medinoodle

#CHIP+#CTO+#ECMO+#LVAD+#hemodynamics+#cardiotwitter+#cardioed+#MedEd+#PTCA.

[medinoodle @medinoodle1]

👍 Good case for discussion

[jedicath աǟզǟʀ.ǟɦʍɛɖ @jedicath]

39 year old lady presents with chest pain. Received lysis at a peripheral hospital COVID negative and transferred. Pain improved. Angio at 3 hours #cardiotwitter #ACCIC #EAPCI

Where to next? Wire - balloon - stent?

[medinoodle @medinoodle1]

👍 Good case for discussion.

[medinoodle @medinoodle1]

Aha, good question.

[medinoodle @medinoodle1]

Good case. 👍

[Neisser M @mornei2011]

Another day in #covidtime 👴🏻 74y, #AMI #Shock MVD, RCA #functionalCTO, LAD total oclusion. #RBBB #radialfirst #GlidesheatSlender treat only LAD or lose yourself? AR, XBU #XienceSierra #Synergy Final Result 🇲🇽 @AlcantaraCardio @angna_86
@dr_alexfdez @misamed
@cardioalexis

[medinoodle @medinoodle1]

The entire algorithm was thrown at this case, inc #shockwave #IVL #Rota @CaraCarahendry @nolanjimradial @SVRaoMD @Pooh_Velagapudi @TomLuscher @Drroxmehran @NicFoin @SPyxaras @lorenzo2509 @HolgerNef @SABOURETCardio @GeorgeAdamsMD

[medinoodle @medinoodle1]

Nice algorithm on the options of ISR like #Laser, #Rota and #Shockwave #IVL #IVUS #cardiotwitter

[Aaysha Cader @aayshacader]

#SCAI2020 @SCAI
Complications 🔃 💉
@kevinjamescroce stent underexpansion #ISR
🔸Imaging
🔸LASER w contrast
🔸Rota: ablates stent strut
🔸Orbital atherectomy
🔸IVL

@CaraCarahendry @sbrugaletta @HanCardiomd @HadyLichaaMD @DrJayMohan @UjjwalRastogiMD @ZeroTLR @aspergian1 @Tabaza

[medinoodle @medinoodle1]

This is very common these days with #COVID19Pandemic . people are afraid of coming to hospital. what a pity!
#cardiotwitter #Cardiology #Doctors #primarycare @GPrimarycaredoc @duanepinto @SVRaoMD @DLBHATTMD @hect2701 @FrancescoSapori @jtsaxon @hectortamezmd @GarethWills

[Calvin Phang @calvinphang]

60 yo man presented after 2.5 days of chest pain due to fear of COVID-19. High hs-Trop I of 30,000. ECG below. 1/8 #radialfirst #cardiotwitter #cardioed #accfit #MedEd

[medinoodle @medinoodle1]

Interesting. good use of shockwave to handle this scary LM. #cardiotwitter #PCI #RadialFirst

[Asrar ul Haq @M_Asrarulhaq]

Shocking a shocking LM! Good job #IVL. #cardiotwitter #Intervention #complexPCI #Cardiology

[medinoodle @medinoodle1]

Wow. amazing, nice video. #TAVR #PCI

[Harold Dauerman @HarryDauerman]

Do not deploy this #TAVR valve. pan over from cusp overlap to LAO to see the nasty fold in 34 Evolut

[medinoodle @medinoodle1]

Good question #cardiotwitter #PCI

[Amit Badiye @ShockDocBadiye]

Now what!? #cardiotwitter

[medinoodle @medinoodle1]

Fantastic #CathLab algorithm for calcium modification. Very helpful for senior and junior operators, and echoes the one shown at @OptimalCTO #WarOnCalcium
@GarethWills @HolgerNef @Tesslagra @yadersandoval @twj1974 @AntoniousAttall @agtruesdell @Costa_F_8 @jedicath @SPyxaras

[Chun-Yuan Chu, MD 朱俊源醫師 @ChunYuanChu]

Algorithm for Management of Calcified Coronary Lesions . @mmamas1973 @DrJosefLudwig1 @CMichaelGibson @SVRaoMD @fischman_david @DocSavageTJU @CMichaelGibson @HeartOTXHeartMD @lorenzo2509 @aayshacader @esbrilakis @mirvatalasnag @AnastasiaSMihai
https://t.co/yCoQTIGMA6 @SCAI #PCI

[medinoodle @medinoodle1]

Interesting table. Coronary flow and vascular dysfunction. #cardiotwitter #Cardiology #CardioEd

[Javier Escaned @JEscaned]

High baseline coronary flow has repeatedly said to be a caveat of coronary flow reserve in ANOCA. New research by @divaka_perera & team provides a different view: it can denote vascular dysfunction (surely prognostically relevant). https://t.co/9PY9aA2g6A @PCRonline @shci_sec

[medinoodle @medinoodle1]

I tired it . very good meeting tool.
#NHS #Doctors #physicians @GPrimarycaredoc

[Google @Google]

Google's premium video meetings are now free for everyone. Try Google Meet at https://t.co/DDSvWFxDG8

[medinoodle @medinoodle1]

Challenging and interesting case.
#cardiotwitter #radialfirst #CardioEd

[Peter Barlis @PeterBarlis]

Female pt with pancreatitis, NO chest pain. ECG Twave inv V1-4, trop+, echo ?Takotsubo, EF~35%. LAD 😮, LV shown. FFR baseline 0.93-post adenosine 0.85. Next? #RadialFirst #cardiotwitter @PCRonline @TCTMD @escardio @mmamas1973 @hect2701 @billgogas @M_Asrarulhaq

[medinoodle @medinoodle1]

Interesting study highlighting a possibility of death from ACS due to not seeking medical attention at #COVID19 pandemic
@esbrilakis @DocSavageTJU @DrJMHill @greggwstone @jmahmed @FrancescoSapori @GarethWills @SmithElliotjs @mmamas1973 @Doctor_Stent @TomLuscher @drsnavely

[Gianluca Campo @GianlucaCampo78]

when we are talking about side effects ... 🥺🥺🥺 Where are #MI patients and then @theFIRE_trial patients?? Reduced Rate of Hospital Admissions for ACS during Covid-19 Outbreak in Northern Italy | NEJM https://t.co/SD9HFZLgmV

[medinoodle @medinoodle1]

Good use of #Rotatripsy for severely calcified lesion with good handling of complication (perforation). @DLBHATTMD @esbrilakis @willsuh76 @Tesslagra #CTO #PCI #cardiotwitter

[medinoodle @medinoodle1]

Interesting study on #Impella vs no MCS #PCI. We have to bear in mind the inherent high risk of patients requiring #Impella of course; despite propensity matching (which doesn't take into account unmeasured variables) @MartyMleon @cghanratty @Costa_F_8 @GeorgeAdamsMD @esbrilakis

[medinoodle @medinoodle1]

Very interesting complication of #covid19 . Heart rupture.
#Cardiology #cardiotwitter @duanepinto @manesh_patelMD @evandrofilhobr @SABOURETCardio @drsnavely @ron_waksman @willsuh76 @jmahmed @GeorgeAdamsMD @esbrilakis @cghanratty @Tesslagra @jcspratt @DrAsifQasim @CaraCarahendry

[Matthias Gafni @mgafni]

EXCLUSIVE: We obtained the autopsy report for 1st known U.S. #COVID19 death on Feb 6. Medical examiner found virus spread throughout 57yo woman’s body & caused heart wall to rupture.
https://t.co/VEuh6mBvr1 @sfchronicle @jilltucker

[medinoodle @medinoodle1]

Absolutely #COVID19Pandemic makes people afraid of coming to hospital -> late or no attendance #STEMI
@mirvatalasnag @MurrayKwonMD @AntoniousAttall @GeorgeAdamsMD @SmithElliotjs @manesh_patelMD @TomLuscher @Pooh_Velagapudi

[Abdallah El Sabbagh @aelsab]

The st elevation saga during COVID times continues- true stemi, covid stemi (with no reciprocal changes), st changes due to hydroxychloroquine/azithro. Unfortunately, seeing more and more this type of ST elevation: complete infarction from hospital coronaphobia

[medinoodle @medinoodle1]

Good learning skills on the Art of Wiring. #RadialFirst #cardiotwitter

[ACTOS @ACTOS_VUmc]

The Art of Wiring, the Essentials by Alexander Avran. Videos on what to do with your hands and what to do with the wire tip on fluoro. Incredible teaching session. #cto #pci #gaia #fielder #hornet14 #actos #amsterdamcto