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 ❤️✅📤
‼️‼️ 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‼️‼️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 resultsNOW!!!
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.
📢📢 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 1
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
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 !!!
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 resultsNEW 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 resultsThis 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 resultsALSO: What other imaging techniques would you use?
100%CT angio
0%MRI
0%TEE
0%nothing i know everything
3 votes • Final resultsRESULTS🚩🥳🥳🥳
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 1
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 !!!😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍😍
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





