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Dr G Rajesh (Gopalan Nair Rajesh).

@DrRajeshG1 • 42,544 subscribers

Professor & Head of Cardiology, Government Medical College Calicut(Kozhikode), Kerala, India. Tweets are not endorsements.

Shorts

For medical students, residents. 35 yr old lady who had ASD surgical closure in childhood presented with palpitation. Echo done 2 yrs back showed normal ventricular function and no PH. What are your inferences.

For medical students, residents. 35 yr old lady who had ASD surgical closure in childhood presented with palpitation. Echo done 2 yrs back showed normal ventricular function and no PH. What are your inferences.

228,087 Aufrufe

When you see this while sitting in the control room observing cases going on inside cath lab what to do? Become the captain, next few minutes most likely will be stormy. Experience is making mistakes and learning from them. Disaster one after another is terrific!! How to manage?

When you see this while sitting in the control room observing cases going on inside cath lab what to do? Become the captain, next few minutes most likely will be stormy. Experience is making mistakes and learning from them. Disaster one after another is terrific!! How to manage?

231,743 Aufrufe

For medical students, residents. He had a few episodes of syncope and pre-syncope in last 3 months. What is the finding? Likely diagnosis?

For medical students, residents. He had a few episodes of syncope and pre-syncope in last 3 months. What is the finding? Likely diagnosis?

158,760 Aufrufe

For fellows. LV angio of a 68 yr old male. Your diagnosis?

For fellows. LV angio of a 68 yr old male. Your diagnosis?

129,514 Aufrufe

55 yr old female admitted with retrosternal pain. Trop positive, ECG attached below. CAG was normal.

55 yr old female admitted with retrosternal pain. Trop positive, ECG attached below. CAG was normal.

118,102 Aufrufe

External Jugular is enough for us sometimes. A 37 year old lady under treatment of a physician & gastroenterologist as “Cirrhosis with ascites”, no varices in OGD Scopy. What is the probable diagnosis.

External Jugular is enough for us sometimes. A 37 year old lady under treatment of a physician & gastroenterologist as “Cirrhosis with ascites”, no varices in OGD Scopy. What is the probable diagnosis.

149,759 Aufrufe

For fellows. What is the complete diagnosis from this single view

For fellows. What is the complete diagnosis from this single view

151,951 Aufrufe

Case for fellows. Patient admitted with recent onset heart failure. She was detected to have a murmur 3 years ago, but has been asymptomatic till 2 weeks back. Your observations?

Case for fellows. Patient admitted with recent onset heart failure. She was detected to have a murmur 3 years ago, but has been asymptomatic till 2 weeks back. Your observations?

19,328 Aufrufe

For fellows. Finding?

For fellows. Finding?

132,313 Aufrufe

Case for fellows. Patient admitted with pyogenic meningoencephalitis in medicine department give H/O effort dyspnoea and recurrent epistaxis. Multiple family members have epistaxis. Complete Diagnosis?

Case for fellows. Patient admitted with pyogenic meningoencephalitis in medicine department give H/O effort dyspnoea and recurrent epistaxis. Multiple family members have epistaxis. Complete Diagnosis?

25,808 Aufrufe

For fellows. What is the sign demonstrated by LV angiogram? (Now only of academic curiosity)

For fellows. What is the sign demonstrated by LV angiogram? (Now only of academic curiosity)

75,268 Aufrufe

A 40 year old lady on hydroxychloroquine for 3 years presented with fatigue. JVP shows a prominent a wave( flickering wave rather than a surging V wave), cvs exam shows tricuspid MDM increasing on inspiration.Your thoughts?

A 40 year old lady on hydroxychloroquine for 3 years presented with fatigue. JVP shows a prominent a wave( flickering wave rather than a surging V wave), cvs exam shows tricuspid MDM increasing on inspiration.Your thoughts?

15,578 Aufrufe

INTERESTING AND RARE ANGIO FOR FELLOWS. 75 year old male had STEMI, lysed in a nearby hospital. What is the finding?

INTERESTING AND RARE ANGIO FOR FELLOWS. 75 year old male had STEMI, lysed in a nearby hospital. What is the finding?

43,150 Aufrufe

A 30 yr old pregnant female near term. What is the likely colour flow? Subcostal view impossible. Other views noncontributory. What report to give?

A 30 yr old pregnant female near term. What is the likely colour flow? Subcostal view impossible. Other views noncontributory. What report to give?

24,706 Aufrufe

Echo for fellows and echo students. A 35 year old male admitted with acute heart failure following an episode of chest pain. What is the diagnosis?

Echo for fellows and echo students. A 35 year old male admitted with acute heart failure following an episode of chest pain. What is the diagnosis?

13,409 Aufrufe

Patient with heart failure missed by a few consultants from various specialities. What could be this case?

Patient with heart failure missed by a few consultants from various specialities. What could be this case?

31,564 Aufrufe

For fellows. Newborn with SaO2 91%. No murmur. What is the diagnosis? It will be easy for paed cardiologists who see it often.

For fellows. Newborn with SaO2 91%. No murmur. What is the diagnosis? It will be easy for paed cardiologists who see it often.

74,560 Aufrufe

Post CABG 3 yrs, angina on effort. How can this be explained? Need to open the lesion in RCA? ⁦Shariq Shamim⁩ ⁦Mamas A. Mamas⁩ ⁦Abad khan,MD/DM⁩

Post CABG 3 yrs, angina on effort. How can this be explained? Need to open the lesion in RCA? ⁦Shariq Shamim⁩ ⁦Mamas A. Mamas⁩ ⁦Abad khan,MD/DM⁩

26,109 Aufrufe

For fellows. Enumerate all findings this patient has. What warning will you give to the surgeon who is going to operate the patient?

For fellows. Enumerate all findings this patient has. What warning will you give to the surgeon who is going to operate the patient?

11,862 Aufrufe

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Straight from the cath lab.

Straight from the cath lab.

Dr G Rajesh (Gopalan Nair Rajesh).

37,901 Aufrufe • vor 1 Monat

Patient admitted with retrosternal pain of 3 hours duration. Coronary Angio and LV angio findings attached.

Patient admitted with retrosternal pain of 3 hours duration. Coronary Angio and LV angio findings attached.

Dr G Rajesh (Gopalan Nair Rajesh).

10,474 Aufrufe • vor 1 Monat

Right upper pulmonary vein technique easily deploys ASD device when the conventional technique fails repeatedly. If the second attempt to deploy the device fails, I move to right upper pulmonary vein technique. We do all ASD device with just fluoro and TTE guidance, not TEE.

Right upper pulmonary vein technique easily deploys ASD device when the conventional technique fails repeatedly. If the second attempt to deploy the device fails, I move to right upper pulmonary vein technique. We do all ASD device with just fluoro and TTE guidance, not TEE.

Dr G Rajesh (Gopalan Nair Rajesh).

27,250 Aufrufe • vor 7 Monaten

Structural/Paed interventionalists. Need your inputs before I touch it.

Structural/Paed interventionalists. Need your inputs before I touch it.

Dr G Rajesh (Gopalan Nair Rajesh).

19,737 Aufrufe • vor 4 Monaten

Angio for Cardiology Senior residents /fellows.

Angio for Cardiology Senior residents /fellows.

Dr G Rajesh (Gopalan Nair Rajesh).

16,154 Aufrufe • vor 4 Monaten

38 year old with recent ACS NSTEMI, DM, good LV function. If patient is not willing for CABG despite repeatedly explaining that would be better for him, how will you approach this?⁦Shariq Shamim⁩ ⁦Osama Bisht⁩

38 year old with recent ACS NSTEMI, DM, good LV function. If patient is not willing for CABG despite repeatedly explaining that would be better for him, how will you approach this?⁦Shariq Shamim⁩ ⁦Osama Bisht⁩

Dr G Rajesh (Gopalan Nair Rajesh).

82,053 Aufrufe • vor 3 Jahren

Failed to withdraw the device into the sheath despite multiple attempts. The 30 mm device could not be withdrawn into 14 F sheath despite manipulations. What could be the reason? Options?

Failed to withdraw the device into the sheath despite multiple attempts. The 30 mm device could not be withdrawn into 14 F sheath despite manipulations. What could be the reason? Options?

Dr G Rajesh (Gopalan Nair Rajesh).

48,300 Aufrufe • vor 1 Jahr

I do it only when surgeon say no for surgery due to very high risk or multiorgan dysfunction. What is the procedure being done?

I do it only when surgeon say no for surgery due to very high risk or multiorgan dysfunction. What is the procedure being done?

Dr G Rajesh (Gopalan Nair Rajesh).

55,760 Aufrufe • vor 2 Jahren

26 yr old boy with progressive effort dyspnoea

26 yr old boy with progressive effort dyspnoea

Dr G Rajesh (Gopalan Nair Rajesh).

28,060 Aufrufe • vor 11 Monaten

LV angio of a 55 yr old male with one episode of syncope and effort angina.ECG showed LVH.His echo window was not good.Contrast echo is too costly for us.Cath can be done free under govt scheme.CAG turned out to be normal.What might have compelled me to insist for an LV angio.

LV angio of a 55 yr old male with one episode of syncope and effort angina.ECG showed LVH.His echo window was not good.Contrast echo is too costly for us.Cath can be done free under govt scheme.CAG turned out to be normal.What might have compelled me to insist for an LV angio.

Dr G Rajesh (Gopalan Nair Rajesh).

58,700 Aufrufe • vor 2 Jahren

26 yr old, smoker with family H/O CAD admitted with STEMI IW. Primary to RCA done. How to approach the left coronary? Your advice for us please. ⁦Mamas A. Mamas⁩ ⁦Hany Ragy⁩ ⁦Shariq Shamim⁩ ⁦Abad khan,MD/DM⁩

26 yr old, smoker with family H/O CAD admitted with STEMI IW. Primary to RCA done. How to approach the left coronary? Your advice for us please. ⁦Mamas A. Mamas⁩ ⁦Hany Ragy⁩ ⁦Shariq Shamim⁩ ⁦Abad khan,MD/DM⁩

Dr G Rajesh (Gopalan Nair Rajesh).

30,209 Aufrufe • vor 1 Jahr

For fellows. Post AVR for severe calcific AS shifted to cardiology on post op day 6. What is the post op complication?

For fellows. Post AVR for severe calcific AS shifted to cardiology on post op day 6. What is the post op complication?

Dr G Rajesh (Gopalan Nair Rajesh).

28,453 Aufrufe • vor 1 Jahr

22 yr old with NYHA class II DOE. What all pathologies? How to manage?

22 yr old with NYHA class II DOE. What all pathologies? How to manage?

Dr G Rajesh (Gopalan Nair Rajesh).

38,441 Aufrufe • vor 2 Jahren

A complicated infective endocarditis case. Patient became afebrile with antibiotics, ECG shows PR 200 ms, absolutely asymptomatic and hence not convinced about the need for surgery !!!

A complicated infective endocarditis case. Patient became afebrile with antibiotics, ECG shows PR 200 ms, absolutely asymptomatic and hence not convinced about the need for surgery !!!

Dr G Rajesh (Gopalan Nair Rajesh).

14,719 Aufrufe • vor 9 Monaten

ALWAYS take X-ray AP and Lateral(eg you won’t see pericardial calcification otherwise). Mediastinal masses are divided into anterior, middle and mediastinal. While doing echo, once you see nothing abnormal in heart, concentrate outside. Slide the probe wherever you can and observe. Diagnosis of teratoma was made after X-ray and echo(heterogeneous echo density) and sent to CT. Awaiting surgery. ALWAYS TAKE AN X-RAY IN NON-ANGINAL CHEST PAIN CASES. Absent pericardium can cause herneation of LAA and is a decent DD I agree. But lateral view shows anterior mediastinum is full.

ALWAYS take X-ray AP and Lateral(eg you won’t see pericardial calcification otherwise). Mediastinal masses are divided into anterior, middle and mediastinal. While doing echo, once you see nothing abnormal in heart, concentrate outside. Slide the probe wherever you can and observe. Diagnosis of teratoma was made after X-ray and echo(heterogeneous echo density) and sent to CT. Awaiting surgery. ALWAYS TAKE AN X-RAY IN NON-ANGINAL CHEST PAIN CASES. Absent pericardium can cause herneation of LAA and is a decent DD I agree. But lateral view shows anterior mediastinum is full.

Dr G Rajesh (Gopalan Nair Rajesh).

15,388 Aufrufe • vor 10 Monaten

Which ventricle has higher diastolic pressure in this patient with post MI VSR? How often you have seen this flow pattern through VSR?

Which ventricle has higher diastolic pressure in this patient with post MI VSR? How often you have seen this flow pattern through VSR?

Dr G Rajesh (Gopalan Nair Rajesh).

11,461 Aufrufe • vor 7 Monaten

78 yr male with effort angina, TMT strongly +ve in stage 2 Bruce, good LV. “All right” after angio!! Today’s first case in cath lab😳😭

78 yr male with effort angina, TMT strongly +ve in stage 2 Bruce, good LV. “All right” after angio!! Today’s first case in cath lab😳😭

Dr G Rajesh (Gopalan Nair Rajesh).

24,639 Aufrufe • vor 1 Jahr

Will you stent after thrombus aspiration if this result is obtained. Pt couldn’t afford OCT imaging.

Will you stent after thrombus aspiration if this result is obtained. Pt couldn’t afford OCT imaging.

Dr G Rajesh (Gopalan Nair Rajesh).

17,680 Aufrufe • vor 1 Jahr

If this patient is not at all willing for CABG, what is the best strategy for PCI?

If this patient is not at all willing for CABG, what is the best strategy for PCI?

Dr G Rajesh (Gopalan Nair Rajesh).

21,371 Aufrufe • vor 2 Jahren

Qn for fellows. What are the indications for this procedure? Classify the types of the defect.

Qn for fellows. What are the indications for this procedure? Classify the types of the defect.

Dr G Rajesh (Gopalan Nair Rajesh).

14,670 Aufrufe • vor 1 Jahr