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Dr Shariq Shamim Profile
Dr Shariq Shamim

@ShariqShamimMD

20,249
Followers
1,236
Following
1,000
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15,622
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Interventional Cardiologist, Cath Lab Director #CHIP #CTO #TAVR #PERT #imagefirst tweets personal views ≠medical advise #AFMC -O2 उद्यमेनैव हि सिध्यन्ति

St. Louis, MO 🇺🇸🇮🇳
Joined November 2017
Don't wanna be here? Send us removal request.
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
2 years
A man in 50s came to ED with profound shock, arrested before access, 20+ mins CPR No ROSC. Choice was to continue CPR & call it. We decided to place Impella without interrupting CPR, first pic w wire & balloon ready. Got flow then escalated to ECMO! Patient survived to go home!
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
Koreans are smart. Protecting the screening personnels from getting infection. N95 despite being inside isolated booth. #COVID19 #covid4MDs
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
1 year
Elderly patient in tears, Entresto Co-Pay $400 Farxiga Co-Pay $400 Verquvo Co-Pay $500 Are these really so much better than good Old Metoprol XL/Caredilol, ACE/ARB, MRA? Do we really need these crazy expensive meds if insurance does not cover them?
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
6 years
Must know EKG patterns #ACCFIT #Cardiotwitter #FOAMed (from Jason Winter: ECG educator illustrator page, UK)
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
Finally some good news: Hydroxychloroquine has 70% #COVID19 viral clearance at 6 days vs only 12% of controls. Add azithromycin to achieve 100% viral clearance. Full manuscript here:
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
2 years
A man in 30s struck by lightning with significant burn. EKG shows this. What’s the culprit?
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
Young patient with shortness of breath, near syncope! What’s the “culprit”, how’d you interpret this deadly EKG? #cardiotwitter
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
5 years
Uncommonly seen deadly EKG! This is shark fin pattern. Something really bad going on. Patient had cardiogenic shock!! Never miss. Angiogram below!
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
2 years
COURGAE: we don’t treat these patients ORBITA: we don’t treat these patients ISCHEMIA: we don’t treat these patients REVIVED: we don’t treat these patients. Seriously? Time to accept PCI has limited roles outside of ACS. 🤷🏽 #Cardiotwitter
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
7 months
As a cardiologist I disapprove this message. Samosa and Chai are blessings in life after busy day. 😂🥴
@arunkumar3112
ARUN KUMAR
@arunkumar3112
7 months
This most popular snack in India, refined carb, stuffed potato and fried in seed oil. These foods make India as diabetic capital.
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Dr Shariq Shamim
@ShariqShamimMD
5 years
Looks what fellow cardiologist @ChristianAssad does when patients don’t show up in his clinic 🤔😂😂😂
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
2 Wash U docs COVID positive. Hopkins, Mass Gen, Brigham's, UCSF, Wash U. Top University hospital doctors getting #COVID19 due to lack of proper PPE. 20% HCWs infection at Lombardi. Don't reinvent the wheel, plz provide Chinese style spacesuit PPE soon. @VP
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
@elonmusk Dear Mr Musk, we need Chinese spacesuit type PPE first. Dead and sick healthcare workers won't be able to run the ventilator and things that follows critically ill patients. Please help to produce these. Would be more helpful for patients. Thank you. 🙏🏽
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
3 years
Cardiac arrest after CP/SOB, 20 mins CPR ROSC and EKG below in profound shock. What’s the culprit for this EKG? What’d you do next? #CardioTwitter
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
Even Kids get it! #COVID19
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
2 years
Saddle PE w hypotension and tachycardia and occlusive DVT. Single session DVT and PE intervention without lytics, both done in 90 mins with 300 cc EBL, Home next day completely asymptomatic! Same @PenVascular CAT12⚡️ and other equipments!
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
3 years
Young patient with only complain of shortness of breath and echo shows 😲😱!!!
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
5 years
Why do we have office culture to bring this epitome of junk in 🇺🇸 (ultra processed flour, fried in reused oil, glzed with sugar)? Once someone said, "you don't bring 🍩, you don't like us?" 😳. Me, "Do you want me to bring poison here?" Plz suggest alternatives I can bring.
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
6 months
De Winter sign: ST depression and peaked T waves in the precordial leads seen in 2% pLAD occlusions. Activate cath lab, don’t wait for ST elevation on EKG when de winter pattern seen. Promptly treated 100% LAD occlusion with uneventful recovery. Happy new year.
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
5 months
Current state of the art CCTA is next level. I wish these machines and post-processing software were more accessible and not cost-prohibitive. At this resolution level, CCTA appears to be better than an invasive coronary angiogram. Originally shared by @FCademartiri
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
11 months
Non practicing MD making $1.2 million a year from the fee you pay for MOC, is telling us how we should not waste our time on a hobby such as photography and spend that time doing MOC (Maintenance of Cash or MOCkery). Please listen to the whole podcast when it's out on 8/8, but i
@chadinabhan
chadi nabhan MD, MBA, FACP
@chadinabhan
11 months
This Tue AM, I host the epic discussion btw @AaronGoodman33 and @RichardBaron17 on the MOC of the ABIM exclusively on #HealthcareUnfiltered podcast. This is a clip from the pod that U will NOT want to miss. It all started with a petition, now with >11k signatures. watch it all
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
3 years
Chest pain with syncope: Culprit saddle PE, removed completely, home in 48hours! COVID causes bad clots in some people, vaccine is free. #Cardiotwitter #MedTwitter
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
What's the diagnosis? 😲😲😲😲
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Dr Shariq Shamim
@ShariqShamimMD
5 years
Practice changing updates from ESCCongress 2019. Thx to #cardiotwitter updated despite missing the conference @mmamas1973 @purviparwani @iamritu @DrAsifQasim @AnastasiaSMihai @mirvatalasnag @bogdienache @escardio @cpgale3 @CMichaelGibson @ErinMichos @gina_lundberg @DrMarthaGulati
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
1 year
Saddle PE, RV blown, new anterior Twave inversion (V2,3,4), high NTproBNP. Goes home next day after near complete thrombus removal. There is always someone saying “What’s the evidence behind doing mechanical Thrombectomy?” Flash 16 is light years ahead of CAT12 Lightening.
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
3 years
Rare glimpse of echocardiogram just at the onset of VF, no organized heart activity and.... #cardiotwitter #MedTwitter
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
2 years
Just a reminder British colonialism & rulers brought utter poverty to India (and other colonies). They manufactured famines in colonies while royals wealth kept on rising. Read about Great famine of India & Bengal Famine if interested. Attached is a photo for reference from wiki
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
Young patient with atypcial chest pain. Computer calls this as non specific ST-T chages. In setting of chest pain (of atypical angina) this EKG is very specific for LAD occlusion, biphasic t waves V2,3 (wellens type A). Dont miss #EKG ! Angiogram below.
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
10 months
@iamsonalibendre @MSKCancerCenter What a scam. $5000 for second opinion? Here in USA you can get second opinion for cash for any reputed Oncologist for $300-500. I can tell you that NO ONE will pay $5000 cash in USA to get second option. Asking so much from Indians for the brand name is just greed and SCAM.
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
8 months
Winslow's pathway: nature’s brilliant collateral when aorto-iliac occlusion is preset! #ACCFIT #FOAMed #MedStudentTwitter
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
1 year
Excited and humbled to share that I have been promoted to Cath Lab director! Thanks for amazing mentorship and guidance @DrToniyaSingh & @Uqayyum123
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
2 years
#TCT2022 if patient has CABG, should we go for CCTA as first test or do invasive angiogram? BypassCTCA answers the questions! Results are obvious to those who already advocate for #YesCCT for the win!
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
3 years
New HFrEF 25%. Tried to start Sac/Val, got this message ($1700 a month with insurance). Don’t even talk about SGLT2i, sure we improved your heart but made you bankrupt. Carvedilol+Losartan+Spironolactone costs $12 a month WITHOUT insurance. #healthinsurance is a scam in USA.
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
9 days
@Akshat_World If 2 million $ is 15 cr (75x) Then 2 million $ would be 4 cr at 20x PPP rate). $2,000,000X 21 = 41,000,0000 Rs. 41 million INR is 4.1 Cr NOT 41 cr.
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
Isn't it amazing what Carvedilol, Entresto and Torsemide can do with close follow up with rapid uptitration to Max dose. Within few months of NYHA IV, EF 35% 3+ MR to BNP 50, No symptoms, Squint your eyes to see MR EF 55%. Any other IC LOOOOOOOVES heart failure so much. 😇😝!!!
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
2 years
Saddle PE with severe RV dilatation, high troponin, BNP. On high O2 with desaturation with any activity. Near complete clot haul, Off O2 post procedure, tele and home next day. #PERT Gone are days for ICU stays, tPA and long hospitalization for saddle PE. Many RCTs on the way!
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
2 years
Saddle PE WITH LARGE CLOT in transit! Completely removed! Big RA thrombus could probably have lead to PEA arrest RV:LV 2:1, elevated lactate/Troponin/BNP, PAP 80s on echo (normal recently)… (see echo below).
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
1 year
Will American Pilot Association let a Flight Attendant be their president? Then how come a non cardiologist and a nurse is @ACCinTouch president?
@out2sea90210
Politics, Policies & Pop Culture 🇺🇸🌎
@out2sea90210
1 year
The American College of Cardiology presents to you on the left President and right VP: NURSE: Physician:
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
Diabetic septuagenarian w severe CP, SOB, Prior EKG normal. Normal Neuro exam. What's the culprit?
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
5 years
50s with back pain, more back & shoulder pain, discharged from ED as normal trop EKG, Re-admit days later due to severe pain. Troponin - x2, recurrence of discomfort, nitro s/l BP in 70s from 120s! Trop 2. Taken to lab urgently, plaque rupture w large thrombus, all EKGs nrml😲🤔!
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
3 years
A man in 60s with right jaw pain and this EKG. How’d you interpret it?
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
3 years
Chronic pain in leg the all of sudden tingling numbness loss of sensation & weakness that resolved spontaneously but cold leg. SFA CTO, profunda, lifeline of leg w new cardio embolism. Cat7 lightening, all thrombus out. Warm leg again! Amazing maneuverability in tortuous artery!
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
When stomach burning is something sinister. Heart attack has many signs, stomach burning is one of them! How I wish everyone just had severe chest pain as symptom of heart attack, may save many more lives. #cardiotwitter What is the culprit?
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
Exciting tele tracing on rounds. What's going on. What'd you do? #FOAMed #EKG #accfit #cardiotwitter
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
In celebration of 8k (🙏🏽🙏🏽🙏🏽🙏🏽🙏🏽) Middle aged, typical angina. Something really fishy about the EKG. Doesn’t meet the “criteria” for STEMI. Guess the anatomy/culprit! (Angiogram in 24h)
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
@PCIsurgeon So sorry to hear that Bhai. Wish you speedy recovery.
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
5 years
>30 mins CPR with ROSC, fixed pupil unresponsive. First EKG. What is going on? Would you take this patient to lab?
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
Sudden severe chest pain, guess the culprit! #cardiotwitter
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
Example of great team work: severe CP, computer didn’t call it STEMI. STEMI activated at 6 mins to ED, ant hyperacute t waves #RadialFirst D2B 31 mins! From agonizing chest pain w high risk of death to laughing in 30 mins, is nothing less than modern medical miracle.😇 #widowmaker
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
LAD and PDA CTO. An amazing surgeon does meticulous endarterectomy and takes the entire plaque out en bloc! Why don’t more CTS do this? #Cardiotwitter #CTO101 Crushing plaque behind stent vs taking it out and bypassing!
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
5 years
#ACCFIT A brief tweetorial about Business of medicine. Several FITs may be in process of signing the job. First thing most want to know how much salary will the get, which is very incomplete picture. Sometimes we are told money is evil and we didn't go into medicine to make money
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
6 months
Fellows watch it carefully. Catheter is against the inferior wall pushing the proximal RCA. If you see this either withdraw or exchange with different catheter. Watch how catheter moves towards the Shepards hook dissecting the RCA. Published in PCR.
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
5 years
Hospitlist job where "women don't do well here" 😲😲 if they can advertise this, image how 💩 work place would be?
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
3 years
A man in 30s, CP while playing sports in past. No CP during EKG recording, New Diabetes with high A1c. Normal troponin. How will you interpret EKG.
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
2 years
LUCAS device works so much better than manual CPR. Persistent VF repeated shock and not getting out of VF (No ROSC), LUCAS generating decent BP despite no organized rhythm. LM-LAD PCI in limited views, 1 shock post PCI = sinus rhythm like magic!!!! #cardiacarrest #CardioTwitter
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
2 years
A man in 30s with “sharp pain” that made them uneasy. What’s the culprit? How’d you interpret this #EKG & what’d you do? #CardioTwitter #MedTwitter
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
5 years
Atypical chest pain with this EKG, what’d you do? STEMI or NO STEMI? Another one taken to lab stat. Guess the angiogram.
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
5 months
Very few interventions bring people back from certain death in minutes. Ongoing CPR, bedside pericardiocentesis and the patient survives! #Cardiotwitter #medstudent Kussmaul's sign: paradoxical rise in jugular venous pressure during inspiration. #Tamponade
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
2 years
Quiz for fellows/residents. What’s going on? When we see this, must act emergently to save life! Watch clip till the end for the answer! #CardioTwitter #ICU #MedTwitter #MedStudentTwitter @EM_RESUS @smithECGBlog @DrMarthaGulati @mmamas1973 @DrRajeshG1 @HeartOTXHeartMD
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
Anyone else thinks hyperatheletism may not be in our best interest such as Marathons/triathlon? Shared with full permission. Young triathlete doc, syncope w DOE for a year, normal stress echo a year ago. Multiple TMT since 2010 (20METs) for family ho CAD not premature. Thread:
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
3 years
A man in 50s with stomach burning, 1st HS troponin negative. How will you interpret this EKG and what’s your next step? #CardioTwitter #MedStudentTwitter #FOAMed
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
5 years
Pt: changed diet to #LCHF down 100lb. Cardiologist: that's a unsustainable FAD Pt: but my A1c 5.5 from 8, BP 110s from 140s on 💊, HSCRP down <0.5 from 1.8 Cardiologist: But your LDL went from 100 (Pattern B) to 130 (pattern A), you will die of heart attack, must stop #LCHF 🤷🏽‍♂️
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
5 years
So relalistic. Try eating 2 salmon servings without anything else and see how long you'd be full. Now eat 2 donuts with equal calories. (Did self experiment 6-7 years ago, was eye opening😲). All calories are equal is fraudulent model to keep selling junk. #EatRealFood
@DrEenfeldt
Dr. E
@DrEenfeldt
5 years
Calories count, but you don't have to count them. In fact, it's the wrong thing to focus on. Don't believe it? Here's another great image from the new book by @tednaiman and @WilliamShewfelt to illustrate the point.
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
5 years
Asians parents are crazy exemplified by Nobel laureate! A Grade = Average 🤓 B Grade = Below average 🙁 C Grade = can’t have dinner 🤬 D Grade = don’t come home 🎃 F Grade = find new family 👹
@NobelPrize
The Nobel Prize
@NobelPrize
5 years
"As a child, I promised my mother I would win the Nobel Prize in Physics. 50 years later, I said to my mother, 'See, I have kept my promise. I won the Nobel Prize.' 'No,' said my mother, 'You promised it would be in physics!'" - Kenzaburo Oe, awarded the 1994 Literature Prize
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Dr Shariq Shamim
@ShariqShamimMD
4 years
Can we plz come up with national recommendation to NOT consult Cardiology just for AFIb with RVR in COVID+ patients? @CMichaelGibson @DrMarthaGulati @DavidLBrownMD @DrQuinnCapers4 @cardiojaydoc02 @DLBHATTMD @ajaykirtane @djc795 @anish_koka @IAmDrIbrahim @ErinMichos @MKIttlesonMD
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Dr Shariq Shamim
@ShariqShamimMD
2 years
Comfort zone is a beautiful place but nothing grows there.
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Dr Shariq Shamim
@ShariqShamimMD
4 years
#RadialFirst RCA massive clot (a) 3Runs #CATRx , still significant clot (b), #JAGMarination with distal occlusion 🎈for 3 mins w 5 mg tPA IC (c), thrombus dissolved (d) showing plaque rupture. Stented with TIMI3. #JAGMarination for massive clots works like charm ( @grantham_aaron )
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Dr Shariq Shamim
@ShariqShamimMD
1 year
Typical ongoing Angina. What’s the culprit. Don’t take too long as cardiac arrest ensues. #cardiacarrest #CardioTwitter
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Dr Shariq Shamim
@ShariqShamimMD
2 years
@EM_RESUS @ECGfan @serioustaurean @smithECGBlog @iamritu @evandrofilhobr @DrMarthaGulati @mmamas1973 @Pooh_Velagapudi @DrRajeshG1 Emergent coronary angiogram NORMAL!!! EKG changes are due to lightening strike! @JACCJournals @EHJCREiC
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
3 years
😳😳😳 Tiger (which had side holes) lead to this. LVgram = Pigtail Everything else is fail
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
#NanoCrush tweetorial. Results similar to DKCrush, fewer steps, less radiation and contrast, full neo-carina coverage with less metal overlap, #RadialFirst 6F compatible! CCS4 on OMT known severe LAD/D2 disease. Have you started using this novel technique?
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
5 years
Heart attack doesn't mean ONLY CHEST PAIN, we need to educate better. Did you had major heart attack? Pt:don't remember chest pain Doc: It can be jaw,shoulder, back, tooth, neck etc discomfort or even burning stomach. Pt:Had severe shoulder pain months ago, made me 😢 EF20%☹️!
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
3 years
A patient on dialysis presents with nausea vomiting and severe chest pain. “Possible STEMI”. What’s the culprit?
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Dr Shariq Shamim
@ShariqShamimMD
6 years
Why married males live longer?Two STEMI over the weekend, both thinking it was stomach upset and their wives dragged them to hospital. RCA occluded in both! Listen to wifey:) #RadialFirst @purviparwani @DrMarthaGulati @iamritu @CardioIAN @rahatheart1 @DrToniyaSingh @ErinMichos
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Dr Shariq Shamim
@ShariqShamimMD
2 years
There was no pulsatility for 72 hours. Opened LAD and LCx quickly with MAP 50 flatline provided by Impella, max pressors and ECMO cannulation next. Pulsatility returned on day 3! FULL neurological recovery! @GreggWStone @DLBHATTMD @edecmo @Allison_Dupont @Almanfi_Cardio @EM_RESUS
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
2 years
Zero contrast PCI tweetorial. With prior good experience of ultra low contrast PCI we performed zero contrast PCI of RCA in a patient with CKD4 with h/o temp dialysis! EF20%, LIMA-LAD patent, No Grafts to PDA, OM with severe disease. Pre RCA PCI iFR 0.85, post 1.01. A thread!👇
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
6 months
Have you seen such gigantic coronary arteries? Image curtsy @rajradhaswami
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
2 years
IC who #imagefirst after hearing 2.5 mm stent was placed in proximal LAD.
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
2 years
Hi, I am your Catiologist today. There is loud P2 and an S3, you need to be in ICU!
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Dr Shariq Shamim
@ShariqShamimMD
3 years
Young man with nausea diaphoresis then VF arrest. Find the culprit on EKG. When will you recommend cath with #TOMAHAWK trial presented at #ESCcongress in mind? #cardiotwitter #medtwitter #ACCFIT #MedStudentTwitter #FOAMed
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
5 years
Guess the culprit for the STEMI!
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
Capture of the decade!
@icruzgonzalez
Ignacio Cruz Gonzalez
@icruzgonzalez
4 years
@manuelbarreirop No more! @JeanNunezG @RodrigoEstvez1 @StructuralBCN
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
6 months
There are no jobs, and there are too many fellowship spots for training. Why would you want to spend PGY7 if the real-world job won’t even offer you LVAD/TX? The same goes for Interventional. Many fellows graduate and end up primarily practicing general cardiology with only a few
@jbcarmody
Bryan Carmody
@jbcarmody
6 months
For internal medicine residents, cardiology is the most sought-after subspecialty. But for cardiology fellows, interest in advanced heart failure/transplant cardiology is… lukewarm. Why are AHF/TC fellowship programs under-subscribed? And what should be done about it?
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Dr Shariq Shamim
@ShariqShamimMD
4 years
Called for possible STEMI. Even when #COVID19 making havock, let's not forget basics. Find the culprit.
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
1 year
Octogenarian with severe AS for two years clinically followed as asymptomatic. Rising NT-proBNP but says no symptoms. Can’t TMT due to orthopedic issues. Post TAVR “ I feel 10 years younger. What a difference it made, wish we did it earlier.” Elderly slowing down and not
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
1 year
@SOgnenis Do you think most people in their retirement can afford $1300 on few meds? We made them live a few years longer in poverty or made them bankrupt What’s the point of additional life gained then? Financial stress is probably bigger CV risk factors than discussed in “guidelines
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
5 years
I'd be honest, even with this hack and slowing it down by four times, I can not see the wave forms. May be people who could see JVP wave forms are simply genius!
@AndreMansoor
André Martin Mansoor
@AndreMansoor
5 years
Ever been told not to bother looking for the jugular venous pulse? Or that the a-x-v-y waveform only exists on a white board and is not appreciable in real life? Don't believe everything you hear, especially in medicine. #PhysicalExam
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
1 year
@MKIttlesonMD Making them bankrupt while making them live a litter longer, what’s the point of additional life gained?
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Dr Shariq Shamim
@ShariqShamimMD
4 years
Tele visits are so relaxing for my patients that one of them started smoking 🚬 talking to me.☹️ 😲🔥🤷🏾
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
5 years
Guess the culprit. Computer calling it STEMI.
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
9 months
Best bifurcation angles. Several of these can’t be achieved on table though.
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
8 months
Rarest coronary anomaly! ARCAPA. RCA is originating from pulmonary artery! #ACCFIT 🎥 @DrTGupta
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
What a weekend, three STEMI, Acute limb ischemia with thrombus from EIA to BTK 😱, CHB coding, Saddle PE #PERT . All did well! Interventinal Cardiology, best job ever to make huge difference in acutely, critically ill with limb/life threat! Exhausted yet feeling #blessed 😇!
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
5 years
How powerful diet change and fixing insulin resistance is. A man in 60s referred for high triglycerides 850, TC 260s,BMI 24. Checked HOMA-IR 3.5 so insulin resistance can be present with so called normal BMI. Started #LowCarb diet. 3 months triglycerides 110s, TC170s on no pills!
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
Hey snaky sneaky clot, you can’t kill my patients on my watch! Saddle PE belongs to @PenVascular CAT12 basket NOT lungs! #PERT #SaddlePE ( just 200 cc bloss loss, 1 hour DONE!)
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
9 months
Young female with severe angina at rest. What's the culprit?
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
Do not sit on this EKG, Even though CP may be gone. Needs urgent cardiac cath...Found to have subtotal left main! (STE aVR with global ST depression). #cardiotwitter #ECG
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@ShariqShamimMD
Dr Shariq Shamim
@ShariqShamimMD
4 years
It’s important to recognize this deadly EKG because in right clinical context diagnosis can be made before CT angio. Sinus tachy, S1Q3T3, RBBB all new suggest RV strain. Massive saddle PE got tPA!
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