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Chen H Chow
17 posts
My pc is so slow, uploading photos to share is taking longer than doing consults.
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Thanks @TCTMD for highlighting our study in @JACCJournals on telehealth for heart failure patients during COVID19, led by star resident @SammourMD (cardiology fellowship PDs take note!)
And thanks to @DukeHFDoc for putting this in context in the article.
tctmd.com/news/hf-care-d…
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About 15-20% of severe AS are either paradoxical LFLG or NFLG with comparable post TAVR outcome as high gradient severe AS. If we don’t look, we don’t find. ahajournals.org/doi/10.1161/CI…
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Chen H Chow retweetledi
Chen H Chow retweetledi
#ISHLT leaders have decided to cancel #ISHLT2020. Our top priority is the health and safety of our attendees, staff, partners and vendors. We will keep you updated on refunds and next steps. Please follow us here and check online for updates. ishlt.org/publications-r…
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Chen H Chow retweetledi
Hello Swan, meet balloon. An innovative way to troubleshoot right heart catheterisation gone wrong bit.ly/2NGxnXr
@johncamm #openaccess #EHJCaseReports #ESCCoT #ESCardioEd #CardioTwitter @MilasinD18
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@BrettSperryMD IABP is probably better (compared to Impella) with restrictive cardiomyopathy anyway.
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Not classic to have such an improvement with a restrictive cardiomyopathy, but may happen particularly in those with low EF.
#PowerOfThePump
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Another anecdote: patient with end stage ATTR amyloidosis and EF 30%. Cardiac index 1.8 and creatinine 2+ for the past year. IABP placed and CI marginally improves to 2.0 but creatinine 2.3➡️2.1➡️1.8➡️1.5.
Michelle Kittleson MD PhD@MKIttlesonMD
#TipsForNewDocs- quiz! Pt with HF: dobutamine 5 mcg/kg/min, milrinone 0.375 mcg/kg/min, Lasix 20 mg/h. Day 1 HR 102 MAP 55 RA 14, PA 56/25, PCWP 28, CI 1.6 3L urine. Cr 2.4 Day 2 HR 98 MAP 60 RA 10, PA 36/16, PCWP 18, CI 2.4 7L urine. Cr 1.8 What happened on day 2?
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@EiranGorodeski @BurkhoffMd That should be hung on every cardiac floor.
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Clinical assessment of hemodynamics is entirely unreliable, across training levels. @BurkhoffMd #HFSA2019 Imvasive monitoring with swan is absolutely essential.
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@onco_cardiology @cshenoy3 @Doc_Tiger @MasriAhmadMD @DrFuisz @dr_adeebq @LopezOpitz @purviparwani @chiarabd @tiffchenMD @vass_vassiliou @EylemLevelt I cannot agree more. And that is true for all imaging modalities.
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@cshenoy3 @Doc_Tiger @MasriAhmadMD @DrFuisz @dr_adeebq @LopezOpitz @purviparwani @chiarabd @tiffchenMD @vass_vassiliou @EylemLevelt should be interpretation. I disagreed, and was a little bit unhappy about this determination. Anyways, technical aspect is very important, even at level 2 training. (2/2) anyone that is certified to read independently should be well trained in the acquisition aspect.
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A much needed study on T1 mapping on #whycmr in ARVD.
I really like T1, but I also dont think such a small difference in T1 (1067 vs 1038 ms on 1.5T) is clinically meaningful irrespective of p value.
What do you say #whycmr peeps?
sciencedirect.com/science/articl…
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The canagliflozin group had a lower risk of CV death, MI, or stroke (HR 0.80; 95% CI, 0.67 to 0.95; P=0.01) and hospitalization for HF (HR, 0.61; 95% CI, 0.47 to 0.80; P<0.001) Canagliflozin and Renal Outcomes in Type 2 Diabetes and Nephropathy | NEJM nejm.org/doi/full/10.10…
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@MichaelNassifMD @boback @gcfmd Can’t wait for results. Looking more like a new ”statin” but for HF.
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Chen H Chow retweetledi
Exciting time to be here in Astana, Kazakhstan. First-in-man experience of wireless CF-LVAD implant from @leviticuscardio. NO Driveline! Uses internal coils capable of holding charge for 8 hours. Read about it now in @TheJHLT jhltonline.org/article/S1053-…
leviticuscardio@leviticuscardio
Prof. Yuriy Pya, MD, PhD, and his global team from the Czech Republic, Israel, Italy and the U.S.A fit the world's FIH Leviticus FiVAD™. The future of Chronic Heart Failure treatment?
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Uncontrolled DCD: When Should We Stop Trying to Save the Patient and Focus on Saving the Organs? - Ortega‐Deballon - 2018 - Hastings Center Report - Wiley Online Library onlinelibrary.wiley.com/doi/10.1002/ha…
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