How to do TAP stenting, by Goran Stankovic, MD, PhD & @zlatkombegovic #bifurcation PCRonline 🫀 Salvatore Brugaletta MIЯVΛƬ #IC @NanjingFirst FRANCESCO BURZOTTA Davide Capodanno Jens Flensted lassen Visible Heart® Laboratories Gregg W. Stone MD Tom Johnson @rutherfordmed curzen Nicolas Foin Javier Escaned Evan Shlofmitz Montefiore Heart Ronnie Lassiaille

Two years into the pandemic… With all vaccines available…. With so many vaccinated… With lots of PPEs availability and proper use by HCWs… Having a no visitor policy in hospitals won’t ever make sense to me. This is the time to be with our loved ones; when they’re sick.

Can I just vent for a second? Cardiology consult for clearance for EGD by GI has to be the most annoying consult. If the patient needed a stent, would you clear them while they're hemorrhaging? Oh no, just do the scope. This defensive, medicolegal nonsense is exhausting.

Makes the point that hypotension is not a requirement for cardiac tamponade. BP can be maintained by peripheral vasoconstriction for a while.

1/2 #CICU Week: re-upping these #ProTips👇. #1 For conical sheaths “plug” needs to match the “hole”: if there’s exsanguination around the conical sheath…push it in. #2 Remember cantalever (seesaw) principle when you attempt manual compression…and when you secure the sheath…

Atrial kick matters more in some than others. Note the drop in systolic BP when accelerated junctional rhythm overtakes sinus rhythm. V-V synchrony and rate are the same. Only a loss of A-V synchrony explains the abrupt 24 point drop in SBP.

1/6 In acute myocardial infarction (AMI), serum potassium levels are often low. And patients with AMI are at risk for ventricular tachycardia and fibrillation. Does hypokalemia cause VT/VF? 🤔Or, is there an alternative explanation?

Ordering 10mg of furosemide to increase urine output…

Our article featured in ACC Latest in Cardiology Mahathi Indaram Harsha Madgula acc.org/Latest-in-Card…

Found these pressor descriptors based on Marvel Entertainment characters Journal of Brown Hospital Medicine The Warren Alpert Medical School and had to share because I’m also a #ComicArt geek Duane Pinto MD MPH David Homan, MD Perwaiz Meraj Alex Truesdell Babar Basir Navin Kapur David Baran Anju Bhardwaj MD FACC Bailey Ann Estes Ankur Kalra Shelley Hall

1/4 - The Mystery A doctor is on overnight call in the hospital. They are also hooked up to continuous ECG monitoring. 🤔What might cause the following tracing?

1/THREAD Why would adenosine, a purine nucleoside, be able to treat supraventricular tachycardias (SVT)? And why are its effects so short lived (e.g. <2 seconds)? The answers will change the way you think about this drug. #tweetorial #medtwitter

LUCAS device works so much better than manual CPR. Persistent VF repeated shock and not getting out of VF (No ROSC), LUCAS generating decent BP despite no organized rhythm. LM-LAD PCI in limited views, 1 shock post PCI = sinus rhythm like magic!!!! #cardiacarrest #CardioTwitter

Had an interesting chat with a patient recently which made me think of “shared decision making”. It’s central to the way we practice, but there are limits. An elderly patient has very severe coronary artery disease. I said there are 3 options we’ll discuss at MDT 1/8

Is there evidence that shows forcing patients to eat “cardiac” or “renal diet” during their hospitalization improves outcomes? I am trying to find data on this. often hospital food choices are limited as diets are more restricted, often causing ⬇️ po intake.

And more importantly, the moment you decide to put in the consult to Cardiology, please stop flooding the patient with continuous fluids!

Another #ShockSaturday here in Pittsburgh! Manreet Kanwar kicks things off for the 2nd annual Western PA Cardiogenic Shock Symposium PA Chapter, ACC UPMC Heart and Vascular Institute AHN AHN_CVI

Med schools should not only teach history taking, but also patient redirection. It's tough, and nuanced... but "never interrupt a patient" is not the right approach (I'm sure many will be triggered by that statement). But being a good doctor does not mean...

NPO after midnight for a heart cath may soon be outdated business. We don't do it for STEMI patients. Study shows no harm and happier patients tctmd.com/news/no-fastin… #radialfirst #PCI #CardioTwitter #Cardiology #catheterization #NPO

Should I change my mind about aspirin use for primary prevention? This is the topic of Sensible Medicine Study of the Week Thanks for the great discussion this week. And to John William McEvoy et al for a great paper sensible-med.com/p/should-i-cha…