Cory D.’s Post

Respiratory Variability of Tricuspid Regurgitation. 1. TR velocity variability with respiration indicates severe TR.  In this case TR appeared moderate on color flow map but respiratory variability indicates that it is severe.  Resource: A difference in TR velocity ≥0.6 m/s had a sensitivity of 66%, specificity of 94%, positive predictive value of 92%, and a negative predictive value of 74% for diagnosing severe TR Excessive respiratory variation in tricuspid regurgitation systolic velocities in patients with severe tricuspid regurgitation. European Heart Journal - Cardiovascular Imaging, Volume 14, Issue 10, October 2013, Pages 957–962 2. We are not sure which velocity to take measurement: lowest, highest or mean. Should be end inspiratory thus highest. Literature recommends; The mean of systolic pulmonary pressure was estimated using the mean of peak systolic TR velocity in inspiration and expiration Resource: Pathophysiology of Tricuspid Regurgitation Quantitative Doppler Echocardiographic Assessment of Respiratory Dependence. Yan Topilsky et al Circulation. 2010;122:1505–1513 #echocardiography #Tricuspid #Regurgitation #Pulmonary #velocity #diagnosis #echosingh #prime

https://lnkd.in/dYj_6DHT Patients with ischemic heart disease commonly experience angina, which is caused by a mismatch in oxygen supply and demand, and often precipitated by exercise [4]. Angina pectoris can be incapacitating and have an adverse effect on a patient's quality of life (QoL), including their emotional well-being and ability to engage in physical activity [5,6,7]. read more here: https://lnkd.in/dJrj236c

❄️ Uncover the latest insights with Prof. Shiyue Li from The First Affiliated Hospital of Guangzhou Medical University, China, as he delves into "Cryobiopsy for Interstitial Lung Diseases." Don't miss this illuminating session shedding light on innovative diagnostic approaches. Tune in now! #PulmonologyOnAir2023 #MedicalInnovation #LiveNow 🌐🔬 🔗

Patients with silent myocardial ischemia, or silent MI, are at risk for poor outcomes. The first step in managing these patients is identifying them, and diagnostic ECG has a clear role to play, as ST-segment changes provide objective evidence of reduced blood flow to the heart. #ePeeps #DCARInsights #cardiology

Heartbreak is more than just emotional! Learn more about Broken Heart Syndrome with Dr. Jezreel L. Taquiso, ManilaMed Cardiology Consultant. Watch the full episode from #Brigada, click here: https://lnkd.in/gs28nhbZ #ManilaMed #Feelbetter

Patients with silent myocardial ischemia, or silent MI, are at risk for poor outcomes. The first step in managing these patients is identifying them, and diagnostic ECG has a clear role to play, as ST-segment changes provide objective evidence of reduced blood flow to the heart. #ePeeps #DCARInsights #cardiology

Patients with silent myocardial ischemia, or silent MI, are at risk for poor outcomes. The first step in managing these patients is identifying them, and diagnostic ECG has a clear role to play, as ST-segment changes provide objective evidence of reduced blood flow to the heart. #ePeeps #DCARInsights #cardiology

Refined risk stratification for acute pulmonary embolism has emerged as a top clinical and research priority. How do we figure out who will deteriorate? Who should receive reperfusion therapy? Check out this perspective on another approach to risk stratification from my team published in Circulation: Cardiovascular Interventions!

Meet our resilient 64-year-old warrior who faced the daunting challenge of Aortoarteritis, a rare and painful inflammatory condition affecting multiple arteries. For over four weeks, she endured excruciating pain in her left arm, initially nagging but progressively debilitating. The coronary angiography uncovered a 50% blockage in her coronary artery, providing the long-sought explanation for her ongoing pain. In early August, the patient met Dr. Ritu Bhatia, who found no pulse in the left arm. A CT Angiography diagnosed Aortoarteritis, a rare condition causing severe blockages, with the left subclavian artery 100% occluded. With remarkable skill and commitment, Dr. Bhatia performed a life-changing angioplasty and stenting procedure on the subclavian and right renal arteries at NM Wadia Institute of Cardiology. Only one day after the procedure, our strong-willed patient returned home, pain-free, and her blood pressure was balanced in both arms. Dr. Bhatia emphasizes the power of a thorough clinical examination in diagnosing complex disorders. This story underscores the incredible impact of expert care and timely intervention. #heartwarrior #rarediseaseawareness #medicalmiracle #patientsuccessstory #hearthealthpune #medicalmiracles

**Bronchopleural Fistula Repair** Bronchopleural fistula (BPF) is a pathological communication between the bronchial tree and pleural space.This clinical condition has high mortality and morbidity. The size and the time of occurrence of the BPF are major determinants of the clinical presentation but, patients often have infection-related symptoms like: -Fever -Cough with serosanguinous or purulent sputum First-line therapy should address any immediate, life-threatening conditions, for example, endobronchial contamination, pulmonary flooding, and tension pneumothorax. Bronchoscopic approaches have variable success rates but are typically more successful in those with small fistulas of less than 8 mm. Following fistula closure, patients should be monitored for clinical symptoms of recurrence with chest tube output and chest imaging. -Dr.Parikshit Thakare Consultant Pulmonologist Amravati (MH) #pulmonology #bronchoscopy #interventionalpulmonology