james macharia RDCS AE @james_machaaa
Registered Diagnostic Cardiac Sonographer RDCS AE Bsc clinical medicine Joined June 2024-
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49 Y/O male presents with palpitations. Hypotensive 84/43mmhg LA MYXOMA #echo #echocardiography #cardio
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View my verified achievement from @TheARDMS. credly.com/badges/ed26eb9… via @credly
james macharia RDCS AE retweeted
14-day-old, admitted at NICU, HLHS, mitral atresia, supracardiac blocked TAPVR, FSV. Complete Situs inversus, Dextrocardia. Mimic hyaline membrane. @WGACHDChair @iamritu @alexsfelixecho @loomba_rohit @dkthekkoott @CASivaram1 @alex1708ander @DavidWienerMD @CardioNeo @sujithsp
james macharia RDCS AE retweeted
james macharia RDCS AE retweeted
✨ASD in the elderly - A thread 🧵 1/6 Please share your thoughts 🧠🌟 🧩70y 👵🏽, previous MI, NYHA II, lipotimia. On a transthoracic #echofirst: ASD ostium secundum + moderate AR / mild-to-moderate MR Qp:Qs = 1.3:1 (reliable?🤔) EF 64% Poll below… @dr_benoy_n_shah…
james macharia RDCS AE retweeted
5-month-old, how to explain RV function and PA pressure in such Partial AVSD. @WGACHDChair @ASE360 @iamritu @alexsfelixecho @echoleolopez @loomba_rohit @dkthekkoott
james macharia RDCS AE retweeted
Complex Congenital Heart Disease. 1 y.o baby. More images ⬇️⬇️⬇️⬇️⬇️
james macharia RDCS AE retweeted
Single ventricle. Mitral atresia. Newborn.
james macharia RDCS AE retweeted
Understanding Transducer Movements in Transthoracic Echo (TTE) Accurate echocardiographic imaging depends heavily on how the transducer is manipulated on the chest wall. This image illustrates 3 essential movements: (A) Tilting in place changes the angle of the ultrasound beam,…
james macharia RDCS AE retweeted
Transposition of the Great Arteries (TGA): This image compares normal anatomy, congenitally corrected TGA (cc-TGA), and dextro-TGA (d-TGA). - In cc-TGA, the heart “self-corrects” with AV & VA discordance, but RV supports systemic flow—leading to long-term dysfunction, valve…
james macharia RDCS AE retweeted
Right Coronary Sinus of Valsalva Aneurysm Rupture ❗ F, 33 y.o. #echofirst
james macharia RDCS AE retweeted
Although rare, aortic valve stenosis can coexist with HCM with obstruction. We present 3 patients with concomitant AS and HCM with obstruction to highlight diagnostic challenges via echo and emphasize approaches to overcoming limitations. bit.ly/3EvhVM7 @CASEfromASE
james macharia RDCS AE retweeted
#echofirst TEE & PV are not always compatible - but using a non-standard view can make the difference ▶️ TG RV in-out view @ASE360 #CVImaging
james macharia RDCS AE retweeted
🌟Interesting case! ✅Apical view - simulates a tumor❓ 😳 ⚡️Think outside of the box - comprehensive #Echofirst + UEA will do the job 😃 🌟Pseudoaneurysm related to RCA After placement of coated RCA stents - only UEA could see clearly a residual leak, and a new stent was…
james macharia RDCS AE retweeted
#echofirst ☑️ MR-Mechanism ☑️ Leaflet Mobility 2D TEE ☑️ MR Jet Origin 3D TEE ✅ MR Management @ASE360 #CVImaging
james macharia RDCS AE retweeted
Pericarditis constrictiva 43a, VIH, sarcoma de kaposi, TB ☑️Septal bouncing ☑️Flujo diastólico reverso suprahepático ☑️Engrosamiento pericardico ☑️Variabilidad flujo mitral y tricuspideo ☑️e' >8 #echofirst @ANCAM_MEXICO @smexcardiologia @SIAC_cardio @SONECOM_AC @ImagenCardiaca
james macharia RDCS AE retweeted
Mitral valve leaflets and scallops different Echo views cardioserv.net/echo-mitral-va…
james macharia RDCS AE retweeted
👇ECG and PAC/EAT Localization (Part 4 and Final): Septal PAC/EAT👇 👉 A biphasic P wave in multiple leads suggests that the PAC/AT originates from the atrial septum (consider the CS ostium, para-Hisian region, non-coronary cusp, and fossa ovalis). 👉 This amazing post was…
james macharia RDCS AE retweeted
Things to do with a 4D volume #6: ** Assess LV from multiple SAX slices #echofirst #Cardiotwitter #GEVIVID #GEHealthcare #Echocardiography #Ultrasound #Medtwitter
james macharia RDCS AE retweeted
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