🔑 2024 PRACTICE-CHANGING CLINICAL TRIALS this past week #recap ~~ a thread 🧵 ~~ 👇

Severe AI due to an enlarged aortic root. You don’t need a stethoscope to hear this murmur! #medtwitter #MedEd #CTsurgery

Total Artificial Heart explantation! #HeartFailure #ArtificialHeart #TotalArtificialHeart #MedTwitter #MedEd #CTSurgery

I made this one just for you 🇳🇴🇩🇰Asbjørn Støylen 🇬🇱🇵🇸🇺🇦 🤣🤣🤣 #Echofirst #Cardiotwitter #Medtwitter #MAPSE #function

78 yr male with effort angina, TMT strongly +ve in stage 2 Bruce, good LV. “All right” after angio!! Today’s first case in cath lab😳😭

Very demonstrative anatomy, post-repair of thoracoabdominal aortic aneurysm. #AortaEd #MedTwitter #MedEd #CTSurgery #taaa

The most shocking trial in modern cardiology continues to find no signal of PCI benefit, despite enrolling pts most likely to benefit. How the “clogged pipe” frame of thinking persists despite such evidence amazes me.

We discussed this observation on #CardioTwitter: several noted that administering a heparin bolus the ER (100 units/Kg, not max 4,000), rather than waiting until the cath lab, improves TIMI flow by the time the patient reaches the cath lab. This is now supported by an RCT!

Transcatheter Aortic-Valve Replacement for Asymptomatic Severe Aortic Stenosis: NEJM 🥸 I was at #TCT2024 all day - just got to a desk TCTMD 😱 Summary of EARLY TAVR trial 👇👇👇

🧵1/Caumel's Law Explained! Caumel's law explains why we see alternating WCT and NCT with accessory pathways (ORT)! - If no BBB, ORT will look narrow. TCL will be shorter. - If "ipsilateral BBB" developed, ORT will look wide and TCL is longer. #EPeeps

Excited to join the amazing team at Deborah Heart next year for my interventional cardiology fellowship. Alhamdulillah.

What is happening here? 🇲🇽 #Cardiology #EKG #MedTwitter #CardioTwitter #PCI #complexpci Neisser M Cardiology Bot ECG.Hacks Stephen W. Smith Intervencionismo Cardiovascular SIAC Sam Ghali, M.D. PCRonline 🫀 SOCiME Andreas Roeschl, MD Dr. tocino akbar haq Hiram Salas Elric Dr Shariq Shamim 🇲🇽 Elihu Durán 🇲🇽 Soc Esp Cardiología

No IC wants this- but, every one who works in cath lab need to know how to handle this menace ! Mid LAD perforated following pre dilation with 2.5 🎈 at 10 🏧 . Hwo would u handle this #cardiotwitter #CardioX

How I Talk About Left Main PCIs - And You Should Too!* 🧵 (*A suggestion of course!) This is one of the cases from my talk on MCS for high risk PCI. Case first, then the analysis. 86 year old man, unstable angina, EF 40%, turned down for CABG at OSH, transferred with IABP.

MANTA is an effective large-bore VCD in TAVR. Downside: lack of convenient bailout. Conventional bailout (contralateral CFA or radial) may not be fast (major bleeding) or easy (vessel dissection/total closure) enough. What to do? 🧵 1/ TCTME+ #TCTMiddleEast Cardiovascular Research Foundation MyJSCAI

A patient with known cardiomyopathy in ICU, had viral prodrome. BP 81/45 mmHg. Sinus rhythm with narrow QRS. Properly aligned CW interrogation across the mitral valve is shown, what are the findings and hemodynamic implications?

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

I have so many questions…. Angio-Seal for Right Ventricle Perforation During Pericardiocentesis for Cardiac Tamponade: A Case Report - Journal of the Society for Cardiovascular Angiography & Interventions jscai.org/article/S2772-…

preop cath for MV surgery. A long wrap around diagonal ends in a contrast filled structure? has anyone seen similar? I don’t have an answer, CT by Moath Said Alfawara,MD SREEVATSA NADIG DM FSCAI FESC mandeep singh Michael Savage David J. Cohen, MD, MSc Carlos Collet MD PhD Ziad Ali Dr G Rajesh (Gopalan Nair Rajesh). rafavidalperez

🧵 Starling’s Law: Misunderstood, Misapplied, and Still Misleading 1 🚨 “Starling’s Law explains how the heart increases cardiac output.” You’ve probably heard this a thousand times. But it’s wrong. Or at least - very incomplete. Let’s fix it. Because this matters - for heart