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Teaching and learning should not necessarily be of super hard complex cases nor shud be proctorship be limited to those .. Rather even simpler cases in done in RURAL INDIA (western UP here) like DEVICE CLOSURES and relatively Easy LEFT MAIN BIFURCATIONs etc also helps in

पर जवाब मिलेगा नहीं . अफ़सोस ।

This guy has posted against doctor fees issue miltiple times now .. Rs 1300 for a procedure of removing wax from kids ear is more ?? Sad state really

RCA #CTO #HDR #TDHDR The GW had been inserted into the EP due to calcification, so MC was inserted into the IP behind the calcification using the TD method, and #HDR was well done. Sionblack→Pilot200→HDR→　EP→G2repunture→EP→sionblack→#TDHDR with G2 at just proximal

After How many mistakes shud tolerance go ..? 48yrs/M .. 1. Primary Ptca to LAD 2022 june = 2 stents 2. Left medicines and developed STENT THROMBOSIS again 2022 = operator placed 2 long overlapping stents again 3. Patient stopped medicines for 1 day , developed STENT THROMBOSIS

How to Rx this dyslipidemia?😱😱 40/M,PTCA to LAD 2022/EF 60%/on Atorvastatin 40 mg,HBA1C -11, +asymptomatic (samples tested frm diffrnt labs & strictly 12 hrs fasting post normal meal) SREEVATSA NADIG DM FSCAI FESC Dr G Rajesh (Gopalan Nair Rajesh). Abad khan,MD/DM Rajiv Arora Dr P Kamath Joy Sanyal,MD, DM, Hany Ragy Nihar Ranjan Nayak

Wait time for Cardiologist ? Only possible in corporates .. in practice famous and seasoned Cardiologist see 150 patients per day .. The quality of consultation can be discussed but thats a different issue altogether..

Missed #CRISP_2024 , No problem .. Here we are again ! bigger , better , more engaging , more fun and all the more exciting content relevant for IC .. Please Free up ur time and reserve those dates .. #CRISP_2025 #Cardiology #medtwitter #cardiotwitter Ankush Gupta Ankur Phatarpekar

Wow & awesome .. I wish more indians still wud believe in mahatma gandhi , but that's a rarity now ..

Consecutive #HDR's nowadays .. An easy CTO although, but #HDR made it easier with 5 min crossing time for this CTO plus saved me a few wires ( cost effectiveness by #HDR also has to be studied i guess Salman Arain ..Its cheaper as compared to standard techniques .. PILOT 200 to

80/M T2DM, Tearing Chest pain for 2 hours Now in ER with SOB, shallow breathing with kussmaul respiration about to arrest , profuse sweating .. BP-NR PULSE-Not palpable Sugar-Hi (likely more than 700 ) What next best thing or sequence of event can save him ? 1. Intubate and

46/F HOCM diagnosed since 6 months , HR -55-60bpm on 50mg of metoprolol , also patient on 25mg of aldactone and Sytolic BP is in 90's .. cannot uptitrate more beta blockers , cannot add CCB (not tolerating) .. Resting gradient has come down from 80mmHg to 50-55mmHg .. SCAR

#Sharing is learning Abad khan,MD/DM 46/F HOCM #diagnosed since 6 #months , HR -55-60bpm on 50mg of metoprolol , also #patient on 25mg of aldactone and #Sytolic BP is in 90's .. cannot uptitrate more beta blockers , cannot add CCB (not tolerating) ..

#Basic_IC_LEARNING_01 For us , the community of interventional cardiologist , we see HEART through the lens of dye and floroscopy more than anything else and hence assessment of complication and understanding has to be like this also for so many things like TAVR / STEMI / VSD

Abad khan,MD/DM It should probably be more distal balloon occlusion in the distal 1/3rd before the branches-proximal would definitely cause AV block

#Basic_IC_LEARNING_01 For us , the community of interventional cardiologist , we see HEART through the lens of dye and floroscopy more than anything else and hence assessment of complication and understanding has to be like this also for so many things like TAVR / STEMI / VSD

Follow up , And as predicted by many including SREEVATSA NADIG DM FSCAI FESC the gradient was mid cavity.. We tried our best to locate the septal best suited for reducing this gradient and indeed we were able to reduce the gradient and acheive LAMINAR FLOW .. Still More questions than answers