Innovation Health Services
@IHSCardiac
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Cardiac CT and MRI rapid interpretation for acute chest pain and stable outpatient scans. Nationwide network of Level II and III cardiologists and radiologists.
Norfolk, Virginia USA
Joined February 2019
🫀🚨 Unknown cardiac CT case Patient presents with acute mitral valve dysfunction — worsening dyspnea, rising gradients, and a prosthetic valve that suddenly isn’t acting so prosthetic. 😬 👀 What’s the diagnosis? Drop your thoughts 👇 #CardiacImaging #RadTwitter #Cardiology
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💘 Happy Valentine’s Day from IHS — our favorite holiday. Because nothing says “true love” like: 🫀 perfectly timed ECG gating 💐 beta blocker bouquet 📸 pristine coronary images ✨ and a LAD that’s wide open Roses are red, violets are blue… we’ll always choose the heart (and
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🫀✅ Answer: Micra leadless pacemaker⚡️ 📍Typically implanted in the right ventricle (via femoral venous access) 🔑 Imaging clue: small capsule-shaped device overlying the cardiac silhouette with small spider-like "fixation tines" Bonus pearl: if you see it somewhere that’s
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🫀📷 Unknown device time… Spotted on CXR: a tiny metallic “capsule” overlying the heart 📷 👀What cardiac device is this? Bonus: where is it typically implanted? Drop your guess 👇 #Radiology #Cardiology #CXR #MedTwitter #Radres
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🫀💥 Answer: LAD occlusion Classic anterior wall / anteroseptal infarct pattern = LAD territory 🚨 Bonus points: proximal LAD if you’re seeing a big anterior + septal involvement. #RadTwitter #Cardiology #Radiology #MedTwitter #Radres
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🫀⚡️ Unknown MI case Which coronary artery took this patient down? 👀 💥 Classic infarct pattern on imaging. 🎯 Name the culprit vessel! 👇 Drop your answer #RadTwitter #Cardiology #Radiology #MedTwitter #CCTA #Radres
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🚨 Answer revealed 🚨 This sagittal CTA shows a Type B aortic dissection 🩸 Intimal flap distal to the left subclavian artery → classic setup. 🧠 Why it matters: • Medical management first (BP & HR control) • Endovascular intervention if complications arise #RadTwitter
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🫀Cardiac imagers save lives. 🧠 High-stakes anatomy and management hinges on exactly what this represents. What’s the diagnosis—and what’s your next move? 👇 Drop your call below #RadTwitter #Radiology #Radres #Cardiology #ImagingPearls
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🫀✨ Cover-worthy cardiology ✨🫀 🍬This wasn’t just eye candy—it was last year’s journal cover. A stunning fusion of anatomy, pathology, and advanced cardiac imaging, submitted by one of our own cardiologists, Alex Rodriguez MD FACC! When clinical insight meets next-level
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🫀 Answer: left atrial appendage thrombus 🩸 🗝️Key clues on cardiac CTA: • Persistent filling defect on delayed imaging • Sharp margins (not wispy stasis) • High-risk setup in atrial fibrillation 🚨 Not just a cool image—this finding changes management now. Anticoagulate
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🫀 Heart CTA case 🫀 🧑🦱Patient with atrial fibrillation undergoing workup for Watchman placement—take a close look at the left atrial appendage 👀 💊What finding requires immediate management? Drop your answer below ⬇️ #RadTwitter #CardiacImaging #Radiology #Cardiology
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🫀 Anomalous origin of the RCA from the left coronary sinus 📍 Not all coronary anomalies are "malignant"—but all deserve careful evaluation. 💡 Pearl: If you can’t find the RCA where it “should” be, expand the search! #Cardiology #Radiology #Radres #Medtwitter
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👀Coronary artery anomalies! One image. Everybody knows the rules. Which one is shown here? 🫀👇 #Radiology #Cardiology #Medtwitter #Radres
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Just a reminder that cardiac imaging can be both 🧠 clinically brilliant 🎨 visually unreal This image was one of the @journalCCT covers last year—submitted by one of our cardiologists, Alex Rodriguez MD FACC🫀📸 #Radtwitter #Cardiology #Radiology #Radres
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🫀Answer: Embolized right atrial leadless pacemaker! 🦓Uncommon complication, usually peri-procedural 🚧More common in patients with high BMI, tricuspid regurgitation, and atrial dilation 🥅Next step is retrieval of device with snare ❓Would you have caught this on first pass?
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🚨Challenging case alert! 👩🦳72yo woman presents with acute dyspnea following dual-chamber leadless pacemaker placement. ➡️What is the device shown and is it in the correct location? #Radiology #Cardiology #Medtwitter #Radres
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A 29-year-old woman with a history of exertional dyspnea undergoes a cardiac CT for evaluation of suspected congenital heart disease. What is the underlying congenital anomaly demonstrated? #Cardiology #Radiology #MedEd #MedTwitter
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52-year-old male with severe aortic stenosis presents for preoperative assessment prior to transcatheter aortic valve replacement. Which side is preferable for access? #medstudent #cardiologist #heart #medical #medicine
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When the incidental finding is actually the life-threatening one...what is the finding?? 🫁⚠️ #medstudent #cardiologist #heart #medical #medicine
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What is the most appropriate CAD-RADS designation for the lesion in the RCA? A.CAD-RADS 1 B.CAD-RADS 2 C.CAD-RADS 3 D.CAD-RADS 4A #medstudent #cardiologist #medical #medicine
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