Dilanthy Annappah MD
@DilanthyM🫀Quit Fibbin' 🫀 Cardiology Fellow #earlyinterventionalist #catmom #coffeeaddict #curlyhairdontcare
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“Lobster Claw sign” on #Echofirst Generally seen on #ApicalHCM ( clearly too many HCM cases in two days 🤓) 🍩 Blood trapping in the apex leads to its own unique Doppler echocardiographic tracings and curves. 🍩 When blood is trapped by a narrowed neck, it may not emerge at…
I make this point for every single #HCM talk. We wrote about this at @ACCinTouch.org In patients with HCM , MR and LVOT Signal on #Echofirst can be quite confusing. In addition to double checking the SBP with MR jet to confirm LVOT gradient/following tricks can be useful…
Clinical risk prediction, #CCTA, and CV events in new-onset chest pain: the #PROMISE and #SCOT-HEART trials RCT of 13,748 patients with stable chest pain ; 📍Adding coronary CTA to usual care slightly reduced MI/death at 3 years (HR 0.84; RD 0.3%) 📍Low-risk group (RF-CL…
Thoracic ultrasound - very nice
🔴 🫁 ADVANCED THORACIC #POCUS 🫁 🔸🅰️-Line: Physiologic reflection of pleural line 🔸🅱️-Line: Vertical comet tail artifacts 🔸🦓 Z-line: ill defined artifacts shorter in depth that look like B-lines but aren't 🔸🆎Lung profiles can help with diagnoses
Bundgaard syndrome ( Familial persistent ST-segment depression syndrome)
Stepped diuretic algorithm protocol based on CARRESS-HF trial #Nephpearls #Cardiorenal 1⃣ Start twice a day IV doses of furosemide to total 2.5x the daily home dose 2⃣ Daily urine output should be assessed with a goal of 3-5 L of urine output in 24 hours until clinical…
Atherosclerotic plaque rupture @cardiologyoncal #medX
Entresto for HFpEF? While CHARM-Preserved (2003) showed hospitalization reduction with ARB, this negative trial showed no primary endpoint difference between ARNi and ARB, extending the 2b HFpEF rec to include both ARBs and ARNi for HFpEF. PARAGON-HF Trial, NEJM 2019 ♥️
What do you see in this #echofirst video? 🫀 After giving your answer, find out in our @CASEfromASE article: bit.ly/41Qbppt #ASEEchoChallenge
A 4D CT case of a pt with prior, MVR, AVR showing a large posterior mitral annular dehiscence. Note the abnormal systolic flattening of the interventricular septum and RV wall thickness due to pulm HTN from mitral regurgitation.@OKhaliqueMD @purviparwani @iamritu #YesCCT
@SCAI #EAPCI #ACCIC @APSIC6 90+ M Severe AS & LV dysfunction LM/LAD disease Presents w pulmonary edema Coronaries yes or no in light of latest data? If yes before or after TAVR This is what we did n TAVR changed hemodynamics completely ⤵️ @colum_owens @icruzgonzalez…
🔴Discrimination of VT and localization of its exit site using surface ECG ⤵️ 🔹europepmc.org/article/pmc/65… #Cardiology #medical #CVD #MedEd #medtwitter #CardioEd #CardioTwitter #medicinestudent #CardioEd #medicinestudent #CardioTwitter #cardiology #medical #meded #medicine
🔴Infographic: CT Chest Interpretation ⤵️ 🔹ddxof.com/infographic-ct… #Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded #CardioTwitter #cardiotwiteros #MedX #cardiovascular #MedTwitter #medical #medEd #cardiotwitter #medicine
Coronary Artery Calcium #CAC #YesCCT Staging to Guide Preventive Interventions #PowerOfZero #aspirin #statin #JACCAdvances #cvCAD sciencedirect.com/science/articl…
We just published a Coronary Artery Calcium Staging algorithm to Guide Preventive Interventions @JACCJournals authors.elsevier.com/sd/article/S27…
Young male. Large ASD. The posterior superior margin is quite deficient. RV dysfunction. PASP 90mmhg. Left to right shunt. 34 mm device. LUPV deployment failed. RUPV deployment. Device occlusion test for 30min. No hemodynamics deterioration. Device released.
Cath lab pregnant radiation study: Risk to (assumed) fetus is inconsequential Strong work Dr. Fetterly & Dr. Schueler @MayraGuerreroMD @MayoClinicCV @MayoCVFellows sciencedirect.com/science/articl…
The ULTIMATE-DAPT trial showed that compared w/ standard 12-month DAPT with aspirin and ticagrelor, 1-month DAPT followed by de-escalation to ticagrelor monotherapy reduces bleeding without an increase in ischemic events at 1 year among patients undergoing PCI for ACS. Get the…
Type A aortic dissection during transoesophageal echocardiography😱 bit.ly/4enfAjr #EHJCaseReports @Phiso_de @TJ_Yeo @aayshacader @BoldiKovacsMD @KardiologieHH @ANazmiCalik @O_Azizy_MD @saramoscatelli7 @EHJCREiC #CardioX
🔴 The medical treatment of cardiogenic shock #OpenAccess #2023Review 🔹sciencedirect.com/science/articl… #CardioEd #CardioTwitter #cardiology #ECG #MedEd #cardiovascular #internalmedicine #EKG
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