Discover and read the best of Twitter Threads about #accearlycareer

Most recents (7)

#ACC23 #WCCardio is jam packed w/ >300 sessions over 3 days w/ >80 live-streaming sessions around the world 🔥

Here’s how you can make the most of it👇🏻 (🧵)

@ACCinTouch @DougDrachmanMD @EdwardFryMD @Pooh_Velagapudi @agtruesdell @KBerlacher @taraloujones @SarasVallabhMD

1/5… Image
1. Are you attending #ACC23 #WCCardio in-person?

Great!

‘Coz you can install the App & get everything you need to navigate the meeting 👇🏻

iPhone: apps.apple.com/us/app/acc-23-…

Android: play.google.com/store/apps/det…

#CardioTwitter #MedTwitter #ACCFIT #ACCEarlyCareer #CardioEd

2/5…
2. Not very App savvy? No problem!

You can use ACC Online Program Planner to build an itinerary that meets all your needs 👇🏻

abstractsonline.com/pp8/#!/10674

#CardioTwitter #MedTwitter #ACCFIT #ACCEarlyCareer #CardioEd #MedStudentTwitter

3/5…
Read 6 tweets
1/ For the fellows and #ACCEarlyCareer!

It’s a coronary thrombus! When to consider thrombectomy? What do you do? Let’s walk through this…#Tweetorial

#Cardiotwitter #Cardiology #STEMI
2/ Middle age patient with hx of CAD and PCI to LAD presents with significant SOB and elevated Hs-Trop. No chest pain. No ECG changes. Echo with inferior hypokinesis.

Here’s the diagnostic with a JR4.

Notice the filling defect in the RCA. This is thrombus. How do we know?
3/ Keys of #thrombus on angiogram

🔑 contrast staining
🔑 Lack of calcium on non con image
🔑 ovoid filling defect (complete lumen)

#Cardiotwitter #STEMI #TIMI
Read 25 tweets
🔥Review on optimal targets in #CardiogenicShock in @JACCJournals #Advances by @benhibbertMDPhD & team 👏
Clinical, biochemical & hemodynamic targets to guide therapy & escalation of therapy.
@Sadeer_AlKindi @baileyannRN #ACCEarlyCareer #ACCFIT
👉jacc.org/doi/10.1016/j.…
Current guidelines focus on the t/t of inciting event & restore end-organ perfusion; inotropes/pressors to target MAP ≥65 mm Hg.
🏷 Asses serial markers of systemic perfusion- lactate, ScVO2, UOP, Cr, LFTs, mentation, temp, and invasive hemodynamics & target accordingly
🏷Difference in #SCAI classes A-B & C-E is presence of hypoperfusion- clinical signs like cool mottled skin, poor UOP, confusion, & biochemical abnormalities like ⬆️ lactate, renal insufficiency, and ⬆️ LFTs.
🏷 RAP, ⬆️ shock stage over time, and late deterioration ⬆️ mortality
Read 21 tweets
An #ACCEarlyCareer #ACCFIT #tweetorial from the @WeillCornell Graphics Lab on common ECG Lead Switches (boards ❓favorites).

In case you missed it - we are considering the infarct related artery responsible for the following pattern of injury in a 69yoM presenting with a STEMI: Image
Most guessed the LCx or D1 of the LAD from the STEs in leads 1 & L (as we did) with reciprocal depressions inferiorly - a high lateral (maybe posterolateral with V2 depression) infarction.

The angiogram prompted a welcome phone call from our spicy🌶 interventionalist: "You ECG readers think you are *SO* perfect. Take this!😂It was the RCA all along!": Image
Read 20 tweets
When use #ldtra during a #radialfirst approach?

👌if no #STEMI and:
1⃣ dialysis or CABG w/radial graft likely (better
radial artery patency) or
2⃣ left radial preferred (e.g. prior CABG: better pt
and👩‍⚕️comfort) or
3⃣ pt has thick forearm (better hemostasis) When to use #ldtra (distal ...
❓How-to #ldTRA?

Twitterature: @ferdikiem and many others provide great tips from U/S guidance to compression and more

Literature is catching up:
ongoing studies➡️NCT03611725, NCT04232488, NCT04318990, NCT04194606, NCT04171570 Literature vs Twitterature
Read 3 tweets

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