Discover and read the best of Twitter Threads about #Syncope
Most recents (8)
Participated in a very interesting multidisciplinary POTS conference at @HopkinsMedicine on the topic of #FND, #syncope and #POTS where we discussed and debated the numerous issues surrounding FND diagnosis in our patient population. 1/🧵
#MedTwitter #NeuroTwitter
#MedTwitter #NeuroTwitter
@HopkinsMedicine After conference, saw a patient who highlighted the issues discussed at conference.
👩🦽30 yo woman with POTS/MCAS/EDS triad with one TTT positive for POTS, but a 2nd TTT negative
❌ A neurologist diagnosed her with FND
💉 She is on allergy shots & many H1/H2 blockers.
2/🧵
👩🦽30 yo woman with POTS/MCAS/EDS triad with one TTT positive for POTS, but a 2nd TTT negative
❌ A neurologist diagnosed her with FND
💉 She is on allergy shots & many H1/H2 blockers.
2/🧵
@HopkinsMedicine 🚫 Neurologist didn't take into consideration neurologic and psychiatric manifestations of SYSTEMIC DISEASE (MCAS)
❌ This is not FND because there is underlying systemic disorder driving symptoms and signs.
🧠 Patient needs to be treated for the SYSTEMIC DISORDER first.
3/🧵
❌ This is not FND because there is underlying systemic disorder driving symptoms and signs.
🧠 Patient needs to be treated for the SYSTEMIC DISORDER first.
3/🧵
1) Welcome to a new #accredited #tweetorial in our series of educational programs on #hypertrophic #cardiomyopathy #HCM. Previous programs, still available for 🆓CE/#CME, are at cardiometabolic-ce.com/category/hcm/.
Now you can earn another 0.75hr credit by following this 🧵!
Now you can earn another 0.75hr credit by following this 🧵!
2) Our expert author is JA Linderbaum MS, ARNP, FACC, FPCNA @jlinderbaum, Associate Professor of Medicine, @MayoClinic, CV #NursePractitioner, Assoc. Medical Editor #AskMayoExpert.
#FOAMed #MedEd @MedTweetorials #CardioTwitter @transformingHC @TNPJ_Journal #cardiology
#FOAMed #MedEd @MedTweetorials #CardioTwitter @transformingHC @TNPJ_Journal #cardiology
3) This program is supported by an unrestricted educational grant from Bristol Myers-Squibb. Statement of accreditation and faculty disclosures at cardiometabolic-ce.com/disclosures/. Credit for #physicians #nursepractitioners #physicianassociates #nurses #pharmacists from @academiccme.
Can #bloodpressure treatment be harmful? Our new meta-analysis suggests it is NOT linked to #falls or #fractures but may increase the risk of syncope & acute kidney injury bmj.com/content/372/bm… – see thread @RichardJMcManus @Richard_D_Riley @ebhcmedstats @JulietU_S @drandyclegg
1/ No meta-analyses of randomised controlled trials to date have quantified the association between blood pressure lowering treatment and specific adverse events such as #falls, #fractures, #syncope (fainting) or acute kidney injury #AKI
2/ In a meta-analysis of 58 randomised controlled trials, including 280,638 participants and an average of 3 years follow-up, there was no evidence of an association between antihypertensive treatment and #falls (primary outcome) or #fractures.
Our #residents got to learn about #syncope & #adrenalinsufficiency today from Rising Chief @LizzyHastie, Chief @photon_ick, & Endo-enthusiast @tsantoscavaiola!!
Check out some highlights below we wanted to make sure we shared with our #MedEd peeps on #MedTwitter!!
Check out some highlights below we wanted to make sure we shared with our #MedEd peeps on #MedTwitter!!
Don’t forget about adrenal insufficiency!! For patients with things like #syncope or #hypotension, it’s easy to forget about cortisol as a cause! While things like dehydration, infection, & other things may be more common overall… AI is #treatable, so make sure you catch it!!
Primary AI = #adrenal glands themselves are the problem. This means #cortisol AND #aldosterone will be low, while #ACTH AND #Renin will be very elevated in attempt to remedy this!
Patients with mitral annular disjunction present with frequent premature ventricular contractions; in this study, one-third had ventricular arrhythmias & one-tenth had severe arrhythmic events. @JACCJournals onlinejacc.org/content/72/14/…
A total of 82 (71%) patients reported #palpitations, 47 (41%) patients reported previous pre-syncope, 40 (34%) had ventricular arrhythmia, 15 (13%) had experienced #syncope, & 14 (12%) patients had experienced a severe arrhythmic event prior to inclusion
Mitral valve prolapse was present in 90 (78%) patients
Patient symptoms difficult? I stand them front me w. min. clothes & relaxed stance. NOTE: unequal shoulders, head tilt, asymmetry of Superior traps., scoliosis, pelvic girdle asymmetry as each leg lifted up, palpable muscle spasms, Genu v/v & stigmata of joint hypermobility....
MECHANISM OF INJURY if pained & examine 18 #fibromyalgia points. REVIEW OF SYMPTOMS: with emphasis on organ dysfunctions=dysautonomias. Count time sleep duration & #awakenings (abbreviated = fatigue/depression). PANIC ATTACKS: consider POTS before psych. & ? lifetime #syncope.
In many patients with seeming “somatic” disorders you will find many with body tower asymmetries & asymmetric muscle spasms. Joints that sublux due to ligament laxity (genetic or injured) affect contiguous autonomic nerve tracts, arousing dysautonomias.
#ESCCongress Day2 stirred up discussion
Suggest 👀 following 1-4
Tweetorials, articles, slides, guidelines
@escardio @ESC_Journals @Steph_Achenbach @EuroInterventio #EAPCI @PCRonline
1
Tweetorials
@rwyeh Validation of Scores
@AnilMakam #SCOTHeart
@venkmurthy #ADVANCE CT-FFR
Suggest 👀 following 1-4
Tweetorials, articles, slides, guidelines
@escardio @ESC_Journals @Steph_Achenbach @EuroInterventio #EAPCI @PCRonline
1
Tweetorials
@rwyeh Validation of Scores
@AnilMakam #SCOTHeart
@venkmurthy #ADVANCE CT-FFR
#ESCCongress 👀 2
Articles
#ASCEND nejm.org/doi/full/10.10…
#SCOTHeart nejm.org/doi/full/10.10…
#DAPTSCORE Validation acc.org/latest-in-card…
#ARRIVE hubs.ly/H0dxDh50
#Burnout kevinmd.com/blog/2018/03/b…
Articles
#ASCEND nejm.org/doi/full/10.10…
#SCOTHeart nejm.org/doi/full/10.10…
#DAPTSCORE Validation acc.org/latest-in-card…
#ARRIVE hubs.ly/H0dxDh50
#Burnout kevinmd.com/blog/2018/03/b…
#ESCCongress 👀3
SlidesShare via @CMichaelGibson
Part 1
#CulpritShock clinicaltrialresults.org/Slides/ESC2018…
#Matrix clinicaltrialresults.org/Slides/ESC2018…
#FUTURE clinicaltrialresults.org/Slides/ESC2018…
#FRANCETAVI clinicaltrialresults.org/Slides/ESC2018…
#COMPASS clinicaltrialresults.org/Slides/ESC2018…
SlidesShare via @CMichaelGibson
Part 1
#CulpritShock clinicaltrialresults.org/Slides/ESC2018…
#Matrix clinicaltrialresults.org/Slides/ESC2018…
#FUTURE clinicaltrialresults.org/Slides/ESC2018…
#FRANCETAVI clinicaltrialresults.org/Slides/ESC2018…
#COMPASS clinicaltrialresults.org/Slides/ESC2018…
