🚨 IABP 101: A Comprehensive #Tweetorial #MedEd #CardioX 🚨 @ACCinTouch @CCCEnthusiasts Let’s discuss Intra-Aortic Balloon Pump (IABP) – its uses, mechanisms, contraindications, when to use vs inotropes/vasopressors, and landmark trials. 🩺🫀 🖼️: https://t.co/F8OPy6PwLB

The @SCAI Door to Lactate Clearance initiative presented at #scaishock2025 by @SrihariNaiduMD on behalf of writing group & simultaneously published in @MyJSCAI. Important implications on #CardiogenicShock phenotypic profiling and prognostication. Key slides👇🏽. #CardioTwitter

🔹 #CardioNugget: Relative Wall Thickness (RWT) 👉 Formula: RWT = (2 × PWT) ÷ LVIDd PWT = posterior wall thickness (diastole) LVIDd = LV internal diameter in diastole 🧠 Interpretation: RWT > 0.42 → Concentric geometry (remodeling or hypertrophy). RWT ≤ 0.42 → Normal or

Glad to share - special competence in Adult Echo! ✅#EchoFirst @NBE_96 @ASE360

Passport renewal app submitted to VFS NY on 08/20 was not processed requiring correction. Return shipping label sent on 8/26. Passport and supporting documents not returned yet as of 09/09. Need immediate attention. Please assist @vfsglobalcare @IndianEmbassyUS

After 30 years of primary PCI we now have an objective definition of the most common #ECG pattern of STEMI. Hyperacute T-waves specific for acute coronary occlusion now defined using #AI in @JACCJournals!

Looking forward to hearing @JumeanMarwan speak on “Strategies to Minimize Complications in AMI-CS” at the Western Pennsylvania Cardiogenic Shock Initiative 2025 Register today to hear this talk and join in on the discussion! #CardiogenicShock #WPCSI2025

So excited to kickstart the 2025-2026 CardioNerds academy year with this amazing group! @CardioNerds #HouseTaussig

10/ References (ECG) :

9/ Take-home message: 👉 Vagal bradycardia = **block at multiple levels** * Sinus node slowing → prolonged P-P interval * AV conduction slowing → prolonged PR/Wenckebach or even CHB If both appear together → it’s vagal until proven otherwise

8/ Why it matters: 🧠 Recognizing vagal bradycardia: * Avoids misdiagnosis of sick sinus / pathologic AV block * Typically benign + transient (usually does not warrant a pacemaker) * Resolves when stimulus is removed.

7/ Common triggers 📝: * Sleep * GI pain, retching, vomiting * Carotid sinus massage * Intubation or suctioning * Vasovagal syncope

6/ The PEARL:⚡️Multi-level block 🟰 vagal If you see both: Sinus slowing ➕ AV block …it’s almost always vagal. Pathologic disease rarely hits both nodes at once.

5/ Step 2 - Slowing of AV conduction With stronger vagal tone: * PR prolongation / Wenckebach (Mobitz I) * 🚨 Intermittent complete heart block (all atrial impulses blocked, escape rhythm may take over)

4/ Step 1 – Sinus slowing 📉 First clue: progressively longer R–R intervals ✅ P waves are still present & upright, P-P interval prolonged ❌ Not a junctional rhythm → it’s sinus, just slowed

3/ What is it? Excess **vagal tone** slows conduction at two sites: * 🟦 **Sinus node** → ↓ firing → **sinus slowing** * 🟩 **AV node** → ↓ conduction → **PR prolongation / AV block**

2/ Telemetry findings: sinus slowing ➡️ progressive RR prolongation ➡️ dropped beats. Diagnosis: Vagally mediated bradycardia 🐌

1/ Vagally mediated bradycardia - Pathological or a physiological finding? Time for a pacemaker? Let's break it down 🧵 #Tweetorial #MedEd #CardioX 🚨 @ACCinTouch @CCCEnthusiasts 🛌 Patient admitted with abdominal pain develops "bradycardia with AV block" overnight. Telemetry

Excited to share that we will be presenting our work at @crfheart's #TCT2025. Looking forward to connecting with Interventional Cardiology experts and learning from the best, in San Francisco! @AakashTuliMD

A huge welcome to our incoming Cardiovascular Disease Fellows! We're thrilled to welcome such an impressive group to the @AHN_CVI family! 🫀🩺 @AHNtoday

Disturbing to see what can only be characterized as a political stunt at the expense of public humiliation of healthcare personnel. #GoaMedicalCollege