Forwarded from اتچ بات
📚📖#آموزشی : 📚📖
🚩#Quiz Of The Week
* #ESCardioEd challenge by Dr Umberto Barbero and team, Santissima Annunziata Hospital of Savigliano, ASLCN1, Savigliano, Italy.
✳️ After two days from an episode of acute pain in the left shoulder, which radiated posteriorly and lasted one hour then slowly vanished, a 74 years-old lady reported the episode to her General Practioner who asked for an ECG (figure below). She was referred to the emergency department where echocardiography showed severe impairment of left ventricular function with mid-apical akinesia and hyperkinetic basal segments, with a giant thrombus in the apex (video in the comments section). She was taken in our Intensive Cardiac Unit and she was treated with diuretics, heparin, aspirin, beta-blockers and ticagrelor and prepared for coronary angiography.
What's the diagnosis?
1. Late anterior #STEMI presentation, by then asymptomatic
2. #Brugada Syndrome
3. #Takotsubo syndrome
4. Dilated #Cardiomyopathy with embolizing left ventricular apical thrombus
✅ #مشاهده_تصویر 👇
📄📄در #نظرسنجی شرکت کنید 📄📄
📌#پاسخ فردا در همین کانال 👇
🖥 air.ir/ZHm3R
✨ Join Us✨
📲 @IRathero 💫
🚩#Quiz Of The Week
* #ESCardioEd challenge by Dr Umberto Barbero and team, Santissima Annunziata Hospital of Savigliano, ASLCN1, Savigliano, Italy.
✳️ After two days from an episode of acute pain in the left shoulder, which radiated posteriorly and lasted one hour then slowly vanished, a 74 years-old lady reported the episode to her General Practioner who asked for an ECG (figure below). She was referred to the emergency department where echocardiography showed severe impairment of left ventricular function with mid-apical akinesia and hyperkinetic basal segments, with a giant thrombus in the apex (video in the comments section). She was taken in our Intensive Cardiac Unit and she was treated with diuretics, heparin, aspirin, beta-blockers and ticagrelor and prepared for coronary angiography.
What's the diagnosis?
1. Late anterior #STEMI presentation, by then asymptomatic
2. #Brugada Syndrome
3. #Takotsubo syndrome
4. Dilated #Cardiomyopathy with embolizing left ventricular apical thrombus
✅ #مشاهده_تصویر 👇
📄📄در #نظرسنجی شرکت کنید 📄📄
📌#پاسخ فردا در همین کانال 👇
🖥 air.ir/ZHm3R
✨ Join Us✨
📲 @IRathero 💫
Telegram
attach 📎
Forwarded from اتچ بات
📚📖#آموزشی : 📚📖
🚩#Quiz Of The Week
* #ESCardioEd challenge by Dr Francesco Petracca and team, Cardiocentro Ticino Institute, Lugano, Switzerland.
✳️ A 44-year-old woman with history of drug addiction and cirrhosis related to chronic hepatitis C infection, presented to the out-patient clinic with severe right-sided heart failure. She underwent partial tricuspid valve resection and De Vega annuloplasty in 2001 for infective endocarditis and in 2009 a tricuspid #valve_replacement with a Carpentier-Edwards Perimount Magna 31 mm valve, for symptomatic severe tricuspid regurgitation recurrence.
Transthoracic #echocardiography on admission showed degeneration of the bioprosthetic valve.
The heart team decided to proceed with a trans-jugular implantation of a new valve in view of the patient’s overall frailty and significant comorbid conditions.
The preoperative computed tomography showed total occlusion of the internal jugular vein up to the subclavian vein confluence (figure 2 below), making this vascular access route unsuitable.
What #vascular access would you choose?
✅ #مشاهده_تصویر 👇
📌#پاسخ فردا در همین کانال 👇
🖥 air.ir/ZHmbR
🖥 air.ir/ZHmcR
✨ Join Us✨
📲 @IRathero 💫
🚩#Quiz Of The Week
* #ESCardioEd challenge by Dr Francesco Petracca and team, Cardiocentro Ticino Institute, Lugano, Switzerland.
✳️ A 44-year-old woman with history of drug addiction and cirrhosis related to chronic hepatitis C infection, presented to the out-patient clinic with severe right-sided heart failure. She underwent partial tricuspid valve resection and De Vega annuloplasty in 2001 for infective endocarditis and in 2009 a tricuspid #valve_replacement with a Carpentier-Edwards Perimount Magna 31 mm valve, for symptomatic severe tricuspid regurgitation recurrence.
Transthoracic #echocardiography on admission showed degeneration of the bioprosthetic valve.
The heart team decided to proceed with a trans-jugular implantation of a new valve in view of the patient’s overall frailty and significant comorbid conditions.
The preoperative computed tomography showed total occlusion of the internal jugular vein up to the subclavian vein confluence (figure 2 below), making this vascular access route unsuitable.
What #vascular access would you choose?
✅ #مشاهده_تصویر 👇
📌#پاسخ فردا در همین کانال 👇
🖥 air.ir/ZHmbR
🖥 air.ir/ZHmcR
✨ Join Us✨
📲 @IRathero 💫
Telegram
attach 📎