Thread by @Ahmed43101178

18 y old male repaired CHD as a child
Dyspnea class III stable BP and O2 sat 95% LBBB
Echo No Shunt
What is the next step?
@AlkashkariWail @MasriAhmadMD @CincyACHD @purviparwani @cardiopedhnn
#cardiotwitter #whyCMR #echofirst
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This is r-TOF in HF with severe biventricular dysfunction absence of residual valvular stenosis or regruge and no shunt or COA
Provided approach to ACHD patient with HF
sciencedirect.com/science/articl…
#cardiotwitter #whyCMR #echofirst @AHAMeetings

CT and Or MRI is indicated ( to assess the anomalous Coronary and the degree of fibrosis which is a major predictor of biventricular dysfunction)
and GDMT is indicated
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