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PPG Global TCTMD #TCT2024 💪 Patients with high PPG (focal disease) experienced less angina at 1 year 🔑 Those with low PPG had more residual angina and showed similar responses to medication, PCI, or surgery PPG is a novel application of coronary physiology PCRonline 🫀

(1/x) Here's what not to do when leading a code 👇 (based on first hand observations...)

Pulmonary embolism refresher: Besides the usual hemodynamic parameters, let's be careful when these factors are present:

Understanding Qp/Qs Ratio: How We Measure Blood Flow Across the Heart The Qp/Qs ratio is used to determine the presence and severity of cardiac shunts, especially left-to-right shunts such as ASDs, VSDs, and PDAs. 🔹 Qp = Pulmonary Blood Flow 🔹 Qs = Systemic Blood Flow Qp/Qs =

Calcified lesions represent one of the most challenging subsets for PCI. Successful treatment is feasible in selected cases through careful planning, data integration, and expert use of available devices. Below is an algorithmic approach to the use of balloons, atherectomy, and

#JACCCaseReports clinical cases suggest that, not only high-pressure dilation of the cutting balloon (CB) to calcified lesions, but also repeated dilation or lesion properties may contribute to CB blade fracture. Interventionalists should be aware. jacc.org/doi/10.1016/j.…

So many questions!

Early morning wake up - guess the culprit with jedicath աǟզǟʀ.ǟɦʍɛɖ ! How would you manage this? Will share what I did.. #cardiotwitter

36 year old male with chest pain of 2 hours duration. OMI or not?

60y old male. ACS. What approach would you take for this ostial LAD?

A stone in the ostium of the RCA…. #Rotablation #Shockwave #DCB Do you think that should be the appropriate treatment? Please do not comment on CABG indication. Thanks The Walking City! Shockwave Medtronic

😱😱 missing this is one thing … calling it a STEMI is another. 40F with CP Off to resus and accepted for PPCI. Hmmmm.

To all enthusiasts of platelets, hemostasis, and thrombosis: ESC Hot Line Session 7, focused on antiplatelet therapy in ACS/PCI, is notable for the coincidental fact that all featured trials had their protocol designs published in EuroIntervention. This is gratifying, as it

This 50-year-old male patient came to the ER with this ECG. What would you anticipate.

A 55 year old male with dyspnoea on effort, any other condition needs exclusion?

The Left Mains Of Harris County, Texas My favorite vessel to treat is the left main. It used to be the carotid, but that’s when I was a young(er) man. 😂 Here are 3 of 6(!) left mains that I encountered over my long weekend call. Three more after the jump.

How severe is the AR? What echo criteria are we going to use in such cases? Why is the CWD through LVOT showing “bidirectional” AR signal? ⁦Chittur Sivaram⁩ ⁦Ritu Thamman MD⁩

What is the aetiology of aortic valvular disease?

To retrieve a trapped side-branch jailed wire, use an anchor balloon in the main branch stent sized 1:1. Advance a small balloon over the trapped wire, positioning it as close as possible to the proximal stent edge. Then, simultaneously pull both the trapped wire and the balloon.

A true nightmare in the cath lab: 50M with inferior STEMI, normal coronaries, then collapsed. Aortogram clip speaks for itself. The saying goes, 'If you haven’t faced it in the cath lab, you haven’t seen enough cases.' Yoni Grossman PCRonline 🫀 mandeep singh