chrisperl MD cardiologist @ChrisperlMd
Joined May 2019-
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#cardiology prior shortens of breath
Biggest atrium ever seen 900ml. You think Feasible triclip?
Simultaneous SAX view of mitral and tricuspid valve on TTE.
Left side daughter, ride side father ..!!
You are all right. Thanks. I’ve forgotten a question mark.
Short-axis view of tricuspid valve by 2D echo
Enough space for everybody
@ChrisperlMd @FahmiJFarah Thanks for your comments
SABOURETCardiologist @SABOURETCardio
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4/4 - Postscript These are an example of "sympathetic T-waves". For more information, see this thread on another example of sympathetic T-waves: cerebral T-waves. x.com/tony_breu/stat…
1/16 🤔Why does subarachnoid hemorrhage lead to deep/inverted "cerebral T-waves"? This ECG finding is so dramatic. But as we will see, these patients often have normal hearts. Why does an issue in the brain manifest on a test of the heart?
2/4 - The Answer 🧠B1 (thiamine) deficiency!🧠 The ECG is from a 49-year-old who presented with Wernicke’s encephalopathy secondary to B1 deficiency. An MRI showed abnormal signal in the thalamus, mammillary bodies, and periventricular gray matter. twtr.to/BXfK
🧵👇 70 y F, affected by GPA (granulomatosis with poliangiitis called Wegener's), referred to our centre for SOB, swelling lower limb and plethoric IVC. Are u thinking Constrictive Pericarditis ⚡️? Let's try to confirm this diagnosis step by step #echofirst @AJamilTajik @JaeKOh2
#Timing of #Mitral #Regurgitation Early systole Late systole Holosystolic Biphasic #color #doppler #echofirst h/t @BonitaEcho
Since starting Pedi echo, I dream about this…. Dead serious. I dream about MR. I’d give my right eye for a good PISA 🤷🏻♀️
Do you know Flail Mitral Valve in Rheumatic Heart Disease?
This is what a MASSIVE pulsating aortic aneurysm looks like! Courtesy: @drcarlosaugusto #FOAMed
🫀Amazing Video of a Ventricular Free Wall Rupture! Via @Julio_Farjat #MedTwitter #CardioTwitter #RadialFirst
Beautiful Burgas, Bulgaria 🥰 where are the #echofirst tour guides? @KardiologieHH @NMerke @WorldEcho2 @doctstefania @ZainabDakhil2 @EchoSoliman @mirvatalasnag @iamritu @biljana_parapid @ANazmiCalik where ll be the next station for the #echofirst or #Cardiotwitter ? Barcelona?
Perforated cuspal aneurysm of #AV following infective endocarditis presenting as complete heart block: a case report and review of literature academic.oup.com/ehjcr/article/… #EHJCaseReports #echofirst @KardiologieHH @aayshacader @TJ_Yeo @ANazmiCalik @FarhanaAra @cfcamm @EHJCREiC
The 3rd Bulgarian National Cardiovascular Imaging Congress was completed with great success. Thank you very much for the kind invitation and wonderful organization prof.dr. Krasimira Hristova. See you soon 💫@WorldEcho2 @iyacpeople #echofirst #Cardiotwitter
With the great @ManiVannanheart in Lecce for next projects togheter! 🔝
I am beyond blessed to officially announce that I will be attending Harvard Medical School to pursue my medical education. This island girl is going to be a doctor and I’m doing it at my dream school! 🇸🇽❤️