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Dr G Rajesh (Gopalan Nair Rajesh).

@DrRajeshG1 • 42,335 subscribers

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

Shorts

For fellows. Arterial or venous pulsations?

For fellows. Arterial or venous pulsations?

464,449 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 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?

231,716 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?

15,390 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?

129,511 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.

118,079 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?

25,793 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

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)

75,069 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

Got my copy. Treasure indeed. ⁦Edgar Argulian⁩ ⁦Ritu Thamman MD⁩ ⁦CV Case Journal⁩ ⁦Chittur Sivaram MD MACP MACC⁩ ⁦American College of Cardiology⁩

Got my copy. Treasure indeed. ⁦Edgar Argulian⁩ ⁦Ritu Thamman MD⁩ ⁦CV Case Journal⁩ ⁦Chittur Sivaram MD MACP MACC⁩ ⁦American College of Cardiology⁩

13,633 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?

43,127 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?

31,561 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

26,097 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.

74,558 Aufrufe

$For fellows. 40 year old female came for preop evaluation of trochanteric fracture. ECG shows CHB. (A)Diagnosis? (B) Will you put a temporary pacemaker before surgery?$

For fellows. 40 year old female came for preop evaluation of trochanteric fracture. ECG shows CHB. (A)Diagnosis? (B) Will you put a temporary pacemaker before surgery?

33,937 Aufrufe

Echo for fellows. Enumerate all findings?

Echo for fellows. Enumerate all findings?

13,466 Aufrufe

Pt not willing for CABG. Which is your preferred approach for this distal LM bifurcation?

Pt not willing for CABG. Which is your preferred approach for this distal LM bifurcation?

35,557 Aufrufe

Why I love cardiology.Straight from the cath lab right now and a big thanks to Almighty straight from my heart. From nothing, no flow, no BP, low saturation intubated, poor pt couldn’t afford even an IABP balloon, IC adrenaline for severe no reflow and adrenaline surge for myself

Why I love cardiology.Straight from the cath lab right now and a big thanks to Almighty straight from my heart. From nothing, no flow, no BP, low saturation intubated, poor pt couldn’t afford even an IABP balloon, IC adrenaline for severe no reflow and adrenaline surge for myself

30,257 Aufrufe

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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 3 Monaten

Angio for Cardiology Senior residents /fellows.

Angio for Cardiology Senior residents /fellows.

Dr G Rajesh (Gopalan Nair Rajesh).

16,154 Aufrufe • vor 2 Monaten

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 5 Monaten

26 yr old boy with progressive effort dyspnoea

26 yr old boy with progressive effort dyspnoea

Dr G Rajesh (Gopalan Nair Rajesh).

28,056 Aufrufe • vor 9 Monaten

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).

48,261 Aufrufe • vor 1 Jahr

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).

82,013 Aufrufe • vor 3 Jahren

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).

55,759 Aufrufe • vor 2 Jahren

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).

58,681 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).

30,195 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).

14,713 Aufrufe • vor 7 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).

11,419 Aufrufe • vor 5 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 9 Monaten

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).

17,602 Aufrufe • vor 1 Jahr

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

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).

21,370 Aufrufe • vor 1 Jahr

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

CKD on hemodialysis with one month fever. What is the aortic valve pathology? If you are suspecting flail AV, please note there is only Only trivial AR !!! Need inputs from you all. ⁦Chittur Sivaram MD MACP MACC⁩ ⁦Ritu Thamman MD⁩ ⁦Dr. Purvi Parwani⁩ ⁦European Society of Cardiology Journals⁩

CKD on hemodialysis with one month fever. What is the aortic valve pathology? If you are suspecting flail AV, please note there is only Only trivial AR !!! Need inputs from you all. ⁦Chittur Sivaram MD MACP MACC⁩ ⁦Ritu Thamman MD⁩ ⁦Dr. Purvi Parwani⁩ ⁦European Society of Cardiology Journals⁩

Dr G Rajesh (Gopalan Nair Rajesh).

13,029 Aufrufe • vor 1 Jahr

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