purushottam mittal @PurumittalDr Twitter profile

Last Seen Profiles

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purushottam mittal

@PurumittalDr

4 months

Off Pump Ventral Aorta Repair for Coarctation with 18 mm Dacron graft at our institution

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purushottam mittal

@PurumittalDr

5 years

@CNNnews18 @MamataOfficial That's very bad, cruel party men

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purushottam mittal

@PurumittalDr

6 years

@BDUTT @washingtonpost

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purushottam mittal

@PurumittalDr

6 years

@ashoswai This is not about insecurity This is learning from history.

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purushottam mittal

@PurumittalDr

6 months

what happened here?

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purushottam mittal

@PurumittalDr

6 years

@ashoswai This is because indian are not Governed by uniform civil code and there has been long term appeasement based on religion. that is creating sociology political imbalance. Minority politics is being driven by ideology.

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purushottam mittal

@PurumittalDr

5 months

Patient was referred to our centre for CABG due to significant proximal and mid LAD disease. Review of diagnostic angio showed this. What do you think might have happened here

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purushottam mittal

@PurumittalDr

3 months

Midnight Shock Thrombus Aspirator is a life saving companion

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purushottam mittal

@PurumittalDr

2 months

66 ym Ongoing sever chest pain HR 120 BP 90/60, EF 33 % Will MCS with Impella make a difference in outcome of PCI in this patient. If Impella is not available (>95% of cath labs in India) would you still recommend PCI or will you refer him for emergency CABG #DanGerShock

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purushottam mittal

@PurumittalDr

2 years

Ped Card. 6 y male evaluated for fever and cough at peripheral hosp, referred for myxoma surgery What do you think? @echocardiac @echo_stepbystep @The_echo_lady @BhaskarEchoVA @card_ped @pedcardio49 Subcostal view in reply section

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purushottam mittal

@PurumittalDr

1 year

Echo talks @DrRajeshG1 @BhaskarArora_MD @The_echo_lady @ASE360 @NBE_96 @echotalk A 46 y male with h/o progressive dyspnoea and chest discomfort for 3 months

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purushottam mittal

@PurumittalDr

9 months

65 M, CP-3 hr. BP70 on press, HR 67, broad QRS, Sat 90 on O2 looking into extreme time sensitive nature of situ. pt on table, how should I sequence the implementation of following 1 IABP 2 Intubation 3 wire/thrombosunction 1-2-3 2-1-3 3-1-2 Any other Impella not av @PCRonline

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purushottam mittal

@PurumittalDr

3 years

When reporting on any mass tragedy, a basic rule of journalism is to be sensitive to the victims and those who are grieving. Western media usually observe this rule at home but discard it when reporting on disasters in non-Western societies.

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purushottam mittal

@PurumittalDr

1 year

Friend in need A 54 ym, ACS, EF 15%, refractory pulmonary edema. CAG after stabilization👇. Accepted by CTVS for CABG, On IABP. now it seems our young surgeon is not sure whether patient will be able to make it. asking if we can fix it some way by PCI. what do you think...

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purushottam mittal

@PurumittalDr

7 months

58 y male with NSTEMI, EF 45%. Recurring Angina after 12 hr of tirofiban infusion If this your case, what will be your approach ? @PCRonline @mandeep_mayo @mmamas1973 @JoySanyal74 @latchumanadhas @ShariqShamimMD @AshishHShah3 @Obisht @Abdul_alkindy

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purushottam mittal

@PurumittalDr

1 year

Midnight shock! Dear young Indian ICs, forget heart team, rush the patient straight to cath lab and remember, it's not criminal to do LMCA angioplasty without imaging if life is hanging by thread

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purushottam mittal

@PurumittalDr

2 months

7F, fem. easy crossing with runthrough thrombosunction. LCX wiring. prediat with NC, Aperta 2.5 *10 mm for LAD os. Mid LAD stent 3.0*40, LM - LAD Cross over 4.0*28. LMCA POT with 4.5*10 NC would you prefer risking thrombus exrrusion by doing POT or un opposed stent in LM

purushottam mittal

@PurumittalDr

2 months

66 ym Ongoing sever chest pain HR 120 BP 90/60, EF 33 % Will MCS with Impella make a difference in outcome of PCI in this patient. If Impella is not available (>95% of cath labs in India) would you still recommend PCI or will you refer him for emergency CABG #DanGerShock

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purushottam mittal

@PurumittalDr

3 years

Septal stain and tenting when Trans septal needle in caught in thick muscular rim of fossa ovalis. As puncture site was at ideal place for BMV, withdrawal of needle in dilator and just a 10 degree clock wise rotation did the trick (see the puncture in reply)

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purushottam mittal

@PurumittalDr

29 days

44 y male, chest pain 8 hrs. EF 29%, Ongoing chest pain. Impella not an option. Hemodynamically stable at presentation. would you advice him emergency CABG or PCI. any evidence base to guide our decision in such cases @ShariqShamimMD @Obisht @Hragy @mmamas1973 @mandeep_mayo

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purushottam mittal

@PurumittalDr

2 years

60 YM AWMI, Resuscitated Cardiac Arrest, EF 25%, PAMI to prox LAD done, how to address the distal lesion, (NTG, Adenosine, nicoran done) Please advise, baseline angio in reply section @Hragy @DrRajeshG1 @DrRajeevagarwa3 @IntervnCardio @mandeep_mayo @mmamas1973 @evandrofilhobr

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purushottam mittal

@PurumittalDr

4 months

57 Yr male, ACS, Ongoing chest pain, EF 44%. What is your usual approach to such cases. DCB is not an option for us in this case Please give your valuable suggestions The case took an unexpected turn while we were doing it @PCRonline @mandeep_mayo @mmamas1973 @Hragy @DrRajeshG1

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purushottam mittal

@PurumittalDr

2 years

Which guide for this RCA?

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purushottam mittal

@PurumittalDr

6 years

@suhasinih उन पर भी MCC लागू करना चाहिए क्या🤔 prince should be disqualified to hold the office

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purushottam mittal

@PurumittalDr

1 year

Failure to cross, 86 Yr male with ACS, Trop I positive. Old IWMI tried many tricks Switched from Rad to fem Support guide Balloon support run through, fielder family cross it, whisper Planning to re-attempt Any tips and tricks!

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purushottam mittal

@PurumittalDr

1 year

Device Closure of Post MI VSR after LAD PCI. Discharged 5th day with 5 mm apical defect and small shunt. Planned surgery after 3 wks. Returns on 8th day with low output, dyspnoea and hemoptysis. VSR now 14 mm. 30 mm ASD device implantated. RFA-IJV loop. Small residual shunt

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purushottam mittal

@PurumittalDr

11 months

45 Yr male AWMI 5th d , Rest Angina. EF 46, RWMA in LAD territory What is the best evidence based approach. @PCRonline @SCAI @angioplastyorg @theindianheart

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purushottam mittal

@PurumittalDr

5 years

@Rehan60522051 @atahasnain53 More English for you

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purushottam mittal

@PurumittalDr

5 months

Which should be treated as distal main vessel? 🤔

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purushottam mittal

@PurumittalDr

3 months

Stumpless LAD CTO with side branch at tip, walk through angina for 5 yrs, recent progress to class III. Cross It 400 penetred the prox cap but no progress even with balloon support. parallel wiring with conquest pro 12, slip coat tapered tip 0.009. Are we in sub intimal space ?

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purushottam mittal

@PurumittalDr

8 months

Our first use of "Biomime Branch" a new launch dedicated stent from @MerilLife for side branch in Bifurcation with shallow angle and size discrepancy between SB and prox MV Designed for easy distal MV access. 4 balloon markers to nail SB ost and span the Polygon of confluence

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purushottam mittal

@PurumittalDr

1 year

What is your choice of wire for this type distal LAD loop? failed workhorse wires, Fielder FC didn't crossed. @PCRonline @Obisht @evandrofilhobr @Laserrman @IntervnCardio @Hragy @mandeep_mayo @latchumanadhas @JoySanyal74

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purushottam mittal

@PurumittalDr

6 months

Which of these two is LAD, How will you stent this vessel

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purushottam mittal

@PurumittalDr

3 years

Sharing video of a complex surgery done by our colleague @DrSourabhSharm1 Great to have such a gifted surgeon among us Aortic root and Ascending aortic replacement with Mayo’s procedure. Patient had aneurysmal ascending aorta, dilated aortic root with coarctation

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purushottam mittal

@PurumittalDr

9 months

How should we manage this, was called to address this by our jr team 84 ym was undergoing PCI to RCA, After crossing and dilatations with 2.5 🎈 there were flaps. wire got dislodged, Pt had cough while they were trying to place stent. Now the wires are going repeatedly in flaps

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purushottam mittal

@PurumittalDr

2 years

55 YM, ACS, Trop+, diabetic, EF 37% Angio 👇 How will you approach to revascularize this patient Culprit vessel - strategy? Non-culprit-strategy? ECG and echo clips in reply section Please give your valuable opinion

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purushottam mittal

@PurumittalDr

1 year

63 YM, Chest discomf, dyspnoea 3 days. AWSTEMI, EF 20, Please suggest how to approach OMT/PCI/CABG If PCI-Strategy? @PCRonline @mmamas1973 @mandeep_mayo @IntervnCardio @latchumanadhas @DrRajeshG1 @Abdul_alkindy @Hragy @JoySanyal74 @DrRajeevagarwa3

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purushottam mittal

@PurumittalDr

3 years

Visualisation of and placement of aorto-ostial stents can be facllited by black-white vedio inversion during PCI procedure, esp when swirling contrast make it difficult to locate the vessel ostium Two cases done same day with side by side origin of LAD/LCx with Ost LAD stent

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purushottam mittal

@PurumittalDr

1 year

Short stump 2 Yr old CTO, First wire (Cross It 200) went subintimal from proximal cap and perfotated to pericardial space from far distal site. perf became visible only after true lumen dilatation with 2.0*15 balloon. sealed with stenting

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purushottam mittal

@PurumittalDr

2 months

#SeniorRita Practice shaping trials 86 Ym NSTEMI EF 30%, AF with RVR, stabilized and now comfortable in ICU on 3rd day of hospitalisation. Moderate Activity level before admiss. No major co morbidity. Will you PCI or will put him on GDMT @PCRonline @mandeep_mayo @mmamas1973

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purushottam mittal

@PurumittalDr

5 years

@Drpratiksha1 This is scary movie Nobody should watch it till end

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purushottam mittal

@PurumittalDr

1 year

First TAVI procedure at our centre was performed in a 74 y m with Bicuspid AV with severe AS. thank to the support and promotion of made in India valves by policies of @PMOIndia @narendramodi our patient was able to afford A 23 mm Myval...

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purushottam mittal

@PurumittalDr

1 year

pediatric cardiology trainees, can you completely read this interesting procedure performed today by our team @DrDeepesh1989 , Ped cardiologist Dr pooja intesivist @DrRajeshG1 @swatigar Good teaching case for your fellows

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purushottam mittal

@PurumittalDr

1 year

80 ym/NSTEMI, ISR at the prox edge of Gtaft master imp 2 Yr back, tight lesion at the Os of dominant Circ, distal significant ds. LMCA to LAD crossover and distal LAD stent largely ds free. EF 40%, Smoker 2pc/day. not a surgical candidate Best strategy? @PCRonline @mandeep_mayo

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purushottam mittal

@PurumittalDr

2 months

68 ym AWMI 1yr back, was adviced CABG after viability studies. declined. now admitted with recurrent angina with two VT episodes requring DC, Trop positive. EF 20%. Not consenting for CABG again. would you attempt PCI to LAD CTO or be limited to LCX PCI @CtoEuro @PCRonline

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purushottam mittal

@PurumittalDr

6 years

@ShefVaidya Feminist in India

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purushottam mittal

@PurumittalDr

6 years

Easter in Sri Lanka. After New Zealand mosque attack, huge support poured in for Muslims from all over. It’s time now for Muslims and Islamic world to rally behind Christians and #SriLanka and condemn what happened in the island nation today on Easter

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purushottam mittal

@PurumittalDr

5 years

The equivalent of Lutyens Delhi is the NGO industry for whom the buzzwords are poverty, inequality, women empowerment, etc. As long as Indians are in poverty, they survive. Time to review law for foreign funding of NGOs - The Sunday Guardian Live

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purushottam mittal

@PurumittalDr

5 months

47 y male with h/o DOE class III, on treatment as a case of HCM at different hospital. Recievd ATT for pronged fever 3 months back, now afebrile, TTE shows mod to sever conc LVH, sever MR, AR, PAH what is your opinion @DrRajeshG1 @BhaskarArora_MD @echotalk @Echo_Harefield

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purushottam mittal

@PurumittalDr

1 month

@DrRajeshG1 I checked in to your site. It contains wonderful presentations. You are a great teacher. Not many people have so much dedication 👍

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purushottam mittal

@PurumittalDr

8 months

32 yf, chest discomfort with sweating & backache at remote place. Trops near cut-off, CAG at peripheral centre 👇 Ref to our hospital for urgent CABG. Surgeon asking second opinion 4d under observation continue to have chest discomf with bordeline elevation in Trops Approach?

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purushottam mittal

@PurumittalDr

8 months

68 ym in ER, cardiac arrest on arrival, rescucited and stabilised. Long standing DM, Creat 3.8 EF 20%. Obesity, OSA CAG on 3ed day 👇 What will be evidence based choice of thearpy CABG vs MCS supported PTCA(staged?) vs GDMT pt is willing to afford financial cost of Impella

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purushottam mittal

@PurumittalDr

6 months

@AshishHShah3

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purushottam mittal

@PurumittalDr

2 years

Pediatric cardiology trainees. Can you identify this Congenital anomaly 5 Yr male child Cyanotic CHD with increased pulmonary flow @DrRajeshG1 @swatigar @CHD_education @PHNresearch @Ped_cardio @Peds_Cardiology

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purushottam mittal

@PurumittalDr

2 months

48 ym, dilated Cardiomyopathy and mod LV dys underwent dual chamber pacemaker implantation for CHB. second day started complaining of dyspnoea and palpitations with f/o worsening HF. can you identify the problem, how will you rectify this? 1 post PPI ECG 2 ECG with wosening HF

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purushottam mittal

@PurumittalDr

8 months

Ped cards A 18 month male child was referred to our centre with a diagnosis of "Dilated Cardiomyopathy" He underwent a rare surgical corrective procedure can you diagnose this Congenital anomaly See CECT in reply section @pedsimaging @PHNresearch @ASE360 @BhaskarArora_MD

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purushottam mittal

@PurumittalDr

1 year

@mmamas1973 @TheBMA NHS is one of the most robust and comprehensive health care system around the world, many of my friends are with NHS for more than 25 yrs. It should be preserved and protected. Best wishes for your efforts

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purushottam mittal

@PurumittalDr

3 years

Actual fossa ovalis septum felt like paper thin

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purushottam mittal

@PurumittalDr

3 years

That is why #medtwitter is so useful I got almost complete review with link 3 useful articles on myocardial bridges in responses to this tweet 👍

MIЯVΛƬ #IC

@mirvatalasnag

3 years

#FridayFunday How would u treat this pt w angina? @sabeedak1 @adityadoc1 @saraceciliamtz @sbrugaletta @ShariqShamimMD @dcscant @JSillerMatula @HeartOTXHeartMD @Allison_Dupont @agtruesdell @DocSavageTJU @fischman_david @Pooh_Velagapudi @CardiacConsult @ISeropianMD @SukhNijjer

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purushottam mittal

@PurumittalDr

1 year

Complete theurapeutic Occlusion of external carotid artery. A 32 YM, Known case bilateral AVM at the base of tongue. H/O surgery for AVM excision 6 Yr back. In ER with torrential bleed from mouth, circulatory shock, required 12 units of PCV. intubated, on high dose vasopressors

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purushottam mittal

@PurumittalDr

6 years

@OmarAbdullah @DilliDurAst

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purushottam mittal

@PurumittalDr

4 years

Reflecting on the situation in India, many of values of Indian system are still intact, but the institutional set-up to safeguard them is woefully inadequate. India suffers from a competence deficit coupled with a competence phobia.

Makarand R Paranjape, Ph.D. (Illinois)

@MakrandParanspe

4 years

Winning Nobel Prizes, leading the biggest corporations, occupying the highest offices, Indians in the US have excelling in nearly all walks of life. @Bharatiyamusa @ProfVemsani @vishwa_samvad @VHPDigital @subhash_kak @HinduAmerican @RSSorg @rammadhav_rss

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purushottam mittal

@PurumittalDr

6 months

@jedicath 👍Third world problems

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purushottam mittal

@PurumittalDr

2 years

@DrJagdishChatur Unfortunately this is becoming so common in India off late. I rarely this happening in Sci gatherings outside India. It needs to be seriously discussed and appropriately addressed. Instead of useless spending, funds can be diverted to some basic good quality research activity

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purushottam mittal

@PurumittalDr

2 years

@DrRajeshG1 Just received a book Is it you?

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purushottam mittal

@PurumittalDr

1 year

Bifurcation experts! How should I approach this Bifurcation. How will the p/o ecstatic segment Impact the choice of our technique in this case 79 YM post CABG 2010. patent LIMA graft. Occluded SV grafts to OM and RCA @PCRonline

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purushottam mittal

@PurumittalDr

2 years

Challenge of inequality in health care access around the globe and how to make "right to health care access" universally possible @DrSJaishankar in Cairo

UN

@UshaNirmala

2 years

Anyone measuring ‘vaccine index’ ?

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purushottam mittal

@PurumittalDr

11 months

Final results. Our plan was to attempt RCA first, thought if we can wire the RCA, than to proceed with PCI of both vessel, otherwise to send the patient for CABG. considering the young age I hope this will benifit him avoiding Bypass for as long as possible

purushottam mittal

@PurumittalDr

11 months

We captured a short clip of IVUS from prox LAD segment. pre PCI probe did not go beyond 15 mm of diseased segment. We were trying to be as gentle as possible @mandeep_mayo @DrRajeshVijay @Obisht @ShariqShamimMD @PCRonline

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purushottam mittal

@PurumittalDr

5 months

68 ym, Non-STEMI, CABG declined, re-admitted for ⬆️ Angina, Trop+. EF 40% Which technique is likely to provide best results (IVI guided) Main vessel first(provisional) DK Krush DK Culotte Mini crush or whichever one operator is comfortable with will give similar results?

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purushottam mittal

@PurumittalDr

5 months

Type I LAD ? oh wait! which wire for this one

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purushottam mittal

@PurumittalDr

1 year

56 y m Dual chamber pacer implanted 18 months back. Lost to f/u. Now reported with pocket erosion and PG exposed. EPs what is your policy in these cases. Do you attempt to salvage these type of pockets and reconstruct or straight away explant and put a new one on other side

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purushottam mittal

@PurumittalDr

6 years

@fayedsouza I am #SriLanka I am Pulwama I am Charlie I am Paris I am Orlando I am Brussels I am Nice I am Munich I am Berlin I am Barcelona I am Columbo I am London I am Norway I am Manchester I am Kabul I am Uri I am Mumbai I am Madrid I am New York I am Ankara I am Exhausted

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purushottam mittal

@PurumittalDr

5 years

@TheEconomist Who told you that eating meat makes you healthy and long living. As a doctor it a news to me which I have never read in my medical books

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purushottam mittal

@PurumittalDr

1 month

Me, after opening a CTO

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purushottam mittal

@PurumittalDr

1 year

Tight ISR in undersized/underexpanded stent (details NA, PCI 9 Yr back), a jailed side branch (1,1,1 Medina) and ISR extending proximal to prox stent edge What should be the best evidence based approach to this lesion @latambifclub @AmBifClub @BifurcationClub @PCRonline #DCB

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purushottam mittal

@PurumittalDr

2 years

"If, however, the academics, intellectuals, and think-tankers who staff the major rankings providers are themselves the barbarians at the gate, maligning a poor but proud country in a bid to impose their own parochial political positions, then a moral reckoning is in order".

Salvatore Babones

@ProfBabones

2 years

"The stridently negative appraisals of Indian democracy published by the three major democracy rating organisations seem wildly disproportionate to the actual evidence marshalled to support them. In several instances, they smack of intentional deception."

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purushottam mittal

@PurumittalDr

10 months

82 Yr female, class III Angina of recent onset, 20 Yr post CABG. patent LIMA to LAD. What do you see here?

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purushottam mittal

@PurumittalDr

2 years

For trainees Two different procedures for similar types of congenital heart disease. Can you identify these. @DrRajeshG1 @The_echo_lady @echotalk @swatigar what criteria do you use to assess functional adequacy of these procedures Please see moving images in reply section

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purushottam mittal

@PurumittalDr

2 years

Pediatric Cardiology quiz A 4 y male child with TAPVC and moderate PAH. Injection in PA What is the route of PV confluence drainage. See echo images in reply section Vedio 1

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purushottam mittal

@PurumittalDr

3 years

#Wednesdayvibe

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purushottam mittal

@PurumittalDr

2 years

Friend in need In cath lab now 79 y male Acute AWMI. EF 38% Hemodynamically stable How will you do this honestly if this is your case Strategy Approach Sequence

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purushottam mittal

@PurumittalDr

6 years

@rahatindori Excellent लेकिन सुना है कि जो पहले छप कर बिकते थे अब बिक कर छपने लगे हैं

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purushottam mittal

@PurumittalDr

5 years

@shahfaesal Only if we Can rename "kashmir" as "Kashi" many many more issues will be settled

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purushottam mittal

@PurumittalDr

1 year

“The mark of a good action is that it appears inevitable in retrospect.” Four years ago, when Union Home Minister Amit Shah stood in parliament, it was a moment of disbelief and surprise. Four years later, nothing seems more logical and rational

Sunanda Vashisht

@sunandavashisht

1 year

I write on Four years of abrogation of Article 370: Kashmir’s journey from alienation to integration. Amending Article 370 to make it ineffective was one of the finest moment of PM ⁦ @narendramodi ⁩ ‘s second term. Here is how they got it done. Do read

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purushottam mittal

@PurumittalDr

2 years

@naomi2009 Ironic

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purushottam mittal

@PurumittalDr

1 year

Spotter for ped fellows. 4 Yr who has undergone palliative surgery for Cyanotic CHD. Can you describe this study completely

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purushottam mittal

@PurumittalDr

2 years

Tumor embolization PVA embolisation of facial branch of left external carotid for uncontrolled bleeding from buccal carcinoma

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purushottam mittal

@PurumittalDr

8 months

"One important way to further improve the results of PCI is to make imaging mandatory. We shouldn't leave it to whims of individuals" words of wisdom from an experienced operator @Hragy #IndiaLive

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purushottam mittal

@PurumittalDr

9 months

65 ym, post LIMA-RIMA-Y to LAD and RCA 20yr back How should we choose calcium modification and debulking strategy for this LMCA-LCx OPN Wolverine Angiosculpt IVL RA Orbital simple NC @PCRonline @ShariqShamimMD @mandeep_mayo @Hragy @JoySanyal74 @latchumanadhas

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purushottam mittal

@PurumittalDr

2 years

15 y m Down syndrome Op VSD Closure with PDA ligation 8 Yr back PPI for post Op CHB One episode of LOC Battery status Good Remaining battery life 19 month Pacing threshold 0.25 Can you identify the problem?

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purushottam mittal

@PurumittalDr

2 years

@wikimagen @echocardiac @echo_stepbystep @The_echo_lady @BhaskarEchoVA @card_ped @pedcardio49 Structure does not look like origiating from sepum. More likely Chiary network. Probably an innocent bystander, Off course IE has to be ruled out. Fever is of short duration

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purushottam mittal

@PurumittalDr

1 year

Choosing the right stent platform can make all the difference in crossing a long tortuous vessel. look at the swiftness the second stent passed thru the bend. earlier even balloon supported guideliner was not going around the curve

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purushottam mittal

@PurumittalDr

3 years

New word in dictionary ‘ukrained’- Meaning- when one is set up by friends to fight but when the time comes they are there to cheer only from the sidelines but not involve themselves in the fight itself.

Ambassador Vishnu Prakash

@AmbVPrakash

3 years

The US is always on the right side of history ---because they write the history

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purushottam mittal

@PurumittalDr

5 years

@_YogendraYadav The most lethal enemies of Hindus in modern India are Hindu intellectuals, whom you find in every newspaper, every think tank, every American or British university, always ready to brilliantly denigrate their own culture.

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purushottam mittal

@PurumittalDr

1 year

@sundar_s1955 Most of our patients whose children are settled in US and UK are really scared at the thought of having a medical emergency while abroad. They like to take a medicine supply of upto 6 months to 1 Yr and want to connect by tele links in case anything goes wrong

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purushottam mittal

@PurumittalDr

1 year

we did our first IVL on a 70 F with AWMI EF 30 and LAD as only surviving vessels. We were not sure about safety of rota in this high risk scenario so rotatripsy was not attempted IVUS showed complete arc and diffuse calcification my learning from first case...

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purushottam mittal

@PurumittalDr

8 months

Sunny side up 😂

MG 🇮🇳

@mgnayak5

8 months

Customer in Bangalore is asking "Why the milk is so thick?" Milkman says "Water shortage Saar"

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purushottam mittal

@PurumittalDr

4 months

37 YM, ACS, Trop +,Minimal RWMA, Normal LF Re angio after 24 hr tirofiban 👇 We have planned to give a trial of GDMT and ischemia testing after 1 m What is the opinion of Twitter house? Should we explore it further at this stage by imaging/iFR/FFR or do you agree with the plan

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purushottam mittal

@PurumittalDr

4 years

@ProfFeynman Religion is a way of life. Science may make living comfortable but has the potential to eliminate life from earth.

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purushottam mittal

@PurumittalDr

5 months

@Laserrman @evandrofilhobr @DrRajeshVijay @DrRajeshG1 @mandeep_mayo @JoySanyal74 @ShariqShamimMD @Obisht @minhaskh I wanted to use a tapered tip wire with good penetration power but Gladius Mongo (tip load 3.1gm) is not available so I tried a pilot 200 (4.0 gm). even though there is vast difference in these two. After getting a penetration for about 8mm we added MC support & that did the job

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purushottam mittal

@PurumittalDr

5 years

@iamritu @mswami001 @rajdoc2005 @HeartOTXHeartMD @purviparwani @pritixyz @MonaBhatia14 "Ability to become the bridge between contradictions" is probably one of the biggest virtues of any great leader.

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