Having a great time at #ACC24 presenting our case of undiagnosed L-TGA with severe triple vessel anomalous CAD and biventricular failure #multimodalityimaging#hearttransplant
Milton Packer channels his inner orator while schooling us all on the secret to SGLT2i #THT2023
— it’s all about mimicking starvation (autophagy).
I referenced his literature on this last summer. Milton inspires us to dive deep into mechanism.
https://t.co/saJz2xQ5Do
1/18 What if I told you that the Frank Starling mechanism which usually serves to ⬆️ the stroke volume with ⬆️ diastolic filling, can actually ⬇️ it in a certain condition?
Discover why this paradox occurs in this 🧵 on Brockenbrough-Braunwald-Morrow sign #CNshowmeasign
In 1/3 patients w low-flow, low-gradient AS,Dobutamine fails to⬆️SVi
Dobutamine ⬇️preload in LFLG AS
Adding passive leg raise counteracts this,results in⬆️SVI/flow
Combining both reclassifies true severe from pseudosevere AS better than Dobutamine alone https://t.co/8ICkPLnYVu
New study from @CAlhede, @Ed_Gerst, & team finds that in pts w/ frequent PVCs, the SR beat *before* PVC shows significant mechanical abnormalities.
Does the 🫀 have a have a “premonition” that a PVC is going to occur? https://t.co/R9Yo7K4rUH #JACCCEP#EPeeps#CardioTwitter
LV thrombi (LVT)
👉Are associated with systolic dysfunction.
👉Can occur in both ischemic & non-ischemic cardiomyopathy.
👉Carry a significant risk of systemic thromboembolism.
Management is mainly anticoagulation, but would you choose WARFARIN or a DOAC?? A #tweetorial 🧵
Vivid demonstration of venous thoracic outlet syndrome, with subclavian vein compression when arms are raised above the head.
🎥 @paulgamboad#MedTwitter
🆕 ACC/@American_Heart/@SCAI#ClinicalGuidelines for Coronary Artery Revascularization released today. This guideline provides a patient-centric approach to guide clinicians in the treatment of patients undergoing #Revasc. Access the full guideline here: https://t.co/rr6TI5kFzI