Sripal Bangalore
@SripalBangalore
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Director Complex Coronary Intervention, Prof of Medicine, NYU School of Medicine, #radialfirst , #CTO , #MCS , #CHIP , #ZerocontrastPCI , #PERT , #ECMO
Manhattan, NY
Joined October 2017
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1/ REVIVED BCIS2 vs. STICH.
In STICH(es), CABG had a mortality benefit over MT. No such benefit of PCI vs. MT in REVIVED BCIS2. Does that mean CABG is superior to PCI in ischemic cardiomyopathy?
@GreggWStone
@JWMoses
@SVRaoMD
@ShariqShamimMD
@evandrofilhobr
@djc795
@ajaykirtane
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IABP for acute MI complicated by cardiogenic shock.
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1/Pt w cough for few days, fever, COVID+, post tussive cough w left rib pain. Described by outside facility as ongoing positional chest pain. Fever 103, intubated for hypoxia. EKG below.
#COVID_STEMI
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Just placed 3rd COVID patient on VV ECMO in the last couple of weeks. Common theme— unvaccinated. Get the damn vaccine folks!!!
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Missed the
#ISCHEMIA
LBCT presentation? Here is the trial co-chair-Dr. David Maron’s rendition.
@GreggWStone
@ajaykirtane
@Drroxmehran
@rwyeh
@DanMarkMD
@JDNewmanMD
@DrMarthaGulati
@purviparwani
@DFCapodanno
@KAlexanderMD
@HeartBobH
@mmamas1973
@PlateletDoc
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#COVIDPPE
. Given the Variability in PPE recommendation, driven by resource availability, can each of you post a pic (full length) next time you are in full PPE. Would be interesting to see the variability. 1/
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ST-Segment Elevation in Patients with Covid-19 — A Case Series | NEJM
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Took 4 patients to the lab this week for PE. “Stable hemodynamics” on paper with BP in the 110-130s. All with cardiac index 1.5-1.7. Significant improvement in hemodynamics after clot removal. Need better risk stratification for submassive.
@PERTConsortium
@jameshorowitzmd
#PERT
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For those of you who are a fan of anticoagulation alone for PE, I wonder if AC alone can do anything for a thrombus like this. A thread from our latest publication below.
@ShariqShamimMD
@PERTConsortium
@RosovskyRachel
@itsradu
@glennfishman
@gbiondizoccai
@FelixMahfoud
🚨Hot off the press 🚨
Proud to share our new paper published in
@escardio
@ehj_ed
#EHJ
on
#PE
and catheter-based therapies
#PERT
. A short 🧵
@SripalBangalore
@carlosalviar
@jameshorowitzmd
@PERTConsortium
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Alarming numbers in NYC. 4500+ cases. Outpatient testing to stop soon. Per DOH —With the widespread community transmission of Coronavirus in our region, ambulatory patients with fever and cough can be presumed to have COVID disease without testing!!!
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STEMI transfer from outside facility. Reported no fever/cough. At our Cath doorstep hesitantly reveals cough for days but attributes it to allergies. CXR suspicious. Upgraded to PUI and primary PCI. we may have created a stigma where patients will be hesitant to reveal cough!!
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Evidence-Based Practices in the Cardiac Catheterization Laboratory: A Scientific Statement From the American Heart Association.
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TV endocarditis with septic pulmonary emboli. One of the biggest we have pulled out so far.
@angiodynamics
@carlosalviar
@CardsNYC
@jameshorowitzmd
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Is there some word that you have used regularly but never knew the origins? Here is one for me
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The wait is finally over.
#ISCHEMIA
is now published.
Patients with stable coronary disease were randomly assigned to an initial invasive strategy with angiography and revascularization if appropriate or to medical therapy alone. The findings were sensitive to the definition of myocardial infarction.
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Although many of us have been vocal about PPE availability, the next big issue in the Cath lab is the Donning and Doffing process. Attached is our process. We have the respective steps posted in relevant areas. Please feel free to modify and use as needed
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First positive RCT of HCQ in COVID 19. Still need the final version of the paper. Small trial but promising.
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@drchethansathya
I have this drill every day and sometimes several times depending on how many times I have to go into the hospital for emergencies.
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#COVID2019
Over 40 academic institutions with travel restrictions. I hope
@ACCinTouch
and others are paying attention. Pls update the google doc list by
@cpgYALE
. . RT.
@mmamas1973
@SVRaoMD
@djc795
@CMichaelGibson
@djc795
@purviparwani
@DrMarthaGulati
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Just feels like yday I had this amazing conversation with him. Pioneer in many firsts but more importantly a true gentleman. RIP Prof Cribier.
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1/ Looks like prominent thebesian veins to me. Since there is confusion with coronary cameral fistula (CCF), a brief thread below.
#CardioTwitter
@ShariqShamimMD
@djc795
@CardioNerds
@mirvatalasnag
@DocStrom
@ajaykirtane
@SVRaoMD
@DFCapodanno
@cardioPCImom
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The BBC EXCEL issue is being made into a conspiracy theory. Regardless of the definition of procedural MI, the totality of data doesn’t support mortality difference bn PCI and CABG.
@SVRaoMD
@HollandTamis
@CAThompson99
@DrMauricioCohen
@ajaykirtane
@ziadalinyc
@ShariqShamimMD
And here is the meta-analysis showing very similar 5-year all-cause mortality after left main DES versus CABG. Normally I am not a great fan of meta-analysis, but considering aggregate data is appropriate to assess low frequency non-pre-specified under-powered events.
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We officially have the most cases in the world and we aren’t even at the peak!!!
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Flight attendant: Is there a doctor on the plane?
Me: (interventional cardiologist- reading COACT/TOMAHAWK). Are there ST elevations?
Flight attendant: No (we don’t have EKG)
Me: Wake me up tomorrow.
@agtruesdell
@ShariqShamimMD
@AntoniousAttall
@jameshorowitzmd
@SVRaoMD
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Capping off
#CRT2022
with a gala celebration. Good to be back in person, great talks and above all glad to see everyone in person.
@ron_waksman
@SanjitSJolly
@SanjogKalra
@SandeepNathanMD
@BinitaShahMD
@SukhNijjer
@mirvatalasnag
@rallamee
@DrMauricioCohen
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One thing that was clear in the ACC China webinar was the use of surgical masks by all Heath care workers. Good to see more hospitals implement this. We need to prevent hospitals from being epicenters of infection in the next few weeks!!
Today, my health system took a big step: Notified staff that they're adopting the model described here, with face masks at all times & a health check each shift for even mild ill symptoms. Effective Wednesday. Kudos to
@PartnersNews
@BrighamWomens
@MassGeneralNews
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1/ Interesting case of plaque/carina shift after stenting. What if the lesion is not after stenting? See interesting case below from today.
@mmamas1973
@djc795
@rajivxgulati
@ziadalinyc
@ajaykirtane
@SVRaoMD
@HadyLichaaMD
@mirvatalasnag
@evandrofilhobr
@ShariqShamimMD
Pt with Medina 1,1,0 distal LM bifurcation. PCI with provisional 1-stent technique - 3.5 mm DES followed by 4.5 mm POT - resulted in high-grade stenosis at origin of LCX. TIMI 3 flow, no symptoms or ECG changes. iFR of LCX performed=0.94. Next steps? Poll to follow.
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@JoshuaBeckmanMD
@NephroNinja
@thebyrdlab
We debunked it a while ago.
“Given the equal outcome efficacy+fewer adverse events with ARBs, risk-to-benefit analysis in aggregate indicates that at present there is little, if any, reason to use ACEi for the treatment of HTN or its compelling indications
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Ephemeral Coronary Heart Disease: Now you see it, now you don’t: A cardiologist’s personal story . Interesting read. I bet this happens not infrequently.
@SVRaoMD
@venkmurthy
@DavidLBrownMD
@RogueRad
@drjohnm
@ajaykirtane
@mmamas1973
@purviparwani
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Our review on crush technique for bifurcation stenting.
Since its introduction almost two decades ago, the crush technique for coronary bifurcation stenting has undergone a significant and constant evolution. This paper reviews the technical aspects and outcomes of the variants of the crush technique.
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9/ - Both STICH and REVIVED BCIS show that EF improvement is only seen in the minority with revasc
- Relative merits of PCI vs. CABG can only be compared via a head to head randomized trial
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This post is funny and troubling at the same time…..🤨
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1/ Case resolution. Few considerations based on the responses to the poll- The diagnosis is split between myocarditis and STEMI. Highlights the difficulty in instituting lytics first for such patients.
1/Pt w cough for few days, fever, COVID+, post tussive cough w left rib pain. Described by outside facility as ongoing positional chest pain. Fever 103, intubated for hypoxia. EKG below.
#COVID_STEMI
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For all ICs and anyone working with radiation this 18 mins interview is worth listening to. Proud to say that we are leadless as of this week
@BellevueHosp
.
@georgedangas
@RizikMd
@SCAI
@SCAI_Prez
@djc795
From quadrapelegic to being back in the cath lab:
Dr. Dean Kereiakes courageously shares his journey of chronic and acute spinal cord injury caused by decades of wearing led as a stark warning to young interventional cardiologists who think they are unbreakable ... you are not
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Prevalence and Predictors of Cardiogenic Shock in Intermediate-Risk Pu... .
@PERTConsortium
@ShariqShamimMD
@carlosalviar
@AntoniousAttall
@SVRaoMD
@nyulangone
@CatalinPToma
@drandrewsharp
@Thomas_TuMD
@shonmd
@jameshorowitzmd
@glennfishman
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1/ Tweetorial on an interesting case. Please answer the poll and based on the highest response I will provide the next information. Patient with prior angiographically normal cors s/p aVR 5 months prior with chest pain since 2 months. Angiogram below.
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1/ Nice images of myocardial bridge. Is stenting in a MB segment associated with increased risk of coronary rupture? A brief thread.
Wonder why myocardial bridge
#PCI
may perforate to RV? Is soooo close
@evandrofilhobr
@LAzzaliniMD
@Ortega_Paz
@mmamas1973
@aspergian1
@RodrigoBagur
@MatthiasBossard
@djc795
@felixdamasds
@SVRaoMD
@SripalBangalore
@PedroMDMSc
@sbrugaletta
@GreggWStone
#radialfirst
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8/ My take on REVIVED BCIS is the following:
- It is a win for medical therapy, which admittedly was far from optimal when compared with today's standards. Will PCI or even CABG have a mortality benefit over today's standard of medical therapy?
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This one is spot on....
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This was fun to work on. Is it time to abandon outdated practices- NPO, shellfish allergy, IV dosing for contrast allergy prophylaxis, holding metformin, ACE. Can we do radial access on those with prior mastectomy and many more.
@SVRaoMD
@drmortkern
@HollandTamis
@DrMauricioCohen
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@SVRaoMD
@ChristosArgyrop
@mmamas1973
@willsuh76
@nolanjimradial
@Radial_ICG
@ajaykirtane
@GreggWStone
@JWMoses
@rwyeh
@TCTMD
@ToddNeale
@JFeuerba
@Steph_Achenbach
@stefan_harb
And this image shows why cholesterol emboli should be less common w Radial.
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While in the US, the amount of PPE worn by that one person in the video would have been rationed to 3 and then asked to reuse.....
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Our abstract comparing anticoagulation alone versus catheter based therapy for clot in transit.
@NYULangonePCCSM
@glennfishman
@PERTConsortium
📣
#PulmonaryEmbolism
Featured Abstract at
#SCAI2024
:
💡Comparing Management Strategies in Patients With Clot-in-Transit
➡️
@CardsNYC
@LindsayElbaum
@itsradu
@TomMaldonadoMD
@saricmu
@carlosalviar
@jameshorowitzmd
@SripalBangalore
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Nice demonstration of Endomyocardial biopsy via brachial vein approach by
@VinayThohan
. .
@stephenpanmd
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Scheduled my booster shot- high risk of exposure category.
@nyulangone
@CMichaelGibson
@nyheartdoc
@jameshorowitzmd
@PlateletDoc
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@DrAmirKaki
@HadyLichaaMD
@Uqayyum123
@rahatheart1
@SJcardio
@MusaSharkawiMD
@PERTConsortium
@XiangkeH
@AntoniousAttall
@Stent4U
@agtruesdell
Great job. Had a similar case recently. Escalating pressors. Few hours post thrombectomy - extubated and off all pressors.
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1/ Hemostasis band release after TransRadial Angiography (TRA). Poll suggests majority start releasing 1 hour after diagnostic and 2 hours after PCI regardless of UFH or bival use. A brief evidence review based on our recent publication.
@fischman_david
1/ to tag along
@fischman_david
poll, below is an expanded poll. For diagnostic cath via trans radial access when do you START releasing the hemo stasis band?
@SVRaoMD
@mmamas1973
@ShariqShamimMD
@BinitaShahMD
@SrihariNaiduMD
@mandeep_mayo
@stentdoc1
@DocSavageTJU
@agtruesdell
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@evandrofilhobr
If you look at the pyramid of diagnostic accuracy, contrast FFR is in between rest and hyperemia. For such lesions I do resting first—> if negative switch to FFR mode and inject contrast. If negative and the story is discordant (like in your case) would do hyperemic FFR.
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1Patient with unstable angina with severe stenosis of LAD. He needs a urological procedure in 2 months. Which of the following is the most appropriate management? (Choice 5 will be medical therapy only). I will post the
#ChatGPT
response in a day.
@fischman_david
@ShariqShamimMD
POBA
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BMS
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DES
743
Drug coated balloon
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I bet this will be way higher if we test health care workers in NY. Another reason to mask up to prevent spreading it to one another.
Collectively, more than 100 staff at Brigham & Women’s, Mass General Hospital, & Boston Medical Center test positive for
#COVID19
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Perhaps twitter has the answer to this question. An N95 mask blocks at least 95% of very small (0.3 micron) particles. An N100 makes blocks 99.97%. Apart from cost considerations, why settle for N95?
#COVID19
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8/ The discordance typically occurs in short lesions supplying a large territory where the gradient at rest is small but results in a large gradient at hyperemia resulting in a potential FFR/iFR discordance.
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Current evidence for CDT, systemic thrombolytics, or anticoagulation alone for acute PE. More RCTs to follow.
@jaygirimd
@EricSecemskyMD
@drandrewsharp
@sanjum
@SVRaoMD
@CatalinPToma
@carlosalviar
@CardsNYC
@jameshorowitzmd
Excited to share our network meta-analysis comparing AC, CDT & ST in acute PE!
👉CDT ⬇️mortality🪦vs AC & ST
👉AC ⬇️🩸vs CDT & ST
👉CDT⬇️ICH🧠vs ST
Grateful 🙏for the invaluable mentorship from
@SripalBangalore
@nyugrossman
@JACCJournals
@haisummaqsood
🔗
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Management of clot-in-transit. A thread from our recent publication.
@CatalinPToma
@sahilparikhmd
@EricSecemskyMD
@jaygirimd
For those of you who are a fan of anticoagulation alone for PE, I wonder if AC alone can do anything for a thrombus like this. A thread from our latest publication below.
@ShariqShamimMD
@PERTConsortium
@RosovskyRachel
@itsradu
@glennfishman
@gbiondizoccai
@FelixMahfoud
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I hope CDC and others first start with what is best the PPE for health care workers in a ideal situation with no scarcity of PPE and then outline fall backs for limited resource. The guidelines thus far has been the opposite unfortunately.
There is a concern that the CDC guidelines on PPE are not adequately protecting our nurses & doctors.
We're aware of the concerns & we're actively looking into it.
If the guidelines don’t sufficiently protect our health care professionals, we'll put our own guidelines in place.
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@alxbenevides
@DocSavageTJU
@CoronaryDoc
@AnastasiaSMihai
@MarcPPelletier
@MihaiTrofenciuc
The early separation of curves for mortality (even at 30-days) suggests selection bias and residual confounding. Question can only be answered by an RCTs that some of us are planning. Our analysis from NYS tells a different story.
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Needs diuresis.
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Balloon Assisted Intravascular Lithotripsy (BAIL) technique.
🆕📚 Presented at
#SIF2024
💡case of recurrent
#ISR
due to severe coronary calcification w asymmetric stent expansion demonstrating the feasibility of
#IVL
along w a “buddy” balloon to treat stent eccentricity.
➡️
@MustehsanMD
@SripalBangalore
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7/ It turns out that the pressure gradient across a lesion is a function of friction coefficient and separation coefficient.
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Building on our publication to predict normotensive shock in intermediate risk PE, we have now validated the score. Score of 6 has a very high prevalence of shock (60-100%) and outperforms any PE score. .
@PERTConsortium
@jaygirimd
@drandrewsharp
🚀our latest study validating the CPES score for identifying normotensive shock in patients with intermediate-risk PE 📊
@CircIntv
Can the CPES score guide us in identifying patients that may benefit from CBT?🤔💡More research is needed
@SripalBangalore
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@DGlaucomflecken
It is too late during birth. I only accept RCTs if done upstream. How do you know the baby is not already infected.
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Nice thread on CCB pedal edema. Combo of CCB w RAS blockers decrease incidence of pedal edema by ~50%.
1/17
How do calcium channel blocks (e.g., amlodipine) cause edema?
I've known since medical school that amlodipine can cause edema, but I’ve never taken the time to examine the mechanism.
The explanation is cool and has implications as the summer heat approaches...
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@SVRaoMD
@rwyeh
@ajaykirtane
@KAlaswadMD
@CardiacConsult
@lorenzo2509
If RCTs of stable CAD do not show a reduction in death/MI with revasc, I am not surprised with CTOs. I have a growing CTO program and the ones we do are patients who are symptomatic. In fact, they are more grateful than the STEMI ones as they have suffered long enough.
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1/ When prescribing anti-hypertensive medications, when do you ask patients to take their meds?
@CardioNerds
@RRBaligaMD
@cardioPCImom
@onco_cardiology
@cardiojaydoc02
@DrMichaelShapir
@SABOURETCardio
@LuaySayed
@DrSaritaRao2
@SVRaoMD
@nyheartdoc
@PlateletDoc
@JDNewmanMDMPH
@ISHBP
Morning
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Evening
73
Split between AM/PM
150
Doesn’t matter/whenever
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Terrific group of fellows with a bright future ahead!! Congratulations and thank you for spending time with us.
Congrats to the
@nyugrossman
graduating interventional cardiology fellows! Great careers await you!
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Here is ours. The comments below are great but pls try to post your pic. So far the ones posted are all outside US and IMO far better with less skin exposure.
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1/ Elderly with shortness of breath and cough for 1 month p/w Chest pain for 3 hours. CXR read as b/l consolidation. No fever. EKG below. What would you do.
#COVIDSTEMI
Primary PCI
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Lytics
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Echo first
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@DrQuinnCapers4
Surprised many are advocating for CTO PCI. I revasc arteries supplying large territories but not CTOs. Our program has come around not to insist and rely on cardiologist to make the decision. The risk of restenosis of a CTOin an ESRD patient is very high, let alone upfront risk
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1:2 Pt w anterior MI s/p DES to prox LAD. Develops AF. Apixaban added to DAPT (ASA+clopidogrel). ASA dropped after 2 doses of Apixaban. 3 days later develops stent thrombosis. Haven’t had stent thrombosis w this strategy before. What is your strategy for SAPT+DOAC
Clopidogrel
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Ticagrelor/Prasugrel
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@VPrasadMDMPH
Instead of spending so much effort on anti-masking it is better spent on where evidence is— encourage people to vaccinate. The masking debate is short lived once vaccination are available for kids which is only a few months away.
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2/ STICH enrolled 1212 patients to be powered for death. REVIVED with 58% smaller sample size (700 patients) woefully underpowered for mortality.
@mmamas1973
@rallamee
@DLBHATTMD
@DFCapodanno
@CMichaelGibson
@HadyLichaaMD
@AntoniousAttall
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6/ Interestingly, 4-year death with PCI in REVIVED and CABG in STICH are largely similar (~28%) (Extrapolated from CIF plots). The dif in outcome bn the 2 trials, in part, is due to difference in event rates in the MT arm of the trials (REVIVED (~26%) than in STICH (~32%)).
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@GAggarwalMD
@AnkurKalraMD
@ShariqShamimMD
@adnanalkhouli
@DrJayMohan
@rajivxgulati
@RajTayalMD
@djc795
@nebraskacardio
@jedicath
Evidence-Based Practices in the Cardiac Catheterization Laboratory: A Scientific Statement From the American Heart Association
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It’s time to place your bets folks. Thursday late breakers at
#TCT2019
.
@grantham_aaron
@ShariqShamimMD
@kevinjamescroce
@SuzanneJBaron
@dzavik_vlad
@GreggWStone
@TCTMD
@DFCapodanno
@CAThompson99
@ajaykirtane
@rwyeh
@mmamas1973
@ajaykirtane
@ziadalinyc
@PhilGenereuxMD
Pls RT
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@DocSavageTJU
@SVRaoMD
@JDawnAbbott1
@mmamas1973
@mirvatalasnag
@ajaykirtane
@djc795
@Drroxmehran
@GreggWStone
@rwyeh
@Stent4U
@duanepinto
@SandeepNathanMD
@Hragy
@agtruesdell
@aymanka
@fischman_david
@TCTMD
My magic cocktail of 100-200 mcg Nipride (which will reduce BP) followed with 10-20 mcg Epi given intra coronary and distally.
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Who does VA ECMO at your institution?
@mmamas1973
@mirvatalasnag
@hectortamezmd
@grantham_aaron
@bkolskk
@KAlaswadMD
@ShariqShamimMD
@rwyeh
@ajaykirtane
@PinakShahMD
@djc795
@DrMauricioCohen
@AntoniousAttall
@KaulP
@CAThompson99
@DocSavageTJU
@fischman_david
Pls RT.
Interventional Cardiology
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CV Surgery
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Both
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Others
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Amazing….
Surgeons at NYU Langone Health recently completed the first-ever combined heart pump and gene-edited pig kidney transplant in a living patient with heart failure and end-stage kidney disease, who otherwise had no options for a better quality of life:
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4/ Med therapy in STICH was largely BB and ACE/ARB. REVIVED used BB, ACE/ARB, 57% were on MRA, 37% on ARNI. In addition, ICD use was 18.6% in STICH vs. 54% (cardiac device) in REVIVED. Med therapy significantly better (but not to current day standards) than STICH.
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@GreggWStone
Severe prox lesion supplying large territory but short lesion length— this is where the concept of separation coefficient and false negative resting indices apply. Wouldn’t be reassured by just a resting index.
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@RimshaHasan
@MarwanSaadMD
@drmomani
@sabeedak1
@cardioPCImom
@Babar_Basir
@ajaykirtane
@MayraGuerreroMD
@chadialraies
@Cardiology
The ID and CDC recs have been changing rapidly in the last few weeks. I cannot understand the reluctance in going with what worked in China. This is a novel virus that we are just learning about. Would err on the side of caution. Would do full PPE in highly prevalent areas.
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@Ajar_Kochar
@ShashankSinhaMD
@bkocharmd
@DLBHATTMD
@sanjayvdesai
@AnkurKalraMD
@DrSheilaSahni
@SarasVallabhMD
@jennifer_rymer
@ZainabASamad
Not acceptable. As physicians we should learn to say NO. The results won’t change management. If there is no PPE, the hospital should manage the patient as a confirmed case rather than risk infecting others. I bet very soon health care workers will be Petri dishes spreading this.
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1/ Only a minority chose evening dosing of BP meds. A brief tweetorial on evidence base for chronotherapy for antihypertensive meds from our latest publication. .
@CardioNerds
@ISHBP
@DBelardoMD
@mirvatalasnag
@RRBaligaMD
@mmamas1973
@DrMichaelShapir
1/ When prescribing anti-hypertensive medications, when do you ask patients to take their meds?
@CardioNerds
@RRBaligaMD
@cardioPCImom
@onco_cardiology
@cardiojaydoc02
@DrMichaelShapir
@SABOURETCardio
@LuaySayed
@DrSaritaRao2
@SVRaoMD
@nyheartdoc
@PlateletDoc
@JDNewmanMDMPH
@ISHBP
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@GreggWStone
Similarly based on the data from FREEDOM follow-on trial, choosing CABG over PCI in diabetics results in extension of survival by 3 months after 8 years of follow up. I wonder how many would choose CABG if presented this way.
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@ShariqShamimMD
Non hypotensive shock is a known entity. I have had couple of STEMIs with BP in the 130s, elevated lactate and low CI. I bet we are missing many of these if we are relying on BP alone.
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@RinfretStephane
@ShariqShamimMD
@Izanagi_no_mi_
@SVRaoMD
@mmamas1973
@ferdikiem
@willsuh76
@nolanjimradial
@Radial_ICG
@DrQuinnCapers4
@aspergian1
@ajaykirtane
@sameergafoor
1 hour of TR band. No flow in the pseudo aneurysm. Now there is thrombus in the radial artery. On a different note emphasizes why patent hemostasis is so important
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7/ Finally, EF did not improve significantly with PCI when compared with MT in REVIVED. This is similar to the results from STICH where EF improvement >=10% was in 19% in the CABG group and 16% in the MT group (P=0.30).
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Adding to the data on non hypotensive shock in intermediate risk patients. Our latest publication on non invasive measure of cardiac index. Complements the CPES score.
@glennfishman
@PERTConsortium
@jaygirimd
@EricSecemskyMD
@RosovskyRachel
Excited to share our latest publication📜 demonstrating the correlation between low LVOT VTI and normotensive shock in acute PE!
@SripalBangalore
@nyugrossman
@AmericanHeartJ
@CardsNYC
@jameshorowitzmd
@carlosalviar
@LindsayElbaum
@grecoa3
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IRA PCI vs. CABG for cardiogenic shock and MVD? Interesting trial design. Pls complete survey and RT.
@SVRaoMD
@ajaykirtane
@rwyeh
@rajivxgulati
@boback
@CMichaelGibson
@RajTayal2
@CAThompson99
@ShariqShamimMD
@DrAmirKaki
@SandeepNathanMD
@RameshDaggubati
@GreggWStone
@mmamas1973
Fantastic CSRC Cardiogenic Shock II Think Tank
@CardiacSafety
. Help design a future trial in cardiogenic shock: infarct-only PCI vs. multi-vessel CABG (with or without POBA) in patients with MI, multi-vessel CAD, and cardiogenic shock. Survey at: .
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Before jumping on the HCQ+Azithro bandwagon, pls read below. We need to wait for results of RCTs. Trumps rhetoric will make trials harder to complete.
#COVID19
Guys. We need to talk about this Hydroxychloroquine + Azithromycin thing. It is out of hand. It all stems from this study that came out today. The study design: Comparative viral eradication on day 6 between HCQ, HCQ + Azithro, and control (not treated) COVID-19 patients.
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@AnkushMoza
@HadyLichaaMD
@atunuguntla1
@SCAI
@ACCinTouch
@TCTMD
@DrAnkitKPatel
@AnkurKalraMD
@adityadoc1
@AnkushG39398412
@SamKMehta
@BaylorCardio
@mirvatalasnag
@heartdoc101
@aspergian1
From the epi syringe (100 mcg/ml) 1:10000, ask for 1 ml of this. Dilute it to 10 ml. Administer IC distally in increments of 10 -20 mcg (1-2 ml).
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Major breakthrough in COVID outpatient treatment. Congratulations to
@jctardif_mhi
@BinitaShahMD
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@SVRaoMD
@mmamas1973
@CMichaelGibson
What a loss. He maybe one of the only EIC who would read every word of the manuscript— more than most co-authors of the paper.
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@mmamas1973
@willsuh76
@akbarul
@evandrofilhobr
@mirvatalasnag
@aspergian1
@paragbawaskar
@ShariqShamimMD
@jedicath
@nolanjimradial
@fischman_david
@lamelaspablo
@AntoniousAttall
@Syrsid
Agree with☝️Key is to anchor distal to the kink. If there isn’t enough room for a BP cuff a manual compression above while rotating below works. One thing to be careful— if it takes a while to unkink it, be cafe while passing a wire through it. There maybe thrombus built up.
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