Cardiology

70F presents with SOB. You're asked examine the cardiovascular system.

You look at the legs and detect peripheral oedema. What would you do next?

Open this thread and I'll share my approach.

#MedEd #Tweetorial
#MedTwitter #MedStudentTwitter
@thecurbsiders @CPSolvers @grepmeded

Time for a #tweetorial!
In my medical training, I have seen several patients without cardiac history who have EKGs with prominent R waves in lead V1. Check out this 🧵for a differential diagnosis framework on categories and causes of large R waves in V1! #meded @CardioNerds

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Time for a #tweetorial on simple #ECG interpretation

When I learned to read ECGs, my biggest fear was to miss an important finding!
To avoid that: Be systematic❗️

My simple approach to ECGs with 8 steps 🪜👇

#medicalstudent #education #cardiotwitter #medtwitter #EPeeps

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#Tweetorial on IAMI trial

💔💉 Does influenza vaccination improve prognosis in patients who have had an acute myocardial infarction?

@FrobertOle et al. Investigated this in a well executed trial!

https://bit.ly/2YHycZe

@CircAHA @MedTweetorials #medtwitter #cardiotwitter

1/18 Chest pain is a frequently seen reason for admission. Here's my take on when to consider ACS in patients with chest pain!
#MedTwitter #CardioTwitter #MedEd #FOAMed #MedTweetorial @MedTweetorials

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Why does Wenckebach AV nodal block (aka Mobitz type 1) present with progressive prolongation of the PR interval and eventually a non-conducted P wave? 

What causes this unique EKG pattern to arise?

#medtwitter #tweetorial

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If you're expecting to see this👇every time you think dissection, you'll be missing a lot of dissections (>40%). Everyone talks re widened mediastinum but its absence does NOT exclude it. Let’s chat about pitfalls of dissection.
#MedTwitter #FOAMed @MedTweetorials @RosenelliEM

1/ #Tweetorial Part 2- Now its time to talk about….

CHRONIC

C-L-O-T

#VTE #DVT #Thrombectomy #Lytics #Cardiotwitter #IRAD #Medthread #Clot @CardioBot @RadialFirstBot @BotPci @EPeeps_Bot @TAVRBot @MedTweetorials @UjjwalRastogiMD @Umair2017 @Umair2017 @VenuVadlamudiMD

Why we #pocus , a thread:

35 year old male with severely uncontrolled diabetes presents to the hospital with fevers and cough. Chest x-ray shown here:

1/8 A patient with compensated HFrEF (EF 35%) has positive orthostatics. He is not hypovolemic. What medication is reasonable to prescribe?
#MedTwitter #MedEd #FOAMed #NeuroTwitter #GeriTwitter

Join here tomorrow for the launch of a new accredited tweetorial on DAPT in patients with stable CAD+diabetes who have not (yet!) had an MI or stroke! Earn 0.5 CE/CME credits: physicians, nurses, pharmacists! Expert faculty @gabrielsteg. #medtwitter @academiccme #CardioTwitter

My 1st try with a tweetorial on an approach to device interrogation. I'd like to share my routine – no matter if it’s a PM, ICD or CRT or manufacturer.
Hope you'll share some thoughts on this! A 🧵

New heart failure presentation and a BP like this 114/33?

👇

😯🚨

#FOAMed #FOAMcc

The #TTM2trial was published today in the @NEJM
https://www.nejm.org/doi/full/10.1056/NEJMoa2100591?query=featured_home
Here’s a summary of what we did, what I think the trial means, and what next.
@ttm2trial @nielsen_niklas @CritCareReviews @NEJM

1) Welcome to our accredited tweetorial on #antiplatelet therapy in a #STEMI patient with #Gastroparesis! I am @md_pollack. Earn 0.5h CME/CE credit by following this thread. #cardiotwitter @MedTweetorials @SCAI @AHAScience @ACCinTouch #interventionalcardiology #FOAMed

This was an MI of the RV + inferior LV, with complete heart block, caused by a thrombotic occlusion of the proximal RCA.

Thanks all for commenting. 🧵 below has some basic stuff + nerdy stuff, hopefully something helpful for everyone.

1/ https://twitter.com/sargsyanz/status/1394646332116189185

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Inspired by @ChrisZhouDO to create my first #tweetorial. I am by no means an expert ~ just someone who enjoyed learning about ekgs in med school. Hope it can help some med students who are as confused as I initially was!

#MedEd #MedTwitter #MedStudentTwitter

1/ 10 The most recognized form of Non-Cardiogenic pulmonary edema(NCPE) is ARDS, however the scope of NCPE is much broader with many causes. One particular cause of NCPE we encountered was due to opoid use which is explored in this #medtweetorial
#MedTwitter #MedStudentTwitter

Another one for the AKI Consult series 🧵:

👵 w group 4 Pulmonary Hypertension. Recently 🏥 w severe congestion and AKI 2/2 cardiorenal syndrome with a Cr of 3.5 mg/dl. (Baseline Cr 0.5 mg/dl)

After ultrafiltration and IV diuretics the pt was decongested and AKI resolved.. 1/11

#CMD #Tweetorial

⚡ Coronary Microvascular Dysfunction ⚡

1/19

📌 What Is #CMD❓
📌 Why Is #CMD Important❓

Based on my #ACC21 #ACCImaging presentation

1/ Ready for a #Tweetorial on coronary artery calcium (CAC) score?

Keep reading to:
☢️Understand the pathophysiology of coronary artery calcium
☢ Identify the utility of the CAC score
☢️Recognize the limitations of CAC scoring

Stop KILLING Your Patients with Fluid! Learn how to avoid Fluid Overload with Venous Congestion Evaluation using #POCUS

New BLOG POST on the #VExUS Protocol! Step By Step Guide, Downloadable PDF Pocket Guide, & Calculator
👉🔗https://pocus101.com/vexus

#medtweetorial👇(1/10)

🚨How do you get a STEMI without atherosclerotic coronary artery disease?? 📟

✏️ Drawing a blank? 📃

Join me to learn more about the world of non-atherosclerotic coronary artery disease and coronary artery vasculitis!

Would you care for a pragmatic understanding of cost-effectiveness for new #cardiovascular drugs?💊💵
In our new @Heart_BMJ article, we use 3 case studies to clarify key concepts like cost-effectiveness & affordability: #tafamidis, #PCSK9i & #DOAC.
🧵
https://tinyurl.com/BMJcea

ICU stories: Middle age pt was admitted with delayed presentation (probably 4 days' old) inferior wall MI

🚨How do you get a STEMI without atherosclerotic coronary artery disease?? 📟

✏️ Drawing a blank? 📃

Join me to learn more about the world of non-atherosclerotic coronary artery disease and coronary artery vasculitis!

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If you're expecting to see this👇every time you think dissection, you'll be missing a lot of dissections (>40%). Everyone talks re widened mediastinum but its absence does NOT exclude it. Let’s chat about pitfalls of dissection.
#MedTwitter #FOAMed @MedTweetorials @RosenelliEM

1) Welcome to our new accredited tweetorial - a case presentation/discussion on initiating new anti-thrombotic therapy into the treatment regimen of a patient with #PAD.

#Cardiotwitter #CardioNerds how do you approach driveline infections (DLI)? In this #tweetorial, we'll follow a representative patient with DLI, from presentation to discharge!

A 65y/M on LVAD for destination therapy present with yellow discharge from DL site & fever x 1 wk

Women and men have the same risk factors for CVD, right? WRONG!

🚫🚫🚫

Keep reading for a tweetorial on CVD in women!

@erinmichos @drmarthagulati @cardiopcimom @gina_lundberg @KBerlacher @shreyarao87 @DrLaxmiMehta @MinnowWalsh @MedTweetorials

Join us tomorrow for the launch of a new accredited tweetorial – a Journal Club on the Effects of Dapagliflozin on Worsening Heart Failure and Cardiovascular Death in Patients With Heart Failure With and Without Diabetes!
https://jamanetwork.com/journals/jama/fullarticle/2763950

🗓️February, Amyloidosis month.
🏅5 Best Papers
💖Tips, Tricks & Thread/links 🧵(1/15)👇
#CardioEd #cardiotwitter #Cardiology #ENARM

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A rare, but can't-miss complication from pacemaker placement. Here's a #tweetorial (trying to do more of these 🤓) @RosenelliEM @EMBoardBombs @MedTweetorials #MedTwitter #FOAMed @AvrahamCooperMD @msiuba @EMEducation @MRamzyDO @EMinMiami @EMIMeducator @KimiChernoby

1) Welcome to a tweetorial on management of a challenging IWSTEMI. Accredited for 0.50 CE/CME credits by @academiccme: physicians, nurses, pharmacists! Expert faculty @DrMauricioCohen. #cardiotwitter #medtwitter @MedTweetorials

#endocation #endorules #endotips #endotwitter

🫀Molecular mechanisms involved in the different types of monogenic hypertension (thread)👇

Does Measuring Cardiac Output ❤️ with #POCUS seem confusing 😕? Let's Demystify that today 😀!

1⃣Measure LVOT Diameter
2⃣Measure LVOT VTI
3⃣Measure HR
4⃣Calculate SV and CO
5⃣FREE Pocket Guide PDF!

✅New Blog Post & PDF
🔗👉https://www.pocus101.com/CardiacOutput

#medtweetorial 👇(1/n)

Welcome to #TachyTuesday! You are admitting a patient from the ED who was found down and brought in by EMS. He's about 40, but no other info is known. Patient is still altered and not able to provide you with a ton of history. Here's his EKG.

⁉️Did you know the left atrial appendage can be described as chicken wing🍗, cactus 🌵, windsock, & cauliflower morphology⁉️

Full 🧵on 💘Atrial Fibrillation💘

🎧RTL Ep. 23: https://bit.ly/3b6svs0

Thanks to @Gurleen_Kaur96 for this week's tweetorial!

https://twitter.com/i/status/1352757712472436737

A thread on a collection of clips of VF shared on Twitter. Always good to train the eye on this! #echofirst #askpocus @iceman_ex @RJonesSonoEM @Wilkinsonjonny @NephroP @IMPOCUSFocus @EmergencyEcho @The_echo_lady @CriticalCareNow @coreultrasound @tsquaredmd @UltrasoundJelly

Based off of Run the List Episode 24, here is a #tweetorial on💘Tachyarrhythmias💘

🎧Full episode: https://bit.ly/3b6svs0

Let's start with an EKG 👇 (@medicine_strong). For more practice, check out: https://bit.ly/35mxD7P

Thanks to @Gurleen_Kaur96 for this week's edition!

1/ 🫁x🫀
-Pleural effusions w/ CHF occur bilaterally, historically ‘more common on the R side’?
-Do patients w/ CHF tend to sleep in the R lateral decubitus (RLD)?
-Pericardial effusions uncommon w/ CHF?
#MedTwitter #Cardiotwitter #MedEd