Discover and read the best of Twitter Threads about #ecg

Most recents (10)

1. “STEMI equivalent” #ECG patterns is crucial for every👨🏻‍⚕️👩🏻‍⚕️ dealing with #ACS.
-in 10-25% pts for urgent #PCI
📍Wellens’ syndrome
📍de Winter sign
📍hyperacute T waves,
📍left bundle branch block (LBBB)
📍right bundle branch block (RBBB)

📎ajconline.org/article/S0002-…
2.📍Wellen’s syndrome📍
(other names Wellens' sign, Wellens' warning, Wellens' waves):
is a pattern of deeply inverted or biphasic T waves in V2-3, which is highly specific for a critical stenosis of the left anterior descending artery (LAD)
3.📍de Winter sign📍
-ECG abnormality described by de Winter et al. in 1998
-Characterized by 1-3 mm of ST-depression with upright, symmetrical T-waves
-Suspicious for proximal occlusion of the LAD
-Recognized as a STEMI equivalent by Rokos et al. in 2010
Read 6 tweets
Today's article in @TheKenWeb contemplates "what ails" Indian #ECG Companies and concludes "Plenty as it turns out, starting with #healthcare providers themselves."

the-ken.com/story/what-ai-…

I have heard these sort of comments a lot in various flavours from different #HealthIT
What usually happens is a group of highly skilled, honest, hardworking Engineers or Management Graduates #Startups develop a product or service, test it and find it successfull but when they want to market is doctors don't buy
So
They start blaming doctors, directly or indirectly saying that this is a magic solution which will revolutionalise health and save 20 crores people per year, but this dull headed docs are not able to see the potential and / or afraid of technology
Read 44 tweets
(1/10) #JACC #Tweetorial: T2MI is #cvMI due to alterations in either myocardial oxygen supply and/or demand in the absence of acute atherothrombosis. It can occur in pts w/ normal coronaries and in obstructive/non-obstructive stable #cvCAD. fal.cn/AGvR
(2/10) #JACC #Tweetorial: Frequency of T2MI varies widely due to differences in populations, comorbidities, adjudication processes, & cTN assays, w/ a major challenge being the absence of uniform definitions that can be useful w/ high reproducibility. fal.cn/AGvR
(3/10) #JACC #Tweetorial: How T2MI manifests depends on the pathobiology & clinical context, w/ T2MIs less likely to have chest pain, imaging/#ECG abnormalities & ⬇ cardiac troponin concentrations compared to T1MI. Many T2MIs are driven by other illness. fal.cn/AGvR
Read 10 tweets
The countdown to #ACC19 has begun!

Here’s a THREAD about the much anticipated #AppleHeartStudy

(results to be presented at 9am THIS Saturday, March 17 at #ACC19 by #EPeeps Mintu Turakhia AKA @leftbundle from @SCCR_Stanford!)

#ACCEP
The #AppleHeartStudy aimed to test the ability of a smartwatch algorithm to detect an irregular pulse consistent with AF, & to estimate its diagnostic yield in a large population:
#ACC19 #ACCEP
The cool thing about the #AppleHeartStudy, is that all of it was done virtually. ALL. OF. IT. Enrollment, consent, study visits, patch monitoring. Here are the #AppleHeartStudy ‘s main objectives in detail:
#ACC19 #ACCEP
Read 15 tweets
1/ Get your #ECG learning on with this new #12leadthursday today! #FOAMed
2/ What #pathophys helps explains those delta waves? #cardiotwitter
3/ Lets get into #arrhythmia associated with WPW
Read 4 tweets
Apple has a section of their website answering questions doctors may have regarding their latest #ECG technology. Where are the answers to the REAL questions #patients want to know about? For example, if I get an alert:

#AppleWatch #digitaltech #wearables #PatientAdvocacy
2) when do I confidently ignore, act upon, or wait to make actionable decisions about alerts I’ve received? #AppleWatch #digitaltech #digitalhealth #wearables #Innovation #PatientAdvocacy #healthcare #medtwitter
Read 7 tweets
#PregnancyCardiology Primer courtesy of a fantastic lecture by Dr. Sabrina Phillips from Mayo Clinic. Follow the thread #ACCFIT s for a good overview of considerations. #FelllowsFirst #MedEd

How does plasma volume and erythrocyte volume change during pregnancy? 1/12
#PregnancyCardiology Primer

Other important factors in the cycle of volume expansion and decreased SVR
2/12

#FellowsFirst #ACCFIT
#PregnancyCardiology

Cardiac Output changes in Pregnancy

3/12

#FellowsFirst #ACCFIT
Read 12 tweets
#FITSurvivalGuide #ACCFIT
Topic - Ventricular Tachycardia!

Agenda:
1- Approach to evaluating #VT
2- Management of #VT
3- Practice Cases

Please share your thoughts & input to this #tweetorial!

@ACCCardioEd @ACCinTouch #FOAMed @MichiganACC
#FITSurvivalGuide #ACCFIT
1/10 – Ventricular Tachycardia
Simplified approach to evaluate tachycardia:
Rule #1 – If HD unstable ➡️ shock!

If HD stable, sit down & think.
Step # 1 - QRS: wide or narrow?
Step # 2 - Rhythm: regular or irregular?

This will narrow DDx!
#FITSurvivalGuide #ACCFIT
2/10 - Wide complex tachycardia

Always consider clinical Scenario!
Look for history of MI and cardiomyopathy ➡️ strongly favor #VT!

* If structural heart disease is present, you will be correct 9/10 times with diagnosis of VT!
Read 26 tweets
1/10 #STEMI from ruptured plaque, less plaque erosion. @BraunwaldEugene pic demonstrates LDL oxidized, glycated➡️cytokines release express adhesion molecules➡️monocytes roll, diapedesis➡️ingest LDL, become foam cell➡️SMC migrate, proliferate➡️some apoptosis➡️plaque
2/10 Why #STEMI on #ECG
1. Diastolic current of injury: current away from relatively depolarized injury➡️TQ depression➡️normalized on ECG➡️ST elevation
2. Systolic current of injury: current towards injury due to early repol➡️ST elevation
Read 19 tweets

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