@ross_prager There’s nothing shown that clinches increased pericardial pressures. Agree output is probably low. But inappropriately low afterload given likely infiltrative small fiber neuropathy will drive a lot of the hypotension. I’d be surprised if a window/hematoma evacuation did much.
@TimothyJBrownMD Congrats. Long way from putting a Blakemore in on my first day of internship with me in the Parkland ED. Always a gentleman and a scholar, back where you belong!
High risk NSTEMI w/ VF. LVEDP 34, faint R->L collaterals LAD. IVUS LM 9 mm2. Surgical turndown. CP up, fixed LCx. pLAD revealed. Good image guided results pLCx and pLAD. Doing well, pump out next day.
This is going to be a fun year.
#unloadfirst@KSangal918@WFCardiology
Enjoyed Dr. Brock’s presentation on management of accessory pathway in the transplanted heart and Dr. Gilbert’s session on hot topics in advanced heart failure at the 8th William C. Little Symposium @WFCardiology@JonathanRBrock@DrOliviaGilbert
Someone who’s always immaculately dressed at work sent me this little explanation as to why.
I wasn’t expecting reason #3, and it hit me hard. It’ll stay with me.
I thought this was worth sharing. I have only encountered this once. For a lack of a better term, I am going to call this a MAComa = liquefaction necrosis of mitral annular calcifications. #cardiotwitter@Mitrovalvology