Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI @DrJayMohan Twitter profile | Pikagi

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

@DrJayMohan

15,460

Followers

743

Following

1,220

Media

8,345

Statuses

❤️CardiologyOnCall 📚Educator #Cardiotwitter enthusiast🖐🏽Tweets= opinion/not medical advice. not affiliated with MHC. follow me on IG: @cardiologyoncall

Michigan, USA

https://t.co/EX3TzQNgAe

Joined March 2018

Don't wanna be here? Send us removal request.

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

3 months

1/ It’s #July !! Welcome aboard new fellows! Over the next few days I’ll post things that will be helpful as you start your training! To start- a #tweettutorial on CATH LAB VIEWS! 🔑 LAO- left/right 🔑 RAO- ant/post 🔑 Cranial- distal 🔑 Caudal- proximal #Cardiotwitter

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

Buckle your seat belts and take a trip inside the heart! ↪️♥️ 🤖How cool is technology?!! #cardiotwitter #cardiology #technology #anatomy #foamed #cardiologyoncall #radialfirst #echofirst #whyMRI #medical #medtwitter #ACCFIT #medicine

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

1 year

#FellowBootcamp Sinus Rhythm and #EKGs I teach every fellow/resident to take the time to read each of their patients EKGs. It is the only way you will get any better. Stick to the pattern: RATE RHYTHM AXIS A common mistake is claiming “sinus rhythm is a P before every QRS.”

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

1 year

1/ It’s #July !! Welcome aboard new fellows! Over the next few days I’ll post things that will be helpful as you start your training! To start- a #tweettutorial on CATH LAB VIEWS! 🔑 LAO- left/right 🔑 RAO- ant/post 🔑 Cranial- distal 🔑 Caudal- proximal #Cardiotwitter

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

(1/22) Acute PE treatment. An ever evolving landscape. How about a #tweetorial on acute pulmonary embolism ( #PE ) and how to use mechanical #thombectomy with @InariMedical #FlowTriever ?? Lets goooooo! #InariFellowsEdition #IRad #IC #cardiotwitter Pic credit @jonathan_paulmd

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

It’s #July and we have new fellows! For all of you trying to learn #cath check out this video I made to help you with the views! My best piece of advice- look at as many films as possible! Repetition is what will give you success! #cardiotwitter #tweetorial #ACCFIT #radialfirst

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

2 years

It’s #July1 !! Welcome aboard new fellows! Over the next few days I’ll post videos that will hopefully be helpful as you start your training! To start- a tutorial on CATH LAB VIEWS! 🔑 LAO- left/right 🔑 RAO- ant/post 🔑 Cranial- distal 🔑 Caudal- proximal #Cardiotwitter

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

Why is Kussmaul’s Sign not seen in tamponade? Understand the pathophysiology! Start to put the waveforms ➕ echo findings➕ and physical exam all together! Cardiology is the best! #ACCFIT #CardiologyNerd #cardiotwitter #cardiology #kussmauls original video before my edits med.key

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

McConnell sign: 💔Regional right ventricular dysfunction in acute pulmonary embolism. The right ventricle (RV) is enlarged and right ventricular regional function is abnormal, with dyskinesis of the midwall region and relative sparing of the apex and base. #Cardiotwitter #PE

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

As I approach the end of my fellowship one important piece of advice for future IC fellows. Learn how to manipulate the guide! Wiring/balloon are the easy part. Controlling the guide and understanding how it reacts to moving equipment is what makes or breaks you! #cardiotwitter

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

Chest pain in an amazing illustration by @Cilein ! It’s not always cardiac! History and physical are your go to tools! The best way to figure out chest pain is talking to the patient! #cardiotwitter #cardiology #troponinmadness #chestpain #medicalart #accfit

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

6 years

I’m not sure who taught us all this concept of “P before every QRS” is sinus, but LETS END THE MADNESS!!Here’s a video of knowing P wave axis and why Sinus occurs even in the setting of AV dissociation! Please share with all our poor medical students! #CardioTwitter #ACCFIT #EKG

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

2 years

1/ For the fellows and #ACCEarlyCareer ! It’s a coronary thrombus! When to consider thrombectomy? What do you do? Let’s walk through this… #Tweetorial #Cardiotwitter #Cardiology #STEMI

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

RHC. Makes a difference when done right. Know the waveforms. Know the nuances. Troubleshoot. Garbage in=garbage out. When used properly your job will be easier. #Cardiotwitter @Visualmedapp #cardiology #swanganz #rhc #Medtwitter

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

MD vs DO? THERE IS NO DIFFERENCE. A good doctor is a good doctor. Find someone that cares about you and does everything to keep you healthy. If you are a #premed -take whatever path you are granted and run with it. You can be successful if you work hard and believe in yourself.

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

1 year

Here’s some amazing 3D recreations of the heart by @SciePro . The heart never ceases to amaze me!! Happy Saturday! What’s your favorite cardiac structure?? Mine is the mitral valve! …Also…I kinda have a love/hate relationship with the RCA! #Cardiotwitter #cardiology

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

3 years

Ebstein’s Anomaly 📌>8mm septal leaflet displacement 📌>50% of patient will have WPW (wolf Parkinson white syndrome) 📌>90% will have a interatrial connection (ASD/PFO) that can lead to cyanosis 📌 Right ventricular atrialization with severe TR #Cardiotwitter #Cardiology

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

9 months

#Whycardiology ? . . 💝 One of the best choices I made in life was to become a cardiologist. Honestly it’s what I’ve wanted to do my whole life. It’s been one hell of a long road. 4 years med school, 3 years #residency , 3 years cardiology, and 1 year IC #fellowship , but in the

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

Echo will always be a love of mine. It’s such a powerful tool and a vital element of cardiology. Here is one of my favorite echo signs! The RV continues to perplex me! What’s your favorite echo sign? #Cardiotwitter #McConnellsSign #PulmomaryEmbolism #echofirst #cardiology #ACCFIT

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

6 years

Little physical exam finding for the end of the week! Quinke’s Pulse in chronic severe AI! Many of the physical exam findings relate to the high stroke volume, widened pulse pressure, and rapid arterial pressure drop associated with chronic AI! #cardiotwitter #ACCFIT #cardiology

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

CMR 4D flow. Man what a site. Unlike Doppler echo or 2D cine PC-CMR, 4D Flow CMR acquisition includes ✔️measurements representing all directions and spatial regions of flow ✔️Pulsatile blood flow through the cavities of the heart and great vessels. #cardiotwitter #cardiology

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

🎥Check out this video I made showing the normal flow of blood towards and away from the heart! Credit V. Tatoo for the original picture.❓My favorite cardiovascular structure is the aortic valve and aorta! What’s your favorite part of the cardiovascular system? #cardiotwitter o

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

3 years

It’s the first real week of July so here’s my video on BASIC CATH VIEWS! First year fellows it’s going to feel impossible to learn everything cardiology has to offer, but don’t worry! Take your time and learn something new everyday! #Cardiotwitter #ACCearlyCareer #Radialfirst

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

How about a little #FOAMED on a #Friday !? Here’s a video on one of my favorite pathologies in cardiology! The mitral valve never ceases to amaze me! Enjoy! #SAM #SystolicAnteriorMotion #Cardiotwitter #SoMe #ACCFIT #Echofirst #whyCMR #radialfirst #cardiology #medicine #meded

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

LV GRAM KEYS 🔑 NEVER use an end hole catheter (risk of perforation 🔑 RAO 30 standard view. LAO if you want to assess septum/lateral wall/VSD 🔑 Power Injector- 6F PIG tail with 10cc for 3 sec. 800 PSI 0.5 rise (varies) 🔑 comment on WMA, size, MR grade, and misc findings

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

3 years

1/ Welcome to the first part of a #Tweetorial series on #VenousDisease . 🩸To begin how about we talk about the main player in the game- C.L.O.T. (and why you should care about it) #Cardiotwitter #Irad #fellows #fellowtwitter #medthread #clot #medtwitter #clottwitter

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

1 year

#Fellowbootcamp - Vascular Access! My goals in the Cath lab for a first year: 🛑Safety 🟢Access 😎Getting the RCA In the first couple of months of your training focus on these important concepts. Understand both #RadialFirst and #SafeFemoral ..ultrasound and micro puncture!

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

I know I’m IC but how about a little EP on this Wednesday! Here’s a rare disease you may not see everyday! 🅰🆁🆅🅲- ᴀʀʀʏᴛʜᴍᴏɢᴇɴɪᴄ ʀɪɢʜᴛ ᴠᴇɴᴛʀɪᴄᴜʟᴀʀ ᴄᴀʀᴅɪᴏᴍʏᴏᴘᴀᴛʜʏ! Enjoy! #Cardiotwitter #electrophysiology #cardiology #ACCFIT

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

Had some down time due to elective cases being cancelled. Here’s a video I made on #COVID19 and the Cardiovascular System! Thanks to everyone for sharing knowledge! #medTwitter has helped providers gain information on this novel virus quickly! #ACCFIT #Carfiotwitter #Cardiology

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

(1/)—🅰🆁🆃🅴🆁🅸🅾🆂🅰 🅻🆄🆂🅾🆁🅸🅰 ➡️Arteria Lusoria or aberrant right subclavian artery (ARSA) is the most common congenital arch anomaly in which the right subclavian artery originates from the descending aorta, distal to the left subclavian at the ductus arteriosus.

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

1 year

For the fellows! #FellowBootCamp ! Yes yes yes, trigger #EchoFirst peeps 😂 but that doesn’t mean never do LV gram! Gives more data/ useful in a pinch. 🔑 RAO 30 Projection (MC) 🔑 LAO for septum/lateral wall 🔑 Power injection (I like 10:3) 🔑 PIG tail always. Never end

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

2 years

Fellow boot camp- Vascular Access! My goals in the Cath lab for a first year: 🛑Safety 🟢Access 😎Getting the RCA In the first couple of months of your training focus on these important concepts. Understand both #RadialFirst and #SafeFemoral ..ultrasound and micro puncture!

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

9 months

PLAX- PARASTERNAL long axis. One of my favs . . . Here’s a great animation of the anatomy we can assess in the parasternal long axis view (PLAX). This is one of my favorite views (because it’s pretty easy to get) and can help you assess multiple structures in a pinch. . . To

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

⭐️No Reflow review: 💊IC nicardipine 50mcg (goal 400 mcg) 💊IC Adenosine (20 cc from 500cc mixed bag= 120mcg) (goal 100-200 mcg). REOPEN-AMI used adenosine 120mcg bolus followed by slow infusion of 2mg in 33ml saline over 2 min 💊IC Nitroprusside 50-300 mcg 💊IC Epi 100-400mcg

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

@DavidJuurlink @AkshitSharmaMD One of my favorite physical exam findings!

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

(1/)Let’s review venous insufficiency! Remember veins require valves and muscle tone to get blood back to the heart! Many of our patients suffer with chronic venous insufficiency daily! It’s vastly under diagnosed! Video credit- Brandon Seltzer animations #Cardiotwitter #Veins

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

(1/4) Bifurcation stenting! A tough concept to master! To those starting IC fellowship in a month focus on learning a provisional strategy (TAP) and then a good 2 stent strategy (i prefer DK crush), remember anatomy and situation always dictates what you do! @GoranEBC #ACCFIT

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

1 year

Name the abnormality!! Patient has WPW pattern on resting EKG #Cardiotwitter #WhyMRI #CMR #Cardiology

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

The cytokine storm. We hear so much about it but are we missing our window to treat it? When is the optimal time for IL-6 inhibition? How about steroids? Any other therapies being used? Discuss ⬇️! #Covid19 #frontlines #ACCFIT #coronavirus

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

Since it’s July 1st..how about a tweetorial video style on a tough but fascinating topic- ᴄᴏɴsᴛʀɪᴄᴛɪᴠᴇ 🅿🅴🆁🅸🅲🅰🆁🅳🅸🆃🅸🆂. Know the imaging and hemo’s for clinical practice and boards! #cardiotwitter #FITSurvivalGuide #ACCFIT #tweetorial #cardiology #july1

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

2 years

1/ SHOCKWAVE INTRAVASCULAR LITHOTRIPSY - a tweetorial! #IVL has been a game changer thus far in both the coronary and PAD space. Let’s discuss how we’ve gotten here and some observations/how-tos….. #Cardiotwitter @ziadalinyc @ShariqShamimMD @HadyLichaaMD @ShockwaveIVL

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

3 years

1/ #Tweetorial Part 2- Now its time to talk about…. CHRONIC C-L-O-T #VTE #DVT #Thrombectomy #Lytics #Cardiotwitter #IRAD #Medthread #Clot @CardioBot @RadialFirstBot @BotPci @EPeeps_Bot @TAVRBot @MedTweetorials @UjjwalRastogiMD @Umair2017 @Umair2017 @VenuVadlamudiMD

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

2 years

For the fellows! LV GRAM TIPS! Yes yes yes, trigger #EchoFirst peeps 😂 but that doesn’t mean never do LV gram! Gives more data/ useful in a pinch. 🔑 RAO 30 Projection (MC) 🔑 LAO for septum/lateral wall 🔑 Power injection (I like 10:3) 🔑 PIG tail always. Never end hole

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

Don’t be fooled! There are many patterns that are STEMI equivalents! Always trust your clinical presentation and ALWAYS get multiple EKGs! Image: JACC: Case Reports Babken Asatryan et al #ekg #cardiotwitter #cardiology #ecg #stemi #medicaleducation #foamed #some #radialfirst

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

2 years

#SafeFemoral Tips 🫳🏽Always palpate first (keeps ur skill) 🎥Floro hemostats at bottom 3rd fem 🔊Use ultrasound ALWAYS 💉Use micropuncture ALWAYS 🍭Sweet spot- above bi below epigast 🔎Floro micro wire up 📸Take a quick pic (optional) 💪🏽Stiff wire/glide sheath if needed

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

3 years

Diverticulum anyone?

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

8 months

How the 🆅🅴🅽🆃🆁🅸🅲🅻🅴 contracts.. . . . 💗Another great thing I picked up from Cardiothoracic surgery was understanding how the ventricles contract. The ventricle Is such a complex structure that we are learning more and more about. One thing that has helped us understand

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

Know the numbers. Know how to calculate them. #PVR #mPAP #DPG #TPG #PulmonaryHTN

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

2 years

1/ A tweetorial- Watchman Left Atrial Appendage Occlusion! #LAAO #Watchman #StructuralHeartDisease #EPeeps #interventionalcardiology @EPeeps_Bot @RadialFirstBot @EchofirstB @BotPci @TAVRBot

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

1 year

Here’s a nice M mode. Patient with severe SOB and fever. What’s the diagnosis?? @EchofirstB #echo #echocardiography

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

Stick to a pattern and always read your own images! For CXRs: A- airway B- bones C- cardiac D- diaphragm E- everything else One of the best lessons I was taught was to always look at my own images! You’ll pick up things that were missed! #Cardiotwitter #ACCFIT #radiology

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

2 years

Cath lab pro tip- always take another view! #Cardiotwitter

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

#Scleroderma a tough dz to deal with. In #cardiology it’s a dz that causes severe PAH, restrictive cardiomyopathy, and cor pulmonale. Don’t over diurese these patients, avoid TEEs and radial caths, and get them to a PAH specialist ASAP for combo therapy! #Cardiotwitter #Echofirst

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

10 months

2023 was an interesting year for me as a #DO I took over for our long term program director for the fellowship program. When the ACGME and AOA merged in 2018 one of their “requirements” was that all Program directors had to be ABIM certified. This negated my AOBIM

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

3 years

Anyone up for a game of pong??

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

It’s amazing how under treated most patients are. These doses will surprise many! We must do better at getting patients on real GOAL DIRECTED MEDICAL THERAPY! #HeartFailure #Cardiowitter #ACCearlycareer Source: @rxkeyslides

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

2 years

keys to the “unstable #plaque ” 🔑 TFCA (thin fibrous cap atheroma), <65 μm on OCT 🔑 Plaque Burden >70%; (100% x lesion atheroma area/lesion EEM area) 🔑 Positive remodeling index >1.04; (Lesion EEM CSA/Reference EEM CSA) 🔑 MLA<4 mm2 🔑 LCBI> 400 (LRP NIRS) #IVUS #OCT

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

1/2 Studying for #ICboards is making me review all my Noninvasive knowledge! I advise all of you out there that treat #PAD to learn how to interpret vascular! It helps so much with patient assessment as well as intraprocedurally! Here’s a video I made previously! #cardiotwitter

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

2 years

Fellow bootcamp- #RadialFirst ! Seems easy. Its easy. follow steps 2️⃣ finger breadths⬆️ rad styloid ❌Don’t give too much lido! 💉Thru and thru works ✈️Wire should fly, don’t push ✅ALWAYS use glide sheath 💊Give cocktail/don’t forget heparin ❌Don’t need Allen’s, +/- U/S

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

3 months

#Fellowbootcamp - Vascular Access! My goals in the Cath lab for a first year: 🛑Safety 🟢Access 😎Getting the RCA In the first couple of months of your training focus on these important concepts. Understand both #RadialFirst and #SafeFemoral ..ultrasound and micro puncture!

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

6 years

How about a #Tweetorial video style on how to assess a LE Physiologic study? It’s a great and cheap test to assess for PAD. Studying for #RPVI has really helped me understand the need for assessment for PAD! #ACCFIT #FellowsFirst #ACC19 #videotweetorial #cardiotwitter #cardiology

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

Let’s talk about an underutilized test, that doesn’t cost much, and gives us so much valuable OBJECTIVE data! Cardiopulmonary stress testing! Enjoy! #Cardiotwitter #cardiology #hearttransplant #heartfailure #ACCFIT #tweettorial #stresstest #echofirst #cardio #cardiologia

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

Great image of chest x-ray #anatomy . It amazes me how much imaging we do in #cardiology . Tip! To be a great #interventionalist you gotta master your anatomy and be a pro at imaging! Another amazing overlay by @TheRadiologyGuy ! #cardiotwitter #radiology #meded #foamed #imaging

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@DrJayMohan

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

MY LAST CALL AS A FELLOW...FOREVER!! And it was a no hitter! It’s pretty sick that I was hoping for a STEMI 😂 #AttendingLyfe #Cardtiotwitter #ACCFIT @DrAmirKaki @ShariqShamimMD @yourheartdoc1 @venkmurthy @HadyLichaaMD @DrMarthaGulati @LuaySayed @agtruesdell @ekgpdx @purviparwani

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

In 1946 Dr. Hugh Pemberton characterized a physical exam finding where a patient lifts both arms towards the head eliciting facial plethora and venous engorgement. Consider this a sign for SVC Syndrome! #ACCFIT #Cardiotwitter #PhysicalExamFirst #Cardiology #medtwitter #SoMe

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

3 months

For the fellows! #FellowBootCamp ! Yes yes yes, trigger #EchoFirst peeps 😂 but that doesn’t mean never do LV gram! Gives more data/ useful in a pinch. 🔑 RAO 30 Projection (MC) 🔑 LAO for septum/lateral wall 🔑 Power injection (I like 10:3) 🔑 PIG tail always. Never end

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

2 years

Can’t tell you how many times this device has saved me in my #ACCEarlyCareer In training I was all about large bore MCS but it came with a lot of access site issues etc. IABP has been a great tool especially as a bridge while you stabilize/escalate med therapy.

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

Studying for IC boards and amazed at how much #EchoFirst I’ve forgotten! Review on VSDs. 1️⃣: Perimembraneous ~80% (MC) 2️⃣: Muscular ~10% (aka trabecular) 3️⃣: Outlet ~6% (aka cristal, Subpulm, MC Asians,associated with AI) 4️⃣: Inlet ~4% (Downs Syn, complete AV defects, cleft MV)

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

2 years

Heart anatomy- a thing of beauty #Cardiotwitter

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

6 years

How about a little infectious disease on Monday? Underdiagnosed and clinically significant don’t forget to look for #Chagas Disease in your NICM! 30% will present 20 years after infection! LV gram credit to twitter (forgot where I got this). #Cardiotwitter #ACCFIT #SoME #FOAMed

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

2 years

HEYDE’S syndrome! The psychophysiology of how this syndrome occurs is amazing! 💓Sheer stress from severe AS 🔗Uncoils vWF ✂️Allows ADAMTS-13 to cut and deactivate vWP 💩Intestinal dysplasia/AVMs 🩸Inactive vWF cannot bind to the collagen, no clot forms. #Cardiology #GI

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

1 year

A rare beast found in the wild…. #TypeA #TheydoExist #Cardiotwitter @JasonGKaplanMD

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

HCM can sometimes be a difficult entity to manage. Maximize medical therapy but if left with significant symptoms and gradient consider other options! Check out this case of an ETOH septal ablation we just did! #Cardiotwitter #cardiology #ACCFIT #FOAMED #HCM #etohseptalablation

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

1 year

Weekend PE! Functional 90 y/o recent hip replacement presented w/ hypotension and hypoxia. High risk saddle PE. 2 whoosh T24! It’s amazing seeing a pt immediately go from 15L to room air in the lab! She has residual RCFV-PT DVT. I elected to treat medically. Anyone put a filter

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

6 years

Happy holidays! Here’s a great case of a left atrial myxoma with some great images! My favorite is the angiogram showing the vascular supply to the tumor! Enjoy! #Cardiotwitter #echofirst #accfit #cardiology #radialfirst #some #foamed #video #appleclips #cardiologyoncall

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

3 years

Associate Program Director and 6x board certified interventional and structural cardiologist? Think I’m good being a D.O. Get your facts straight @hasanminhaj @jimmyfallon ! @AOAforDOs DO/MD are the same! We are in this together! Stop trying to divide us! #Medicine #Ignorance #DO

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

6 years

Man what a week! Had a bunch of good cases! Here is one I thought I would share to keep us all in the right mind set in regards to STEMI and the possible complications we can run into! Enjoy! #cardiotwitter #accfit #appleclips #stemi #cardiology #echofirst #radialfirst

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

3 months

#FellowBootcamp Sinus Rhythm and #EKGs I teach every fellow/resident to take the time to read each of their patients EKGs. It is the only way you will get any better. Stick to the pattern: RATE RHYTHM AXIS A common mistake is claiming “sinus rhythm is a P before every QRS.”

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

Tip to fellows/residents- large pericardial effusions r not always tamponade! Think of the pericardium as a rubber sack! It has the ability to stretch over TIME but if fluid accumulates to fast it’s tenses up and can’t stretch leading to Tamponde. It’s the RATE not the Volume!

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

3 years

1/ Atypical CLOT- a tweetorial I recently saw a controversial tweet arguing against tx of chronic clot and restricting tx SOLEY to the CFV/iliac. While I agree (for the most part)- data is limited. At the end of the day we care about the pt, and not every pt is the same! Case➡️

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

2 years

Bicuspid Aortic Valve Type 0️⃣- “true” Bicuspid: has 2 leaflets either in a ant/post or R/L (7%) Type 1️⃣ (1 raphe -88%)- (1A) fusion of R+L cusps (MC- 60%)), (1B) fusion of R+ NCC (10%) (1C) fusion of L+ NCC (least common- <1%) Type 2️⃣ (2 raphe)- functional unicuspid valve

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

8 months

A-D-E-N-O-S-I-N-E . . . 💊Adenosine (or adenosine like molecules) are agents we use in cardiology regularly. Adenosine is a natural molecule found in our cells that assists with multiple biological process such as energy transfer (ATP and ADP) as well as cellular signaling

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

6 years

Crazy congenital case! Young man comes in with fever, chills, and worsening shortness of breath. Hx of congenital heart disease but unclear of what. Check out the video I made on the case! #cardiotwitter #RossProcedure #CongenitalHeartDisease #Endocarditis

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

4 years

Young patient (Covid-) presents with RUE weakness. CT negative. Carotid Doppler with LICA 70% stenosis with thrombus. Echo ordered and see this. What are the treatment options? #Cardiotwitter #Echofirst #thrombus #cardiology

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

3 years

the monster I got out over the weekend! The T24 flex =game changer. Pro tip- put the amplatz super stiff in the left PA rather than the right on initial advancement if you have difficulty getting the catheter up in the setting of RV dilation. #Thrombectomy #PE #ACCEarlyCareer

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

1 year

For my #EchoBoards and #FellowBootCamp peeps out there! Good luck! You will kill it! Go with your gut and don’t second guess yourselves! Here’s a quick review of a commonly tested topic- Constrictive Pericarditis #EchoFirst @EchofirstB @ASE360 #Cardiotwitter #Cardiology

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

1 year

1/ What features PRIOR to intervention are suggestive of adverse prognosis in acute PE? Which marker do you suggest is the highest risk of poor outcome DURING intervention? #Cardiotwitter #VTE #pe

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

6 years

What’s your favorite QRS axis deviation!? Mine =right axis! I feel like it gives me a nice short list of differentials that’s could be very useful in settings with limited testing. Also for residents learn the difference between lead reversal and Dextrocardia! #cardiotwitter #EKG

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

2 years

A tradition like no other- Merry Christmas from Interventional Santa!! #CardioTwitter

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

☄️Rhabdomyomas —Tuberous sclerosis 👶🏽Rhabdomyomas (benign cardiac tumors) develops almost exclusively in children, mostly before the age of one year, and approximately 80 to 90 percent are associated with tuberous sclerosis #Cardiotwitter #Echofirst #WhyMRI #ACCFIT #pediatrics

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

1 year

#FellowBootCamp #SafeFemoral Tips 🫳🏽Always palpate first (keeps ur skill) 🎥Floro hemostats at bottom 3rd fem 🔊Use ultrasound ALWAYS 💉Use micropuncture ALWAYS 🍭Sweet spot- above bi below epigast 🔎Floro micro wire up 📸Take a quick pic (optional) 💪🏽Stiff wire/glide

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

2 months

First year fellows trying to engage the RCA. We believe in you! #Cardiology

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

2 years

Pericardial sheath. 1) 0.018 micropuncture dilator 2) bubble study with echo to confirm 3) nitrex and 6F radial glide sheath 4) pericardial PIG tail drain Sheath helps with repositioning and advancing PIG thru adipose. Plus no need to exchange for 0.035 wire! #Cardiotwitter

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

5 years

Day 2 on #COVID19 unit 💪🏽IV heparin worked. No line thrombosis today 🤔Now doing IV heparin for worsening renal fx and elevating inflam markers. Renal emboli? ✅LDH, CRP, DDI, ferritin instead of IL6 (takes to long) 💊Guaifenesin to thin secretions 😞Covids look better than crash

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

6 months

DR DREs ANATOMY. 😂😂😂 enjoy your Saturday! #Saturday #Kimmel #DrDre #SnoopDogg #Eminem #50Cent #Medicine #Cardiotwitter

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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

2 years

Mid 50 y/o Pt presents w/ severe left leg pain and SOB. CT➡️saddle PE that was treated with thrombectomy. Post SOB resolved but still with severe leg pain/difficulty ambulating so brought back 48 hrs later for DVT. Patient walked out of hospital off O2 and did great! #DVT #PE

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