“Sam B.” | Cardiac Critical Care / Echocardiography at NYU | Former Cardiology Fellow at MGH | Opinions are my own
Aug 16, 2022 • 6 tweets • 4 min read
Acute valvular pathology is an emergency. Clinicians need to quickly establish the diagnosis in order to enact the optimal (and life-saving) treatment plan.
We wrote a review to help clinicians recognize and manage these clinical entities.
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A few 🔑 points:
🔑 For patients with cardiogenic shock, clinicians should maintain a high level of suspicion for acute valvular emergencies, particularly with known prior valve pathology or any of the below.
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Nov 20, 2020 • 13 tweets • 6 min read
If you're in clinical practice, you've probably coming across an agitated saline contrast (ASC) study today in some way, shape or form - unclear etiology of hypoxemia, cryptogenic CVA, RV dilation, etc. In light of our review 👇, a 🧵 1/ onlinejase.com/article/S0894-…
The principle is simple - agitated saline microbubbles should never be seen in left-sided cardiac structures (i.e. LA, LV, aorta) and if they are, shunting is happening at some level. Classic teaching here is that the lungs act as a sieve for the microbubbles. 2/
