Rohan Naik @RohanNaik89
Cardiology Fellow - University of Connecticut Hartford, CT Joined August 2020-
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Never forget, coronary arteries fill during diastole. The gradient is defined by 1. Diastolic AoP at the “top of the hill” and 2. LV diastolic pressures at the “bottom of the hill” A patient with low MAP and very high LVDP / PW may have coronary ischemia. Unload the LV.
Rumpel Leede phenomenon after ulnar artery access for LHC. Petechial and nontender with distinct margin at hemostasis band. First time I’ve seen it. Benign event that resolved with time but can be alarming to patient and operator if not recognized. #RadialFirst
I was asked to talk about post myocardial infarction VSD for #SCAI2023 recently. In 8 mins I was a bit limited, so here's an expanded thread Apologies that the movie compression makes things a bit jumpy, & if Twitter messes up the movie cropping I will add again at the end 1/
Interventional Cardiology is always fraught with weighing the risk of thrombosis/occlusion vs bleeding. Such is true with #RadialFirst. What is the optimal hemostatic band duration? @haisummaqsood @sripalbangalor #AHAJournals #Cardiotwitter #ACCFIT ahajrnls.org/41taqMz
Is there a role for #TAVR in patients with reduced ejection fraction and non-severe aortic stenosis? TAVR for non-severe AS and reduced LVEF #aorticstenosis #HFrEF #CHF #LGAS #AHAJournals #cardiotwitter @SebLudwig1 @ClavelLabo @NiklasSchofer ahajournals.org/doi/10.1161/CI…
#JACCCaseReports Clinical Quiz: A 59 y/o female w/ a 5-yr hx of hypertension & hyperlipidemia came w/ worsening DOE since 4 months ago. Read more and vote below! #CardioTwitter #ECGChallenge
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Cardiology Researcher @cardiologyconf7
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ACIST Medical Systems @acist_medical
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Jan Zeman, MD @JanZeman94
44 Followers 200 Following Internal Medicine Resident @UConnIM 🐺🇺🇸| via @CharlesUniPRG 🏰| Aspiring cardiology fellow🫀| PhD candidate 🧬| From Prague, CZ 🇨🇿| Tennis enthusiast🎾
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28 Followers 212 Following I'm Annie from Thailand, now living in California. I am an nft recommendation officer
HR Case Reports @HRS_CaseReports
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ARCH Symposium @ArchSymposium
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Roopika CME Co-ordina.. @RoopikaE
131 Followers 1K Following "Bringing medical education to life 🩺 | Coordinating CME events that empower healthcare professionals | Passionate about improving patient care
Mohamed Taha MD, MSc,.. @MohamedTahaMD
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1K Followers 262 Following Official page of Indian Heart Association & Indian Stroke Association. Join us in promoting #HeartHealth & raising #StrokeAwareness. Let's make a difference 💙.
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6K Followers 1K Following Associate Prof, Director Complex Coronary Interv, Chair CV Research & Outreach, APD IC, Loma Linda Univ, ACC Early Career Leadership Council, Tweets=my opinion
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4K Followers 3K Following Senior Medical Journalist @TCTMD & #FellowsForum Section Editor. Mama to 2 tiny humans. Former @CenterHMP Media Fellow. Student of the world. All tweets my own.
EHJ Editor-in-Chief @ehj_ed
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3K Followers 97 Following Founder of CRF, Founder of TCT, Columbia Professor, Interventional cardiologist
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2K Followers 282 Following The official Twitter account for NHLBI DIR, conducting clinical and basic research on the @NIH Bethesda campus. Privacy policy: https://t.co/LxfpA3apOQ
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228K Followers 36 Following I simplify the process of academic writing | Helped 5,000+ become efficient academic writers with AI | Work @SyddanskUni | Join 600 using https://t.co/SKfrXx2V5q
Global Cardiology Uni.. @CardiologyUniv
1K Followers 560 Following A global medical community coupled with a curated, high-quality, comprehensive, peer-reviewed, and affordable cardiology curriculum.
Harlan Krumholz @hmkyale
26K Followers 2K Following Harold H. Hines Jr Professor, Yale Univ; Director, YNHH CORE; Incoming Editor-in-Chief, JACC. Working to improve the future for those who follow us...
Rasha Al-Lamee @rallamee
6K Followers 542 Following Interventional Cardiology Consultant, Clinical Trialist, Imperial College London. Wife to a rugby obsessed husband and mum to a football obsessed son
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2K Followers 884 Following Official account of the Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology @BIDMChealth @BIDMCCVI. RTs ≠ Endorsements
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Cardiac Interventions.. @cardiacinterv
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SCAI Now @SCAI
27K Followers 4K Following SCAI promotes excellence in interventional cardiology. News shared from outside sources do not reflect views of the Society & are informational only.
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5K Followers 201 Following The European Bifurcation Club (EBC) is a referred think tank in the treatment of coronary bifurcation lesions.
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ski jumping is just a different type of sport
Here are 3 Secrets Every Cardiologist WANTS you to know: - A blood pressure in the 130s is ok. A BP in the 120s is better. - Non-HDL isn’t perfect but it’s almost as good as an APOB. - Have a family history of early heart disease? Please check your Lp(a) Psst… Tell Everyone
A #WhyCMR Friday Special: LV Pseudoaneurysm post AMI 🎈Is a subsect of free-wall rupture⚡️contained by pericardial adhesions 🎈Incidence: <0.5% post AMI 🎈Often involve inferior & lateral walls 🎈If w/n 3mo post MI, Rx is surgery but mortality ~20% 👇🏼 3c & SAX cine on 3T 📸
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Taking notes by hand helps you understand concepts much better. But digitizing handwritten notes can take a lot of time and labor. ChatGPT can digitize your handwritten notes accurately and clearly. Here's how to do it:
For med students & post grad trainees, try to develop a sacred time daily or weekly where you can study lessons & cement your knowledge. Be SYSTEMATIC. Be CONSISTENT. Success will follow. Educators live to help any learner from anywhere at anytime. 🙏🙏🙏
🚀 Don't Miss This! @nandananavekar @CardiologyUniv @ACCinTouch
It seems that in the absence of test scores and medical school grades, candidates are now flooding their application CVs with publications and presentations. Do we really want to encourage medical students to turn away from their textbooks and focus on meaningless research?
Patient was taken to the Cath lab. Hemodynamic assessment is usually not required to make the diagnosis of constriction; symptoms and echo suffice. What is your diagnosis based on the following tracing?
@JonathanDavisHF @NEJM @RyanTedfordMD @ChrisBarnettMD @UCSFIMChiefs @ShashankSinhaMD @jniznick @JamesCFangMD Agreed! Will add that I frequently see patients started on nitroprusside without appropriately attempting to transition to oral therapy or uptitrating oral therapy too slowly (ie, daily). Often share this table with residents and fellows as a guide: pubmed.ncbi.nlm.nih.gov/18617068/
@AaronGoodman33 Same here-- first publication was a case report as a 3rd yr cardiology fellow.
#TipsForNewDocs Patient w/HF on daily metolazone to maintain euvolemia or midodrine to maintain BP. Wrong: continue current rx Right: think about heart transplant, mechanical support, palliative care Know the difference between bandaids and cures. #kittlesonrules
@iCardiolgist_XS @AhmedAlOgaili @Minaiskanders @fady_iskander @hsuradi @Vkodyy @ibrahimkassasmd @AbusinSalah Few thoughts! 1. LV not moving well and contrast hanging in the aortic root suggests very low CO. 2. PEA could be a sign of FWR: urgent echo for effusion is indicated. 3. Slow flow distally could just mean ⬆️EDP. 4. No clear culprit could point to Takotsubo.
Physical examination finding in a patient with breathlessness. What’s the diagnosis?
One of my favorite experiences being a physician is meeting patients >90 years old, and asking them what they believe helped them live so long. My favorite answer was today, when a 98 year old woman answered: dessert, every single day, for her entire life. She never skips 😀🥹
@Jonathansegal85 @GHCardiology This is one of the most technically challenging procedures to do, and being able to deal with complications such as coronary obstruction which can be life terminating. The ANP isn't trained to do these procedures if needed.
@GHCardiology this is so inappropriate on so many levels. Being a TAVR operator is not just about deploying a valve, but working up the pt for the optimal mx of their AS, managing the patient prior to procedure and dealing with complications. This is not safe for patients…
What explains this unilateral finding? Diagnosis? Causes? (Source NEJM)
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