‘VT’ versus ‘SVT with aberrancy’. The long list of VT "suggestive" ECG features is difficult to recall and apply in real time. How can we simplify things? Here is my ABCDE approach – five simple Qs to ask: 🧵👇

A beauty if a summary from ESCCongress!

New Technique (TILT) for tortuous/uncrossable lesions described by @LAzzaliniMD et al. in @EuroInterventio: 5F Guideliner in 8F Guiding Catheter with a "buddy" balloon outside the guideliner. @PCRonline @SCAI #CardioTwitter @esbrilakis @OptimaCTO @CtoEuro https://t.co/10OYFegHWY

Easy and effective way to increase radial rates - often takes 10 min to prep/drape patient and this can be done simultaneously. #RadialFirst @willsuh76 @rwyeh @ctpyne @cardioPCImom

@evandrofilhobr Great demo. I used a half balloon to seal a wire perforation and the case is in press. It’s cheap and easy to do.

#RadialFirst interesting collateral filling of this RCA CTO, name it!

#DeBakeyCVJournal ❓ What is a hyperdominant/superdominant #LAD? This a rare anomaly in which the #LAD gives rise to the #PDA. Check out this case of extremely hyperdominant LAD which gives rise to the #PDA & #PL ‼️ 👉 https://t.co/05WDPQML6j #Radialfirst #Cardiotwitter #MedEd

Management of refractory angina: an update https://t.co/W4WUQDfZYf #EHJ @ehj_ed @rladeiraslopes #ESCYoung

First insights into the safety and efficacy of totally leadless cardiac resynchronization therapy in Europe: https://t.co/xlabDkPqXa @ABollmannMD @GerdHindricks @EHRAPresident #EHRA_ESC #Europace #Cardiotwitter

GAME CHANGER ALERT! #AHA20 @AHAMeetings #RIVER Study presened by Dr. Otavio Berwanger: Rivaroxaban in pts with atrial fibrillation + bioprosthetic mitral valve was non inferior to warfarin in primary endpoint of death, major CV events and major bleeding

#Rajesh60087089 #vibhorbansal12

and my engagement is due on 23 th November.. And poor attitude of the staff there.. Too disappointed and harrased.. 😢

The wandering burr nightmare: coronary perforation during rotablation due to wire fracture. View this #cardiotwitter case 💼 shared by @BElbarouni & selected by @Ortega_Paz ! https://t.co/9vhj1cfdFC

Have you heard about “dry tamponade” ? Maybe yes. Have you seen one? I don’t think so… Here's a magical troubleshooting sequence for a rare life threatening complication Handled by a friend in Vietnam called Duc (Nguyen Huy Duc)

Rare but Important condition to recognize in TAVR world; ----- Management of Suicidal LV after #TAVR is similar to that of HOCM: ⬆️preload with IVF ⬆️afterload – phenylephrine is the pressor of choice 🚫inotropes and consider treating with neg inotropes such as BB/CCB

Brilliant tutorial @purviparwani

#ExplorerHCM #ESCCongress Key points 📝 selection- patients with HCM with LVOT gradient >50mmhf + NYHA class II/III symptoms 📝 30 weeks of Rx 📝 starting Rx 5 mg daily with up titration 📝 background Rx with BB/CCB yes -disopyramide No 📝 baseline #echofirst EF 74%

#ESCCongress #Hotlines #LBCT Days 1&2 Excellent summaries of latebreakers via @AHA_Research 👉 https://t.co/9of32SNSLu 🎯EMPEROR-Reduced 🎯EXPLORER -HCM 🎯EAST-AFNET4 🎯ATPCI 🎯POPULAR TAVI 🎯PARALLAX 🎯DAPA CKD @rahatheart1 @hvanspall @skarim01 @Hragy @noshreza @ErinMichos

Step by step flowchart of our "minimalist" version of the #NanoCrush bifurcation technique. Some slight differences, much easier than #DKCrush. @DrArifK @CristinaM0relli #radialfirstBot @ShariqShamimMD @SimoneBiscaglia @PCRonline #EAPCI

DEFINITION II presented at the #PCReCourse and published in EHJ. Upfront 2 stents (mostly DK-crush) better than provisional for complex bifurcations. Next stop in the bifurcation saga are EBC-MAIN and BBK-3 to see if the provisional and culotte strategies will raise their heads.