mandeep singh
@mandeep_mayo
Professor of Cardiology @MayoClinic; Interventional cardiologist with passion for aging research. Proud dad and husband. All opinions my own.
Pre-procedure angiogram, done at an outside institution.
All you need to know about iatrogenic coronary perforations.

No one wants to relive this nightmare! What are the possible reasons for this outcome?
Pledge not to intervene before giving IC NTG. This patient had MINOCA, an important etiology of AMI, especially in the young. ahajournals.org/doi/10.1161/CI…
55YM presented with anterolateral STEMI. H/O prediabetes, hypertension and hyperlipidemia. Troponin 5,573ng/L. How would you approach the lesion in the LAD?

5 “H”s to be a good “Human” being 1: Humble, Be 2: Honest, Be 3: Humane, Be 4: Humility, Show 5: Humanity , Serve
You can calculate PCI risk in the EMR before patient goes for angiography. Four in-hospital adverse events (death, stroke, bleed, AKI) following PCI predicted with excellent discrimination from a few pre-procedural variables.

We are so close! PCI Risk calculations can be done automatically with EMR Automated Real-Time Percutaneous Coronary Intervention Risk Model Leve... sciencedirect.com/science/articl…
Hemodynamic Series 12 How would PA pressures differentiate Group 2 (secondary to left heart disease) from Group 3 (lung disease) pulmonary hypertension?

Three interventions that you can do in cath lab to bring out hemodynamic significance of a stenotic lesion.

Not all gradients are created equal. Helpful tips towards recognition of HCM.

Always confirm Pulmonary Capillary Wedge Pressure with Oxygen Saturation.

Everything you need to know about apex beat Answer to yesterday's trivia.

Trivia Clinical examination can provide a wealth of information. Here are 5 frequently-encountered patterns of apex beat.

sciencedirect.com/science/articl… 🔷AKI incidence ⬆️ to 10% 🔷Hemodialysis rate 1% 🔷In-hospital mortality 10% 🔷10 y mortality 80% Call to action to find solutions for this complication that is steadily increasing with devastating outcomes. @ChetRihal
Some pitfalls to avoid when measuring gradient across the aortic valve

Carabello sign * In patients with critical AS. * Catheter (7F/8F) across the valve will cause further obstruction to outflow. * This sign occurs in valve areas of <0.7 cm2.

Hemodynamics Series 3 It is all about waves (a and v) and a descent (y)
