Discover and read the best of Twitter Threads about #CNCR
Most recents (5)
Hey #EPeeps and #RadOnc communities... we have some new data to share today about how **radiation can actually reprogram heart cells to make them act younger**. This is my first attempt at a Twitter thread 🧵 Please be kind...
(1) To develop a better/safer/faster way to fix abnormal heart rhythms, we helped create *noninvasive cardiac radioablation* - a 7-minute precision-focused radiation treatment to arrhythmia circuit(s) in the heart. bit.ly/NEJM2017
(2) The goal with noninvasive cardiac radioablation is to deliver full-thickness ablation (read: destruction) to the semi-scarred heart tissue causing problems. It solves many shortcomings of ablating heart scar with catheters. 
1/13
Amazing pizza, barista level coffee, and a case involving SOB and a new pericardial effusion! Hard not to get palpitations from this amazing #CNCR by @UHCardsFellows
Episode here: cardionerds.com/72-case-report…
Here’s a brief re-cap with some of the 💯 learning
Amazing pizza, barista level coffee, and a case involving SOB and a new pericardial effusion! Hard not to get palpitations from this amazing #CNCR by @UHCardsFellows
Episode here: cardionerds.com/72-case-report…
Here’s a brief re-cap with some of the 💯 learning
2/
Mid 70s F p/w subacute onset SOB. PMHx of recurrent metastatic breast cancer s/p mastectomy, chemo/radiation. On exam, tachy, muffled heart sounds, JVD, BLE edema, and +Kussmaul's sign
Let's start with some physical exam teaching! What is Kussmaul's sign and what causes it?🤔
Mid 70s F p/w subacute onset SOB. PMHx of recurrent metastatic breast cancer s/p mastectomy, chemo/radiation. On exam, tachy, muffled heart sounds, JVD, BLE edema, and +Kussmaul's sign
Let's start with some physical exam teaching! What is Kussmaul's sign and what causes it?🤔
3/
Kussmaul's sign, when JVP doesn't ⬇️ during inspiration ➡️ poorly compliant RV d/t RV myocardium or pericardium (e.g. RV failure, RV ischemia, and occasionally Tamponade). Seen in 50% of cases of constrictive pericarditis!
Kussmaul's sign, when JVP doesn't ⬇️ during inspiration ➡️ poorly compliant RV d/t RV myocardium or pericardium (e.g. RV failure, RV ischemia, and occasionally Tamponade). Seen in 50% of cases of constrictive pericarditis!
1/ Are you ready for another #CNCR tweetorial?
👏👏👏 to another amazing case with @cardionerds and @DrRachelGoodwin @Dr_Isang_MD @WBlackDoc from U Tennessee
Catch up on the episode here:
cardionerds.com/58-case-report…
👏👏👏 to another amazing case with @cardionerds and @DrRachelGoodwin @Dr_Isang_MD @WBlackDoc from U Tennessee
Catch up on the episode here:
cardionerds.com/58-case-report…
2/ Pt was Dx'ed with constrictive pericarditis (CP) which is often a dreaded topic 😱
Fear not! Let's break it down & focus on the echo findings of CP.
👉🏽👉🏽 💯 tweetorial on RCM by @CBlumenthal2 & 🌟 #CNCR case of hereditary RCM from @DukeCardFellows
Fear not! Let's break it down & focus on the echo findings of CP.
👉🏽👉🏽 💯 tweetorial on RCM by @CBlumenthal2 & 🌟 #CNCR case of hereditary RCM from @DukeCardFellows
3/ First, let's review basic anatomy :
✅Pericardium contains all ❤️ chambers
✅Cardiac chambers are affected by changes in intrathoracic pressure b/c same pressure changes are transmitted inside pericardium
✅ Pulm vasculature, SVC/IVC are external to pericardium
✅Pericardium contains all ❤️ chambers
✅Cardiac chambers are affected by changes in intrathoracic pressure b/c same pressure changes are transmitted inside pericardium
✅ Pulm vasculature, SVC/IVC are external to pericardium
1/ #CNCR on a speedboat on Lake Travis!! 😎😁😀
Here's another amazing case with @cardionerds and @prkothapalli @doctormontano @doctormikemg from @DellMedCardio
Catch up on the episode here: cardionerds.com/55-suicide-lv-…
Here's another amazing case with @cardionerds and @prkothapalli @doctormontano @doctormikemg from @DellMedCardio
Catch up on the episode here: cardionerds.com/55-suicide-lv-…
2/ 71yoF w/ h/o CAD s/p PCI to LAD/RCA, pAF s/p ablation, HTN, TIA, and severe symptomatic AS was admitted for elective TAVR.
What's the definition for severe AS on TTE?
#TBT @cardionerds ep. 1&2 on severe AS.
cardionerds.com/episodes/aorti…
@heatherkaganmd @sneha_vk @RaniKHasan
What's the definition for severe AS on TTE?
#TBT @cardionerds ep. 1&2 on severe AS.
cardionerds.com/episodes/aorti…
@heatherkaganmd @sneha_vk @RaniKHasan
3/ That's right! Severe AS = a mean gradient >40mmHg, a peak velocity >4m/s, and an aortic valve area <1cm2 on TTE.
An increasingly common tx option includes TAVR
What are some feared complications post-TAVR?
An increasingly common tx option includes TAVR
What are some feared complications post-TAVR?
1/ #CNCR continues with another @cardionerds case from @UTSWCardfellow
Catch up on the episode here: cardionerds.com/47-syphilitic-…
Here’s a brief re-cap with some of the 💯 learning.
First a synopsis…
Catch up on the episode here: cardionerds.com/47-syphilitic-…
Here’s a brief re-cap with some of the 💯 learning.
First a synopsis…
2/ ...Man in his 50s p/w 3m of ⬆️DOE, orthopnea, and LE edema that suddenly worsened in the last 2d.
No other hx. Prefers male partners.
P/w wide pulse pressure and exam concerning for severe AR.
What's your approach to causes of AR?
No other hx. Prefers male partners.
P/w wide pulse pressure and exam concerning for severe AR.
What's your approach to causes of AR?
3/ First think of AR as Acute or Chronic!
Acute severe AR tends to present w/ hypotension + ❤️shock
➡️...then can think of as a primary valve issue or secondary due to aortic root/aortic disease.
Acute severe AR tends to present w/ hypotension + ❤️shock
➡️...then can think of as a primary valve issue or secondary due to aortic root/aortic disease.
