cardiology
Education
Suicide Left Ventricle Following TAVR
Calcific aortic valve stenosis causes the left ventricle (LV) to adapt to chronic pressure overload over time. Classically, this involves left ventricular hypertrophy resulting in diastolic dysfunction.
After a transcatheter aortic valve replacement (TAVR), the...
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Medical
AirTagging My Stethoscope
When I'm on service as an intensivist, I have a knack for misplacing my stethoscope somewhere in the CVICU or OR. Every now and then, I'll have to retrace my steps from room-to-room looking...
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Education
My Transesophageal Echocardiography (TEE) Sequence Of Views
As a cardiothoracic anesthesiologist and intensivist, transesophageal echocardiography (TEE) is a powerful cardiac imaging modality I perform in the OR during cardiac surgery and in the cardiovascular ICU when point-of-care ultrasound is not feasible...
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Education
Complete (3°) Heart Block EKG
Complete (3°) heart block (CHB) occurs when atrial signals do not reach the ventricle; therefore, the atria (P-waves) and ventricles (wide QRS complexes) pace themselves independently of each other. Symptoms can range from fatigue...
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Pharmacology
Cangrelor
Cangrelor (Kengreal) is an intravenous P2Y12 platelet inhibitor which is run as a continuous infusion. Unlike clopidogrel (Plavix) which is a prodrug requiring conversion to an active metabolite, cangrelor is already active and has...
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Education
Left Atrial Myxoma
Myxomas are the most common primary, benign cardiac tumors occurring. They typically occur in middle-aged adults with a higher incidence in women. Most commonly, myxomas are located in the left atrium (LA). Large myxomas...
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Education
Left Ventricular Pseudoaneurysm
A left ventricular (LV) pseudoaneurysm is an LV outpouching devoid of myocardium/endocardium contained by the pericardium and adhesions. As one can imagine, this pathology carries a high risk of rupture and mortality. LV pseudoaneurysms...
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Pharmacology
Visipaque
Iodixanol (Visipaque) is an iodinated intravenous (IV) contrast agent which is iso-osmolar with plasma. Unlike the non-ionic monomer iohexol (Omnipaque), Visipaque is a non-ionic dimer; however, both agents are routinely utilized for angiography, venography,...
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