Critical Care fellow at NIH. Interested in CT/CICU🫀👨‍🔬

Joined July 2023
Right-to-Left Shunting #2: Representative Lesions 👉TOF/PA-VSD and tricuspid atresia cause cyanosis primarily through reduced pulmonary blood flow and systemic venous desaturation. 👉d-TGA creates parallel circulations; survival depends on adequate atrial, ductal, or ventricular mixing to deliver oxygenated blood systemically. 👉Single-ventricle physiology requires balanced Qp/Qs, where SVR–PVR interaction determines pulmonary flow, systemic output, and saturation.
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Max Berrill retweeted
Echo DD guidelines are consensus based and require testing to determine clinical utility. In this multicenter study with gold standard dx, we show poor sensitivity and accuracy for resting and exercise echo criteria. @JACCJournals jacc.org/doi/10.1016/j.jacc.…
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#JADEL Be sure to read the elegant report in CASE from the 1 & only team lead by Dr. Nishimura, @MayoClinic: Echoes Beyond E & A: Solving the Mystery of the 3rd wave doi.org/10.1016/j.case.2025.… @CASEfromASE #NowInScopus @ASE360
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Learn CPR, save a life ❤️ We’ve teamed up with @ResusCouncilUK to encourage our supporters and the wider public on the importance of learning CPR. Click the link for more information 👉 arsn.al/ZtdZ4yE
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Heart Procurement and Implantation Timeline: Successful heart transplantation requires precise communication and seamless coordination between the donor procurement and recipient implantation teams.
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Delighted to share the final typeset version of the 1st Joint EACVI/ACVC/@EACTAIC Expert Consensus on Cardiac Ultrasound in Cardiovascular Emergency & Critical Care — now the most-read article in EHJ–CV Imaging! 🫀 #EACVI #EchoFirst #POCUS #CriticalCare Open access 👇 academic.oup.com/ehjcimaging…
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TAPVR classification: Type 1 (supracardiac), Type 2 (cardiac/intracardiac), Type 3 (infracardiac), and Type 4 (mixed). Types 1 and 3 often require neonatal repair due to vertical vein obstruction.
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Join us for the Functional Architecture of Stress Echocardiography: Harefield Hybrid Approach – taking place 26–29 November 2025. Secure your place today: echoatharefield.com #MedEd #Cardiology #Echocardiography
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Do you want to improve your reliability and reproducibility in TAPSE measurements? Use TDI/M-mode, blue-red snake always tells you the truth @NMerke @alex1708ander @alexsfelixecho @ImagenCardiaca @RyCImagenCardio @jaumeaguero @VerwerftJan @JRodriPalomares
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🚨Not all RCTs are created equal. 🚨Quality RCTs generate quality evidence. Questionable RCTs generate bad evidence. 🚨 Surgeons command the leverage to promote robust RCTs and enhance the quality of evidence that guide patient care. @AATSHQ doi.org/10.1016/j.jtcvs.2025…
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🫀 Here’s Case Two from our Cardiac Mass Series—'How well do you know cardiac masses?' 🧐 Watch the video till the end, test your skills, and drop your diagnosis below. ⬇️ Think you’ve cracked it? Find out in the next video! 🎥 #CardioTwitter #EchoChallenge #FOAMed #MedicalMystery
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📢 🚨 Proud to share our latest state-of-the-art, trans-Atlantic practical guide on the use of echocardiography in short-term mechanical circulatory support, just published in @ESC_Journals This article provides a comprehensive and practical discussion on candidacy, implantation, troubleshooting, and weaning of: • Intra-Aortic Balloon Pump (IABP) • Impella CP / 5.5 / RP / RP Flex • Protek Duo • Veno-Arterial ECMO (V-A ECMO) 🧭 Fully illustrated with figures, tables, and flowcharts to support real-world clinical decision-making. A huge shout out to the panel of co-authors on both sides of the Atlantic ocean who made this work possible! Open access 👇🏼👇🏼 academic.oup.com/ehjimp/arti… #echofirst @RBandH @KingsCollegeLon @JasonKatzMD @HeartDocSharon @Hragy @iamritu @argulian @MLSCourse
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🫀 We’re back! After a short break, we’re launching a brand new clinical series: “How Well Do You Know Cardiac Masses?” 🔍 Real case. Real echo... and a mystery mass.🧐 You guess the diagnosis.🤓 👉 Case 1 drops today. Let’s see what you’ve got. #CardioTwitter #EchoFirst #MedEd #FOAMed
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Thanks to everyone who voted in our #EchoChallenge! 🗳️ 👏 Congrats to those who guessed right — the answer is revealed in today's video. We break down the diagnosis and the fascinating story behind this mysterious mitral valve mass. 🫀 This was the first case of our new series, "How well do you know cardiac masses?" 🤓. We hope you enjoyed this case! 💬Ever encountered a similar case? Drop it in the comments. 📌 Stay tuned—another intriguing cardiac mass is coming soon! #EchoFirst #Cardiology #FOAMed #MedTwitter @Echo_Harefield
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Evolution of critical care cardiology update from @American_Heart 🫀cardiac #ICU: organizational structure, levels of care & staffing models, interdisciplinary team-based care, challenges & strategies for optimizing care 🎓 training models for next gen CICU physicians: clinical competencies, training pathways & hybrid training models, diversity, equity, inclusion ⚠️ #patientsafety & quality improvement initiatives 🔍 clinical knowledge gaps & research opportunities Open access #FOAMcc @CircAHA 🔓 bit.ly/3QlxtV8
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Max Berrill retweeted
Mortality associated with moderate and severe mitral regurgitation in 608 570 men and women undergoing echocardiography bit.ly/3VSS7zg
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An MI can lead to more than you think!😨 Watch till the end to discover what happens to our patient with radiating chest pain! #MedTwitter #CardioEd #Cardiology #Euroecho
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Congratulations to member Ms Karthika Bindhu who presented earlier today on ✨Modern state of art multimodality imaging: case of successful cardiac transplantation in a teenage football player with bi-ventricular failure and thrombi✨ at #EuroEcho2024
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