@Hragy Yes. If refractory severe MR in setting of stemi, and I can’t get balloon pump out, can’t optimise them then will offer m-teer if suitable anatomy.
@gmac78@chadinabhan @AaronGoodman33 @RichardBaron17 Especially as the one saying this hasn’t practiced clinical medicine in a while… is he “certified” ?!
What does a general twitter (@X) user think of medical tweets? Do we need “Best-Use Practices” for physicians who post cases? Our work just published in #JACCAdvances@JACCJournals👉🏻Public Perception on the Use of Twitter by Cardiologists 👈🏻@oabdulkafimd https://t.co/URgN4PXP6o
@jbspadoni@evandrofilhobr Had a case last month with @AdhirShroff , pt presented with rest CP & L arm pain 5 years after CABG -> NSTEMI peak hsTnI 2800 in setting of HTN. L radial pulse was weak, peak-peak gradient 20. Pre and post 8x27 stent
Rare sighting of all our third year fellows together celebrating the end of their night and weekend calls. First year fellows are ready to shine! ✨ #cardiotwitter#ACCFIT
Today I inserted a loop recorder, scrubbed in for an ablation, admitted a patient to the CCU, saw all the EP consults, did a TEE to look for endocarditis, and finished the day cathing a patient with an inferior STEMI. All in a day’s work, @UICcardfellows@UICIMChiefs@UICDom
@D_Benham If someone has life-threatening bleed/is high risk from AC but also has a valid reason due to Afib, they can be referred for left atrial appendage occlusion which plugs up the LAA so they have similar stroke risk as if they were on AC without taking it
@D_Benham Of course if they have liver disease, other bleeding problems, known gi malignancy or mass, very recent Gi bleed then the risks of continuing AC is higher than the benefits
@D_Benham These studies were done mostly with warfarin, but the newer agents while harder to reverse, have significantly less risk of ICH than warfarin but higher risk of GI bleeding.
@D_Benham You have to have 295 falls to have one additional mortality from an intracranial hemorrhage (https://t.co/2yR4mcLfrk) in average risk patients (stroke risk 5%/yr), in that time 15 pts would get an afib-related stroke and those are devastating