Trinava Roy, DO Profile picture
PGY-3 IM 🩺 | Incoming Cardiology fellow @virtuahealth | @teachforamerica | @umassamherst ‘15 | @RowanVirtuaSOM ‘21 | @TEHTP_INC Amb
Jul 19, 2023 100 tweets 16 min read
Here's the next HF #Tweetorial on late RHF in LVADs based on @JACCJournals State-Of-The-Art Paper by @IRajapreyar, @oisoliman, @YevgeniyBr, @RyanTedfordMD, @gregorytgibson, @AHajduczok #PaulMohacsi, #VakhtangTchantchaleishvili, #GeorgWieselthaler, #EduardoRame, and #KadirCaliskan https://www.jacc.org/doi/10.1016/j.jchf.2023.04.014 Other factors suggestive of RHF after LVAD implantation include:
-Deep y descents on the RAP waveform
-Low pulmonary artery pulsatility index (PAPI)
-Increasing gradient between diastolic pulmonary artery pressure (PAP) and PAWP with increasing LVAD speed
Apr 26, 2023 116 tweets 50 min read
Buckle up for the 1st installment of our HF #Tweetorial series w/ help from @AHajduczok on HF #Hemodynamics based on the @JCardFail State of the Art Review by @stevenhsu_md, @JamesCFangMD and #barryborlaug. An absolute must read for ALL (not only HF folks) 🔥
@robmentz @dranulala First, check out this grade A #tweetorial by @AHajduczok who helps de-mystify Pressure Volume (PV) Loops:

(more to come SOON on this Part III: devices and drugs in PV loops cc @RyanTedfordMD @PSullivan000 @BurkhoffMd)