SAX of aortic valve on TEE. Off at 2:00, just beyond the aortic cusp… Calcified plaque in left main! @cardiojaydoc02 #cardioed #meded #echofirst #accfit

Kussmaul’s sign strikes again! @cardiojaydoc02 @cvi_phila @AvrahamCooperMD #CardioEd #MedEd

Patient w/ side effects to statin therapy? Try this: rosuvastatin 2.5mg TIW. Rosuva is hydrophilic, so it causes fewer side effects than atorva/simva. And because of long half-life, TIW dosing gives decent coverage all week. #CardioTwitter #MedEd #cardioed @DrMarthaGulati

Left #ACC2023 inspired. Great to learn the latest with colleagues from @CooperCVFellows @CooperIMRes and see familiar faces from around the country @ACCinTouch 🫀🩺n

Poster Presentation ✅ Huge thanks to @miketzeng and @VivekKulkarniMD for mentoring me with this project. Cheers! 🫀 #ACC2023 #CardioTwitter @ACCinTouch

Grateful for #ACC23! Connecting with inspiring mentors, former colleagues, and new friends was unforgettable. Thank you! @AndreaRussoEP @nmarrouche Fred Kusumoto Ulrika Birgersdotter-Green @VivekKulkarniMD @miladmattaMD @HadiiYounes @DagherLilas @MekhaelMario @habib_layoun

.@CooperIMRes representing at #ACC23

Proud to present this poster at #ACC23 Atrial septal pouch, diagnosis, complications, management. @ACCinTouch #WCC2023

Thank you, @AndreaRussoEP for all your support! And a special thanks to @VivekKulkarniMD for your mentorship with this. @CooperCVFellows @CooperIMRes

Congrats to all our Cooper Cardiology fellow and IM residents that presented at @ACCinTouch @CooperIMRes @CooperCVFellows @CooperGME @CooperHealthNJ @coopermedschool @VivekKulkarniMD

Pulsatile exopthalmos 🤯 Via @pgMedicine @grepmeded #MedTwitter https://t.co/dZ89QilIam

#Thread 1/ How does your selection committee (Med school, residency/fellowship, faculty) define MERIT? Grades? Test scores? AOA membership? Prestige of training program? # of NIH grants? Try this: define merit based on what you want them to achieve.

@MKIttlesonMD @SrihariNaiduMD @NavinKapur4 @SVRaoMD @AndrewJSauer @SunnyVMD @jonathan_salik To me, the word “shock” still implies hypoperfusion, so I have a hard time using that word to describe this person. And I get that context matters. Still, my vote is “Low Output HF”.

Clearly this poll struck a chord! To clarify: - Normal MAP - High SVR on RHC. - By “decompensated” I mean clinical volume overload & ⬆️ filling pressures. - CI by assumed Fick (I know, I know), and BSA/BMI not extreme.

You see a patient with known HFrEF now decompensated. Exam suggests low output. RHC shows CI 1.8. Perfusion markers (lactate, creatinine, LFTs) are normal. What do you call this condition? @MKIttlesonMD @SrihariNaiduMD @NavinKapur4 @SVRaoMD @AndrewJSauer

NNT to prevent 1 death from any cause Aspirin for secondary prevention: 333 Spironolactone for HFrEF: 9 If discharging a CAD patient without aspirin sounds crazy, then what does that say about discharging a HFrEF patient without an MRA?

Congratulations to all of the CV applicants this season. We are very excited welcome our new class of CV fellows at Cooper University Hospital. We can’t wait to work with you ! @CooperCVFellows @VivekKulkarniMD @CooperIMRes @coopermedschool @

@DavidLBrownMD @cardiojaydoc02 @DrMarthaGulati Part 2: Same pt but presents before starting diuretics. Mild DOE (NYHA 2) and mild edema. Does dyspnea count as anginal equivalent? And if you do find 3vD, now is she now indicated for CABG? If you changed your answer, why?

~70F in office for new HFpEF (LVEF 60%). Symptoms controlled on low-dose loop. Coronary CTA shows multi-vessel obstructive CAD. No angina. No diabetes. Is this patient indicated for CABG? @cardiojaydoc02 @DrMarthaGulati #cardioed #meded

Hello there little friend. #echofirst #cardioed #meded #accfit