Share this page!

Sarah Birkhoelzer Profile picture
Twitter logo
9 Oct, 5 tweets, 3 min read
#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
#BSEcho2020 Dr. Curties: Ebstein's anomaly
🌟0.5% CHD
🌟some genetic links
🌟? association with maternal drug use
🌟M = F
🌟80-90% ASD/PFO
🌟40% have left heart lesion

ECG: always RBBB, 50% 1st degree HB block
- often accessory pathways: WPW 15-20%
- early EP study in children
unroll @threadreaderapp

• • •

Missing some Tweet in this thread? You can try to force a refresh
　

Keep Current with Sarah Birkhoelzer

Sarah Birkhoelzer Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @BirkhoelzerS

Sarah Birkhoelzer Profile picture
9 Oct
#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 Profile picture
5 Oct
#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 Profile picture
1 Oct
@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 Profile picture
18 Sep
‼️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
Read 5 tweets
Sarah Birkhoelzer Profile picture
17 Sep
@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 Profile picture
10 Sep
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

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!

Like this author's thread?

Get email notifications when new thread is out from this Author!

Check out other threads from this Author!

Read all threads by @BirkhoelzerS