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Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

@DrJayMohan • 16,962 subscribers

❤️CardiologyOnCall 📚Educator #CardioX enthusiast🖐🏽posts= opinion/not medical advice. not affiliated with MHC. follow me on IG: @cardiologyoncall

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How the 🆅🅴🅽🆃🆁🅸🅲🅻🅴 contracts.. . . . 💗Another great thing I picked up from Cardiothoracic surgery was understanding how the ventricles contract. The ventricle Is such a complex structure that we are learning more and more about. One thing that has helped us understand this complex structure is strain imaging and 3D echocardiography. We have learned that the ventricle contracts in 4 ways: contraction (radial) motion but it also has a twisting (torsional and circumferential) and shortening (longitudinal) motion. . . . 👐🏽The surgeon I always work with often described the hearts motion as “wringing of a towel.” This can be seen in the video above. The understanding of the multiple different motions of the heart has allowed us to better understand intrinsic myocardial disease and pick up disease earlier in its process allowing us to add disease modifying agents to slow and sometimes reverse the negative remodeling of the heart. . . . 💓So next time you think of your heart pumping don’t think of it in one motion (squeeze) but rather a Towel being wrung of water. The heart is such an amazing organ and we are just now really beginning to understand it’s truly complex physiology! . . . Have a great day! . . . . #Medicalschool #medschool #cardiologia #doctors #cardiotwitter #meded #EKG #Medstudent #cardiology #internalmedicine #patient #hospital #radiology #physiology #paschool #foamed #echo #physicalexam #anatomy #scrubs #surgery #pastudent #nursingstudent #nursing #PA #DO #Echocardiogram #MD #USMLE

How the 🆅🅴🅽🆃🆁🅸🅲🅻🅴 contracts.. . . . 💗Another great thing I picked up from Cardiothoracic surgery was understanding how the ventricles contract. The ventricle Is such a complex structure that we are learning more and more about. One thing that has helped us understand this complex structure is strain imaging and 3D echocardiography. We have learned that the ventricle contracts in 4 ways: contraction (radial) motion but it also has a twisting (torsional and circumferential) and shortening (longitudinal) motion. . . . 👐🏽The surgeon I always work with often described the hearts motion as “wringing of a towel.” This can be seen in the video above. The understanding of the multiple different motions of the heart has allowed us to better understand intrinsic myocardial disease and pick up disease earlier in its process allowing us to add disease modifying agents to slow and sometimes reverse the negative remodeling of the heart. . . . 💓So next time you think of your heart pumping don’t think of it in one motion (squeeze) but rather a Towel being wrung of water. The heart is such an amazing organ and we are just now really beginning to understand it’s truly complex physiology! . . . Have a great day! . . . . #Medicalschool #medschool #cardiologia #doctors #cardiotwitter #meded #EKG #Medstudent #cardiology #internalmedicine #patient #hospital #radiology #physiology #paschool #foamed #echo #physicalexam #anatomy #scrubs #surgery #pastudent #nursingstudent #nursing #PA #DO #Echocardiogram #MD #USMLE

37,129 просмотров

First year fellows trying to engage the RCA. We believe in you! #Cardiology

First year fellows trying to engage the RCA. We believe in you! #Cardiology

28,610 просмотров

PLAX- PARASTERNAL long axis. One of my favs . . . Here’s a great animation of the anatomy we can assess in the parasternal long axis view (PLAX). This is one of my favorite views (because it’s pretty easy to get) and can help you assess multiple structures in a pinch. . . To obtain this view put your probe on the 3rd-4th rib space with the probe marker facing the right shoulder. From there you can make a quick adjustment (turning the probe marker to the left shoulder) to get the parasternal short axis view (PSAX). Both of these views are great for assessment of wall thickness, the mitral valve, as well as for effusions (among many other things). . . . Even though I’m an interventional cardiologist echo remains one of my most favorite things about cardiology. It’s amazing to me that I can get all of these images myself with a probe and my phone. I encourage all cardiology fellows out there to embrace echo because once you start enjoying it many parts of cardiology become easy! . . . What’s your favorite echo view? . . Video: florina_stanley #cardiology #cardiologia #medical #medicine #med #doctor #cardiotwitter #nurse #medstudent #heart #echocardiography #echocardiogram #echo #pa #echofirst #md #do #foamed Echofirst Bot

PLAX- PARASTERNAL long axis. One of my favs . . . Here’s a great animation of the anatomy we can assess in the parasternal long axis view (PLAX). This is one of my favorite views (because it’s pretty easy to get) and can help you assess multiple structures in a pinch. . . To obtain this view put your probe on the 3rd-4th rib space with the probe marker facing the right shoulder. From there you can make a quick adjustment (turning the probe marker to the left shoulder) to get the parasternal short axis view (PSAX). Both of these views are great for assessment of wall thickness, the mitral valve, as well as for effusions (among many other things). . . . Even though I’m an interventional cardiologist echo remains one of my most favorite things about cardiology. It’s amazing to me that I can get all of these images myself with a probe and my phone. I encourage all cardiology fellows out there to embrace echo because once you start enjoying it many parts of cardiology become easy! . . . What’s your favorite echo view? . . Video: florina_stanley #cardiology #cardiologia #medical #medicine #med #doctor #cardiotwitter #nurse #medstudent #heart #echocardiography #echocardiogram #echo #pa #echofirst #md #do #foamed Echofirst Bot

26,851 просмотров

So close but so far. Patient referred to me. Stents placed outside years ago. Now occluded from prox SFA to pop. Went up and over and pedal. Couldn’t get 035 or 014 microcath to advanced past mid stent. Thinking bringing back and going pop+laser to cross. Thoughts? #PAD

So close but so far. Patient referred to me. Stents placed outside years ago. Now occluded from prox SFA to pop. Went up and over and pedal. Couldn’t get 035 or 014 microcath to advanced past mid stent. Thinking bringing back and going pop+laser to cross. Thoughts? #PAD

20,978 просмотров

Sometimes IVUS guided direct stent still leads to distal embolus. Went after it with a little pokey pokey with my wire and broke it up in the apex. Anyone else ever do this? #CardioX RadialFirstBot PCICaseBot Babar Basir Sandeep M Patel, M.D. Eric Secemsky MD MSc Amir Kaki, MD Antonious Attallah, MD, FACC, FSCAI David J. Cohen, MD, MSc Rajiv Gulati Dr G Rajesh (Gopalan Nair Rajesh). Jeffrey Wilson, MD Michael Megaly MIЯVΛƬ #IC Erik Rafflenbeul Evandro Martins F. MD

Sometimes IVUS guided direct stent still leads to distal embolus. Went after it with a little pokey pokey with my wire and broke it up in the apex. Anyone else ever do this? #CardioX RadialFirstBot PCICaseBot Babar Basir Sandeep M Patel, M.D. Eric Secemsky MD MSc Amir Kaki, MD Antonious Attallah, MD, FACC, FSCAI David J. Cohen, MD, MSc Rajiv Gulati Dr G Rajesh (Gopalan Nair Rajesh). Jeffrey Wilson, MD Michael Megaly MIЯVΛƬ #IC Erik Rafflenbeul Evandro Martins F. MD

15,692 просмотров

Diffuse ISR. How would you treat? hx of atretic LIMA ➕ 2 layers of stent in LAD. Recurrent diffuse ISR. Did laser 1.4 followed by brachytherapy which lasted him 3 years. Came back this week with this. Did cutting balloon and sending for repeat brachy. Thoughts? Multiple DCB?

Diffuse ISR. How would you treat? hx of atretic LIMA ➕ 2 layers of stent in LAD. Recurrent diffuse ISR. Did laser 1.4 followed by brachytherapy which lasted him 3 years. Came back this week with this. Did cutting balloon and sending for repeat brachy. Thoughts? Multiple DCB?

10,031 просмотров

Middle age man presents w/ inferior STEMI. SVG-RCA culprit but nasty aneurysm. Of course this is at 2am…. Thrombectomy and stented to restore flow. ST better and patient chest pain free. Very poor native CTO option. Next step? Covered stent +/- DOAC? PCICaseBot RadialFirstBot #Cardiotwitter

Middle age man presents w/ inferior STEMI. SVG-RCA culprit but nasty aneurysm. Of course this is at 2am…. Thrombectomy and stented to restore flow. ST better and patient chest pain free. Very poor native CTO option. Next step? Covered stent +/- DOAC? PCICaseBot RadialFirstBot #Cardiotwitter

19,273 просмотров

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1/ It’s #July!! Welcome aboard new fellows! Over the next few days I’ll post things that will be helpful as you start your training! To start- a #tweettutorial on CATH LAB VIEWS! 🔑 LAO- left/right 🔑 RAO- ant/post 🔑 Cranial- distal 🔑 Caudal- proximal #Cardiotwitter

1/ It’s #July!! Welcome aboard new fellows! Over the next few days I’ll post things that will be helpful as you start your training! To start- a #tweettutorial on CATH LAB VIEWS! 🔑 LAO- left/right 🔑 RAO- ant/post 🔑 Cranial- distal 🔑 Caudal- proximal #Cardiotwitter

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

174,078 просмотров • 2 лет назад

For the fellows! #FellowBootCamp! Yes yes yes, trigger #EchoFirst peeps 😂 but that doesn’t mean never do LV gram! Gives more data/ useful in a pinch. 🔑 RAO 30 Projection (MC) 🔑 LAO for septum/lateral wall 🔑 Power injection (I like 10:3) 🔑 PIG tail always. Never end hole #Cardiotwitter #Cardiology #July

For the fellows! #FellowBootCamp! Yes yes yes, trigger #EchoFirst peeps 😂 but that doesn’t mean never do LV gram! Gives more data/ useful in a pinch. 🔑 RAO 30 Projection (MC) 🔑 LAO for septum/lateral wall 🔑 Power injection (I like 10:3) 🔑 PIG tail always. Never end hole #Cardiotwitter #Cardiology #July

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

85,386 просмотров • 2 лет назад

1/ Renal Denervation- which system works? The two main players in the space are ultrasound guided (@ReCorMedical Paradise) and radio frequency (Medtronic Coronary and Renal Denervation Solutions Simplicity). When starting a new program how do you choose? Let’s review #RDN #CardioX #NephroX #NoCOI

1/ Renal Denervation- which system works? The two main players in the space are ultrasound guided (@ReCorMedical Paradise) and radio frequency (Medtronic Coronary and Renal Denervation Solutions Simplicity). When starting a new program how do you choose? Let’s review #RDN #CardioX #NephroX #NoCOI

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

26,491 просмотров • 1 год назад

#Fellowbootcamp- Vascular Access! My goals in the Cath lab for a first year: 🛑Safety 🟢Access 😎Getting the RCA In the first couple of months of your training focus on these important concepts. Understand both #RadialFirst and #SafeFemoral ..ultrasound and micro puncture! Keys to access 🔑 Don’t get frustrated 🔑 Understand the anatomy and how to troubleshoot location of vessel 🔑 Don’t rush! 🔑 Don’t be ashamed to ask for help/give up the needle Equipment needed ⭐️ Use a 21G (micro puncture) needle for any access. ⭐️ 21G needle works with an 0.018 wire. Can consider micro wire, nitrex, or platinum plus among others ⭐️ 6F sheath usually used (sheath size is by inner diameter vs guide is outer) hemostasis As a fellow spend at least the first month not only learning access but also HEMOSTASIS Put the radial hemostasis band on yourself. Understand patent hemostasis! Pull the groin sheath yourself. Realize why closure devices don’t always work! all the vascular pros out there (#IC #Vascular, #IRAD) share any advice in regards to access to the residents/fellows out there stepping into the endovascular world #FellowBootCamp #Cardiotwitter #Cardiology

#Fellowbootcamp- Vascular Access! My goals in the Cath lab for a first year: 🛑Safety 🟢Access 😎Getting the RCA In the first couple of months of your training focus on these important concepts. Understand both #RadialFirst and #SafeFemoral ..ultrasound and micro puncture! Keys to access 🔑 Don’t get frustrated 🔑 Understand the anatomy and how to troubleshoot location of vessel 🔑 Don’t rush! 🔑 Don’t be ashamed to ask for help/give up the needle Equipment needed ⭐️ Use a 21G (micro puncture) needle for any access. ⭐️ 21G needle works with an 0.018 wire. Can consider micro wire, nitrex, or platinum plus among others ⭐️ 6F sheath usually used (sheath size is by inner diameter vs guide is outer) hemostasis As a fellow spend at least the first month not only learning access but also HEMOSTASIS Put the radial hemostasis band on yourself. Understand patent hemostasis! Pull the groin sheath yourself. Realize why closure devices don’t always work! all the vascular pros out there (#IC #Vascular, #IRAD) share any advice in regards to access to the residents/fellows out there stepping into the endovascular world #FellowBootCamp #Cardiotwitter #Cardiology

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

35,122 просмотров • 1 год назад

Eruptive➕ Noneruptive Nodules 💥Bart Simpson= Eruptive (fuzzy hair/thrombus) tx: NC balloon ☄️Homer Simpson= Noneruptive (calcified stable cap) tx: shave and shock 💨Issue: nodules tend to recur due to retroprotrusion at hinge points. Future tx: IVL + DCB? Credit Ziad Ali and OPCI for the Simpson inspiration. Easy way to remember the difference! #CardioX #OCT #Imagefirst #CoronaryNodules #Cardiology

Eruptive➕ Noneruptive Nodules 💥Bart Simpson= Eruptive (fuzzy hair/thrombus) tx: NC balloon ☄️Homer Simpson= Noneruptive (calcified stable cap) tx: shave and shock 💨Issue: nodules tend to recur due to retroprotrusion at hinge points. Future tx: IVL + DCB? Credit Ziad Ali and OPCI for the Simpson inspiration. Easy way to remember the difference! #CardioX #OCT #Imagefirst #CoronaryNodules #Cardiology

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

10,389 просмотров • 6 месяцев назад

Pacemaker induced #DVT Placed 2 years ago for HCM. Surprisingly sudden onset left arm swelling. 8️⃣F Brachial vein access ✅Glide advantage/IVUS cross ⚡️CAT 7 Lightning 🎈DCB 12 x 60 Impact Cause of DVT: poor collaterals and lead fibrosis. Anyone used DCB in this space?

Pacemaker induced #DVT Placed 2 years ago for HCM. Surprisingly sudden onset left arm swelling. 8️⃣F Brachial vein access ✅Glide advantage/IVUS cross ⚡️CAT 7 Lightning 🎈DCB 12 x 60 Impact Cause of DVT: poor collaterals and lead fibrosis. Anyone used DCB in this space?

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

13,094 просмотров • 1 год назад

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