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Akanksha Thakkar
@athakkarMD
Interventional Cardiology from @umnews ~ Cardiology from @HMHCardioFellow ~ Nature lover and all things Calvin & Hobbes ~ Here for #CardioEd
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Aug 21, 2020
•
6 tweets
•
11 min read
#EchoBoardPrep
#ACCFIT
#echofirst
#CardioEd
@HMHCardioFellow
1/6
"Motion mode"
💡Stand-alone M-mode: 2000 fps
💡2D guided M-mode: 1000 fps
💡2D: 100 fps
From:
pubmed.ncbi.nlm.nih.gov/20206828/
#EchoBoardPrep
#ACCFIT
#echofirst
#CardioEd
💡EPSS > 1 cm = Abnormal (not valid if MS or AI present)
💡B-bump = LVEDP likely > 20 mm Hg
💡MV closure before electrical depolarization = Severe AI
From:
pubmed.ncbi.nlm.nih.gov/20206828/
2/6
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Aug 7, 2020
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6 tweets
•
5 min read
#EchoBoardPrep
#Echofirst
#ACCFIT
#AHAFIT
Pulmonary Vein Doppler
⚡️TTE: Find on A4C
⚡️TEE: Right veins at 45 and left veins at 120 (Watch:
)
⚡️Flow components: S1, S2, D, A
1/6
https://twitter.com/HeartToProve/status/1131388767846227968
2/6
PV flow patterns
#EchoBoardPrep
⚡️Healthy: S>D
⚡️Diastolic dysfunction, normal filling pressure: S>D
⚡️High LV filling pressure: D>S
A: Grade 1 diastolic dysfunction, B: Pseudonormal pattern, C: Restrictive filling
From:
onlinejacc.org/content/41/8/1…
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Aug 1, 2020
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5 tweets
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4 min read
#cardiotwitter
#ACCFIT
Let's simplify temporary mechanical support!
Slides from Dr. Hussain's talk at
#CVBootcamp2020
Think:
💡Is MCS choice appropriate for clinical scenario?
💡Understand and frequently monitor connections & hemodynamics
💡Understand potential complications Intra-aortic balloon pump
💡Diastolic augmentation, ⬆️ MAP during augmented beat
💡⬇️ afterload and end-diastolic pressure
💡CO augmentation 0.7-1.4 l/min
💡Position: IABP tip at carina level on CXR
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Apr 3, 2020
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6 tweets
•
10 min read
1/6
#Cardiotwitter
- check out this
#Tweetorial
"CV considerations &
#COVID19
"
💥Viral cell entry using ACE2
💥ACEi/ARB - don't stop - no evidence of harm/benefit
#ACCFIT
#MedEd
#Medtwitter
#HMHFellow
@HMHCardioFellow
@HMethodistCV
#StayHomeSaveLives
#FlattenTheCurveTogether
2/6
💥Increased
#COVID19
mortality with CVD
💥Association between elevated troponin and mortality
💥
#COVID19
+ elevated troponin -> older patients, more co-morbidities, higher acuity