50sF ESRD on HD, NSTEMI. EF 50% w LAD hypokinesis. 2 CTS said “No” to IMA/EndArt. PCI (and if so, how?) or GDMT only? Tom Wilson Lorenzo Azzalini Adil S Wani Umair Khalid Jimmy Kerrigan Allison Dupont, MD Nyal Borges Alex Truesdell Christian McNeely Shayef Gabasha MIЯVΛƬ #IC Dr. Krzysztof Pujdak #ACCFIT

Timir Paul, MD, PhD, FACC, FSCAI, FAHA in nepal with a stepwise approach to managing coronary thrombus- use pharmacotherapy, understanding the different mechanisms of action of antithrombotics
Gp2b/3a, lytics, potent antiplatelets, cangrelor,
Thrombectomy- sinple vs complex
Stent- conventional vs novel

2 yrs s/p ViV TAVR with 26 E Pro+ in a 25 CE with MI presentation- MG 9 in June 23, now 35. Huge sinuses, circular deployment.

32 y M, post IWMi, ongoing pain, what would you do …….

🔑 2024 PRACTICE-CHANGING CLINICAL TRIALS this past week #recap

~~ a thread 🧵 ~~ 👇

Complete revascularization is now 'a must' in ACS, but the optimal timing remains a matter of controversy: immediate? Staged in-hospital? Staged within 45 days? Staged when you want?

This prespecified analysis of the randomized BIOVASC trial suggests that immediate complete

Beautiful tamponade #POCUS by Nabeel Saghir. American Society of Echocardiography #ACCFIT Fellows, what can be a complication of large volume pericardiocentesis- especially in hyperadrenergic states (malignancy)?

High Syntax score patients have higher death, MI, stroke & repeat revascularization, even after adjusting for post-PCI Syntax score.

As Arsalan Abu-Much has pointed out intermediate syntax in fact did better than low syntax!

David J. Cohen, MD, MSc MIЯVΛƬ #IC Umair Khalid Poonam Velagapudi

#POCUS #MedTwitter

❇️ A simple trick to assess aortic regurgitation severity‼️

🛑 Severe AR ➡️

♦️ Holodiastolic retrograde flow in abdominal aorta PW doppler

✅ 93%% specificity, 100% sensitivity

♦️ VTI of diastolic retrograde flow > 15cm

✅ 86% specificity, 91%

DK Crush step by step. Ideal case for #ACCFIT . Stable 50sM w “nml perfusion” but global ischemia EKG pattern. Tom Wilson Umair Khalid Mamas A. Mamas Adil S Wani Aditya Bharadwaj Antonious Attallah, MD, FACC, FSCAI Allison Dupont, MD Nyal Borges Christian McNeely Dr Shariq Shamim jedicath աǟզǟʀ.ǟɦʍɛɖ Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI Jimmy Kerrigan

DOACs for rheumatic atrial fibrillation? This trial showed INCREASED mortality and stroke/thromboembolism when compared to warfarin, our standard of care. A trial in support of current guidelines for vitamin K antagonism in this population. INVICTUS Trial, NEJM 2022 ♥️