Discover and read the best of Twitter Threads about #PERT
Most recents (4)
As someone just getting started in IC, this talk by @jaygirimd was inspiring. #VTE/#PERT is such an exciting space with rapid development & study 🙌🏽
(Also shoutout to my mentor @GoldbergJBCTMD who’s work is displayed in Dr Giri’s slides)
My takeaways, a🧵:
(1/6)
#Fellows2023
(Also shoutout to my mentor @GoldbergJBCTMD who’s work is displayed in Dr Giri’s slides)
My takeaways, a🧵:
(1/6)
#Fellows2023
🔹Risk stratification and patient selection is key.
🔸Risk scores may not accurately stratify younger patients
🔹Full risk assessment has to include with the bedside eval w/ imaging + lab markers as adjunctive data
🔸Be on the lookout for normotensive shock
#Fellows2023 (2/6)
🔸Risk scores may not accurately stratify younger patients
🔹Full risk assessment has to include with the bedside eval w/ imaging + lab markers as adjunctive data
🔸Be on the lookout for normotensive shock
#Fellows2023 (2/6)
🔹Patients can be sick - upfront MCS with ECMO may be the first treatment needed in tackling high risk PE
🔸Contralateral arterial access during thrombectomy in case urgent MCS is needed
🔹always start with a RHC to establish severity of disease
#Fellows2023 (3/6)
🔸Contralateral arterial access during thrombectomy in case urgent MCS is needed
🔹always start with a RHC to establish severity of disease
#Fellows2023 (3/6)
1/ We clinched the Dx, but how do we treat it?
Are these clot 📸 the best approach for #PE Rx?
Let’s dive into the 🌎 of "escalation of care" therapies
@CardioNerds 🧵 part 2...
Hold on to your 🎩 for this one
@PERTConsortium #PERT #CardioTwitter #ACCMedStudent
Are these clot 📸 the best approach for #PE Rx?
Let’s dive into the 🌎 of "escalation of care" therapies
@CardioNerds 🧵 part 2...
Hold on to your 🎩 for this one
@PERTConsortium #PERT #CardioTwitter #ACCMedStudent
![Courtesy of @GoldbergJBCTMD [Dr. Joshua Goldberg]](https://pbs.twimg.com/media/Fp_aVGwX0AY9WNZ.jpg)
2/ Why is PE so dangerous❓
⚠️thrombus in 🫁 ➡️obstruction ➡️ sudden ⬆️ RV afterload ➡️ pressure➕volume overload ➡️ ⬇️RV output➕RV ischemia ➡️ ⬇️LV preload ➡️ ⬇️ 🫀output ➡️ shock ❤️🔥
⚠️Hypoxic & neurohormonal mediated pulmonary vasoconstriction ➡️ ⬆️ RV afterload
⚠️thrombus in 🫁 ➡️obstruction ➡️ sudden ⬆️ RV afterload ➡️ pressure➕volume overload ➡️ ⬇️RV output➕RV ischemia ➡️ ⬇️LV preload ➡️ ⬇️ 🫀output ➡️ shock ❤️🔥
⚠️Hypoxic & neurohormonal mediated pulmonary vasoconstriction ➡️ ⬆️ RV afterload
3/ How do we treat❓
Based on risk stratification, we have several options: ⭐️Anticoagulation (AC) alone
Escalation of Care (EOC) therapies:
⭐️Systemic Thrombolysis (ST)
⭐️Catheter Directed Therapies (CDT)
⭐️Surgical Embolectomy (SE)
⭐️ECMO
Based on risk stratification, we have several options: ⭐️Anticoagulation (AC) alone
Escalation of Care (EOC) therapies:
⭐️Systemic Thrombolysis (ST)
⭐️Catheter Directed Therapies (CDT)
⭐️Surgical Embolectomy (SE)
⭐️ECMO
1/ A 40-year-old man presents with Dyspnea and this finding on CTPA ⬇️. How do we treat?
WOAHHH hold your 🐎! Although the CT is black & white, the approach to pulmonary embolism (PE) is more nuanced
Let's talk about PE diagnosis - A @CardioNerds 🧵...
@PERTConsortium #PERT
WOAHHH hold your 🐎! Although the CT is black & white, the approach to pulmonary embolism (PE) is more nuanced
Let's talk about PE diagnosis - A @CardioNerds 🧵...
@PERTConsortium #PERT
2/ Let’s start with PE Epidemiology 🧮
👉3rd leading cause of CV mortality
👉Annual incidence worldwide is 1 in 1000
👉120 per 100,000 in US
👉PE diagnosis continues to 📈
ahajournals.org/doi/10.1161/CI…
👉3rd leading cause of CV mortality
👉Annual incidence worldwide is 1 in 1000
👉120 per 100,000 in US
👉PE diagnosis continues to 📈
ahajournals.org/doi/10.1161/CI…
3/ Let’s follow the 5️⃣ steps of PE management:
1️⃣Suspect PE
2️⃣Estimate Risk of PE
3️⃣Diagnose with imaging
4️⃣Risk Stratification
5️⃣Treatment
Shoutout to @AmitGoyalMD for this framework
1️⃣Suspect PE
2️⃣Estimate Risk of PE
3️⃣Diagnose with imaging
4️⃣Risk Stratification
5️⃣Treatment
Shoutout to @AmitGoyalMD for this framework
(1/22) Acute PE treatment. An ever evolving landscape.
How about a #tweetorial on acute pulmonary embolism (#PE) and how to use mechanical #thombectomy with @InariMedical #FlowTriever?? Lets goooooo!
#InariFellowsEdition #IRad #IC #cardiotwitter
Pic credit @Jonathan_PaulMD
How about a #tweetorial on acute pulmonary embolism (#PE) and how to use mechanical #thombectomy with @InariMedical #FlowTriever?? Lets goooooo!
#InariFellowsEdition #IRad #IC #cardiotwitter
Pic credit @Jonathan_PaulMD
2/ From @CDCgov data one American dies of a blood clot every....? #VTE #PE @PERTConsortium #InariFellowsForum
3/ Acute #PE stats
📊100,000–180,000 PE-related deaths annually in US
📊PE is the most preventable cause of death among hospitalized patients
📊3rd leading cardiovascular cause of death after coronary disease and stroke
⏱ 1 American dies of a blood clot every 6 seconds
📊100,000–180,000 PE-related deaths annually in US
📊PE is the most preventable cause of death among hospitalized patients
📊3rd leading cardiovascular cause of death after coronary disease and stroke
⏱ 1 American dies of a blood clot every 6 seconds
