Tweet

Omid Kiamanesh, MD

Follow @OKiamanesh

8 Feb, 5 tweets, 5 min read

https://twitter.com/OKiamanesh/status/1358908427473309697

What's the diagnosis? 🧐🧐

Round 2 for today!

Compare and contrast with

https://twitter.com/OKiamanesh/status/1358908427473309697

Non-cardiologists only please.

I'll post answer tomorrow.

#ThePeoplesVentricle #POCUS #echofirst #FOAMed

@KalagaraHari

How is this different than case #1 today? Hint, it's one of the answers submitted. I think it will be good to discuss.

@KalagaraHari
@NephroP
@dr_benoy_n_shah
@NMerke
@iceman_ex
@RJonesSonoEM
@UAlberta_Sono
@Thind888
@msiuba
@CalgaryPHdoc
@katiewiskar
@GoughCJ

https://twitter.com/OKiamanesh/status/1359345333050896384

Great thoughts by all. I posted my answer here:

https://twitter.com/OKiamanesh/status/1359345333050896384

• • •

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

This Thread may be Removed Anytime!

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

More from @OKiamanesh

Omid Kiamanesh, MD

@OKiamanesh

10 Feb

⚡️ RIGHT VENTRICULAR FAILURE ⚡️
** MONTHLY ILLUSTRATIVE CASE X 3**

This month we present THREE CASES of severe right ventricular failure. Can you make each diagnosis?

CASE 1 - WHAT'S THE CAUSE?

CASE 2 - WHAT'S THE CAUSE?

CASE 3 - WHAT'S THE CAUSE?

Read 13 tweets

Omid Kiamanesh, MD

@OKiamanesh

25 Jan

@LeaHarperMD

** PULMONARY HYPERTENSION **
** MONTHLY ILLUSTRATIVE CASE **

Difficulty: Hard

A 57-year-old woman with emphysema and pulmonary hypertension (PH) underwent right single lung transplant.

bit.ly/2WatMpi

@LeaHarperMD @MakLab_ @CircHF @DrNancySweitzer @SophiaAirhart

Pre-operative TTE showed a dilated and dysfunctional RV.

Coronary angiography showed mild atherosclerotic coronary artery disease.

Read 27 tweets

Omid Kiamanesh, MD

@OKiamanesh

4 Dec 20

@CJC_JCC

⚡️MONTHLY ILLUSTRATIVE CASE⚡️
STATE OF THE HEART BIOPSY

Endomyocardial biopsy is an invaluable yet underutilized diagnostic technique for myocardial disease.

sciencedirect.com/science/articl…

#echofirst #POCUS #FOAMed

@CJC_JCC @Cardio_Girl @SCC_CCS @mustoma

Endomyocardial biopsy is typically performed via the right internal jugular using the Seldinger technique and fluoroscopic guidance. This is safely performed with a <1% risk of cardiac complication.

Fluoroscopic imaging showing endomyocardial biopsy of the RV septum by advancing a bioptome through the RA and tricuspid valve via the right internal jugular vein.

Read 16 tweets

Omid Kiamanesh, MD

@OKiamanesh

2 Jun 20

*Constrictive Pericarditis Tweetorial*
A 50-year-old male with a prior cardiac surgery with right heart failure. Exam shows a JVP of 15 cm and an estimated 20 kg of interstitial edema. What's abnormal? What are we looking for?

#echofirst #FOAMed

1/

Echo shows normal biventricular size and systolic function, as well as ventricular septal motion abnormality from ventricular interdependence (not fully shown)

2/