Discover and read the best of Twitter Threads about #cardiomems
Most recents (3)
#HFpEF pearl of the day: Once the Dx of HFpEF is made, the 1st step is looking for and Rx'ing congestion, then Rx'ing comorbidities, and then exercise/weight loss program. I use sequential nephron blockade to minimize loop diuretic dose, always try to use MRAs when possible. 
If strictly following TOPCAT protocol for MRA use in HFpEF, here is an algorithm published here (with @SumeetMitter): pubmed.ncbi.nlm.nih.gov/26408016/
#HFpEF pearl of the day: In HFpEF pts with #CardioMEMS devices, bike stress echo + continuous CardioMEMS PA pressure recording can help evaluate underlying pathophysiologic abnormalities.
Case: 71 yo woman w/apical HCM, AF s/p ablation, pacemaker, HTN, CKD with cardiorenal syndrome and PH-HFpEF presents with worsening overload. Echo shows preserved LVEF with apical HCM, PASP 85 mmHg, RAP 15 mmHg, RVOT PW notching consistent with ⬆️PVR.
Cool trick to easily direct a catheter into the left pulmonary artery -- learned from @MarcSintek while I was at @WashU_cards @WUSTLmed
#tweetorial #cardiotwitter #CardioMEMS @AbbottNews @abbottvascular @BonSecours
#1 Pull PA catheter back into proximal right pulmonary artery
#tweetorial #cardiotwitter #CardioMEMS @AbbottNews @abbottvascular @BonSecours
#1 Pull PA catheter back into proximal right pulmonary artery
#2 Take the (stiff) back end of a standard J-wire and wrap it around a pen/syringe a few times
#3 Insert the (stiff) back end of the wire into the PA catheter and advance carefully to within a few centimeters of the end of the catheter (don't exit the catheter!)
