Cardiologist at #MayoClinic, former junior #Musketeer. #amyloidosis and #echo. Tweets limited to medicine and #Xavier basketball: my own and not my employer’s.
Nov 22, 2020 • 7 tweets • 4 min read
1/6 While I’m on the “EF in amyloid” topic, to clarify: not useless but more important numbers: GLS ( LV and RV) , stroke volume index, MCF (not routinely calculated), cardiac index, RVSP. Non echo: cardiac biomarkers, GFR, 6 min walk, peak VO2, diuretic dose, # hospitalizations
2/6 EF: I tell patients: I care if it’s roughly <25, 25-40, or >40%. Small fluctuations don’t matter much and are not usually a true change in cardiac function even if they sound like it (“But doc, my EF went from 29 to 37%!). I spend a LOT of time explaining limitations of EF.
Oct 26, 2020 • 11 tweets • 4 min read
1/10 For all those who are so certain that they know how human beings can control #COVID look at the curves below and some of the previous discussions. Do we really know all of the answers? @drjohnm@Rfonsi1@VPrasadMDMPH@HeartOTXHeartMD
2/10 France today = 10x as many cases as their spring peak, which now looks like a blip
Measure QTc at baseline , if < 470- 480 (male/female)Green light; 470-500, Yellow, > 509 RED LIGHT
Use Telemetry 12 lead, watch to minimize exposure to #COVIDー19
