Luis Calderon Vera

@Amhar_47 @adribaran @DidlakeDW @Doc_AleCuesta @DrRazi4 @Ecgloverr @EcgOxford @ecgandrhythmRoe K: 1.58 mmol/L

@luiscalderonve @adribaran @DidlakeDW @Doc_AleCuesta @DrRazi4 @Ecgloverr @EcgOxford @ecgandrhythmRoe Abnormally wide QRS with PR prolongation with no real conduction abnormality with QT prolongation. Check Electrolytes Maybe HyperK with HypoCa? CKD patient?

38-ym with generalized weakness that began in his lower extremities, a hx of vomiting. 1 ekg ER,2 EKG after tx @adribaran @DidlakeDW @Doc_AleCuesta @DrRazi4 @Ecgloverr @EcgOxford @ecgandrhythmRoe

New Clinical Practice: Peripheral Artery Disease in the Legs 👉 nej.md/4sZujsh Peripheral artery disease affects approximately 236 million persons worldwide and is diagnosed with an ankle–brachial index of less than 0.90. Among older persons, 3.3% of those without peripheral artery disease, 18.1% with mild disease, and 52.0% with severe disease could not complete a 6-minute walk test without resting. To prevent cardiovascular events in persons with peripheral artery disease, intensive cholesterol-lowering medications (statins), antiplatelet medications or low-dose aspirin with rivaroxaban, blood-pressure lowering to less than 130/80 mm Hg, and semaglutide are recommended, along with sodium–glucose cotransporter 2 inhibitors in patients with diabetes. Supervised walking exercise and structured home-based walking exercise each improve walking ability in persons with peripheral artery disease. Revascularization in the legs should be reserved for those with persistent disease symptoms that do not respond to exercise. Learn more in the Clinical Practice article “Peripheral Artery Disease in the Legs” by Mary M. McDermott, MD, from the Northwestern University Feinberg School of Medicine (@NUFeinbergMed): nej.md/4sZujsh

Meta-analysis of four randomized trials found β-blockers did not reduce mortality, recurrent #MyocardialInfarction (MI), heart failure, or revascularization in patients with preserved left ventricular ejection fraction after MI. ja.ma/3Nv7DQn

A 69 yo lady. Asymptomatic. No CV history. Evaluated for systolic murmur. Echo without shunts. What is your impression? #echofirst

President Trump is taking 325 mg of aspirin a day to prevent heart disease. His doctors advise him to take 81 mg. Both are wrong. Here’s why. New edition of Ground Truths, open-access erictopol.substack.com/p/the-lowdown-…

25 male, foreigner, chest pain on/off multiple sites on left chest 2-3 months with intermittent black outs past 2 days. @DrJNELLY95 @DrAkhilX @DrRajeshG1 @DrRazi4 @ecgandrhythmRoe @ecgrhythms @Frances98392343 @KostekMilan @TheECGMedic

@The_Nanashi_O @adribaran @ecgandrhythmRoe @MaruanCarlos @EcgRhythm @Serginho1409 @UlhasDr @DrRazi4 @Jagdish26039718 @EcgOxford @DidlakeDW @Doc_AleCuesta Dr @The_Nanashi_O patient is 1000 km from the city of Lima; contact has been lost.

@luiscalderonve @adribaran @ecgandrhythmRoe @MaruanCarlos @EcgRhythm @Serginho1409 @UlhasDr @DrRazi4 @Jagdish26039718 @EcgOxford @DidlakeDW @Doc_AleCuesta 1st ECG = SR + LAFB + LVH 2nd ECG = SR + left-sided AP at 7-8 o'clock 3rd ECG = impression of dilated CM (? aneurysmal LV) with EF <40% Should be getting an echo. Do you have more info?

@adribaran @ecgandrhythmRoe @MaruanCarlos @The_Nanashi_O @ecgrhythm @Serginho1409 @UlhasDr @DrRazi4 @Jagdish26039718 @EcgOxford @DidlakeDW @Doc_AleCuesta @ecgandrhythmRoe 44y M asymptomatic, annual check ekg 1 December 2024, ekg 2 November 10, 2025, ekg 3 November 11, 2025

@Ecgloverr @Frances98392343 @adribaran @ecgandrhythmRoe @MaruanCarlos @The_Nanashi_O @EcgRhythm @Serginho1409 @UlhasDr @DrRazi4 @Jagdish26039718 @EcgOxford @DidlakeDW @Doc_AleCuesta Not ablation

@Frances98392343 @luiscalderonve @adribaran @ecgandrhythmRoe @MaruanCarlos @The_Nanashi_O @EcgRhythm @Serginho1409 @UlhasDr @DrRazi4 @Jagdish26039718 @EcgOxford @DidlakeDW @Doc_AleCuesta Maybe 3rd one Post ablation?

The hyperacute T wave (HATW) score is the first objective definition of HATW showing significant clinical utility as an #ECG finding of acute coronary occlusion in potential acute coronary syndrome patients. jacc.org/doi/10.1016/j.… #JACCAdvances #cvACS #STEMI @PendellM

@Doc_AleCuesta @adribaran @ecgandrhythmRoe @MaruanCarlos @The_Nanashi_O @EcgRhythm @Serginho1409 @UlhasDr @DrRazi4 @Jagdish26039718 @EcgOxford @DidlakeDW Thanks Dr.PMH only Hypertension and atrial flutter

@luiscalderonve @adribaran @ecgandrhythmRoe @MaruanCarlos @The_Nanashi_O @EcgRhythm @Serginho1409 @UlhasDr @DrRazi4 @Jagdish26039718 @EcgOxford @DidlakeDW The first tracing should be considered VT and treated as such. Good for the colleagues !!! Then we see it was SVT because the QRS morphology is the same. May be an atrial flutter or a AVNRT. Huge BCRD; he has an advanced MCP or RV cardiac surgery.

86 y M admitted SOB and hypotension EKG 2 after CD @adribaran @ecgandrhythmRoe @MaruanCarlos @The_Nanashi_O @ecgrhythm @Serginho1409 @UlhasDr @DrRazi4 @Jagdish26039718 @EcgOxford @DidlakeDW @Doc_AleCuesta @ecgandrhythmRo

59 y M comes for asymptomatic check-up @adribaran @ecgandrhythmRoe @MaruanCarlos @The_Nanashi_O @ecgrhythm @Serginho1409 @UlhasDr @DrRazi4 @Jagdish26039718 @EcgOxford @DidlakeDW @Doc_AleCuesta @ecgandrhythmRoe

12 year old girl walked-in with a sudden onset of palpitations; VS stable; What is the rhythm diagnosis🤔❓ @PMcardioApp #ecg #CardioEd #CardioX #MedTwitter #medicalstudent

🔴Anticoagulation comparison chart 🔹Apixaban, Rivaroxaban, dabigatran, and warfarin ! Looking for a quick & convenient way to compare different #DOACs & #warfarin?! Look no further than NATF's #anticoagulation comparison chart! See the full chart at hubs.la/Q01vTd1y0

Middle age lady DM, HTN; palpitations: VS stable #ecg rhythm❓🤔VT or AF❓ #Cardiology #cardiotwitter #CardioEd #Medicalstudent #MedTwitter @PMcardioApp @LITFLblog

A Patient with heart failure. What has happened?

I got called an idiot in front of 4 other med students for calling this an MI… I still believe this is going to be a LAD-D1 occlusion. I wont find out for a few days… What are your thoughts? #ECG #ECGChallenge #Medstudent

@Serginho1409 @adribaran @ecgandrhythmRoe @MaruanCarlos @The_Nanashi_O @ecgrhythms @syamkumarmd @UlhasDr @DrRazi4 @Jagdish26039718 @EcgOxford @DidlakeDW @Doc_AleCuesta @IhabFathiSulima Estuvo hemodinámicamente estable Optaron por darle Amiodarona

@luiscalderonve @adribaran @ecgandrhythmRoe @MaruanCarlos @The_Nanashi_O @ecgrhythms @syamkumarmd @UlhasDr @DrRazi4 @Jagdish26039718 @EcgOxford @DidlakeDW @Doc_AleCuesta @IhabFathiSulima Es una Taqui Ventricular Por que no le hicieron cardioversion eléctrica

Patient: M 72y PMH DM2 admitted to ER ,SOB, received amiodarone infusion @adribaran @ecgandrhythmRoe @MaruanCarlos @The_Nanashi_O @ecgrhythms @syamkumarmd @Serginho1409 @UlhasDr @DrRazi4 @Jagdish26039718 @EcgOxford @DidlakeDW @Doc_AleCuesta @IhabFathiSulima