Aortic Stenosis -Pitfalls

https://youtu.be/pTOLcteQAns

Tricuspid Regurgitation

The images are not of the best quality, poor actually but good enough to see why this patient has severe LE edema  and a  pulsating V- wave on neck exam ....but what's the cause ?
This is not a made up case , this was a former patient.

Position of Cardiac Devices on CXR

This website is a good review for placement and complication recognition of cardiac devices.

What surgery had the patient above done ? Patient seen this morning on admission and recent history of SBE.

Ischemic Stroke Risk In Patients with Non- Valvular Atrial Fibrillation

• • Ischemic stroke risk prediction is a cornerstone in the management of patients with atrial fibrillation.
• • The paper reviews the evolution of these risk scores, discusses their strengths and limitations, and appraises the emerging risk assessment tools and their incremental utility.
• • There is an unmet need for a comprehensive study incorporating various clinical, anatomic, and biophysiological risk factors to optimize our stroke prevention practices in patients with atrial fibrillation.

GARFIELD-AF Risk Calculator

GARFIELD -AF RISK CALCULATOR

GARFIELD-AF Risk Calculator

GARFIELD-AF Risk Calculator

Left Bundle Branch Pacing

• • Pathological damage in cardiac conduction system leads to symptomatic bradycardia and electric dyssynchrony and is associated with an increased risk for heart failure.
• • Traditional pacing modalities are nonphysiological, which may limit clinical response.
• • LBBP can bypass the pathological or disease-vulnerable region in the cardiac conduction system to produce near physiological or true conduction system pacing for patients in need of ventricular pacing for bradycardia or heart failure.

Mechanical Ventilation of the Very Obese Patient

His Pacing

I am posting this webinar in follow up to a case previously posted in the EKG pages ( RV apical pacing leading to acute MR and APE). I did not report the NT-pro BNP post RV apical pacing but it was 38,421 pg/ml.
With 4 L diuresis  in 24 hours,the patient improved but is sill not optimal and will need His spacing or BiV pacing/CRT-P