Vishnu Priya Mallipeddi
@VishnuPriyaMD
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Cardiologist at Cone Health | LSU Health Shreveport CV | Howard University IM |
North Carolina, USA
Joined August 2013
To assess diastolic function in AFIb, Look at MV inflow variability Less beat-to-beat variability→ increased LAP @JaeKOh2 Made it into the guideline #ASE2025
#Diastology @JaeKOh2 tips: 1. LVEDP can be ⬆️ with nl mean LV Diastolic pressure 2. #AFib variation in the mitral E velocities c/w nl LVFP. No variation c/w ⬆️LVFP 3. not "normal diastolic function" but “normal diastolic filling pressure” #ASE2018
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AHA/ACC Class I 2025 ACS Recommendations In one slide: Always remember what to do!
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In presence of Atrial Fibrillation, do you usually report that the LV diastolic function can’t be assessed? Check this out: nice step-wise algorithm at the @BSEcho #Guidelines about LV Diastolic Function Change your mindset‼️😉 #EchoFirst #Afib #DiastolicFunction
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A young patient with syncope. In addition to other findings, a low, near apical attachment of the papillary muscle is seen in this off axis 4-chamber view. What is the relevance of this observation?
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We've released a State-of-the-Art Review, "Obstruction in Hypertrophic Cardiomyopathy: Many Faces." Read the @JournalASEcho article here: https://t.co/w1ppiMYeKj
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Hey #EPeeps ! Routine ICD remote check. What's going on? Patient is asymptomatic. What to do about it?
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1/⚡️How to assess tricuspid valve by TOE #echofirst? ➡️What's the role of X-plane? ➡️How to get the best 3D image? ➡️Tips and tricks about transgastric view ➡️What we need to know about pacemaker lead Take a look this thread 🧵 @NMerke @iamritu @hahn_rt @denisamuraru @lpbadano
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Great news for cardiologists and #echofirst boarded physicians: #NBE will no longer administer recertification exams and is transitioning to maintenance of certification in echo (MOCE) in 2024. Here is a quick summary 🧵of the new MOCE rules. @ASE360 #cardioTwitter #MOC
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Elderly pt with palpitations and recurrent documented tachycardias. Example of both tachycardia and sinus rhythm EKGs. Any concerns prior to treatment? #CardioTwitter #Fellows1st @uccardiology @ricardotorresmd @lsuhscardiology @UIowaCVFellows @VishnuPriyaMD @GirijaBhoite
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This is why you don’t always trust the technician/AI read on ambulatory monitors…. Fellows 1st, what is wrong here? #CardioTwitter @uccardiology @ricardotorresmd @pooneh_nabavi @BDH131 @lsuhscardiology @AaminaShakir @UIowaCVFellows
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this patient has a VVI pacer. Next step is to ⬇️ the pacemaker rate to see the underlying rhythm that frequently brings out a STE. With such an early presentation, troponin will likely be negative. The European guidelines recommend primary PCI for prolonged ischemic sx with LBBB
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For fellows. Hope you know “loitering” pattern of MR. Is it primary or secondary MR? @argulian is the best to teach you and correct me if there is a mistake in it.
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Cath tracing for fellows. A withdrawal tracing showing a rare clinical situation. May need critical analysis. Unfortunately ECG cables were not functioning at that time. Agree this is too tough for fellows, but I am sure you will and you can
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Mitral Arcade 🔺severe shortening or complete absence of chordae tendinae 🔺direct attachment of papillary muscles into mitral valve leaflets 🔺results in a fibrous or muscular “arcade” formed by papillary muscles, short chords,& edge of anterior leaflet https://t.co/X8H3nrdsHM
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Nice summary slide of electrolyte ECG changes. Useful for fellows taking CV boards this fall. #CardioTwitter #MedEd #FOAMed #MedTwitter @uccardiology @MaryamSaleem24 @Riteshshre @VishnuPriyaMD
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Fellows, what causes continuous murmur without thrill along the left sternal border of this patient?
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Fellows, have you seen Ventricular Interdependence in tamponade?Filling of one ventricle at the expense of other occur classically in constriction. Tell me other causes of interdependence.
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For fellows. 4 year old with RV dominance and left axis deviation. What is the most likely diagnosis. What measurement is used to demonstrate the “named finding”
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For fellows. How to image coronary sinus. From bicaval view, change angle to 120-130 degrees with slight axial rotation of shaft to right. From bicaval view showing IVC with Eust valve, SVC & IAS, it gradually shift to CS. It is more close to TV leaflet than IVC orifice.
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A “painting” for Fellows. Look carefully, time with ECG and see phases of cardiac cycle. Possibility?
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