Bhuvnesh Aggarwal

@NikhilShahMD @LaheyCardiology There appears to be A V dissociation. The 2 QRS's are coupled.

@LaheyCardiology Loving all the thoughts and input! Will post the general consensus on the tracing tomorrow. Still haven't seen a 100% correct response :D (and unknown if the patient is on digoxin or transplanted, but suspect the latter is not true)

This is the most interesting ECG I've seen in a long time. It was presented at the @LaheyCardiology weekly General Fellows ECG conference without any clinical history. Thoughts on this #CardioTwitter and #EPeeps?

The interview process is ultra-competitive. But with proper preparation, it is possible to stand out. THREAD: 20 common interview questions, what they really mean, and how to nail them:

@mathur_a @mmamas1973 @mirvatalasnag @aayshacader @AnkurKalraMD @KHERA_MD @Hragy @HanCardiomd @NishithChandra @SGuptaMD @HeartOTXHeartMD @azeemlatib @DocSavageTJU @iamritu @DrMarthaGulati @BaoGTran @DrToniyaSingh Congratulations! Would love to participate. Thanks for sharing.

Announcing the first Hybrid meeting on Sept 5th, 2021. @mmamas1973 @mirvatalasnag @aayshacader @AnkurKalraMD @KHERA_MD @Hragy @HanCardiomd @NishithChandra @SGuptaMD @HeartOTXHeartMD @azeemlatib @DocSavageTJU @iamritu @DrMarthaGulati @BaoGTran @HeartOTXHeartMD @DrToniyaSingh

@Gill_Gross Fatigue is showing for novak. But he may have a second wind.

Strangely Djokovic has gotten worse as this set has gone on. Tsitsipas weathered the storm nicely at the start with clutch first serves. Tiebreak time.

@Gill_Gross @jon_wertheim Biggest reason is that all 3 are all court players. Novak has 5 rome masters and rafa has 2 wimbledons. They are the favorites in every tournament they play unlike Sampras or even Agassi. And they have done that for 10 plus years

@jon_wertheim Not that I fully disagree, but it's definitely worth nothing that this is the list of most Masters titles.

When we discuss the "why" behind the Big Three, the first download of credit has to go to the players themselves. This ritual excellence is extraordinary (and Thiem et al throw it into sharp relief)...but Bo5 is a huge benefit. Doesn't mean it's bad. But it's a real factor...

@Big3Tennis Also happened in 2018- 3 years ago.

6 years ago today, another guy with a one-handed backhand beat Djokovic at the French Open. Is history going to repeat itself today?

Mitral VinV Implantation Technique: - No routine pre CTA - ICE guided, moderate sedation - Always balloon septostomy - Pusher stays closer to THV - RAO CRA view - No pacing - Figure of 8 suture What’s your practice? #cardiotwitter #MedEd #echofirst #MedTwitter

@vanshv2k Ruud is above sinner and karatsev in my ranking. I agree with the rest.

Top 10 Contenders for RG🏆you ask? ATP 1.) Rafa 2.) Novak 3.) Tsitsipas 4.) Thiem 5.) Zverev 6.) Rublev 7.) Sinner 8.) Berrettini 9.) Karatsev 10.) Ruud WTA 1.) Barty 2.) Swiatek 3.) Sabalenka 4.) Muguruza 5.) Svitolina 6.) Stephens 7.) Kenin 8.) Gauff 9.)Badosa 10.) Andreescu?

@chadialraies @csi360 @penumbrainc Why not treat medically with dapt +/- IIb/IIIa +/- AC. Reassess symptoms as an outpatient and pick your choice of tool for lesion modification. @DavidLBrownMD

Good morning. inferior STEMI few days ago. 2.0 Balloon didn’t cross. 1.0 Sapphire II @csi360 went and thrombectomy @penumbrainc done. TIMI 0 ➡️ III. bigger balloons didn’t pass with AL1, guideliner. IVUS stuck at 360 Ca++. ST ⬆️ & CP resolved. What’s next? Poll & RT pls thanks

@AshishPershad Great retrieval. Now what’s your plan for AC in this patient?

Case of the week -Mother of all DRT on Watchman 4 years out treated with a lightning 12 Penumbra System - with Sentinel cerebral protection and thankfully no peri-procedure stroke

@AnkurKalraMD Is it better than samosa chaat at choolah ?

I have found authentic #samosas in Cleveland; at the Algebra Tea House in Little Italy! The cilantro chutney and the crust are to die for.

@lewis052 Thanks for sharing. Would not have thought of this to save the case. We all learn from difficult cases.

Emotionally rich day in the Hybrid OR today! 75 yo with O2 dependent COPD (3L/min) undergoing transcarotid TAVR #lineoflucency for severe AS (LV wire used for pacing). Balloon would not fully inflate to expand valve and contrast emptied from inflation device...

@DrNataliaP @Waelsumaya @ESHLOF @ziadalinyc @mmamas1973 @MaeharaAkiko @hect2701 @twj1974 @RaberLorenz @JEscaned @NievesGonzalo1 @AJuradoRoman @SibbaldMatt @tejsheth1 @Dutra_1982 @jorgeachv @MogneeA @JLVelianou @MauroEchavPinto @DanielChamie @uribemd72 @Maurici47613939 Fabulous. Never seen this before.

Enjoy this beautiful #OCT image. Case by @Waelsumaya. 70M recurrent MI, ostial RCA was stented eventually, ISR soon after. Biopsy consistent with Fibroelastoma. @ESHLOF @ziadalinyc @mmamas1973 @MaeharaAkiko @hect2701 @twj1974 @RaberLorenz @JEscaned @NievesGonzalo1 @AJuradoRoman

@purviparwani Get a cheap one if you are prone to losing it (like me). What matters is what’s between the ears.

Lost my stethoscope again!!!!!!! What’s #CardioTwitter #Medtwitter advice on purchase of new stethoscope? Anything cool, high tech and functional worth investing into??

@cardioPCImom @yourheartdoc1 @mmamas1973 @saraceciliamtz @drsonyaburgess @jtsaxon @djc795 @DocSavageTJU @AnastasiaSMihai Always go home and take a shower. I can’t function without one.

@yourheartdoc1 This is the exact reason i have (albeit very uncomfortable) couch in my office

For the proceduralists out there who take overnight call from home (any specialty) ... You've done back to back cases overnight with 2 hours sleep. It is now 6am and your day starts at 730am. What do you do? #cardiotwitter #medtwitter

@adnanalkhouli @djc795 Sample the patient. I have many that are like this. Sad reality of American health care system.

@djc795 They tried - was unable to get in a therapeutic range and was then switched to DOAC

Sad LAAO referral: * ‘I have insurance but can’t afford 420$ monthly co-pay for DOAC’ * ‘I used to get them from 🇨🇦, 🇹🇷, 🇮🇳 for 100$ but supply is not consistent’ In your opinion; is this an appropriate rational for LAAO?

@Tesslagra @MazinKhalidMD @Sidsab49 @nolanjimradial @Nepsont @jigneshpatelMD @arsalanhahsmi @kunal43236759 @MitulKanzariaMD @K_DeSilva Bring on the high dose cine. I got it ‘covered’😅

Some people are a little heavy on the ☢️pedal, so I tweaked my protective apparel somewhat. #RadialFirst

@heartdoc45 @DrMarthaGulati @HeartOTXHeartMD @AnastasiaSMihai @lindseydhoman @cardioPCImom @RB_Mrs @CMichaelGibson @DocSavageTJU @Hragy Who needs a 😴? This guy.

#dogsoftwitter @DrMarthaGulati @HeartOTXHeartMD @AnastasiaSMihai @lindseydhoman @cardioPCImom @RB_Mrs @CMichaelGibson @DocSavageTJU @Hragy

@rajivxgulati Outstanding Dr Gulati.

14F PCI #RadialFirst

@DrSaririan @ShariqShamimMD Wonder what the diastology looks like in VF 😅

@ShariqShamimMD What did the 2-chamber view look like? #echofirst #CPRsecond 😜

Rare glimpse of echocardiogram just at the onset of VF, no organized heart activity and.... #cardiotwitter #MedTwitter