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Akiva Rosenzveig Profile picture
Akiva Rosenzveig
@AkivaRosenzveig
PGY-2 Internal Medicine @ClevelandClinic | @nymedcollege ‘23 | @Cardionerds Academy Fellow, Director of Internship | @GlassHealthHQ Clinical Fellow
Mar 16, 2023 • 22 tweets • 11 min read
1/ 😱😱😱 Why is this valve in the ascending aorta⁉️

Join me as we learn about TAVR complications.

Another @Cardionerds thread….

Farley et al: rb.gy/zu3ay3
#CardioTwitter #ACCMedStudent 2/ 🌟We know the TAVR success story has been extraordinary and is continuously evolving

⚠️⚠️BUT... like all procedures, TAVR has its fair share of complications we have to keep in mind

jacc.org/doi/10.1016/j.…
Feb 27, 2023 • 28 tweets • 10 min read
1/ We clinched the Dx, but how do we treat it?
Are these clot 📸 the best approach for #PE Rx?

Let’s dive into the 🌎 of "escalation of care" therapies

@CardioNerds 🧵 part 2...

Hold on to your 🎩 for this one
@PERTConsortium #PERT #CardioTwitter #ACCMedStudent Courtesy of @GoldbergJBCTMD [Dr. Joshua Goldberg] 2/ Why is PE so dangerous❓

⚠️thrombus in 🫁 ➡️obstruction ➡️ sudden ⬆️ RV afterload ➡️ pressure➕volume overload ➡️ ⬇️RV output➕RV ischemia ➡️ ⬇️LV preload ➡️ ⬇️ 🫀output ➡️ shock ❤️‍🔥

⚠️Hypoxic & neurohormonal mediated pulmonary vasoconstriction ➡️ ⬆️ RV afterload Figure 2 from the 2019 ESC Guidelines https://pubmed.ncbi.nl
Feb 22, 2023 • 13 tweets • 8 min read
1/ A 40-year-old man presents with Dyspnea and this finding on CTPA ⬇️. How do we treat?

WOAHHH hold your 🐎! Although the CT is black & white, the approach to pulmonary embolism (PE) is more nuanced

Let's talk about PE diagnosis - A @CardioNerds 🧵...

@PERTConsortium #PERT CTA case courtesy of Henry ... 2/ Let’s start with PE Epidemiology 🧮

👉3rd leading cause of CV mortality
👉Annual incidence worldwide is 1 in 1000
👉120 per 100,000 in US
👉PE diagnosis continues to 📈

ahajournals.org/doi/10.1161/CI… Image
Dec 14, 2022 • 28 tweets • 10 min read
The #WorldCup2022 ⚽️ finals are set 🇦🇷vs🇫🇷 & is just a few days away, but don't forget about Christian Erikson 🇩🇰 and what happened to his heart in June of 2021.

A 🧵on Sudden Cardiac death (SCD) in athletes 💔….

with edits from @AHajduczok @MichaelEmeryMD and @CardioNerds We will talk about:
⚡️Global incidence of SCD and sudden cardiac arrest (SCA) in the general and athlete populations
⚡️Etiologies implicated in SCD/SCA
⚡️If and how we can prevent SCD/SCA
Jul 13, 2022 • 12 tweets • 5 min read
📢📢📢 Calling all @Cardionerds! You see a patient in clinic and you hear 🩺 an extra heart sound that resembles the rhythm of KEN-tu-cky. What's going on⁉️ Image An audible S3 heart sound in a patient with dyspnea😮‍💨 has a positive LR of 11 for heart failure. Sensitivity-13% Specificity- 99%
In pts with Hx of Asthma or COPD: positive LR increases to 57‼️ Sensitivity-17% Specificity-100% 😮😮😮 Image