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David J. Hur, MD Profile picture
David J. Hur, MD
@DavidJHur1
Cardiologist & Multimodality 🫀 Imager @YaleCardiology | #PatientFirst | #YesCCT | #SoMe Editor #JACCAsia @JACCJournals @ACCinTouch | Disclaimer: 👀📌🐥

Jul 17, 2021, 5 tweets

#SCCT2021 "Chance Favors the Prepared: Exam Prep & Safety" #YesCCT Why you gotta be so complicated? by Dr. Christopher Maroules @ChrisMaroules
🧵:

#SCCT2021 #YesCCT
1) Always consider the risk:benefit ratio

#SCCT2021 #YesCCT
2) Anticipating and managing adverse rxns to medications

#SCCT2021 #YesCCT
3) Acute adverse rxns - generally occur w/in 20 min of contrast admin/exposure
- allergic rxns: oxygen, epinephrine, albuterol
- physiologic rxns (vasovagal): leg elevation, IVF, atropine

#SCCT2021 #YesCCT
4) Contrast extravasation
- RF: distal site injections & abnl circ
- sequelae: self-limited (24-48h), but can lead to skin comps & compartment syndrome (severe)
- eval: 👀promptly, focused exam
- TX: ⬆️above 🫀, compress, conting instructions, surgery if c/f CS

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