Share this page!

Maybe Scrolly?
Dr. Purvi Parwani Profile picture
Twitter logo
Mar 3 • 6 tweets • 8 min read
#Imaging In #Athletes from @mmartinezheart’s phenomenal talk at @LLUHealth

➡️ physiological adaption in athletes common

➡️ not every “abnormal” finding is a pathology #Echofirst #whyCMR must to evaluate

➡️ ekg interpretation jacc.org/doi/abs/10.101… ImageImageImageImage
➡️ type of cardiac remodeling depend on the sports and activity
Eccentric
Nondilated concentric
LV concentric

➡️ increased LV size and lower EF not uncommon- Stroke volume ImageImageImageImage
#WhYCMR all the way.
Every professional athlete with concern of CVD get a CMR!
#whyCMR in athletes

➡️ accurate biventricular size and function

➡️ LVH assessment - accurate measurement of the septum

➡️ myocardial fibrosis indicates pathology

➡️ risk stratification ImageImageImageImage
➡️LV trabeculation overcalled

➡️ LVNC falsely over diagnosed in Athelets

➡️ LGE assessment with increased LV trabeculation important!

➡️T wave inversions on EKG - needs further eval

➡️ stress echo very useful with risk stratification ImageImageImageImage
➡️ detraining literature weak

➡️ can occur within weeks however no athlete likes detraining

➡️ not useful and not routinely done by the experts ImageImageImageImage
Take home points.

=> multimodality imaging is the key in evaluation of patients with #AtheletHeart

#WhyCMR #Echofirst
2 LBCT at #ACC23
Help with registry: orccastudy.org ImageImage

• • •

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

Keep Current with Dr. Purvi Parwani

Dr. Purvi Parwani Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

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

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @purviparwani

Dr. Purvi Parwani Profile picture
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
Dr. Purvi Parwani Profile picture
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
Dr. Purvi Parwani Profile picture
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
Dr. Purvi Parwani Profile picture
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
Dr. Purvi Parwani Profile picture
Jan 18, 2020
Check out our review on the utility of #whyCMR in the differentiation of #cardiac #mass

link.springer.com/article/10.100…

Mini-Tweetorial Follows:
#CardioOnc #cvImaging #ACCimaging
@onco_cardiology @JStojanovskaMD @MichaelCoMD
@DmitryAbramovMD @chiarabd @HeartDocSubha @larsgrowo
@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
@onco_cardiology @JStojanovskaMD @MichaelCoMD @DmitryAbramovMD @chiarabd @HeartDocSubha @larsgrowo @SarjuGanatraMD @AnaBaracCardio @AkhilNarangMD @krychtiukmd @vass_vassiliou @DrToniyaSingh @AChoiHeart @AnkurKalraMD @adityadoc1 @JoaoLCavalcante @almasthela @iamritu @DrMarthaGulati @hvanspall @venkmurthy @aayshacader @IAmDrIbrahim @poojaotherwise @mswami001 #whyCMR helps with high accuracy and able to provide the diagnosis in cases of cardiac #mass

#whyCMR eval:
Cine imaging
T1 and T2 weight imaging with and without FS
First Pass Perfusion
EGE, LGE & post-Gad T1W imaging

@fabrizioricci @MasriAhmadMD @cshenoy3 @afshinfarzan
Read 13 tweets
Dr. Purvi Parwani Profile picture
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

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

Send Email!

:(