Richard Sohn MD retweeted
1/ MYOCARDIAL BRIDGES (MBs)
ANOCA mechanisms:
- Slow early diast relaxation
- Diast vessel restriction +/- neg remodeling
- Branch steal (Venturi effect)
- Proximal atherosclerosis
- Associated vasospasm, CMD (common!)
(see next for MINOCA)
Richard Sohn MD retweeted
1/ Step-by-step
“CORONARY FUNCTION TESTING” for #ANOCA #INOCA
PREPARATION:
1. Hold all vasodilators for 48 hours (exceptions = hydralazine, clonidine, doxazosin)
2. Hold caffeine for 24 hours (for adenosine)
#CardioTwitter
Richard Sohn MD retweeted
Nice case @RSohnMD @jl35wilsonMD and agree similarities to the Acute Mechanocardiac Coronary Artery Disruption hypothesis #AMCAD
nitter.gq/rajivxgulati/status/17…
Richard Sohn MD retweeted
1/ Thanks @jdrwilcox. Yes, more comfortable doing this as a CTO IC. Here's my approach:
1. Anticipate #SCAD before cath
2. Avoid aggressive catheter engagement
3. Gentle injections w/ limited views
4. Leave nearly all lesions alone
5. When to PCI? See next ...
#CardioTwitter
Richard Sohn MD retweeted
An OCT conundrum during PCI - how did one coronary lesion become three lesions by OCT? 🤔
View this case presented by @RSohnMD - originally shared on Twitter & selected by @Ortega_Paz for publication on PCRonline.
ow.ly/gsUm30sffYM #cardiotwitter #cardioed
Richard Sohn MD retweeted
"Towards a common pathway for the treatment of left main disease: contemporary evidence and future directions" by @MilasinD18 and @GoranEBC
bit.ly/3m2rVQN
Richard Sohn MD retweeted
To avoid a climate disaster, we need to eliminate emissions from the ways we create electricity, grow food, make things, move around, and heat and cool our buildings. It won’t be easy, but I believe we can do it. This book is about what it will take. gatesnot.es/2ZdYWO2
Richard Sohn MD retweeted
This is for the healthcare workers on the frontlines — the Sarabande from Bach’s Cello Suite No. 3. Your ability to balance human connection and scientific truth in service of us all gives me hope. #songsofcomfort
Richard Sohn MD retweeted
Very nice algorithm for management of SCAD using CTO skills and imaging first techniques!
We published 2 cases treated with this technique. This one is the 3rd. casereports.onlinejacc.org/c…. @ChangeAtHeart @docsaw
Richard Sohn MD retweeted
Interesting case for friday afternoon. My last case of 2019. LAD/Dg bifurcation with very difficult SB access. “Streamline Reverse wire technique” followed by IVUS guided mini-crush. Hoping the best for all my #cardiotwitter friends.
Richard Sohn MD retweeted
What is the heart rate of the largest animal in the world–-the blue whale?
They measured it for the 1st time! With diving, 4-8 beats per minute (as low as 2). That's incredible.
pnas.org/content/early/2019/…
@PNASNews by @GoldbogenLab @Stanford w/ @Scripps_Ocean's Paul Ponganis et al
