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Dr Deepak Krishnamurthy Profile picture
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Mar 26 • 8 tweets • 4 min read
First day First ride First passenger in the line! #NammaMetro #Purple twitter.com/i/web/status/1… Image
First ticket ImageImageImageImage
My Alma mater ❤️ #SSSIHMS Sri Sathya Sai hospital stop. Image
Namma beautiful Whitefield 😍 twitter.com/i/web/status/1… Image
Inaugurated by Namma @narendramodi ji 🙏 Image
With Mr Praveen ..policeman from Kolar. Image
With Mr Shankar (from Mysuru) Chief executive officer from Metro and Mr Selvan Chief security officer from metro! Image
The first train arrives!

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More from @DrDeepakKrishn1

Dr Deepak Krishnamurthy Profile picture
Mar 28
Lost my father after prolonged illness. Miss him every day.
Had to handle mother's serious health issues. Did her angioplasty myself after a heart attack. Later a fall and spine issues.
Saw my niece who was born in front of me finish her Masters from MIT and then get married!… twitter.com/i/web/status/1…
Realized friends are your strength and support system no matter how far and wide they maybe spread. Talking to a friend or chatting to them even briefly can greatly reduce stress levels! #friendship
Twitter became a source of dissipating health information and education which is a favorite thing for me to do. Grew a good number of followers over the last 3 years. #heartattack , #cardiacarrest, #prevention of heart disease being the major topics. Hoping to make a difference!
Read 5 tweets
Dr Deepak Krishnamurthy Profile picture
Mar 27
A survivor of #cardiacarrest. 61y old guy. Post angioplasty and stenting, May, 2022. He said..
"I want to make sure I don't get into trouble again Dr! I've seen how much stress you and your team were under when I was on Cath lab table to save my life" #MedTwitter #HeartAttack Image
When a patient comes in with heart attack and cardiac arrest or cardiogenic shock, the entire cardiac team is put into test. Reviving the patient, talking and explaining to relatives, quickly shifting to cath lab, doing an emergency angiogram and angioplasty. Making sure the… twitter.com/i/web/status/1…
Despite all valiant efforts, both cardiac arrest and cardiogenic shock have poor survival. Out of hospital cardiac arrests have the worst outcome. Hence the need to learn #CPR with which atleast some people can be saved.
Read 5 tweets
Dr Deepak Krishnamurthy Profile picture
Mar 12
"He was very fit Sir"
60y guy. Heart attack 2y ago. Multiple blocks - advised bypass surgery. Didn't get it done. Medication stopped. Took herbal treatment. No follow up with Cardiologist. Now presented with cardiac arrest. Brain dead. What many people think as "fit" - just means… twitter.com/i/web/status/1…
So when people say somebody vert fit or apparently healthy died suddenly, I always take it with a pinch of salt because many a times, underlying health conditions existed and were ignored and not taken care of. Commonest being uncontrolled #Diabetes or #hypertension.
Not all coronary artery disease patients need angioplasty or surgery, but strict control of blood pressure, cholesterol and diabetes becomes super important. Plus regular exercise and diet control. Follow up with a Cardiologist to keep a check needed too on a regular basis.
Read 9 tweets
Dr Deepak Krishnamurthy Profile picture
Mar 11
Two patients scheduled for procedures early on Saturday morning cancel and postpone in the last moment without any prior notice. And I'm here an hour early at the hospital. People have no sense of responsibility or value of time or an idea how things work. #MedTwitter
Anything can be the reason. Unable to make up the mind, going to a different doctor or hospital, wanting to continue medication and see how it goes, want to do it at a different date.. all one needs is to inform. Just canceling at the last moment disturbs all plans and… twitter.com/i/web/status/1…
Many a times doctors reschedule other less critical cases and give priority to cases which need urgent attention. Plus OPD scheduling also happens accordingly. Personal plans are put aside too. Everything goes for a toss when patients do not show up in the last minute!
Read 4 tweets
Dr Deepak Krishnamurthy Profile picture
Dec 13, 2022
The difference between "Gas" and a heart attack is just one blocked coronary artery!

Any gas or indigestion can be a heart attack if
1. Lasting more than an hour
2. Increasing severity
3. Associated sweating
4. Not relieved by antacids
5. + chest/jaw/arm pain #heartattack
mayoclinic.org/diseases-condi…
Typical versus atypical symptoms of heart attack
Read 10 tweets
Dr Deepak Krishnamurthy Profile picture
Dec 2, 2022
An atherosclerotic plaque or in layman words block in artery can progress in two different ways
1. Arithmetic progression - slow over many months/years due to slow accumulation of cholesterol
2. Geometric progression - over shorter duration due to erosion or rupture #MedTwitter
In case of heart attacks progression from 40-50% to 100% occlusion happens suddenly over minutes due to blood clot and leads to severe chest pain and death if not treated immediately. These plaques are called vulnerable plaques as compared to stable plaques.
I'm simple words vulnerable plaques are more soft and inflamed. Hence liable to rupture. Even if 100% occlusion doesn't happen, a plaque can progress rapidly if it is vulnerable to clot formation and healing with a reduction in diameter of vessel.
Read 8 tweets

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