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Isaac Tea Profile
Isaac Tea

@IceTeaMD

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519
Following
667
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Statuses
256

Saving lives 81mg at a time. Interventional Cardiologist by day & night. HF & cardiogenic shock passionate. #RadialFirst but also #SafeFemoral. PGY-Forever 🦾.

Houston, TX
Joined May 2011
Don't wanna be here? Send us removal request.
@drjohnm
John Mandrola, MD
11 days
No trial better explains the importance of evidence than REVIVED BCIS. It boggles my mind that it was negative @divaka_perera is correct, but try telling 99% of American cardiologists We still cath new LV dys pts TO FIND LESIONS TO REVASC despite negative trials #ESC2025
@GTersalvi
Gregorio Tersalvi
11 days
@divaka_perera makes a strong case: routine #PCI should not be performed in asymptomatic pts with LV dysfunction (even with viability). It does NOT improve prognosis ‼️ Evidence should guide practice: The earth is not flat 🌎 #ESCCongress @escardio @drjohnm
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@kerrigjl
Jimmy Kerrigan
5 months
Question for those who have adopted bival for STEMI: do you do two hours or four hours after PCI for the infusion? Do you try to wean the radial band while it is running or just wait until it is done? Trying to build an order set…
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@grok
Grok
26 days
Blazing-fast image creation – using just your voice. Try Grok Imagine.
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@IM_Crit_
IMCrit
11 months
ICU (Central Venous/Arterial) Line Secrets - Part 2: Following from where I stopped last week (that's why I keep same numbering) & without hoping to a provide tutorial about how to place lines, there are some additional points that I find worth mentioning https://t.co/ZnHdRHIRSm
@IM_Crit_
IMCrit
11 months
ICU (Central Venous/Arterial) Line Secrets - Part 1: An ICU where the patients have no central lines & are not connected to ventilators is not a real ICU. This may be a controversial statement but in my humble opinion not far from truth
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@Murmur_MD
Murmur MD
1 year
Quick tips from @jason_wollmuth on Single Access dry closure! #CardioTwitter #MCS
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@Murmur_MD
Murmur MD
11 months
Dr. Jason Wollmuth gives a step-by-step guide on his Sideclose Technique! #CardioTwitter #MCS
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@jedicath
jedicath աǟզǟʀ.ǟɦʍɛɖ
1 year
DCB have been available for 14 years in Europe and elsewhere outside USA. As US IC are excited for DCBs, note the results with POBA were not always perfect. We don't know the role of DCBs in setting of dissections and recoil. Diffusel disease in LAD and didn't want a FMJ so
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@MustafaAhmedMD
Mustafa Ahmed
2 years
I use Echonav for helping trainees understand the interplay between echo and fluoro through live real time fusion of modalities. Features allow for more intuitive instruction and understanding. Also the imagery is outstanding. Here's one of our examples. #UABStructural
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@alex1708ander
Alexander Mladenow MD
2 years
#echofirst shows how surgical TEE view for MV-PPL (peri prosthetic leaks) localization corresponds to interventionalist’s view on fluoroscopy #CardioTwitter https://t.co/EM0t76aCFP
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@khurramn1
Khurram Nasir
1 year
Almost all scores/biomarkers approaches in the contemporary era over predict CV risk Time to pivot for a more accurate decision aid #CacTesting #SeeDiseaseTreatDisease
@JACCJournals
JACC Journals
1 year
How do the SCORE and SCORE2 perform in East Asian population? 🤔 In this #JACCAsia study on 324,384 subjects, both scores overestimate #CVD risk with low performance. 📣 New models tailored to the East Asian population are needed! https://t.co/HidyDkBHmi
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@IceTeaMD
Isaac Tea
1 year
Amazing work from the DanGer investigators!!! Finally, an RCT for AMI-CS for an MCS device with a psotive outcome for Impella. A new era. Validates our efforts in the trenches to save these patients on death's door. 🦾 @Abiomed @CardioNerds @HMHCardioFellow
@rwyeh
Robert W. Yeh
1 year
Astonishing results from the DanGer Shock Trial presented at #ACC24 and out in @NEJM today. In patients with ST-elevation MI with cardiogenic shock, Impella reduced all-cause mortality (45.8% Impella vs. 58.5% control) at 180 days. Some thoughts on this ground breaking trial:
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@EuroInterventio
EuroIntervention
1 year
The TAVI-MultiCLOSE study investigated a new vascular closure algorithm, MultiCLOSE, for arterial access closure after transfemoral TAVI. This stepwise approach involves initial preclosure with suture-based devices, followed by a final closure customized through angiographic
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@IM_Crit_
IMCrit
2 years
ICU Nightshift Secrets: This will sound a lot as as cookbook medicine but bear w me. The 2 drugs that I use more than anything else whenever I'm on a nightshift are: furosemide & dexmedetomidine. If u don't use any of them, u are probably missing something Case from last night:
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@IceTeaMD
Isaac Tea
2 years
See also: IVUS-guided vs coronary angiography-guided PCI in patients with AMI: A systematic review and meta-analysis https://t.co/QGzj9xtuLS IVUS–Guided or Angiography-Guided Complex PCI https://t.co/5a4E8bchLD
nejm.org
Data regarding clinical outcomes after intravascular imaging–guided percutaneous coronary intervention (PCI) for complex coronary-artery lesions, as compared with outcomes after angiography-guided ...
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@IceTeaMD
Isaac Tea
2 years
Keep your Thanksgiving Day dinner conversations civil! If uncle Bob thinks that IVUS guided PCI does not improve on all-cause mortality, MACE & TVR in AMI or Complex PCI, calmly redirect the conversation to 1 vs 3 month DAPT or something non controversial. Happy Thanksgiving!
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@JuKimMD
Ju Kim
2 years
Fantastic @HMethodistCV Grand Rounds by @RyanTedfordMD on RV reserve. Watch here: https://t.co/Pcx3gBFeIo. Join @DeBakeyCVedu tomorrow at the George P. Noon Heart Failure Symposium to learn more from him and other leaders in the field of #LVAD. Register https://t.co/JxrTm2ytGU
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@ShariqShamimMD
Dr Shariq Shamim
2 years
Best bifurcation angles. Several of these can’t be achieved on table though.
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@IM_Crit_
IMCrit
2 years
In the ICU I work, we are data-driven & very science-oriented. Having said this, we have no room with number #13... Do you have a room with number 13 in your ICU (or ward)?
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@mirvatalasnag
MIЯVΛƬ #IC ༄ 。°
2 years
#ESCCongress @escardio @EAPCIPresident @ESC_President @Steph_Achenbach @alaide_chief 🛑 STOP-DAPT3 Trial The aspirin-free strategy compared w the DAPT strategy failed to attest superiority for major bleeding within 1 month after PCI & was associated with a signal suggesting an
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