Discover and read the best of Twitter Threads about #cncr

Most recents (5)

Hey #EPeeps and #RadOnc communities... we have some new data to share today about how **radiation can actually reprogram heart cells to make them act younger**. This is my first attempt at a Twitter thread 🧵 Please be kind...
(1) To develop a better/safer/faster way to fix abnormal heart rhythms, we helped create *noninvasive cardiac radioablation* - a 7-minute precision-focused radiation treatment to arrhythmia circuit(s) in the heart. bit.ly/NEJM2017
(2) The goal with noninvasive cardiac radioablation is to deliver full-thickness ablation (read: destruction) to the semi-scarred heart tissue causing problems. It solves many shortcomings of ablating heart scar with catheters.
Read 15 tweets
1/13
Amazing pizza, barista level coffee, and a case involving SOB and a new pericardial effusion! Hard not to get palpitations from this amazing #CNCR by @UHCardsFellows

Episode here: cardionerds.com/72-case-report…

Here’s a brief re-cap with some of the 💯 learning Image
2/
Mid 70s F p/w subacute onset SOB. PMHx of recurrent metastatic breast cancer s/p mastectomy, chemo/radiation. On exam, tachy, muffled heart sounds, JVD, BLE edema, and +Kussmaul's sign

Let's start with some physical exam teaching! What is Kussmaul's sign and what causes it?🤔
3/
Kussmaul's sign, when JVP doesn't ⬇️ during inspiration ➡️ poorly compliant RV d/t RV myocardium or pericardium (e.g. RV failure, RV ischemia, and occasionally Tamponade). Seen in 50% of cases of constrictive pericarditis!
Read 13 tweets
1/ Are you ready for another #CNCR tweetorial?

👏👏👏 to another amazing case with @cardionerds and @DrRachelGoodwin @Dr_Isang_MD @WBlackDoc from U Tennessee

Catch up on the episode here:
cardionerds.com/58-case-report… Image
2/ Pt was Dx'ed with constrictive pericarditis (CP) which is often a dreaded topic 😱

Fear not! Let's break it down & focus on the echo findings of CP.

👉🏽👉🏽 💯 tweetorial on RCM by @CBlumenthal2 & 🌟 #CNCR case of hereditary RCM from @DukeCardFellows
CN5 on Hereditary RCM. CNCR...
3/ First, let's review basic anatomy :

✅Pericardium contains all ❤️ chambers
✅Cardiac chambers are affected by changes in intrathoracic pressure b/c same pressure changes are transmitted inside pericardium
✅ Pulm vasculature, SVC/IVC are external to pericardium
Read 14 tweets
1/ #CNCR on a speedboat on Lake Travis!! 😎😁😀

Here's another amazing case with @cardionerds and @prkothapalli @doctormontano @doctormikemg from @DellMedCardio

Catch up on the episode here: cardionerds.com/55-suicide-lv-… Image
2/ 71yoF w/ h/o CAD s/p PCI to LAD/RCA, pAF s/p ablation, HTN, TIA, and severe symptomatic AS was admitted for elective TAVR.

What's the definition for severe AS on TTE?

#TBT @cardionerds ep. 1&2 on severe AS.
cardionerds.com/episodes/aorti…
@heatherkaganmd @sneha_vk @RaniKHasan Image
3/ That's right! Severe AS = a mean gradient >40mmHg, a peak velocity >4m/s, and an aortic valve area <1cm2 on TTE.

An increasingly common tx option includes TAVR

What are some feared complications post-TAVR?
Read 11 tweets
1/ #CNCR continues with another @cardionerds case from @UTSWCardfellow

Catch up on the episode here: cardionerds.com/47-syphilitic-…

Here’s a brief re-cap with some of the 💯 learning.

First a synopsis…
2/ ...Man in his 50s p/w 3m of ⬆️DOE, orthopnea, and LE edema that suddenly worsened in the last 2d.

No other hx. Prefers male partners.

P/w wide pulse pressure and exam concerning for severe AR.

What's your approach to causes of AR?
3/ First think of AR as Acute or Chronic!

Acute severe AR tends to present w/ hypotension + ❤️shock

➡️...then can think of as a primary valve issue or secondary due to aortic root/aortic disease. Causes of Aortic Regurgitation
Read 12 tweets

Related hashtags

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!