Carlos G Santos-Gallego, MD Profile picture
Apr 29, 2021 29 tweets 61 min read Read on X
#MacHF Dr Eilliam McIntyre on when to choose warfarin over a DOAC
@hvanspall @DrRajivsankar @rachkataria @aayshacader @vbluml @paomorejon @lucreciamburgos @KevinShahMD
#MacHF the triad of obesity, HFpEF and AFib. All@of us have seen these challenging patients. Dr Jorge Wong shares some tips about how to treat them @hvanspall @DrRajivsankar @rachkataria @aayshacader @vbluml @paomorejon @lucreciamburgos @KevinShahMD
Great debate now! Should we ablate AFib in HF or medically optimize? Dr Jason Andrade defends ablation! @DrJasonAndrade
#MacHF @hvanspall @DrRajivsankar @rachkataria @aayshacader @vbluml @paomorejon @lucreciamburgos @KevinShahMD
Counterpoint now! Should we ablate AFib in HF or medically optimize? Dr Ratika Patkash defends medical management! @DrJasonAndrade
#MacHF @hvanspall @DrRajivsankar @rachkataria @aayshacader @vbluml @paomorejon @lucreciamburgos @KevinShahMD
Next session is all about Ventricular Tachychardia. We start with tops to distinguish VT from other EKG rhythms by Dr Divakaramenon
#MacHF @hvanspall @DrRajivsankar @rachkataria @aayshacader @vbluml @paomorejon @lucreciamburgos @KevinShahMD @ShelleyZieroth @adribaran
When to refer a patient for device therapy.? Always optimize medical treatment first! 4 drugs, 5 pathways, 6 years of life. Nice summary slide by Dr Aiman Alak
#machf @ShelleyZieroth @hvanspall @lucreciamburgos @aayshacader @rachkataria @KevinShahMD @paomorejon @DrRajivsankar
Spectacular talk by the great @AndrewJSauer about digital technology and remote monitoring! The future is here with gadgets and gizmos!
#machf @hvanspall @aayshacader @rachkataria @DrRajivsankar @ShelleyZieroth
@AndrewJSauer giving a great talk about remote monitoring. Even with a reference to “Dancing with wolves”! And a detailed explanation of how he built his activw HF program in Kansas #MacHF @hvanspall @aayshacader @rachkataria @DrRajivsankar
How to reduce VT bueden in ICD patients? Dr Usha Tedrow reviews all evidence for both ischemic (VANISH and BERLIN-VT RCT) and non-ischemic cardiomyopathy #MacHF @hvanspall @ShelleyZieroth @aayshacader @DrRajivsankar @rachkataria

If ICD prevents MRI, try CT-guided ablation!
EKG detectives: how to recognize cardiomyopathies by EKG. By Dr Sebastian Ribas
#MacHF @aayshacader @rachkataria @DrRajivsankar @hvanspall
ew technologies for ablation of difficult VT by Dr Usha Tedrow: late-contrast-enhanced CT, radiotherapy, bipolar ablation, alcohol ablation, pulsed field ablation, conventional ablation aimed at the scar, stellate ganglion blockade
#MacHF @hvanspall @aayshacader @rachkataria
Congrats Dr Harriette Van Spall @hvanspall for putting this amazing program together! #MacHF
@aayshacader @rachkataria @DrRajivsankar @paomorejon
Dr Shamir Mehta on “Secondary Mitral Regurgitation: considerations before referral for valve intervention”
- it takes a multidisciplinary team!
- quantitate, quantitate, quantitate! #MacHF @aayshacader @hvanspall @rachkataria @DrRajivsankar
A Dynamic Duo presentation about Secondary Tricuspid Regurgitation”. A great conversation between two friends and long-term colleagues, the great team of Dr John Erwin and Mark Ricciardi #MacHF @hvanspall @aayshacader @rachkataria @DrRajivsankar @HeartOTXHeartMD
“Optimizing nutrition and physical rehabilitation in HF” by Dr Catherine Demers #MacHF @hvanspall @aayshacader @rachkataria @DrRajivsankar @ShelleyZieroth
“I NEED HELP”: a great acronym to recognize which patients to refer for advanced HF therapies!!!!
Grest tslk by Dr Faizan Amin #MacHF @aayshacader @hvanspall @rachkataria @DrRajivsankar
Great workshop about #echofirst cases of HF #MacHF @hvanspall @aayshacader @rachkataria @DrRajivsankar
- Fabry: double pattern of endocardium, papillary muscle hypertrophy
- Amyloidosis: RV hypertrophy, apical preservation of strains
- Sarcoidosis: thinning of the basal septum
Medical optimization of HF therapy. Learning from the master and the legend @NMHheartdoc himself
#MacHF @hvanspall @aayshacader @rachkataria @DrRajivsankar
HFpEF pearls by the @HFpEF master himself De Sanjiv Shah
#MacHF @aayshacader @rachkataria @DrRajivsankar @hvanspall
33% of HFpEF patients have a “low-BNP syndrome”due to excess of epicardial adipose tissue. Thus, do not use BNP to rule out HFpEF!!
@HFpEF #MacHF @aayshacader @rachkataria @DrRajivsankar @hvanspall
Sean Virani on the new Canadian guidelines for HFrEF (<40%)

Foundational, upfront, first-step quadruple therapy!!! ARNI+BB+flozins+MRA

3-6 months to fully implement steps1&2
#MacHF @hvanspall @rachkataria @DrRajivsankar @aayshacader
Justin Ezekowitz on “IV iron in HF"
#MacHF @aayshacader @hvanspall @rachkataria @DrRajivsankar
Spectacular tslk by the rock star Dr Harriette Van Spall @hvanspall about transitional care. Improving outcomes in HF does not end with acute management lf disease, hence transitional care!
#MacHF @rachkataria @DrRajivsankar @aayshacader
More tips about transitional care by @hvanspall #MacHF @rachkataria @DrRajivsankar @aayshacader

The simple LE (or the new LENT) index assesses risk of readmission
Transitional care is the ugly duckling of HF care, but it should not! Transitional care improves HF after hospitalization! #MacHF @hvanspall @aayshacader @DrRajivsankar @rachkataria

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More from @SantosGallegoMD

Feb 3, 2021
Happy #NationalWomenPhysiciansDay to my amazing female physician friends and colleagues who serve in medicine. Today honors the birthday of Dr. Elizabeth Blackwell, the first woman to receive a medical degree 172 years ago

#WomenInMedicine
She was rejected from each medical school she applied to, except Geneva Medical College (upstate New York). The dean and faculty, usually responsible for evaluating an applicant, were not able to make a decision due to the special nature of Blackwell's case. They decided to vote
They put the issue up to a vote by the 150 male students of the class with the stipulation that if one student objected, Blackwell would be turned away. The young men voted unanimously to accept her!
Thus, in 1847, Blackwell became the first woman to attend Med School in the US
Read 4 tweets

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