MIC drop at #ESCCongress
No difference at all with revascularization in patients with ischemic cardiomyopathy.
There is silence in the audience! Woooowwwwww
@mmamas1973 @DrMarthaGulati @mirvatalasnag @iamritu @djc795 @SrihariNaiduMD @adityadoc1 @KemalogluOz @Hragy
#ESCCongress
Conclusions of #REVIVED trial —
In Patients with ICM — PCI didn’t reduce the all cause mortality or heart failure hospitalization at 3.4 years.
( including left main disease)
@DmitryAbramovMD @VinoyPrasadMD @adityadoc1 @datsunian @DineshKalra @DrSharathS
Excellent discussion at #ESCCongress
REVIVED trial
💥 GDMT works — 90% on BB &ARNI/ACE/ ARB
💥 LVEF increase with PCI doesn’t help with CHF or MI, but better life quality
💥 does viability matter? For risk stratification
@VDelgadoGarcia @alexsfelixecho @Sarah_Moharem

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More from @purviparwani

Jul 16, 2021
Top 10 paper in #yesCCT by @ToddVillinesMD

1st paper

📝 Italian COVID 19 registry
N=1625
📝 Increasing #CAC associated with worse covid 19 outcomes of hospital death, MI and CVA
#YesCCT
2nd paper #Top10 papers #yesCCT
#SCCT2021
danish heart registry
📝 Plaque burden, not stenosis the main predictor of MACE
📝 patients with a comparable calcified atherosclerosis burden generally carry a similar risk for CVD events
jacc.org/doi/abs/10.101…
3rd paper #Top10 papers #yesCCT
#SCCT2021

CREDENCE trial
📝 Stress MPI vs #yesCCT for diagnosis of coronary physiology
📝 #yesCCT superior to stress MPI in the diagnosis of invasive FFR
jamanetwork.com/journals/jamac…

@lesleejshaw @RonBlankstein @AChoiHeart @ghoshhajra
Read 10 tweets
Dec 10, 2020
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%
Read 6 tweets
Sep 1, 2020
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
Aug 30, 2020
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
Jan 18, 2020
@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
Mar 16, 2019
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

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