Ivan Sierra

Internal Medicine

[Ivan Sierra @ivan_sierra1]

@Marivi21 Add it haha

[Ivan Sierra @ivan_sierra1]

@Marivi21 Turbotax

[IMCrit @IM_Crit_]

I am focusing on the RV this afternoon and I am reading/watching the recent RV-focused article/video in @NEJM

[Residents Medicina Interna Hospital Vall d’Hebron @internavalle]

58 years old male… just before the cardiorespiratory arrest, we saw this… diagnosis?

[UAB Emergency Ultrasound @UAB_Sono]

41M w ischemic CM s/p recent VF arrest followed by ICD placement 3 wks prior who presented with CP/SOB. Cardiac #POCUS performed. What's the diagnosis? Next steps?
@UABEMResidents
@UABCardiology
@ACEP_EUS
@coreultrasound
#FOAMus #FOAMed #UABWOTW

[LKSOM Medicine Clerkship @LKSOM_Medicine]

Normal conduction goes from SA > AV > his-purkinje system. The his-purkinje is the super highway of the ventricles, and works to get the left and right ventricles to squeeze at the same time

[Francisco Soto, MD, MS, MBA @FSotoMD]

[1] #Hemodynamics Tweetorial #2

Heart failure pt in ICU is -3.5L after 2d of aggressive diuresis. On day 3, urine output is ⬇️and BUN/Cr is ⬆️

You personally wedge #PAC at bedside and obtain a mean wedge 17 mmHg (a normal mean wedge is 6-10 mmHg). Admission wedge was 24

[Michelle Kittleson MD PhD @MKIttlesonMD]

#TipsForNewDocs

Fear sinus tachycardia in HF.

When a HF pt is tachy, think diuresis or mech support- don't increase the BB b/c high HR is compensatory: HR up b/c stroke vol down and inotropes to improve cardiac output -> higher HR -> often make things worse.

#kittlesonrules

[Bloomberg @business]

Patagonia will provide bail for employees who are arrested while protesting after the US Supreme Court eliminated the constitutional right to abortion https://t.co/Z6d0a3Guzm

[Echolab_Bielefeld @EchoBielefeld]

TOE #echofirst after Stenting of LCA Ostium...
... or is this undersized TEVAR? 😜

#CardioTwitter
@AGIKinterv @DrRajeshG1 @AsyiqRaffali @The_echo_lady @echo_stepbystep

[Stephen W. Smith @smithECGBlog]

A 30-something with palpitations and lightheadedness
First: What do you want to do?
Next: What do you think is the ECG diagnosis?

https://t.co/iPpqaIh1Gk

[Ivan Sierra @ivan_sierra1]

We are bags of salt water and bananas XD

[Ivan Sierra @ivan_sierra1]

30 yo man with no significant pmh presents to the ed with palpitations.

[Avraham Z. Cooper, MD 🩺 @AvrahamCooperMD]

What an atrial myxoma actually looks like ❤️‍🔥

Via @DRASClOGLU @grepmeded

#MedTwitter
https://t.co/kEdluRTJ2P

[Ivan Sierra @ivan_sierra1]

When coffee doesn’t cut it #spring #polen

[Ivan Sierra @ivan_sierra1]

@keyra_ma Por los mini ivanes

[Avraham Z. Cooper, MD 🩺 @AvrahamCooperMD]

Cool video of a stem cell differentiating into a neuron 🧠

#MedTwitter