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Daniel Ambinder, MD Profile picture
Daniel Ambinder, MD
@Dr_DanMD
@cardionerds cofounder | Interventional & Structural Cardiologist @SJMCTowson | Adjunct @Hopkinsheart | @OslerResidency alum | @UMmedschool
Jan 7, 2020 • 4 tweets • 2 min read
1/
9⃣1⃣1⃣ #STEMI 🚨 example
➕ST elevation 3>2
➕Right sided leads (shown): ST elevation in V4R-V6R leads
____________
=Inferior MI with RV involvement

⚠️ caution with nitroglycerin in this patient
👉 Preload dependent
🛑⇪Vagal tone may lead to heart block

#CardioNerds 2/
 A nice algorithm when confronted with inferior STEMI
Aug 22, 2019 • 6 tweets • 9 min read
Hypertrophic Obstructive Cardiomyopathy #HOCM🚧

#Symptoms
Profound exertional dyspnea

#Imaging
▪️SAM/LVOT obstruction #whyCMR
▪️Classic #Doppler🗡#echofirst

#Hemodynamics
▪️Brockenbrough-Braunwald-Morrow sign, explained

#Treatment
▪️Alcohol🍷septal ablation #RadialFirst 🙏 @hopkinsheart @JonResar @RaniKHasan @kman8585 @DoctorLatina for unlocking these concepts for me!

@PushpaShivaram @AnastasiaSMihai @HeartOTXHeartMD
@DavidWienerMD @DrJayMohan @DxRxEdu @MasriAhmadMD @onco_cardiology @NadeenFaza @dr_chirumamilla @mirvatalasnag @TheVeggieMD
Jul 25, 2018 • 12 tweets • 20 min read
#FITSurvivalGuide #ACCFIT

1/10: Stroke🧠 prevention in afib. #warfarin, #noacs, & LAA occlusion devices.

◽️shared decision making is key 🔑
◽️CHADS-Vasc to stratify risk
◽️factor 💸and CrCl 🚽
◽️DAPT+AC= ↑↑bleeding



2/10
For a quick review on coagulation physiology as it pertains to AC see 📽below.

@dr_chirumamilla @Pooh_Velagapudi @bcostelloMD @majazayeri @fawazalenezi55 @SanChris999 @GuruKowlgi @Nidhi_Madan9 @sabeedak1 @noshreza
@SaggerMawri @nsivcd @DrManiCardio @khandelwalMD @drjohnm