Edris Alderwish MD

140 posts

Edris Alderwish MD

Edris Alderwish MD

@Cardio_experts

Interventional Cardiologist with expertise in complex interventions, advanced cardiovascular imaging #CCTA #CMR

Los Angeles, CA Katılım Mart 2023
70 Takip Edilen50 Takipçiler
NBA
NBA@NBA·
JADEN IVEY 4-POINT PLAY FOR THE WIN ‼️ Pistons win 114-113 🚨
English
181
918
5.4K
1.3M
Edris Alderwish MD
Edris Alderwish MD@Cardio_experts·
@Hragy The likelihood of restenosis is very high probably best to take her back for IVUS… I had a recent patient who came to me 2.5 stent in LAD restenosed in 3 months
English
0
1
2
548
Hany Ragy
Hany Ragy@Hragy·
Young diabetic female, ant STEMI, taken to timely PPCI where she received a 2.5/38 stent in a totally occluded 4 mm LAD with TIMI3 flow, now 3 months post procedure, asymptomatic, normal LV, comes cause she wants you or me as her cardiologist. Poll in thread
English
15
4
13
15.5K
Gavin Preston, M.D.
Gavin Preston, M.D.@GavinPrestonMD·
My primary care doc bills my insurance $100 when he does an EKG in-office. He wanted another, I said could I go to my local hospital to get one? "Yes." I went by, they said would do it. I asked how much-- $1,200! I said no thank you. My doc did it. Time for uniform pricing in US.
English
58
41
345
114.8K
Edris Alderwish MD
Edris Alderwish MD@Cardio_experts·
@nickmmark Our intention should be teach others with our posts or get feedback on different techniques etc. but as you mentioned timing is everything!! Social media is not the enemy and when used properly it can be a great resource!
English
0
0
0
176
Nick Mark MD
Nick Mark MD@nickmmark·
Imagine your loved one is critically ill. There’s a heart problem requiring emergency surgery. The doctor shows you a video of the ultrasound. You go home & try to google it. You google the doc’s name. You see they just posted THE SAME VIDEO on Twitter. How would you feel? 1/
English
53
59
343
175K
Edris Alderwish MD
Edris Alderwish MD@Cardio_experts·
@BaoGTran Possible hematoma or healed plaque rupture. Never seen anything like that did you fix it? Or CABG
English
0
0
5
1.6K
Bao Tran, MD
Bao Tran, MD@BaoGTran·
Elderly patient with new onset heart failure, EF 25% and moderate to severe AI. What do you think of this left main?
English
41
50
258
98.4K
Edris Alderwish MD
Edris Alderwish MD@Cardio_experts·
@andreapicci990 Wow nice save!! It looks like it was still attached to the original wire. Personally I stopped using a second wire for provisional unless it’s severely diseased branch
English
0
0
1
37
Andrea Picci, MD
Andrea Picci, MD@andreapicci990·
Let’s twist! On-call ST elevation procedure started looking simple: 2 wire, 1 DES provisional strategy but…mind the gap! Rupture of jailed wire so… 3 WHwire and twist!! That’s all!
English
16
19
120
14.1K
Dr Imran Hanif Hashmi
Dr Imran Hanif Hashmi@DrIHHashmi1·
Reverse wiring. 70y male. Diffuse disease. Lcx severe diffuse disease. ACS, LAD diagonal difficult angle. Surgical turn down by CS at heart team discussion. RCA distal diffuse disease. Blocked balloon tech failed. Reverse wire successful.
English
19
23
161
18.4K
Hany Ragy
Hany Ragy@Hragy·
@Cardio_experts @KardiologieHH Thank you dear Dr Edris, a few years ago I would have ad-hoc’d the Ramus and RCA with 2 stents. Now my understanding has changed a bit, if the CAD is causing the HF(which is very unlikely) its be indicated for revasc. Otherwise will Rx OMT 4 pillar HF and defer revasc.
English
1
0
0
32
Hany Ragy
Hany Ragy@Hragy·
M 70, presents with new severe fatigue in effort, echo shows EF 30%, no other abnormalities, no prior MI , no angina This is the angio, poll in 🧵
English
23
11
82
46.4K
Edris Alderwish MD
Edris Alderwish MD@Cardio_experts·
@Hragy @KardiologieHH Great case professor…OMT and consider at least RCA/Ramus PCI if no LIMA circ territory is small but the Ramus feeds entire lateral wall
English
1
0
1
28
Hany Ragy
Hany Ragy@Hragy·
@KardiologieHH Issue is : is the HFrEF ischemic? or is the CAD just bystander condition not requiring open heart surgery.
English
6
0
8
1.4K
Edris Alderwish MD
Edris Alderwish MD@Cardio_experts·
@Hragy LAD has diffuse disease…. Looks like Ramus is severe and RCA… if no LIMA would do PCI
English
0
0
0
10
Hany Ragy
Hany Ragy@Hragy·
Interesting result of 450 votes! The surgeon I work with - who has no issues with offpump CABG is not sure this LAD has any severe lesions..
Hany Ragy@Hragy

Now…

English
1
0
1
867
Edris Alderwish MD
Edris Alderwish MD@Cardio_experts·
@ShariqShamimMD I’m in a major metropolitan area and we have only two centers near by and we wait months in between prior auth, scheduling and an official read.
English
0
0
1
54
Shariq Shamim
Shariq Shamim@ShariqShamimMD·
I send my cardiomyopathy patients for cardiac MRI at one of the biggest academic centers in the country and they get date for CMR 2 months out, neither patient not doc waiting that long. Guidelines is one thing, readily available modality with outstanding reader is another.
Dr. Purvi Parwani@purviparwani

#ESCCongress cardiomyopathy guidelines. 🧲 Class i indication for #whyCMR at initial evaluation 🧲 serial follow up for risk assessment / therapeutic response. How many centers in the USA currently do that? Forget about initial eval- Sadly it’s not even the afterthought! H/t @mirvatalasnag @SCMRorg @chiarabd @karen_ordovas @HeartDocSubha @mgwfriedrich

English
5
2
15
6K

Keşfet

@GavinNewsom @KTLA @KarenBassLA @Cal_OES @realDonaldTrump @NBA @meelonmuskusa @Hragy