Cardiologista, ECG lover, eletrofisiologia, estimulação. 🫀
Brasil
Joined November 2024
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Bem vindo a minha página no X!
Resumos, dicas, comentários e opiniões sobre cardiologia, eletrofisiologia, arritmias e ECG.
Lembre-se que os posts devem ser usados apenas como auxílio e a conduta médica depende do assistente.
Se gostou, deixa seu like!
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Dr. Vinícius Beleze retweeted
(1/3) The hemodynamic interfaces paradigm proposed by @ThinkingCC et al. is probably the most comprehensive paradigm for assessing shock.
Not going to lie, its a bit complicated.
I comprehensive calculator with theory and practice tips to help you understand the interfaces as part of a NEW project ShockCalcs👇
Dr. Vinícius Beleze retweeted
After atrial fibrillation ablation, left atrial appendage closure was associated with a lower risk of bleeding than oral anticoagulation and was noninferior to oral anticoagulation with respect to clinical outcomes at 36 months. Full OPTION trial results and Research Summary: nej.md/3Oben2U
ALT The New England Journal of Medicine Left Atrial Appendage Closure after Ablation for Atrial Fibrillation A Research Summary based on Wazni OM et al. | 10.1056/NEJMoa2408308 | Published on November 16, 2024 Visual representations of the patients in the trial and the treatments they were assigned. Read the full Research Summary at NEJM.org.
🚨 90 yo, palpitations and chest discomfort for two days.
Inicial ECG and right after adenosina 6 mg infusion. 💉
What is the mechanism of the tachycardia? 🤔
#ECG #Cardiology
@Frances98392343 @Willis_Kwandou @ecgrhythms @Ecgloverr @ecgandrhythmRoe
🔎 What is the possible rhythm displayed on the monitor?
Next to it, the ECG after spontaneous arrhythmia reversal.
#cardiologist #Cardiology #Heart #FOAMed #CardioEd
Thank you all for your participation!
The monitor reveals a wide QRS tachycardia with variations in QRS morphology, suggesting a diagnosis of polymorphic VT.
The post-event ECG shows a prolonged QT interval, indicating that the rhythm was likely TdP (Torsades de Pointes).
Previous ECG with a normal QT interval.
Causes of acquired LQTS:
1. Electrolyte disturbances (Mg, K, Ca)
2. Drugs or medications
3. Ischemia
Treatment of TdP in acquired LQTS:
1. Remove (when possible) the cause of QT prolongation
2. IV magnesium (2 g over 15 minutes if the patient has a pulse; otherwise, administer as a bolus over 1–2 minutes) – repeat the dose if necessary (max: 4 g)
3. Other treatments (less evidence): IV potassium supplementation, class Ib antiarrhythmics.
sciencedirect.com/science/ar…
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Genetic alterations 🧬 and phenotypes 🔬 of ventricular depolarization ⚡ and repolarization changes ❤️🔥.
From: Giudicessi JR, Ackerman MJ. Calcium revisited. Circ Arrhythm Electrophysiol. 2016;9:e002480
#Genetics #Cardiology #HeartHealth #VentricularFunction #Depolarization #Repolarization #Calcium #Research
Pretreatment with Oral P2Y12 Inhibitor in current era:
⬆️ High risk of 🩸 without reduction in thrombotic events.
doi.org/10.1093/eurheartj/eh…
#Cardiology #FOAMed #MedEd #cardioX #sca
This condition is the main indication for a pacemaker! 🩺⚡
It has an incidence of 0.8 per 1000 person-years, being more common in the seventh to eighth decade of life. 📈👵👴
It can manifest in various ways, but syncope is the most characteristic. 😵💫
In this trend, you'll learn more about sick sinus syndrome (SSS)! 🫀💡
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Treatment = Pacemaker implantation in symptomatic patients 🛠️⚡
⚠️ Attention:
1⃣ Programming in DDDR mode 🖥️⚙️
2⃣ Avoid unnecessary ventricular stimulation ⛔🫀
3⃣ Pacemaker implantation does not reduce mortality 🪦🚫
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Follow for more!
#Cardiology 🫀 #Pacemaker ⚡ #MedicalEducation 📚 #ECG 📈 #Arrhythmias 💓 #SickSinusSyndrome 🧠 #Medicine 🩺 #HeartHealth ❤️ #Electrophysiology ⚡ #Syncope 😵💫
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Dr. Vinícius Beleze retweeted
The new #EHRA_ESC online course on SVT is now published on the ESC eLearning platform @escardio
@ftrae
🖇️escelearning.escardio.org/tr…
Lear how to:
1⃣Identify and differentiate between various forms of SVTs🔍
2⃣Implement effective SVT ablation techniques
3⃣Current guidelines and best practices🫀