports #WednesdayAnswer: DPI (OAC plus SAPT)
Despite lack of evidence in the field, DPI (OAC plus SAPT) was preferred in this case as the patient experienced #NSTEMI 4 weeks after surgery while on SAPT regimen. https://t.co/ApOialr4Hm
#CardioTwitter #CardioEd #cvCAD
#JACCCaseReports #WednesdayAnswer: B
After #HeartTeam discussion at comprehensive #HeartValveCenter, ViV #TAVR in SAV was successfully performed considering the high-risk redo-surgery, providing the patient w/ a valuable alternative to #HeartTx. https://t.co/AsTxBuZr6g #CHD
#JACCCaseReports #WednesdayAnswer: Pneumopericardium - a rare complication following transseptal puncture. Lesser amounts of air in the pericardium➡️conservative management. Larger volumes ➡️ tamponade ➡️ pericardiocentesis is required. https://t.co/MzbQVvxyx9
#cvVHD #CathLab
#JACCCaseReports Quiz Answer: Proximal RCA aneurysm with adjacent collection, concerning for contained rupture. BCX: MRSA, vancomycin, #DAPT & 48-h heparin. 4w later ➡️ tamponade ➡️ urgent surgery. https://t.co/nQ3T8uyExZ
#WednesdayAnswer #Endocarditis #CardioTwitter
#JACCCaseReports #WednesdayAnswer: Atriofascicular fibers - uncommon connections w/ antegrade conduction typically from RA inserting directly on RBB. Features similar to AVN, w/ decremental properties & histologic evidence of cells resembling AVN tissue. https://t.co/4JV0KgNAVb
@HJRyooAli @hfdocbhimaraj @HMethodistCV @CardioNerds #JACCCaseReports Quiz Answer: Lymphocytic #cardiomyopathy - its histopathologic features include cardiomyocyte necrosis/infiltration of T cells using anti-CD3 antibody; starry sky appearance w/ lymphocytic infiltrates. https://t.co/7JOxTZCtO0
#WednesdayAnswer #CardioTwitter
@NagarajaVinayak #JACCCaseReports #WednesdayAnswer: Mitral stenosis. It is seen w/ mitral annular calcification. Also, #TAVR has moderate valvular regurgitation & stenosis. This is a complicated case of needing a redo TAVR & mitral valve procedure. https://t.co/zRBJlgRluQ #CardioTwitter #leusm
@HusamNoor1 #JACCCaseReports #WednesdayAnswer: All of the above. Read about the strange case of polymer coating on a vascular sheath causing emboli, even with no evidence of trauma to the apparently intact catheter. Histology confirms polymer #emboli. https://t.co/BiwQt1DPDl #CardioTwitter
@JuanM_Farina #JACCCaseReports #WednesdayAnswer: A - External Compression of #RVOT. Given the close anatomical relationship between anterior chest wall & underlying structures, pts w/ new symptoms after repair of #PEx should undergo chest imaging. https://t.co/nZg71WyOOT
#JACCCaseReports Quiz Answer: C: Esophageal perforation.
Transesophageal echocardiography carries inherent risks including rare but potentially fatal risk of esophageal rupture. Read the full case: https://t.co/WP39CX8ZZ3
#WednesdayAnswer #TAVR #CardioTwitter #ChestPain #TAVI
#JACCCaseReports #WednesdayAnswer: Aortocoronary dissection is a rare but life-threatening #PCI complication. RCA > LM. This patient underwent PCI of the LM/LAD/LCX (culotte). CT showed no sign of aortic dissection ➡️managed conservatively. https://t.co/1qNn6PZgHz #CathLab #cvCAD
#JACCCaseReports #WednesdayAnswer: Staged complete #revascularization. Avoid nonculprit #PCI in cardiogenic shock. This patient ➡️ complex #cvCAD ➡️ underwent delayed #cvCABG after recovery from shock. https://t.co/9TcMAuiFZy
#CardioTwitter #STEMI
#JACCCaseReports #WednesdayAnswer: C. Percutaneous decommissioning was preferred in this case to avoid additional sternotomy in view of potential rescue options for #HeartFailure recurrence, including redo #LVAD & #HTX. https://t.co/R0wOCNGfyu
#CardioTwitter #CardioEd #TCT2021
#JACCCaseReports Quiz Answer: B. Considering the high risk scenario, catheter aspiration of tumor embolism was successfully attempted using a large bore mechanical thrombectomy system. https://t.co/tEp8pi9Ysy
#WednesdayAnswer #kcsm #cvVTE #CathLab #CardioOnc #CardioTwitter
@Alex_RaymondP #JACCCaseReports #WednesdayAnswer: Aberrant conduction is caused by 4 distinct EP mechanisms: phase 3 block, acceleration-dependent block, phase 4 block, & concealed transseptal conduction. This case offers a unique opportunity to review all in 1⃣ patient. https://t.co/PK3NUigvt7
#JACCCaseReports #WednesdayAnswer: Delayed surgery. Weakening of the surrounding infarcted myocardium creates “secondary septal defects” that hinders the late success of the VSR percutaneous closure procedure. Surgical repair is the gold standard of care. https://t.co/0WslBhH0LG
#JACCCaseReports #WednesdayAnswer: AT w/ pre-excitation. Telemetry strips showed features that raise suspicion of AT: Tachycardia initiated w/ PAC, & PR interval & QRS complex configuration variability. Patient ultimately underwent #EPStudy & RF ablation. https://t.co/hquiN6rRHP
#JACCCaseReports #WednesdayAnswer: Percutaneous TCB. The differential Dx of right atrial mass includes benign & malignant tumors. PGDD is a rare lipid metabolic disorder of phosphoglyceride crystals in the soft tissue or bone. https://t.co/sAOPg4G7Wo
#CMR #cvEcho #cvImaging
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