Cardiology Fellow @RushMedical | Alumni of @TJUHospital, @PCOMeducation, and @Saintjosephs | Interests: CV outcomes, TAVR, and MCS #cardiotwitter
Jun 27, 2022 • 25 tweets • 18 min read
What's going on with the Impella?
As a follow up to my previous #tweetorial on the IABP, this🧵 will explore the nuts and bolts of the Impella for those in the CCU
Special thanks to @AHajduczok for helping with this🧵. #medtwitter#cardiotwitter@AHajduczok Learning objectives:
💔 history of the Impella
💔 learn how it works
💔 how to troubleshoot when it doesn't work
Apr 6, 2022 • 12 tweets • 5 min read
Can heart transplant recipients experience vasovagal syncope??
This came up during my time in the CCU, here's a short 🧵 investigating this question. Special thanks to @AHajduczok of @TJHeartFellows.
Let's first start with how vasovagal syncope normally occurs...
It starts with a trigger (stress, pain) coupled with central hypovolemia (dehydration or upright posture) → ⬆️ contractility of an underfilled LV
This ultimately results in ↑vagal efferent activity to sinus node (↓HR) and ↓sympathetic efferent activity to arterioles (↓SVR)
Feb 21, 2022 • 28 tweets • 9 min read
What's going on with the intra-aortic balloon pump (IABP)?
Here's a practical🧵 for all residents and fellows during their time on rotation in the cardiac ICU.
Learning objectives
🎈 basics of the IABP
🎈 IABP alarms
🎈 ways to fix them
Developed in the 1950s by the Kantrowitz brothers, IABPs have been in clinical practice since the first implant in 1967 at @MaimonidesMC Currently, it is still widely used as modest temporary mechanical circulatory support for cardiogenic shock