Akanksha Thakkar Profile picture
Interventional Cardiology from @umnews ~ Cardiology from @HMHCardioFellow ~ Nature lover and all things Calvin & Hobbes ~ Here for #CardioEd
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
Aug 7, 2020 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 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…
Aug 1, 2020 5 tweets 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 ImageImageImageImage
Apr 3, 2020 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