Syed Ali Naqvi @SyedYNaqvi1 Twitter profile

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Syed Ali Naqvi

2 years

Inferior STEMI without radial pulse. Coronary angio via R CFA with successful PCI. Ultrasound/fluoro guided stick. No resistance inserting sheath. Expanding groin hematoma despite holding CFA pressure. Femoral angiogram showed this. How would you manage this? #MedTwitter #Cardio

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Syed Ali Naqvi

@SyedYNaqvi1

3 years

I’m a board certified Interventional Cardiologist 🎉 absolutely delighted 😀

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

@SrihariNaiduMD @WMCCardsFellows @GiorgioMedranda @ameeshisath @ABaliMD @CardioNerds @mmartinezheart @SteveOmmen @CSHeartResearch @purviparwani @AnkurKalraMD @baileyannRN @NYSCACC @STS_CTsurgery @DikshyaSharmaMD @rowpower Patient had a septal surgical myectomy for HCM with obstruction? Now with diastolic flow from septal perforators into the LVOT...

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

Excellent review paper by @RobertoGarbo1 in @JACCJournals Nice schematic of how to advance a guide extension down a coronary artery. Good for fellows to review. #accfit #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

11 months

I use ultrasound for all my venous and arterial access (IJ & femoral) , including L subclavian access for pacemaker implantation. Lower risk of pneumothorax. Any #EPeeps routinely use u/s for subclavian access? This paper explains this very nicely 👇

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

What's going on here? Anterior STEMI after routine PPM insertion treated with DES x2. Never seen this happen before so sharing it here for your learning! #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

Just another Friday. What's going on here? Atypical CP with systolic murmur on exam...what's your work-up? #ACCFit #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

7 months

Nice hemodynamics trace. Does anyone want to guess what the diagnosis is? Does anyone else get excited from obtaining a trace like this? 😜 #ACCFit #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

R radial angiogram done after standard J wire unable to cross and IA nitroglycerin given although patient didn't have any arm pain from spasm. Terumo glide wire and coronary Sion wire unable to cross. What to do next? Switch to L radial? Or go femoral? #MedTwitter #Cardiotwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Early 70s with 3 weeks of on/off CP and SOB. Worsened over last 24 hours and presented to the cath lab as an anterior STEMI. On non rebreather mask. SBP 70mmHg. Lactate 7. No pressors yet. Still mentating. Next clip shows RCA run. MCS first or balloon? #cardiotwitter #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Kinked Tig diagnostic catheter in R arm...unable to wire it with J wire, terumo glide wire or back end of amplatz...pulling it causing significant pain 😳 How will you proceed? #Cardiology #CardioTwitter #ACCFIT #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

3 years

How to deal with a radial loop? J-wire doesn’t go, cross the loop with a sion wire, then place a 4F MPA catheter over it, then exchange for the J wire, straighten the loop with some back tension… #RadialFirst #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

A lovely 2AM in the morning anterior stemi...what's your strategy? Does your strategy change if you've just woken up from sleep versus daytime case? #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

Strategy for this medina 1:1:1? Wish I was brave enough to do image guided kissing DEB...although it might become standard of care in the future! #CardioTwitter #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

11 months

R radial 6F access. Tig catheter with J-wire wouldn't go. Terumo and Sion coronary wire couldn't go either. What would you do next? Switch to L radial? Or femoral? Or you got something else up your sleeve?? I'll share what I did later tonight. #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Telephone chest pain clinic: 'no doctor, I don't have any chest pain, just a mild ache on exertion for 2 months, last night chest was aching at rest'...sent them to the A&E for evaluation because of multiple risk factors...normal ECG, trops and echo! #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

3 years

Sapien 3 for severe AI from treated endocarditis (6 weeks of IV antibiotics) now presents 4 months later with fevers and stroke on CT! #MedTwitter #CardioTwitter #ACC

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

What do you give for no reflow in a hypotensive patient during acute MI? IC Epinephrine works well. This study shows higher TIMI flow rate and higher myocardial blush compared to adenosine. 1mg in 9ml of saline. Keep it in your noreflow cocktail.

Comparison of Intracoronary Epinephrine and Adenosine for No-Reflow in Normotensive Patients With...

Background: Intracoronary epinephrine has been effectively used in treating refractory no-reflow, but there is a dearth of data on its use as a first-line drug in normotensive patients in comparison...

www.ahajournals.org

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Syed Ali Naqvi

@SyedYNaqvi1

6 months

NSTEMI case. Dominant LCx severe lesion. How would you tackle this lesion? Keep it simple provisional stenting or bifurcation or side branch DEB? #CardioTwitter #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

Anterior STEMI. Heavy clot burden in prox LAD. After 2.5 predil balloon. Elected to stent and cover the LAD ostium. Stent deployed at 20atm. Some no reflow. Would you post dilate this stent based on this OCT run? Apologies for the swirling artifact #CardioTwitter #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Study by Akintoye et al. Right ventricle free wall strain (RVFWS) + tricuspid regurgitant volume (RVol) were strongest predictors of mortality in asymptomatic TR. The optimal discriminatory thresholds for these parameters were RVFWS <−19% and RVol >45 mL.

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

Today marks my one-year work anniversary as a Consultant in the NHS. I have learned a lot and had some challenging cases in the middle of the night! Thankfully with good outcomes. It's definitely been a huge learning curve managing such complex cases. Here's to many more!!🥂 😁😍

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Lady in her late 80's, worsening angina, only PMHx is mild CKD, good right radial pulse, normal LV function. Spider view shows this angiogram. What will your strategy be? Radial or femoral? Upfront 2 stent strategy? Or keep it simple with provisional? #CardioTwitter #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

3 years

Anterior STEMI with this after 2.5 balloon. Aspirate or stent? #CardioTwitter #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Nice break from work. Memorable trip to Cairo. The pyramids up close are truly a wonder of the world 🌎 #egypt #pyramids

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Syed Ali Naqvi

@SyedYNaqvi1

9 months

Brachial artery access in a high-risk NSTEMI. B/L leg amputation. R radial no pulse, weak R ulnar pulse. Used U/S guided puncture and sutured sheath after the PCI. Manual compression after ACT dropped less than 150. *Pic with patient permission #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

EILAH vs RELAH Lots of patients referred to cardiology with SOB have EILAH. E/A ratio of mitral flow will be normal with rest and abnormal with exercise. #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

Provisional vs Two-stent in LM bifurcation. Review paper.

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

Great first day at my first ever #EuroPCR conference! and a nice dinner to finish off the evening 🙂 good weather too at #arcdetriomphe

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

I recently delivered a stent from LM ostium into prox LAD with an arresting patient on active Lucas! Which view would you deliver the stent in to make sure to cover the LM ostium? #cardiotwitter #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Anomalous RCA above L cusp. Tried JR4, AR mod, AL 1.0, MPA1 but couldn't reach over. Ultimately went with an AL 0.75 guide, wired RCA from a distance, 1.5 balloon to track a guideliner. How would you engage this RCA? I'm just glad it wasn't a STEMI 🙈 #Cardiotwitter #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

9 months

Ellis Type 3 coronary perforation😬 Covered stent delivered to the presumed bleeding site and angiogram taken prior to covered stent deployment. Where is the bleeding point? Poll below 👇

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Syed Ali Naqvi

@SyedYNaqvi1

9 months

NSTEMI in a young patient. Lots of thrombus. How would you manage this? Image now? Direct stent now? Image after 72 hours of Tirofiban? Medical management? I'll share what we did for this case in 2024 😅 #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Cardiac CT vs MRI for diagnosing the cause of new onset cardiomyopathy and low LVEF. Very neat study. #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

5 months

Patient with hx of CABG 9 years ago... complaining of exertional angina despite 2 anti anginals. What do you see on this CTCA? 👇🏽 #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

Mid RCA PCI in the setting of NSTEMI. Treated with 2 overlapping DES with shockwave lesion prep. This is your final angiogram. What's going on here? How will you manage it? #CardioTwitter #MedTwitter #ACCFit

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

7F 3DRC guide. Gladius wire over a Corsair microcatheter buried into the calcified ostial RCA. Upfront rota or shock or NC balloon? #CardioTwitter #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

What is the best view to land a stent in order to cover the ostium of the RCA? See case example below. #MedTwitter #CardioTwitter #PCI

Straight LAO 20

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LAO 30 Cranial 30

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Spider LAO 45 Caudal 30

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

Time to switch to DCB alone in STEMI patients? I use DCBs in STEMI patients with distal disease (2.5mm or less vessel size)...how about prox LAD STEMI DCB?? Excellent study. Congrats to authors 👏 @vass_vassiliou @Simoneccles66 #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

Type 2 diabetic patient, late 30's. Previous PCI to LCx. Presents with NSTEMI. Protect diagonals with a wire or leave them unprotected? Strategy?

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

What does #CardioTwitter think of this CMRI?

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Syed Ali Naqvi

@SyedYNaqvi1

11 months

How would #CardioTwitter manage this mid LAD lesion? Patient admitted with NSTEMI. Poll below. Reply with comments. #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

Anterior STEMI 3 hours post 3 vessel CABG. Free LIMA to LAD. What do you see in the native angiogram? How will you approach this? Go down the free LIMA with fresh sutures or open up the native LAD? #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Our paper published in this months issue of ASAIO journal. We discuss the Management of HIT in HM3 LVAD recipients. Challenging patients to manage! @SabuThomasMD @igor_igorgosev @himavidula @asaiojournal @URMed_AHF @URMC_DeptMed

Management of Heparin-Induced Thrombocytopenia Using... : ASAIO Journal

and perioperative thrombotic events. We describe a case series of four patients who developed HIT in their hospital course before HeartMate 3 (HM3) left ventricular assist device implantation....

journals.lww.com

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Best of luck to this young man @siddh_w on his next endeavor in Manchester! It was great working with you 🙂 @HullHospitals will miss you! Sorry you got photo-bombed with bunny ears 🐰

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Male in his late 70's...NSTEMI...based on this angiogram, should it be an upfront rotablation case? #CardioTwitter #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

1 in 20 patients with 'essential HTN' have an aldosterone-producing tumor! What age group do you do a secondary HTN work up? And what tests to order? • Ultrasound or MRA renal arteries • Aldosterone to renin ratio • 24h urine for catecholamines/metanephrines #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

NSTEMI with thrombotic occlusion of prox RCA. What do you see in the prox vessel? Would you post dilate this stent? It was a 3.5 x 36 Biomatrix DES deployed at 22 ATM from mid to prox RCA. Nice wiring done by my registrar @DrRaghavBhatia #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

What's happening with this Tig catheter? It's important to know when to stop injecting more contrast! #ACCFit #MedTwitter #CardioEd #InShot

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

Severe calcified distal LM and mid LAD disease. Had 3V CABG 8 years ago. LIMA not looking good. Do surgeons typically tie off the LIMA branches? #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

10 months

Congratulations to my younger brother @MoeNaqvi for getting awarded the Prof Kieran Daly Gold Medal for his Masters in Preventive Cardiology 🫀🎉👏 @uniofgalway @CroiHeartStroke @smasoomanaqvi

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

What do you see here in this PA cranial angiogram? #MedTwitter #CardioTwitter #ACCFIT

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Syed Ali Naqvi

@SyedYNaqvi1

11 months

The After Eighty Study: a randomized controlled trial. In patients aged ≥80 years with NSTE-ACS, the invasive strategy was superior to the conservative strategy in the reduction of composite events and demonstrated a significant gain in event-free survival. #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

3 years

Made 300 citations! I guess I can celebrate that 🎉

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Syed Ali Naqvi

@SyedYNaqvi1

3 years

I just signed up for the TCT Complications Course in November. It’s free for fellows to attend 😊 looking forward to it! @TCTConference

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Looking forward to my first European cardiology conference in Paris. #PCRPresenter #EuroPCR

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

Great Debate: CTCA should be the initial diagnostic test in suspected angina. I concur! #MedTwitter #CardioTwitter

Great Debate: Computed tomography coronary angiography should be the initial diagnostic test in...

Corresponding author. Fax: 4414143303325, Email: [email protected]

academic.oup.com

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Syed Ali Naqvi

@SyedYNaqvi1

6 months

Patient with essentially a dry tap. Loculated pericardial effusion, non circumferential. How do you make sure you are in the pericardial space and not in the pulmonary artery?? #MedTwitter #Cardiotwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Anyone else use Sion and Sion blue as their work horse wires?? Just FYI. They are increasing it's lengths from 180cm to 190cm. And the color is slightly changing too. #CardioEd #Cardiotwitter #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

PANTHER Meta-Analysis: P2Y12 Inhibitor Monotherapy (clopidogrel/ticagrelor) Lowers Risk of CV Death, MI or Stroke vs. Aspirin Monotherapy in CAD. I think it's time stop the lifelong aspirin business after 12 months of DAPT. Lifelong clopidogrel for me! #cardiotwitter #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

7 months

50 yo M, non smoker but strong family history. LCx+RCA okay. How would you treat him? SOB and chest pain on exertion while at the gym. On bisoprolol, aspirin and atorvastatin. Nuclear scan showed 10% LAD territory ischemia. How would you manage this distal LAD? #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

RESTORE EF Study...impella assisted high-risk PCI with complete revasc showed at 30 days an average of 10percent improvement in LVEF

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

50 yo M with worsening angina despite medical therapy. Severe prox LAD/D1 disease (no left main), normal RCA and anomalous LCx. Should we discuss with surgeons first for Lima and SVG to D1? Or should we crack on with IVUS guided PCI and which strategy? #CardioTwitter #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

70s male, no PMHx. Inferior STEMI. How should you tackle this? RRA 6F JR4 guide...switch guide now before wiring attempt or get new guide in now? Upfront aspiration? #MedTwitter #CardioTwitter #ACCFit #InShot

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

At Hull University we have performed 37 Renal Artery Denervations under the leadership of Simon Thackray, a world expert in RDN/proctor. Great to be able to offer this service to our resistant hypertension patients. #RDN #SymplicitySpyral #Medtronic

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Happy 2023 from the Top of Europe 😊 #jungfrau #Switzerland

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Aortogram...Underutilized! Very helpful when the AR jet is eccentric particularly in bicuspid AV and difficult to quantify on TTE. What's your best method to quantify AR? TOE or MRI or cheap aortogram? #MedTwitter #Cardiology #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

5 months

Late presenting anterior STEMI. Took antacids for 24 hours! What do you see on this short axis view? What's your management? #accfit #cardiotwitter #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

10 months

Staged mid LAD PCI. Some calcium on the prior angiogram 1 month ago. Unable to dilate the lesion despite 2.5 NC at 22atm. No rota or shockwave available. What do you do next? Cine of the balloon 🎈 👇 #MedTwitter #cardiotwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Final angio. Culotte. 3.0 stents with 4.0 POT.

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

What procedure would a cardiologist be doing after taking this Pigtail angiogram? #MedTwitter #CardioTwitter #Anatomyrefresher

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

@LAzzaliniMD Did you consider using a 7fr Guide extension to deliver the rota burr to distal LIMA? Nice case here: Utility of Guide Extension Catheter for Rotational Atherectomy Through a LIMA Graft. JACC Intervention. 2022 @mmamas1973 @jl35wilsonMD @Laserrman

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Syed Ali Naqvi

@SyedYNaqvi1

7 months

No role for routine stress testing after left main or multi-vessel PCI. Makes sense. Published in JACC. Article link 👇 #CardioTwitter #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

Inferior STEMI with Shepherd's crook RCA. Do you still use your usual work horse wire? I used a Sion wire and it straightened out the proximal artery with lots of pseudo-lesions. Final angiogram showed spasm prox to lesion, lots of IC nitro to resolve. #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

3 years

⁦Our recent publication outlining management of HIT in HM3 patients @SabuThomasMD ⁩ ⁦ @himavidula ⁩ ⁦ @igor_igorgosev ⁩ ⁦ @asaiojournal ⁩

Management of Heparin-Induced Thrombocytopenia Using Plasmapharesis in Patients Undergoing HeartM...

Heparin-induced thrombocytopenia (HIT) type-2 is a rare, but life-threatening complication that presents a unique challenge in patients undergoing cardiac surgery. Patients that require cardiac...

pubmed.ncbi.nlm.nih.gov

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

7F RRA EBU 3.5 guide, LAD Sion and LCx Sion blue, predil both with 2.5 balloon, IVUS both, LAD 4.5 prox, LM 4.5, not very calcified, LCx moderate ostial, elected for provisional, predil 3.5 NC LAD into LM, 4.0 x 19 Biomatrix DES, rewired LCx, Kiss 3.5/2.5, POT 4.5. Good result 👍🏽

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Syed Ali Naqvi

@SyedYNaqvi1

11 months

Nice angiographic depiction of intramural hematoma expansion during stent deployment

Gopala Krishna Koduru

@GopalKkoduru

11 months

Angiographic progression of IMH.

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

1/Patient with inferior STEMI successfully treated with a 4.0 Biomatrix DES and post dilated with 5.0 NC balloon. Guideliner needed for balloon delivery. Excellent angio result. Have a look at the PA caudal of LCA injection? What's missing? #CardioTwitter #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

NSTEMI in a lady with insulin dependent diabetes. LAD had moderate disease. How would you treat this distal LCx? Answer the question poll. #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Late 70s, multiple medical problems, presents with NSTEMI. Awaiting surgical review for CABG given severe calcified 3 vessel disease on angio. LVEF 40%. Recurrent CP on ward with inferior STEMI. Here's what we did. No mechanical support. #CardioTwitter #MedTwitter #Cardiology

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Syed Ali Naqvi

@SyedYNaqvi1

10 months

This was my first case of the day 😳 what would you do next? I started R radial, then switched to L radial. I'll share what I did tomorrow. Poll below 👇 #MedTwitter #CardioTwitter #InShot

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Syed Ali Naqvi

@SyedYNaqvi1

7 months

We have enrolled our first patient into the #Biosensor Biomatrix Alpha Long Stent Study. Great to have the longer length options with this superb stent platform. @DrRaghavBhatia @bubyruss #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

@argulian Bright pericardium is reflecting the ultrasound waves causing a mirror artifact? Same artifact can be seen in the aorta if the aortic wall is bright giving the false impression of an aortic dissection flap

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

This was a very satisfying aspiration run with @Medtronic Export catheter ☺️ do all ICs flush out their aspiration catheters to see what they've retrieved? Or do they just crack on to finish the case? 🙂 #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

8 months

Patient with NSTEMI. Heavy thrombus burden in mid RCA. Can anyone guess what I'm doing here? Angiogram 👇 #medtwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

8 months

Bicuspid valve. Symptomatic. MG on echo 37mmHg and peak gradient 3.8m/s. Echo reported as normal LVEF with moderate to severe AS. Came for a diagnostic angiogram. JR4 used to cross AV and get this pullback gradient from LV into aorta. Poll 👇 #ACCFit #MedTwitter #CardioTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Beautiful new entrance at HRI and nice spring weather 😊 @HullHospitals #oncall #weekendrounding

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Syed Ali Naqvi

@SyedYNaqvi1

6 months

Hx of RCA PCI >20 years ago. Presents with 8 months of progressive exertional angina. Now with CP walking up half a flight of stairs, needing to stop to catch his breath and wait for CP to improve. LCA only mild disease. Poll below 👇

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

Male in his 50's, marathon runner, CP after 2-3 minutes of running, symptomatic despite BB and nitrates, CTCA showed CTO of OM2. OM1 shows focal severe lesion in prox vessel. How would you tackle this? #MedTwitter #CardioTwitter #InShot

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Syed Ali Naqvi

@SyedYNaqvi1

7 months

We've started enrollment into the Global Paradise registry @HullHospitals for uncontrolled HTN using the Recor ultrasound based device. Excellent work from our clinical and research team. @drandrewsharp @ReCorMedical #uRDNRecor #RenalDenervation #MedTwitter #CardioTwitter #HTN

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Mid RCA perforation! Unable to deliver a 5.0 papyrus covered stent via a 6F Guideliner...ended up doing this. How would you have managed this? Ping pong guide via femoral access? #MedTwitter #Cardiotwitter #PCI

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Syed Ali Naqvi

@SyedYNaqvi1

7 months

I delivered Grand Rounds on Management of Hypertension in Karbala Iraq earlier today. Great attendance and stimulating discussions. Thank you to @WarithALanbiya for the invitation.

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

What's going on here?? #MedTwitter #CardioTwitter #InShot

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

First time being in the examiner role. Excellent course set up in Hull for those preparing for the paces exam.

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Delightful 2AM case with @JJCuthbert . Patient in her 80's, no co-morbidities, no routine meds. CP on/off for 3 days, worsened this evening. ECG shows inferior STEMI, small inf q waves. Active pain. JR 4 guide. How would you manage all of this thrombus? #Cardiotwitter #MedTwitter

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Excited for some case based learning 😀👍🏽 @MillbrookMed

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

This has become routine practice for me. For true coronary bifurcation disease (Medina 1:1:1). DES in main vessel and DEB in the side branch. I leave alone none flow limiting dissections in the side branch. So far, no issues 🤞 #MedTwitter #CardioTwitter

Drug-coated balloon combined with drug-eluting stent for the treatment of coronary bifurcation...

Abstract. True coronary bifurcation lesions (CBL) represent a challenging scenario for percutaneous coronary interventions (PCI), and are associated with a

academic.oup.com

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Syed Ali Naqvi

@SyedYNaqvi1

2 years

Sion wire LAD, sion blue D1. Predil 2.0×15 to LAD and D1. TIMI3 flow, CP free and resolution of ST's. IVUS LAD 3.0 distal, 4.0 prox, Diag 3.0. Elected to perform upfront 2-stent strategy using Culotte technique. Final angio below. Agree that 2AM shouldn't change your strategy!

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Syed Ali Naqvi

@SyedYNaqvi1

1 year

Nice case report 👇 Congratulations to the operators 👏 Percutaneous Approach With Coil Embolization for Annular Rupture During Transcatheter Aortic Valve Replacement

Percutaneous Approach With Coil Embolization for Annular Rupture During Transcatheter Aortic Valve...

A 78-year-old man with symptomatic bicuspid severe aortic stenosis with LVEF 50% was planned for transcatheter aortic valve replacement (TAVR). His CT scan revealed calcified bicuspid aortic valve...

www.hmpgloballearningnetwork.com

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