Matt DiMeglio DO, MBA
@Matt_DiMeglio
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Cardiology Fellow @RushMedical | Alumni of @TJUHospital, @PCOMeducation, and @Saintjosephs | Interests: CV outcomes, TAVR, and MCS #cardiotwitter
Chicago, IL
Joined August 2017
Beyond excited to find out I'll be moving to Chicago for cardiology fellowship training at @RushMedical🫀Thankful for all the mentorship from @TJHeartFellows and general medicine training at @TJUHospital @JeffIMchiefs #CardioTwitter #Match2023
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Proud to be part of this amazing group of cardiologists and fellows @RushMedical @RUSHCardiology! We have more that were not able to be in the picture! @RupaSanghaniMD @HeartMDKarolina @SteveAChicago @afsin_oktay @fareedmoses
@LaithderbasA @hsuradi @AbusinSalah @IsabelPlanekMD
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PHOTON COUNTING CT AND A NEW CONCEPT OF NORMAL CORONARY ARTERIES For more than 2 decades we have been performing Cardiac CT with constant improvements in all parameters (spatial, temporal and contrast resolution). The improvements were progressive in certain fields and steep in
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New milestone for Rush Structural Program with successful transcatheter mitral valve replacement #TMVR in MAC with #Intrepid valve using #EchoNav guidance @RushMedical @RUSHCardiology @fareedmoses #apollotrial @philips @ecgmd1 @LaithderbasA @Minaiskanders @AbusinSalah @Medtronic
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Hello Chicagoland! We are looking for fellow case presentations for the upcoming Cardiogenic shock symposium 🫀. Registrations are now open at: https://t.co/BDWi2Ys1KX Please find details below ⬇️
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Our ✍️ in @JACCJournals shows poor discriminatory accuracy of CHADS-VASc score in AF with cancer and ⬆️ bleeding risk than stroke. @mmamas1973 @RodrigoBagur @sunlouise1 @fischman_david @FrischMd @amstcro @Matt_DiMeglio @TJHeartFellows. Link: https://t.co/II8Gn7ZqZI
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Hi Everyone, Here is the Summary Results for Key Late-Breaking Science at Scientific Sessions 2023 for #AHA23
@AHAScience @AHA_Research (1/3) 👇👇👇
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Brief Report: Liver Transplantation in a Woman with Mahvash Disease https://t.co/b0CrkzsKlN Science behind the Study: Liver Transplantation for Mahvash Disease, an Inborn Error of Metabolism https://t.co/5rbnM0OdUZ
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Check out our case report published in @NEJM for a rare case of Mahvash Disease managed with liver transplantation. Special congratulations to @JustinRobbinsMD for all the work on this cool project! https://t.co/DuFKzVAstb
nejm.org
Mahvash disease is an exceedingly rare genetic disorder of glucagon signaling characterized by hyperglucagonemia, hyperaminoacidemia, and pancreatic α-cell hyperplasia. Although there is no known d...
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What should you call that elevated troponin? This is NOT taught well and impacts more than you think. Understand it in 2 minutes:
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I am honored to be the new director of the Rush Heart Center for Women. Thank you to my mentor, predecessor, & founder for her 20yrs of amazing work. @avolgman you are a trailblazer and inspiration. Thank you to @braun_lynne @fareedmoses @DoctorADDA & all of our amazing team
We celebrated 20 years of helping women w/ CVD by the @RushMedical Heart Ctr for Women! Thanks to so many who have helped. We also announced a new director @RupaSanghaniMD! We honored @fareedmoses @braun_lynne @DoctorADDA & 3 @WomenHeartOrg champions! @cardio10s @DrMarthaGulati
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Things we do for no reason: routinely obtaining repeat echo for acute decompensation of known chronic heart failure. Congrats Darren Harrison, Arunima Misra, Komal Muradali, @StephVSherman et al! #BCMIMResScholar
https://t.co/71KfOVMXbD
@JHospMedicine
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#CAD patients with no standard modifiable cardiovascular risk factors (SMuRFs) have an increased risk of early mortality in comparison to those with #CVD Risk factors: https://t.co/gWTLMgmeM0
#JACC #cvCAD #ASCVD #Atherosclerosis #cvPrev #CardioTwitter @gemtreee
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#SavvySpotlight: Calcified bicuspid #TAVI case completed in under 12 minutes at @RushMedical with Dr. @hsuradi, Dr. Joshi, & Dr. @ecgmd10! Pre gradient of 52mmHg, pre-TAVI #BAV with #LVpacing over #SavvyWire, followed by delivery of 29mm #Sapien valve with 4mmHG post gradient.
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1/ Step-by-step “CORONARY FUNCTION TESTING” for #ANOCA #INOCA PREPARATION: 1. Hold all vasodilators for 48 hours (exceptions = hydralazine, clonidine, doxazosin) 2. Hold caffeine for 24 hours (for adenosine) #CardioTwitter
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Hope you found this helpful! See below for some great readings by experts in the field 👇 On HM3 physiology by @MarkBelkinMD and team https://t.co/IT7YmL6wqZ On HVAD physiology by @BurkhoffMd and team https://t.co/sISjqElWAO
pubmed.ncbi.nlm.nih.gov
Continuous-flow ventricular assist device (cfVAD) performance and patient hemodynamic conditions are intimately interrelated and dynamic, changing frequently with alterations in physiologic conditi...
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So you are probably thinking to yourself, "that's a lot of information...but what do I actually need to know?" You can generate a broad differential just by focusing on the changes in flow and pulsatility index (as highlighted in the figure below)
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And last but not least, myocardial recovery can result in significant changes in LVAD parameters. There's a reason that 1% of devices are explanted per year! This would manifest as ↑Flow, ↑PI, and ↓Power Bonus: your patient will also likely become pulsatile again
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In-pump thrombosis is another bad complication in LVADs, although rates are much lower in HM3 relative to HM2 This causes a unique change in parameters: 💔↑↑power (called power spikes) 💔↑flow on the monitor (while actual flow decreases) 💔Frequent speed drops
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Next up is obstruction, Inflow obstruction is most often due to thrombus, while outflow obstruction is often from external compression or a kink in the outflow graft In both cases, obstruction leads to ↓flow, ↓power, and ↓PI
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