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@S0phire
2nd year resident in cardiology
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Covid 19 and the heart: still much to understand. Read on the EHJ ow.ly/p93u50DHiOB
Review of #COVID19 CV involvement & proprosed mgmnt in @CircAHA: “patients w COVID-19 & myocardial injury whom are hemodynamically & electrophysiologically stable w mild-mod ⬆️ troponin should not routinely undergo TTE, angiography or cardiac imaging.” #cardiotwitter #EPeeps
Just Published Online: #WhitePaper: Description, pathogenesis and proposed management of the Acute COVID-19 Cardiovascular Syndrome seen in #COVID-19. ow.ly/JkHw50zfX1w #AHACOVID19 #AHAJournals @BiykemB @MarkDrazner @MayoClinic @AHAScience ahajournals.org/coronavirus
2021 Update to the 2017 ACC Expert Consensus Decision Pathway for Optimization of Heart Failure Treatment: Answers to 10 Pivotal Issues About HFrEF: A Report of the @ACCinTouch Solution Set Oversight Committee @JACCJournals @NMHheartdoc @AndreaRussoEP jacc.org/doi/10.1016/j.…
What are the #outcomes in #HeartFailure patients hospitalized with #covid19? @ankeetbhatt et al investigate in this month’s issue of #JACCHF: bit.ly/34PKKhE @ersied727 @DrNasrien
"Hyperkalemia in heart failure patients in Spain and its impact on guidelines and recommendations: ESC-EORP-HFA Heart Failure Long-Term Registry" (via #pubmedontap) Dra.Marisa Crespo @marisa1109 #SEMItuit @IcyfaSemi @secardiologia ncbi.nlm.nih.gov/pubmed/31672562
Association between loop diuretic dose changes and outcomes in chronic heart failure: observations from the ESC‐EORP Heart Failure Long‐Term Registry - Kapelios - - European Journal of Heart Failure - Wiley Online Library onlinelibrary.wiley.com/doi/full/10.10…
Low-Attenuation Noncalcified Plaque on Coronary Computed Tomography Angiography Predicts #MI: Results From the Multicenter SCOT-HEART Trial. Learn more: ow.ly/kFHe50zxrbG #AHAJournals @imagingmedsci @EdinUniImaging @EdinburghUni
Really good article on the application of Contrast Echo heart.bmj.com/content/early/…
Tachycardia-induced cardiomyopathy generally develops over the course of weeks to months to years, not generally as acutely: ncbi.nlm.nih.gov/pmc/articles/P…
This makes some sense if low RV systolic function. My experience in non critically ill patients with pulmonary hypertension and RV disfunction is that portal vein is more helpful to guide diuresis. Trying to decongest until non-plethoric IVC can result in orthostatic hypotension
Now that we have several #VExUS #POCUS resources from different educators, I'm going to put them together as a thread and pin to my profile #IMPOCUS #FOAMed 1/ Recent case showing improvement in Doppler indices (helped guiding decongestive therapy in a pt. with minimal symptoms)
Time to follow up on #VExUS #POCUS Today's images will demonstrate the improvement in congestion with IV diuretic therapy. #tweetorial 1/ Portal vein - note the pulsatility is ~55% (<30% taken as normal) & the whole waveform is above the baseline now = improvement!! #IMPOCUS
A hematology @tony_breu-style tweetorial: Why does lymphopenia occur in #COVID19? A normal WBC count and lymphopenia are seen in patients affected by COVID-19, but why it occurs has bothered me since the pandemic onset. The potential answer is surprising and interesting.
very important analysis from #wuhan in >400 #Covid19 patients - 20% had cardiac injury - those were sicker - and had a worse outcome - should we measure troponin and BNP in all patients? and if we identifiy cardiac injury - how should we react? jamanetwork.com/journals/jamac…
We are seeing COVID patients in the ER complaining of decreased sense of smell and/or taste. If you have these symptoms, even in the absence of cough/fever, strongly consider that you may be infected.
Young male with fever and shortness of breath. Saturation at admission: 66%. Patient positive for #COVID19. Please #StayAtHome #coronavirus #covid #COVIDー19 #COVID2019 #coranavirusupdate #covid19italy #COVID19italia #CoronaVirusitaly #CoronavirusOutbreak #CoronaVirusUpdates
Dr. @virani_md shares the questions that need to be addressed when assessing the role of #statin therapy in patients w/ acute viral infections given their anti-inflammatory effects. Read more: bit.ly/2xT29Ix #COVID19 #CardiologyMag
For #POCUS findings in #COVID19, Peng article referenced often. The earlier article (*not peer reviewed!) has more thorough methods + lots of figures. We hope to have a podcast on this topic out soon #COVID19Foam bit.ly/33kWo1H
Health and the economy are closely linked. The correlation between per-capita GDP and health (life expectancy) is essentially perfect. If the covid-19 pandemic leads to a global economy collapse, many more lives will be lost than covid-19 would ever be able to claim. (12/12)
I should be qualified to comment on the covid-19 pandemic. I'm a computational/system biologist working on infectious diseases and have spent five years in a world class 'pandemic response modelling' unit. In this thread, I will summarise what I believe I (don't) know. (1/12)
Admitted to the emergency for syncope. TTE: a large homogeneous mass attached to the interatrial septum obstructing the RVOT. Right atrial mixoma in the pathological anatomy.
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