Sabha Bhatti MD
@SabhaBhatti
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Cardiologist, Mom, Professor, Director Cardiac Imaging National Inst Of Cardiovasc Dis Pakistan, Adjunct faculty Rutgers Robert Wood Johnson Medical School USA
Joined January 2022
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56yoM with h/o Ant MI, MRI shown below. Apparently echo showed similar finding a month ago!
@nicvd_karachi
@AJamilTajik
@JoaoLCavalcante
@SCMRorg
@whyCMR
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22 yo with chest pain and dyspnea. Can it be anything other than loeffler endocarditis? Eosinophil count prev elevated now normal. MRI ordered to look for fibrosis etc.
@AJamilTajik
@NMerke
@nicvd_karachi
@salmana92110
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46 yo with dyspnea. MRI shows Gigantic hydatid cyst . Previously undiagnosed. He's had this for a few years on echo . On tx now but likely will need surgery bcz of size and location
@AJamilTajik
@nicvd_karachi
#WhyCMR
@SCMRorg
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What's the highest aortic stenosis mean gradient you've ever seen ? 35yo with critical AS mean 138mmHg
@AJamilTajik
@ASE360
@nicvd_karachi
#echofirst
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42yo with super critical AS, broke our previous record of highest mean gradient. 150 mmHg in the setting of low ef! Seen in valve clinic, symptomatic, LV dysfunction, admitted for surgery. DI : 0.06 likely bicuspid
@AJamilTajik
@ASE360
@iamritu
@NMerke
@nicvd_karachi
What's the highest aortic stenosis mean gradient you've ever seen ? 35yo with critical AS mean 138mmHg
@AJamilTajik
@ASE360
@nicvd_karachi
#echofirst
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Rheumatic or congenital mitral stenosis ? No previous history of surgery
@AJamilTajik
@echo_stepbystep
@nicvd_karachi
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54yo with VT,iRBBB and epsilon wave , alternating LBBB and RBBB, trop 2. What's your diagnosis ? 1.ARVC /AVC 2.sarcoid 3. Myocarditis 4.Something else
#WhyCMR
@AJamilTajik
@nicvd_karachi
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Honored to receive this Health Icon Award along with some other very inspirational women physicians ♥️
The hardest part was that I was asked to have my kids make a brief video about me😬 that was shown at the presentation. Will share once that's posted
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Just when you think you've seen the largest LA, this patient with severe MS comes along 😮. What's the largest size you've seen ?
@AJamilTajik
@iamritu
@NMerke
@alexsfelixecho
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50 yo h/o mech prosthetic AVR many yrs ago now with severe MR on TTE (reported as poss prolapse). TEE with severe AI of prosthesis. No obv veg severe MR with Mitral valve aneurysm and perf. Poss Jet lesion from AI? vs mitral endo. Clinically no fever etc
@AJamilTajik
@iamritu
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Honored to be nominated as Chair of Scientific Council:Cardiac Imaging, Pakistan Cardiac Society 2023,Looking forward to collaborating with experts nationally & internationally
@nicvd_karachi
@babisoomro
@AJamilTajik
@ppsengupta1
@kananth12
@almallahmo
@mirvatalasnag
@iamritu
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Day 3: Presented our work on using POCUS to screen for Cardiovascular Diseases in LMIC
#ACC2024
@ahakeem143
@nicvd_karachi
@NicvdImaging
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48 yo with ho stroke 4 weeks ago. Tumor plop on exam and scary myxoma on echo. 1. Resect asap or 2. Wait another 2 weeks before resection to allow some recovery from stroke ?
@AJamilTajik
@NMerke
#echofirst
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As physicians we work so hard to save we can. Where is the outrage by medtwitter? 724 children and counting !
At least 2,215 Palestinians, including 724 children, have been killed and 8,714 others wounded in Israel's bombardment, the health ministry in the Gaza Strip has updated.
🔴 LIVE updates:
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25 yo with palp found to have VT , FMH of SCD, Echo LVH, apical sparing strain & amyloid like description of myocardium. Based on MRI below & clinical presentation HCM appears more likely. Other thoughts ?
@AJamilTajik
@cshenoy3
@purviparwani
@iamritu
@nicvd_karachi
@SCMRorg
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TEE with 3D to eval LAAA for thrombus. Largest appendage we've ever seen 9cmX4cm😮
@nicvd_karachi
@AJamilTajik
@echo_stepbystep
@NMerke
@iamritu
50 yo with "5 chambered ♥️"- left atrial appendage aneurysm (first one for me ).. rare entity but well documented in lit. CT surg evaluating
@nicvd_karachi
@iamritu
@AJamilTajik
#YesCCT
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We’ve had a few Cardiac Masses in the past week :
1. 31yo F with dyspnea, palpitations and pedal edema. LA mass on TTE , ❤️MR consistent with myxoma—> referred for surgery now awaiting path
@NicvdImaging
@AJamilTajik
@SCMRorg
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**Another record for us** Low flow ( EF 20%) -high gradient (103mmHg) Critical Aortic Stenosis. What's the highest grad you've seen with low flow?
@AJamilTajik
@iamritu
@NMerke
@nicvd_karachi
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50 yo with "5 chambered ♥️"- left atrial appendage aneurysm (first one for me ).. rare entity but well documented in lit. CT surg evaluating
@nicvd_karachi
@iamritu
@AJamilTajik
#YesCCT
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24 yo nurse with h/o recent stroke. TEE and CT images attached showed abscess behind PMVL
@AJamilTajik
#echofirst
@NMerke
@nicvd_karachi
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65 yo M, with severe AS & LV dysfunction. No TEE needed to diagnose that LAA thrombus!
@ASE360
#echofirst
@AJamilTajik
@iamritu
@NicvdImaging
@alexsfelixecho
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Excited to start our Cardioobstetrics program in collaboration with Jinnah OB dept . A much needed service and area of research in peripartum cardiomyopathy and valvular heart disease
@nicvd_karachi
@babisoomro
@NadeemQ72182993
@ahakeem143
@WomenAs1
@DrMarthaGulati
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28yo M with dyspnea, Rheumatic involvement of both Aortic & Mitral valves
#textbookpicture
#echofirst
@nicvd_karachi
@NicvdImaging
@AJamilTajik
@iamritu
@alexsfelixecho
@ASE360
@echo_stepbystep
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30 yo M dyspneic, high degree AV block, Freq PVCs with severe dilated CM & severe diffuse LGE on MRI. Suspect sarcoid based on presentation. Any other thoughts?
@AJamilTajik
@JoaoLCavalcante
#echofirst
@SCMRorg
#WhyCMR
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Big day for
@NicvdImaging
After months of hard work and years of planning our dedicated cardiac MRI dept was inaugurated 🎉🎊
@nicvd_karachi
Stay tuned for a virtual tour! P.S I Ate the cake and have it too 😉Pakistan’s first dedicated ❤️cardiac MRI scanner & fellowship! ❤️
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Pt with moderate Mitral stenosis with severe exertional symptoms. Baseline and bike stress echo demonstrating increased gradients with exercise peak 60W
@AJamilTajik
@nicvd_karachi
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30 yo with findings of constrictive pericarditis on echo and CT, suspected to have TB etiology, treated with ATT for 6 weeks. Symptoms improved at 6 weeks as did echo findings. Will cont med tx for 6 mo
@AJamilTajik
@nicvd_karachi
@iamritu
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All male panel and only 2 women(out of 200 audience) in this main hall of Pakistan cardiac Society's annual meeting. The expo was also 100% male. Surprised and hope to see this improve iA
@SKhanMHCM
@ahakeem143
@SumyiaG
@DrShaziaMohsin
@ZainabASamad
@virani_md
@DrNadeemQamar2
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Both parents cardiologists= you attend ACC! These two have attended 7 ACC meetings in 9 years!
#honararymembers
@ACCinTouch
@AJamilTajik
@ahakeem143
@RutgersRWJcards
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Once again proud of the balanced, almost 50% Women🌟 In Cardiology Faculty @
#PCIS2023
!! This is a huge achievement & big change for Pakistan
#womeninleadership
@iamritu
@purviparwani
@ZainabASamad
@DrShaziaMohsin
@RBP0612
@bokhari_saira
@WomenAs1
@DrMarthaGulati
@ACCinTouch
First non invasive imaging summit in Pakistan!
#WIC
women in cardiology!
@SabhaBhatti
@HannahAsghar
@ZainabASamad
@bokhari_saira
@Xamxama419
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Severe Rheumatic MS 3D showing severe calcification and distortion. Donut 🍩 like on enface. The MVA is 0.2cm2. Severe TR also present.
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With the Queen of Structural Echo
@hahn_rt
@HeartStructural
Excellent talk as usual. Always learn alot from her. Great reconnecting in this part of the world!
@NicvdImaging
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40yo s/p MVR for MS many years ago now with rheumatic mod-severe AR. 3D images of normal prosthesis & classic rheumatic doming Aortic valve in flexilite
@AJamilTajik
@ASE360
@iamritu
@NMerke
@alexsfelixecho
@purviparwani
@dr_benoy_n_shah
@nicvd_karachi
#echofirst
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18yo F with Afib & suspected restrictive CM on echo with BIV hypertrophy, biatrial enlargement, crypts and extensive LGE. Apparently recent stroke. Infiltrative /genetic /storage CM? Didn't quite fit amyloid.
@AJamilTajik
@cshenoy3
@SCMRorg
@purviparwani
@nicvd_karachi
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It's been a year since we started The Valve Center of Excellence at NICVD! The multidisciplinary approach has helped over 1000 patients to date. We have seen so much pathology & learnt so much about Valve disease in Pakistan & still have so much more to do & learn!
@nicvd_karachi
First Valve Clinic in Pakistan where patients with complex heart valve problems will see cardiologists, surgeons & cardiac specialists in one setting to make best collaborative decisions for patients. No more multiple appointments & delays. One stop that is all.
#NICVD
@SKhanMHCM
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Day 2
#ACC2024
1 year data from Valve Registry & Valve center
@nicvd_karachi
At
#ACC2024
@ahakeem143
@NadeemQ72182993
@AJamilTajik
@AKUGlobal
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Severe rheumatic MR, is that a true cleft ?
@AJamilTajik
@iamritu
@alexsfelixecho
@CASivaram1
@NMerke
@nicvd_karachi
#echofirst
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Exciting day for us
@nicvd_karachi
as we launch our first of its kind, 2 year program in Sonography dedicated to training Echo techs to meet the need all over Pakistan!
@NadeemQ72182993
@ahakeem143
The 2-year Sonography Certification Program at NICVD has officially begun, providing students with the skills and knowledge needed to excel in the field.
#NICVD
#SonographyCertification
#Sonography
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Feeling tired but so proud of what has become the biggest Imaging event of the year in Pakistan - Pakistan Cardiac Imaging Summit 2024✅ 💯
The room was full and so are our hearts with gratitude. Our international faculty stayed up past midnight to join us ❤️👇
@NicvdImaging
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Mitral valve endocarditis with P1 perforation well visualized on 3D with light
@ASE360
@AJamilTajik
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20 yo with Aortic regurgitation. CT findings suggestive of Takayasu's arteritis
@nicvd_karachi
@AJamilTajik
@ASE360
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20 yo with severe dyspnea with Lutembacher's syndrome. Secundum ASD, rheum MS, but also severe TR and pulm HTN. Tricuspid valve also rheumatic. Rt to Lt shunting also noted on color
@nicvd_karachi
@iamritu
@AJamilTajik
@alexsfelixecho
@NicvdImaging
#echofirst
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Eid Mubarak to all those who celebrate! Missed day 1 of Eid traveling back from ACC but luckily it’s a 3 day holiday here. Pics from day 2 & 3 taken in my garden-my favorite place to unwind after work
@DrNasrien
@JamalRanaMD
@Hragy
@AJamilTajik
@rahatheart1
@ASalahuddin_MD
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Rheumatic mitral valve disease comes in many different "shapes and sizes"
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18 yo F with "seagull murmur". Severe Rheumatic heart valve disease. What do you think the specific cause of the cooing murmur is in her case ?
#heartsounds
#stethoscope
#echofirst
@AJamilTajik
@iamritu
@alexsfelixecho
@NMerke
@nicvd_karachi
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Breaking our previous record, 60 yo F h/o ischemic stroke 4 yrs ago, super critical AS, very calcified, mean gradient 200mHg!! (Rt parasternal) AVA 0.2cm2, DI 0.06
#supercriticalAS
@AJamilTajik
@nicvd_karachi
@NicvdImaging
@dr_benoy_n_shah
@iamritu
#echofirst
#CardioTwitter
42yo with super critical AS, broke our previous record of highest mean gradient. 150 mmHg in the setting of low ef! Seen in valve clinic, symptomatic, LV dysfunction, admitted for surgery. DI : 0.06 likely bicuspid
@AJamilTajik
@ASE360
@iamritu
@NMerke
@nicvd_karachi
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37 yo M with dyspnea while playing sports. Echo with LVH and SAM and LVOTO. MRI shows the LVH better, looks asymmetric. He's already on BB, no fmh of scd. LGE images in comments. Thoughts?
@AJamilTajik
@purviparwani
@cshenoy3
@SCMRorg
@nicvd_karachi
@NicvdImaging
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30 yo in valve clinic for 3 valve surgery for rheumatic MS, TS,AR,h/o LAA thrombus, recently married, interested in having children.After multidisciplinary meeting & TEE (no thrombus), it was decided to do PMBC of MS and possibly balloon TS
@AJamilTajik
@ASE360
@RutgersRWJcards
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Targeting a hospital full of patients and health care workers should concern everyone. No justification.
Breaking now: terrible news coming in. Al Jazeera reports as per Gazan health ministry that at least 500 people killed in an Israeli air strike that has hit the Ahli Arab hospital in Gaza.. civilians suffer in a cycle of endless violence.
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We are looking forward to seeing and hearing from our Esteemed Faculty at the Inaugural Cardiac Imaging Summit of Pakistan
#PCIS2023
@nicvd_karachi
@NicvdImaging
Full day of Cardiac Imaging learning, a much needed area in PK
#PCIS2023
We have excellent speakers lined up, Final Agenda👇👇& No the discussion before lunch doesn't go on until almost midnight (typo) or atleast I hope it doesn't 😉
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Presenting at CardioCare Summit 2023 in "Pakistan's Switzerland"
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30 yo with torrential MR and one of the largest left atrium we've measured. ?etiology post leaflet atresia with ant leaflet dysplasia and prolapse
@nicvd_karachi
@AJamilTajik
@ASE360
#echofirst
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Very interesting *27 yo F palpitations. Strong family history of SCD (8/16!siblings died at young age) genetic testing is expensive with limited availability hasn’t been done yet though we are working on trying to get this. Echo-dil RV, MRI👇suggests AVC
@NicvdImaging
@SCMRorg
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27 yo F, ho 1 episode of post op"RVOT VT" now with WCT, multiple NSVT runs and this MRI. Prominent trabecs and LGE noted in lateral walls. RV not dilated. LVNC ? Ischemic( no prior history)? Other thoughts?
@AJamilTajik
#whycmr
@SCMRorg
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Are these "children of darkness"? Does it matter who they are? Are their lives not as valuable as others? If this photo doesn't break your heart I'm not sure you have one 💔💔
#CeasefireNOW
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Symptomatic AR in trileaflet AV valve, dilated root, and what appeared to be a narrow aorta on suprasternal notch view. Found interrupted aortic arch on CT
@nicvd_karachi
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24 yo with dyspnea. How many causes of dyspnea on these images ?
1. Pulm Stenosis 2. Pericardial Effusion 3. LVNC cardiomyopathy 4. Any others?
#echofirst
@iamritu
@AJamilTajik
@SCMRorg
@ASE360
@nicvd_karachi
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20 yo with mean gradient 50 mmHg across the aortic valve. How many cusps? In addition supravalvular ridge plus membrane ? left main and aortic calcification. More images with suspected etiology to follow
@AJamilTajik
@echo_stepbystep
#EchoFirst
@NMerke
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60 yo F with palpitations seen in outpatient clinic with this CT. Was diagnosed with this 😯 finding almost a month ago and "opted for med tx" The largest TAA I've seen 10.5cm with dissection and thrombus formation
#largest
TAA
@nicvd_karachi
@AJamilTajik
@iamritu
@purviparwani
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Tricuspid valve and mitral valve enface. Critical MS. SEC ( smoke) in light mode
@AJamilTajik
@nicvd_karachi
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#cardioobstetrics
in a low income country collaborating with another hospital that serves patients free of cost. A much needed service to improve maternal and fetal outcomes.
@nicvd_karachi
@NadeemQ72182993
@DrHaleemaYasmin
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21yo seen in valve clinic, TTE high gradients approx 200mmHg across RVOT, images difficult, TEE showed subinfundibular stenosis with musc ridge & membrane & dysplastic valve . CT confirmed. Referred to surgery.
@AJamilTajik
@nicvd_karachi
@Heart_SCCT
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We went Red ♥️ to raise awareness about Cardiovascular Disease in Women. This is our responsibility ♥️
#heartmonth
#GoRedForWomen
@nicvd_karachi
@NadeemQ72182993
@GoRedForWomen
@babisoomro
@American_Heart
@JawaidSial
@DrMarthaGulati
@WomenAs1
#NICVD
Cardiac Imaging Department went Red today for Heart Health❤️We are wearing red for women to raise awareness about cardiovascular disease.
#GoRedForHeartDay
#AHA
#WearRedDay
#GoRedForWomen
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35 yo M with VT, susp ARVC on TTE, MRI 👇 BiV dysfunction, RT>>>LT, +LGE --> Arrhythmogenic ventricular cardiomyopathy (AVC)likely. Tx ICD, Fam screening
@AJamilTajik
@purviparwani
@cshenoy3
@SCMRorg
@iamritu
@nicvd_karachi
#whyCMR
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We are excited to launch the Echo Series. A full day of Echocardiography coming to your city or a city close to you!
@nicvd_karachi
@NicvdImaging
@SIUTOrg
@AKUGlobal
@faizansydd
@ASshk17
@NadeemQ72182993
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75 yo M presented late with Ant wall MI, echo suspected large contained rupture/ pseusoaneurysm confirmed on CT. Awaiting surgery
@nicvd_karachi
@alexsfelixecho
#echofirst
@iamritu
@m_naeem_88
@Heart_SCCT
@AJamilTajik
@NicvdImaging
#multimodalityimaging
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25 yo M with “intrapericardial mass & suspected constrictive pericarditis” on echo. My first question when shown mri was “could this be something crazy like TB?” Fellow back an hour later from ward & informs me that pt has TB contact history & susp TB meningitis. Started on ATT
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Seen Today: 1&2 - 38yoF with rheumatic MS&AS (predominantly) , 3&4-40yo M with rheumatic MR &AR(predominantly) same disease, different manifestations. Do we know why some patients get predominantly stenosis vs regurg RHD ?
@AJamilTajik
@iamritu
@alexsfelixecho
@nicvd_karachi
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Images today: 6yo son on Lt and 30 yo mom on Rt. Both symptomatic with large secundum ASD &MR being worked up for surgery. Such a sad situation as mom was so worried for the child while so symptomatic herself Admitted simultaneously for workup and tx in same ward
@nicvd_karachi
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When the master/founder/father of Echocardiography calls your demonstration elegant 😃👏
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Another step towards taking Cardiac Imaging to the next level here
@nicvd_karachi
& in Pakistan. There are very few (can count on one hand) Imaging fellowship trained Cardiologists reading Nuclear Cardiology in Pakistan
@NadeemQ72182993
@MyASNC
@almallahmo
@kananth12
@ahakeem143
Prof. Sabha Bhatti, Head of Imaging and Noninvasive, is excited to announce that the
#NICVD
Nuclear Cardiology Department has been newly renovated and is ready for use. Prof. Nadeem Qamar (Executive Director, NICVD) performed the ribbon cutting. Come by and see our new look!❤️🏥
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41 yo with MRI &CT findings 👇
How many possible causes of dyspnea do you see ?
@AJamilTajik
@iamritu
@purviparwani
@nicvd_karachi
@Heart_SCCT
@SCMR
#EchoFirst
#whyCMR
#yesCCT
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Mech mitral valve mobile mass . Thrombus vs Veg vs both( super infected thrombus)? INR sub therapeutic & cultures + strep in 1 bottle so far. I’d say tx for both as hard to pass as just thrombus!
#echofirst
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18yoM h/o recurrent syncope, low LV & RV EF on TTE. Apparently ho AV block though non on current ECG. MRI 👇LGE+ septum. RV severely dil. BiV dysfunction
Cardiac Sarcoidosis vs AVC ? What say
@purviparwani
@cshenoy3
@SCMRorg
@JccmoonMoon
@nicvd_karachi
@NicvdImaging
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22 yo M with dyspnea & chest pain 1 wk. Mild trop+, asymmetric hypertrophy, SAM with hyper enhancement in septum. Looks like classic HCM but what else would you rule out?
@NicvdImaging
#whyCMR
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2. 17 yo M sternal chest pain & dyspnea 4mo. Based on imaging differential angiosarcoma followed by “terrible Ts” Bx prelim -neoplastic vascular mass. Would you resect or chemo first ? Has had large symptomatic pericardial eff drained with recurrence.
@NicvdImaging
@purviparwani
We’ve had a few Cardiac Masses in the past week :
1. 31yo F with dyspnea, palpitations and pedal edema. LA mass on TTE , ❤️MR consistent with myxoma—> referred for surgery now awaiting path
@NicvdImaging
@AJamilTajik
@SCMRorg
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She's so beautiful, so elegant , just wow! 😍😄 A celebrity with diabetes who inspires others with her insights !
World Diabetes Day 2023
#zebabakhtiar
#worlddiabetesday23
@nicvd_karachi
@ZebaBakhtiar1
@NicvdImaging
#Henna
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📢📢 Outstanding diverse faculty♥️ Experts in their fields 📢📢
#2ndPHVS
looking forward to learning from our Speakers and Panelists 🇵🇰♥️
@nicvd_karachi
��️A busy day of learning from national and international experts!♥️ ⭐⭐Dec 9 , 2023⭐⭐ 2 more days to register !
Reg deadline Dec 1
#2ndPHVS
#valvesummit
#agenda
@NicvdImaging
@nicvd_karachi
Final agenda 👇
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Our Dept went Red for ❤️❤️Heart Month❤️❤️
We also celebrated our Cardio Obs service which turned 1 yr! We recognized and thanked our sonographers and awarded the sonographer of the quarter
#goredforheartmonth
#AHA
#ACC
#WIC
@nicvdimaging
@nicvdkarachi
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40 yoM with dyspnea & chest pain. severe hypertrophic cardiomyopathy with LGE+++. Almost 3cm thickness.
#whyCMR
#echofirst
#CardioTwitter
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Echocardiography updates presented at the 23rd Annual Updates in cardiology conf 2023, Bhurban. 2nd photo has my munchkins ( extreme right ) sitting in the first row attending my session 👩❤️👨
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Follow up TEE prior to surgery again demonstrating the abscess in the interatrial septum draining into the RA
@nicvd_karachi
#echofirst
@alexsfelixecho
@ASE360
@AJamilTajik
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1030 children now and counting...
The silence from most of the medical community is deafening!💔
As physicians we work so hard to save we can. Where is the outrage by medtwitter? 724 children and counting !
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Those of us who take care of CardioOb worry about every mom and her fetus and other children at home. Where is the concern now ?
@CardioOb
#CardioTwitter
#medtwitter
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There was only one dedicated cardiac imaging session ( multimodality) and I'm a little biased but it was outstanding. 3 MRI, 1 CT, 1 Echo strain and 1 diastology all in an hour. Hope to see more in the coming years iA
@bokhari_saira
@AkuCardiology
@nicvd_karachi
Master class in CMR and it's role in cardiomyopathy workup at Cardiocon 2022
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Another 2 pts( of many more) from today's valve clinic with Severe Rheum MR & Severe Rheum MS
@nicvd_karachi
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