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Don’t Fixate On Low Ejection Fraction!

Early in my training as a medical student and intern, it seemed that all people ever cared about on an echo report...

My Perioperative Transesophageal Echocardiography (TEE) Image Acquisition Sequence

According to the guidelines from the American Society of Echocardiography (ASE) and Society of Cardiovascular Anesthesiologists (SCA), a comprehensive transesophageal echocardiographic (TEE)...

United Network for Organ Sharing (UNOS) 2018 Heart Transplant Listing Guidelines...

Here's a table I created that summarizes the classification for patients awaiting a heart transplant. Gone are the days of "status 1A,...

Alteplase

Alteplase (recombinant tissue plasminogen activator, tPA) is a potent intravenous fibrinolytic (“clot buster”) used for everything from acute ischemic strokes and clearing...

Intracardiac Echocardiography (ICE)

Intracardiac echocardiography (ICE) allows cardiologists to visualize cardiac structures (aorta, valves, pulmonary veins, chambers, etc) from an ultrasound catheter usually threaded into the right...

ABOUT RISHI

I'm a double board certified adult cardiothoracic anesthesiologist and intensivist looking to improve medical education, diagnostics, and patient safety while promoting team-based, patient-centered care.

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