Meghav Shah

This 👇

@kshitzo @drsnehilmishra @abdagirenitin @shrikantdhanwal @care4urheart2 @SagarKabde @kamalcardiodoc1 Elastic stockings above knee can be helpful prior to medicines for postural hypotension.

.@drsnehilmishra @abdagirenitin @Meghav87 @shrikantdhanwal @care4urheart2 @SagarKabde @kamalcardiodoc1

76/ DM /Htn/ CKD/ IHD/ Post CABg status/ Moderate LV Dysfunction .. Severe orthostatic hypotension with NYHA class III symptoms(heart failure) Currently on frusemide 80 mg, metprolol xl 50 mg,amlo5mg.. What modifications for his OH symptoms, if frusemide decreased goes into HF

@drsnehilmishra @rishib01 @DrDeepakKrishn1 @care4urheart2 @DigvijayNalawa3 @nikhil01063 @SagarKabde @kshitzo @shrikantdhanwal @abdagirenitin @dhirendra208 @paragbawaskar @kamsandy123 @Chetancardiodoc @cardio_gotya @suheildhanse @PKCath @Sagar13desai @drsnehilmishra undersizing was never a problem at Nair sir... You would agree on that

@rishib01 @DrDeepakKrishn1 @care4urheart2 @DigvijayNalawa3 @nikhil01063 @SagarKabde @kshitzo @shrikantdhanwal @Meghav87 @abdagirenitin @dhirendra208 @paragbawaskar @kamsandy123 @Chetancardiodoc @cardio_gotya @suheildhanse @PKCath @Sagar13desai Absolutely. I have seen undersizing happen in chronic occlusions as well though..especially in the absence of good collaterals..arteries are underfilled for a long time and appear much smaller on conventional angio. Imaging should definitely be a norm than an exception.

Cath Lab challenges..#cardiotwitter 76/M, diabetic, admitted with heart failure, mildly elevated Troponin and regional wall on echo. Bilateral weak radial and upper limb discolouration. So decided to go femoral. Very tortuous aorta, RCA cannulation difficult despite long sheath.

An #ACCEarlyCareer #ACCFIT #tweetorial from the @WeillCornell Graphics Lab on common ECG Lead Switches (boards ❓favorites). In case you missed it - we are considering the infarct related artery responsible for the following pattern of injury in a 69yoM presenting with a STEMI:

Special thread discussing #COVID19 reinfection evidence in Iran. I felt it is time to compile it in a separate thread from my daily ones. /start

@paragbawaskar @AskDrShashank @kamsandy123 @punishiparekh @DigambarPanchal @mynameismugdha @spkalantri @pseudo_sapiens @swatigar When that isn't available, hydrocortisole is the substitute, but steroids are presently running like water in Mumbai...

@AskDrShashank Methylprednisolone is administered like water for most of the covid patients-one of the reason for uncontrolled sugars! @kamsandy123 @punishiparekh @Meghav87 @DigambarPanchal @mynameismugdha @spkalantri @pseudo_sapiens @swatigar

Mumbai: Is Covid-19 causing high sugar among patients? | Mumbai News - Times of India timesofindia.indiatimes.com/city/mumbai/is…

👇video made my day 🙏 Jilumol Mariot Thomas from Idukki, Kerala is the first lady in Asia without both upper arms to get driving licence with a special Court order. Awesome and highly inspiring. Salute her for the great will, determination and hardwork. 👌👍👏🙏 @NanhiKali

@DrRazi4 @BrooksWalsh @MDTolgaAksu @smithECGBlog @HakimIcu @SchakrabartiEP @MaxG693 @aportasanchez @Vadeboncoeur_Al @ecgrhythms @EM_RESUS @CarinaHardy4 @ECGfan @Hapa_EP @EPChitChat @dralokshah VT from LV origin

28 y.o no medical illness, came with fever and seizure.Bp hypotensive.VT or SVT abberancy?@BrooksWalsh @MDTolgaAksu @smithECGBlog @HakimIcu @SchakrabartiEP @MaxG693 @aportasanchez @Vadeboncoeur_Al @ecgrhythms @EM_RESUS @CarinaHardy4 @ECGfan @Hapa_EP @EPChitChat @dralokshah

@leilii @DrMarthaGulati @mariovar55 @GARCIAEDINSON95 @drSujayShad @VLSorrellImages @purviparwani Submitral aneurysm with severe MR

What's wrong with this heart? ⁦@DrMarthaGulati⁩, ⁦@mariovar55⁩, ⁦@GARCIAEDINSON95⁩, ⁦@drSujayShad⁩, ⁦@VLSorrellImages⁩, ⁦@purviparwani⁩

ZONES

@EchoAshwag There is turbulence in RV visualised too, so is it a artery to RV fistula?

I have case from [123sonographer] Congenital Anomalies of the Coronary Arteries I think there's [deffrential diagnosis] between the 2 cases here.! Any Idea ? twitter.com/RodrigogpLima/… #echofirst #echocases

@kshitzo @paragbawaskar @abdagirenitin @Ankurdilkadoc @GTawade84 @dralokshah Hypocrisy is everywhere... Can't help it, now getting used to it...

@paragbawaskar @abdagirenitin @Ankurdilkadoc @GTawade84 @dralokshah @Meghav87

What a genius idea! We all need to get the #COVID19 safety key to open doors / push elevator buttons/ even to flush the toilet!

@ecg_master Lupus pernio and heart block, likely sarcoidosis

What is the unifying diagnosis ? #medtwitter #cardiotwitter #EPeeps

@hchawlah Local trains are aptly the life line of mumbai, they run the entire city in normal times, but once they start off there can be disastrous increase in spread of covid 19 and can decimate the entire city per se...should be the last to start, probably more frequency and more coaches

The single toughest test for the End of The Great India Lockdown will be the re-running of Mumbai locals. Reopening Mumbai means restarting this LIFELINE for the DENSEST city on the planet. This lifeline has to adjust to the demands of the City around it. Or ... 1/

Cholera has produced 7 pandemics since 1817, killing >40M people. This poem written during the 4th cholera pandemic (1863–1875) provides hope that something positive can be gained from sheltering.

@jorgeachv @mmamas1973 @AdrianLostalo @lorenzo2509 @cardiojsl @DrNataliaP @OjedaOjeda18 @lamelaspablo @sbrugaletta @gutierrezjaikel @lydiarocap @MatiasJArevalo @evandrofilhobr @drbijagua @JChrisBarahona Could it be spasm!!?its a lipid rich plaque though

Beautiful OCT images #OCTimaging. what do you think about the dx? #imagingfirst @AdrianLostalo @lorenzo2509 @cardiojsl @DrNataliaP @OjedaOjeda18 @lamelaspablo @sbrugaletta @mmamas1973 @gutierrezjaikel @lydiarocap @MatiasJArevalo @evandrofilhobr @drbijagua @JChrisBarahona

When you order a test without knowing how to interpret the results #stewardmeme #dxstewardship #curbsideus

1. Discussions around #EXCEL are sensationalist disappointing @BBCWorld. it isnt the first time that a different endpoint definition changes the findings of an RCT. STEEPLE can be +ve, -ve or neutral depending on bleeding definition, RIVAL +ve or negative. @ajaykirtane @ShrillaB

@kshitzo @paragbawaskar @Ankurdilkadoc @AnkushG39398412 @abdagirenitin @kamalcardiodoc1 Crush with 2 stent technique if stent not in LMCA else cuolotte if stent of lad is into lmca

Ostial lad stenting 4 yr back Now c/o angina class 3.. How to approach?? @paragbawaskar @Ankurdilkadoc @AnkushG39398412 @abdagirenitin @kamalcardiodoc1