Julio Gil
@juliogilpereira
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Father of 3 girls | Cardiologist | Guitarrist wannabe | #cardioviseu #EPeeps
Viseu, Portugal
Joined September 2021
A primeira trombectomia aspirativa com sistema Flowtriever ® da Inari Medical realizada na Unidade de Hemodinamica e Cardiologia de intervenção da ULS Viseu-Dao-Lafões em contexto de Tromboembolia pulmonar grave.
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Cardiac involvement is typically a late and often overlooked manifestation of disseminated lymphoma. Happy to share our case report, just published in EHJ-CI! 📑 https://t.co/XMMNmL6KKo
@escardio @ESC_Journals #EHJCI #CardioTwitter #echofirst
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What's happening? List your favorite eponyms @NMerke @echo_stepbystep @alexsfelixecho @Ivan_Echocardio @iamritu @VDelgadoGarcia @EACVIPresident @dr_benoy_n_shah @StellEkaterina @echotalk @VerwerftJan @eromerodorta @EchoBielefeld @almasthela @marciomp50 @argulian @echo_batman
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1/ #EPeeps poll Acute HF admission #ECG with very frequent - in between narrow and wide complex - relatively slow - tachycardia What's your interpretation? #CardioTwitter
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1/ #echofirst #CardioTwitter What's your take on AF/AFL cardioversion in HFrEF? 71 yo ♂️ DCM. Recent AF with worsening of HF. On DOAC >3 weeks. 👌 Would surely benefit from cardioversion, right? 👍 But where there's smoke...
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Live fast and die young! Or last until you’re 94 @The_Nanashi_O @doctor_roig @DidlakeDW @ecgrhythms @syamkumarmd @DocNikko @TahaMD_EM @EcgOxford @Vadeboncoeur_Al @AslangerE @smithECGBlog @EM_RESUS @EKGest @RobertHermanMD @UlhasDr @kevin_domingues @EcgsOnly #ecgeducation #EPeeps
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Patient was hipotensive but completely asymptomatic. Troponin 1000>600ng/L. Bedside echo shows the following. CT showed no PE
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72yo man with irrelevant PMH but good tolerance for hypoxia. Has these XRays and this ECG @The_Nanashi_O @doctor_roig @DidlakeDW @ecgrhythms @syamkumarmd @DocNikko @TahaMD_EM @EcgOxford @Vadeboncoeur_Al @AslangerE @smithECGBlog @EM_RESUS @EKGest @RobertHermanMD @UlhasDr
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Cath results: LM disease, the patient was transferred for urgent CABG
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80yo admitted for unstable angina, ECG w/ LVH. Developed severe CP w/ this ECG @The_Nanashi_O @doctor_roig @DidlakeDW @ecgrhythms @syamkumarmd @DocNikko @TahaMD_EM @EcgOxford @Vadeboncoeur_Al @AslangerE @smithECGBlog @EM_RESUS @EKGest @RobertHermanMD @UlhasDr @EcgsOnly #ECG
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Indeed, I activated the cath lab and this is what we found:
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CP, just your regular NSTEMI, amirite? @The_Nanashi_O @doctor_roig @DidlakeDW @ecgrhythms @syamkumarmd @DocNikko @TahaMD_EM @EcgOxford @Vadeboncoeur_Al @AslangerE @smithECGBlog @EM_RESUS @EKGest @RobertHermanMD @UlhasDr @EcgsOnly @PedroCostaFerr9 #RadialFirst #ecgeducation
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73yo male, MI in 1988, stable with LVEF 35% all these years. 1st ECG basal, 2nd ECG today @The_Nanashi_O @doctor_roig @DidlakeDW @ecgrhythms @syamkumarmd @DocNikko @TahaMD_EM @EcgOxford @Vadeboncoeur_Al @AslangerE @smithECGBlog @EM_RESUS @EKGest @RobertHermanMD @UlhasDr #EPeeps
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Sharp eyes! Chronic occlusion of the RCA and culprit was midLAD (it was open though). I will try to post more often from now on
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Been away for a while: 60yo male, chest pain. Culprit? @The_Nanashi_O @doctor_roig @DidlakeDW @ecgrhythms @syamkumarmd @DocNikko @TahaMD_EM @EcgOxford @Vadeboncoeur_Al @AslangerE @smithECGBlog @EM_RESUS @EKGest @kevin_domingues @RobertHermanMD @UlhasDr #ECG #radialfirst
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27y female with palpitations. Denies any past medical history. What is going on here? @juliogilpereira @Luis0F0Santos @vandadevesaneto @DavideMoreira3 @BMarmelo @BrunoAlmRodr80
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Seems like spooky season is still on! 72 yo man admitted to the emergency department due to SOB. History of an episode of intense chest pain one week previously but did not seek medical care. #EchoFirst #CardioTwitter
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“Go see this patient in the ED with NSTEMI. Tell me if she’s still having pain after current Rx therapy.” #CardioTwitter #FOAMed #ECG #MedTwitter
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