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Dr Deepak Krishnamurthy Profile picture
@DrDeepakKrishn1
Mar 30, 2023 • 7 tweets • 5 min read • Read on X
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3am
#HeartAttack
"Tombstone" ECG - Named so aptly because if not treated in time, it maybe fatal.
54y male smoker
Chest pain since 2 hours
Emergency angioplasty done within 1 hour of arrival and stabilized.
#stentingsaveslives #MedTwitter #CardioTwitter
#SmokingKills
#smoking and #heartdisease
Why and how to stop smoking
how to stop #smoking
cdc.gov/tobacco/basic_….
What happens once you quit smoking?!

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More from @DrDeepakKrishn1

Dr Deepak Krishnamurthy Profile picture
Sep 18
#HeartAttack is a dire life threatening emergency. One needs to be focussed and fast in seeking medical help in order to survive it. Any delay can lead to fatal outcomes. We will look at these aspects in a series of short videos.
1. How to recognize a heart attack?
2. What is the first aid?
3. Which hospital to go, how to go and why?
4. How will the heart attack be diagnosed?
5. What is the treatment of a heart attack?
6. Is angioplasty mandatory? Are there any alternatives?
7. What to expect once treatment starts?
8. When will one go home after getting treated for heart attack?
9. Lifestyle, diet, physical activity and medication after heart attack.
10. How will life be after surviving a heart attack?Image
1. What is a #heartattack and how to recognize it?
#FirstAid for heart attack
Read 10 tweets
Dr Deepak Krishnamurthy Profile picture
Jun 21
Many kids get into the NEET coaching stream at 11th grade because they don't like math. But honestly, if you don't like math, most often it means you do not really like science. And if you aren't good at math, physics is going to torture you really badly. Get into NEET coaching only if you are passionate about science and becoming a doctor. Not because you hate Math! #NEETImage
Taking PCMB in 11th 12th, helps you to keep options open, in case you don't get good rank in NEET. If you choose physical education or psychology instead of math, your choices become much narrow. One can get into allied engineering streams like biotechnology or biomedical streams if you have math upto 12th. And getting into research abroad also needs math upto 12th.
Math feels like additional burden when one has decided to go into NEET followed by MBBS. But it helps you to understand and solve numerical problems in Physics much easily. And in the NEET paper, Physics is what filters candidates. Chemistry and Biology are much easier to solve.
Read 5 tweets
Dr Deepak Krishnamurthy Profile picture
Feb 1
Up to 50% of women report sleep problems in midlife, and cardiovascular disease (CVD) is the leading cause of death in women
Insomnia - defined as trouble falling asleep, waking up several times a night, or waking earlier than planned more than 3 times/week.
SWAN (Study of Women's Health Across the Nation) looked at association of insomnia with cardiovascular risk. #MedTwitterImage
At baseline, SWAN participants (n=2964) were 42 to 52 years of age, premenopausal or early perimenopausal, not using hormone therapy, and free of CVD. They completed up to 16 visits, including questionnaires assessing insomnia symptoms (trouble falling asleep, waking up several times a night, or waking earlier than planned ≥3 times/week classified as insomnia), typical daily sleep duration, vasomotor symptoms, and depressive symptoms; anthropometric measurements; blood tests; and CVD event ascertainment (ie, fatal or nonfatal myocardial infarction, stroke, heart failure, revascularization). #SleepImage
Four trajectories of #insomnia symptoms emerged: low insomnia symptoms (n=1142 [39% of women]), moderate insomnia symptoms decreasing over time (n=564 [19%]), low insomnia symptoms increasing over time (n=590 [20%]), and high insomnia symptoms that persisted (n=668 [23%]).
Read 8 tweets
Dr Deepak Krishnamurthy Profile picture
Jan 10
42-year-old lady had acute chest pain. ECG showed significant changes. Told her it looks like a heart attack. She was very nervous and worried. Despite telling her not to go, she went back to meet her physician, who convinced her and sent her back. I did an angiogram, which showed 99% narrowing in one artery. Stented successfully. Today, she went home happy after 2 days in hospital. Came to my room and hugged me, and tried to fall at my feet 🥹. #MedTwitter
She was detected to have very high cholesterol and blood pressure, which were undetected before.
Most such heart attack patients have risk factors that haven't even been detected before. A very small percentage would really have no obvious risk factors. Even they would have genetic risks that are difficult to detect. #MedTwitterImage
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Cardiovascular illness is the leading cause of death in women too! Especially if women smoke or develop diabetes, their risk is same as men. Image
Common Cardiovascular risk factors
1. High cholesterol
2. High blood pressure
3. Diabetes
4. Genetic factors (family history)
5. Smoking
Plus stress, sedentary lifestyle, obesity, over eating. Image
Read 7 tweets
Dr Deepak Krishnamurthy Profile picture
Dec 22, 2023
Being treated for palpitations, breathlessness, and anxiety for 4 months, this 49 year old lady turned out to have Thyrotoxicosis or Graves' disease when I asked for a thyroid test. Subsequently, she was seen by an endocrinologist, and an isotope scan confirmed the diagnosis.
We need to be physicians first and then "super specialists!" #MedTwitter #CardioTwitterImage
Image
Many patients with a hyper functioning thyroid can present with cardiac symptoms like palpitations, exertional breathlessness and even chest pain. In some cases it may lead to cardiac arrhythmia especially atrial fibrillation and high output heart failure. A simple blood test will reveal the diagnosis.Image
Cardiac complications include
1. Premature atrial and ventricular contractions (APCs and VPCs)
2. Atrial fibrillation (irregular rapid heart beat)
3. Tachycardia induced cardiomyopathy (reduced heart pumping due to high heart rate)
4. Systolic and diastolic hypertension
5. Heart failure
6. Worsening angina
Read 6 tweets
Dr Deepak Krishnamurthy Profile picture
Dec 15, 2023
We all know that Diabetes is a risk factor for heart attacks, stroke and peripheral vascular disease. #Insulinresistance leads to these macrovascular complications even before a diagnosis of Diabetes is made!
Some simple indicators of insulin resistance include
1. Abdominal obesity (high waist hip ratio and waist height ratio)
2. Skin tags
3. Acanthosis nigricans or dark velvety patches of skin on neck and arm pits and back and hands
4. High triglyceride to HDL ratio in lipid profile
5. Large appetite
6. Hungry/sleepy/tired after eating
7. Fatigue
8. Craving for sweets
9. High blood pressure
10. Impaired fasting glucose level
#MedTwitter #heartattack #CardioTwitter
A low carbohydrate diet and regular exercise helps to combat this and delay onset of #Diabetes and reduce cardiovascular risk.Image
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@serioustaurean @Geeky_Foodie @FastingCoach_MS @reader_wanderer @cardio73 @mmamas1973 @abledoc
Fatty liver or NAFLD (Non alcoholic fatty liver disease) is another important indicator of insulin resistance and so is PCOD or polycystic ovarian disease.
Image
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Read 9 tweets

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