Carvedilol 3.125 bid

Cardiology fellow helping the attending in the cath lab.

Before you stent try some nitro. RCA before and after 300 mcg intracoronary nitroglycerine. #CardioTwitter #cathlabhacks #ACCFIT

Since learning the technique from Marq Patton, DO, FACC, FSCAI, FSVM, FASE, RPVI in 2019 and as Hady Lichaa, MD, FACC, FSCAI, FSVM, RPVI described last year #basilicfirst is an attractive option for PERT procedures. More ergonomic for operators and more comfort for patients. Dual and single access for bilateral ekos, and now 12F Penumbra.

Large LV aneurysm in the location of a large diagonal branch myocardial bridge. Anyone seen this before?

EF = 100%. Doesn’t get better than that.

This is why we can’t have nice things in the cath lab

When you ask a cardiology fellow to hold pressure on groin and immediately realize you should have used a closure device

Cardiology fellow arriving to see a late night consult for mildly elevated troponin in a septic patient

Why different views are important in cath #cardiotwitter #ACCFIT

Left atrial myxoma on coronary angio #accfit #cardiotwitter ⁦American College of Cardiology⁩

Thrombus bouncing off with injection and inferolateral MI becomes inferolateral + anterior MI #accfit #cardiotwitter #dontinjectsohard #thingsnottodoincathlab

Interventional cardiologists placing stents without IVUS despite having one in the lab

Interventional cardiology fellow after seeing a normal coronary angiogram:

Poor kidney function? No problem. #xperswing swing angio will give you complete left angio with only 8cc contrast in one injection. #cardiotwitter #ACCFIT #kidneysmattertoo

There is no pulmonary embolism, pulmonary veins are patent, left atrial appendage is without thrombus, LV size and function is normal, there is no MR, thoracic aorta is without aneurysm or dissection, bilateral subclavians and carotids are patent #cardiotwitter #ACCFIT

The first time I was going to meet Dr. Brugada in person I took a printout of a Brugada Syndrome ECG for him to sign so I could frame it. He graciously signed it “this is ST elevation MI not Brugada syndrome - Josep Brugada”. I framed it. #embarassingmoments

Attending: I don’t think you will be able to advance the wire with all the tortuostiy in the vessel, let me help you

Fellow: hold my beer

Cardiology fellows trying to engage coronaries and the attending steps in ⁦Obadah Aqtash MD, RPVI⁩ ⁦Erica Pivato, DO, FACC⁩ ⁦Shaheer Zulfiqar⁩ ⁦Fayez Siddiqui⁩ ⁦Nayef Nimri, MD,FACC,RPVI⁩

Interventional cardiologists trying medical therapy before proceeding to stenting after #ISCHEMIA