Discover and read the best of Twitter Threads about #intracoronary
Most recents (2)
Check out the #MINOCA section in updated NSTE-ACS guidelines at #ESCcongress
bit.ly/3bcrixp
Here is a tweetorial on #MINOCA
🧲Class I Recommendations🧲
-> Use of Diagnostic algorithm
-> Use of #whyCMR
-> Use of working dx & Rx according to the underlying Dx
bit.ly/3bcrixp
Here is a tweetorial on #MINOCA
🧲Class I Recommendations🧲
-> Use of Diagnostic algorithm
-> Use of #whyCMR
-> Use of working dx & Rx according to the underlying Dx
MINOCA has MI in it-> DOES the definition allows for the inclusion of non-ischemic causes of troponin elevation?
Given this limitation of the troponin bioassay, the “Fourth 4th Universal of MI" defined Injury from infarction
INJURY IS NECROSIS WITHOUT ISCHEMIA!
#ESCCongress
Given this limitation of the troponin bioassay, the “Fourth 4th Universal of MI" defined Injury from infarction
INJURY IS NECROSIS WITHOUT ISCHEMIA!
#ESCCongress
The hallmark of myocardial injury ⬆️ troponin, However, these entities differ conceptually
▶️ myocardial injury = nonischemic mechanisms of myocyte injury (eg, myocarditis),
▶️MI = ischemic mechanisms (eg,
plaque disruption or supply-demand mismatch).
#ESCCongress
▶️ myocardial injury = nonischemic mechanisms of myocyte injury (eg, myocarditis),
▶️MI = ischemic mechanisms (eg,
plaque disruption or supply-demand mismatch).
#ESCCongress
Another #FITSurvivalGuide tweetorial. This time on #intracoronary imaging w/ focus on IVUS and OCT
➡️ Rationale for use
➡️ Tech basics
➡️ Uses
➡️ Data
➡️ Images (high-yield)
➡️Comparison
@z_alirhayim @Almanfi_Cardio @AntoniousAttall @abashirMD @Babar_Basir
➡️ Rationale for use
➡️ Tech basics
➡️ Uses
➡️ Data
➡️ Images (high-yield)
➡️Comparison
@z_alirhayim @Almanfi_Cardio @AntoniousAttall @abashirMD @Babar_Basir
Why use them?
- Cor angio limited by: 2D view of 3D artery, diffuse dx, foreshortening, angulations, Ca++, eccentricity, vessel overlap, contrast streaming
- Angio alone ➡️ undetected edge complications, suboptimal stent exp in 15-20% ➡️ adverse events @cardiojaydoc02
- Cor angio limited by: 2D view of 3D artery, diffuse dx, foreshortening, angulations, Ca++, eccentricity, vessel overlap, contrast streaming
- Angio alone ➡️ undetected edge complications, suboptimal stent exp in 15-20% ➡️ adverse events @cardiojaydoc02
IVUS tech: US reflected from vessel wall
➡️ 2 types: Rotational; Phased-array
➡️Rotational: 40-45 MHz, 3.2 Fr, 5 Fr guide, Rx, better near field resolution
➡️Phased-array: 20 MHz, 3.5 Fr, 5 Fr guide, Rx, more trackable
➡️Co-registration with angio now available
➡️ 2 types: Rotational; Phased-array
➡️Rotational: 40-45 MHz, 3.2 Fr, 5 Fr guide, Rx, better near field resolution
➡️Phased-array: 20 MHz, 3.5 Fr, 5 Fr guide, Rx, more trackable
➡️Co-registration with angio now available
