Cardiac tamponade following a diagnostic endomyocardial biopsy #echofirst causing a severe IVC congestion and hemodynamic instability ➡️ imminent surgical pericardiocentesis

@BradSpellberg @JoshOsowicki i am trying to figure out when IV is required and for how long. i see all kinds of osteomyelitis. it's IV and a PICC line.

5. What’s an age-adjusted D-Dimer?. 🧓 After age 50, D-Dimer naturally rises. So we adjust:.Age × 10 ng/mL (FEU) = cutoff. E.g. Age 72 → cutoff is 720

@kerrigjl @jl35wilsonMD @drandrewsharp @SripalBangalore @ShariqShamimMD @TWilsonMD @mandeep_mayo @SaidAshrafMD @BinitaShahMD @LouaiRazzouk @SrihariNaiduMD @mmamas1973 @evandrofilhobr @DrIHHashmi1 @MichaelMegalyMD @mirvatalasnag @SandeepNathanMD @Allison_Dupont @DocSavageTJU @SyedYNaqvi1 @MusaSharkawi @jaygirimd @DrAmirKaki @NavinKapur4 @agtruesdell @AntoniousAttall @Babar_Basir @GiorgioMedranda @HafeezHassan20 @DrQuinnCapers4 @drptca @AlkashkariWail @sabeedak1 @DrBIqbal @fady_iskander @PedroMDMSc @Laserrman @ABaliMD I have been using an FFS strategy for all my cases. Haha. F - Fast speed for crossing (185k for 15 sec, repeat as needed).F - Fast speed for polishing - 185k just once.S - Slow speed for a deeper cut - 150k for with a slower advancement. Lots of nitro in between. This strategy.

@realarainmd @aspergian1 @evandrofilhobr @Laserrman @TWilsonMD @simonjwilson1 @dr_oss @hwcc0314 @VRejeki28 @jianshanzhiyi1 @MauroCarlino3 @GLGasparini @prof_aaa1 @cghanratty @AEslamiDO @CatalinPToma @BrianLi_MD @Pardhu6627 @abadkhan2002 @kevinjamescroce @prajith3668 @dautov_MD @jbspadoni @MdM_Ochiai @BakhshiHooman @tadano98 Ah. I ALWAYS do the Japanese slow final polishing run at 110K with rota. IVI proven strategy to get 0.25 burr size up (1.5 will give you 1.75 burr results).

2/2 What is your Rota 💎 Speed? Mine is 180k Calcium 🪨 and 200k for stent-ablation (higher than this 2019 published US expert consensus)…

New @Nature .The possibility that lithium deficiency is a driver of Alzheimer's disease. Experimental model shows Li depletion impedes amyloid clearance, and repletion in humans could be achieved with low doses.

#CardioNugget: . What does the classic insulin resistance profile look like?. ❗️Don't be fooled by a “normal” LDL — check the full lipid picture. 📉 Low HDL.🧈 High triglycerides.🍩 Elevated fasting glucose / HbA1c.🧬 Small, dense LDL particles (even if LDL-C is "normal").📏.

@drAliyor @Sher_Intervent @esbrilakis @Laserrman Excellent. Let us know if the EF improves, or doesn’t. What does everyone think about the dogma of “no IVUS after DCB?” Personally I think it’s BS, in all likelihood. A simple straightforward IVUS run IMO won’t affect drug absorption. Thoughts?.

@BerbarianWizard @gregmushen patented collagen peptide, may increase collagen synthesis of tendon themselves.TENDOFORTE US-letter%286p%29 2018 %28en%29 web.pdf.

@korean_doc A little but. Maybe 1/5 shots. But I mixed 50mg in 2.5ml that helped.

Furosemide was given iv (plus diuril) without albumin. This happened in the next hour:

@DelTestaSim I will tolerate a bit of NAGMA because it comes along with higher Cl levels with prevent activation of RAAS. Chlorothiazide, I usually add on if I don’t get adequate response to acetazolamide/furosemide or if ⬆️Na. If there is a bad acidosis I’ll sometime do Chlorothiazide first.

@khaycock2 In acute HF, starting with low-dose furosemide may fail to reach the natriuretic threshold, especially in the setting of renal dysfunction. This promotes the braking phenomenon and reduces later efficacy. ➡️ Start high + consider sequential nephron blockade, guided by diuresis,.

I would like to hear some nephrologist’s opinion on this because over the last 5 years that I have been giving initial doses of > 40 mg furosemide my nephrologists have sometimes flipped out. What’s the problem if you’re monitoring electrolytes and/or proactively replacing them??.