Nicoletta Orphanou(@NOrphanou) 's Twitter Profileg
Nicoletta Orphanou

@NOrphanou

Cardiologist with a special interest in TOE, valve diseases and cardiomyopathies .
📍🇨🇾🇬🇧

🩺🏃🏻‍♀️🎾🍰🍷

ID:1172056132925435905

calendar_today12-09-2019 07:55:50

289 Tweets

226 Followers

225 Following

Nicoletta Orphanou(@NOrphanou) 's Twitter Profile Photo

What would u give in these 2 cases of (DAPT/DOACS/DOACS+SAPT)?
1. Subacute MI -ectatic LCx, no severe stenosis
2. Chest pain & ST ↓ in precordial leads, Trop (-) Ectatic RCA & slow flow. MIЯVΛƬ #IC Mamas A. Mamas Gabriele Ghetti Michael Savage Jacqueline Tamis-Holland

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Nicoletta Orphanou(@NOrphanou) 's Twitter Profile Photo

Fever after a recent AVR, with unwelcome visitors showing up in blood cultures! TOE confirmed our fears. Vegetation on a calcific mitral valve was noted on P2B-P3. Prosthetic valve had no thickening/vegetations.Do u see any other findings ? Echofirst Bot

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American College of Cardiology(@ACCinTouch) 's Twitter Profile Photo

The PREVENT trial showed that preventive of focal non-FFR-positive plaques that are angiographically >50% & have evidence of vulnerability on intravascular imaging along w/ OMT is superior to OMT for clinical outcomes at 2 years.

Read more: bit.ly/3xuHWrl

The PREVENT trial showed that preventive #PCI of focal non-FFR-positive plaques that are angiographically >50% & have evidence of vulnerability on intravascular imaging along w/ OMT is superior to OMT for clinical outcomes at 2 years. Read more: bit.ly/3xuHWrl #ACC24
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Nicoletta Orphanou(@NOrphanou) 's Twitter Profile Photo

An interesting TOE case of an asymptomatic, 50-year-old patient with rheumatic-looking valves.
Findings:
- Dilated LV
- Flail NCC of the aortic valve - causing severe AR
- Restricted posterior mitral valve leaflet
- Mild plus MR
Echofirst Bot

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Nicoletta Orphanou(@NOrphanou) 's Twitter Profile Photo

An interesting case of a supracristal VSD and associated AR, in a 30y old. It is the least common type of VSD except in Asian population where it accounts for ~30% of VSDs. It is unusual for these defects to close spontaneously.

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Nicoletta Orphanou(@NOrphanou) 's Twitter Profile Photo

How a frequently omitted view can make a big difference in the diagnosis of a patient:
♂️ HFrEF, mechanical MV & bioprosthetic AV
- Right parasternal view revealed high gradients of the bioprosthetic AV
➡ Dx: Patient-prosthesis mismatch
Echofirst Bot Anastasia Vamvakidou

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Nicoletta Orphanou(@NOrphanou) 's Twitter Profile Photo

60Y old with no past hx. jaw pain every morning in the past 2 months, couldn't associate it with exertion. Exercise test stopped at stage 1 due to jaw pain appearance. No ECG changes but look at the echo! Anastasia Vamvakidou Chris Kairis Vass Vassiliou Echofirst Bot

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Jae K. Oh(@JaeKOh2) 's Twitter Profile Photo

Yes. The color M mode beautifully demonstrates diastolic flow reversal with expiration which is diagnostic for constrictive pericarditis. You may want to share corresponding pulsed wave Doppler tracing.

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Ritu Thamman MD(@iamritu) 's Twitter Profile Photo

E/e’ on stress echo predicts ☠️beyond ischemia & LVEF
Mayo Clinic CV📝>14k pts

Pts w E/e’≥15 post exercise 1.39x⬆️risk(95% CI 1.18-1.65, p<0.0001)of all-cause☠️c/w pts w/o⬆️LV filling pressures
adjusted for age, sex, exercise capacity, LVEF, pulm htn

bit.ly/3Rb74dV
E

E/e’ on stress echo predicts ☠️beyond ischemia & LVEF @MayoClinicCV📝>14k pts Pts w E/e’≥15 post exercise 1.39x⬆️risk(95% CI 1.18-1.65, p<0.0001)of all-cause☠️c/w pts w/o⬆️LV filling pressures adjusted for age, sex, exercise capacity, LVEF, pulm htn bit.ly/3Rb74dV E
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Fascinating(@fasc1nate) 's Twitter Profile Photo

When Albert Einstein met Charlie Chaplin in 1931, Einstein said, 'What I admire most about your art is its universality. You do not say a word, and yet the world understands you.' 'It's true.' Replied Chaplin, 'But your fame is even greater. The world admires you, when no one

When Albert Einstein met Charlie Chaplin in 1931, Einstein said, 'What I admire most about your art is its universality. You do not say a word, and yet the world understands you.' 'It's true.' Replied Chaplin, 'But your fame is even greater. The world admires you, when no one
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CardioTomLuscher(@TomLuscher) 's Twitter Profile Photo

A fantastic lecture by Eugene Braunwald at the Royal Brompton Grand Rounds: in 5 decades from pathology, hemodynamics, genetics and management of hypertrophic cardiomyopathy - an impressive life time achievement. Listen to it at vimeopro.com/zurichhearthou…

A fantastic lecture by Eugene Braunwald at the Royal Brompton Grand Rounds: in 5 decades from pathology, hemodynamics, genetics and management of hypertrophic cardiomyopathy - an impressive life time achievement. Listen to it at vimeopro.com/zurichhearthou…
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Juan F. Granada(@jgranadacrf) 's Twitter Profile Photo

is making progress. The AMEND annuloplasty ring is a specialized technology delivering surgical-like outcomes via a transeptal approach. Isaac George MD presented 1-year FIH results at . Columbia Valve Center Columbia Medicine tctmd.com/slide/amend-tr…

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Augustin Coisne(@AugustinCoisne) 's Twitter Profile Photo

🤔 What are the consistencies, discrepancies and gaps in the 🇺🇸 and 🇪🇺 Guidelines for VHD Management?

➡️ Happy to share with you the latest article from the EuroValve Consortium published in JACC Journals

🌐 sciencedirect.com/science/articl… European Society of Cardiology EACTS ACC Media Center AHA Science

🤔 What are the consistencies, discrepancies and gaps in the 🇺🇸 and 🇪🇺 Guidelines for VHD Management? ➡️ Happy to share with you the latest article from the EuroValve Consortium published in @JACCJournals 🌐 sciencedirect.com/science/articl… @escardio @EACTS @ACCmediacenter @AHAScience
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Julia Grapsa(@JGrapsa) 's Twitter Profile Photo

Was a great honour to write this editorial for JACC Journals with legendary Sean Pinney ➡️ American College of Cardiology Right Heart Dysfunction in HFpEF: More Complex and More Common Than We Thought∗ | Journal of the American College of Cardiology jacc.org/doi/10.1016/j.…

Was a great honour to write this editorial for @JACCJournals with legendary @spinneymd ➡️ @ACCinTouch Right Heart Dysfunction in HFpEF: More Complex and More Common Than We Thought∗ | Journal of the American College of Cardiology jacc.org/doi/10.1016/j.…
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