Dr Why

@DrIHHashmi1 Robitic LIMA- for this young patient

60y old male. ACS. What approach would you take for this ostial LAD?

@DrRajeshG1 Is there a goiter also

JVP for residents and fellows. (Always time waves by simultaneously palpating carotids). Still, you can have some idea.

@smithECGBlog @PendellM @DrRajeshG1 @RobertHermanMD Can’t agree more- my eyes immediately look for STDs when I see STE

@PendellM @DrRajeshG1 @RobertHermanMD Anytime there is ANY ST elevation in precordial leads, then ANY ST depression in other precordial leads tells you that the ST elevation cannot be normal variant.

36 year old male with chest pain of 2 hours duration. OMI or not?

@EcgOxford @akneton @yolyabreuh @UlhasDr @DidlakeDW @ecgrhythms @IhabFathiSulima @DrPharmDMDTh @Vadeboncoeur_Al @smithECGBlog @EM_RESUS @estudiomedicina @OrlandoRPN @fxgodzeuss @ResusMed @TrRja @NaokiThukishima @ecgandrhythmRoe 3rd EKG has STE in right precordial leads- would think of LAD OMI esp if RBBB is new

CP in ex-smoker Worrisome? Dx? @akneton @yolyabreuh @UlhasDr @DidlakeDW @ecgrhythms @IhabFathiSulima @DrPharmDMDTh @Vadeboncoeur_Al @smithECGBlog @EM_RESUS @estudiomedicina @OrlandoRPN @fxgodzeuss #EPeeps #FOAMcc @ResusMed @TrRja @NaokiThukishima @ecgandrhythmRoe

@smithECGBlog @ECGcases SVT with aberrancy, inferior STEMI

65 year old with chest pain during dialysis drsmithsecgblog.com/65-year-old-kg… @ECGcases

@DrRajeshG1 LAD OMI

@RobertHermanMD @smithECGBlog @willyhfrick @FloydECGs @PendellM Yes

@RobertHermanMD @smithECGBlog @willyhfrick @FloydECGs @PendellM What your take on this ekg

If you were this patient, would you prefer to be managed with the Queen of Hearts? hqmeded-ecg.blogspot.com/2024/10/if-you… @PendellM

@TheECGMedic @smithECGBlog No CAD on cath

@DrWhyWho @smithECGBlog What was the outcome of this? ECG shows inferoposterior reperfusion + 1AVB CP Inferior STJ-T change with ?Stroke symptoms id be questioning if this is an aortic dissection - albeit less likely and frequent.

Opinions 60 F ESRD Facial droop CP @smithECGBlog

@TheECGMedic @Ecgloverr @ecgandrhythmRoe @EcgOxford @ecgchallenge The drop beat is unpredictable

@DrWhyWho @Ecgloverr @ecgandrhythmRoe @EcgOxford @ecgchallenge What makes you think it’s Type 2?

Thoughts? @ecgandrhythmRoe @EcgOxford @ecgchallenge

@CASivaram1 @DrDeepa1020 @ThelsaW @ChamsiPash @jaideeppatelmd @DrRajeshG1 @sudarshanballa @SarasVallabhMD @iamritu @alexsfelixecho @HeartOTXHeartMD @purviparwani @argulian @DavidWienerMD @JohnHenryDean Layered thrombus

#echofirst ✅ Your thoughts on pathology? @DrDeepa1020 @ThelsaW @ChamsiPash @jaideeppatelmd @DrRajeshG1 @sudarshanballa @SarasVallabhMD @iamritu @alexsfelixecho @HeartOTXHeartMD @purviparwani @argulian @DavidWienerMD @JohnHenryDean

@JayMathewsMD @DrJayMohan @jcgeorgemd @HadyLichaaMD @AntoniousAttall @PenVascular @Allison_Dupont @EricSecemskyMD @VladLakhter @drochohan @t_intheleadcoat Good points. However, may not need to cannulate the renal vein selectively if the thrombus can be pulled out en masse…

@DrWhyWho @DrJayMohan @jcgeorgemd @HadyLichaaMD @AntoniousAttall @PenVascular @Allison_Dupont @EricSecemskyMD @VladLakhter @drochohan @t_intheleadcoat I think the tip is 5x softer and the angle probably works better to cannulate the renal vein even without a wire. Esp with the Select plus catheter. If just IVC, either system works fine.

1/FLASH 16 IVC thrombus 💪🏽Torque the catheter quite a bit. Travels nicely and works fast 🌈Can access renal vein and do up and over due to its flexibility 🔥Element sheath very nice. Can inject around it and also aspirate with it on way out to clear access site. #CardioX

@DrJayMohan @jcgeorgemd @HadyLichaaMD @AntoniousAttall @PenVascular @JayMathewsMD @Allison_Dupont @EricSecemskyMD @VladLakhter @drochohan @t_intheleadcoat Flowtriever would have worked also- Great result,congrats!

@jcgeorgemd @HadyLichaaMD @AntoniousAttall @PenVascular @JayMathewsMD @Allison_Dupont @EricSecemskyMD @VladLakhter @drochohan @t_intheleadcoat Thanks! My only gripe is sometimes you can’t fully see that it’s all out unless you are personally watching the tubing/canister, but you have to trust the system.

@GEICC3 @aspergian1 @jl35wilsonMD @Hragy @JEscaned @perc_surgeon @djc795 @KambisMashayek1 @KAlaswadMD @EAPCIPresident @mirvatalasnag @alaide_chief @KateKearney4 @DrSethdb @ABiomed @TheNarulaSeries Good result-are those stents all the way down to the distal LAD or did you use a combination of stent/DCB?

@aspergian1 @jl35wilsonMD @Hragy @JEscaned @perc_surgeon @djc795 @KambisMashayek1 @KAlaswadMD @EAPCIPresident @mirvatalasnag @alaide_chief @KateKearney4 @DrSethdb @ABiomed @TheNarulaSeries Yes! Diagnostic angiogram was done Monday and PCI yesterday to make sure that heart team assessment was performed and inform consent obtained

62yo man, NSTEMI, EF:21%, Mean PA: 35mmHg, PCWP:20mmHg, CPO: 0.56. @ProtectedPCI w/ Impella CP for LM/LAD last remaining vessel. Impella was absolutely essential as the patient lost arterial pulsatility during vessel manipulation. Amazing performance of the device

It is 10 mm/mv

Vomiting/ abdominal pain @smithECGBlog @ecgandrhythmRoe

@nadig_cardio @JoySanyal74 @abadkhan2002 Fix LM and see

Elderly lady post CABG , 6 yrs back limiting angina , NSTEMI IMA and SVG to RCA 🆗, svg to corona at CX degenerated Critical LM ds , extremely tortous LCX with done se calcification Severe medina 1-1-1 ds at CX - major OM origin How would u treat @JoySanyal74 @abadkhan2002 @drkk4u @sreekanthshetty #cardiotwitter #CardioTwitter

@dmuthuk Even poorer when it comes to civic sense

The list we should not be in but unfortunately there.

@DrRajeshG1 Wrap- around LAD Or LAD occlusion in setting of RCA cto

Patient developed chest pain during recovery after TMT. Which is the likely IRA?

@ecgandrhythmRoe Pre-excited Afib?

This interesting ECG was sent to me with the following information: 19 yo male, no medical history, no family history, coming to ER with 2 hours palpitation. What`s your take?

@jcgeorgemd @GPAngioClub @ACVCPhila @ReVascMed @EricSecemskyMD @sahilparikhmd @JayMathewsMD @PennCVFellows @TJHeartFellows @TempleCards @LankenauCV @CooperCVFellows Post dilated if more than 30% residual stenosis Could do on table doppler?

#CarotidCaseFiles: how aggressively do you post-dilate following carotid artery stenting? Is it time to develop and use objective intravascular imaging #IVUS data to guide adequate stent expansion? @GPAngioClub @ACVCPhila @ReVascMed