Dr G Rajesh (Gopalan Nair Rajesh).
@DrRajeshG1
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Professor & Head of Cardiology, Government Medical College Calicut(Kozhikode), Kerala, India. Tweets are not endorsements. (Don’t look at my tail, for id only)
Joined June 2021
Our series on the deadly complication following pci and the beautiful editorial by Dr Anil Dhall & Dr Kirti Punamia may be read for details
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55 yr old male who had pci to LAD in another hospital presented with fever, chest pain.Echo showed trivial effusion. they did a TEE and found nothing. We repeated TEE, transgastric short axis view showed it, see the arrow pointing towards anterior interventricular groove
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26 yr old boy with progressive effort dyspnoea
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If you haven’t read this article, must read
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See the thickening of posterior aortic wall and base of AML. This indicates aortitis. In all isolated AR, especially in females rule out Takayasu. Once I was summoned to CVTS OT for a mistake done by a junior, when I approached the table in OT, HOD CVTS took an equipment and
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Subaortic bump defined as an aorto-mitral junction length and height of >7.7 and >3.2 mm respectively. It is a feature considered characteristic of ANKYLOSING SPONDYLITIS. But this is a case of TAKAYASU’s ARTERITIS. We have demonstrated thickening and fixity of base of AML in 2
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For fellows. What are your observations?
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This ECG is easier, typical text book one. See the JVP waveform at the end. While interpreting the previous ECG posted yesterday struggling to differentiate between VT vs SVT, just look at the JVP and a similar finding will help you to diagnose AV dissociation if any.
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1. This occurred in a pt with DCM, EF35%.2. This didn’t revert with adenosine, betablocker or amiodarone given IV. 3. Tachy QRS width is narrower than that during SR. Most important point supporting VT in this case.
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This was a large secundum ASD(see the clot movement direction, directed to right in the stream of L to R shunt through ASD). Tried to close it with device as requested by the patient, rims were bit inadequate.
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This pt had a valve replacement recently. What is your observation/inference?
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How to tackle the diagonal lesion? FFR of LAD lesion 0.89
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Aortic dissection extending through PDA into PA causing PA dissection. Extremely rare.
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Patient with acute retrosternal pain. It was aortic dissection. What else you see? It is a rare finding, may be one or 2 case reports only.
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