Discover and read the best of Twitter Threads about #ACHD
Most recents (8)
Right Ventricular Failure: @NEJM
In-depth review on the right heart: @Brian_Houston12 @RyanTedfordMD
Will try to hit the highlights, but cannot substitute for the details in the full text!
ππ
In-depth review on the right heart: @Brian_Houston12 @RyanTedfordMD
Will try to hit the highlights, but cannot substitute for the details in the full text!
ππ
1οΈβ£ The right ventricle of the heart plays a crucial role in various conditions, including left heart failure, pulmonary arterial hypertension, and even COVID-19 infection. ππ©Έπ¦
2οΈβ£ In 1943, Isaac Starr and colleagues performed animal experiments that concluded "weakness of the right side of the heart seems less important" in heart failure dynamics. ππ§ͺ
(Great attempt, but clearly RH plays a critical role)
(Great attempt, but clearly RH plays a critical role)
Subtle case for the #ACHD experts out there. What's the finding and what's the congenital anatomy? #4dflow #whyCMR @NASCISociety @thoracicrad @UCSDRadRes @UCSDCardFellows @ACHD_SanDiego @ACHDatStanford @StanfordRadCVI
@NASCISociety @thoracicrad @UCSDRadRes @UCSDCardFellows @ACHD_SanDiego @ACHDatStanford @StanfordRadCVI Additional views 1/2
2/2
Today marks the start of #WHA75!
This week, @WHO, Ministries of Health, civil society, & more will discuss #GlobalHealth priorities.
Missing on agenda? #GlobalSurgery & π« care.
Hence, I'll be sharing key points, papers, & developments in #GlobalCardiacSurgery in 75 tweets π
This week, @WHO, Ministries of Health, civil society, & more will discuss #GlobalHealth priorities.
Missing on agenda? #GlobalSurgery & π« care.
Hence, I'll be sharing key points, papers, & developments in #GlobalCardiacSurgery in 75 tweets π
(1/75) To start, what *is* #GlobalCardiacSurgery?
GCS extends far beyond OR, from community-based disease detection & efficient referral networks to timely care, long-term follow-up, robust supply chains & adequate financial risk protection. #WHA75
Read: academic.oup.com/ejcts/article/β¦
GCS extends far beyond OR, from community-based disease detection & efficient referral networks to timely care, long-term follow-up, robust supply chains & adequate financial risk protection. #WHA75
Read: academic.oup.com/ejcts/article/β¦
(2/75) Why does #GlobalCardiacSurgery matter?
β οΈ Every year, 18 million people die from #CVD
π« 500 million live with CVD; 100s of millions more to come.
π₯ Up to 1/3 will require #CTSurgery or interventional care in lifetime
Data @IHME_UW: healthdata.org/results/data-vβ¦
#WHA75
β οΈ Every year, 18 million people die from #CVD
π« 500 million live with CVD; 100s of millions more to come.
π₯ Up to 1/3 will require #CTSurgery or interventional care in lifetime
Data @IHME_UW: healthdata.org/results/data-vβ¦
#WHA75
π No mention of 2020 could possibly ignore the effects of the global pandemic on research, patient care, and the way we share knowledge. #COVID19 #ACC21
9β£ Imaging indices correlate with prognosis.
- Transplant/VAD-free survival correlates with MPI-DTI z-score
- Left atrial strain correlates with PCWP and helps identify graft rejection/failure
#ACC21
- Transplant/VAD-free survival correlates with MPI-DTI z-score
- Left atrial strain correlates with PCWP and helps identify graft rejection/failure
#ACC21
Of interest to the #CHD and #ACHD community, Matthew Gillespie of @HeartCare4Kids, a leader in transcatheter pulmonary valves, gave an update on the state of the art over in the Right Sided Valve Interventions session, and as he rightly points out, it all started with CHD! #ACC21
Who needs pulmonary valve replacement?
π~40K babies born w/ #CHD each yr
π~22% have RVOT abnormalities
πFor those w/ RV-PA conduits we've had Melody/Sapien valves
πFor the 85% of RVOT pts w/o conduits with PR, these usu won't work due to dilated/distorted/dynamic RVOTs
#ACC21
π~40K babies born w/ #CHD each yr
π~22% have RVOT abnormalities
πFor those w/ RV-PA conduits we've had Melody/Sapien valves
πFor the 85% of RVOT pts w/o conduits with PR, these usu won't work due to dilated/distorted/dynamic RVOTs
#ACC21
Work that started ~2004 with Phil Bonhoeffer culminated in first-in-man implantation of a self-expanding RVOT valve reported in 2010 with several devices now available incl. the Medtronic Harmony devices and the Edwards Alterra combined with their Sapien valve in the US. #ACC21
Starting off the Nuts & Bolts of Pregnancy and Congenital Heart Disease session with a pre-test question... #CardioObstetrics #ACC21 #ACHD
Keep this chart in mind. Pregnancy is a prolonged period of cardiovascular stress with increased cardiac output, plasma volume, and heart rate. Things get really interesting during labor/delivery with acute increases in BP and CO.
Various risk scores available: Modified WHO classification, CARPREG II, ZAHARA score. But clinical experience is extremely important since CHD patients are very heterogeneous and may not be well-represented in studies
1st ever regular episode of Pediatrica Intensiva, the podcast that bridges the gap btw literature & practice for #pedsICU
Borderline Left Hearts w @laussen_peter from @BostonChildrens @SickKidsNews, part 1 of Single Ventricle season
Tweetorialπ
apple.co/36FG2EN
Borderline Left Hearts w @laussen_peter from @BostonChildrens @SickKidsNews, part 1 of Single Ventricle season
Tweetorialπ
apple.co/36FG2EN
Borderline Left Hearts are subset of pts w critical L heart obstruction, best defined as:
1.βOutput of aortic valve inadequate to maintain lifeβ (so need to maintain duct until 1st intervention) &;
2.Present & need intervention in neonatal period
#PedsICU #PedsCICU #CHD /2
1.βOutput of aortic valve inadequate to maintain lifeβ (so need to maintain duct until 1st intervention) &;
2.Present & need intervention in neonatal period
#PedsICU #PedsCICU #CHD /2
Infants w critical left heart obstruction are on spectrum
-One end: clearly inadequate L heart structures -> single V pathway
-Other end, clearly adequate (even if bit small) -> biV pathway
- Pts in middle are TRICKY (hence this podcast)
#PedsICU #PedsCICU #CHD #pedscards /3
-One end: clearly inadequate L heart structures -> single V pathway
-Other end, clearly adequate (even if bit small) -> biV pathway
- Pts in middle are TRICKY (hence this podcast)
#PedsICU #PedsCICU #CHD #pedscards /3
You've probably all seen this epic meme. It got me thinking - why *IS* the human body asymmetrical? Why do almost all of us adopt the same asymmetry? [SCIENCE THREAD!]
An object is chiral if it is distinct from its mirror image, derived from Greek for hand as they are the archetypal chiral objects (ie L is not the same as R) ππ½ππ½
Humans are obviously chiral. Hearts left, livers right, colons clockwise etc. We're not absolutely sure why.
Humans are obviously chiral. Hearts left, livers right, colons clockwise etc. We're not absolutely sure why.
Strictly speaking we're not chiral in morphological classification terms - we're pseudobilateral. Snails are chiral - their shells turn in one direction.
Spherical - volvox
Radial - sea anemone
Chiral - snail
Bilateral - planaria
Pseudobilateral - most vertebrates
Spherical - volvox
Radial - sea anemone
Chiral - snail
Bilateral - planaria
Pseudobilateral - most vertebrates
