Joy Sanyal,MD, DM, @JoySanyal74 Twitter profile

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

He has come home , Ganpati Bappa Morya,

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

27👩‍🦰 with cholelithiasis admitted for a routine lap C , on pre anesth check ECG , had this ECG. What would be the next step ⁦ @DidlakeDW ⁩ ,⁦⁦ @serioustaurean ⁩,⁦ @EPeeps_Bot ⁩,⁦ @DrRajeshG1 ⁩, ⁦ @SchakrabartiEP ⁩, ⁦ @EM_RESUS ⁩

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Joy Sanyal,MD, DM,

@JoySanyal74

9 months

Navami began with Kanya Pooja at home-as the deity Maa Durga is said to manifest in the form of little girl-so the little children are worshipped and given offerings- #Durganavami #Durgapujo2023

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Joy Sanyal,MD, DM,

@JoySanyal74

20 days

Total left main occlusion-Anterior MI with SBP 60mmHg-both patient and doctor lived to tell a story #Cardiotwitter

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

Pristine lesion, seldom seen these days ⁦ @abadkhan2002 ⁩ ⁦ @akbarul ⁩ ⁦ @serioustaurean ⁩ ⁦ @ShariqShamimMD ⁩ ⁦ @aksyksvsclb ⁩ ⁦ @DrRajeshG1 ⁩

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

@Manik_M_Jolly Sir please forgive him,baccha hai 😀, has not read history

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

44👨‍🦰,smoker,was adv CABG refused, wants PCI

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

25/F with 3-4 year h/o breathlessness untreated and recent LUCS preterm, NYHA 3 sent for cardiac eval; ECHO showed dilated LV , LA and RA with severe TR and moderate MR , septal scarring and an EF of 35% ; what is the rythm #CardioTwitter

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Joy Sanyal,MD, DM,

@JoySanyal74

10 months

Ganesh Chaturthi puja starts ……

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

60/M,CP 24 hours, Echo LVEF 30%, sats 95%, @serioustaurean @AslangerE @ShariqShamimMD @abadkhan2002 @akbarul @DrRajeshG1 @Jagdish26039718 @Hragy

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Joy Sanyal,MD, DM,

@JoySanyal74

11 months

When my patients ask whether I can continue life with a pacemaker -I show them the pic of this man Eriksen,still playing for his country with an AICD and scored yesterday also in the WC qualifiers. @Hragy

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Joy Sanyal,MD, DM,

@JoySanyal74

2 months

Srinagar-smart and vibrant city with warm people #Kashmir

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

Lakshmi puja at my home,Goddess Lakshmi is the daughter of Maa Durga and consort of Lord Vishnu, @serioustaurean , @its_Bulbul , @DrDeepakKrishn1 , @abadkhan2002 , @Basalus , @Jagdish26039718 , @DrRajeshG1 , @

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Joy Sanyal,MD, DM,

@JoySanyal74

4 months

@WahajAmanMD In India Telmisartan is undisputed king

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

Mithi our Retriever pup ,wishes everyone a Happy colourful Holi

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

60/👨‍🦰,known case of Ankylosing spond,comes with CP 24 hours duration ? Attributes it to spondylitis / ECG and ECHO says it all @Jagdish26039718 @SabhaBhatti @DrZeeshanMD @

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

How do the P waves look #CardioTwitter

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Joy Sanyal,MD, DM,

@JoySanyal74

5 months

@DrRajeshG1 Epsilon wave seen-ARVC

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

Festival of colours Holi

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

This was the echo 4C CFI, @Jagdish26039718 @leilii @DrZeeshanMD @DrRajeshG1 @serioustaurean @DrDeepakKrishn1 @SabhaBhatti

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Joy Sanyal,MD, DM,

@JoySanyal74

7 months

@hvgoenka Sir such is the craze that my wife and sil(twin sisters) danced to it in Rishikesh.

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

Numerous students have survived on this in hostels …. @Jagdish26039718 @DrDeepakKrishn1 @serioustaurean @akbarul

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

M mode , 35 👨‍🦰, worsening breathlessness over several years and now has regular PND with streaky hemoptysis at times ,S1 loud and a MDM , @leilii @DrRajeshG1 @DrZeeshanMD @SabhaBhatti @serioustaurean @DrDeepakKrishn1 @Jagdish26039718

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

Sunday evening - complete AV block - emergent temporary pacing and then one op from the blue but a nice case -non ischemic non dilated hypokinetic cardiomyopathy with a normal CMR and now recovered EF to 55% from 45% ; started 2 years ago ; diabetic 65 F -

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Joy Sanyal,MD, DM,

@JoySanyal74

3 months

Was nice to wear that after 16 years again #anniversary

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

Happy Holi ;almost a Tiranga on my bald pate

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

@DrRajeshG1 VSD closed with a septal aneurysm and moderately severe AR likely BAV

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

Festive season starts in India and especially Bengal with Durga Puja and the community cultural programmes

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

@DrDeepakKrishn1 Just came home and on the doorsteps is the call for primary ; not my call day ; but mixed feelings; quietly slipped away from glares and stares of family

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

@DrIHHashmi1 Antiphospholipid syndromes

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Joy Sanyal,MD, DM,

@JoySanyal74

3 months

Breakfast time on holiday-Ramnavami-breakfast maker , helper and Mithi ready to eat ⁦⁦ @Geeky_Foodie ⁩⁦ @nadig_cardio ⁩ ⁦ @DrDeepakKrishn1 ⁩⁦ @Hragy ⁩

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

53/ M-CP 2days, obese ,no DM, BP , Sats normal,Trop pos,culprit ? ⁦⁦ @DidlakeDW ⁩,⁦ @ShariqShamimMD ⁩, ⁦ @Basalus ⁩,⁦ @latchumanadhas ⁩, ⁦⁦ @JACCJournals ⁩,⁦ @DrDeepakKrishn1 ⁩,⁦ @serioustaurean ⁩

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Joy Sanyal,MD, DM,

@JoySanyal74

2 months

#kashmir It is difficult to turn your eyes away from the beauty of Kashmir #Gulmarg

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

Now it’s turn of the Central India belt - mangoes- species name -LANGRA-meaning- the one with the limp-lots of them actually @Basalus @Hragy @abadkhan2002 @serioustaurean @DrDeepakKrishn1

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Joy Sanyal,MD, DM,

@JoySanyal74

4 months

Holi - festival of colours- and we are unrecognisable-Best wishes to everyone #HappyHoli #Holi

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

@JMonteroMD @AJuradoRoman @VDelgadoGarcia @JovenesSec @secardiologia @AgudosSEC @shci_sec @escardio LVOT obstruction and post ectopic Brockenborough Braunwald sign

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Joy Sanyal,MD, DM,

@JoySanyal74

11 months

Primary PCI, Rakshabandhan day ended with this OM PCI ; felt good

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

@DrDeepakKrishn1 @anupsoans I have tried it myself the antibiotics and Cilnidipine for my mother ; it works

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

Our country is so huge that many areas still don’t have access to quality cardiac care. Happy to have been contributing to the cause ;acute MI /primary angioplasty stent -from where the best mangoes come -MALDA in Bengal #CardioTwitter @mansukhmandviya @ACCinTouch

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

@dromartamimi1 Subpulmonic VSD

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Joy Sanyal,MD, DM,

@JoySanyal74

4 months

Two back to back cases of Conduction System Pacing done with the CSP 3D sheath-first patient Sinus node dysfunction & next patient wide QRS CHB with LVEF 45% #cardiotwitter

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

Happy Holi everyone

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

44/👨‍🦰,CP ECG localisation probably proximal -mid ,but turned out ostial 100% ,LM-LAD stent done 4.0,flared with 4.5 ⁦ @serioustaurean ⁩,⁦ @DrDeepakKrishn1 ⁩,

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Joy Sanyal,MD, DM,

@JoySanyal74

3 months

@abadkhan2002 Many times it happens in critical LM disease like shown here-less forceful injection can be one of the preventive steps-next would be lots of CPR and wiring during CPR-hope it went well

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

@krithikasivasw @DrDeepakKrishn1 Must be having underlying significant coronary artery disease and there was an acute plaque rupture due to a sudden exercise stress

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Joy Sanyal,MD, DM,

@JoySanyal74

19 days

@ecgandrhythmRoe

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

@vass_vassiliou @JAMACardio @DrMarthaGulati @iamritu @mmamas1973 @hvanspall @EkateriniL @HanCardiomd @AnastasiaSMihai @rahatheart1 @Hragy @novitskiynic @aayshacader @SABOURETCardio @justvick @RealCruzHenry In India SGLT2i very cheap so prescribing is not a challenge and we have almost may be 30 brands to choose from and real good results

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Joy Sanyal,MD, DM,

@JoySanyal74

9 months

Durga Puja-a UNESCO Heritage event -ends throughout the country with Vijaya Dashami-the last day-Maa Durga returns to her abode to Lord Shiva after spending 9 days on Earth-her maternal home

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

@leilii Fistula into LV but the apex looks hypokinetic and enlarged ? Pseudoanerysm LV

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Joy Sanyal,MD, DM,

@JoySanyal74

7 months

@OungSavly Cleft mitral valve and MR

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Joy Sanyal,MD, DM,

@JoySanyal74

2 months

@DrDeepakKrishn1 See it plentily here-people still don’t understand what havoc a heart attack can do

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Joy Sanyal,MD, DM,

@JoySanyal74

10 months

@DrJayMohan Ebsteins anomaly

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Joy Sanyal,MD, DM,

@JoySanyal74

9 months

Navami evening means Aarti along with the playing of the “Dhak” in the presence of all the ladies-Jai Maa Durga #DurgaNavami #DurgaPuja2023

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Joy Sanyal,MD, DM,

@JoySanyal74

4 months

Mithi-after watching cricket IPL match-has decided that it is time for cricket now @Geeky_Foodie @DrDeepakKrishn1 @Hragy #GoldenRetriever

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Joy Sanyal,MD, DM,

@JoySanyal74

6 months

@Hragy @mmamas1973 @mirvatalasnag @ShariqShamimMD @drandrewsharp @abadkhan2002 @aymanka @ShrillaB @AntoniousAttall Hb correction if melena caused a fall - endoscopy-and reassess symptoms once Hb is corrected

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

@AaronGoodman33 Robbins is the textbook for the foundation in clinical medicine

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

@UlhasDr Patient stable doctor unstable

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

@DrIHHashmi1 Now RCA later CABG ;simple thinking

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

Three winner varieties in one frame @Basalus @Hragy @abadkhan2002 @Jagdish26039718 @serioustaurean @DrDeepakKrishn1 @parija_d @DrZeeshanMD

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

@HeartToProve Wondrful image

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Joy Sanyal,MD, DM,

@JoySanyal74

2 months

Snow in its last phase in Gulmarg and the kids had their time #kashmir

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

@Yesdhani @drmssm Public places should have an equipment called automated defibrillator with which a shock can be delivered to restart the heart when cardiac arrest occurs

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

@docchennai 100% sir ; it pains to see no aspirin in a MI patient but pantoprazole yes

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

Night STEMI all

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

56/M with one episode of chest pain and pre syncope; how to differentiate Wellens from Brugada phenocopy

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

@IntervnCardio @jedicath @evandrofilhobr @mathur_a @mmamas1973 @mohitbhagwati @vkataria @abadkhan2002 @BotPci @BagaiJayant @BifurcationClub Option 1 CABG ;Option 2 cutting balloon for the dilatation and then may be just enough space to land the stent proximally;

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

King of mangoes from Eastern India -a variety called-“Himsagar”-Sea of Ice &Sweetness - @Basalus , @Hragy , @minhaskh @DrDeepakKrishn1 @nadig_cardio #mangoesofindia

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

Diwali greetings and best wishes, #Deepawali2022

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

@DrDeepakKrishn1 Physical and linguistic divides in such a huge country will always exist but imho one should learn basic aspects of the local language if staying for a long time just like the civil services officers who speak the language of the state of their posting

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

@DrDeepakKrishn1 DM from SCB medical college , my college , we used to hear his academic achievements during our time in the department

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

This was the Cath,opened the RCA 3.5/48

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

Mangoes still available, Kesar variety ,⁦ @Basalus ⁩ ;

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

@trustworthylia1 @BrownHospMed @CMichaelGibson @BrooksWalsh @DidlakeDW @DavidLBrownMD Coarctation ko stent kar do bhaijan. Diwali greetings from this side.

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

@Vadeboncoeur_Al @Toaster_Pastry In inferior MI lead aVL is always the clue

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

After Mithi, lost our play game to me she broke my glasses in return and see the looks @Geeky_Foodie @serioustaurean @DrDeepakKrishn1

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

@mmamas1973 @mirvatalasnag @jedicath @djc795 @luciotpadilla @Hragy @alaide_chief @HiteshiKc @DrSaritaRao2 @Adityatiwaryy @timir_paul @nolanjimradial @JSillerMatula @SVRaoMD @tomkaier @drandrewsharp @SukhNijjer @NicolaRyanI1 @aymanka @PCRonline @EAPCIPresident DEB to LAD after IVUS ;let us know what the images were

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

@nadig_cardio LQTS ; potassium levels and genetic studies to find for SCN ; echo

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Joy Sanyal,MD, DM,

@JoySanyal74

4 months

@AdiG1993 @nadig_cardio In Bengal everything is GAS -be it chest pain or syncope

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

@LopezLizarraga_ @ecgrhythms @Arritmias_HRC @Arritmias_H12O @CardioNerds @clinica_sec @EkgHacks @EF_Cardiaca Fascicular VT

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Joy Sanyal,MD, DM,

@JoySanyal74

7 months

@Umair2017 @SyedYNaqvi1 @nadig_cardio @abadkhan2002 @w_jyg @minhaskh @BaoGTran @adityadoc1 @mandeep_mayo @DrRajeshG1 Though seen rarely these days Digoxin toxicity still exists- my patient seen 3 weeks back

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Joy Sanyal,MD, DM,

@JoySanyal74

19 days

@ecgandrhythmRoe

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

@swatigar Poor mitral valve opening and a possible LVOT membrane and the malaligned outlet VSD with more than 50% override

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Joy Sanyal,MD, DM,

@JoySanyal74

4 months

@ecgandrhythmRoe Pacemaker was not anchored in the pocket by sutures

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Joy Sanyal,MD, DM,

@JoySanyal74

1 month

@Ravisutanjani Visited only last month-was chaotic to say the least-may be they should start putting limits on the daily quota of tourists because it is extremely crowded

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

And she goes home to join Lord Shiva after 10 days of revelry

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

Mango orchard behind the hospital; from the land of mangoes in Bengal @Basalus @Hragy @

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

@fazalabul Congenital AV block

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Joy Sanyal,MD, DM,

@JoySanyal74

10 months

@MunjedSnowber @ecgandrhythmRoe @The_Nanashi_O @BrooksWalsh @ecgrhythms @EKGest @DrRazi4 @KElashiq @capuzzi_luciano @EF_Cardiaca @UlhasDr @ShaojieChen1 DCCV for Afib

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

@alvarocv11 @chetyndum @jedicath @mornei2011 @chipkaminsky @mmamas1973 @RinfretStephane @misamed @KAlaswadMD @PCRonline @DKarmpaliotis Into RV

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Joy Sanyal,MD, DM,

@JoySanyal74

11 months

Middle age physician,HTN,recent palpitations,ELR tracing,started on biso,normal thyroid ⁦⁦ @syamkumarmd ⁩ ⁦⁦⁦ @SchakrabartiEP ⁩ ,⁦ @javadm20 ⁩⁦ @DrRajeshG1 ⁩@

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

@mhdksafa We had Julie and Romeo sniffer labs from India with the NDRF team that was the first to reach Turkiye after the quakes

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Joy Sanyal,MD, DM,

@JoySanyal74

4 months

@DrDeepakKrishn1 Criteria should be solve one question of JEE or NEET -only then address the students

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Joy Sanyal,MD, DM,

@JoySanyal74

1 year

@abadkhan2002 @escardio @DrIHHashmi1 @Hragy @akbarul @cardiodoc1988 @care4urheart2 @DrAnkushG @Obisht @djc795 @nadig_cardio @DrRajeshG1 @SGuptaMD @AlkashkariWail @minhaskh @aspergian1 @mirvatalasnag @serioustaurean @jedicath OMV with clot removal ; anticoagulation and waiting would be risking the patient for disabling stroke

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Joy Sanyal,MD, DM,

@JoySanyal74

2 years

@Drmahavirsinh1 @Jagdish26039718 @EM_RESUS @Sthanu5 @smithECGBlog @nihardesai7 @IhabFathiSulima @AdiG1993 Echo and Trop; anterior MI will be the first differential

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Joy Sanyal,MD, DM,

@JoySanyal74

6 months

@Umair2017 @BCMHeart @SCAI @ACCinTouch @jedicath @TWilsonMD @mmamas1973 @Pooh_Velagapudi @nyalborgesmd @djc795 @SyedYNaqvi1 @Hragy @BakhshiHooman @realHamzaLodhi Thrombus aspiration and before bifurcation

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Joy Sanyal,MD, DM,

@JoySanyal74

4 months

@Hragy Brought out tears

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Joy Sanyal,MD, DM,

@JoySanyal74

9 months

@DrRazi4 @PMcardioBot Angio would be normal I think; this is suggestive of ApHCM

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Joy Sanyal,MD, DM,

@JoySanyal74

6 months

@Umair2017 @SCAI @BCMHeart @JingLiu_MD @Hragy @mmamas1973 @ShariqShamimMD @iamritu @dr_benoy_n_shah @jedicath @djc795 @SyedYNaqvi1 Could this be a variant of ApHCM with apical akinesis & aneurysm type-and there is a mid ventricular systolic narrowing also-fibrocalcific plaque-would manage for sometime with statins and see

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Joy Sanyal,MD, DM,

@JoySanyal74

2 months

@DrIHHashmi1 2 stage RCA first then look at LAD

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Joy Sanyal,MD, DM,

@JoySanyal74

9 months

@UlhasDr Sir I had one case of LM dissection after road traffic accident with CHB - somehow reached the hospital to get a pci and pacemaker as well- I had presented it in JIM 2020

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