Early career IC attending. @MountSinaiHeart & @UmassChan alum. Imaging enthusiast. #radialfirst #ACCIC. Tweets my own, not medical advice or employer views.
Chicago, IL
Joined February 2018
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58/M with anterior STEMI, VF and cardiogenic shock. Now post LAD PCI and impella placement. Systolic blood pressure 100-110 post pci on Impella/ Norepi. 100 mL contrast used. Poll below. #cardiacarrest
What would you do with the RCA? @ShariqShamimMD @mandeep_mayo @LAzzaliniMD @adityadoc1 @Plumb22 @Angler_ICDoc @DrHambik @KimAtianzar @Pooh_Velagapudi
58%Immediate PCI
40%Staged PCI
1%Medical therapy
216 votes • Final resultsThere’s no ‘straight’-forward STEMi. Went in with Ikari guide via right radial for an inferior STEMi. This is the first picture. What would you do? @Plumb22 @Angler_ICDoc @mandeep_mayo @ShariqShamimMD @Pooh_Velagapudi @adityadoc1 @fischman_david @DrHambik @adam_ta1eb
55%Switch guides
9%Use extra support wire
28%Upfront guide extender
8%Workhorse wire and pray
486 votes • Final resultsDid exactly what @ShariqShamimMD had suggested. Guide extender into mRCA then wire with balloon support. I think lack of calcium helped!
Haven’t seen this in a while. Always fascinated by echo, and all there is to learn from it.
@Angler_ICDoc @md_harrington @ASE360 @VLSorrellImages @on_imaging
Rohit Malhotra retweeted
Harrington Heart and Vascular Institute @UHhospitals designated a ‘Gold’ Center of Excellence for #cardiooncology by @ICOSociety It’s a privilege to work with these amazing people. @shishem @EiranGorodeski @DanSimonMD @staceymazz
Rohit Malhotra retweeted
Sent for stress testing. Moderate antero-apical ischemia noted. Cath with significant 3 V CAD noted.
@GokhrooMd @Pooh_Velagapudi @UjjwalRastogiMD @taraloujones @CardioNerds @mlhtrohit @JadOmranIC @TTelila @drrahulpsharma @sahilparikhmd @FrederickWelt @Dr_DanMD @prathakker
Interesting MR jet on definity imaging. Never seen this before. Why does it show up like this? @md_harrington @purviparwani @AdedotunOgunsua @KimAtianzar
Rohit Malhotra retweeted
#SCAICardioQuiz 63 y/o F presents to cardiology clinic for chest pain evaluation. She has PMH of HTN, DLD, GERD, and Hypothyroidism. Nonsmoker. No premature CAD in family. Non exertional epigastric pain with knot like sensation felt.
Rohit Malhotra retweeted
#SCAICardioQuiz 68 y/o M with HTN, DM II presented with 3 days of chest pain. Had acute deterioration requiring intubation and pressor support in the ED.
@prathakker, @Pooh_Velagapudi, @UjjwalRastogiMD, @Umair2017, @taraloujones, @CardioNerds, @mlhtrohit, @JadOmranIC, @TTelila
Rohit Malhotra retweeted
NY/NJ area hospitals now REQUIRING staff to return to work w/ COVID after 5 days even if still symptomatic
Don't need 🧪(-) to return
HCWs will potentially give COVID to colleagues + patients
This is a moral insult that will retraumatize HCWs