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Great diagrams to show typical positions of RV pacing lead on CXR (first 2 pics) and during implantation (PA and LAO) Black RV apex Blue Middle cardiac vein Yellow RVOT Red lateral branch of CS Enjoy PS diagrams created by me. Feel free to use pics for education

JASE review of Submitral Apparatus role in HOCM 🫀Anomalous papillary muscles important causes of LVOTO in HOCM 🫀secondary chordae are fibrotic thickened & retracted in HOCM 🫀Anomalous muscle bundles in most HOCM & in all w latent HOCM bit.ly/3X4JXl8

Scoring poorly on the sitting-rising test is linked to increased mortality. “It’s  common sense that aerobic fitness is important for survival, but we [have to] start to look that other things related to fitness that are also important,” said lead author Claudio Gil Araújo.

63W presented w/ angina. Myocardial perfusion imaging was positive for anterior ischemia. #CCTA showed no coronary #atherosclerosis & a PFE within the left coronary cusp, causing LMCA occlusion during systole & early diastole. jacc.org/doi/10.1016/j.… #JACCCaseReports

#CardioNuggets 🫀 Septal Flattening on Echo? Think RV overload! Best seen in PSAX at papillary muscle level. 🔸 Pressure overload (PE, PH): ➡️ D-shaped LV in systole 🔸 Volume overload (TR, ASD): ➡️ D-shaped LV in diastole #CardioNuggets #EchoNerds #FellowsFirst #POCUS

Near-universal prevalence of central adiposity in heart failure with preserved ejection fraction: the PARAGON-HF trial In PARAGON-HF, in contrast with BMI, nearly every patient with HFpEF had central adiposity (as assessed by WHtR), and the risks of adverse HF events were more

Could #PPG be the key to identifying vulnerable plaques with precision? 🔬🧠 Fascinating insights from the pioneers of PPG in Japan 🇯🇵 The future of coronary imaging might be closer than we think. PCRonline 🫀 TCTMD link.springer.com/article/10.100…

🫀New CAC-DAD score using deep learning outperforms the Agatston score in predicting MACE! ✅ Accounts for plaque distribution + density 📊 Identifies high-risk pts missed by AS≥400 Dr Girish Dwivedi Victor Chang Cardiac Research Institute Harry Perkins Institute Heart Institute ahajrnls.org/4eG0DtJ

BROADWAY trial: Patients at high cardiovascular risk usually do not reach LDL cholesterol targets, despite the use of maximum tolerated doses of lipid-lowering therapy. Findings with add-on obicetrapib are summarized in a new Quick Take video. nej.md/3ImQ6aq

A Novel Electrocardiographic Approach for Accurate Diagnosis of Prior Inferior Myocardial Infarction | JACC: Advances jacc.org/doi/10.1016/j.…

How Do “Pay-for-Performance” Incentives Affect Quality of Care? A large British “natural experiment” provides intriguing data and raises important questions. jwat.ch/4m3ohCX #MedTwitter

Flecainide use had a favorable safety profile and was associated with a significant reduction in arrhythmic burden in patients with ARVC, irrespective of the underlying genotype or LV involvement. jacc.org/doi/10.1016/j.… #JACCCEP #EPeeps #cardiomyopathy

I was recently asked how I dilute epinephrine to give IV for slow/no reflow. I think the quickest way in the lab is 1cc from amp of epi (1mg/cc) in a 10cc syringe and add 9cc of saline. Then squirt out 9cc of the mixture & add 9cc of saline. Final: 10cc of 10ug/cc

Well if you thought burr/crown entrapment during atherectomy was a nightmare complication, complete loss of an atherectomy device is an even greater nightmare. So, what do you do when you completely lose a burr/crown in the coronary artery?   Our latest article that provides a

This State-of-the-Art review aims to facilitate a comprehensive assessment of plaque pathology using coronary imaging. It outlines how imaging characterizes plaque components and phenotypes, links plaque features to clinical events, and summarizes trials using serial imaging to

bit.ly/4416ciy Can PCI match CABG for multivessel disease? Here is how

Cardiovascular risk associated with the use of cannabis and cannabinoids: a systematic review and meta-analysis bit.ly/45JbGzI

🚀 This week we started with an exciting upgrade to our coronary physiology toolkit: the Pullback Pressure Gradient (PPG) metric. PPG is a novel, easy-to-use decision support tool — much like FFR — that helps differentiate focal vs. diffuse epicardial coronary artery disease.

PCI for complex bifurcation disease 📺pcronline.com/Cases-resource… Watch the replay of this LIVE educational case to learn more about 🟣 stepwise provisional strategy 🟣the application of intravascular imaging during bifurcation interventions 🟣the role of drug-coated

🔴Balloon Pericardiotomy:⤵️A Comprehensive #2025Review and Case Series #openaccess 🔹jscai.org/article/S2772-… #Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded #CardioTwitter #cardiotwiteros #MedX #cardiovascular