Interventional Cardiologist & Lecturer in Cardiology | Dohuk, Iraq. Sharing real-world cases in acute & interventional cardiology
Dohuk , Iraq
Joined October 2009
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Acute cardiology
42 y old man no pmh . Acute severe CP at mid night . #ECG #Tombstone STE.
#Angiogram complete ostial LAD occlusion no apparent stump .
Q. How to wire IRA ?
#CardioEd #MedEd #Cardiology #STEMI
From the clinic
This is 21 y old young man with atypical CP. Dx with apical #HCM .
#ECG
#ECHOfirst comment on findings ?
Interesting and rare case courtesy of Dr Hasan Alrubaye. ..
#CardioEd #MedEd #Cardiology
Neshwan Albarwari retweeted
🫀 New Special Issue | Contemporary Management of Acute and Advanced Heart Failure
This Special Issue explores emerging strategies in acute and advanced heart failure, including risk stratification, novel therapies, cardiogenic shock management, mechanical circulatory support, and precision cardiovascular medicine.
Guest Editor: Andreas V. Xanthopoulos, MD, PhD
Submission deadline: 31 Aug 2027
🔗imrpress.com/journal/RCM/spe…
#HeartFailure #Cardiology #CardiovascularResearch
Neshwan Albarwari retweeted
It takes decades to build the momentum in science — now is the time — at the pioneering edge of almost every scientific field — to sustain it!! @MGBResearchNews #NumberOne 🧠 🔬 🧫 🧬
nature.com/nature-index/rese…
Neshwan Albarwari retweeted
A New Malignant MVP Phenotype?
@iamritu
🆓
Mitral valve prolapse (MVP) + SCD
Which patient?
jacc.org/doi/10.1016/j.jacca…
Neshwan Albarwari retweeted
👇VT vs SVT (Part 1): Heart Axis👇
•A tachycardia with northwest axis is highly suggestive of VT, as ventricular excitation moves from distal to basal. This pattern is identified by positive QRS in aVR and negative QRS in leads I, II, and aVF.
•A normal heart axis during tachycardia is more indicative of SVT, where excitation travels from basal to distal. In this case, QRS negative in aVR and positive in leads I, II, and aVF.
#EPeeps Note: Certain types of VT, such as septal VT or fascicular VT, may present with a normal axis despite their ventricular origin.
This post was created in collaboration with @N_Trajkovska
@Phiso_de @chris_sohns @MoneebKhalaph @MBraunEP @Cardioschool @VanessaSciacca_ @GNageler @OGdukeneurosurg @StephanWinnik @veramasloo @EkgHacks @ecgrhythms @EcgsOnly @ECGEPSCADEVICE @narrowQRS @ecgandrhythmRoe @jjmt_ep @AbbottNews @BSCCardiology @Medtronic #CardioTwitter
Neshwan Albarwari retweeted
Young woman w/ VF arrest
This 👇🏼 angiogram after ROSC 👀
Hemos stable, no CP
What is the etiology, and what next?
60 y old man haevy smoker 2 pack per day. Acute severe chest pain .
#ECG subtle inferior STE.
#Culprit ?
#CardioEd #MedEd #Cardiology
#Acute_cardiology
39 y old man with severe chest pain early morning . HD stable .
#ECG 1 probable Anterolat STEMI
#ECG2 post GTN SL and tramal
2 hours later had recyrrence of CP
#ECG 3 ...
Activate primary call or mx rx IVI nitrate ?
#Cardiology #CardioEd #MedEd
Neshwan Albarwari retweeted
So many findings:
1. Good landing zone target
2. Distal edge diseased
3. Underexpanded ostial LAD
4. Inadequate post bifurcation kissing/lcx covered by struts
5. Crushed LM stent
50 y old soldier . No pmh . Flu like illness . Incidental finding .TAA Mild AR.
Wait and see or reached the threshold to intervene ?
#Echofirst #Cardiology #CardioEd #MedEd
Neshwan Albarwari retweeted
Anomalous Coronary Arteries: Low Risk, Unclear Risk, High Risk🫀
link.springer.com/content/pd…
Neshwan Albarwari retweeted
Mid ✈️ Musings
This is a post I have been trying to write for 6 years!
The TIP IN Technique - why it works almost EVERY time! 🤔
Let’s start by looking at a recent still frame. You see a familiar friend the NO TIP XT. You also see two MCs in the guide.
Acute cardiology
30 y man with acute #palpitations HD stable . #ECG pre excited #AF . Reverted with IV #Amiodarone !
ECG in SR - WPW.
#Echofirst unremarkable.
Maintenance medical therapy ?
How is urgent accessory PW ablation?
#CardioEd #MedEd #Cardiology
Neshwan Albarwari retweeted
Adult with heart coming out of chest is not common. Amazing the person lived with it rather than face surgery.
Neshwan Albarwari retweeted
Prerequisites for the diagnosis of Mobitz type II 2nd degree AV block.
You can't make this diagnosis in case of sinus rate slowing. (Or from elsewhere... when sinus rate is very slow and you have escapes.)
ECG from Basics to Essentials Step by Step by Stroobandt, Barold, Sinnaeve
Neshwan Albarwari retweeted
I recently performed a #SurgicalStentectomy together with @FaisalBakaeen.
These operations are challenging and full of technical nuances. The decision to remove a coronary stent is never simple and requires careful consideration of anatomy, stent location, distal targets, and the safest strategy for complete revascularization.
A fascinating operation—and a great example of how complex coronary surgery continues to evolve.
#CABG #CoronarySurgery #CardiacSurgery #SurgicalInnovation