@drjromeo describing HiHO. High risk hemodynamic optimization- patients with multivessel disease and cardiogenic shock not candidates for CABG receiving Impella 5.5 with goal of Native Heart Survival!
Left Ventricular Unloading in High-Risk PCI | New England Journal of Medicine nejm.org/doi/full/10.1056/NE… The issue is not that MCS doesnt prevent PCI induced stunning (why would it?), but that perhaps longer post PCI support is required for myocardial recovery to occur #5.5
Wonder if this is why we still see pressure drops sometimes across long stents despite Image guided optimization #DefineGPS. Wave reflection off strut edges. This is the noise reduction system implemented at Schipol @DrAllenJ
We are excited to announce that the University of Pittsburgh Medical Center
has been accredited in The PERT Consortium’s Centers of Excellence Program as a Comprehensive Care Center!
This official accreditation highlights UPMC's commitment to leading the way in pulmonary embolism treatment and enhancing patient care. #CentersOfExcellence#PE
Get Started: bit.ly/3EZUEic
We are excited to announce that the University of Pittsburgh Medical Center
has been accredited in The PERT Consortium’s Centers of Excellence Program as a Comprehensive Care Center!
This official accreditation highlights UPMC's commitment to leading the way in pulmonary embolism treatment and enhancing patient care. #CentersOfExcellence#PE
Get Started: bit.ly/3EZUEic
Diltiazem Deficiency Disorder? 🙅🏾♀️
A gentle reminder that not every patient with rapid afib/flutter should be treated with the diltiazem death challenge
⭐️Think twice before ordering diltiazem if you haven’t looked at the EF
⭐️Unstable? ⚡️shock!
⭐️Stable? 🛑Consider alternatives
🎉 Exciting news!
📢 Thrilled to announce that #USC is now the official journal of @CardioNerds! Partnering with @RadcliffeCardio is a game-changer.
As Editor-in-Chief, I'm honored to lead this collaboration with the shared mission to democratize CV education & publishing!
🆕 #JACC state-of-the-art review highlights a shift toward a more tailored approach in the management of stable angina by performing a precise endotype diagnosis in patients with INOCA.
👀 Read more: bit.ly/3X6Ttr9
Lots of wonderful discussion on CS care. @AdnanKhalifMD discussing PE-Shock, should be reverse guideline priorities? @tristonsmithmd gave great insights on how centers need to balance multi-disciplinary teams & balance workload. @jafwlr@Raj__Ramanan share UPMCs team approach!
Another excellent Western Pennsylvania Cardiogenic Shock symposium today. Great content. Excellent discussions. Happy to see all the efforts being put into improving systems of care for cardiogenic shock patients in the Western PA región. #waronshock#shockisinDanger
Shock care is challenging but recognize the phenotype matters!
▶️ Compensatory mechanisms
▶️ Chance for recovery
▶️ Reasons for hypoperfusion/organ damage
⭐️ Stratifying patients early allows us to determine the best treatment strategy