Thomas Coelho Assmann

507 posts

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Thomas Coelho Assmann

Thomas Coelho Assmann

@thomascassmann

Interventional Cardiologist 🇧🇷

Cascavel, Brasil เข้าร่วม Eylül 2019
446 กำลังติดตาม384 ผู้ติดตาม
Ramón López Palop
Ramón López Palop@ramonlopezpalop·
A f48 y. o with no risk factors admitted for isolated episode of typical rest angina. Minimal inferior ST changes and significant troponin elevation. CGA without significant lesions but with pressure damping on catheterization of the LMCA requiring subselecitve injections.
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Lorenzo Azzalini
Lorenzo Azzalini@LAzzaliniMD·
@anish_koka Curious to know how we got here… I’d PCI my RCA and take tons of rosuvastatin and PCSK9i. Hopefully 🤞🏼 the LAD lesion won’t progress. With my usual degree of physical exertion the RCA will give me problems and I’d want it fixed. Btw if iFR is borderline we should FFR…
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Anish Koka, MD
Anish Koka, MD@anish_koka·
It is 2023. You are a cardiologist and know what the ISCHEMIA trial says. You are asymptomatic but for some reason still end up getting a Cath. Ifr is borderline for everything. Nl EF. What do you do ? (Poll in reply )
Anish Koka, MD tweet mediaAnish Koka, MD tweet media
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Ignacio Seropian MD
Ignacio Seropian MD@ISeropianMD·
@thomascassmann @adrianocaixeta It’s not advisable to diagnose in curved MPR reconstruction… but in that bee doesnt’t look more than 50% to me (half of distal vessel). Maybe that was the reason for the LHC… which is 20% at most. Thanks for ur comment!
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Adriano Caixeta MD, PhD, DSc
Adriano Caixeta MD, PhD, DSc@adrianocaixeta·
Vulnerable plaque in pt with unstable angina. By AngioCT (A) positive remodeling, low-attenuation plaque, and spotty calcification (asterix) in pRCA, correspondent angio showing moderate plaque (arrows in B). OCT images shows necrotic core covered by a thin fibrous cap (B to G). Intact thin fibrous plaque cap (arrows) with high signal shadowing, suggesting a cluster of macrophages (arrowheads). Spotty calcification (asterix) is also notice (H). Subtle neovascularization or microchannelis also seen as no-signal tubuloluminal structures (arrows in C). Findings of a typical thin-cap fibroatheroma (TCFA). Image from our paper journals.lww.com/coronary-arter… @GreggWStone @CoronaryArteryD @hect2701 @Giora_Weisz_MD #CardioTwitter @mmamas1973 @ziadalinyc
Adriano Caixeta MD, PhD, DSc tweet media
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Ignacio Seropian MD
Ignacio Seropian MD@ISeropianMD·
@adrianocaixeta Congrats on the paper!! Very interesting 👏 Now back to the pic… why would you cath an ACS pt that you first did CTA and ruled out severe stenosis?
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Less-Is-More Cardiologist
Less-Is-More Cardiologist@DavidLBrownMD·
Summary of 2 weeks in the @LACUSCMedCenter CCU: Saw lots of end stage heart failure Used lots of digoxin Saw Chagas cardiomyopathy Saw VT storm break after replacing metoprolol with propranolol Learned how to refer an uninsured non-US citizen for heart transplant
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Dr Imran Hanif Hashmi
Dr Imran Hanif Hashmi@DrIHHashmi1·
What would be your preferred strategy for this LAD/D1. 1 Provisional. 2 upfront 2 stent. 2a DKC or it's variants, micro, mini or nano. 2b culotte or its variant DK culotte.
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Hany Ragy
Hany Ragy@Hragy·
Took my 4th Pfizer booster, thats six doses since the beginning counting my first two AZ boosters, all well spaced as recommended, anyone else took 6? @CMichaelGibson
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Sanjay Gill MD
Sanjay Gill MD@SanjayGill1·
@kevin_tijerina @DavidLBrownMD @Hragy @ColletCarlos @PCRonline @TCTMD While y’all figure that out, I’m gonna save my energy and “patient trust capital” to get their LDL into the ground with Max Rosuva, Ezetimibe, PCSK9i; getting their A1C down with Sema/Tirzy, SGLT2i; BP control; diet and exercise = all proven to ⬇️ mortality.
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Gregg W. Stone MD
Gregg W. Stone MD@GreggWStone·
@CMichaelGibson I took care of him as a resident when he was hospitalized once at NY Hospital. Got to know him well - he gave me a signed album I cherish to this day. He was a special person and revolutionized jazz (my passion).
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C. Michael Gibson MD
C. Michael Gibson MD@CMichaelGibson·
Miles Davis Oil on 10 x 10 inch clayboard by @CMichaelGibson 2022 #cmgsees Miles often played with sunglasses on or with his back to the audience I wanted his eyes … and his embouchure that is hidden behind the trumpets 🎺 mouthpiece
C. Michael Gibson MD tweet media
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Shariq Shamim
Shariq Shamim@ShariqShamimMD·
@AYSoomro Similar sized branches, not much Ca, culotte bifurcation like below.
Shariq Shamim tweet media
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Armaghan Y. Soomro, MD, FACC, FSCAI
65 YO 🧔‍♂️referred to ER due recent abnormal stress Echo, WMA abnormalities in anterior wall. CP has been progressively worsening, on BB. Cath shows this beast of a lesion. How to proceed?
Armaghan Y. Soomro, MD, FACC, FSCAI tweet media
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Thomas Coelho Assmann
Thomas Coelho Assmann@thomascassmann·
@mmamas1973 @ajaykirtane Nice One point, here in Brazil, it has become much much easier to get in Med school. But I agree, we have to update our way of teaching... the problem of bad grades, it's not just the students...
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