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Ventriculoarterial coupling ( #VAC ) determines the harms and benefits of hemodynamic therapies.

VAC describes cardiac efficiency, and offers a complementary perspective to CO, MAP and tissue perfusion.

Let’s try to understand it🧵
#FOAMcc #FOAMed #MedTwitter #CardioTwitter

My first experience with the Inari FlowTriever embolectomy device for pulmonary embolism, very satisfying to instantly remove clot burden and see the hemodynamic improvement! #MassivePE #obstructiveshock #whoosh

Hemodynamic optimization following ROSC.
youtu.be/zdiVUIu3OCM

The RVOT or PA Doppler has a lot of underutilized potential for hemodynamic monitoring of the RV #ThePeoplesVentricle

🧵On the physiology of the RVOT/PA Doppler. Simplified understandings. Corrections are welcome!😃
#FOAMcc #EchoFirst #Cardiotwitter #FOAMed #Medtwitter #POCUS

Another example of the hemodynamic effect of REBOA during OHCA

sciencedirect.com/science/articl…

Cerebral hemodynamic effects of Head-up CPR in a porcine model - ScienceDirect sciencedirect.com/science/articl…

🔴 Hemodynamic Management of Cardiogenic Shock in the Intensive Care Unit : STATE OF THE ART #2024Review #openaccess

jhltonline.org/article/S1053-…
#Cardiology #medical #CVD #MedEd #medtwitter #CardioEd #CardioTwitter #medicinestudent #CardioEd #medicinestudent #CardioTwitter

🧔🏽56y.Diaphoresis+dyspnea.1 EKG 2hrs,2EKG 6hrs. Alteplase 💉failed. Rv extension,DK, 3rd AV block, cardiogenic shock.Rescue PCI, temporary pacemaker, radial,whisper wire,🎈2.5x20,flow recovery, nimodipine and epinephrine IC 10min, hemodynamic improvement, 2 stent. 🍻for the team

🔄❤️‍🩹 HEMODYNAMIC effects of
➕🫁 Positive End-Expiratory Pressure

🔬 CO Critical Care journals.lww.com/co-criticalcar…

💡 #BackToBasics 📚 #Review

🎆 #FreeArticleOfTheWeek 🎆

Physiological responses to 9 hours of heat exposure in young and older adults. Part I: Body temperature and hemodynamic regulation

Robert D. Meade, et al.
▶️ ow.ly/pcfq50RomvV
#JAPPL HEPRU uOttawa Robert D. Meade Greg McGarr

What a completion angio after a transcaval procedure should look like- “funnel” aortocaval fistula with no hemodynamic sequelae

NephroPOCUS Nick Mark MD Eduardo R Argaiz Matt Siuba Ritu Thamman MD Katie Wiskar Pulmonary-POCUS 6/

Bonus reading:-

🔗 ncbi.nlm.nih.gov/pmc/articles/P…
🔗 ncbi.nlm.nih.gov/pmc/articles/P…
🔗 pubmed.ncbi.nlm.nih.gov/25392034/
🔗 ccforum.biomedcentral.com/articles/10.11…
🔗 ccforum.biomedcentral.com/counter/pdf/10…

Congratulations, Adrian! Another crucial piece in unraveling the mysteries of physiology. I'm eager to share my 'pensées et réflexions' on this point
Hemodynamic vs tissue congestion ....

#echofirst 👀intraoperative TEE in a patient with prosthetic MV endocarditis 😬undergoing surgical re-MV-replacement 👉Train your 🧠 to switch from 2D in 3D 🫣locating the small PVL otherwise w/o any hemodynamic significance #3DTEE

🫘Management of sepsis related AKI

🤷‍♀️Till now supportive management 👇Hemodynamic optimization/RRT

✅Alkaline phosphatase is emerging 🆕 therapy for AKI

👍Enzyme with anti inflammatory effects-⬇️ AKI

NDT

academic.oup.com/ndt/advance-ar…

“1/4 “Hemodynamic Collapse💥🫀⚡️in the Cardiac Cath Lab: Prepare, Prevent, Manage, and Recover…” (Part 1): citoday.com/articles/2024-……

🔥 #Tweetorial on 'Invasive Hemodynamic Assessment for Constrictive Pericarditis'👇

Rule of 3s 🦢👁️
🔹3 RA findings
🔹3 RV findings
🔹3 simultaneous LV-RV findings
🔹3 miscellaneous findings

#CardioTwitter #Cardiology #ACCFIT BCM Cardiology American College of Cardiology Texas Chapter - ACC SCAI Now

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To wean or not to wean tMCS
❣️assess readiness to wean everyday
❣️keep in mind potential complications
❣️initial illness severity matters!
❣️don’t forget the value of echo
- LVOT VTI
-lateral e’ during ECMO weaning
❣️create your algorithm with clinical, hemodynamic and lab data

Check out our 📝 in MyJSCAI on outcomes of TAVI in hemodynamic subtypes of AS. Jefferson Cardiology Fellows. Thanks Alec Vishnevsky MD, FACC FSCAI Mohamad Alkhouli Khawar Sana Maryam Mukhtar Salman Zahid Link: authors.elsevier.com/sd/article/S27…