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❤️Cardiac based Clinical learning cases from and for residents❤️ to make youngest thinking and learning from success and failures

Italia
Joined June 2022
Photo by ❤️Heart Clinical Cases from and for residents (@Heart_Cases)Photo by ❤️Heart Clinical Cases from and for residents (@Heart_Cases)Photo by ❤️Heart Clinical Cases from and for residents (@Heart_Cases)Photo by ❤️Heart Clinical Cases from and for residents (@Heart_Cases)Photo by ❤️Heart Clinical Cases from and for residents (@Heart_Cases)Photo by ❤️Heart Clinical Cases from and for residents (@Heart_Cases)Photo by ❤️Heart Clinical Cases from and for residents (@Heart_Cases)Photo by ❤️Heart Clinical Cases from and for residents (@Heart_Cases)Photo by ❤️Heart Clinical Cases from and for residents (@Heart_Cases)Photo by ❤️Heart Clinical Cases from and for residents (@Heart_Cases)
The goal of this page is to share cardio based clinical cases with Q/A and discussion + reference suggestions + OR/imaging live cases. Weekly bases cases for learning objective. Specifically from and for RESIDENT. @EZancanaroMD my personal account. Sharing is carrying ❤️✅📤
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‼️‼️ NEW case of the week!!! #CardioEd #Cardiotwitter #PCI #echofirst #radialfirst @echo_stepbystep 60y old man arrives at our attention with chest pain and dyspnea. Medical history: none Comorbidities: Hypertension What's next step ❓❓❓
62%TTE
25%ANGIO CT
4%CORONAROGRAPHY
8%NITRATES AND WAIT
24 votes • Final results
‼️‼️ NEW case of the week!!! #CardioEd #Cardiotwitter #PCI #echofirst #radialfirst @echo_stepbystep 60y old man arrives at our attention with chest pain and dyspnea. Medical history: none Comorbidities: Hypertension What's next step ❓❓❓
62%TTE
25%ANGIO CT
4%CORONAROGRAPHY
8%NITRATES AND WAIT
24 votes • Final results
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Incredible poll this time! 🚨🚨 Let’s see… 1/3 ⬇️ -TTE is a good option,can be done immediately to see what’s going on -nitrates and wait is not what you want since nitrates can have a sense but you have to investigate the case - CT is not what you want with this presentation
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Discussion is open!!!🎯😈📢📢🆘🆘 What do you think?
‼️‼️FINAL RESULTS: most of you chose the ECMO + PCI with transaxillary approach..... 🧐 we did that. The patient received: - PTCA+ stent LM+LAD (ostial/proximal) PTCA + stent LM+CX PTCA+stent  LAD (medial) PTCA  D1 The patient was weaned from ECMO
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‼️‼️FINAL RESULTS: most of you chose the ECMO + PCI with transaxillary approach..... 🧐 we did that. The patient received: - PTCA+ stent LM+LAD (ostial/proximal) PTCA + stent LM+CX PTCA+stent  LAD (medial) PTCA  D1 The patient was weaned from ECMO
Replying to @Heart_Cases
If i tell you that pz had no femoral access for ecmo?
80%ECMO trans axillary + PCI
20%Surgery!!!!!
0%Medical therapy
0%PCI
5 votes • Final results
Last hours to vote !!!!!!!
Quick recap: Pz ACS with ⬇️ EF, NYHA III, EuroScore II 14, previous CCH and stemi with 3 vessel disease +biforcation + LM involved---> audience chose or CABG or PCI+ECMO... look below for the next poll🎯🎯🎯
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Quick recap: Pz ACS with ⬇️ EF, NYHA III, EuroScore II 14, previous CCH and stemi with 3 vessel disease +biforcation + LM involved---> audience chose or CABG or PCI+ECMO... look below for the next poll🎯🎯🎯
NOW!!! What do you see? Poll below⬇️ Some help is given🧐🤩
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If i tell you that pz had no femoral access for ecmo?
80%ECMO trans axillary + PCI
20%Surgery!!!!!
0%Medical therapy
0%PCI
5 votes • Final results
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NOW!!! What do you see? Poll below⬇️ Some help is given🧐🤩
Replying to @Heart_Cases
TTE:LVEF: 25%, LVEDD: 68 mm,LVESD: 53 mm,LA area: 28 msq,Diffuse hypokinesia,TAPSE: 24 mm,sPAP: 35 mmHg.
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which lesion do you see? first poll look below⬇️⬇️👀
100%LM+LAD+D1+CX+CDx
0%LM+LAD
0%LM+CDx+LAD
0%no lesion
2 votes • Final results
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📢📢 This time it was really difficult!!!! Coro + TEE: it was the first exam performed to asses different aspects. It was tricky 😎😎😎 See below
Replying to @Heart_Cases
3/3 QUESTION: whats the next step? 🧐🆘⛔️⚠️
40%Coronarography
20%coronary CT
20%medical monitoring
20%TTE
5 votes • Final results
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TTE:LVEF: 25%, LVEDD: 68 mm,LVESD: 53 mm,LA area: 28 msq,Diffuse hypokinesia,TAPSE: 24 mm,sPAP: 35 mmHg.
HERE BACK with new CASE of the week!!! 📢📢 1/3 70 year old man arrived at our attention for chest pain. Hypertension, COPD,DM type 2 severe obesity NSTEMI (2007) treated with PCI on right coronary artery and on circumflex artery.Previous pulmonary oedema and Heart Failure episod
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2/2 Previous surgical mitral valve replacement NYHA III, CCS 2. //Euroscore II: 14,03
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Replying to @ovidiogarciav
@ovidiogarciav @samsaid75 @AMussigbrodtMD @Thermidor67 @JJahanyarMDPhD that’s was the begging. Next time I will put all the passages one under each other so you can see it! Thank you for your comment and time !!!
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Correct!!!!! TAVR always the best solution. Can you spot why? The discussion is open !!!! Do you agree? #CardioTwitter #CardioEd @ovidiogarciav @samsaid75 @AMussigbrodtMD @Thermidor67
Replying to @Heart_Cases
NOW: what’s the plan??
67%TAVR
33%SAVR
0%Savr and aorta repl
0%Medical therapy
3 votes • Final results
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NEW POLL and then the discussion !!!
Replying to @Heart_Cases
NOW: what’s the plan??
67%TAVR
33%SAVR
0%Savr and aorta repl
0%Medical therapy
3 votes • Final results
This was really interesting!!!! The answer is 🥁 calcified homograft 📚📚📚📚📚📚📚
Replying to @Heart_Cases
What do you see? 😎😎😎😎😎😎
33%aortic aneurism
33%Calcified homograft
0%Aortic dissection
33%AR with micotic aneurism
3 votes • Final results
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Is TTE enough ?????
0%YESSSS
100%no
0%i will choose another exa
0%no idea
3 votes • Final results
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ALSO: What other imaging techniques would you use?
100%CT angio
0%MRI
0%TEE
0%nothing i know everything
3 votes • Final results
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Most of you did right!! We are in front of AR but we still need something!!! 1/2
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RESULTS🚩🥳🥳🥳 in this case, most have chosen TTE, which is what we had performed as the first exam. In order not to spoil anything of the case I will discuss the decision process later. NOW SEE ALL 3 tweets. The poll is in the last one WHAT do you see????🧐🧐🧐🧐 1/3
Replying to @Heart_Cases
QUESTION: what's the next step: 3/3 🚩
22%Chest XR
22%Cardiac CT
0%TEE
56%TTE
9 votes • Final results
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Still 7 hours to go!!!!!
NEW CASE!!!😍😍😍😍😍 check all 3 tweets!!!🧐 PRESENTATION: A 50 years old man symptomatic (moderate dyspnea) with few slight signs of left HF; NYHA IIb and CCS 0. He had no peripheral edema and the physical examination was normal. The lab exams were in range. 1/3
NOTIFICATION: who has gotten the full clinical case correctly remember to send me the name. The first that will arrive at 5 correctly done will get a book on interventional cardiology or cardiac surgery !!!😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍
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NEW CASE!!!😍😍😍😍😍 check all 3 tweets!!!🧐 PRESENTATION: A 50 years old man symptomatic (moderate dyspnea) with few slight signs of left HF; NYHA IIb and CCS 0. He had no peripheral edema and the physical examination was normal. The lab exams were in range. 1/3
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HISTORY: treated surgically for aortic coarctation when he was 7 years old. He underwent (20 years later) aortic valve replacement with a crio-preserved Homograft (n°25) and ascending aorta replacement with a Vascutek conduit (24 mm) due to AR and ascending aorta aneurysm. 2/3
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