Guys. I’m published! 🥹I’m feeling proud for having pushed thru in unfamiliar waters, and hoping I’ve moved #SouthAsian healthcare forward a bit. American Journal of Medicine SouthAsianHealth South Asian Wellness #SAWAHS #PrimaryCare #DesiTwitter
More work to be done!

amjmed.com/article/S0002-…

Class I Pre-Pregnancy Surgical Indications:
🤰Marfan or nsHTAD + Aortic Root >4.5 cm
🤰Turner + Aortic Size Index ≥2.5 cm/m2
🤰BAV (w/o HTAD) + Aortic Diameter ≥5.0 cm
🤰Sporadic Aortic Root Aneurysm +/- Ascending Aortic Aneurysm + Diameter ≥5.0 cm
#CVBoardPearl #MedTwitter

So proud of my Daughter
✅ Winner of the AHA Teen of Impact
✅She is going to 8 years direct medical school at Tulane ⁦AHA Science⁩ # AHA

Continue beta-blockers during pregnancy and in the post-partum period in those with syndromic aortophathies (e.g. Marfan, vascular EDS) or nsHTAD (Class I).
- Risk of fetal growth impairment
- Labetalol is preferred
- Avoid CCB, ACEI, ARB
#CVBoardPearl #MedTwitter #CardioOB

Calling all #cardiologists ! ABMS has launched a 90-day open comment period for the proposed new #CVBoard . How will a new pathway to continuous certification improve your #cardiology practice? Submit your comments today! Learn more at CVBoard.org/get-involved/

Starting week #2 of #CardioOB for the #CVBoardPearl .
Join at 11 AM ET/8 AM PT. As always, please read independently to review important caveats! References are in the picture descriptions.
#MedTwitter #MedX #CardioTwitter #CardioX

There are 3 main strategies for anticoagulation in pregnant patients with mechanical valves:
1. Continue warfarin if low-dose (<5 mg/day)
2. Dose-Adjusted LMWH
3. Combination of Warfarin/LMWH
[Ref: Fig 18 from 2020 Valve Guideline]
#CVBoardPearl #MedTwitter #CardioOB

BREAKING: The FCC just voted to restore net neutrality.

The commission has decided to fully restore the net neutrality rules repealed under Trump.

This decision will help ensure fair access to an open internet for all.

Ali Khan If a patient can perform 4 minutes on standard Bruce protocol they can have sexual activity- only intermediate risk patients should be assessed , low risk get green light, high risk need to be stabilized first.

Pregnant women with Stage D valve disease may be treated with diuretics for volume control but this MUST be balanced with reduced placental blood flow (Class IIa). Maternal diuretic use MAY be associated with low birthweight and higher fetal mortality.
#CVBoardPearl #MedTwitter

Filled so many knowledge gaps on new afib mgmt! 🙌🏽

Happy Administrative Professionals Day to our hard working front desk and behind-the-scenes teammates who allow us to deliver better care! You all make our jobs so much easier and better!

Consider exercise stress testing in women with asymptomatic, severe valvular disease to assess hemodynamic impacts of valve disease with pregnancy. Treat those who develop symptoms during exercise testing as Stage D symptomatic valve disease.
#CVBoardPearl #MedTwitter #CardioOB

The hardest decision I've made today is figuring out what to make for dinner. Not to diminish the medical decisions I made with patients. Those just have fewer and more algorithmic options.

Pregnancy can cause EKG abnormalities due to heart elevation by the enlarging uterus and the increase in circulating blood volume.
#CVBoardPearl #MedTwitter #CardioOB

Physical activity appears to reduce CV risk in part by acting through stress-related brain activity; this may contribute to the novel observation that physical activity reduces CV risk to a greater extent among individuals with #depression . bit.ly/4d0wrYT #JACC

The #CVBoardPearl is back this week, and the topic will be #CardioOB . I post every weekday at 11 AM Eastern (8 AM Pacific).
As always, please read independently to learn important caveats!
#CardioTwitter #CardioX #MedTwitter #MedX

Mamas is talking on LM revascularization at SCAI-Bangladesh in Nepal. ⁦Mamas A. Mamas⁩ ⁦Rustem Dautov⁩ ⁦MIЯVΛƬ #IC⁩ ⁦⁦SCAI Now⁩ ⁦Ramesh Daggubati⁩