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Jun 8 5 tweets 2 min read Twitter logo Read on Twitter
1/ Time for #12LeadThursday!

What’s the axis and do you notice anything about the precordial leads? Image
2/ What do you see on ECG to identify extreme axis deviation?

Negative deflection in lead I + negative deflection in aVF = extreme axis deviation Image
3/ What about the precordial leads?

Do you notice dominant R waves, S waves, or T-wave inversions? Image
4/ Putting it together, what do these ECG findings suggest?

If you thought of RV hypertrophy, you’re right! Image
5/ Why do we see this electrical pattern on ECG?

Vector of ventricular depolarization with hypertrophied RV is moving towards leads V1 and V2 (+deflection) and away from V4-V6 ( - deflection)

Shout out to @DHayesMD for this awesome byte on RV dysfunctio Image

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More from @COREIMpodcast

Apr 13
1/ What better way to end off a week of pacemakers and ICDs than recapping and revisiting our #12LeadThursday series!

🧵 Image
2/ Which patients get pacemakers?

Think of 2 big buckets: conduction disease and heart failure Image
3/ Let’s start with conduction disease!

Refresh your memory with this past byte - 80 y/o M with hx of CABG…what's the rhythm?
bit.ly/40cAry0
Read 15 tweets
Jan 18
1/ Atrial Fibrillation: #GrayMatters Series

What do you do with that episode of #Afib when sick or post-op in the hospital?

What type of monitoring is best?

🎧: link.chtbl.com/Afib
🗒️: bit.ly/3QPiLFt
CME: bit.ly/CIMCME
Sponsor: go.amboss.com/CoreIM-E9
2/ When do you start AC for new Afib post-op?

We hope this infographic will be handy for the many times we may be in the gray zone!

From @accpchest guidelines

A few things to consider:
🤔 Patient specific risk
🤔 Blood thinner of choice
🤔 Bleeding risk of the surgery
3/ Credit to the team that worked tirelessly on this!

Hosts: Dr. Nick Villano, @Ali_Trainor, @FreedoBaggins
Off-air producer: @ShreyaTrivediMD
Experts: @jasonmatosmd, @PoojaJagadishMD, @gregorykatz
Graphic: Josie Levey

🎧:link.chtbl.com/Afib

coreimpodcast.com/2023/01/18/dia…
Read 5 tweets
Dec 15, 2022
1/🚨New Episode🚨
The Lipid Panel Reimagined: #MindtheGap Segment

How do you interpret the #lipidpanel to help inform patients' risk for #cardiovascular disease? Do you use #ApoB? 🧐

🎧: link.chtbl.com/Lipids
Sponsor: go.amboss.com/CoreIM-E8
2/ Unfortunately, our patient is stuck in "bumper-to-bumper" #cholesterol traffic 🚗!

See traffic analogy to understand why ApoB can give us information that LDL-C may not:

#Mindblown! 🤯
3/ Overall, LOWER ⬇️ is better for both #LDL-C and #ApoB in terms of reducing #CV disease risk!

But #discordance between LDL-C vs. ApoB is actually quite common!

Take a look at the orange line to see how ApoB confers a higher CVD risk over time 👇
Read 5 tweets
Nov 15, 2022
1/ November 14th is #WorldDiabetesDay

Let’s look back at one of the most influential #RCTs for

how we given insulin in #T2DM?

the #RABBIT2 trial🐰🧵

#Insulin #MedTwitter
2/ The #RABBIT2 study looked at the (1) efficacy and (2) safety of basal-bolus vs. sliding-scale #insulin in non-critical inpatients🏥.

Basal-bolus regimens consisted of a combo of #Glargine (basal) and #Glulisine (mealtime).

The primary outcome was average glucose🍬.
3/ See below for a graphical depiction of how the study was performed👇:
Read 6 tweets
Nov 9, 2022
1/ 🚨 #5Pearls on Alcohol-Associated Hepatitis 🚨

Why is it an immune response?

✔️Direct EtOH insult ➡️ inflammation

✔️Disruption of the gut barrier ➡️ bacteria & inflammatory cells go up portal vein ➡️ to hepatocytes

🎧 link.chtbl.com/AlcHep
Sponsor: @Pan_Financial Image
2/ Now, What else may be going on & what imaging and labs would you send off for ddx for Alc Hep?

Listen to the episode to hear a powerful story from @etapper differentiating Alc hep and worsening #cirrhosis Image
3/ What interventions are most linked to improved mortality?

Alcohol cessation and nutrition!

Alcohol leads to⬇️absorption of proteins, carbs, and fats as well as impaired absorption of micronutrients = Alc Hep induces catabolic state

See some tips below for daily targets! Image
Read 4 tweets
Nov 3, 2022
1/ Today on #StatswithCoreIM, let’s talk about #bias
2/ Let’s get started with a question: What type of bias do you think is present in this example?
3/ The answer is Verification bias! Verification bias is present when:

✔️The reference standard (gold standard) is not used for all cases [= emoji] partial verification

✔️there is more than one reference standard 🟰 differential verification
Read 8 tweets

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