Thread by @adityadoc1

1) #ACCIC #Tweetorial on Thromboembolic manifestations of #COVID19
#cardiotwitter
#FOAMed #SoMe

@ACCinTouch @ACCmediacenter

2) #ACCIC Case-Based #Tweetorial
Tough case, brilliantly handled by @DrTedSchreiber & @DrAmirKaki with excellent outcome!
@singh_heminder @DiraniGeorge @tlalondemd from St. Johns, Detroit

@mirvatalasnag @jedicath

3) #ACCIC #Tweetorial #cardiotwitter

Hemodynamically unstable massive PE in #COVID19 patient

@evandrofilhobr @ekgpdx @jason_wollmuth @CAThompson99 @DrAMcCullough @HarshGMD @HaroonFarazMD

4) #ACCIC #Tweetorial #cardiotwitter

Massive thrombus seen on TTE & TEE

@iamritu @hvanspall @onco_cardiology @mswami001 @VietHeartPA @DrMarthaGulati

5) #ACCIC #Tweetorial #cardiotwitter

Use of AngioVac for thrombus extraction

acc.org/latest-in-card…

@vikasaggarwalmd @ACCinTouch

#ACCIC #Tweetorial #cardiotwitter

That’s the clot!!
Clearly came from a deep vein.

@CMichaelGibson @DocSavageTJU @ErinMichos @HeartOTXHeartMD @kamalcardiodoc1 @lorenzo2509 @SVRaoMD @SukhNijjer @achat26 @aayshacader

7) #ACCIC #tweetorial #cardiotwitter

Post extraction--> acute RV failure --> hemodynamic collapse --> Impella RP insertion

Supportive data:
ncbi.nlm.nih.gov/pubmed/29514403

Subsequently complete cardiac and respiratory recovery!

8) #ACCIC #tweetorial #cardiotwitter

@MitulPPatel1 @BurkhoffMd @DrSethdb @PatrickHu4

Unload RV —> improve LV filling —> increases BP

Real time improvement in aortic pressure with Impella RP insertion

9) #ACCIC #tweetorial #cardiotwitter

Unloading RV seen on TEE

@ACCinTouch @IAmDrIbrahim @TamHtruong @Tesslagra @ACUkaigweMD

10) #ACCIC #tweetorial #cardiotwitter

Great Resource: onlinejacc.org/content/early/…

@JACCJournals @ACCinTouch

#ACCFIT #ACCEarlyCareer
@PCRonline @TCTMD

11) #ACCIC #Tweetorial #Cardiotwitter #COVID19

@DrRajivsankar @Ajar_Kochar @atunuguntla1 @drbrowncares @HadyLichaaMD @BaoGTran @DrToniyaSingh @SGuptaMD @DBelardoMD @PushpaShivaram @ShrillaB @DrSaririan @KTamirisaMD @ZaherFanari @SachinGoelMD @PunagD @matheenkhuddus @rahatheart1