Discover and read the best of Twitter Threads about #cardioEd

Most recents (6)

馃У#InsuficienciaCardiaca RESISTENCIA A LOS DIUR脡TICOS (RD)

Recordatorios pertinentes:

Punto de partida: LA CONGESTI脫N (pr贸ximo editorial para SIAC)

Prevalencia de la congesti贸n en #IC aguda 80-90% (Guias ESC)

#CardioEd #cardiotwitter
Los m谩s usados: Diur茅ticos de asa. Inhiben el NKCC2 generan natriuresis, cloruresis y kaliuresis. Diuresis hipo o isot贸nica.

La expansi贸n del volumen extracelular tiene una relaci贸n linear con la excreci贸n de Na (Walser M Kidney Int. 1985).

#HeartFailure #Cardioed
Caso:
馃馃徎+ disfunci贸n severa del VI馃挃 + francos signos de congesti贸n
TA 140/80

Furo: 40 mg VO 鈥 馃彞 馃搱40 mg BID primer d铆a y 120 mg BID al 3er d铆a

Diuresis: 1900 y al 2do d铆a 900
Cr basal: 1.3 a las 48 hs 1.6
Persistentes signos de sobrecarga
馃搲1 1kg de peso 鈿栵笍
Read 25 tweets
DOI: doi.org/10.1016/j.ijca鈥

Drs @SukhNijjer, @jerd10 and @RicardoPetraco. What are your views on @DavidLBrownMD fallacies of FFR?

As a budding interventional cardiologist, I like to hear all opinions and sides to the story :)
鈥淚n conclusion, FFR in isolation is of no proven clinical value in the evaluation of patients with suspected ischemia. The ESC guidelines continue to promote an outdated paradigm for the evaluation of suspected ischemia that focuses on the focal epicardial stenosis.鈥
The 4 fallacies

1/4 - The first fallacy is the foundational premise of FFR that ischemia caused by a focal obstructive epicardial coronary stenosis is on the direct pathway to death or MI and therefore should be a target of revascularization
Read 7 tweets
Talking with @reepRN and @nsivcd about #Takotsubo cardiomyopathy made me go hunting for an old gif. Clearing out my hard drive so here is an old school gif firesale. Everything must go!
#CardioEd
1/6
2/6
3/6
Read 6 tweets
1/ A long thread on LifeVest. I promise it will be entertaining. If you find any inaccuracies please let me know.

Paper of VEST published here - will discuss background to WCD and #VEST but not the trial itself nejm.org/doi/full/10.10鈥
2/ In 2001, FDA gave approval to Lifecor for the first WCD. Later Lifecor was acquired by Zoll (2004 agreement, 2006 acquisition). Zoll maintains a registry for prescribed LifeVests. But lets go back to the FDA approval process.
3/ Lifecor presented 2 separate prospective studies to the FDA; WEARIT and BIROAD. FDA asked for both to be combined into 1 study, and each study representing a subgroup. A total of 289 patients were included.
Read 18 tweets
Heart Failure with Preserved Ejection Fraction #HFPEF Tweetorial! Once thought as just diastolic dysfunction, it is much more than that!
(picture credit @Medcomic) #HeartFailure #CardioEd
Why have we drawn a cut-off of 50% for rEF vs pEF? Well, this relates to older studies which showed that the risk of symptomatic heart failure increased significantly when your EF was less than 50%.
ahajournals.org/cgi/doi/10.116鈥
But is that still a relevant cut-off? Those with EF between 50 and 55% still have increased risk 鈥 and indeed EF has shown to correlate continuously with risk.
heartfailure.onlinejacc.org/content/4/6/502
Read 18 tweets
#FITSurvivalGuide Aortic Emergency style!
Will discuss presentation/dx/complications/tx for:
1. Aortic dissection馃拤
2. IMH鉂o笍
3. PAU
4. Traumatic transection
5. Non-emergent aneurysm surgical cutoffs (because boards loves them!)

Hoping @keaglemd can share his expertise as well!
1/ Dreaded DISSECTION!
DeBakey and Stanford class猬囷笍
RFs: HTN, Male, age
Presents: Abrupt severe pain (chest or back)! Check both馃挭 BP
Dx: CTA>TEE>TTE
Complications: Propagation 2 RCC/RCA MI (think b4 going to cath lab!) pericardial eff (but try to avoid pericardiocentesis!)
Read 12 tweets

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