Cardiac Syncope:

Bradycardias with a view to discussing pacemakers - a thread 🧵 Review of a patient who collapsed and are bradycardic. Some ECGs

Though strictly speaking 40bpm is “bradycardic”- I think its a bit unusual for people to have syncope in the context of this.

There are many people with asymptomatic bradys and HRs in late 30s and early 40s

Being a cardiology SPR 🫀can be awesome. it utilises clinical skill in examination, data interpretation (ecg, echo, CT) and opportunity for procedures.

for those aspiring Cardiology SPRs out there- here were some of my duties during my recent on calls: 🧵 tasks in no particular order
1) sees cardiology admissions - from ED and AMU.
this can be chest pains, syncope, palpitations, breathlessness, pyrexia in a patient with a prosthetic valve.

"You seem to just advance lots of different things to 60% and then just stop"

That was the sentence that made me stop and think.
A thread about my ADHD. Neurodiversity describes the idea that people experience and interact with the world around them in diverse ways with different methods of thinking, learning, and behaving. I think its more common in medics than we might expect.

The term “angina pectoris” comes from Greek “ankhonē” which means “strangling” & Latin “pectoris” meaning “chest”

The term has been used to describe a diagnosis rather than a symptomology.

Welcome to my tweetorial on a background to “angina pectoris”!
#tweetorials #meded 1/14 A history:

Descriptions date back as far as 400BC when Hippocrates observed that some people experienced chest pain precipitated by cold winds.

“Angina pectoris” was first coined by William Heberden in 1768 in his seminal paper “Some account of a Disorder of the Breast”

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A good friend of mine has OCD. She wanted a forum to talk about it anonymously in the hope that it might help another person. So here is a long thread where I have copied her account in verbatim #Mentalhealth #OCD 1/32 There is an old song by Frank Sinatra Called me and my shadow, I think this sums up OCD perfectly. It has the potential to be there and all it needs is that little bit of sunshine and there it is.
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