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د . احمد سمان Profile picture
د . احمد سمان
@Ahmed43101178
Dr Ahmed Samman /Consultant Adult Congenital Cardiology / Cardiovascular Imaging / Supervisor of Cardiac Services (2017-2019) MOH Jeddah - Saudi Arabia
May 30, 2020 • 5 tweets • 11 min read
18 y old male repaired CHD as a child
Dyspnea class III stable BP and O2 sat 95% LBBB
Echo No Shunt
What is the next step?
@AlkashkariWail @MasriAhmadMD @CincyACHD @purviparwani @cardiopedhnn
#cardiotwitter #whyCMR #echofirst
@iamritu @MayoClinic @ACHDatStanford @threadreaderapp @ResearchGate @ShelbyKuttyMD
@Jazzminem2008 @LubertMD @Kfarooqi @shubhi_srivas @DrAlsubei @sasha_opo @AliZaidiMD @EchoAshwag
@IhabFathiSulima @drsami5566 @mirvatalasnag @CuitlhuacArroy1 @MKIttlesonMD @FredWuMD
May 27, 2020 • 4 tweets • 8 min read
16 y with Syncope /differential cyanosis / clubbing

@AlkashkariWail @MasriAhmadMD @CincyACHD @purviparwani @AriCedars @FredWuMD
@PushpaShivaram
#cardiotwitter #whyCMR #echofirst
@RoyalFreeNHS @MayoClinic @ACHDatStanford
@threadreaderapp
@ResearchGate
Approach PDA Eisenmenger (high risk)
Pulmonary Artery aneurysm(PAP) diameter >40 mm
Echo ( RVH- RVSP 81mmHg)
Sagittal CMRI confirm large PDA (R to L shunt)
Cath/hemodynamics and Acute vasoreactivity test (AVT) confirmed Elevated PVR (Non reactive )
#cardiotwitter