Shown is an example of flail leaflet of the #mitralvalve at the P2 segment.
Surgical #mitralvalve repair is the gold standard; due to prohibitive risk, the patient underwent successful percutaneous repair #TMVR, guided by 3D #EchoFirst.
New #Coronavirus Research For #EPeeps (1/10):
While the use of hydroxychloroquine and azithromycin in patients with #COVID19 remains controversial, many patients receive this therapy. The primary adverse effect is QT prolongation and torsades de pointes/polymorphic VT. #JACCCEP
(2/10): A topical #COVID19 research letter published in #JACCCEP from investigators at @HeartsInRhythm in Vancouver explore the use of a handheld #ECG device versus a standard 12-lead ECG for QT monitoring. bit.ly/34joL10
(3/10) The handheld #ECG would be ideal because it could minimize healthcare worker exposure. The study cohort included 22 patients referred to their center for a possible inherited arrhythmia syndrome. bit.ly/34joL10#JACCCEP
(1/10) #JACC#Tweetorial: T2MI is #cvMI due to alterations in either myocardial oxygen supply and/or demand in the absence of acute atherothrombosis. It can occur in pts w/ normal coronaries and in obstructive/non-obstructive stable #cvCAD. fal.cn/AGvR
(2/10) #JACC#Tweetorial: Frequency of T2MI varies widely due to differences in populations, comorbidities, adjudication processes, & cTN assays, w/ a major challenge being the absence of uniform definitions that can be useful w/ high reproducibility. fal.cn/AGvR
(3/10) #JACC#Tweetorial: How T2MI manifests depends on the pathobiology & clinical context, w/ T2MIs less likely to have chest pain, imaging/#ECG abnormalities & ā¬ cardiac troponin concentrations compared to T1MI. Many T2MIs are driven by other illness. fal.cn/AGvR