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Daniel Messiha, MD Profile picture
Daniel Messiha, MD
@realdocdan
MD | Clinician Scientist | Cardiology & Vasc Med @Uniklinikessen | @DGK_org Ambassador | Junior Reviewer #EHJCR | Grad @HHU_de & @IcahnMountSinai | #YoungDGK
Feb 4, 2023 • 8 tweets • 7 min read
1/7 A thread 🧵Intravascular lithotripsy (IVL) can help modify calcified lesions - why doesn’t it harm soft tissue? Let’s dig deeper. A thread🧵@DGK_org @YoungDgk @AvrahamCooperMD @PCRonline @Dr_DanMD @SCAI @guilbon @Hannah_Billig_ @yourheartdoc1 #CardioTwitter #CardioEd https://www.hmpgloballearningnetwork.com/site/jic/original-c 2/7 Back in 80s extracorporal shockwave lithotripsy was introduced as a novel noninvasive treatment of renal stones. 40 years into the future we’ve taken this technique to the next level #IVL #MedTwitter

doi.org/10.1016/S0301-… https://doi.org/10.1016/S0301-5629(01)00345-3
Aug 22, 2022 • 7 tweets • 6 min read
🧵 1/7 Ever wondered why the Osborn wave looks the way it does? Stay with me during my newest #tweetorial. A thread 🧵1/7
#cardiotwitter #EPeeps #CardioEd #MedTwitter @TRassafMD @YoungDgk @DGK_org @YoungDZHK @AaronGoodman33 @Steph_Achenbach @fuzzymittens @AvrahamCooperMD Image 2/7 History
First described in 1953 by Osborn (camel-hump sign) upon #hypothermia in dogs. Upon systemic analysis similar #ECG patterns have been described in
➡️ hypercalcemia
➡️ brain injury
➡️ SAB
➡️ vasospastic angina / ischemia
Jun 12, 2022 • 9 tweets • 7 min read
🧵 1/9 Thread on constrictive pericarditis. Syncing pathophysio, imaging & hemodynamics to macroscopic findings. @AvrahamCooperMD #CardioTwitter #MedTwitter #echofirst #HeartFailure @YoungDgk @Kardiophil @fuzzymittens @CardioNerds @kardiologie_org @DjawidHashemi @KardiologieHH 2/9 Being a fibroelastic sac the pericardium covers & protects the #heart

In constrictive pericarditis:
1️⃣healing of acute pericarditis
2️⃣granulation tissue
3️⃣obliteration of pericardial cavity
4️⃣loss of pericardial elasticity
5️⃣restriction in ventricular filling

#CardioTwitter
May 27, 2022 • 9 tweets • 8 min read
🧵 1/8 Myocardial bridging is present when part of coronary artery dips into & underneath heart muscle. Let’s dig deeper. 📖
Educational thread 🧵 1/8
#MedEd #CardioEd #CardioTwitter #MedTwitter #radialfirst @JACCJournals @YoungDgk @DGK_org @AGIKinterv @CardioNerds @escardio 📍2/8 Myocardial bridging is a congenital coronary artery anomaly, in which a segment of the artery (tunnel segment) dips into the myocardium (myocardial bridge). https://doi.org/10.1253/circj.cj-10-1278