New #JACCCaseReports #CME case of the month: Drs. Julia Grapsa, Lauren Weber, and Lindsey Prescher discuss early mitral valve repair failure in the setting of #endocarditis and when to reoperate. Stream it here: bit.ly/3hAtmVa #JACCPodcast #CardioTwitter #OpenAccess

#TipsForNewDocs Cringe-worthy chart phrases: “Avoid nephrotoxins” (w/o adding relevant ones) “Lungs clear. No crackles.” (redundant) “Pt has leg swelling x3d”… exam: “no edema.“ (inconsistent) “Consider XYZ” (w/o saying why or why not) #kittlesonrules

Many things in the guidelines Overall philosophy is pragmatic Low Risk-->CAC (option) Intermediate especially young & less obstructive CAD-->CCTA Older and high suspicion go obstructive CAD-->functional jacc.org/doi/pdf/10.101…

📢#CardioNerds Rounds is Back‼️ 🕛Join us LIVE on 11/02/21 at 12pm EST 💗Challenging Cases w/ Hugh Calkins Johns Hopkins Cardiology 🔗zoll.zoom.us/webinar/regist… Led by @scfuentesr Natalie Stokes Karan Desai MD FACC

#TipsForNewDocs When examining/doing a procedure on a sedated or unresponsive pt, address them by name and narrate your actions. It’s good to keep in the habit, it’ll remind you they’re a person, and you never know what they might absorb even if unconscious. #kittlesonrules

1/10 Check out Top 10🔑points from the🆕2021 ACC/AHA/SCAI Coronary Artery #Revasc #ClinicalGuidelines via Tweetorial. #CardioTwitter 1⃣Treatment decisions should be based on clinical indications, regardless of sex, race or ethnicity

People have mocked #RadialFirst but idk how you can argue against the mortality benefit in #STEMI !! I just did a great case where I encountered spasm and just used the 4F in 6F guide technique and proceeded radially. Patient did great! #Cardiotwitter for the win! #IVUS

Who's excited about #ACC22 👏👏 📌Here are all the late-breaking trials & featured clinical research trials by day 👇 📖👉bit.ly/3iuDQo6; bit.ly/3JFk6tW #ACCEarlyCareer #ACCFIT #CardioTwitter

Check out the top 10 take home message from new HF management guideline . hfsa.org/sites/default/… American College of Cardiology #ACC22

Sent by a friend. I’d like to call this the Lululemon sign. 😂

Contrast shortage? #contrastless #TAVR #echofusion

‘VT’ versus ‘SVT with aberrancy’. The long list of VT "suggestive" ECG features is difficult to recall and apply in real time. How can we simplify things? Here is my ABCDE approach – five simple Qs to ask: 🧵👇

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?

First TEE image at 0 degrees, what is the finding?

Check out the top 10🔑points from the🆕2022 ACC/American Heart Association Guideline for the Diagnosis & Management of #AorticDisease 🧵Thread below 👇 #CardioTwitter

Subcostal view in a patient with dyspnea

#TipsForNewDocs Note says: "Pt w/HFrEF not on spironolactone due hyperK." Wrong: assume spirono contraindicated Right: review labs- K 5.1 once when Cr 1.8- now Cr 1.0 --> re-try spirono. You could trust the chart, but you should verify with primary data. #kittlesonrules

A patient with pericardial effusion, 4 chamber view

Rule out source of stroke…found it 🙋‍♀️👩🏼‍⚕️#WhatNow 🧐

Out of hospital cardiac arrest. EKG done following resuscitation. What would you do next?