Mohamad Alkhouli @adnanalkhouli Twitter profile

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Mohamad Alkhouli

@adnanalkhouli

2 years

🧵Many IMGs seek temporary research🔬opportunities in the US every year. The process can be long, frustrating & unpredictable. 🙋🏻‍♂️I have experienced it both ways. 👇 a few tips that might be helpful:

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@adnanalkhouli

3 years

IVC filter penetrating the duodenum.

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@adnanalkhouli

3 years

Impressive #echofirst images of aortic dissection & severe AI

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@adnanalkhouli

3 years

A Colon in the Pericardium 👇😳

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Mohamad Alkhouli

@adnanalkhouli

2 years

🧵How do I secure a fellowship position in a competitive subspecialty? 👇few tips 2 optimize u application #MedTwitter #AcademicChatter #IMG #MedEd #MatchDay

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@adnanalkhouli

4 years

Observing the acute hemodynamic effects of MitraClip in patients with a flail leaflet remains among the most rewarding moments in the Cath lab.

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@adnanalkhouli

2 years

CABG accelerates the progression of native coronary disease @JACCJournals

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@adnanalkhouli

2 years

🧵What does the left atrial appendage do? Is it just a nidus for thrombus? A brief review of proposed & proven functions of the LAA👇 #CardioTwitter #EPeeps #MedEd @drpaulfriedman @ChetRihal

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Mohamad Alkhouli

@adnanalkhouli

3 years

Coronary anatomy in identical twins

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Mohamad Alkhouli

@adnanalkhouli

2 years

⚠️ New impact factors👇 Medicine: - Lancet 202.7 - NEJM 176.1 - JAMA 157.3 Cardiology: - Circulation 39.9 - EHJ 35.6 - JAMA Cards 30.2 - JACC 27.2 Interventional Cardiology: - JACC interventions 11.1 - Eurointervention 7.7 - Circ interventions 7.5 #CardioTwitter #medtwiter

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Mohamad Alkhouli

@adnanalkhouli

2 years

Learning is a life long journey. Excited to be back at school @MIT_EMBA and grateful for the wonderful support by @MayoClinicCV

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@adnanalkhouli

2 years

A simple ‘mini’ invasive hemodynamic test to diagnose HFpEF @CircHF Wedge pressure ≥19 mmHg with passive leg raising (no exercise) had a 100% specificity for the diagnosis of HFpEF #cardiotwitter #MedEd

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Mohamad Alkhouli

@adnanalkhouli

2 years

Residents/fellows often ask if ✍️ a review paper is worthwhile. 👇a short🧵with pros/cons/tips on writing review articles. #MedTwitter #AcademicChatter #MedStudentTwitter #MedEd

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Mohamad Alkhouli

@adnanalkhouli

3 years

Many thanks to @crfheart & @GreggWStone for the recognition. Look forward to contributing in a small way to the advancement of CV medicine.

Cardiovascular Research Foundation

@crfheart

3 years

Congratulations to @adnanalkhouli winner of the #TCT2021 Young Investigator Award (Astonishing Group)!

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Mohamad Alkhouli

@adnanalkhouli

3 years

IMGs often sound anxious & apologetic when explaining gaps in training or need for visa sponsorship. These challenges are NOT signs of weakness but rather proofs of resilience. Be your authentic self Explain, kindly; don’t apologize Success ll come your way #MedTwitter #MedEd

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Mohamad Alkhouli

@adnanalkhouli

3 years

Impact of Intra-aortic balloon pump on left atrial pressure in the setting of cardiogenic shock & severe MR👇

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Mohamad Alkhouli

@adnanalkhouli

3 years

A Rare Triple Whammy👇 Massive RCA+ pseudo aneurysm + fistula to coronary sinus

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Mohamad Alkhouli

@adnanalkhouli

3 years

Tongue ‘stroke’ due to atrial fibrillation

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Mohamad Alkhouli

@adnanalkhouli

3 years

A med student asked: why do we need epicardial coronary arteries? Can’t the ❤️ utilize the abundant oxygenated blood within it? We then talked about transmyocardial revasc (TMR), which apparently has resurfaced some recently. Thought I’ll summarize my read on it in this thread 👇

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@adnanalkhouli

2 years

Use of a Drone-Delivered Automated External Defibrillator in an Out-of-Hospital Cardiac Arrest @NEJM

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Mohamad Alkhouli

@adnanalkhouli

3 years

🥺🥺inferior STEMI post MitraClip

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Mohamad Alkhouli

@adnanalkhouli

2 years

All you need to know about residual peri-device leaks (PDLs) after LAA occlusion in this 🧵 💢How frequent? 💢Do they matter? 💢What’s their mechanism? 💢Best way to manage? #CardioTwitter #MedEd #EPeeps

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Mohamad Alkhouli

@adnanalkhouli

2 years

Ramadan Mubarak 🌙🎊

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Mohamad Alkhouli

@adnanalkhouli

2 years

Pushing the boundaries of transcatheter electrosurgery👇 First reported case of transcatheter removal of aortic valve fibroelastoma @JACCJournals

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Mohamad Alkhouli

@adnanalkhouli

3 years

The future is here. Fist use of the next generation 4D ICE technology @MayoClinicCV #CardioTwitter #MedTwitter #MedEd #Echofirst

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Mohamad Alkhouli

@adnanalkhouli

1 year

In the past 7 days, I received 46 emails from IMGs looking for research opportunities. Majority had no prior experience & majority willing to volunteer. A system is needed to foster this growing pool of talent, but how to best achieve & who will take that on? #MedTwitter #MedEd

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Mohamad Alkhouli

@adnanalkhouli

8 months

Today, my 10-year-old daughter, Arwa, inaugurated a handmade office pillow she made for my 42nd birthday

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Mohamad Alkhouli

@adnanalkhouli

1 year

7 months ago I wrote a tweetorial about the non thrombotic functions of the LAA. Great insights from many people followed. @drpaulfriedman suggested we turn it into a paper. The 📝 was published today. Should have listed #Cardiotwitter as a co-author ;)

Mohamad Alkhouli

@adnanalkhouli

2 years

🧵What does the left atrial appendage do? Is it just a nidus for thrombus? A brief review of proposed & proven functions of the LAA👇 #CardioTwitter #EPeeps #MedEd @drpaulfriedman @ChetRihal

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Mohamad Alkhouli

@adnanalkhouli

2 years

Seekers of knowledge go through 3 stages First, they attain some knowledge, feel superior & become arrogant Next, they realize how much they don’t know & become modest Finally, they master their subject & become aware of & humbled by their deficiencies & limitations AlGhazali

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Mohamad Alkhouli

@adnanalkhouli

3 years

Angiovac extraction of a clot-in-transit straddled in a PFO. #cardiotwitter #MedTwitter #MedEd #EchoFirst

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Mohamad Alkhouli

@adnanalkhouli

3 years

New murmur & dyspnea 3 months after PVC ablation (*elsewhere) ➡️ impressive LV pseudoaneurysm👇

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Mohamad Alkhouli

@adnanalkhouli

3 years

Ultra-specialization furthers us away from the basics. This disconnect results in missed opportunities for new ideas & innovations. I decided to revisit w 2 great friends👇whom I’ve not seen in 15 yrs

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@adnanalkhouli

1 year

R.I.P artificial sweeteners? This study @NatureMedicine shows that erythritol is both associated with incident MACE risk and fosters enhanced thrombosis.

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Mohamad Alkhouli

@adnanalkhouli

3 years

A real myocardial bridge👇

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Mohamad Alkhouli

@adnanalkhouli

2 years

Olive oil people! That’s the answer 🫒 >0.5 tablespoon/day of olive oil is associated with ~20% ⬇️ in mortality. #MedTwitter #CardioTwitter #MedEd

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Mohamad Alkhouli

@adnanalkhouli

3 years

Isn’t surprising that we didn’t know that up to 40% of tricuspid valves have ≥4 leaflets until this important 📝 was published in 2021!

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@adnanalkhouli

3 years

Angiography in a 72-hour 🐓embryo with visible🫀contractions. William Dunn (Oxford; Nikon contest 2011)

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Mohamad Alkhouli

@adnanalkhouli

2 years

In a RCT of Apixaban vs Warfarin for dialysis patients with AF published in @CircAHA bleeding events were 10-FOLD more frequent than ischemic events May be OAC is not the answer here?

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Mohamad Alkhouli

@adnanalkhouli

2 years

Estimating filling pressures non-invasively: A word of caution ⛔️ New 📝 @JACCJournals suggests a limited accuracy of integrated echo parameters in estimating LVEDP

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Mohamad Alkhouli

@adnanalkhouli

3 years

Many World-Class Cardiology Grand Rounds, Lectures & Webinars are Available Free of Charge @MayoClinicCV

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Mohamad Alkhouli

@adnanalkhouli

3 years

New AHA guidelines for PFO closure emphasize anatomical factors. Time to standardize echo reporting of PFO (low vs high risk) to optimize patient triaging & management. #cardiotwitter #medtwitter #MedEd #Echofirst #stroke

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Mohamad Alkhouli

@adnanalkhouli

1 year

Pleased to present to you, in a new SOA 📝, everything you need to know about peri-device leak after LAAO. 📌Incidence & clinical impact 📌Detection methods & pitfalls 📌A mechanistic classification scheme 📌How to prevent & how to treat @drpaulfriedman

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Mohamad Alkhouli

@adnanalkhouli

2 years

Life goes through 3 stages: First, We have time & health but we don’t have money… Then, We have health & money but don’t have time… Then, We have money & time but we don’t have health… 💎 Plan for future but live & enjoy the present! #LifeLessons #Mindset #gratitude

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Mohamad Alkhouli

@adnanalkhouli

2 years

🧵Step-by-Step ICE-guided MitraClip 1/8 Transseptal puncture 📌3D ICE allows biplane imaging - ⬆️ TSP precision 📌ICE>TEE in presence of septal occluders (visualize infer-pos FO) 📌 Measuring TSP-MV height is feasible w a modest learning curve #CardioTwitter #MedEd

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Mohamad Alkhouli

@adnanalkhouli

3 years

Mitraclip 9 yrs after the procedure. Note the complete endothelialization & the fusion of clips with sub-valve apparatus.

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Mohamad Alkhouli

@adnanalkhouli

3 years

Elegant illustration of LAA occluder endothelialization from the excellent Mayo Clinic GR by @joemaleszewski

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Mohamad Alkhouli

@adnanalkhouli

2 years

Small Peri-Device Leak (≤ 5mm) after LAAO are Associated with ⬆️ Thromboembolic Events at 1-Year. #ACC22

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Mohamad Alkhouli

@adnanalkhouli

4 years

Brilliant study w surprising results in @JACCJournals today. Majority of pts (43/50) undergoing TEE guided SHD interv have evidence of esophageal/gastric injury in EGD! & in 20/50, the lesions were complex. Will we see more ICE when we have the right technology? @drpaulfriedman

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Mohamad Alkhouli

@adnanalkhouli

3 years

Simultaneous aortic & pulmonary artery dissection in a patient with a patent ductus arteriosus

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Mohamad Alkhouli

@adnanalkhouli

2 years

🚨Landmark BEST-CLI trial published @NEJM . Likely the most influential RCT in vascular medicine this decade Among 1803 randomized pts with CLI, the incidence of major adverse limb event or death was significantly lower with surgery vs catheter Tx (when suitable SVG is available)

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Mohamad Alkhouli

@adnanalkhouli

3 years

LVOT pseudoaneurysm (5 yrs after AVR/MVR) causing systolic coronary compression & unstable angina👇

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Mohamad Alkhouli

@adnanalkhouli

2 years

Simple trick to facilitate TV clipping👇 Tilting of Cath table by 10° (feet low) during T-TEER ⬇️ coaptation gap size by 25% due to preload reduction.

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Mohamad Alkhouli

@adnanalkhouli

2 years

Excellent state of the art review on the management of failed surgical aortic prostheses @JACCJournals

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Mohamad Alkhouli

@adnanalkhouli

3 years

Multiple Saccular Coronary Aneurysms Associated With Pheochromocytoma

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Mohamad Alkhouli

@adnanalkhouli

3 years

First-in-Human Use of a Novel Live 3D Intracardiac Echo Probe to Guide Left Atrial Appendage Closure.

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Mohamad Alkhouli

@adnanalkhouli

3 years

Percutaneous Retrieval of an Embolized LAmbre Device @jaccjournals

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Mohamad Alkhouli

@adnanalkhouli

3 years

The Epygon valve is the 1st D-shaped single leaflet TMVR system. The promise of this design is to restore native vortices & flow dynamics.

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Mohamad Alkhouli

@adnanalkhouli

2 years

🧵 What Makes a Great Peer Review? 👇is what I leaned in 10 yrs of #Peer_Review . Plz share your tips! #CardioTwitter #MedTwiter #MedEd #echofirst #EPeeps #AcademicChatter #academics

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Mohamad Alkhouli

@adnanalkhouli

4 years

Friday afternoon Cath lab quiz: What can you see in the video besides the LAD SCAD? #cardiotwitter

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Mohamad Alkhouli

@adnanalkhouli

1 year

Total occlusion is actually present in 25% of all NSTEMI & is associated with 40-60% increase in MACE & mortality. The STEMI/NSTEMI classification certainly doesn’t tell the whole story & it needs a long overdue reconsideration.

JACC Journals

@JACCJournals

1 year

Groundbreaking work on OHCA! In this #JACC piece, Drs. @AlessSpirito , @RaberLorenz , et al evaluate acute coronary artery occlusion in pts w/ #OHCA w/out ST elevation on #ECG . Their findings may surprise clinicians inside and outside #Cardiology . @vlgmrc

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Mohamad Alkhouli

@adnanalkhouli

3 years

The Emporer Has No Clothes! Our new meta-analysis👇led by @TariqJamalSidd1 @ShariqUsman_ showed that CHADS2-VASc has: 1. Modest (i.e: weak) predictive value 2.That was not different if there is NVAF or not.

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Mohamad Alkhouli

@adnanalkhouli

3 years

Distal radial access prevents radial artery occlusion at 24 h & 30 days compared w conventional radial access

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Mohamad Alkhouli

@adnanalkhouli

2 years

Provocative data on the eternal question of valve choice for TAVR👇 TAVR w SEVs done by BEVs dominant centers is associated w worse outcomes Paper Editorial by @SachinGoelMD et al

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Mohamad Alkhouli

@adnanalkhouli

2 years

Few people genuinely want you to become better than them; but fathers always do Happy Father’s Day ❤️ #FatherAndSon #Fathersday

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Mohamad Alkhouli

@adnanalkhouli

2 years

Tackling stroke requires effective🫀🧠 🤝 Our paper published in the inaugural issue of JACC Advances discuses the key role of the ‘Heart Brain Team’ in preventing & caring for ischemic stroke

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Mohamad Alkhouli

@adnanalkhouli

3 years

Do we overlook Myocardial Bridging as a cause of angina? In this elegant study, 94% of IVUS-confirmed MBs were hemodynamically significant. Please share u experience w medical & surgical management of MB.

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Mohamad Alkhouli

@adnanalkhouli

3 years

Dear trainees: the wide variations in your attending’s practice style may not be an annoying ‘Inconsistency’ but rather a beneficial ‘Diversity’ that come w lot of learning opportunities. #positivespin

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Mohamad Alkhouli

@adnanalkhouli

7 months

Relationship of Daily Step Counts to All-Cause Mortality and Cardiovascular Events

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Mohamad Alkhouli

@adnanalkhouli

4 years

Mayo Handbook of SHD Interventions is now available for pre-order online. Supported w >550 colored illustrations, the book provides practical step-by-step approaches to common and rare SHD problems. Congratulations 🎊 to @claireraph & @ChetRihal & all co-authors. @drpaulfriedman

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Mohamad Alkhouli

@adnanalkhouli

4 years

#cardiotwitter friends please join me in welcoming Dr Chet Rihal @ChetRihal to Twitter 🎊. This is real news and not April fool 😉. @drpaulfriedman @MayoClinicCV

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@adnanalkhouli

2 years

Balloon- vs Self-Expanding Valve Systems for Failed Small Surgical Aortic Valve Bioprostheses: the LYTEN Trial

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@adnanalkhouli

4 years

Resolution of 'pulsus alternans' with successful clipping of very severe functional MR in the setting of advanced NICMP. Time to embrace hemodynamic data in our assessment of VHD interventions? @ChetRihal @EleidMack @MayraGuerreroMD @drpaulfriedman @MayoClinicCV

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Mohamad Alkhouli

@adnanalkhouli

2 years

Time to revive invasive hemodynamics in our SHD practice. Read our SOA review on the role of invasive hemodynamics in ascertaining Dx, guiding treatment & predicting outcomes. (CME article) #CardioTwitter #MedTwitter #MedEd @JACCJournals @drpaulfriedman

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Mohamad Alkhouli

@adnanalkhouli

3 years

Future of valve disease classification? Machine learning algorithms that incorporate features from all available data (echo, Cath, ECG, labs, etc.). @drpaulfriedman

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@adnanalkhouli

2 years

Higher all-cause mortality after alcohol septal ablation vs septal myectomy for HOCM, a new analysis @JACCJournals finds

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@adnanalkhouli

2 years

The COAPT score: a new risk stratification tool to predict death or HF admissions after TEER for functional MR @JACCJournals

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Mohamad Alkhouli

@adnanalkhouli

4 years

Its quite intriguing how much TR can be tolerated before florid clinical decompensation. This indeed is chronic torrential + TR in an ambulatory setting. #echofirst #cardiotwitter

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Mohamad Alkhouli

@adnanalkhouli

2 years

Clever pilot study @JACCJournals tests the role of echo-guided pacemaker implantation to minimize interaction w tricuspid valve. Echo led to change in wire position in 50%. #EPeeps is this needed? Do you think it would become standard in future?

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Mohamad Alkhouli

@adnanalkhouli

2 years

Great discussion & live case on the Laminar LAAO device at #TCT2022 - a game changer?

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Mohamad Alkhouli

@adnanalkhouli

4 years

Since everyone is talking reform, dear editors plz consider 1.Standardize submission processes 2.Pick reviewers/AEs who judge study quality not its fitting w their views 3. 3-months for a decision is too long 4.Allow >24h 2edit the proofs. #cardiotwitter plz add to the wish list!

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Mohamad Alkhouli

@adnanalkhouli

2 years

#echofirst and #whyCMR do not agree on quantifying MR severity (again!) 💢152 pts underwent echo & CMR 💢In pts w ‘definitely severe’ MR on echo, only 52% had severe MR by CMR 💢 Severe MR by CMR (but not by echo) was a predictor of post MV intervention LV reverse remodeling

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Mohamad Alkhouli

@adnanalkhouli

2 years

An unbelievable journey of trials & tribulations: new revelations on the early days of TAVI told first hand by its inventor - Henning Andersen in this open access article

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Mohamad Alkhouli

@adnanalkhouli

2 years

Pan embolic protection during Angiovac of highly mobile MV endocarditis #MedTwitter #echofirst #MedEd

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Mohamad Alkhouli

@adnanalkhouli

3 years

Excellent example of ‘the Austin Flint’ phenomenon by @AkhilNarangMD In 1862, Dr Flint I (a founder of the University at Buffalo & president of AMA) described the murmur of mitral stenosis induced by eccentric aortic regurgitation.

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Mohamad Alkhouli

@adnanalkhouli

2 years

Our SOA on transcatheter coronary sinus interventions is now online. The 📝 covers key aspects of CS anatomy, techniques & evolving data on CS-based interventions for coronary ischemic, MR, HF & congenital defects.

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Mohamad Alkhouli

@adnanalkhouli

3 years

NEWS: MitraClip for FMR is class IIA in the new ACC/AHA guidelines. MV surgery is class IIB (unless undergoing concomitant CABG). CMS yet to determine NCD.

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Mohamad Alkhouli

@adnanalkhouli

3 years

When we feel elated after complex procedures, we must remember that our success was only made possible by the dedicated nurses, techs, NPs, house keepers, front desk staff & others who do harder jobs than us, complain less & spend little time looking for credit.

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Mohamad Alkhouli

@adnanalkhouli

2 years

A common theme on #Cardiotwitter at times of major conferences. Strong comments are made without reading the papers or seeing the presentations. # Read before you draw conclusions # Come with curiosity not judgment

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Mohamad Alkhouli

@adnanalkhouli

3 years

Surviving STEMI complicated with shock, acute MR, stroke & sepsis.

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@adnanalkhouli

3 years

Direct Visualization of TAVR-Related Coronary Management Techniques in Reanimated Beating Hearts

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Mohamad Alkhouli

@adnanalkhouli

2 years

In this issue of JACC interventions, three papers examine the outcomes of TEER in patients with Atrial FMR. Sonia Petronio, @hahn_rt , and myself wrote a combo editorial/mini review discussing the 3 papers & the nuances of studying aFMR in general

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Mohamad Alkhouli

@adnanalkhouli

3 years

Congratulations to @abhishek_mbbs for being selected for the teacher Rick Nishimura teacher of the year award 🎉🎊 what a great choice!

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Mohamad Alkhouli

@adnanalkhouli

2 years

AV Rails are useful in complex paravalvular leak closure, but not commonly discussed in the literature This short🧵sheds some light on AV rails & their attributes. #CardioTwitter #MedEd

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Mohamad Alkhouli

@adnanalkhouli

2 years

🧵TV surgery 1/5 What to do with ‘moderate’ TR during mitral surgery? 🤔Rational to fix: Already there & TR may not get better 🧐Rational not to fix: TR may get better, ⬆️ CPB time, ⬆️ pacer risk, may end up w valve replacement A new RCT tried to help us. What did it show?👇

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Mohamad Alkhouli

@adnanalkhouli

2 years

Comparing yourself to people who are higher in wealth, fame, or power invites jealousy, resentment & ingratitude Comparing yourself to people who are better in knowledge, character & virtue brings modesty and inspire you to improve #Mindset #Rolemodel #LifeLessons

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Mohamad Alkhouli

@adnanalkhouli

3 years

New consensus document on ICE imaging for LAA closure @CCIJournal

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