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Dahoumane Zahra Anais, MD Profile
Dahoumane Zahra Anais, MD

@anais_dahoumane

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Cardiologist🫀- EKG - TTE TEE- stimulation - coronary angio PCI - Congenitals / #cardioTwitter

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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
When Tranthoracic Echocardiography make the clear diagnosis.. Massive Pulmonary Embolism @EchoBielefeld @drahmedmohsen85 @EchofirstB @BhaskarArora_MD @ASE360 @nat_echo
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@anais_dahoumane
Dahoumane Zahra Anais, MD
2 years
27 years old patient. Atrial fibrillation 160bpm , Fatigue and diarrhea since 2 week. What do you think of his tricuspid valve ? @The_echo_lady @drahmedmohsen85 @DrRajeshG1 #echocardiography #echo_first
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@anais_dahoumane
Dahoumane Zahra Anais, MD
10 months
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@anais_dahoumane
Dahoumane Zahra Anais, MD
10 months
I think this is the most severe Aortic Regurgitation I’ve seen till now. 68 YO, Patient says He is completely asymptomatic ! Ascending Aorta 45mm on TTE LV : EDLVD ~ 67 - 70mm ESLVD 45mm LVEF 62% How would you manage this case?
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@anais_dahoumane
Dahoumane Zahra Anais, MD
11 months
@ecgandrhythmRoe RVOT This can help It’s from
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
Hi, Would you try a PMC for this rheumatic mitral stenosis ?? @DrRajeshG1 @dr_benoy_n_shah @drahmedmohsen85 @Mitrovalvology @EchofirstB
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
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@anais_dahoumane
Dahoumane Zahra Anais, MD
2 years
36 years old woman , SOB, palpitations. Would you go for PMC or SMVR ? @EchoCases @EchofirstB @drahmedmohsen85 @ASE360 @DrRajeshG1
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
@DrRajeshG1 1 LA 2 RPA 3 SVC 4 IVC 5 RA
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
1 Incidental finding of an embolized material ( most likely central venous catheter ) in the Pulmonary artery in a women treated for brest cancer. Last catheter has been set up 2 years ago How would you deal with this ? @EchofirstB @ImagenCard_H12O @drahmedmohsen85 @DrRajeshG1
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@anais_dahoumane
Dahoumane Zahra Anais, MD
11 months
68 yo woman. No prior cardiovascular history. Came for new onset HBP. What is particular in this ECG / patient?
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
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@anais_dahoumane
Dahoumane Zahra Anais, MD
2 years
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
TTE Parasternal short axis view centred to see the Left atrium appendage in dilated LA How accurate is this view? Do you use it ? #echofirst @drahmedmohsen85 @alexsfelixecho @argulian @ecgandrhythmRoe @IrmaMDv @NMerke @DrRazi4 @DrRajeshG1
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@anais_dahoumane
Dahoumane Zahra Anais, MD
10 months
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@anais_dahoumane
Dahoumane Zahra Anais, MD
8 months
@ecgandrhythmRoe an acute LAD occlusion ✨ Sinus rythm ,RBBB , ventricular bigeminy from LV ( + a doublet ) , STE v1 - v4 DI VL reciprocal STD dIII vF .. whats « amazing » is the abnormal repolarisation we have in the pvcs with the acute OMI .. I hope the patient is ok..
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
60YO patient no medical history Palpitations hemodynamically well tolerated Find the Ekgs before and after cardioversion bellow. Your opinion plz @ALFIEEP1 @ecgrhythms @smithECGBlog @AslangerE @drahmedmohsen85 @RobertHermanMD
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
@smithECGBlog @PendellM @RobertHermanMD Thank you for the amazing webinar. Definitely the changing paradigm is on road. ✨ OMI ~ NOMI
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@anais_dahoumane
Dahoumane Zahra Anais, MD
2 years
F 22 years old T18
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@anais_dahoumane
Dahoumane Zahra Anais, MD
10 months
@ecgandrhythmRoe My 2nd thought was Afl 2:1 with abberant conduction, narrowing QRS when 3:1 and slower conduction , std in narrow qrs can be due to memory or high rate, if not ischemic
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@anais_dahoumane
Dahoumane Zahra Anais, MD
2 years
12years old girl One episode of syncope Your thaughts ? What to do next? @drahmedmohsen85 @DrRajeshG1 @ecgrhythms #CardioTwitter #ECG #ecglearning
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@anais_dahoumane
Dahoumane Zahra Anais, MD
7 months
@ecgandrhythmRoe 1 fusion 2 3 sinus 4 ventricular escape beat 5 pvc 6 sinus beat 7 8 9 : AIVR ~ ventricular escape rythm ( 60 bpm ) ~ isorythmic dissociation ( sinus rythm slower than the ventricular rythm ) ( sinus p waves are clear in VL and precordial leads v1 v2 .. )
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
@ecgandrhythmRoe Catecholaminergic polymorphic ventricular tachycardia
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@anais_dahoumane
Dahoumane Zahra Anais, MD
10 months
@ecgandrhythmRoe @IrmaMDv @capuzzi_luciano 1-2 sinus conducted with long PR AVB1 3 PVC followed by High grade AVB 4 5 junctional 6 sinus long pr 7 PVC
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
I’m also a fan of the bicaval subcostal view, @drahmedmohsen85 what do you think about this one ? #echofirst @EchofirstB @echobasics #educational
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@anais_dahoumane
Dahoumane Zahra Anais, MD
2 years
28yo man History of jugular vein aneurysm ( 14x15x20 mm) waiting for surgery 2 syncope Here are his EKGs. What do you think ? Brugada patern 2 in the 1st ekg ? intermittent RBBB? Brugada 1 in the 4th ekg ? @ekgpress @ecg_cases @smithECGBlog @Dr_Walid_AMARA @drahmedmohsen85
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
@DrRajeshG1 Double Massive air embolism in the RCA😵 Close monitoring Ekg and BP .. CHB VF shock may happen To manage by Inhalation of 100% oxygen, air aspiration, forceful injection of salin or contraste, stirring the mass of air using a guide wire or balloon catheter
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
@ecgandrhythmRoe Early repolarisation ascending st segment.. we need to see the 12 leads ekg.. benign unless proven otherwise .. evidence lack in this patterns and when the patient is symptomatic .. not that easy.
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
@ecgandrhythmRoe Type one and type 2 brugada ! It’s really important to not miss the second one .. it’s not diagnostic of Brugada, but a pharmacological test can unmask the underlying brugara type 1 in some patients..
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@anais_dahoumane
Dahoumane Zahra Anais, MD
2 years
@leilii Endomyocardial fibrosis loeffler syndrome hyper eosinophilia
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
@ecgandrhythmRoe Narrow qrs tachycardia, Short RP’ with RP’ < 90s ~~> typical AVNRT more likely than AVRT which is still possible, focal AT and JET as DD. Can’t wait to see EKG in sinus rythm of this patient.
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@anais_dahoumane
Dahoumane Zahra Anais, MD
2 years
A rhumatic left atrium .. severe MS TEE control after 3 months on VKA with a 100% TTR INR ( 2.5 to 3 ) + aspirin. Made me rethink about @dr_benoy_n_shah 's comments on #INVICTUS trial ! #Aschoff tissu make all the difference.. #ESC2022
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@anais_dahoumane
Dahoumane Zahra Anais, MD
11 months
An Ominous ECG: What Is the Mechanism? Specific Subtype of Ventricular Separation | JACC: Case Reports @ecgandrhythmRoe @SwissHeartDoc @IrmaMDv I personnaly never heard of before !
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@anais_dahoumane
Dahoumane Zahra Anais, MD
10 months
@ecgandrhythmRoe 2:1 av block > 3rd beat is a Junctional escape with non conducted sinus p wave > 2:1 avb > 5th beat junctional non conducted sinus p wave > 2:1 avb
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@anais_dahoumane
Dahoumane Zahra Anais, MD
11 months
Dextrocardia with situs inversus totalis. The suprising thing about the case is that the patient had never been explored for and the diagnosis was only made at 68yo. Credit goes to my mum @CherifiMal99267 whose 🩺 is still finding miracles, thank you for the case.
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@anais_dahoumane
Dahoumane Zahra Anais, MD
2 years
Hi all I need these ecgs with a digitalised quality , any help please. Interesting case, 40yo man, anginal chest pain jst after an anaphylactic reaction! here are his ecgs (the 2 first at admission, the last, 1h later) Angiocoro: normal. @ecg_cases @drahmedmohsen85 @DrRajeshG1
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
@ecgandrhythmRoe Because LAD is newly occluded and myocarde is having the worst day ever
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
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@anais_dahoumane
Dahoumane Zahra Anais, MD
2 years
@drahmedmohsen85 @The_echo_lady @DrRajeshG1 Yep for me also it's the first diagnosis to discuss. He had no medical history before yesterday. The case is from my last nightshift. thank you استاذ
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@anais_dahoumane
Dahoumane Zahra Anais, MD
8 months
@ecgandrhythmRoe High grade AVB 2nd and 4th beats are conducted sinus beats 1st 3rd 5th are ventricular escape beats
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@anais_dahoumane
Dahoumane Zahra Anais, MD
7 months
@ecgandrhythmRoe Sinus rythm RBBB. Diffuse STD and AVR STE + angina > LM or proximal LAD ++ or multivessel disease. Immediate cath
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
@ecgandrhythmRoe Brady AF 3rd beat : fusion 4th : PVC 1st 2nd and 5th : supra ventricular conducted qrs Need a longer strip to make sure there is no CHB
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
a TAVR working really good 7years after implantation, patient is 87 years now, AF on NOAC, and had recently a non cardiac surgery. She is doing really well 😍 Sorry for the poor quality, the patient was sitting on a wheelchair.
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@anais_dahoumane
Dahoumane Zahra Anais, MD
10 months
@ecgandrhythmRoe Retrograde atrial activation from the PVC with retrograde p wave seen in T wave (VA conduction), not conducted to ventricle (AVN in refractory period or due to concealed conduction from Pvc ) but resetting sinus node.. resulting in the post pvc longer pause..
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
@ecgandrhythmRoe Wpw with pvcs sometimes in bigeminy > ablation
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@anais_dahoumane
Dahoumane Zahra Anais, MD
2 years
@fazalabul Giant Mitral valve aneurysm and prolapsed anterior leaflet Do you have color doppler acquisitions?
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@anais_dahoumane
Dahoumane Zahra Anais, MD
11 months
@ecgandrhythmRoe In french we call this «  fibrillation auriculaire à grosse maille » I don’t know how to say it in english hh
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
@OungSavly HCM echo please
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@anais_dahoumane
Dahoumane Zahra Anais, MD
10 months
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@anais_dahoumane
Dahoumane Zahra Anais, MD
11 months
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@anais_dahoumane
Dahoumane Zahra Anais, MD
7 months
@ecgandrhythmRoe VT av dissociation / capture beat
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
I always believed what was important in chest pain patient was not the number of mm their st segment elevation was, I am happy to meet here people believing in the need for a changing paradigm to stop wasting time ( and myocarde! ) before appropriate revascularisation.
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@anais_dahoumane
Dahoumane Zahra Anais, MD
8 months
@ecgandrhythmRoe I m more for AT ( the 02 wide qrs : abberant conduction )
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
@ecgandrhythmRoe AF and pacs.. It's always intriguing to come across this , anticoagulation before or after holter ?
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@anais_dahoumane
Dahoumane Zahra Anais, MD
2 years
@DrBendary @NEJM @purviparwani @DrMarthaGulati @FH_Verbrugge @escardio @Hragy Congratulations 🎉 I was waiting for the results of INVICTUS and I wished they were different but no we continue with VKA for at least rheumatic heart dieases, antiphospholipid sd and with prosthetic mechanical valves .. VKA still have great days in cardiology !
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@anais_dahoumane
Dahoumane Zahra Anais, MD
11 months
@DrRazi4 @PMcardioBot Brugada syndrome manifesting during sepsis and fever
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
Patient was sent for a pre chemotherapy evaluation for metastatic recurrence and this was found.. Patient is now on rivaroxaban.. .. CT ⬇️
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@anais_dahoumane
Dahoumane Zahra Anais, MD
2 years
Man 25 years 20 years type 1 diabetes, Bilaterale blindness following glocauma since 2 years, untreated HBP Admitted for SOB , bilateral abundant pleural effusion with acute kidney failure . This is his TTE before dialysis. Mote views in the comments #echo_first #ase360
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
@ecgandrhythmRoe Intermittent CHB with right ventricular escape > 3rd is a conducted sinus beat with RBBB > CHB again > 2:1 AVB 5-6-7th qrs are from conducted sinus beats >> Pacemaker
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
@ecgandrhythmRoe @ecgrhythms @ECGEPSCADEVICE Slow AF, RBBB, Inferior myocardial infarction Culprit : RCA ( STE in dIII > dII )
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
@ecgandrhythmRoe Wraparound LAD occlusion Other scenarios are possible LAD thrombi with cx emblolism for exemple ..
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
@ecgandrhythmRoe Honestly I would suspect a coronary problem at first so serial Ekg ~ troponin ~ echo +++ and high probably coronary angio 🥹 before MRI .. I read your answer that it is a myocarditis.. always impressive how myocarditis ekgs can look !! Nice case as always 🫡
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
Even if you have the clear diagnosis of #OMI in less than 1mn, I’m sure it will be useful for everyone to read the full comment about this case. is Gold .
@smithECGBlog
Stephen W. Smith
1 year
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
@ecgandrhythmRoe Salvador Dali sign 😅
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
@DrRajeshG1 Supracardiac Total anomalous pulmonary venous connection in the innominate vein Xrays : snowman sign
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@anais_dahoumane
Dahoumane Zahra Anais, MD
2 years
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@anais_dahoumane
Dahoumane Zahra Anais, MD
10 months
@ecgandrhythmRoe Sino atrial block II type 2
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@anais_dahoumane
Dahoumane Zahra Anais, MD
8 months
@ecgandrhythmRoe Av dissociation Fusion and capture This strip made it easy hh I like it
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@anais_dahoumane
Dahoumane Zahra Anais, MD
10 months
@Arron_Pearce_ @ecgandrhythmRoe @adribaran @Basalus @RobertHermanMD @smithECGBlog @willyhfrick @PendellM @IrmaMDv @DidlakeDW @DrRazi4 @The_Nanashi_O Yes !! Anyway, it's a nice discussion. It’s make me think, it’s a very subtle nuance between the LV segmentation and how we usually name this Ekg “pattern” according to leads and not strictly to anatomy..
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
@ecgandrhythmRoe LBBB > RBBB > LBBB = Alternating BBB
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
@alexsfelixecho @NMerke @echo_stepbystep @dr_benoy_n_shah @AntonioBarros_ @lpbadano @StellEkaterina @echo_batman @rajdoc2005 Coronay artery fistula directed to coronary sinus or partial anomalous pulmonary venous connexion to coronary sinus ?
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@anais_dahoumane
Dahoumane Zahra Anais, MD
10 months
@DrRajeshG1 Rheumatic MS
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
@ecgandrhythmRoe Shark fin ..
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@anais_dahoumane
Dahoumane Zahra Anais, MD
11 months
@StreetOne1Two2 @WHO @WHOEMRO @WHOoPt Any proof ??? Or is it just random talk as for the imaginary 40 babies ??! The hospitals were threatened by the one you support from the start !!! now that it's done and the whole world is shocked, THEY Must take responsibility for DOING IT ! Stop changing Versions it’s insane !
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@anais_dahoumane
Dahoumane Zahra Anais, MD
10 months
@DrRazi4 @PMcardioBot AIVR with va conduction ,11th beat is a fusion / capture
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
Quiet moment. Much needed. 🫶
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@anais_dahoumane
Dahoumane Zahra Anais, MD
10 months
@DrRazi4 @PMcardioBot Large ongoing Anterolateral Stemi .. impressive how can this be completely painless in poor controlled diabetic patients.. thank you for sharing this “ nice” case .. I’m really curious to see his coronary angio ..
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
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@anais_dahoumane
Dahoumane Zahra Anais, MD
1 year
@UlhasDr Hypokalemia
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@anais_dahoumane
Dahoumane Zahra Anais, MD
8 months
@ecgandrhythmRoe Pacemaker is not working / Off till the last beat Before : spontaneous rythm high degree AVB , left ventricular escape , memory t waves , the 4th qrs is different either a sinus capture or a different escape location
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@anais_dahoumane
Dahoumane Zahra Anais, MD
2 years
Basics Tell me high filling left ventricular pressures without telling it .. E/A > 2 with L wave 🌟 #echofirst
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@anais_dahoumane
Dahoumane Zahra Anais, MD
10 months
@ESTRELLAMariaR4 Ebstein anomaly usually associated with accessory pathways WPW
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@anais_dahoumane
Dahoumane Zahra Anais, MD
7 months
@ecgandrhythmRoe AF > abberantly conducted PAC or PVC + non conducted pacs > sinus beat > sinus beat abberant conduction + pvcs or ventricular doublet > sinus > coarse AF ..
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
@ecgandrhythmRoe Wellens type A 1st beat Sinus 2 Pac 3 4 sinus 5 interpolated pvc 6 7 sinus
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@anais_dahoumane
Dahoumane Zahra Anais, MD
10 months
@ecgandrhythmRoe Sick sinus syndrome with tri fascicular block ( long pr + lafb + rbbb )
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
@argulian Subcostal bicaval view
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
@ecgandrhythmRoe Premortem ..
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@anais_dahoumane
Dahoumane Zahra Anais, MD
9 months
@EcgsOnly Dewinter v2 v3 LAD OMI
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@anais_dahoumane
Dahoumane Zahra Anais, MD
11 months
@ecgandrhythmRoe Triplet d’extrasystoles ventriculaires in french
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