Dr. Omar

Digitoxin in Patients with Heart Failure and Reduced Ejection Fraction | NEJM #ESCCongress Okay for Digitoxin in HFrEF… but wait  The only available ARNI is sacubitril/valsartan (ARNI+ARB) yet they manage to recruit 40% ARNI & 18% ARB..!! Analyze👆🏻 nejm.org/doi/full/10.10…

If a toxic person is unwilling to change and continues to cause harm, ending the relationship entirely may be necessary. Cut All Ties with Toxic People . Life is a beautiful choice 🌻

@mzkhalil B

45F on steroids for SLE presented with chest pain. CAG is showing a double lumen. What is the most likely cause? A) Iatrogenic dissection B) SCAD C) Guidewire artifact D) Vessel overlap E) Contrast artifact #cardiology #MRCP #CardioX

PCI in Patients Undergoing Transcatheter Aortic-Valve Implantation | NEJM PCI showed better survival than conservative therapy in TAVI patients. nejm.org/doi/full/10.10…

His hepatitis was caused by severe ischemic early liver injury (SIELI). He continued to deteriorate with multi-organ failure and eventually died in ICU. It remains unclear whether his SIELI is due to persistent hypotension or other etiology. sciencedirect.com/science/articl…

He was shifted back to ICU on vent and full support. His lab revealed elevated lactate and creatinine. His AST= 1460 & ALT= 1100. What’s the cause of his hepatitis? A) Viral B) Drugs C) Ischemia D) Immune E) Metabolic

A Surgeon Work Ruined by Intensivist: 50M with severe CAD consented for CABG. He had LIMA to LM, SVG to OM & LAD. He was shifted to ICU on vent. What’s the best extubation scenery post CABG? A-) OR B-) ICU jcvaonline.com/article/S1053-… #MRCP #CardioTwitter #CardioEd

I endorse ❤️

@mzkhalil MRR is lowered by higher total plaque burden, which indicates less resistance reserve.

Microvascular resistance reserve 𝓐𝓷𝓪𝓵𝔂𝓼𝓮 𝓽𝓱𝓲𝓼: "patient-specific plaque burden was negatively associated to vessel-specific MRR; however, vessel-specific plaque burden was not related to vessel-specific MRR." academic.oup.com/ehjcimaging/ad…

@mzkhalil Patients with MRR ≥2.0 mmHg/cm/s are reported to have a higher plaque burden and more diffuse CAD.

Prognostic Value of Microvascular Resistance Reserve Measured Immediately After PCI in Stable Coronary Artery Disease: Microcirculation must be addressed. ahajournals.org/doi/10.1161/CI…

“I’m so fascinated by the strength of those who are suffering in silence, knowing that time and patience heal their pain.” Life is a beautiful choice 🌻

Red blood cells: a new target to prevent cardiovascular disease? We’re done with platelets, now comes RBCs academic.oup.com/eurheartj/arti…

Late-onset endocarditis due to #COVID19 academic.oup.com/eurheartj/adva…

" Wisdom and knowledge make a perfect choice from unlimited possibilities. " Life is a beautiful choice. 🌻

Like this post if you hate the new fortnite update

Abnormal blood vessels in the brain, while rare, may require treatment to restore healthy function. A brain arteriovenous malformation (#AVM) is when vessels are tangled, enlarged and weakened, with symptoms often appearing in young people. #BrainAVM mayocl.in/2Rwx6bk

@realDonaldTrump Raise your hand if you stand with the United States of America, not Iran.

The DOJ found James Comey hid a white binder marked "CLINTON EMAILS" in his office safe. They also found Hillary's backup email device in his possession. That is what we called OBSTRUCTION OF JUSTICE!