Interventional & Structural Cardiologist @washumedicine, and (probably) not a chatbot
Saint Louis, MO
Joined August 2009
- Tweets985
- Following470
- Followers303
- Likes1.9K
Nathan 🐸 Frogge MD retweeted
Ok, if we now have the BATMAN (Balloon-Assisted Translocation of the Anterior Mitral Valve) and ROBIN (Retrograde Radiofrequency Balloon-Assisted Optimization of Neo-LVOT) techniques, I’ll raise the stakes with:
1. SUPERMAN = Supra-annular Ultrasound-guided Prosthesis Expansion for Reducing Mitral Annular Narrowing
2. WONDER WOMAN = Wire-Oriented Navigation for Dynamic Evaluation of Restricted WOrking Mitral Anatomy in Neo-LVOT
3. FLASH = Frontline Laser-Ablation for Subvalvular Hypertrophy
4. GREEN LANTERN = Guidewire-Referenced Electroanatomical Evaluation for Neo-LVOT Luminal Assessment with Non-invasive Tracking of Endocardial Risk Nodes
5. AQUAMAN = Advanced Quantification of Underlying Aortic Morphology for Alignment in Neovalve positioning
Nathan 🐸 Frogge MD retweeted
Extending congrats to Prashanth D. Thakker, MD, who has been appointed new Program Director for @WashUCardiology Disease Fellowship.
Dr. Thakker is succeeding Dr. Andy Kates who has served admirably in this role for the last 16 years.
Read more > internalmedicine.wustl.edu/t…
Nathan 🐸 Frogge MD retweeted
Bill Clinton had 8 exercise stress tests when he was in office and 'passed' each of them with flying colours.
He then had a heart test that showed he need coronary artery bypass surgery.
Want to know what test he had?
🧵👇
/1
Nathan 🐸 Frogge MD retweeted
Bill Clinton had 8 exercise stress tests when he was in office and 'passed' each of them with flying colours.
He then had a heart test that showed he need coronary artery bypass surgery.
Want to know what test he had?
🧵👇
/1
Nathan 🐸 Frogge MD retweeted
Tense discussions about the 2023 @American_Heart @ACCinTouch chronic coronary guideline at the ACC board of trustees meeting this weekend in Vancouver. Expecting a joint statement soon addressing the controversy and ensuring fallout
Nathan 🐸 Frogge MD retweeted
Ten current papers for the curious general cardiologist, covering topics including a potential future HTN Rx, new ACC/AHA guidelines for chronic CAD, red meat in CHD & real world TriClip outcomes
Sources: @Heart_BMJ,@CircAHA,@ESC_Journals,@JACCJournals,@JAMACardio,@NEJM
1/n
Nathan 🐸 Frogge MD retweeted
Cats out of the Twitter bag so welcome to DELAWARE (DEliberate Leaflet Augmentation When Anchoring Requires Extra support). The idea is to ⬆️ friction in Ca+ free zones before TMVR in the context of non-circumfrential MAC by piercing & deploying AVP4 across leaflet. more to come
Nathan 🐸 Frogge MD retweeted
Peekaboo technique fluoroscopically. Pt hand fully pronated with hub comfortably peeking out so operator can manipulate catheters ergonomically. 5 cm left out with hub just past midline of pt.
Nathan 🐸 Frogge MD retweeted
Hi #CardioTwitter, what would this vessel with the stent, be called?
Large septal or small caliber distal LAD with large diagonals wrapping the apex?
@NYSCACC @DrBillLombardi @crfheart @thinkmdkane @CCCSymposium_NY @CRT_meeting @GiorgioMedranda @JDawnAbbott1
Asymptomatic 40-50 y/o with new LAFB. CV risk factors include HTN, HLD, OSA, and DM2 — all controlled on recent labs. What would you do? @DavidLBrownMD @CMcNeelyMD @SVRaoMD @prathakker @djc795 @ShariqShamimMD @mmamas1973 @CMichaelGibson @MarcSintek
71%No further testing.
14%Echo.
14%Stress test.
0%Other (pls elaborate)
7 votes • Final results Nathan 🐸 Frogge MD retweeted
Nephrologist, cardiologist and emergency physician sitting by the airport security gates watching everyone neck their entire water bottles
Nathan 🐸 Frogge MD retweeted
What's the biggest Mississippi city?
Chicago!
Why? Because of an ice age water stream
If you understand this, you can understand why Chicago is so huge today
And more importantly, why some cities thrive while others don't:
Nathan 🐸 Frogge MD retweeted
Paracetamol is the safest medicine to use for fever and pain management even in patients with chronic liver disease within the recommended dose range. It does not cause chronic liver injury and also has an antidote which works well to combat toxicity.
Nathan 🐸 Frogge MD retweeted
Reconsidered surgical aortic valve replacement after declined transcatheter valve implantation
journals.sagepub.com/doi/ful…
Nathan 🐸 Frogge MD retweeted
I was in REI for only 3 minutes before an emergency doctor came up to me to say hi lmao
Nathan 🐸 Frogge MD retweeted
Challenging Cases:
84yo WM w/AS, did TAVR. Used single Proglide in LCFA. Proglide got stuck and foot plate mechanism would not disengage from Ca+. We deconstructed and safely removed from the arteriotomy. Fantastic tips & tricks, big credit to Dr Amy Daliman @TAVRBot
Nathan 🐸 Frogge MD retweeted
People always ask me how to persuade cardiologist to take a patient to the Cath Lab. My residents turned my answer into a humorous meme.
Fascinating that majority of replies focus on technique rather than the original premise - no data supporting the purported benefits of an extreme-risk CTO PCI. HT @RFRedberg - if a procedure has no benefit, then it only has risks. @DavidLBrownMD @CMcNeelyMD @prathakker
