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Sarah Birkhoelzer @sarah.theheartdoc Profile picture
@BirkhoelzerS
Sep 18, 2020 • 5 tweets • 18 min read • Read on X
‼️Have you registered for this WIC Event? womenincardiology.eventbrite.co.uk
Interactive panel discussion with Prof. Kalra,Past Chair @BSHeartFailure, @theharveys, @BritishCardioSo #WIC Rep), Prof. Ray (@BcsPresident) & Dr. Calver, Vice-President for Training, JRCPTB Cardiology SAC Chair. Image
@ShrillaB @clare_12 @TinLwin9 @HibbaKurdi @bryony_sedgwick @DawnAdamson6 @AmyBurchell @dramiyazawa @KrithikaLogana2 @BexLewis3 @EmmaKealaher @eleanorwicks @AlexMoss85 @drashnisbet @Aaisha_Opel @connaire_steph @GeminaDB @DeepDastidar @pajhaworth @nanoinspiration @bidbury
@pammyb83 @DrAliceWood @dralicezheng @JonathanWHinton @wessexcardiol @Dr_Stig @dr_benoy_n_shah @ncurzen @mmamas1973 @eleanorwicks @ElenaCowan_ @em_echo @RosalynnAustin @markcpetrie20 @Markgreen433 @kristelly79 @KrissieArnott @drkirmani
@aayshacader @sabeedak1 @nafisae28 @drlouisesegan @paomorejon @sarahhudsonuk @DrSarahClarke @Sarah_Moharem @saramoscatelli7 @JGrapsa @rachkataria @PragyaRanjan @mrunmayeecardio @racsoel @mirvatalasnag @BrJCardiol @BHFprofessional @TheBHF @BCIS_uk @HRSonline
@johnpaisey @GraceMwaura @RobearPierre @ShaziaTHussain1 @jdrwilcox @carpenter_jp @Franke_Jen @tom_cardio @RichJCrawley @HannahCranch @hannahcvimaging @pmhaydock @pope_mtb @DrLaviniaGabara @marianne_MDG @MarisaOlivetree @SLBeachMD @RafKotronias @JamieSYHo

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More from @BirkhoelzerS

Sarah Birkhoelzer @sarah.theheartdoc Profile picture
Oct 9, 2020
#BSEcho2020 Brace yourself for take-off
Dr. Stephanie Curties on Ebstein's disease
🌟Ebstein's more than downward displacement of tricuspid valve --> 💥RV myopathy
🌟Echo: imaging modality of choice
🌟TR is usually severe
🌟variable morphology
🌟Look for associated lesions
#BSEcho2020 Dr. Curties: The forgotten and easily ignored tricuspid valve
🌟Thin leaflets <3 mm
🌟cords insert into 2 adjacent leaflets
🌟3 sets of PMs
🌟No fibrous continuity with PV
🌟Close to AV node #cardiacsurgery
#BSEcho2020 Dr. Curties:The three leaflets of the tricuspid valve
ANTERIOR: large, usually semicircular, infundibular, varying number of scallops
SEPTAL: small, semi-oval, medial, PM may be absent
POSTERIOR: smallest
Read 5 tweets
Sarah Birkhoelzer @sarah.theheartdoc Profile picture
Oct 9, 2020
#BSEcho R heart by Dr. Dan Knight
➡️New gender specific BSE guidelines
➡️Use fractional area change (FAC) for global ➕radial fct

TAPSE controversial & depending on disease
➡️useful in amyloidosis but not in pulmonary hypertension
➡️careful use in patient after cardiac surgery
#BSEcho2020 Dr. Dan Knight
➡️ How to assess right ventricular diastolic function
@em_echo @Chelle1985Mi @The_Echo_Nerd @nat_echo
#BSEcho2020 Dr. Dan Knight
RIMP: RV Index of Myocardial Performance
➡️tissue doppler assessment of IVRT, MPI

🗣️speckle tracking not yet a real alternative as
👎limited RV TTE windows
👎intervendor differences
👎unclear normal values
👎values method dependent
Read 4 tweets
Sarah Birkhoelzer @sarah.theheartdoc Profile picture
Oct 5, 2020
#BSEcho2020 Dr. Bushra Rana @ImperialNHS on 3D Assessment of MR
✅Mechanism
....Type 1: Annular dilatation
....Type 2: Leaflet Proplapse
....Type 3: :leaflet restriction
✅Severity Assessment
✅Haemodynamic consequences
#BSEcho2020 ✅Severity Assessment
↔️Elliptical orifice (average Vena contract in orthogonal views)
↔️Multiple jets (3D Vena contract area)
↔️Late systolic jets (Volumetric methods)
Integrative approach to grading MR severity
VC area x MR VTI = Regurg Vol
#BSEcho2020 ✅Importance of haemodynamic consequences on outcome
➡️Class I: SYMPTOMS
or LVEF <60% but >30%, LVEDd >45 mm
➡️Class IIa: ASYMPTOMATIC
- AF, systolic PAP > 50 mmHg, LA > 60mls/m2, flail segment
➡️Class IIb:HIGH SURGICAL RISK GROUPS
Read 5 tweets
Sarah Birkhoelzer @sarah.theheartdoc Profile picture
Oct 1, 2020
@TheBJCA Are you ready for 3rd @Medtronic Device Programming Course organised by @Nikhil_Ahl.
Summary of 2nd Course in the threat. @HRSonline #cardiotwitter #EPeeps
‼️‼️CHECK OUT: ppm.jph.am ‼️‼️
Check Chest X-ray, upload picture and identify PPM.
@Medtronic PBL STOP
P↔️Presenting Rhythm:
Look at surface ECG and Markers. Markers are "your friends" telling you what the device is seeing and how the device is responding.
@Medtronic PBL STOP
B↔️Battery status (Voltage & Impedance):
Check appropriate rate change due to magnet application in @Medtronic devices ✅85 bpm
Read 9 tweets
Sarah Birkhoelzer @sarah.theheartdoc Profile picture
Sep 17, 2020
@acmedsci @AlexisHutson1 Fantastic workshop on
How to develop an effective mentoring programme
↔️get the best out of people
↔️benefit the organisation
↔️feedback is essential
@AMS_Careers @LizzyBenedikz @HelenDenyer @Mentor2mentors @RobearPierre @Dr2NisreenAlwan @JessicaMABlair
@rachelhelen89 @AlexKermack @WendyHardeman1 @AngelaWn5 @gw4_cat @Gaynormillergm2
Amazing case study about a mentorship programme set up by @GraceMwaura Image
Read 7 tweets
Sarah Birkhoelzer @sarah.theheartdoc Profile picture
Sep 10, 2020
Progress report:
👠June Appointed as BJCA WIC & FlexTraining Rep
👠July Launch of Pilot Mentorship programme for trainee #WIC
👠Aug I ran 125mi to raise > £3000 to fund the programme
👠Sept: All mentees & mentors attend free mentorship workshops
👠Oct meet your mentors
Thank you to all participants of this pilot mentorship programme in particularly the amazing mentors @clare_12 @TinLwin9 @HibbaKurdi @bryony_sedgwick @DawnAdamson6 @AmyBurchell @dramiyazawa @theharveys @KrithikaLogana2 @BexLewis3 @EmmaKealaher @theharveys @eleanorwicks
@AlexMoss85 @drashnisbet @Aaisha_Opel @connaire_steph @GeminaDB @DeepDastidar @pajhaworth @pammyb83
Read 4 tweets

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