80 YO M new onset HFrEF (30%), diagnostic cath shows 100% CTO of RCA & LCx, last remaining conduit is LAD. Surgical turn down, shared decision made for high risk PCI - how would you approach this?
CTO first or LAD first? Protected PCI? Plaque modification? Will share what I did
58 YO M CAD s/p 3 stents in the past, HFrEF, admitted with HF. TTE completed. Started out as a routine study low EF & nothing outrageous on usual views, until you go off axis pLax & then it reveals itself! 😱
#accFit
#cardiotwitter
#cardiotweetup
#echofirst
@AjvictoryMD
Often overhear a convo wife (MD) has when she gets a call from the hospital and the manner in which people will sometimes talk to her, & to my surprise, the extent to which she is patient enough to allow that tone versus the way people talk to me. Noticed this pattern for years.
Attending the
@OPCILive
virtually from my living room while on call as an interventional fellow - lucky to be able attend virtually! all star line up of speakers & most importantly excellent educational content! Thanks!
Congrats to 3 amazing interventional cardiologists who have outstanding skills, clinical acumen and compassion, who will contribute & change our field positively!!! A job very well done
@LindaKoshyMD
,
@SaidAshrafMD
and Polydoros Kampaktsis
@nyulangone
#DecadeinReview
Medschool, Marriage, Residency, Fatherhood, Fellowship, Travels, experiences to remember, successes, failures, learning.Remain grateful for simple things: a roof overhead,food, health,continuing education. Still pray for strength over ease.
#HappyNewYear
world!
Dr Bill O Neil keynote speaker at Detroit
#CHIP
speaking on successes of cardiogenic shock; importance of collaboration between hospitals in Detroit & idea of community consent to conduct RCT on CGS.
#Detroit
#cardiotwitter
#accic
#accFiT
If you’re from Detroit, you have an inherent infatuation with Cardiogenic Shock, so here are some pearls from ABCs of Interventional Cardiology session ..
#TCT2019
#accfit
#CardioTwitter
#accic
What a year it’s been for trials in
#Cardiology
, ISCHEMIA, PARTNER3, COAPT, ISAR5, AUGUSTUS, DAPAHF, STOP-DAPT2 . . . Remarkable! All practice changing & so important for our patients. What a time to be working in the field.
#cardiotwitter
#Cardiology
#MedEd
Happy to be ✈️ to DC for the next 3 days to take part in
#accLegConf
with the Michigan contingent, looking forward becoming involved in advocacy, learning from experienced leaders & pressing the agenda.
#ACCFiT
#ACC
#Cardiotwitter
Ambitious
#ACCLegConf
agenda!
1. ⬇️admin burdens like
#PriorAuth
and ⬆️clinician well-being
2. Eliminate barriers to value based payments
3. ⬆️cardiac rehab access
4. Advocate for South Asian Health Awareness Act and 🚭no vaping/e-cig
@Cardiology
@DickKovacs
@PoppasAthena
@HeartOTXHeartMD
@medicalaxioms
@DrMarthaGulati
@hvanspall
I think In medicine the hardest question is always “how much longer do I/pt has left have to live?” We try to be objective & diplomatic, but the pts/families hold so much value in our answers, always difficult for me to answer.
@RogueRad
@ShariqShamimMD
@TheLancet
too much commentary from 🇮🇳 and 🇵🇰 .
#Kashmir
remain forcefully cut off from the world. Kashmiri colleagues under immense stress & concern. It’s their time to speak & everyone else’s to listen.We should encourage that. Can’t blame
@TheLancet
&
@bmj_latest
for sharing their plight
Extremely disappointed with the
#OperationGridlock
. Healthcare workers are not working as cannon fodder. Why should chest thumping jingoism & complete ignorance result in even one case of illness or a healthcare worker being put at risk? Public health laws need a look.
The general consensus is that overall rates of
#ACS
(including
#STEMI
) hospitalizations have decreased during the
#COVID19
pandemic. To what percent have you noticed a decrease in these presentations at your institution? Please poll and RT.
@SaidAshrafMD
@mmamas1973
@RuralEDPA
When one physician tells another physician that their line of work isn’t saving lives, you need to take their opinion as a whole with caution.
@mandeep_mayo
Just out of curiosity, what made you place constrictive pericarditis and amyloid heart disease in the list? Certainly, we see valvular heart disease, acute pericarditis, MINOCA, Takotsubo CM (and other forms of CM) a lot more
Learning from the master himself, Dr Sam Asirvatham
@MayoClinicCV
teaching advance EKG to Detroit area CV fellows & providers. Always a great course to attend.
#accfit
@MichiganACC
thank you
@APH_CV_Fellows
for hosting us!
Our wonderful faculty welcome you join us in Philadelphia on 2/2-2/3 for
#CVIFellows24
! Open to cardiology fellows and residents interested in interventional cardiology. Registration and hotel is complimentary! For more information:
#CVIFellows24
.
@purviparwani
@DrMarthaGulati
@ErinMichos
@JAHA_AHA
Disparities along gender, socioeconomic and maybe even racial/cultural will always need individual approach (imo). the art of motivating & empowering the patient is key. Seen some attendings do it much better than others, comes naturally to some I feel
@RogueRad
@ShariqShamimMD
@TheLancet
@bmj_latest
It’s very complex indeed & our opinions on historical events don’t serve the current humanitarian crisis forced upon the residents of Kashmir. Give them voice & the truth will come out. Sunlight is the best disinfectant.
Five principles of stoic philosophy applied to coronary (CTO) interventions, marrying philosophy to complex procedures to enhance learning, with
@esbrilakis
@CRT_meeting
@DrNasrien
I’m aware of healthcare disparities between ethnic groups but didn’t know there were any studies done on documentation of rude behavior targeting one group more than others. Can you share this data? Thanks
SGLT-2 inhibitors have great shown great results in trials. where I practice people have good health insurance, yet only 1 out of many I prescribed this drug to is taking it; due to egregious cost of copay. It’s absurd to have to pay so much for Empa & Dapa.
#CardioTwitter
@eakintoyeMD
@OtherVivek
As a side note, with hydroxychloroquine you’d expect prolong qtc ➡️ Triggered activity (EAD)➡️ torsades/pVT ; this ekg is mVT probably from re entry. Or so I think 🤔