Read on Twitter
1/10 π
²
ππ
΄-
ππ
΄π
³ πππ
ππ
Έπ
»
ππ ΄π ΄π Ί
βππ¨π«π¨π§ππ«π²β
April 20-21, 2020 @Lross246
@ACCinTouch @mirvatalasnag @jedicath #ACCIC
ππ
΄-ππ
΄π
³ πππππ
Έπ
»ππ ΄π ΄π Ί
βππ¨π«π¨π§ππ«π²βApril 20-21, 2020 @Lross246 @ACCinTouch @mirvatalasnag @jedicath #ACCIC
3/10: 74yo 
presents post cardiac arrest
@aayshacader @rahatheart1 @biljana_parapid @cardioPCImom @mmamas1973 @ShariqShamimMD @MusaSharkawi @DrMarthaGulati @DBelardoMD @NadeenFaza @noshreza @purviparwani
Ref : https://www.who.int/news-room/commentaries/detail/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendations
presents post cardiac arrest@aayshacader @rahatheart1 @biljana_parapid @cardioPCImom @mmamas1973 @ShariqShamimMD @MusaSharkawi @DrMarthaGulati @DBelardoMD @NadeenFaza @noshreza @purviparwani
Ref : https://www.who.int/news-room/commentaries/detail/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendations
4/10 #ACCIC
@PinakShahMD @SripalBangalore @SrihariNaiduMD @SVRaoMD @ajaykirtane @MayraGuerreroMD @Drroxmehran @JDawnAbbott1 @mszerlip @HenrytTimothy @n_kleiman
?Presumed Covid!!?
Donning and Doffing protocol
https://bit.ly/3evscGy
https://bit.ly/2xC4qrC
@PinakShahMD @SripalBangalore @SrihariNaiduMD @SVRaoMD @ajaykirtane @MayraGuerreroMD @Drroxmehran @JDawnAbbott1 @mszerlip @HenrytTimothy @n_kleiman
?Presumed Covid!!?
Donning and Doffing protocol
https://bit.ly/3evscGy
https://bit.ly/2xC4qrC
5/10
@yaqoub_lina @heartdocandcrew @KhandelwalMD @BillONeillMD @onco_cardiology @MarwanSaadMD @skilicmd @DrAdaStefanescu @PushpaShivaram @marktuttle @atunuguntla1
An estimated 38%
reduction in US cardiac catheterization laboratory STEMI activations!
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151384/pdf/main.pdf
@yaqoub_lina @heartdocandcrew @KhandelwalMD @BillONeillMD @onco_cardiology @MarwanSaadMD @skilicmd @DrAdaStefanescu @PushpaShivaram @marktuttle @atunuguntla1
An estimated 38%
reduction in US cardiac catheterization laboratory STEMI activations!https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151384/pdf/main.pdf
6/10
The real question in the age of #COVID19, what is on your differential for this kind of presentation?
From
ACC's Interventional Council & SCAI consensus 
: Catheterization Laboratory Considerations During the COVID-19 Pandemic: https://bit.ly/2ystHVa
Your Diagnosis:
The real question in the age of #COVID19, what is on your differential for this kind of presentation?
From
ACC's Interventional Council & SCAI consensus : Catheterization Laboratory Considerations During the COVID-19 Pandemic: https://bit.ly/2ystHVa Your Diagnosis:
7/10 Next Step?
VF arrest s/t STEMI
Additional reading
:Of 18 patients with 
Covid-19 in New York City who had ST-segment elevation indicating potential acute myocardial infarction, 9(50%) underwent angiogram, 5(56%) of them underwent PCI
https://bit.ly/2Kk1X7T
VF arrest s/t STEMIAdditional reading
:Of 18 patients with Covid-19 in New York City who had ST-segment elevation indicating potential acute myocardial infarction, 9(50%) underwent angiogram, 5(56%) of them underwent PCIhttps://bit.ly/2Kk1X7T
8/10 As far as what happened next? Well, a picture's worth a thousand words!
Fick CO 3.26 L/Min, CI 1.68 L/Min/M2 and SVR 1450
Impella placement
Fick CO 3.26 L/Min, CI 1.68 L/Min/M2 and SVR 1450
Impella placement
Another 
PCI to mid and distal LAD with DES
@trivaxheartmd @CVCTForum @AbbottNews @HeartFailureTip @HeartDocSharon @heartdoc101 @Heartdoc530 @heartdoc32 @cardioPCImom @JAMACardio @CN_publishing @CardioBot @escardio
PCI to mid and distal LAD with DES@trivaxheartmd @CVCTForum @AbbottNews @HeartFailureTip @HeartDocSharon @heartdoc101 @Heartdoc530 @heartdoc32 @cardioPCImom @JAMACardio @CN_publishing @CardioBot @escardio
9/10 Angiogram films (contd.) 
@HafizaKMD @SamRRazaMD @PerksterVT @FKeatingMD @CDeStephanMills @DrRachelMBond @drmonalidesai @KittyKatzMD @heartdr @drjeffle
@HafizaKMD @SamRRazaMD @PerksterVT @FKeatingMD @CDeStephanMills @DrRachelMBond @drmonalidesai @KittyKatzMD @heartdr @drjeffle
10/10 Finally 
Takeaways from the ACC SCAI consensus statement on Catheterization Lab Considerations during COVID-19 courtesy @ajaykirtane
@AnkurKalraMD @CCIJournal @rwyeh @willsuh76
@DrQuinnCapers4 @tanveerrab @agtruesdell
@payamde @mmamas1973 @iamritu
@JACCJournals #CCC
Takeaways from the ACC SCAI consensus statement on Catheterization Lab Considerations during COVID-19 courtesy @ajaykirtane@AnkurKalraMD @CCIJournal @rwyeh @willsuh76
@DrQuinnCapers4 @tanveerrab @agtruesdell
@payamde @mmamas1973 @iamritu
@JACCJournals #CCC
