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These #echofirst pictures are less than 48 hours apart showing the effect of #atrialstunning in a patient with spontaneous conversion from #afib to #sinusrhythm and paused anticoagulation due to gastrointestinal bleeding. #epeeps #cardioed Erik Rafflenbeul

Thank you @VaishnaviAradh2 and co-authors for publishing your Review on #HFpEF in the AJP-Heart and Circ Call for Papers on Molecular and Cellular #Physiology of #HeartFailure and #Cardiomyopathy! 🤩 doi.org/10.1152/ajphea…

We need to do cases without lead. Period. Radiation and our lead are causing cancer and severe orthopedic injury in some cases devastating. It’s time to help us or we won’t be around to help you! Heart Rhythm Society let’s partner SCAI #SCAI2024

In ORBITA-STAR, angina verification with an ischaemic stimulus powerfully predicted response to PCI. #EuroPCR2024 Perhaps we have been too focused on treatment when the problem always lay in the diagnosis! Published today in #JACC jacc.org/doi/10.1016/j.… Rasha Al-Lamee

Gregg W. Stone MD Mamas A. Mamas The problem was never ethics. It was lack of equipoise on the part of the IC community, which was an issue from day 1. The idea that a single 360-patient trial with a p-value of 0.04 (where it had to be <0.048 to be significant) led to loss of equipoise is not credible.

For fellows(From NIC Chennai) Diagnosis could have been made within a few seconds using echo. This is taken just to highlight the importance of looking at the levophase of pulmonary angiogram which is almost always neglected by students during practical exam.

Pen/Pencil Apex cardiogram. Objective method of teaching medical students about character of apex. This is the apex of a patient with severe AS.

PA angio for fellows. This is a case of mild valvular PS with only 40 mm Hg peak gr. There is no relation between severity of PS and degree of post stenotic dilatation, dilatation is confined to MPA & LPA in post stenotic dilatation of valvular PS and almost always spare RPA

Beautiful description 🫀🫀 The mitral valve (anterior leaflet) is designed to direct blood flow towards a smooth sliding path which begins at the basal posterior wall and ends at the LVOT—thereby minimizing LV energy expenditure during ejection.

#CardioTwitter AGIK What's wrong with this RCA?

From ST Elevation MI to Occlusion MI: the new paradigm shift in Acute Myocardial Infarction. New JACC Journals #JACCAdvances state-of-the-art review with Jose Nunes de Alencar, Emre Aslanger, Pendell Meyers and Stephen W. Smith sciencedirect.com/science/articl…

I like to call “high-sensitivity troponin” by its other name, “low-specificity troponin”

Fascinating

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.

Periodic reminder that for most people with vasodilatory shock we should be targeting a MAP > 60 mmHg (not 65). A lower MAP goal was associated with a shortened duration of vasopressors & possibly reduced mortality. With vasopressors, less is truly more. jamanetwork.com/journals/jama/…

Operators who use the RADPAD radiation protection shield in a contemporary cardiac cath lab have significantly reduced radiation exposure compared with operators who don't use the RADPAD shield, data from the ATTENUATE trial shows. #CRT2025 on #CRTonline. ow.ly/KHJx50Vhuej

Closing the week! Elderly non-surgical candidate presenting with posterior AMI, cardiogenic shock, and severe mitral regurgitation due to papillary muscle rupture. PCI + TEER in one go! Amr Abbas Rohit Vyas Ivan Hanson Brian Renard Pedro Villablanca MD, MSc, FACC, FSCAI Gennaro Giustino, MD

Best Grand Slam final since?

One of the best 5th sets ever alongside Federer vs Nadal '08 Wimbledon + Djok vs Nadal AO 2012? Unbelievable level