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CORE IM
@COREIMpodcast
, 4 tweets, 3 min read Read on Twitter
1/ Feeling low energy today? Need a late afternoon pick-me-up? This week’s #12leadthursday should elevate your heart rate!

#FOAMEd #Cardiotwitter @smithECGBlog @ecgrhythms
2/ Stop! Differential time! What can cause a low voltage ECG?
3/ It’s helpful to think about WHY the voltage is low - you don’t have to memorize the differential; rather, it can follow logically from your reasoning.
4/ And here’s a little extra, because we all love to learn.

Happy Thursday!
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More from @COREIMpodcast see all

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CORE IM
@COREIMpodcast
1/ Goooood morning #medtwitter!

It’s #12LeadThursday, which means it’s time to bust out your calipers and get to work.

Here’s your tracing, and remember: you have a system. Use it!
2/ #12LeadThursday
🔘Rate: ~105
🔘Rhythm: Sinus
🔘Axis: Normal
🔘Intervals: normal
🔘Morphology: 🤔
3/ Brugada! The eponym comes from not one not two but three brothers who have published papers on the characteristic ECG findings and underlying genetic mutations that cause the syndrome, the first of which came out in 1992.
Read 4 tweets
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CORE IM
@COREIMpodcast
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
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CORE IM
@COREIMpodcast
1/ Happy #12LeadThursday!

Practice your skills and take a swing at our latest EKG. What’s the diagnosis?

Use your system:
🔘Rhythm
🔘Rate
🔘Axis
🔘Intervals
🔘Morphology

#FOAMEd #cardiotwitter #medtwitter
2/ We’re mixing it up today: we’ve got one finding that’s a throwback to a previous #12LeadThursday, combined with a new finding that’s a little more specific.

Low voltage + electrical alternans = ?
3/ Remember, specificity = true negatives / (true negatives + false positives). Highly specific findings rarely produce false positives, so you can be pretty sure this 🚴🏽‍♀️ has developed tamponade physiology.

What do you do next?
Read 4 tweets

Related threads

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Dr. Purvi Parwani
@purviparwani
#Cardiotwitter thank you for transforming the field of cardiology.

This paper is a testimony of that transformation brought upon by the use of #SoMe in #CV medicine. Published today in @JACCJournals

onlinejacc.org/content/73/9/1…

Here is a tweetorial on why #SoMe in #CVmedicine
If you are new to twitter look at this slide from my #SoMeGR at @LLUHealth
Engagement = Likes +Retweets
Impressions= Users that tweeted the tweet x no of their followers
More in the basics of #SoMe in onlinejacc.org/content/73/9/1…
@adityadoc1 @AdiAJoshi @poojaotherwise @almasthela
Make sure to use the hashtags to increase your engagement
List of the popular hashtags used on #cardiotwitter below- look at the reach of those hashtags!

Don’t forget Imaging hashtags: #echofirst #whyCMR #yesCCT #ACCimaging #CVimaging
More at onlinejacc.org/content/73/9/1…
Read 13 tweets
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Tom Bouthillet
@tbouthillet
THREAD: Differential diagnosis of tachycardias can be tricky business! Here are some strategies to help keep you between the ditches. Hope you will like and share. #FOAMed #FOAMems #MedEd #CardioTwitter
1/ First let's look at the 2015 AHA ECC Guidelines tachycardia algorithm. It's fairly straight forward but there are some important concepts here that deserve some elaboration.
2/ In the first place we're asked to consider appropriateness of tachycardia for the clinical condition. This is really important! We don't want to attack the heart rhythm if it's a compensatory tachycardia! The second part causes a lot of confusion. What is significance of 150?
Read 29 tweets
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Ahmad Masri
@MasriAhmadMD
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…
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
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💜 tea
@ggukieggukie
taehyung watches as his viewers start putting their money in. taehyung's lowest bid is usually—give or take—40 bucks, however, this time around someone has already tipped 70 bucks, right from the get go.
"give him a blowjob," taehyung reads the chat that follows right after, humming at the thought. that would be nice, really, and he would love for his viewers to see how amazing jeongguk is with his mouth, always eager to please.
a bunch of people seem to agree, and taehyung quickly scans the comment section to see what his viewers have to say.

"i bet his little cock is as cute as the rest of him," taehyung reads out loud one comment he likes, chuckling. "what do you have to say about that, baby?"
Read 44 tweets
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Private Masseuse
@GospelJosiah
So I met some secondary school friends after 12years and they were doing super good, least car one of them drives is Venza. I felt bad because I was more intelligent back in school so I decided to ask them for the way forward. These are the replies I got...
Each insisted I have a separate meeting with them that their hustle are on different levels so I decided to schedule different meetings. I was pretty excited as I thought if one no work the other one go work. I had 4guys to learn how to make money from
Sorry I forgot to mention all this discovery I got was in January this year 2018 so it's not a story from some time ago
Read 62 tweets
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Ali the ¢abbage
@AliMaadelat
Quick little story for anyone who is feeling defeated about where they are in life right now. This is a rant thread.
I was born to a single, immigrant mother. My father left her when she got pregnant with me — I met him once when I was 7.
I was always in trouble when I was younger. They said I had ADD. I probably did.
Read 20 tweets

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