Discover and read the best of Twitter Threads about #PE

Most recents (24)

🔥Frisch gedruckt im PTJ🔥: @tkaiser_science, @AdJongh und ich haben in dem Artikel die Mythen traumafokussierter Psychotherapie näher beleuchtet, die im Zusammenhang mit der mangelnden Implementierung evidenzbasierter Verfahren zur Behandlung der #PTBS stehen. Ein Thread🧵: 1/
Im ersten Teil stellen wir aktuelle Befunde der evidenzbasierten Psychotherapien zur Traumabehandlung vor und zeigen Probleme bei der Implementierung dieser Verfahren in Deutschland auf. 2/
Das Ergebnis: Insgesamt wird klar, dass intensive, traumafokussierte Psychotherapie für Patient:innen schnell, sicher, effektiv und, falls erwünscht, über moderne technische Kommunikationsmittel durchführbar ist. 🥳 3/
Read 15 tweets
1/ We clinched the Dx, but how do we treat it?
Are these clot 📸 the best approach for #PE Rx?

Let’s dive into the 🌎 of "escalation of care" therapies

@CardioNerds 🧵 part 2...

Hold on to your 🎩 for this one
@PERTConsortium #PERT #CardioTwitter #ACCMedStudent Courtesy of @GoldbergJBCTMD [Dr. Joshua Goldberg]
2/ Why is PE so dangerous❓

⚠️thrombus in 🫁 ➡️obstruction ➡️ sudden ⬆️ RV afterload ➡️ pressure➕volume overload ➡️ ⬇️RV output➕RV ischemia ➡️ ⬇️LV preload ➡️ ⬇️ 🫀output ➡️ shock ❤️‍🔥

⚠️Hypoxic & neurohormonal mediated pulmonary vasoconstriction ➡️ ⬆️ RV afterload Figure 2 from the 2019 ESC Guidelines https://pubmed.ncbi.nl
3/ How do we treat❓

Based on risk stratification, we have several options: ⭐️Anticoagulation (AC) alone

Escalation of Care (EOC) therapies:
⭐️Systemic Thrombolysis (ST)
⭐️Catheter Directed Therapies (CDT)
⭐️Surgical Embolectomy (SE)
⭐️ECMO
Read 28 tweets
@bhwords Dr. Beverley Hunt presenting on #COVID19 and #thrombosis. She wants to chronologically review the battles we have fought! #ASH22 1/n
@bhwords This story (clinical presentation) -- a reminder of the patients from the front lines in the beginning and what some docs went through! #COVID19 #ASH22 2/n Image
@bhwords #COVID19 is the 'perfect suit for VTE' ... inflammation, sticky blood, vessel wall changes. The amazingly high levels of fibrinogen (14g/L! (normal is 2-4g/L)) D-dimers reported on a log scale because of the significant increase. #ASH22 3/n
Read 12 tweets
How much maths is needed in private equity (also when compared to hedge funds or investment banking, for example)?
@CAIA_Blog
Private Equity requires a good understanding of Finance and especially sector-specific finance such as Real Estate Finance Investments and so on.
In my opinion, the techniques used to model PE transactions have a lot in common with those that are applied to Listed Equity.
Private Equity like other areas in Finance needs some maths in it, but nothing akin to Financial Engineering or Quantitative Finance, etc.
Unless you are doing financial risk management assignments, which means you will be applying the standard tools that are used elsewhere.
Read 10 tweets
Acute pulmonary embolism (PE) is one of the most serious form of venous thromboembolism. The clinical presentation of PE is variable and often nonspecific making the diagnosis challenging.

1/

#CardioTwitter Image
Criteria

✅ Sinus tachycardia (most common).
✅ S1Q3T3 pattern (may be present up to 30% of cases). 
✅ Simultaneous T wave inversions in the inferior leads and right precordial leads can be seen.
✅ Right axis deviation.
✅ RBBB (complete or incomplete).

2/

#MedTwitter #ecg
CT form a real case with PE.

3/

#medicine #MedTwitter #MedStudentTwitter #ct #pe #ekgdx #ekg #ecg Image
Read 4 tweets
1/ For the fellows and #ACCEarlyCareer!

It’s a coronary thrombus! When to consider thrombectomy? What do you do? Let’s walk through this…#Tweetorial

#Cardiotwitter #Cardiology #STEMI
2/ Middle age patient with hx of CAD and PCI to LAD presents with significant SOB and elevated Hs-Trop. No chest pain. No ECG changes. Echo with inferior hypokinesis.

Here’s the diagnostic with a JR4.

Notice the filling defect in the RCA. This is thrombus. How do we know?
3/ Keys of #thrombus on angiogram

🔑 contrast staining
🔑 Lack of calcium on non con image
🔑 ovoid filling defect (complete lumen)

#Cardiotwitter #STEMI #TIMI
Read 25 tweets
NEXT Speaker : VA ecmo for which patients?
Alain COMBES

Severe cardiogenic shock has different phenotypes
1. medical cardiogenic shock(AMI, end stage dilated CM, myocarditis, septic shock)
2. Post cardiotomy refractory CS (post CABG)
#LIVES2022
@ESICM #ecmo #resuscitation #ALS
@ESICM 2022 what do the guidelines say
- ESC recommends short term MCS should be considred in cardiogenic shock.
IABP may be considered but not routinely recommended in post MI
#LIVES2022
Image
Read 18 tweets
¿Son los archivos .APK ejecutables?
Esta pregunta me surge de algunos textos que he visto por ahí y de una discusión reciente con otras personas.
#hilo_b1h0
(hilo) 🧵
Nota 1: A partir de ahora (si no me olvido) pondré un hashtag en el primer tuit de mis hilos para identificarlos. El hashtag es: #hilo_b1h0
Alguien me comentó que quería agruparlos, y yo mismo al buscarlos me llevó tiempo, por lo que he decidido hacer esto. 💡
⬇️
Nota 2: No soy experto, ni mucho menos, en desarrollo de Apps Android. Estos es simplemente fruto de mi experiencia e investigación. Si alguien considera que estoy equivocado en algo, agradeceré sus aportes.
⬇️
Read 19 tweets
📣Faltam 14 dias!

Divulgamos 214 candidaturas progressistas a #federal e #estadual de TODAS as 27 UFs, sendo

123 mulheres
94 pessoas negras
7 indígenas

Pra ficar mais fácil de achar os fios de cada UF, agrupamos todos aqui neste meta-fio

Favoritem e compartilhem!🥹🙏
Bora?🧶
Read 29 tweets
How much #Maths is needed in Private Equity (also when compared to Hedge Funds or Investment Banking for example)?
@CAIAAssociation @CAIA_Blog
Private Equity requires a good understanding of Finance and especially sector-specific finance such as Real Estate Finance Investments
In my opinion, the techniques used to model PE transactions have a lot in common with those that are applied to Listed Equity.
It has some maths in it, but nothing out of the world!
Unless you are doing financial risk management assignments, which means you will be applying the standard tools that are used elsewhere, such as #VaR ( translates into ICAR - Invested capital at risk in the PE Industry).
Read 10 tweets
1) How I cured my #LongCovid in 3mos after suffering for almost a year. This was my last hope. I researched what #Covid does to the body, came up with a list of "clinically studied" supplements and...
2) took them all. Firstly, I am not a MD. In March 2021 I caught Covid while working as a #frontline #healthcare worker. My symptoms of #brainfog, #fatigue, #jointpain, #muscleweakness, morning #stiffness happened after my recovery. At the time, this #postcovid #syndrome was...
3) was just starting to be discussed online. The the term #Longhauler was coined. Those in the #ME, #CFS, #Lyme #MCAS #community starting speaking out about the similarity of #symptoms with #LC. #Covidclinics started to sprout up, include one at the....
Read 48 tweets
1) Welcome to a new #accredited #tweetorial about an important complication of #pulmonaryembolism (#PE): chronic thromboembolic pulmonary hypertension #CTEPH. Follow this thread to earn 0.75h CE/#CME #physicians #physicianassociates #NPs #nurses #pharmacists.
2) I am Jason Weatherald @AlbertaPHdoc of @UAlberta and you may recall my previous tweetorial in this feed. It's still available for credit at cardiometabolic-ce.com/pah2/. @cardiomet_CE is your ONLY home for earning CE/#CME entirely on Twitter! Howdy to @vic_tapson @lauralynndonah1 Image
3) This program is intended for #healthcare providers and is supported by educational grants from Actelion, Bayer, Chiesi, & AstraZeneca. Faculty disclosures are listed at cardiometabolic-ce.com/disclosures/. Prior programs, still available for credit, are at cardiometabolic-ce.com
Read 49 tweets
Spent more time in the garden today. Insect populations are booming! A bit of sunshine really helps to lift the spirits.
#Hoverfly Image
Had a run of 3 good days, but just tried doing *some* of the things my lungs had allowed me to do over the weekend & over-did it by fixing the ball-cock in the toilet cistern! Lowered my guard; lungs are tight again (first time in 10 days) & I'm lightheaded. #PulmonaryEmbolism
Read 78 tweets
#sasa #petrokimya #rafineri #yumurtalık 2021 Dünya petrokimya hammadde ticaret verilerini inceleyelim. TR plastik ve türevlerinde 2021 yılında 17.5 milyar $ ithalat,10 milyar $ ihracat,organik kimyasallarda 9.3 milyar $ ithalat ,1 milyar $ ihracat gerçekleştirmiş.
#sasa 2021 yılı toplamında 27 milyar $ ithalata karşılık,11 milyar $ ihracat yapılmış ve 16 milyar $ dış ticaret açığı verilmiş.Dış ticaret açığı Dünya sıralamasında da üst sıralardayız.planlanan yatırımlar zamanın da yapılmış olsaydı,şu an çok farklı bir durumda olurduk.
#sasa #pp ürün bazlı incelediğimizde 2021 yılında 2.08 milyon ton PP ithalatı ile TR rekoru kırılmış ve 3.2 milyar $ ithalat gerçekleştirilmiş.Sasa'nın yumurtalıkta üretmeyi planladığı PP miktarı 1.2 milyon ton ve diğer firmalarda yatırımlarını yaparlarsa,PP fazlası verilecek.
Read 13 tweets
Sharing a short 🧵 of #PatientEngagement in #Research resources co-created by & approaches to working w/ #PatientPartners in @cpn_rdc. CPN is funded by @CIHR_IRSC's Strategy for Patient-Oriented Research initiative & I've had the privilege to help with its #PE work .../1
#PatientPartners are part CPN's governance as co-chairs of and members on all committees. More about CPN here cpn.mcmaster.ca, and its #PatientEngagement Cttee is tasked with carrying out its #PE work. The Cttee is mostly ppl who live with #Pain & a few researchers...2
#PatientEngagement can seem overwhelming if you're new to it as a #Researcher or #Trainee. The #PE Cttee has some advice on simply talking to #PatientPartners about your research as a start. You never know the ideas those conversations lead to cpn-rdc.ca/docs/default-s… .../3
Read 8 tweets
1) Welcome to a new #accredited #tweetorial on managing #VTE at the extremes of weight & renal function. Free CE/#CME credit for following along with expert author @AryaRoopen from King’s Thrombosis Centre at King's College Hospital in London! Only the best for our learners! Image
2) When we think about "special populations" in #VTE, we think weight, age, and #cancer status. @aakonc already addressed the last of those (earn credit still at cardiometabolic-ce.com/antithrombotic…). Learn the rest here! Hello to @ProfMakris @bhwords @MiddeldorpS @fniainle @AliTaherMD
3) This educational program is intended for health care providers & is supported by a grant from Bristol Myers Squibb & its Alliance partner Pfizer, Inc. Faculty disclosures at cardiometabolic-ce.com/disclosures/. Credit for #physicians #physicianassociates #nurses #NPs #pharmacists
Read 51 tweets
1) Welcome to a new #accredited #tweetorial on a🗝️ topic in #cancer care & #vascular medicine: #VTE (#DVT and #PE). Cancer patients are at⬆️risk from their disease, their comorbidities, & often from their treatment. It's a sticky wicket & @cardiomet_CE is proud to welcome ...
2) ... one of the world's leading authorities on cancer-associated VTE as new faculty both here and on @onc_ce: Dr. Alok Khorana @aakonc of @ClevelandClinic, to talk about advances and best treatment in this space!
3) This educational program is intended for health care providers & is supported by a grant from Bristol Myers Squibb & its Alliance partner Pfizer, Inc. Faculty disclosures are listed at cardiometabolic-ce.com/disclosures/. Earn CE/#CME credit from prior programs at cardiometabolic-ce.com.
Read 39 tweets
DoubleLine founder and CEO Jeffrey Gundlach presents:

Just Markets 2022 - I Feel Young Again

Today at 1:15pm PT, register here: event.webcasts.com/starthere.jsp?…

#macro #markets #stocks #FX #bonds #commodities #rates #inflation #Fed #QE #bitcoin

Live recap thread⬇️
Jeffrey Gundlach: 2021 might end up running 7% year on the CPI

#inflation #QE #Powell #fed #hikes #rates
Jeffrey Gundlach: Low interest rates coupled with inflation generating negative interest rate.

#JustMarkets2022 #CPI #QE #Fed
Read 48 tweets
Don’t miss a new accredited #tweetorial launching TOMORROW here on @cardiomet_CE. #Emergencymedicine #thrombosis researcher @md_pollack will be discussing safe, effective management of selected patients with venous thromboembolism (#VTE) from the #emergencydepartment.
It used to be SOOO much more complicated, but since we entered the era of the #DOACs, #lifeisgood! #Physicians #nurses #pharamcists all work together to make it happen, and all can earn CE/#CME here! @AlexSpyropoul @ScottKaatz @RenatoDLopes1 @GenoMerli @aakonc @vic_tapson
1) Welcome to a #tweetorial on the safe and effective management of acute venous #thromboembolism (#VTE) directly from the #emergencydepartment. This program is accredited for 0.50 credits for #physicians #nurses #pharmacists by @academiccme! I am @md_pollack. Image
Read 23 tweets
1/Thanks to @steve_sedgwick and @cnbcKaren for having me on @CNBC #SquawkBox this morning.

We talked about - what else? - #inflation and #centralbanks and whether the #Fed & peers are 'making an historic mistake', in Steve's words.

A few charts & comments for background:-
2/It's trite to say the jump in price indices is *all* attributable to a 'basis effect' when they've accelerated so much THIS year.
3/ #JeromePowell and his merry band may wish to believe that the rise is a mere blip, but all too many businessmen & women (i.e., the people who *really* matter) seem to believe the converse is the case.
Read 10 tweets
Thromboembolic disease has defined the last year for our practice. #COVID has given us the time and unfortunately the patients to refine our interventional strategies. I get asked from time to time to describe the steps involved in a basic #PE case. So here goes....(thread)
(I'll cover concepts in patient selection another time). This illustrative case is a mid 50-s male with acute onset dyspnea 3 weeks after testing positive for #COVID19. No syncope, no pertinent medical history. OSa in the low 80s on RA. HR 115. RV:LV Ratio ~1.5 #iRad (1/ )
CTA shows bilateral, predominantly lobar distribution PE. Probably a small evolving infarct in the left lower lobe. (2/ )
Read 21 tweets
🧵I love #football

Have done since the 1980's ⚽️

Nowadays though, the off-field stuff seems to get as much coverage & column inches as the game itself 🗞️📺📱

Competition isn't just about trophies - it's about eyeballs, soft power, geo-politics, PR and #money

Quick tale...
Did you see that news report from the #US this week about the #billionaire financier #TomBarrack being arrested? ($250m bail)

In the weird (but fun) world we live in, that incident ties to #NewcastleUnited & the #PremierLeague

Say what?! 🧐

#FollowTheMoney #Networks #Power 💸
We have;

- Billionaires acting as back-channel diplomats (💰)
- Political actors orchestrating things but pretending they're not
- Qatar buy rights to #EPL for region
- Saudi pirate them #AJ #BeIn #BeOut
- SA try to buy NUFC
- Qatar say "No Way"

#Rights ✍️/👨‍👩‍👧‍👦
#Value (s) 💸🙏⚽️
Read 17 tweets
Thanks to @steve_sedgwick & @cnbcKaren for having me on #CNBC #SquawkBox this AM.

What did we discuss? Well, #inflation of course!

I prepared some slides for the show which I'm happy to present in this thread.
1/n
#macro #Fed #Yellen #JeromePowell #bankofengland #QE
Are people in denial or is the #centralbank money flood just drowning all the signals?
2/n
#inflation
#Commodities, #freight, #carbon - and a whole lot besides - sure do cost a lot more, these days.
3/n
Read 14 tweets
1/ Welcome to the first part of a #Tweetorial series on #VenousDisease.

🩸To begin how about we talk about the main player in the game- C.L.O.T. (and why you should care about it)

#Cardiotwitter #Irad #fellows #fellowtwitter #medthread #clot #medtwitter #clottwitter
3/ All clots ARE NOT born equally! There is a difference! Image
Read 34 tweets

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