RT @DrDamluji: Mitral valve replacement or repair and long-term risk of infective endocarditis: a Danish nationwide study: @ESC_Journals….

@DrRazi4 @syamkumarmd.

Patient underwent primary PCI to RCA in view of IW+RVMI with CHB. He was kept on TPI backup and on day 2 this was the ECG. What is the rhythm?.#ecg #cardiotwitter #pci #arrythmias

What all catheters/ wires/instruments you can see?.Enumerate their course too. Let's see how many you can decode 🧐.#cardiotwitter #coronary #structural

Follow up of the case :.The patient was given iv lidocaine and the rhythm eventually reverted to NSR. The ECG is shown below. Th echo showed massive LVH. CMR revealed massive LVH with IVS of max 29mm with diastolic dysfunction and no LGE or scar.✅Diagnosis-HCM WITH VT.#CMRfirst

Can this be Vagal AVB ?.PR was constant and just before the drop QRS the RR and PR are prolonged. Vagal AVB can present as pseudo mobitz block or even CHB. What are your thoughts ?.@syamkumarmd @DrRazi4 @Ecgloverr @ecgandrhythmRoe @Ahmedata7777 @rajivasr.

32 yr old young female with vague backpain and atypical CP. Had an ECG done, shown below. What is the diagnosis and the management?. ✅ ECG digitalized with @PMcardioApp.#ecg #arrhythmia #AVBlocks #ecgfirst

35 yr old male presenting with palpitations and uneasiness. ECGs are labelled according to the timeline. He was hemodynamically stable. Amiodarone iv 150mg given, not reverted. 200J DCCV given, not reverted. What is the ECG and next line of Mx?.#arrythmias #ecg

RT @Ahmedata7777: Dose adjustment of Warfarin to achieve therapeutic range INR . Use WEEKLY dose adjustment not DAILY dose!. ESC guidelines….

60 yr old gentleman with complaints of palpitations since 4 hrs of presentation.He was administered 6mg Adenosine iv and the sinus rhythm was obtained. All the relevant ECGs are shown below. What are the ECG findings and the diagnosis?.#cardiotwitter #ecg #arrhythmia #EPeeps

RT @QAlmulihi: When should you perform ECG after ROSC?.⏱️ Wait at least 8 minutes post-ROSC.✅ Improves specificity for true STEMI.⚠️ Early….

F/U : The CTCA of this patient showed 100% ISR with pseudoaneurysm formation. The pericardial fluid was drained and it was all purulent. Sent for cultures. Below is the CT 3D reconstructed image from the posterior aspect.Any other inputs on further workup?.#echofirst #CTCA

50 year old man with this scarry yet interesting echo recording 🧐.What are your views?.What can be the DDs possible?.#cardiotwitter #echocardiography #echofirst

Answer - This is type 3RL IAS aneurysm with enlarged LA. Color across IAS ( video N.A.) showed small PFO with left to right shunt.Paradoxical embolism leading to stroke in this case.

A 60 year old female referred for 2D echo as she suffered a left sided CVA two days back ( stroke protocol at our institute). What are the findings and what possible etiology can be thought for stroke ?.#echofirst #cardiotwitter #echocardiography

45 yr old female underwent some procedure via transfemoral route back in 2000, no records are available with her. What do you think of this?. #cardiotwitter #structural #echofirst

48 yr old man complaining of palpitations since 1 yr. Last episode 3 days back and got one ecg. No medications taken. Now came to OPD, another ecg being taken. Both the ECGs are shown. Dx, drugs to avoid & the line of treatment (medical and interventional).#ecg #CardioTwitter

RT @AnkurKalraMD: For the love of hemodynamics—what’s the diagnosis?

18 yr old female with history of palpitations and episodes of syncope. The ECGs are shown below-.1. Pre adenosine ecg.2. Ecg during the administration of adenosine. The rhythm didn't revert with adenosine and then. 3. Post diltiazem ecg. Diagnosis?.#ecg #cardiotwitter #arrythmia

What about the medical management in this case ?.Can we proceed with av nodal blockers considering this O-AVRT or it will cause more harm via AP of wpw?.@ecgandrhythmRoe @rajivasr @Ecgloverr @DrRazi4 @EcgOxford @UlhasDr @DrRajeshG1.