1/10 🅲https://abs.twimg.com/emoji/v2/... draggable="false" alt="🅰" title="Negative squared latin capital letter a" aria-label="Emoji: Negative squared latin capital letter a">🆂🅴-https://abs.twimg.com/emoji/v2/... draggable="false" alt="🅱" title="Negative squared latin capital letter b" aria-label="Emoji: Negative squared latin capital letter b">https://abs.twimg.com/emoji/v2/... draggable="false" alt="🅰" title="Negative squared latin capital letter a" aria-label="Emoji: Negative squared latin capital letter a">🆂🅴🅳 🆃🆄🆃https://abs.twimg.com/emoji/v2/... draggable="false" alt="🅾" title="Negative squared latin capital letter o" aria-label="Emoji: Negative squared latin capital letter o">🆁🅸https://abs.twimg.com/emoji/v2/... draggable="false" alt="🅰" title="Negative squared latin capital letter a" aria-label="Emoji: Negative squared latin capital letter a">🅻

🆆🅴🅴🅺https://abs.twimg.com/emoji/v2/... draggable="false" alt="1️⃣" title="Keycap digit one" aria-label="Emoji: Keycap digit one"> “𝐂𝐨𝐫𝐨𝐧𝐚𝐫𝐲”
https://abs.twimg.com/emoji/v2/... draggable="false" alt="📅" title="Calendar" aria-label="Emoji: Calendar">April 20-21, 2020 @Lross246
@ACCinTouch @mirvatalasnag @jedicath #ACCIC

2/10 @jedicath @chadialraies

3/10: 74yo https://abs.twimg.com/emoji/v2/... draggable="false" alt="👨‍🦱" title="Man, curly haired" aria-label="Emoji: Man, curly haired">presents post cardiac arresthttps://abs.twimg.com/emoji/v2/... draggable="false" alt="💔" title="Broken heart" aria-label="Emoji: Broken heart">

@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">https://www.who.int/news-room...

4/10 #ACCIC
@PinakShahMD @SripalBangalore @SrihariNaiduMD @SVRaoMD @ajaykirtane @MayraGuerreroMD @Drroxmehran @JDawnAbbott1 @mszerlip @HenrytTimothy @n_kleiman

?Presumed Covid!!?https://abs.twimg.com/emoji/v2/... draggable="false" alt="🈴" title="Squared cjk unified ideograph-5408" aria-label="Emoji: Squared cjk unified ideograph-5408">

Donning and Doffing protocolhttps://abs.twimg.com/emoji/v2/... draggable="false" alt="🥼" title="Lab coat" aria-label="Emoji: Lab coat">
https://bit.ly/3evscGy 

https://bit.ly/3evscGy&q... href=" https://bit.ly/2xC4qrC ">https://bit.ly/2xC4qrC&q...

Donning and Doffing protocolhttps://abs.twimg.com/emoji/v2/... draggable="false" alt="🥼" title="Lab coat" aria-label="Emoji: Lab coat"> https://bit.ly/3evscGy&q... href=" https://bit.ly/2xC4qrC ">https://bit.ly/2xC4qrC&q..." title="4/10 #ACCIC @PinakShahMD @SripalBangalore @SrihariNaiduMD @SVRaoMD @ajaykirtane @MayraGuerreroMD @Drroxmehran @JDawnAbbott1 @mszerlip @HenrytTimothy @n_kleiman ?Presumed Covid!!?https://abs.twimg.com/emoji/v2/... draggable="false" alt="🈴" title="Squared cjk unified ideograph-5408" aria-label="Emoji: Squared cjk unified ideograph-5408">Donning and Doffing protocolhttps://abs.twimg.com/emoji/v2/... draggable="false" alt="🥼" title="Lab coat" aria-label="Emoji: Lab coat"> https://bit.ly/3evscGy&q... href=" https://bit.ly/2xC4qrC ">https://bit.ly/2xC4qrC&q..." class="img-responsive" style="max-width:100%;"/>

5/10
@yaqoub_lina @heartdocandcrew @KhandelwalMD @BillONeillMD @onco_cardiology @MarwanSaadMD @skilicmd @DrAdaStefanescu @PushpaShivaram @marktuttle @atunuguntla1

An estimated 38% https://abs.twimg.com/emoji/v2/... draggable="false" alt="🔽" title="Down-pointing triangle" aria-label="Emoji: Down-pointing triangle">reduction in US cardiac catheterization laboratory STEMI activations!
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151384/pdf/main.pdf">https://www.ncbi.nlm.nih.gov/pmc/artic...

6/10
The real question in the age of #COVID19, what is on your differential for this kind of presentation?
From https://abs.twimg.com/emoji/v2/... draggable="false" alt="💓" title="Beating heart" aria-label="Emoji: Beating heart"> ACC& #39;s Interventional Council & SCAI consensus https://abs.twimg.com/emoji/v2/... draggable="false" alt="📑" title="Bookmark tabs" aria-label="Emoji: Bookmark tabs">: Catheterization Laboratory Considerations During the COVID-19 Pandemic: https://bit.ly/2ystHVa 

Your">https://bit.ly/2ystHVa&q... Diagnosis:

7/10 Next Step?

https://abs.twimg.com/emoji/v2/... draggable="false" alt="📈" title="Chart with upwards trend" aria-label="Emoji: Chart with upwards trend">VF arrest s/t STEMIhttps://abs.twimg.com/emoji/v2/... draggable="false" alt="➡️" title="Rightwards arrow" aria-label="Emoji: Rightwards arrow">https://abs.twimg.com/emoji/v2/... draggable="false" alt="🛌" title="Sleeping accommodation" aria-label="Emoji: Sleeping accommodation">https://abs.twimg.com/emoji/v2/... draggable="false" alt="💉" title="Syringe" aria-label="Emoji: Syringe">https://abs.twimg.com/emoji/v2/... draggable="false" alt="👨‍🔬" title="Man scientist" aria-label="Emoji: Man scientist">

Additional reading https://abs.twimg.com/emoji/v2/... draggable="false" alt="🔖" title="Bookmark" aria-label="Emoji: Bookmark">:Of 18 patients with https://abs.twimg.com/emoji/v2/... draggable="false" alt="🦠" title="Microbe" aria-label="Emoji: Microbe"> 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 ">https://bit.ly/2Kk1X7T&q...

8/10 As far as what happened next? Well, a picture& #39;s worth a thousand words!https://abs.twimg.com/emoji/v2/... draggable="false" alt="🔑" title="Key" aria-label="Emoji: Key">

Fick CO 3.26 L/Min, CI 1.68 L/Min/M2 and SVR 1450
Impella placement

Another https://abs.twimg.com/emoji/v2/... draggable="false" alt="🎞️" title="Film frames" aria-label="Emoji: Film frames">
https://abs.twimg.com/emoji/v2/... draggable="false" alt="🗾" title="Silhouette of japan" aria-label="Emoji: Silhouette of japan">PCI to mid and distal LAD with DEShttps://abs.twimg.com/emoji/v2/... draggable="false" alt="🩹" title="Adhesive bandage" aria-label="Emoji: Adhesive bandage">

@trivaxheartmd @CVCTForum @AbbottNews @HeartFailureTip @HeartDocSharon @heartdoc101 @Heartdoc530 @heartdoc32 @cardioPCImom @JAMACardio @CN_publishing @CardioBot @escardio

9/10 Angiogram films (contd.) https://abs.twimg.com/emoji/v2/... draggable="false" alt="🎦" title="Cinema" aria-label="Emoji: Cinema">https://abs.twimg.com/emoji/v2/... draggable="false" alt="📽️" title="Film projector" aria-label="Emoji: Film projector">
@HafizaKMD @SamRRazaMD @PerksterVT @FKeatingMD @CDeStephanMills @DrRachelMBond @drmonalidesai @KittyKatzMD @heartdr @drjeffle

10/10 Finally https://abs.twimg.com/emoji/v2/... draggable="false" alt="🥡" title="Takeout box" aria-label="Emoji: Takeout box">Takeaways from the ACC SCAI consensus statement on Catheterization Lab Considerations during COVID-19https://abs.twimg.com/emoji/v2/... draggable="false" alt="🦠" title="Microbe" aria-label="Emoji: Microbe"> courtesy @ajaykirtane
@AnkurKalraMD @CCIJournal @rwyeh @willsuh76
@DrQuinnCapers4 @tanveerrab @agtruesdell
@payamde @mmamas1973 @iamritu
@JACCJournals #CCC