Dr. Purvi Parwani Profile picture
Cardiologist, Associate Prof of medicine , Director echo lab MMI #LLUH, tweets=myopinion #ACCImaging #whyCMR #Echofirst #YesCCT #WomenCVhealth🧘‍♀️ 🌱 🇮🇳 🇺🇸
Mar 3, 2023 6 tweets 8 min read
#Imaging In #Athletes from @mmartinezheart’s phenomenal talk at @LLUHealth

➡️ physiological adaption in athletes common

➡️ not every “abnormal” finding is a pathology #Echofirst #whyCMR must to evaluate

➡️ ekg interpretation jacc.org/doi/abs/10.101… ImageImageImageImage ➡️ type of cardiac remodeling depend on the sports and activity
Eccentric
Nondilated concentric
LV concentric

➡️ increased LV size and lower EF not uncommon- Stroke volume ImageImageImageImage
Jul 16, 2021 10 tweets 14 min read
Top 10 paper in #yesCCT by @ToddVillinesMD

1st paper

📝 Italian COVID 19 registry
N=1625
📝 Increasing #CAC associated with worse covid 19 outcomes of hospital death, MI and CVA
#YesCCT 2nd paper #Top10 papers #yesCCT
#SCCT2021
danish heart registry
📝 Plaque burden, not stenosis the main predictor of MACE
📝 patients with a comparable calcified atherosclerosis burden generally carry a similar risk for CVD events
jacc.org/doi/abs/10.101…
Dec 10, 2020 6 tweets 5 min read
Doing this as PSA!
Those who are worried about side effects of the vaccine- here is the @NEJM paper on #Pfizer #Covid vaccine!

nejm.org/doi/10.1056/NE…

@DBelardoMD @mirvatalasnag @onco_cardiology @AChoiHeart @SaynaNorouzi @DrAsifQasim @datsunian @aayshacader @PushpaShivaram ImageImageImageImage 💉 two 30-μg doses of vaccine, administered intramuscularly 21 days apart!
💉 Adverse event data through approximately 14 weeks after the second dose are included in the paper. Collected upto 6 months after the vaccine!
Sep 1, 2020 5 tweets 8 min read
Excellent session on #Aortopathy by @michelenahector
#ESCCongress

#CVimaging

📌 Aortic root up to STJ
📌 Dilatation per Body size & Pathology
>45mm significant dilatation
📌 Use nomograms to define dilation
📌 Describe Dilatation/segment/accurate measurement in the 📰 Excellent session on #Aortopathy by
@michelenahector

#ESCCongress
📌 Look for RF in Bicuspid Aortopathy Sx cut off 50-54mm
📌 Bicuspid Aortopathy without RF Sx cut off 55mm
📌 Some example of Fusiform AA dilatation VS Root dilatation
Aug 30, 2020 10 tweets 15 min read
Check out the #MINOCA section in updated NSTE-ACS guidelines at #ESCcongress
bit.ly/3bcrixp

Here is a tweetorial on #MINOCA
🧲Class I Recommendations🧲

-> Use of Diagnostic algorithm
-> Use of #whyCMR
-> Use of working dx & Rx according to the underlying Dx MINOCA has MI in it-> DOES the definition allows for the inclusion of non-ischemic causes of troponin elevation?

Given this limitation of the troponin bioassay, the “Fourth 4th Universal of MI" defined Injury from infarction

INJURY IS NECROSIS WITHOUT ISCHEMIA!
#ESCCongress
Jan 18, 2020 13 tweets 83 min read
Check out our review on the utility of #whyCMR in the differentiation of #cardiac #mass

link.springer.com/article/10.100…

Mini-Tweetorial Follows:
#CardioOnc #cvImaging #ACCimaging
@onco_cardiology @JStojanovskaMD @MichaelCoMD
@DmitryAbramovMD @chiarabd @HeartDocSubha @larsgrowo @onco_cardiology @JStojanovskaMD @MichaelCoMD @DmitryAbramovMD @chiarabd @HeartDocSubha @larsgrowo @SarjuGanatraMD @AnaBaracCardio @AkhilNarangMD @krychtiukmd @vass_vassiliou @DrToniyaSingh @AChoiHeart @AnkurKalraMD @adityadoc1 Incidence of Cardiac Metastases: 1.23%
Primary Cardiac Tumors 0.056%

Can be benign, malignant or pseudotumor
Primary Cardiac tumor- mostly benign

#Cardiac Mass eval: detailed clinical presentation, History, Physical Exam, #echofirst to see the tumor characteristics
Mar 16, 2019 7 tweets 9 min read
Do you use #whyCMR in your patients undergoing #TAVR. More slides in the thread #CVimaging #ACCImaging #ACC19 Annular assessment by #whyCMR accuracy similar to #YesCCT

data from @JACCJournals
#ACCimaging #ACC19 #Cvimaging
Mar 5, 2019 13 tweets 33 min read
#Cardiotwitter thank you for transforming the field of cardiology.

This paper is a testimony of that transformation brought upon by the use of #SoMe in #CV medicine. Published today in @JACCJournals

onlinejacc.org/content/73/9/1…

Here is a tweetorial on why #SoMe in #CVmedicine If you are new to twitter look at this slide from my #SoMeGR at @LLUHealth
Engagement = Likes +Retweets
Impressions= Users that tweeted the tweet x no of their followers
More in the basics of #SoMe in onlinejacc.org/content/73/9/1…
@adityadoc1 @AdiAJoshi @poojaotherwise @almasthela