Discover and read the best of Twitter Threads about #cardioed

Most recents (3)

1/ A long thread on LifeVest. I promise it will be entertaining. If you find any inaccuracies please let me know.

Paper of VEST published here - will discuss background to WCD and #VEST but not the trial itself nejm.org/doi/full/10.10…
2/ In 2001, FDA gave approval to Lifecor for the first WCD. Later Lifecor was acquired by Zoll (2004 agreement, 2006 acquisition). Zoll maintains a registry for prescribed LifeVests. But lets go back to the FDA approval process.
3/ Lifecor presented 2 separate prospective studies to the FDA; WEARIT and BIROAD. FDA asked for both to be combined into 1 study, and each study representing a subgroup. A total of 289 patients were included.
Read 18 tweets
Heart Failure with Preserved Ejection Fraction #HFPEF Tweetorial! Once thought as just diastolic dysfunction, it is much more than that!
(picture credit @Medcomic) #HeartFailure #CardioEd
Why have we drawn a cut-off of 50% for rEF vs pEF? Well, this relates to older studies which showed that the risk of symptomatic heart failure increased significantly when your EF was less than 50%.
ahajournals.org/cgi/doi/10.116…
But is that still a relevant cut-off? Those with EF between 50 and 55% still have increased risk – and indeed EF has shown to correlate continuously with risk.
heartfailure.onlinejacc.org/content/4/6/502
Read 18 tweets
#FITSurvivalGuide Aortic Emergency style!
Will discuss presentation/dx/complications/tx for:
1. Aortic dissection💉
2. IMH❣️
3. PAU
4. Traumatic transection
5. Non-emergent aneurysm surgical cutoffs (because boards loves them!)

Hoping @keaglemd can share his expertise as well!
1/ Dreaded DISSECTION!
DeBakey and Stanford class⬇️
RFs: HTN, Male, age
Presents: Abrupt severe pain (chest or back)! Check both💪 BP
Dx: CTA>TEE>TTE
Complications: Propagation 2 RCC/RCA MI (think b4 going to cath lab!) pericardial eff (but try to avoid pericardiocentesis!)
Read 12 tweets

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