#HFpEF is clinically under-recognized in obesity!

Circ: Heart Failure study by🌟Leah Kosyakovsky BIDMC CVI BIDMC CV Fellowship

~30% of people with obesity and dyspnea met hemodynamic #HFpEF criteria!

🏃‍♀️Exercise testing is key to unmask #HFpEF
bit.ly/3QJwheY

Very excited to share our work on the high burden of undiagnosed HFpEF in obesity, now out in Circ: Heart Failure!

Among research volunteers with obesity, dyspnea, and no known CVD, at least 1/3 had HFpEF newly uncovered on invasive CPET.

A 🧵:

bit.ly/3QJwheY

Patient with dyspnea and fever. Diagnosis?

65y gentleman
?Prior hx concerning MI
Chest pain and dyspnea
rhythm reverted to SR with DCCV

VT vs something else?
🫀EcgOxford Arnel Carmona David Didlake Nanashī 🫀 David Brun JMC Jagdish Singh Emerson Floyd Jay Savla Maruan C Chabbar

60 yr male with Dyspnea since a week , clinically was in failure . Echo showed this …. What is that probably ? Dr G Rajesh (Gopalan Nair Rajesh) Anish P G Dr Manish Bansal Edgar Argulian European Society of Cardiology

A man with extensive smoking history presents with dyspnea, cough, and upper extremity edema.

What sign is this? What is the most likely diagnosis?

39 yo woman. No CV history. Dyspnea for 3 months.
#echofirst

【skeb依頼絵】
ハリポタ転生夢主さんを描かせていただきました₍₍ (ง ˙ω˙)ว ⁾⁾
描いてるうちにどんどんイメージ膨らんで途中からロゴまで勝手に付けてしまった💪
ありがとうございましたー！

A 19-yo female with CKD on hemodialysis presented with dyspnea. No fever but positive blood cultures (Serratia) and elevated WBC. A TTE shows biventricular dysfunction (LVEF of 12%) and this image at the catheter tip #echofirst #CardioTwitter

this is the saddest screenshot I’ve ever taken

📝𝘾𝙇𝙄𝙉𝙄𝘾𝘼𝙇 𝙌𝙐𝙄𝙕

📙A #pale looking ♂️(post total gastrectomy) p/w fatigue, dyspnea,loss of proprioception & peripheral paresthesia with a #beefy tongue

#Diagnosis ❓

A) Vitamin B12 deficiency
B) Diabetes mellitus
C) Multiple sclerosis
D) Aplastic Anemia

#medx

【らくがき】
ちび夢シート制作
やっぱりビロ、屋敷しもべ妖精描かせたら世界一だな（自画自賛）

A patient with progressive dyspnea and dry cough for 3 months. Chest X-ray reveals a “vanished heart”.

What is the diagnosis?

【らくがき】
通話でおしゃべりしてたらちまいのが増えていた

【らくがき】
こちらも久しぶりのアンブと部下夢レディ🎀

【らくがき】
久しぶりのクリーチャーと夢レディ

【らくがき】
ドラコと執事夢子とハチ🐝
時々うっかり庇っちゃう坊っちゃん
この後照れ隠しにしこたまキレられる執事

#NewCasesofSCMR : New Case of SCMR this week - 68 year-old female w/ dyspnea, chronic cough, and LVH on echo has these CMR findings. What are the possible differential diagnoses? What tests or procedures would you order to find the answer? #SCMRCases

Bad luck for this patient; after an AWMI a few years ago (currently no angina, no dyspnea) he suffered an intracranial hemorrhage 2 days ago; what do you see?
Caution! 50 mm/s

ゾロ目‼️1️⃣1️⃣1️⃣1️⃣