Father | Husband | Interventional and Critical Care Cardiology | APD IC Fellowship/Co-Director CICU
@AHNtoday
| Toronto Born&Bred 🇨🇦 🇸🇴 | tweets are my own.
Shoutout to that young “quiet kid” that didn’t think he could ever teach anyone a thing esp after an attending in med school told me I needed to work on “projecting my voice”. Somehow all these years later, I can’t seem to stop trying to teach what I’ve learned. It’s a privilege
First weekend STEMI call of IC fellowship. 2 ECMO cases, 2 STEMIs, 2 NSTEMIs, 1 Takutsubo shock case and it’s only Saturday morning. 🙃 Fueled by chocolate milk 💪🏾 Happy July 4th weekend.
#ACCFIT
#ShockSaturday
#CHIP
#ACCIC
Pretty incredible end to an amazing first year as an attending (most of the days still feel like I’m “pre-tending”)
Couldn’t have asked for a better group of IC fellows to be a 1st year attending with.
Celebrating our second class of SCAI's 30 in Their 30s recipients, an annual award that recognizes the accomplishments of early-career interventional cardiologists who have the qualities required to be one of the field's future leaders.
#SCAI2024
Congrats to all the future Cardiologists on
#MatchDay2020
, 2020 was a wild one with virtual recruitment. Major shoutout to
#ACCFIT
Section Chair
@noshreza
, the
@ACCinTouch
@cardionerds
for the awesome resources, webinars, platforms that were provided to help make this a success
Another fun/historic day in the AGH cath lab
@AHNIMres
Lucky to have 3 generations of AGH Chief residents scrubbing ATTENDING
@MNestasie
first case at AGH. The torch keeps passing on.
@CardioPriPri
Twitterless Matt Deicke
@AHN_CVI
The best PD in the game
@ramzik1971
Masterclass TAVR operator, makes the complex feel simple. 74 y/o prior SAVR with 21 epic biocor, severe symptomatic AS previous stroke mild residual symptoms Refused redo AVR. ViV Evolut Corevalve with left main stent snorkel for protection.
Awesome start to the year with a great team. The smiles persist even after a week of crazy calls full of ECMO, Tandem assisted PCI, PE and STEMI
#ACCFIT
We're excited to introduce & welcome the Class of 2025 Interventional Cardiology & Advanced Heart Failure Fellowships & the Class of 2027 Cardiovascular Disease Fellowship! Welcome to the
@AHNToday
Family!
#ICFellowship
#AHFTFellowship
#CVDFellowship
Huge shoutout to my fellow 🇨🇦
@TKapetanos
PD of the
@AHNIMres
, responsible for one of, if not THE most diverse group of IM residents in the country, no longer just talking
#DEI
, but actually making it happen!
Show my guy
@AdnanKhalifMD
, Interventional and Critical Care Cardiologist some 🇨🇦 love for delivering a shock lecture to
@AHNIMres
in Pittsburgh while rocking an
@Raptors
scrub cap 💜🦖🏀
The best get to together for those interested in cardiac critical care training and education! Also, you get to tour the awesome ECMO truck, still trying to get one of those in Pittsburgh 😂
Some memories from last year’s inaugural summit. It’s the last few weeks for trainees to register for
#CCCES24
. Registration for all accepted trainees is free and includes lodging, meals, and networking events!
#CardsCritCare
#Cardiology
#Cardiotwitter
Hi
#CardioTwitter
#MedTwitter
this is my friend
@AlexBastiany
who is now Canada’s first Black Interventional Cardiologist.
Congratulate her amazing and pioneering achievement 👏🏻👏🏻👏🏻👏🏻
Something’s been bothering me for a while now. I guess its only right I rant about it on twitter. It’s this...Class 1A recommendation in the HF guidelines, combination of Hydral/ISDN in patients “self described” as Black.
#tweetorial
#ACCFIT
#3T
Shoutout to our awesome HF faculty
@manreetkanwar
@AHN_CVI
taking us through the steps of using the CSWG to conduct prospective RCTs in the shock space.
🎙️
@MithaNaik
&
@CardiologyGirl
from AGH crushed it with a mind blowing discussion of a terrifying case..😱..young women with severe Group 1 PH (PA systolic > 130mmHg & RV fialure) presenting in her 3rd trimester!
#cardioobstetrics
Thankfully mom and baby did well in their hands!
2016: 1 Black med student entered U of T. Raising our voice led to increased representation in subsequent years.
2020: 60+ Black med students representing all 17 med schools in Canada came together for our first national meeting.
This is truly our ancestors’ wildest dreams.
Awesome to hear the back stories of these legends in this emerging specialty of critical care cardiology
@JasonKatzMD
@ChrisBarnettMD
Thankful for their mentorship
#ACCFIT
The time is now to secure the pipeline for the future
Looking for a great place to train in Advanced Heart Failure/Transplant/pHTN with experts like
@manreetkanwar
@craigalpert
@MattLanderMD
@ranga1949
. Great volume (25+ transplants, 40+ VADs), Shock team, ECMO, CTEPH referral center. …
Apply. DM for details
Probably the best text book I’ve read during fellowship training. Highly recommended. Would love to see additional updated chapters on shock from non-ischemic etiologies. - NICM, HOCM. - shock in VHD (AS/AI, MR) - updates in acute PE
Grateful for the opportunity to have worked with and learn from this great group of fellows as they complete their cardiology fellowship. Honored they would even consider me an educator
They are all going to be future leaders in cardiology.
#ACCFIT
I frequently hear “symptoms, EKG, WMA on echo” as a common answer. The writers of the 4th universal definition don’t seem to agree with that thought process. That’s why I think this is a fascinating question, is plaque rupture a “clinical diagnosis”??
Towards Democratizing CV Education & Empowering all
#CardioNerds
to Teach:
🌟INTRODUCING🌟
🫀The CardioNerds Honor Roll
➡️Programs that support our Mission
🫀 The CardioNerds Ambassadors
➡️
#ACCFITs
representing these programs
🔗
Lives cases: Biggest takeaway = intravascular imaging (OCT/IVUS) is essential, learning gaps should be addressed in training programs
@SVRaoMD
#ACCFIT
#ACC19
#ACCIC
More awesome talks from CSWG Global summit
#WaronShock
@JAMarbach
Helping us understand Lactate and its clearance in Cardiogenic shock (notice use of term lactate and not lactic acid 😉)
@MNestasie
Dr Philippe Genereux giving a wonderful lecture on asymptomatic patients with severe aortic stenosis during Grand Rounds today at Allegheny General Hospital
@AHNtoday
@PaChapterACC
@ACCCardioEd
Shout out to my co-chief fellow at
@AHN_CVI
Kinan Kassar for this awesome and heartfelt story. 2020 has been something for sure, hopefully we’ll remember to take away all the positive that came with it.
@PaChapterACC
#ACCFIT
This needs to be understood in every cath lab. If you’re going on VA-ECMO for acute MI shock, you need to have an exit strategy (or a venting strategy).
@AndrewJSauer
what are your thoughts on Impella CP/IABP venting vs. upgrade to Impella5.5 as bridge to recovery within 24hrs?
VA-ECMO by itself does NOT “help the LV” in myocardial infarction. It loads the LV especially when running the speeds high. High preload, high afterload. Increased VT/VF and increased pulmonary venous pressures. The VA ECMO, without a drain, is to save the patient, not the LV.
Although learning is mostly remote these days, it was great to hear the sound of CHF knowledge being dropped by our phenomenal cardiology fellows up in the department this afternoon
#TeamWork
#AHNIMres
@AHNIMres
@LAzzaliniMD
I find it interesting that FFR/iFR got the class Ia,with RCT outcomes mostly driven by urgent revasc and not death/MI, meanwhile imaging didnt crack 2a even for procedural guidance, makes you wonder whether guideline committee had confidence that a class Ia would ⬆️ overall usage
1/15
#MedTwitter
: You're admitting a 64YO male with ESRD on HD for hyperkalemia after missing dialysis. A troponin was checked & returned at 0.78 (nl<0.055 ng/mL), similar to his baseline. He is w/osymptoms and EKG is w/o dynamic changes. What would you call this
#tropbump
?
Great paper, validates some of my own thoughts that the absence of lactate elevation does not = absence of shock/low output in HF patients.
@ranga1949
@Ben_Kelemen
How often do you use lactate levels to risk stratify patients w/ ADHF?
We observed a high prevalence of NORMAL lactate levels w/ severely abnormal hemodynamics (⬇️ CI, ⬆️ PCWP, ⬇️ cardiac power) in advanced HF pts
Now in
#ClinicalCardiology
📎: (1/4)
CASE TWEETORIAL! We're going to talk about PLATYPNEA- ORTHODEOXIA!
Here's an early preview of what we'll be discussing from the
@cardionerds
case report with Allegheny General Hospital!
Thanks to
@CodyGathersMD
I just spent the last hour + reading an anti- affirmative action article (that was written by an Asian male doctor) and published in the Journal of the American Heart Association... his premise was:
Sedation practices in cardiac patients are evolving. What are the safety outcomes of dexmedetomidine use in a modern CICU population?
Find out in our
@UMichCardiology
@umichCVC
@UMichPharmacy
study
#EHJACVC
w/excellent work by my all-star colleagues.
This is so relevant. Hopeful for more discussions about training pathways for
#ACCFIT
to really grow this field. After almost 4 months of CICU experience during fellowship, I know this is what I want to do with my future.
Register here for Interventional Case Conference.
#ShockSaturday
#ACCFIT
#3T
@Nidhi_Madan9
Interventional, Early Career, and FIT Cath Discussions: Left Main/Multivessel Disease, CABG vs. PCI, Approach to Left Main PCI - American College of Cardiology
Love the differentiation between Type I (STEMI or NSTEMI) and Type II. I’ve never agreed with the type II “NSTEMI” designation.
@kiranpa88
@Teeth_90
@PaChapterACC