Doing this as PSA!
Those who are worried about side effects of the vaccine- here is the @NEJM paper on #Pfizer #Covid vaccine!

nejm.org/doi/10.1056/NE…

@DBelardoMD @mirvatalasnag @onco_cardiology @AChoiHeart @SaynaNorouzi @DrAsifQasim @datsunian @aayshacader @PushpaShivaram ImageImageImageImage
💉 two 30-μg doses of vaccine, administered intramuscularly 21 days apart!
💉 Adverse event data through approximately 14 weeks after the second dose are included in the paper. Collected upto 6 months after the vaccine!
💉 side effect of general reactogenicity mainly headache/ fatigue/ fever —less common and milder in older adults than in younger adults.
💉 These side effects were more common and severe after the 2nd dose than after the 1st one.
Severe fatigue was observed in approximately 4%
💉 Overall, side effects were transient and resolved within a couple of days after onset.
💉 Lymphadenopathy( swollen lymph nodes) resolved within 10 days, probably from vaccine-elicited immune response.

Most importantly—
95% efficacy!
Trial was not designed to tell us how effective the vaccine was after first dose only but , in the interval between the first and second doses, the observed vaccine efficacy against Covid-19 was 52%, and in the first 7 days after dose 2, it was 91%,
After 7 days of second dose— patients were at the best vaccine efficacy to fight against the virus. Which will mean after taking the vaccine one has to wait almost a month to get 95% against the virus! Not bad at all!

I cannot wait to get it! #HCW4vaccine #VaccinesWork

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More from @purviparwani

1 Sep
Excellent session on #Aortopathy by @michelenahector
#ESCCongress

#CVimaging

📌 Aortic root up to STJ
📌 Dilatation per Body size & Pathology
>45mm significant dilatation
📌 Use nomograms to define dilation
📌 Describe Dilatation/segment/accurate measurement in the 📰
Excellent session on #Aortopathy by
@michelenahector

#ESCCongress
📌 Look for RF in Bicuspid Aortopathy Sx cut off 50-54mm
📌 Bicuspid Aortopathy without RF Sx cut off 55mm
📌 Some example of Fusiform AA dilatation VS Root dilatation
#Aortopathy by @michelenahector
#ESCCongress

Dilatation Phenotypes
🎈Most common:AA dilatation in HTN, BAV
🎈 Marfanoid in Marfan, LDS, BAV root phenotype
Read 5 tweets
30 Aug
Check out the #MINOCA section in updated NSTE-ACS guidelines at #ESCcongress
bit.ly/3bcrixp

Here is a tweetorial on #MINOCA
🧲Class I Recommendations🧲

-> Use of Diagnostic algorithm
-> Use of #whyCMR
-> Use of working dx & Rx according to the underlying Dx
MINOCA has MI in it-> DOES the definition allows for the inclusion of non-ischemic causes of troponin elevation?

Given this limitation of the troponin bioassay, the “Fourth 4th Universal of MI" defined Injury from infarction

INJURY IS NECROSIS WITHOUT ISCHEMIA!
#ESCCongress
The hallmark of myocardial injury ⬆️ troponin, However, these entities differ conceptually
▶️ myocardial injury = nonischemic mechanisms of myocyte injury (eg, myocarditis),
▶️MI = ischemic mechanisms (eg,
plaque disruption or supply-demand mismatch).

#ESCCongress
Read 10 tweets
18 Jan
@onco_cardiology @JStojanovskaMD @MichaelCoMD @DmitryAbramovMD @chiarabd @HeartDocSubha @larsgrowo @SarjuGanatraMD @AnaBaracCardio @AkhilNarangMD @krychtiukmd @vass_vassiliou @DrToniyaSingh @AChoiHeart @AnkurKalraMD @adityadoc1 Incidence of Cardiac Metastases: 1.23%
Primary Cardiac Tumors 0.056%

Can be benign, malignant or pseudotumor
Primary Cardiac tumor- mostly benign

#Cardiac Mass eval: detailed clinical presentation, History, Physical Exam, #echofirst to see the tumor characteristics
Read 13 tweets
16 Mar 19
Do you use #whyCMR in your patients undergoing #TAVR. More slides in the thread #CVimaging #ACCImaging #ACC19
Annular assessment by #whyCMR accuracy similar to #YesCCT

data from @JACCJournals
#ACCimaging #ACC19 #Cvimaging
Peripheral calcification is the limitation for #whyCMR use in #TAVR #ACCimaging #CVimaging #ACC19
Read 7 tweets
5 Mar 19
#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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